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View from the Cordillera

A Commentary on Achieving Excellence in Local Government
Read by Municipal Leaders on 4 Continents
Published by the Cordillera Institute
(Vol. 4, Issue 27)
The Health-Care Dilemma (part 1): Identifying the Real Problems
To order the full text of this commentary or to become a subscriber, see the notes below.

Summary of This Commentary
In the U.S., in Canada, in Australia, and in other western democracies, health-care reform has become a priority.  No matter where we live, the ever-growing costs of senior-government-run health care keep adding to our tax burden.  Recently, it was learned that Canada's provincial-government-run health-care systems are consuming some 40% of provincial budgets.  And, without reform, that figure is projected to reach 70%, as early as 2022 in the Province of Ontario.  So, where does local government come in?  In many jurisdictions, local-government agencies still play a role in the delivery of health care ranging from the operation of county hospitals to offerings by smaller and more remote municipalities of enticements to attract doctors and other components of a modern health-care system.  But, whatever role your organization may play today, local government can play an important role going forward in developing an efficient, effective, accountable, and sustainable health-care system.  In future parts of this series, we'll see how this can be done.  However, if we are going to have real solutions, we must 1st understand the real problems.  That's the purpose of this current issue.

As always, we welcome your comments.

David Barber
Director
Cordillera Institute
(416) 293-9300
CordInst@istar.ca
http://pages.istar.ca/~cordinst/



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About This Publication
Each issue of View from the Cordillera covers some aspect of excellence in local government.  It may examine one of the success elements; it may present a case study; it may introduce a resource (an individual, a group, a publication, etc.) which is advancing excellence; it may advocate a new direction for local government; or it may identify a wrong turn in public policy and offer an appropriate remedy.  This electronic publication is read by those who govern, manage, support, and sustain our local governments.  For more information, just click on the About VFC button below.

About the Cordillera Institute
The Cordillera Institute is an independent research and public policy organization dedicated to excellence in local government.  Since our founding in 1994, we have studied many high-performance organizations to learn what makes them successful.  From this research, we have distilled a set of principles, paradigms, policies, programs, and practices which are the key elements of their success.  Our mission is to be a catalyst — to empower municipalities, school boards, public utilities, and other local public agencies to achieve excellence by adopting and applying these success elements.  For more information, just click on the About CI button below.

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