Eric Hoskins, is calling for a 5.2 per cent escalator and a 10-year Accord. Both the Parliamentary Budget Office of Canada and Ontario’s Financial Accountability Office have used this number as a reasonable projection of health funding needs. This means it is the actual amount needed to meet the population’s health care needs, taking into account population growth, ageing, inflation and economic growth/utilization. Dr. Hoskins has also indicated willingness for the province to be accountable for spending the funds on agreed health care priorities. The Ontario Health Coalition agrees in principle. Strings attached to funding should include national standards such as compliance with the Canada Health Act, as well as accountability for improvements to access to public and non-profit health care, including public hospital care and public home care. The coalition warned against setting health priorities and assigning billions of public dollars based on the latest progressive-sounding but meaningless (or even damaging) trend or buzzword, such as “Health Transformation” which is not evidence-based, has been used as cover for draconian public hospital cuts and is more than a decade out-of-date for Ontario and several other provinces that have already shifted services. “The federal government must come to the table with an improved commitment for federal dollars to meet the real health care needs of Canadians or we will see more service cuts and privatization,” said Natalie Mehra, executive director of the Ontario Health Coalition.
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