Increasing Access Through Privatization? Bill 33 and the Introduction of Private Clinics and Duplicative Insurance in Québec

2021 ◽  
Vol 9 (2) ◽  
Author(s):  
Arisha Khan ◽  
◽  
Amélie Quesnel-Vallée ◽  
Rachel McKay ◽  
◽  
...  
Keyword(s):  
Health Insurance ◽  
Social Services ◽  
Private Insurance ◽  
Attorney General ◽  
Cataract Extraction ◽  
Wait Times ◽  
Substantial Impact ◽  
The Public ◽  
The Supreme Court ◽  
The Government

On 15 June 2006, Bill 33: Act to amend the Act respecting health services and social services and other legislative provisions, was tabled at the Québec Legislature. It served as the government's response to the Supreme Court of Canada's 2005 ruling in Chaoulli vs. Québec (Attorney General), which had ruled that Québec's ban on duplicative health insurance was not consistent with the Québec Charter of Human Rights and Freedoms. Bill 33 implemented centralized waiting lists, specialized private medical centres and introduced duplicative private health insurance. The stated objectives were to reduce wait times and abide by the SCC ruling. However, the scope of the reform was strictly limited to three services: hip and knee replacement, cataract extraction, and intraocular lens implantation. It also placed regulations on the ability of physicians to practice in the private sector, suggesting that the government sought to achieve these reforms while attempting to maintain the integrity of the public system and change as little as possible. Minimal evaluations of Bill 33 have been conducted by the government, with no further evaluations planned. However, analysis of the current Québec health care landscape indicates that despite the stated aspirations of Bill 33, it has not made a substantial impact on reducing wait times. At the same time, it has not contributed to the growth of a private insurance market in Québec, as many of its detractors feared. The implications of the Chaoulli decision and Québec's response provide key lessons for government and stakeholders in responding to legal challenges on health equity and parallel health system.

MECHANISM OF PROVISION OF SOCIAL SERVICES AS AN ESSENTIAL FACTOR OF SELF-ORGANIZATION OF SOCIETY AND CIVIL INITIATIVE

2021 ◽  
Author(s):  
Kosukhina K.V.
Keyword(s):  
Civil Society ◽  
Social Services ◽  
Self Organization ◽  
Essential Factor ◽  
Public Authorities ◽  
The Public ◽  
The Government

The article is devoted to the analysis of the development of public initiatives in Ukraine, as well as their role in building a dialogue between the government and civil society. The connection of the public initiative with the provision of social services is considered. The interaction of civil society institutions with public authorities is determined.

scholarly journals Kepercayaan Publik (Public Trust) Terhadap E-Government : Studi Kasus Penggunaan E-Mobile BPJS Kesehatan Di Kota Makassar

2020 ◽  
Vol 9 (1) ◽  
pp. 80
Author(s):  
Sitti Mirsa Sirajuddin ◽  
A . Atrianingsi
Keyword(s):  
Health Insurance ◽  
National Health Insurance ◽  
National Health ◽  
Mobile Applications ◽  
Mobile Application ◽  
Public Trust ◽  
The Public ◽  
The Government ◽  
Quantitative Descriptive ◽  
High Level

The general objective of the study was to analyze the level of public trust (citizen trust) of e-government based health insurance services, namely the e-mobile National Health Insurance (JKN) BPJS in Makassar City.The design of this research is a quantitative descriptive type. The population in this study were people who used the National Health Insurance (JKN) e-mobile application with 167 respondents. Data collection was carried out using a questionnaire instrument. Data analysis uses multiple linear regression.The results showed that first there was a high level of public trust in JKN e-mobile applications. This means that the application gives satisfaction to the community and is considered beneficial for them. Secondly, the level of public trust is high in the government, where the public considers the government to be serious in providing health insurance services.Tujuan umum penelitian adalah untuk menganalisis tingkat kepercayaan publik (citizen trust) terhadap pelayanan jaminan kesehatan berbasis e-government yaitu e-mobile Jaminan Kesehatan Nasional (JKN) BPJS Kesehatan di Kota Makassar. Desain penelitian ini adalah kuantitatif tipe deskriptif. Populasi dalam penelitian ini adalah masyarakat yang menggunakan aplikasi e-mobile Jaminan Kesehatan Nasional (JKN) dengan jumlah responden sebanyak 383 orang. Pengumpulan data dilakukan dengan menggunakan instrument kuesioner. Analisis data menggunakan regresi linear berganda. Hasil penelitian menunjukkan bahwa, pertama terdapat tingkat kepercayaan tinggi masyarakat terhadap aplikasi e-mobile JKN. Hal ini berarti aplikasi memberi kepuasan kepada masyarakat dan dianggap bermanfaat bagi mereka. Kedua tingkat kepercayaan publik tinggi terhadap pemerintah tinggi, dimana masyarakat menilai pemerintah serius dalam memberikan pelayanan jaminan kesehatan.

Utilization of Primary Health Services in Hong Kong

2015 ◽  
pp. 1159-1176
Author(s):  
Raymond K. H. Chan ◽  
Kang Hu
Keyword(s):  
Health Care ◽  
Hong Kong ◽  
Health Insurance ◽  
Health Services ◽  
Private Insurance ◽  
Public Health Services ◽  
Public And Private ◽  
The Public ◽  
Primary Health ◽  
Primary Health Services

This chapter analyzes the issue of primary health care utilization in Hong Kong and introduces the case of Hong Kong where a special division between public and private sectors has developed in the field of primary health services. The chapter argues that in the foreseeable future, it is likely that the division of health care between the public and private sector will be maintained. In recent years, more and more individuals and families have purchased private health insurance so as to gain more options. The idea of universal health insurance was rejected by the public in recent consultations; the current alternative is government-regulated private insurance. Although private primary health services will continue as usual in the near future, public primary health services should be maintained or even expanded. Given the costliness of private services (especially specialist services), it is recommended that more resources should be invested in corresponding public health services.

scholarly journals Private health insurance and the Pharmaceutical Benefits Scheme: how effective has recent government policy been?

2004 ◽  
Vol 28 (1) ◽  
pp. 34 ◽  
Author(s):  
Jeff R J Richardson ◽  
Leonie Segal
Keyword(s):  
Health Insurance ◽  
Private Health Insurance ◽  
Public Hospitals ◽  
Common Element ◽  
Cost Shifting ◽  
The Public ◽  
Pharmaceutical Expenditures ◽  
The Government ◽  
The Cost ◽  
Pharmaceutical Benefits Scheme

The cost to government of the Pharmaceutical Benefits Scheme (PBS) is rising at over 10 percent per annum. The government subsidy to Private Health Insurance (PHI) is about $2.4 billion and rising. Despite this, the queues facing public patients ? which were the primary justification for the assistance to PHI ? do not appear to be shortening. Against this backdrop, we seek to evaluate recent policies. It is shown that the reason commonly given for the support of PHI ? the need to preserve the market share of private hospitals and relieve pressure upon public hospitals ? is based upon a factually incorrect analysis of the hospital sector in the last decade. It is similarly true that the ?problem? of rising pharmaceutical expenditures has been exaggerated. The common element in both sets of policies is that they result in cost shifting from the public to the private purse and have little to do with the quality or quantity of health services.

White Paper on Black Money Government of India, Ministry of Finance, May 2012 Strategies for Curbing Generation of Black Money

2014 ◽  
Vol 1 (2) ◽  
Author(s):  
   
Keyword(s):  
White Paper ◽  
Recent Past ◽  
Tax Havens ◽  
The Public ◽  
Members Of Parliament ◽  
Supreme Court Of India ◽  
The Supreme Court ◽  
Ministry Of Finance ◽  
The Government ◽  
Near Future

Generation of black money and its stashing abroad in tax havens and offshore financial centres have dominated discussions and debate in public fora during the recent past. Members of Parliament, the Supreme Court of India and the public at large have unequivocally expressed concern on the issue, particularly after some reports suggested estimates of such unaccounted wealth being held abroad. After uproar in Parliament, Government of India came out with a White Paper on Black Money in May 2012. The White Paper presented the different facets of black money and its complex relationship with policy and administrative regime in the country. It also reflected upon the policy options and strategies that the Government had been pursuing in the context of recent initiatives, or need to take up in the near future, to address the issue of black money and corruption in public life. Extracts from the White Paper are presented below.

Effective Contract With The He ad Of Educational Organization: Professional Comment

10.12737/1393 ◽  
2013 ◽  
Vol 1 (5) ◽  
pp. 3-7
Author(s):  
Фёклин ◽  
Sergey Feklin
Keyword(s):  
Social Services ◽  
Public Institutions ◽  
The Public ◽  
Social Sphere ◽  
Municipal Employees ◽  
Tariff Rates ◽  
The Government ◽  
Labor System ◽  
Performance Results ◽  
New System

Present-day social sphere of the Russian Federation employs over 14.4 million workers; the majority (about 5.2 mln) are occupied in the educational sphere and another 3.9 mln — in the spheres of public health and social services. Remuneration of labor system for those occupied in state federal institutions is established based on the Decree of the Government of the Russian Federation №583 as of 5th August of 2008. Introduction of the new system has had a positive affect on the dynamics in government (municipal) employees’ compensation. Still, as the evidence shows, even the new system of remuneration fails to solve the problem of performance-contingent motivation for all categories of institutions. Ii is observed that in many cases performance indicators and criteria are not properly developed and are applied as a mere formality. In many public institutions incentive rewards are paid as a guaranteed part of compensation without any relation to the results of work. This is largely due to the extremely low tariff rates at the public institutions and their low competitiveness at local labor markets. As a result public institutions have to reward workers regardless of their performance results to retain manpower. The author concludes that remuneration of labor systems should be adapted to new conditions, aimed at the growth of appropriate industries, increase of services quality and maintain contingency between the public servants’ performance results and their compensation.

scholarly journals When universal health care isn’t truly universal: Beyond filling gaps in access to medicines

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
L James ◽  
S Menezes ◽  
S Lawrence ◽  
M Aranago
Keyword(s):  
Public Health ◽  
Health Care ◽  
Policy Development ◽  
Private Insurance ◽  
Research Review ◽  
Private Industry ◽  
The Public ◽  
Health Goals ◽  
The Government ◽  
Improve Access

Abstract Issue The Canadian healthcare system is defined by universality, but unfortunately that does not extend to drugs outside of hospitals. Access to medication remains an area of inequity, fragmentation and system failure, with millions struggling with cost related non-adherence. This has created major implications for public health, limiting the health status of populations. Canada's inequitable system and the recent pursuit to fix it, provides an opportunity to examine ways of balancing public health goals and health systems reform in a country with established public and private care services. Background The government mandated the creation of a plan to improve access to medications. Stakeholder consultations ran from June -September 2018 and the Heart & Stroke Foundation (H&S) aimed to create policy recommendations that would improve population health outcomes and inequities. Research review and analysis determined the scope of the problem and viable solutions. Questions arose around whether a solution could improve equity and lower health care costs without dismantling the existing private system. Results Visionary principles led to the recommendation of a universal pharmacare program, designed to improve access to cost-effective medicines for all people in Canada regardless of geography, age, or ability to pay. A hybrid -program would include a robust common formulary for which the public payer is the first payer creating cost efficiencies. Top-up private insurance would result in less strain on the public system and maintain the presence of the existing private industry. Lessons Health charities have a unique role to play in creating innovative policy solutions that also serve patient interests. In order to advance public health, health charities need to maintain focus on equity and avoid policy development that is biased with conflict of interest. Key messages Canada is primed to implement a unique universal pharmacare program that addresses healthy inequities. Varied stakeholder interests can block public health goals.

scholarly journals Apresiasi Masyarakat Miskin Terhadap Layanan Sosial Dasar Pemerintah

2017 ◽  
Vol 1 (1) ◽  
Author(s):  
Nihayatus Sholichah
Keyword(s):  
Local Government ◽  
Social Services ◽  
Public Service ◽  
Public Services ◽  
Direct Access ◽  
The Public ◽  
Fishing Villages ◽  
Food Education ◽  
The Government

Changes in the role of local government as stipulated in Law No. 23/2014 on Local Government, demanding the role of public services for quality local government to the community. In addition, the demand for public services as the rights of citizens who have direct access to the Government brings impacts on climate change in the Local Government, especially as a state servant and community service. Especially when associated with one of the factors that affect the success of an organization, which is oriented to the public service, namely its success in performing the service function to the public (public service) either in the form of goods or services in accordance with the desired needs. The phenomenon that occurs in the fishing community shows that, the level of welfare of life is low. Difficulties in overcoming the problems of daily living and poverty have made people in fishing villages have to bear the burden of life that can not be ascertained when the end. As a result of poverty, there is a difficulty in accessing services in the field of basic social services from the Government which includes food, education and health. Keywords: People's Appreciation, Poverty, Government

The Charter of Rights and Freedoms: Undermining Parliamentary Sovereignty and Federalism

Federalism-E ◽  
2019 ◽  
Vol 20 (1) ◽  
pp. 57-65
Author(s):  
Joshua Nahmias
Keyword(s):  
Supreme Court ◽  
Attorney General ◽  
Political Environment ◽  
Supreme Court Of Canada ◽  
Canadian Charter ◽  
The Public ◽  
Public Purse ◽  
Parliamentary Sovereignty ◽  
The Supreme Court ◽  
Core Concepts

This article explores the Canadian Charter of Rights and Freedoms and its role in altering two core concepts of Canadian democracy: parliamentary sovereignty and federalism. The author argues that the Charter has undermined these concepts through the empowerment of Canada's judiciary, namely the Supreme Court of Canada. The article explores ways in which the powers of parliament have been superseded by the courts, specifically through the establishment of "charter proofing," parliament's loss of power over the "public purse," and the erosion of the provinces' policy autonomy. Ultimately, the article seeks to demonstrate that the Charter has "legalized" Canadian politics to the extent that the judiciary unwieldy an unacceptable amount of power in Canada's political environment. Cases explored in the essay include Morgentaler v. the Queen (1988), Schachter v. Canada (1992), and Attorney-General of Québec v. Association of Québec Protestant School Boards (1984).

COVID-19, Death Records and the Public Interest: Now is the Time to Push for Transparency

2020 ◽  
Vol 2 (4) ◽  
pp. 1-22
Author(s):  
Amy Kristin Sanders
Keyword(s):  
Low Income ◽  
Public Interest ◽  
Attorney General ◽  
Public Information ◽  
People Of Color ◽  
Government Accountability ◽  
Personal Privacy ◽  
The Public ◽  
Public Health Information ◽  
The Government

As the U.S. has grappled with COVID-19, the government has resisted repeated requests to follow open records laws, which are essential to transparency. Current efforts to reduce access to death records and other public information amid the pandemic jeopardizes government accountability and undermines the public’s trust. Given that COVID-19 has disproportionately affected low-income Americans, incarcerated populations and people of color, access to government-held data has serious implications for social justice. Importantly, those goals can be met without violating personal privacy. After analyzing state open records laws, court decisions and attorney general opinions, the author has developed a set of best practices for advocating access to death records to provide journalists and government watchdogs with important public health information that’s squarely in the public interest.

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