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Gregory Marchildon

Professor, Institute of Health Policy, Management and Evaluation, University of Toronto; expert advisor,

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Five Ways to Control the Cost of Canadian Healthcare

While policy should be evidence-informed rather than belief-based, the complexity of health-system change makes it difficult to draw a straight line from one evidence-based improvement to health-system change as a whole. Improving the quality and quantity of evidence-based decision-making is perhaps the greatest challenge in systematically devising policies for bending the cost curve.
01/13/2015 12:33 EST

So, is Public Health Spending Sustainable Yet?

Recent information counters the prediction that health spending will inexorably gobble up all of our public resources, as has been argued by some commentators. But does this mean that the public health care cost curve is finally being bent and we no longer have to worry about health spending? Can we conclude that public health care spending is now sustainable for the long-term? Unfortunately, the answer is no.
09/28/2012 05:35 EDT

Harper Sticks Provinces With Take-it-or-Leave-it Health Care Approach

There has been much media attention on the government's decision to extend the Canada Health Transfer (CHT), but the consequences of this decision seem to be missing. Provincial governments were put in the ridiculous position of complaining about aspects of the decision even as they accepted the money.
02/10/2012 03:47 EST

A Health Care Emergency?

Rather than go backwards to a time before medicare, we can focus on the more important business of reforming the health delivery system so that it will improve the quality of life for all Canadians, not just a privileged few.
01/31/2012 08:11 EST

Canadian Health Care Needs Innovation, Not Privatization

Business as usual in health care is not a viable option. We must choose which road of reform we want to go down. There have been some positive efforts to improve the quality and timeliness of targeted public health-care services, but these actions are just too small to be real game-changers.
07/07/2011 07:50 EDT