Here are a looking at issues facing healthcare including solutions

1. Global
Healthcare
Crisis -
Funding
PAUL YOUNG CPA CGA
MAY 8, 2020

2. Paul Young - Bio
• CPA, CGA
• Financial Solutions
• SME – Risk Management
• SME – Close, Consolidate and Reporting
• SME – Public Policy
• SME – Financial Solutions
• SME – Supply Chain Management
• SME – Business Strategy and Restructuring
Contact information:
Paul_Young_CGA@Hotmail.com

3. Agenda
 Global Healthcare spending
 Efficient Healthcare Countries
 OECD and Healthcare
 USA – Healthcare Waste
 Canada and Healthcare Waste
 Medical Supplies / Canada
 Global Healthcare Delivery and Cost
 Long-Term Care
 Pharmacare

4. Introduction
 Healthcare is key area for government as it
is large government expenditures
 Too many people do not grasp there are
issues with healthcare delivery

5. Global
Healthcare
Spending
SOURCE - DELOITTE

6. Efficient Healthcare Country Ranking
Source - http://worldpopulationreview.com/countries/best-healthcare-in-the-world/

7. OECD and
Healthcare
Funding
SOURCE – FRASER INSTITUTE

8. USA Waste and Healthcare
Source -
https://www.cfo.com/health-
benefits/2019/10/annual-waste-in-
u-s-healthcare-system-nears-1-
trillion/?utm_campaign=CFODailyAl
ert&utm_nooverride=1&utm_source
=CFO-
email&utm_medium=email&utm_co
ntent=CFODailyAlert_Tuesday_2019-
10-22&utm_term=health-benefits

9. Canada and Healthcare
Source - https://www.cihi.ca/en/canadas-drug-spending-growth-outpaces-that-for-hospitals-and-doctors or
https://www.cbc.ca/news/canada/london/ontario-hallway-healthcare-1.4923954 or https://theconversation.com/how-healthy-is-the-
canadian-health-care-system-82674 or https://www.conferenceboard.ca/CASHC/research/2012/inconvenient_truths.aspx
• Canada needs to review its drug programs. Drug
Costs continues to rise - In 2018, $14.4 billion
(42.7%) of prescribed drug spending is expected to
be financed by the public sector, while the
remainder will be financed by private insurance and
individuals paying out of pocket. Drug spending is
just part of the expected $253.5 billion in total
health spending in Canada this year.
• Hospitals (28.3%), drugs (15.7%) and physician
services (15.1%) are expected to continue to
account for the largest shares of health dollars
(close to 60% of total health spending). The
remaining 41% will be spent on other health care
goods and services, including long-term care
facilities and allied health professionals.
• Fraud or about 12B per year
https://www.claimsecure.com/en/whats-new-
blog/2019/march/11/fighting-fraud-waste-and-
abuse-for-a-healthy-business/
• Miss management and waste – Let’s say about 5% to
10% is waste (est.) then the value could be $11B to
25B per year. Could you imagine how dollars could
be stretched?

10. Global Delivery of Healthcare
Source - https://globalnews.ca/news/3599458/canadas-health-care-system-lower-performing-compared-to-its-peers-study/ or
https://www.theguardian.com/commentisfree/2018/feb/05/americans-uk-health-system-trump-nhs or
https://www.ons.gov.uk/peoplepopulationandcommunity/healthandsocialcare/healthcaresystem/bulletins/ukhealthaccounts/2017
• United Kingdom has many programs that are used to
reign in costs of healthcare, i.e. prescriptions drug
caps - https://theconversation.com/why-the-us-has-
higher-drug-prices-than-other-countries-111256
• Australia has one of the most efficient
healthcare system -
https://theconversation.com/australias-health-
system-is-enviable-but-theres-room-for-
improvement-81332

11. WHO and Oversight
@PattyHajdu
I bet you will sweep off this video, right?
Why has Bruce refused to testify?
@emilia_suze @MichelleRempel
@SenatorHousakos
@JustinTrudeau you are the PM of Canada as such you should
be safeguarding assets including how taxpayer’s money is spent
outside of Canada. You should be demanding more oversight
from the @WHO
https://www.slideshare.net/paulyoungcga/reforming-both-the-
united-nations-and-who
@ShannonStubbsMP @emilia_suze @tedcruz
@realDonaldTrump

12. Member Countries
Source - https://www.who.int/countries/en/
No Taiwan
WHO praises China, but refuses to discuss
Taiwan
https://www.who.int/bulletin/volumes/85/07-
100107/en/index1.html

13. Funding/WHO
Source - https://www.who.int/about/finances-accountability/reports/en/

14. Oversight and Performance Audits
Source – WHO
• Internal audits in the past have show
issues with effectiveness of programs
and/or oversight
• All donors should be asking for more
performance audits as part of
assessing the effectiveness of WHO
programs
• An annual audited risk management
report should be provided including
assessing global risk, crisis
management, etc.
• More work needs to be done in terms
of using data sciences and analytics as
part of managing various programs
with WHO

15. Medical Supplies and Canada
 Expiration of masks - https://ca.reuters.com/article/domesticNews/idCAKBN20W2OG
 Both CPC and Liberals ignored the AG reports in 2011 - https://www.oag-
bvg.gc.ca/internet/English/parl_oag_201106_06_e_35374.html
 Issues with drug plans - https://www.theglobeandmail.com/news/national/auditors-report-slams-bc-
drug-plan/article18158842/
 Globalization and Pharmacare -
https://www.nytimes.com/2020/03/11/business/economy/coronavirus-china-trump-drugs.html
 Pharmacare poorly constructed policy - https://business.financialpost.com/news/election-
2019/voters-beware-national-pharmacare-is-unnecessary-bad-for-privately-insured-canadians-and-
costly-for-taxpayers

16. Long-Term Care
 Long-Term Care facilities have been issues for years
 Canada - https://www.slideshare.net/paulyoungcga/canada-retirement-and-assisted-living-what-needs-to-be-
done
 LTC / USA - https://www.marketwatch.com/story/americas-long-term-care-crisis-is-worsening-2019-07-22
 Funding and housing issues / Ontario - https://www.fao-on.org/en/Blog/Publications/ontario-long-term-care-
program
 Wages and Benefits need to increase -
https://www.payscale.com/research/CA/Job=Personal_Support_Worker_(PSW)/Hourly_Rate/6c20ee2a/Long-Term-
Care
 Years of neglect - https://www.cbc.ca/news/canada/edmonton/alberta-long-term-care-pandemic-covid-19-
1.5562331

17. Pharmacare
 @DrEricHoskins There is no way Canada is ready for pharmacare as it has many holes, but then again you work
in the past for @ontario_liberal as such you are experience at delivering bad policies!
 Pharmacare - https://www.slideshare.net/paulyoungcga/can-canada-be-successful-at-pharmacare
 Government is not working on procurement but pushing prices down - https://www.reuters.com/article/us-
canada-pharmaceuticals/canada-enacts-drug-price-crackdown-in-blow-to-pharmaceutical-industry-
idUSKCN1UZ0XH
 Governments have struggle with drug costs - https://www.ifsd.ca/en/blog/last-page-blog/past-failures
 There needs to be a global strategy on drug delivery and pricing - https://theconversation.com/why-the-us-has-
higher-drug-prices-than-other-countries-111256

18. Training and Development
 If you like to learn more
about trade and/or other
subjects as part of your
professional learning and
development then feel free
to review my material on
https://www.udemy.com/
(search Paul Young CPA
CGA)
 These subjects address
how to fixed issues with
housing and/or systemic
issues related to economy
including government
policies

19. Summary
 Too many governments are throwing money at they
symptoms which never fixed the root cause when it
comes to poor delivery of healthcare
 The rise of drug costs is becoming an issue.
Government need to look at all aspects of drugs
including procurement, approval, private insurance
vs public funding, etc. National Pharmacare should
never be based on the proper business cases -
https://www.slideshare.net/paulyoungcga/can-
canada-be-successful-at-pharmacare
 All governments around the world need to put more
focus on front-line services and less emphasis on
administration
 Governments are not getting value for money for
healthcare -
https://www.slideshare.net/paulyoungcga/healthcare
-crisis-canada-august-2019
 Waste, fraud and other miss management need to
be reduced.