Letter to Minister Graham Steele

To: Honourable Graham Steele
Minister of Finance

From: The ACE Team
2053 Old Sambro Road
Halifax, N.S.
B3V 1C1
Wednesday, April 21, 2010

In your attempt to sell Nova Scotians your budget, (95.7 Talk Show) you indicated that health care costs were the main drivers for the increase in taxes. There were several other interviews involving Dr. John Gilles suggesting that a road-show similar to yours was necessary to get a feel for what the people of Nova Scotia want in a health care system. Dr. John Ross, ER CEO and Spokesperson for the NDP, indicating that “A Study” should be done on how to improve ER Services in this province.

Please allow me to save you millions; Our Health Care System has been studied to death.

We want more money spent where the rubber meets the road…. on patients who are suffering unacceptable wait times. We want excessive and costly administrative levels and executive, eliminated or downsized. We want systemic uncontrolled “Health Industry” initiated cost drivers, brought into line with today’s economic reality. In essence we want better patient service by reducing money spent on counting and talking about health care dollars. Non Medical expenditures are what is out of control. We all know there is no shortage of money. Resources are being siphoned off by non medical special interests…. with everyone on side, except the patients and the taxpayer.

No, we don’t need any more expensive studies. Our health care system has been studied extensively by the following reports;

The Romano Report – The most favored by Canadians. Recommends keeping our national health care system public. This report suggested that our health care system is seriously underfunded. Our province was paid one hundred million dollars following this report, which was applied to the provincial debt instead of health care. Also, $800 Million in offshore royalties was applied to the debt.

The Canadian Health Research Foundation - A not for profit organization. Suggests: that factors outside the main health care system such as drug costs, insurance providers and other non medical cost drivers are responsible for the increasing costs in health service, all at the expense of patients service levels.

Dr. Michael Rachlis - Expert on Canada’s Health Care system and outspoken Universal / Public Health Care defender, suggests : Canada’s Health Care System is
sustainable without increased funding and that “more efficient use of funds” already provided is the answer to improving Health Care for Canadians.

Corpus Sanchez Report - A profit driven U.S.A. based organization advises how privately run hospitals in the U.S. can become more profitable through cost cutting measures and making patients pay more, for treatment. This organization set up shop in British Columbia waiting to capitalize on the Canadian system. They expect to benefit from hospitals privatization after our national health care system ollapses. This organization pushing privatization at a time when Americans are well underway to adopting a Universal / Public Health Care System.

This million dollar report basically suggested the dismantling (privatizing) of our
provincial health care system as we know it. One focus of this report is to de-emphasize rural ERs which is already in progress here in Nova Scotia. I believe keeping ERs open was …. an NDP Election Promise???

Nine Provincial District Health Authorities. These DHAs supposedly consult with their communities on a daily basis on how to better improve the health system.
Supposedly, there are ongoing meetings being conducted by the nine Community District Health Boards in the name of cost saving measures. These local authorities have produced instances where money was doled out to local interests i.e. ATV Association of Nova Scotia and walking clubs. Both wrong decisions in what you describe as a crisis situation.

I listened to interviews given by Dr. John Ross and Dr. John Gilles that suggested fewer surgeries were and are necessary in order to save money. Is it about saving money,… at patients peril? It was also suggested that by not having enough medical personal (front line staff), ERs, particularly in the rural areas of the province are either forced to cut back in the number of hours they operate or close altogether. The reduction of 1.5 million dollars, announced in your budget, to Dalhousie Medical School for the training of new Medical professionals further emphasizes the reality / fact that your government is stealthily dismantling our health care system. It is becoming apparent that the financial problems of our health care system are caused by non-medical services (i.e) pharmaceutical companies, suppliers of medical equipment, too many layers of government and administration that are outside of the main core of direct patient care. It is up to this NDP government to control the costs of these outside forces instead of further eroding our health care system and continually attacking patients and taxpayer.

Money is sprinkled throughout the health care system like so much confetti from the Federal government on down to the DHAs and is being wasted through too much governmental and administrative layering and not enough on patient care, particularly the elderly. There are rumors of a $300,000.00 dollar catering account at one major hospital. Also, Blackberry communication devices being handed out to executives at another facility, regardless of necessity.

At present there is no accountability on how our health tax dollars are being utilized and no independent watchdog to make sure money is being spent effectively & efficiently. In plain words people need to be shown where the money goes. “Show Me the Money”.

As spokesperson for the ACE Team (Advocates for the Care of the Elderly) I am calling on the NDP to do the right thing and really demonstrate to the people of Nova Scotia by making the spending of our health tax dollars more effective and transparent by setting up a system that shows exactly how our health tax dollars are being spent while keeping in mind the plight of the elderly and the abuses many of this most vulnerable segment of our population and their caregivers suffer at the hands of our health care system.
Gary MacLeod
The ACE Team (Advocates for the Care of the Elderly)