Scientific evidence does not support the presumption of Bill 10 that there will be a reduction in bureaucracy with the centralization of decision-making. National and international experience has shown time and time again that the proposed reform will not have the desired effects and, in fact, will make healthcare delivery more complex.
Bureaucrats are not only bureaucrats. They are managers. Establishments are not only bureaucracies, they are at the centre of decision-making. Good managers will make decisions and accept the consequences of their actions. With Bill 10, the Ministerial role becomes much more intrusive.