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Health committee  Very briefly, I would tell you to beware of ''big bangs''. When the provinces organized most of the big bangs, there were changes to the structure. Today, we need to change practices. In some provinces, there are indeed changes in practices. I don't quite agree with what Dr. Rose

November 28th, 2011Committee meeting

Prof. François Béland

Health committee  In fact, one of my proposals was that the federal government reinstate the health innovation funds. Indeed, work has already been done regarding best practices. Amongst other things, reports were tabled with the health department, namely Hollander's work, Chappell's work, ours an

November 28th, 2011Committee meeting

Prof. François Béland

Health committee  Very briefly, I would say that there are—

November 28th, 2011Committee meeting

Prof. François Béland

Health committee  In my own experience, I've noticed that the Quebec government encouraged such sharing, especially between Quebec and Ontario, regarding performance, performance measurement and the way to use performance indicators. In addition, information now circulates. For example, the Canad

November 28th, 2011Committee meeting

Prof. François Béland

Health committee  Aboriginal people are not really my area of expertise. I know that the federal government often claims that health does not fall under its jurisdiction, but it is nevertheless responsible for certain populations. I mentioned aboriginal people, since the federal government indeed

November 28th, 2011Committee meeting

Prof. François Béland

Health committee  I do not want to point the finger at any government in particular, but as I said earlier, I believe that we are at a crucial junction for the entire health care system. I do not believe that we are going to find solutions by just tinkering with our structures and with funding. We

November 28th, 2011Committee meeting

Prof. François Béland

Health committee  The whole issue of the accord renewal funding would require separate consideration. One thing is certain: the funding is not sufficient, but it is critical. In addition, we have to innovate, and we know how to do that.

November 28th, 2011Committee meeting

Prof. François Béland

Health committee  No. It represents total health spending in Canada. This spending includes medicare and all amounts spent by the provinces. This line only represents public health care spending. This line includes everything which CIHI, the Canadian Institute for Health Information, deems as bei

November 28th, 2011Committee meeting

Prof. François Béland

Health committee  Yes. That represents overall public health spending.

November 28th, 2011Committee meeting

Prof. François Béland

Health committee  That's right. Let's consider all public administrations, as they are defined by Statistics Canada. I can give you the definition.

November 28th, 2011Committee meeting

Prof. François Béland

Health committee  Yes, it should be the one on top.

November 28th, 2011Committee meeting

Prof. François Béland

Health committee  Health care systems and the provinces, but especially Quebec, have basically tried two things up till now. First, they tried to change the structures. Hospitals were merged, demerged and remerged. Regions were created, regions were eliminated, new ones were put in place, they we

November 28th, 2011Committee meeting

Prof. François Béland

Health committee  There are several ways of looking at this. You are asking a difficult question. When I was younger, we talked about the $64,000 question, but today, it is probably the $64 million or $64 billion question. It is very difficult to give a clear answer regarding that aspect. I would

November 28th, 2011Committee meeting

Prof. François Béland

Health committee  No, the services did not decrease. What happened is that the growth in intensity decreased. The growth rate decreased, not the health care. When we make forecasts, we use growth rates. Take the hypothesis that care for the elderly is generally more intense, given that some say t

November 28th, 2011Committee meeting

Prof. François Béland

Health committee  You have the document I distributed. It was produced by the Gerontological Advisory Council, which was set up by Veterans Affairs Canada, but does not exist any more. I believe it ceased to exist about two years ago. I was a member of that council from start to finish, that is, f

November 28th, 2011Committee meeting

Prof. François Béland