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Bill 210 Impact


Harvestpro

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With the debate over the tPSA Bill 210 has come up often as a reason why the OMA was pushing so hard for the tPSA. People have often stated that the OMA wanted to pass the tPSA before Bill 210 passed. 

 

Can some one provide a brief summary of Bill 210 and why the OMA is so afraid of it.

 

I read over this  by the OMA but don't fully understand it. 

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What I got from it, was that it essentially gives any and all control to the Minister of Health/LHINs and that basically any policy, and investigation, and fee they choose to enact happens, as long as it can be considered in 'public interest' to do so. 

 

Kind of like a dictatorship, in a way. Maybe I read it wrong, but that's what my interpretation was. I'm also very sure I don't understand any of the details so hopefully someone else can give you a better answer :P

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briefly reading through that document. it begins to remind me of how the system works in the UK. essentially it sounds like the government wants to put LHINs at the head of directing all health care services within that region and consolidating all health-care related services to a single organization.

 

for instance, it talks about consolidating CCAC under LHIN, consolidating all reporting requirements to the LHIN supervisors from hospitals, clinics and the logistics of how they are run (opening, closing of clinics, who is hired etc).

 

Not a very good news indeed because the slippery slope from that is towards health care that is solely managed by the government and may include hiring and distribution of physician resources such that they may restrict entry of new physicians to certain areas in an attempt to force them to work somewhere else by limiting available spots.

 

i.e. in the future, primary care physicians (And specialists) wanting to work in a certain community may have to go through the local LHIN for job application etc and only with the approval of the local LHIN they may open practice and begin billing OHIP. This idea may limit where the government may 'allow' you to work under the OHIP system and may be an attempt to move people away from the GTA.

 

That said, pushing for tPSA wasn't necessarily the best thing even if it meant 'co-managing' because 'co-managing' means essentially that both parties need to agree on things before it gets implemented. If there is disagreement, who do you think will win? the government will always have ways to implement changes unilaterally because they have the power (they're holding the province's budget and the voters in hand). 

 

The only way to fight politics is with politics - we need a new government

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