List of Principles and Recommendations by Chapter

CHAPTER TWO: 

Principles to Guide the Restructuring and Financing of Canada’s Health Care System 

Principle One 
There should be a single funder (insurer) – the government directly or through an arm’s length agency – for hospital and doctor services covered under the Canada Health Act.

Principle Two 
There should be stability of, and predictability in, government funding for public health care insurance.

Principle Three 
The federal government should play a major role in  sustaining a national health care insurance system.

Principle Four
The determination of what should be covered under public health care insurance should be done through an open and transparent process. Health services covered under the Canada Health Act should remain publicly insured.  Other health services should continue to be funded using a mix of public and private sources, as they are now.

Principle Five 
The federal government should contribute on an ongoing basis to fund health care technology.

Principle Six 
The federal government should increase its investment in those areas of health and health care for which it already has a major responsibility.

Principle Seven  
The consequences arising from changes in the level or amount of government funding for hospital and medical care should be clearly understood by government and explained to the public, in as much detail as possible, at the time such changes are made and announced.

Principle Eight 
In the first stage of health care reform, the method for remunerating hospitals should be changed from the current annual global budget to service-based funding.

Principle Nine 
Regional health authorities should have the responsibility for purchasing hospital services provided by institutions within their region.

Principle Ten
Primary care renewal should lead to the provision of primary care by group practices, or clinics, which operate twenty-four hours a day seven days a week.

Principle Eleven
To facilitate primary care reform, the method of compensating general practitioners should be changed from fee-for-service to some form of blended remuneration combining capitation, fee-for-service and other incentives or rewards.

Principle Tweleve 
New scope of practice rules and other measures need to be developed in order to enable all health care providers in the primary care sector to provide the full range of services for which they have been trained.

Principle Thirteen
In the second stage of health care reform, an “internal market” should probably be created in which primary health care teams would purchase health services provided by hospitals and other health care institutions on behalf of their patients.

Principle Fourteen 
A national (not exclusively federal) strategy must be developed to achieve both an adequate supply and optimal use of health care providers.

Principle Fifteen
Accountability and transparency in health care financing and delivery require the deployment of a system of electronic health records (EHR) that can capture and translate information on system performance and outcomes.

Principle Sixteen
Measuring treatment outcomes and system performance must become an essential part of the health information system.  Such monitoring and evaluation of the health care delivery system should be performed independently at the national (not federal) level and be funded by government.

Principle Seventeen
Canada’s publicly funded health care system should be patient-oriented.

Principle Eighteen
Incentives should be developed to encourage patients to use the hospital and doctor system as efficiently as possible.  Such incentives should not include user fees for services that are deemed to  be medically necessary.

Principle Nineteen 
Programs that enable people to be responsible for their own health and to stay healthy must be given high priority.  The federal government can play a leadership role in this regard.

Principle Twenty 
For each type of major procedure or treatment, a maximum waiting time should be established, and made public.  When this maximum time is reached, the insurer (government) shall pay for the patient to receive immediately the procedure or treatment in another jurisdiction including, if necessary, another country.

CHAPTER THREE:

Financing and Assessing Health Care Technology  

That the federal government initiate a long-term program to assist provinces and territories in financing both the acquisition and ongoing operation of health care technology. Such a program should incorporate clear accountability mechanisms on the part of the provinces and territories on their use of these targeted federal funds.

That the federal government increase the funding it provides to CCOHTA and other HTA agencies.

That this additional funding be used to strengthen HTA capacity in Canada as well as to improve the dissemination and promotion of HTA findings to health care providers and managers.

That the federal government provide additional funding to the Canadian Institutes for Health Research and the Canadian Health Services Research Foundation to support research into the potential impact of health care technology on health care costs.

CHAPTER FOUR

DEPLOYING A NATIONAL HEALTH INFOSTRUCTURE

That, once the three- to five-year period is over, the federal government provide additional financial support to Canada Infoway Inc. so that Infoway develop, in collaboration with the provinces and territories, a national system of electronic health records.

That the federal government, in collaboration with all stakeholders involved in the computerization of health records, define standards and rules for the collection, storage and use of such information.

That the federal government, in collaboration with the provinces and territories, undertake the establishment of a national system of evaluation on health care system performance and outcomes. Such a national system of evaluation should: 1) be built on existing expertise and institutions; 2) remain independent from governments; and 3) receive appropriate funding from the public purse. The federal government should devote substantial funding to this very important undertaking.

That the federal government maintain its support to rural health and invest in telehealth applications that will enhance access to care and improve the quality of health services in rural and remote communities.

That the federal government, in collaboration with the provinces/territories and stakeholders, develop a national health information portal, building on the success of the Canadian Health Network and the integration of provincial/regional portals.

• As a matter of priority, investments into this national portal should be made in locations where the basic systems infrastructure is inadequate, especially in rural, remote and Aboriginal communities. This would greatly enhance the capacity of all Canadians to access timely and objective electronic health information.

 

CHAPTER FIVE

NURTURING EXCELLENCE IN CANADIAN HEALTH RESEARCH

That the federal government set, on a regular basis, national goals and priorities for health research in collaboration with all stakeholders.

That the federal government foster multi-stakeholder collaborations when performing, funding and using health research. This should contribute to capitalizing on the best available resources while minimizing overlap and duplication.

That the federal government take a leadership role, through the Canadian Institutes for Health Research and Health Canada, in developing a strategy to encourage interchange of research scientists between government, academia and the private sector, including national voluntary organizations.

That the federal government, through both Health Canada and the Canadian Institutes of Health Research, coordinate and provide resources to ensure that Canada contributes to and benefits from the scientific revolution to maximize the economic, health and social gains for Canadians.

That the federal government:

• Increase, within a reasonable timeframe, its financial contribution to extra-mural health research to achieve the level of 1% of total Canadian health care spending.
  
• Set and adhere to clear long-term plans for funding health research, particularly through the Canadian Institutes of Health Research. More precisely, the federal government should commit to a five-year planning horizon for the CIHR budget.
  
• Provide predictable and appropriate investment for in-house health research.

That Health Canada:

• Be provided with the financial and human resources in health research that are required to fulfill its mandate and obligations.
  
• Engage actively in the establishment of linkages and partnerships with other health research stakeholders.

That the federal government, through the Canadian Institutes of Health Research, Health Canada and the Canadian Health Services Research Foundation, devote additional funding to health services research and clinical research and that it collaborate with the provinces and territories to ensure that the outcomes of such research are broadly diffused to health care providers, managers and policy-makers.

That the federal government, through the Canadian Institutes of Health Research and Health Canada, provide additional funding to health research aimed at the health of particularly vulnerable segments of Canadian society.

That the federal government provide additional funding to CIHR in order to increase participation of Canadian health researchers, including Aboriginal peoples themselves, in research that will improve the health of Aboriginal Canadians.

That Health Canada be provided with additional resources to expand its research capacity and to strengthen its research translation capacity in the field of Aboriginal health.

That the federal government provide increased resources to the Global Health Research Initiative.

That the federal government require an explicit commitment from all recipients of federally funded health research that they will obtain the greatest possible benefit to Canada, whenever the results of their federally funded research are used for commercial gain.

That the Canadian Institutes of Health Research, while not ignoring the social value of health research that does not result in commercial gain, seek to facilitate appropriate economic returns within Canada from the investments it makes in Canadian health research, whenever the results of investments in Canadian health research are used for commercial gain. In doing so, CIHR should develop an innovation strategy aimed at accelerating and facilitating the commercialization of health research outcomes.

That the federal government invest additional resources to enhance the output of Canadian health researchers and strengthen the commercialization capacity of performers of federally funded health research through CIHR's innovation strategy. This new funding would be additional to the current health research investment. In particular, the funding of the indirect costs of research by the Canadian granting agencies should be made permanent. Health research performers should be made accountable for the use of these commercialization funds.

That Health Canada initiate, in collaboration with stakeholders, the development of a joint governance system for health research involving human subjects for all research that the federal government performs, that it funds, and that it uses in its regulatory activities.

That Health Canada, in the development of this ethics governance system, regard the following components as essential to progress:

• Work initially on all (health) research that the federal government performs, funds, or uses in its regulatory activities, to develop an effective and efficient system of governance that will become accepted as the standard of care across Canada;
  
• Give prime importance in the governance system to effective education and training mechanisms for all who are involved in research and research ethics, with certification as appropriate to their different responsibilities;
  
• Develop standards, based on the Tri-Council Policy Statement, the International Conference on Harmonization guidelines applying to clinical trials involving human subjects, and other relevant Canadian and foreign standards, against which research ethics functions or Research Ethics Boards can be accredited or certified as meeting the levels of function that are consistent with the expectations of Canadians and with those in other countries;
  
• Ensure that the Tri-Council Policy Statement is updated and is maintained at the forefront of international policies for the ethics or research involving humans;
  
• Remove inconsistencies between the various policies under which research involving humans is now governed, and make Canadian standards consistent with those of other countries that affect Canadian research;
  
• Establish an accreditation or certification process for research ethics functions that is at arm's length from government, but clearly accountable to government;
  
• Develop the governance system through open, transparent and meaningful consultation with stakeholders.

That all federal departments and agencies require compliance with the standards of the Canadian Council on Animal Care for:

• All research that is carried out in federal facilities, and
  
• All research that is funded by federal departments or agencies but performed outside federal facilities, and
  
• All research that is carried out without federal funding or facilities, but that is submitted to or used by the federal government for purposes of exercising its legislated functions.

That regulations such as those proposed by the Canadian Institutes of Health Research receive their fullest and fairest consideration in discussion about providing greater clarity and certainty of the law with the view to ensure that its objectives will be met without preventing important research to continue to better the health of Canadians and improve their health services.

That discussions continue among stakeholders, the Privacy Commissioner, and those federal and provincial government departments involved with the provision, management, evaluation and quality assurance of health services.

That the federal government, through the Canadian Institutes of Health Research and Health Canada, together with other relevant stakeholders, design and implement a program of public awareness to foster in Canadians a broad understanding of:

• the nature of, and reasons for, the extensive databases containing personal health information that must be maintained to operate a publicly financed health care system, and
  
• the critical need to make secondary use of such databases for health research and health care management purposes.
  

That the federal government, through the Canadian Institutes of Health Research and Health Canada, together with other relevant stakeholders, be responsible for promoting:

• thoughtful discussion and consideration of the ethical issues, particularly informed consent issues, involved with the secondary use of personal health information for health care management and health research purposes;
  
• thorough examination of the control and review mechanisms needed for ensuring that databases containing personal health information are effectively created, maintained and safeguarded and that their use for health care management and health research purposes is conducted in an open, transparent and accountable manner.

That the Canadian Institutes of Health Research, in partnership with industry and other stakeholders, continue to explore the ethical aspects of the interface between the sectors with a view to ensuring that the collaborations and partnerships function in the best interests of all Canadians.

CHAPTER SIX

PLANNING FOR HUMAN RESOURCES IN HEALTH CARE

That the federal government:

• Work with provincial governments to ensure that all medical schools and schools of nursing receive the funding increments required to permit necessary enrolment expansion.
  
• Review mechanisms by which direct federal funding could be provided to support expanded enrolment in medical and nursing education, and ensure the stability of funding for the training and education of allied health professionals.
  
• Review student loan programs available to health care professionals and make modifications to ensure that the impact of inevitable increases in tuition fees, especially as they affect medical students, does not lead to denial of opportunity to students in lower socio-economic circumstances.
  
• Provide particular tuition support for nursing students, up to and including waiving tuition fees entirely for a limited period of time.
  
• Work with provincial governments to ensure that the relative wage levels paid to different categories of health professionals reflect the real level of education and training required of them.

That the federal government work with the provinces and medical and nursing faculties to finance places for students from aboriginal backgrounds over and above those available to the general population.

That in order to facilitate the return to Canada of Canadian health care professionals who are working abroad, the federal government should work with the provinces and professional associations to inform expatriate Canadian health professionals of emerging job opportunities in Canada, and explore the possibility of adopting short-term tax incentives for those prepared to return to Canada.

That the federal Government work with other concerned parties to create a permanent national coordinating body for health human resources, to be composed of representatives of key stakeholder groups and of the different levels of government. Its mandate would include:

• disseminating up-to-date data on human resource needs;
  
• coordinating initiatives to ensure that adequate numbers of graduates are being trained to meet the goal of self-sufficiency in health human resources;
  
• sharing and promoting best practices with regard to strategies for retaining skilled health care professionals and coordinating efforts to repatriate Canadian health care professionals who have emigrated to other countries;
  
• recommending strategies for increasing the supply of health care professionals from under-represented groups, such as Canada's Aboriginal peoples, and in under-serviced regions, particularly the rural and remote areas of the country;
  
• examination of the possibilities for greater coordination of licensing and immigration requirements between the various levels of government.
  
  

That the federal government continue to work with the provinces and territories to reform primary care delivery, and that it provide ongoing financial support for reform initiatives that lead to the creation of multi-disciplinary primary health care teams that

• are working to provide a broad range of services, 24 hours a day, 7 days a week;
  
• strive to ensure that services are delivered by the most appropriately qualified health care professional;
  
• utilise to the fullest the skills and competencies of a diversity of health care professionals;
  
• adopt alternative methods of funding to fee-for-service, such as capitation, either exclusively or as part of blended funding formulae;
  
• seek to integrate health promotion and illness prevention strategies in their day-to-day work;
  
• organize themselves so that they develop the capacity to purchase services from hospitals and other institutional providers on behalf of their patients;
  
• progressively assume a greater degree of responsibility for all the health and wellness needs of the population they serve.

 

CHAPTER 7

TOWARDS A POPULATION HEALTH STRATEGY

Principle 7.1
Individuals should assume responsibility for their own health.

Principle 7.2
Government programs that enable individuals to assume greater responsibility for their own health, and particularly health promotion and illness prevention activities, must be given high priority.

Principle 7.3
It is necessary to develop broad population health strategies that are long term, national in scope and based on multi-departmental efforts across all jurisdictions.

Principle 7.4
The federal government should continue to provide leadership in the field of population health and devote more resources to population health strategies.

Principle 7.5
Government policies should be examined in terms of their impact on health status and health outcomes.

Principle 7.6
Population health strategies must be adapted to local conditions, and their design and implementation must involve local communities.

Principle 7.7
Given its fiduciary and constitutional responsibilities, the federal government should develop a population health strategy for Aboriginal Canadians.

---

APPENDIX B

List of Witnesses

Monday, October 15, 2001 

University of Manitoba:
Linda West, Professor, Asper School of Business 

Frontier Centre for Public Policy:  
Peter Holle, President 

Western Canadian Task Force on Health Research and Economic Development:
Dr. Henry Friesen, Team Leader
Dr. John Foerster
Dr. Audrey Tingle
Chuck Laflèche  

Regional Health Authorities of Manitoba  
Bill Bryant, Chair, Council of Chairs
Kevin Beresford, Chair, Council of CEOs
Randy Lock, Executive Director 

Manitoba Centre for Health Policy and Evaluation:
Dr. Nora Lou Roos  

Women's Health Clinic:  
Madeline Boscoe, Advocacy Coordinator 

Hospice and Palliative Care Manitoba:
Dr. Paul Henteleff, Chair, Advocacy Committee  
John Bond, Member of Advocacy Committee  
Margaret Clarke, Executive Director  

Canadian Union of Public Employees in Manitoba (CUPE):
Paul Moist, President
Lorraine Sigurdson, Health Care Coordinator 

Société franco-manitobaine:  
Daniel Boucher, Chief Executive Officer 

As a walk-on:  
Barry Shtatleman

 

Tuesday, October 16, 2001 

Saskatchewan Registered Nurses' Association:
June Blau, President 

Victorian Order of Nurses:
Bob Layne, Vice-President, Planning and Government Relations (Western Region)
Lois Clark, Executive Director, VON North Central Saskatchewan
Brenda Smith, National Board Member (Saskatchewan) 

Community Health Services (Saskatoon) Association:
Kathleen Storrie, Vice-President
Ingrid Larson, Director, Member Relations  

As an individual:  
Dr. John Bury 

Canadian Union of Public Employees (CUPE) Saskatchewan:
Tom Graham, President, CUPE Saskatchewan  
Stephen Foley, President, Health Care Council  
John Welden, Health Care Coordinator, Health Care Council  

Saskatoon Chamber of Commerce:
Dave Ductchak, President
Kent Smith-Windsor, Executive Director  
Jodi Blackwell, Research and Operations Director  

Arthritis Society of Saskatchewan:
Sherry McKinnon, Executive Director
Joy Tappin, Board Member 

Canadian Parks and Recreation:
Randy Goulden, Executive Director, Tourism Yorkton 

Métis National Council:
Gerald Morin, President
Don Fidler, Director, Health Care

 

Wednesday, October 17, 2001

Premier's Advisory Council on Health (Alberta):  
The Right Honourable Don Mazankowski, P.C., Chair
Peggy Garritty 

Department of Health and Social Services (Nunavut):
The Hon. Edward Picco, Minister 

Calgary Health Region:
Jack Davis, CEO 

Capital Health Authority:
Sheila Weatherill, President and CEO 

Canadian Practical Nurses Association:
Pat Fredrickson, President 

University of Alberta - Faculty of Nursing:
Dr. Donna Wilson 

Health Sciences Association of Alberta:
Elisabeth Ballermann, President 

Alberta Association of Registered Nurses:
Sharon Richardson, President

United Nurses of Alberta:
Heather Smith, President 

Friends of Medicare:
Christine Burdett, Provincial Chair
Tammy Horne, Member 

As an individual:
Kevin Taft, MLA 

Western Canada Waiting List Project:
John McGurran, Project Director 

Primary Care Initiative:
Dr. June Bergman 

Alberta Consumers Association:
Wendy Armstrong 

Fédération des communautés francophones et acadiennes du Canada :  
George Arès, President 

National Advisory Council on Aging:
Pat Raymaker, Chairwoman 

Alberta Council on Aging:
Neil Reimer, Secretary/Treasurer 

Nechi Institute:
Ruth Morin, Chief Executive Officer
Richard Jenkins, Director of Marketing and Health Promotion 

Executive of the Alberta and Northwest Conference of the United Church of Canada - Health Advisory Committee:
Louise Rogers
Kent Harold  
Don Junk  

As a walk-on:
Noel Somerville

 

Thursday, October 18,2001  

Commission on Medicare, Saskatchewan:
Ken Fyke, Former Chair 

Tommy Douglas Research Institute:
Dave Barrett, Chair
Marc Eliesen, Co-Chair  

Market-Media International Corporation:
Joan Gadsby, President 

University of British Columbia, Family Practice Residency Program:
Dr. J. Galt Wilson, Program Director - Prince George Site

University of British Columbia:
Dr. John A. Cairns, Dean of Medicine
Dr. Joanna Bates, Associate Dean, Admissions  

Health Professions Council:
Dianne Tingey, Member
Gerry Fahey, Research Director 

Cambie Surgery Centre:  
Dr. Brian Day, Founder 

As an individual:
Cynthia Ramsay, Health Economist 

Health Association of British Columbia:
Lorraine Grant, Chair of the Board of Directors
Lisa Kallstrom, Executive Director 

University of British Columbia:
Dr. John H. V. Gilbert, Coordinator of Health Sciences 

University of British Columbia - Vancouver Hospital and Health Sciences Centre:
Professor Charles Wright, Director, Centre for Clinical Epidemiology and Evaluation 

University of British Columbia – Centre for Health Services and Policy Research:
Professor Barbara Mintzes 

Professional Association of Residents of British Columbia:
Dr. Kristina Sharma
 

Friday, October 19, 2001  

Canadian Medical Association:
Dr. Peter Barrett, Past President
Dr. Arun Garg, Chair, Council on Health Policy and Economics 

British Columbia Medical Association:  
Dr. Heidi Oetter, President
Darrell Thomson, Director, Economics and Policy Analysis 

University of British Columbia, Anxiety Disorders Unit, Department of Psychiatry:
Dr. Peter D. McLean, Professor and Director 

Maples Surgical Centre (Manitoba)  
Dr. Mark Godley

 

Monday, October 29, 2001  

Canadian Radiation Oncology Services:  
Dr. Thomas McGowan, President and Medical Director 

Canadian Taxpayers Federation:  
Walter Robinson, Federal Director 

Canadian Council of Churches:  
Stephen Allen, Member of Commission for Justice and Peace and Co-Chair of the Commission's Ecumenical Health Care

Buffett Taylor Employee Benefits and Workplace Wellness Consultants:  
Edward Buffett, President and CEO 

As an individual:  
Michael Rachlis 

Medical Reform Group:  
Dr. Joel Lexchin 

At Work Health Solutions Inc.:  
Dr. Arif Bhimji, Founder and President; Medical Director of Liberty Health
Gery Barry, President and CEO of Liberty Health 

Consumers' Association of Canada:  
Jean Jones, Chair of the Health
Mel Fruitman, President 

Ontario Association of Optometrists:  
Dr. Joseph Chan 

Medical Devices Canada (MEDEC):  
Peter Goodhand, President 

AstraZeneca:  
Gerry McDole, President and CEO 

Comcare Health Services:  
Mary Jo Dunlop, President St. Michael Hospital 

Saint Michael’s Hospital:  
Jeffrey Lozon, President and CEO 

Association of Ontario Health Centres:  
Gary O'Connor, Executive Director 

Ontario Medical Association:  
Kenneth Sky, President 

The Arthritis Society:  
Denis Morrice, President and CEO 

SMARTRISK:  
Dr. Robert Conn, President and CEO 

Canadian Cancer Society:  
Dr. Barbara Whylie, Director, Cancer Control Policy
Cheryl Mayer, Director, Cancer Control Programs Alcohol and Drug Recovery Association of Ontario and Addiction Intervention Association
Jeff Wilbee, Executive Director

 

Tuesday, October 30, 2001

Canadian Institute for Health Information:  
Michael Decter, Chairman, Board of Directors 

Ontario Hospital Association:  
David MacKinnon, President and CEO 

Registered Nurses Association of Ontario:  
Doris Grinspun, Executive Director 

McMaster University - Department of Economics:  
Jeremiah Hurley, Professor 

University of Toronto - Public Health Science Department:  
Dr. Cameron Mustard, Professor 

University of Toronto:  
Colleen Flood, Professor

Drug Trading Company Limited:  
Larry Latowsky, President and CEO
Jane Farnharm, Vice President Pharmacy 

Canadian Pharmacists Association:  
Ron Elliott, President 

GlaxoSmithKline:  
Geoffrey Mitchinson, Vice-president, Public Affairs 

Medtronic:  
Donald A. Hurley, President 

Canadian Association for the Fifty Plus:
Dr. Bill Gleberzon, Associate Executive Director
Lilian Morgenthal, President 

Canadian Association for Community:  
Cheryl Gulliver, President
Connie Laurin-Bowie
Margot Easton 

Roeher Institute:  
Cameron Crawford, President 

As individuals:  
Clement Edwin Babb
Robert S.W. Campbell

 

Wednesday, October 31, 2001  

As Individuals:  
The Honourable Claude Forget
The Honourable Claude Castonguay
André-Pierre Contandriopoulos, Professor, Faculty of Medicine, University of Montreal

Hôtel Dieu Hospital:  
Dr. Serge Boucher  

Conseil du patronat du Québec:  
Gilles Taillon, President  

Canadian Chamber of Commerce:  
Nancy Hughes-Anthony, President and Chief Executive Officer
Michael N. Murphy, Senior Vice-President, Policy 

As Individuals:  
Jean-Luc Migué
Lee Soderstrom, Professor, Department of Economics, McGill University 

Montreal Economic Institute:  
Michel Kelly-Gagnon, Executive Director
Dr. Edwin Coffey, Retired Associate Professor, Faculty of Medicine, McGill University, and Former President of the Quebec Medical Association 

Frosst Health Care Foundation:  
Dr. Monique Camerlain, President of the Board of Directors
Janet Dunbrack, Executive Director.

 

Thursday, November 1, 2001  

Association des optométrists du Québec:  
Dr. Langis Michaud, President  
Marie-Josée Crête, Deputy Director General  
Clairmont Girard, Advisor  

Collège des médécins du Québec:  
Dr. Yves Lamontagne, President  
Dr. André Garon, Deputy Secretary General 

As an Individual:  
Robert Dorion 

Canadian Life and Health Insurance Association:  
Mark Daniels, President
Greg Traversy, Executive Vice-President
Yves Millette, Senior Vice-President, Quebec Affairs
Frank Fotia, Vice-President, Group Insurance. 

As Individuals:  
Dr. Margaret Somerville, Acting Director, McGill Centre for Medicine, Ethics and Law, McGill University
Dr. Robyn Tamblyn, Associate Professor, Department of Economics, McGill University 

Merck Frosst Canada Ltd.:  
Kevin Skilton, Director, Policy Planning
Dr. Terrance Montague, Executive Director, Patient Health  

Association québécoise des droits des retraités (AQDR):  
Ann Gagnon, Advisor on Health
Yollande Richer, Vice-President, Communications  
Myroslaw Smereka, Director General

 

Monday, November 5, 2001  

Department of Health and Community Services, Newfoundland:  
Robert C. Thompson, Deputy Minister 

Department of Health and Community Services, Newfoundland:  
Beverly Clarke, Assistant Deputy Minister 

Victoria Order of Nurses (VON Canada):  
Patricia Pilgrim, President, St. John’s Branch
Bernice Blake Dibblee, Executive Director, St. John’s Branch 

Association of Registered Nurses of Newfoundland and Labrador:  
Sharon Smith, President 

Canadian Union of Public Employees, Newfoundland:  
Wayne Lucas, President 

As an individual:  
Maud Peach 

National Cancer Institute of Canada:  
Dr. Roy West, President 

Health and Community Services, Newfoundland:  
Dr. Catherine Donovan 

Weight Watchers:  
Marlene Bayers, Regional Manager 

Newfoundland Cancer Treatment and Research Foundation:  
Bertha H. Paulse, Chief Executive Officer 

As an individual:  
Karen McGrath, Executive Director of Health and Community Services St-John’s Region

 

Tuesday, November 6, 2001

Canadian Auto Workers (CAW):  
Cecil Snow, President, Nova Scotia Health Care Council 

Nova Scotia Association of Health Organizations:  
Robert Cook, President and CEO 

Insurance Bureau of Canada:  
George Anderson, President and CEO
Paul Kovacs, Senior Vice-President Policy and Chief Economist 

Canadian Coalition Against Insurance Fraud:  
Mary Lou O'Reilly, Executive Director 

Atlantic Institute for Market Studies:  
Dr. David Zitner, Fellow on Health Policy 

Dalhousie University:  
Nuala Kenny, Professor of Pediatrics and Chair, Department of Bioethics
Dr. Vivek Kusumakar, Head, Mood Disorders Research Group, Department of Psychiatry
Lawrence Nestman, Professor, School of Health Services Administration 

Nova Scotia Valley Caregivers Support Group:  
Maxine Barrett 

Elizabeth May Chair in Women’s Health and the Environment, Dalhousie University:  
Sharon Batt, Chair 

Feminists for Just and Equitable Public Policy:  
Ms. Georgia MacNeil, Chair Person 

Cape Breton Regional Health Care Complex:  
John Malcom, CEO
Dr. Mahmood Naqvi, Medical Director, Cape Breton Regional Facility 

Capital District Health Authority:  
Dr. John Ruedy, Vice-President, Academic Affairs 

Dalhousie University:  
Thomas Rathwell, Professor and Director, School of Health Services Administration 

Canadian Medical Association:  
Dr. Henry Haddad, MD, President
Bill Tholl, Secretary General
Dr. Bruce Wright, President of the Medical Society of Nova Scotia
Dr. Dana W. Hanson, President-Elect 

Dalhousie University:  
Dr. Desmond Leddin, Head, Division of Gastroenterology
Dr. George Kephart, Director, Population Health Research Unit, Department of Community and Epidemiology
Dr. Kenneth Rockwood, Faculty of Medicine, Division of Geriatric Medicine 

Cobequid Community Health Board:  
Ryan Sommers 

Health Canada:  
Anne-Marie Leger, Policy Analyst

 

Wednesday, November 7, 2001

Department of Health and Social Services, Prince Edward Island:  
The Honourable Jamie Ballem, Minister 

PEI Seniors Advisory Council:
Heather Henry-MacDonald, Chair 

Canadian Union of Public Employees, PEI Division:  
Bill A. McKinnon, National Representative
Ms. Donalda MacDonald, President
Raymond Léger, Research Representative 

Department of Health and Social Services:  
Mary Hughes-Power, Director of Acute and Continuing Care
Deborah Bradley, Manager of Public Health Policy 

College of Family Physicians of Canada:  
Dr. Peter MacKean, Chairman of the Board 

Queen Elizabeth Hospital:  
Iain Smith, Drug Utilization Coordinator 

PEI Pharmacy Board:  
Neila Auld, Executive Director, PEI 

Queen’s Regional Health Authority:  
Sylvia Poirier, Chair 

West Prince Regional Health Authority:  
Ken Ezeard, Chief Executive Officer 

Department of Health and Social Services:  
Dr. Don Ling, Director of Medical Services 

Department of Health and Social Services, Prince Edward island:  
Rory Francis, Deputy Minister
Bill Harper, Assistant Deputy Minister
Jean Doherty, Communications Coordinator 

Southern Kings Health Authority:  
Betty Fraser, Chief Executive Officer 

Department of Health and Social Services:  
Susan Maynard, Senior Health Planner
Kathleen Flanagan-Rochon, Community Services Coordinator 

Evangeline Health Centre:  
Elise Arsenault, Coordinator 

East Prince Regional Health Authority:  
David Riley, Chief Executive Officer 

Dalhousie University:  
Dr. Stan Kutcher, Department Head of the Community Health and Epidemiology/ Psychiatry

 

Thursday Nov. 8, 2001  

Faculty of Nursing, University of New Brunswick:  
Dr. Margaret Dykeman 

New Brunswick Health Care Association:  
Robert Simpson, Chief Executive Officer

Canadian Association of Chain Drug Stores:  
Sherry Porter, Atlantic Canada Representative
Sandra Aylward, Vice President, Pharmacy Services 

As Individuals:  
Dr. Russell King, Former Minister of Health, Province of New Brunswick
William Morrissey, Former Deputy Minister of Health, Province of New Brunswick 

Applied Management:  
Bryan Ferguson, Partner  

Société des Acadiens et Acadiennes du Nouveau-Brunswick:  
Daniel Thériault, Director General 

Canadian Snowbird Association:  
Bob Jackson, President

New Brunswick Senior Citizens Federation Inc.:  
Helen Ladouceur, Member
Eilleen Malone, Member 

Catholic Health Association of Canada:  
Sandra Keon, Secretary Treasurer; and Vice-President of Clinical Programs, Pembroke Hospital 

Miramichi Police Force:  
Michael Gallagher, Corporal, Drug Section 

Canadian Union of Public Employees, New Brunswick:  
Raymond Léger, Research Representative 

Federal Superannuates National Association:  
Rex G. Guy, National President
Roger Heath, Research and Communications Officer 

Union of New Brunswick Indians:  
Nelson Solomon, Director of Health
Wanda Paul Rose, Coordinator
Norville Getty, Consultant 

Nurses Association of New Brunswick:  
Roxanne Tarjan, Director General

 

Thursday, February 21, 2002  

Canadian Federation of Nurses Unions:  
Kathleen Connors, President 

Canadian Health Coalition:  
Dr. Arnold Relman, Former editor of New England Journal of Medicine
Michael McBane, National Coordinator 

Federal Superannuates National Co-ordinator:  
Rex G. Guy, National President
Roger Heath, Research and Communications Officer

 

Thursday, March 7, 2002  

Canadian Healthcare Association:  
Sharon Sholzberg-Gray, President and CEO
Kathryn Tregunna, Director, Policy Development 

Canadian Labour Congress:  
Kenneth V. Georgetti, President
Cindy Wiggins, Senior Researcher, Social and Economic Policy Department

 

v v v

Other Written Submissions Received: 

Abell Medical Clinic
Alberta Centre for Injury Control and Research
Amgen Canada Inc.
Ancaster-Dundas-Flamborough-Aldershot New Democratic Party Riding Association Executive Committee
B.C. Better Care Pharmacare Coalition
Bruce Bigham
Brain Injury Association of Nova Scotia
Canada West Foundation
Canadian Association of Emergency Physicians (CAEP)
Canadian Association of Internes and Residents
Canadian Caregiver Coalition
Canadian Cochrane Network and Centre
Canadian Drug Manufacturers Association (CDMA)
Canadian Strategy for Cancer Control
Chemical Sensitivities Information Exchange Network Manitoba (CSIENM)
Conestoga College (Pat Bower, Course instructor)
Faith Partners (Ottawa)
Federation of Medical Women in Canada
Dr. Michael Gordon, Baycrest Centre for Geriatric Care
Serena Grant
Home-based Spiritual Care
Kidney Foundation of Canada
Kids First Parent Association of Canada
Dr. Lee Kurisko
Caterine Lindman
Jim Ludwig
Dr. Keith Martin
Dr. Ross McElroy
Dr. Malcom S. McPhee
Verna Milligan
Moose Jaw-Thunder Creek District Health Board
Dr. Earl B. Morris
Fran Morrison
John Neilson  
Ontario Psychological Association  
Roy L. Piepenburg (Liberation Consulting)
Red Deer Network in Support of Medicare
Dr. Robert S. Russell
Society of Obstetricians and Gynaecologists of Canada
Christa Streicher  
Elaine Tostevin  

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[234] Volume One, p. 81.