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[EQ] How Canada's Health System Is FinancedExploring the 70/30 How Canadian Institute for Health Information (CIHI), September 28, 2005 Website: http://secure.cihi.ca/cihiweb/dispPage.jsp?cw_page=PG_469_E&cw_topic=469&cw_rel=AR_1282_E —Countries with a large percentage of public-sector health care funding often differ in the types of coverage they offer, according to a new report “……Fewer services are channelled through physicians and hospitals, and both sectors account for decreasing percentages of total health expenditures. Total spending on health care has risen and private spending by individuals or insurers has been growing more quickly than public spending. Today, about 70% of total Canadian health expenditures comes from the public purse. The remainder (about 30%) comes from private sources. In this report, we look at trends in financing and at variations in this 70/30 split across provinces and territories…… About the Canadian Institute for Health Information Acknowledgments PART A: Setting the Stage Chapter 1: Health Financing in How Did It All Start? The Public/Private Mix Private Financing—Out of Whose Pocket? Out-of-Pocket Payments Private Health Insurance Chapter 2: The Canadian Reality Looking Forward From the Who Pays and What the Money Covers Making the Decisions: What to Include in the “Basket” of Health Services? PART B: A Primer on Chapter 3: A Primer on Health Spending Trends in Health Spending Compared The Public/Private Financing PART C: Snapshots of Spending on Health Services Chapter 4: Hospital Services Who Uses Canada’s Hospitals? Where Does a Hospital’s Money Go? The Cost of Treating Patients Who Pays for Hospital Care? Chapter 5: Physician Services A Visit to the Doctor Health Spending on Physicians How Doctors Are Paid Fee-for-Service Payments Alternative Payments How Much Doctors Get Paid Overhead Costs and Physicians’ Incomes Private Spending on Physician Services Chapter 6: Retail Drug Sales Medicating More Who Is Covered? Why Is Drug Spending Rising? Who Pays? Chapter 7: Oral Health Care Services Dental Consultations What Predicts Use? Canadian Spending Compared The Public Sector and Dental Care The Primary Payers Chapter 8: Eye Care Seeking Eye Care Public Insurance Coverage More Than Pocket Change Chapter 9: Continuing Care Residential Care Facilities Use of Residential Care Spending on Residential Care Home Care Services Use of Home Care Services Coverage of Home Care Services Spending on Home Care Services Beyond the Health Care System: Informal Support From Family and Friends Chapter 10: Mental Health Services Who Is and Isn’t Using Mental Health Services Who’s Paying for Mental Health Care? The Cost of Mental Health Care Chapter 11: Complementary and Alternative Medicine Seeking Care Outside the Doctor’s Office Coverage for Spending Appendix * * * * This message from the Pan American Health Organization, PAHO/WHO, is part of an effort to disseminate “Materials provided in this electronic list are provided "as is".Unless expressly stated otherwise, the findings PAHO/WHO Website: http://www.paho.org/ EQUITY List - Archives - Join/remove: http://listserv.paho.org/Archives/equidad.html Decrease cellulite.We receieved your request for information on natural suppressants to help lose weight. Solution: Allan Terry reccommends a 2-4 month supply of MS HOODIA. Recommended Supplier: http://itemhinat.info Cialis - 75% OFF
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Food for some assorted thoughts (2) Dear Claudio, I totally agree with you. I am reproducing a post I made just a Let me have your views. Kris Dev -- But unfortunately, there is no single entity who could be held The bureaucracy plays second fiddle to the political masters, What is required in a democracy is clear line of authority, sin- This was not possible earlier due to the manual system of file A paper-less communication and collaboration tool is essential Such an integrated system is possible and has actually been im- Read the following post: In India, thinking big by thinking small By Anand Giridharadas - International Herald Tribune http://www.iht.com/articles/2005/09/30/business/wbbank.php ALANDI, India With every debit card replaced by a thumbprint, every mutual One in nine human beings is an Indian villager, and 70 percent As global mega-banks penetrate India, as in other developing In India, that leaves 700 million people for the taking. Now, a Getting the poor to bank, and bank profitably, could push rural "You ought to have a commercial justification for doing a busi- Those, he said, are the "prerequisites to success" for trans- And should the model being field-tested in India prove possible "As and when an Indian company cracks this and solves the prob- But HSBC, like other foreign banks in India, is instead focused, "At some point, you build up a business of such scale and criti- The case of ICICI Bank reveals how local banks are picking up But a few years ago, it began exploring whether this obligation To symbolize its dedication, ICICI recently made its rural bank- The division, which oversees micro-finance, agricultural busi- The division expects to end the next financial year with 130
-----------------------------------
few days ago on: Transforming democracies of the world.
mailto:krisdev@gmail.com
Governments should be more transparent and accountable to the
citizens, who are its principal stakeholders.
responsible in Government. No one can be truly held responsible
in a democracy. The responsibility and accountability gets dis-
sipated. The political masters who are expected to be servants
invariably abuse their self assumed authority. There is no check
on them.
for their own well being and survival. There is no clear cut au-
thority, responsibility and accountability. Similar is the case
with judiciary.
gle point responsibility, freedom to operate, total accountabil-
ity. All these would be possible, only if there is total trans-
parency in all actions.
management in Governments and corporates. Luckily today, we have
the WWW to help in spreading the message of transparency and ac-
countability.
to ensure this. Laws must be enacted for all citizens that any
communications done outside the electronic system shall not be
recognized by law and individuals held accountable for their ac-
tions.
plemented on a trial basis, to promote transparency and account-
ability in governments.
FRIDAY, SEPTEMBER 30, 2005
http://www.iht.com/cgi-bin/search.cgi?query=ALANDI,%20India&sort=swishrank
fund peddled at a village store and every insurance policy sold
in $2 bits, a new variety of bank is germinating in the bleak,
unlikely soil of rural India.
of Indian villagers have no bank account, inhabiting a financial
parallel universe in which savings are a gold necklace and loans
come from pistol-packing moneylenders.
markets like China, these are not their customers. Banks like
Citibank and HSBC skim the top and dip into the middle, serving
as investment bankers to corporations, lenders to a mushrooming
"consumer class" and money managers for a widening sliver of the
fabulously rich.
handful of domestic banks, led by ICICI Bank, India's second-
largest after State Bank of India, are tapping rural India with
innovative new business models and technologies. And their moves
suggest that while the cream hovers on top, more riches may lurk
below - for those willing to alter their offerings for a radi-
cally new client.
finance past a tipping point: from philanthropy with a hint of
business logic to real commerce with a hint of compassion.
ness," K.V. Kamath, ICICI's chief executive, said in an inter-
view. "You ought to then be able to scale it up."
forming rural banking from "small, isolated examples of do-good"
to something lucrative enough to take root and spread.
to replicate, the techniques behind it could help empower the
more than half of humanity living on a few dollars a day or
less.
lem, it can bottle the solution and sell it to the world, be-
cause there will be a lot of places where it is applicable,"
said Nicholas Winsor, head of personal financial services for
India at HSBC Bank in Mumbai. "I'm sure there are going to be
solutions that come out of this that are world-beating."
he said, on the emerging "consuming class," which itself encom-
passes 50 million households.
cal mass that you can move cost effectively into other markets,"
Winsor said. "But it's a big step to move from Mumbai Fort" - an
elite neighborhood in the financial capital - "into a village in
rural India. A standard business model would struggle to do that
and be profitable."
where multinational banks leave off. Initially, ICICI did rural
banking because it had to. Under government rules, it was man-
dated to set aside a hefty proportion of its overall lending to
so-called "priority sectors" in rural India.
could be turned into a profit-making center. Facing fierce com-
petition in the cities and wielding "patient capital" - deposits
seeking the highest, not necessarily the quickest, returns -
ICICI decided to make serving the rural poor its long-range
growth strategy.
ing a stand-alone division, removing it from its earlier home in
the Social Initiatives Group.
ness and rural lending, generated 1.4 billion rupees, or $32
million, in net interest income last year, according to manag-
ers, about 5 percent of the bank's total.
billion rupees in assets, about 8 percent of the bank's total
assets in 2005 of 1.7 trillion rupees.
_______________________________________________
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