Pandemonium and no principals in health care

Pandemonium and no principles
in health care

Nipawin - July 15, 2000 - by: Mario deSantis

needs-based funding allocation
As early as 1995 I stated that "Saskatchewan Health shifted its attention from the universal

budgeting and accounting processes to the needs-based funding allocation⁽¹⁾" and that

"Saskatchewan Health ignored the importance of the overlapping economic and social

relationships of historical health services, historical funding, and historical healthcare level

of employment of the districts. More importantly, Saskatchewan Health neglected to understand

that budgeting and accounting processes are not mutually exclusive with the different methods

of funding allocation." I also stated that "the districts will feel autonomous and effective when

they will be able to live within their funding and operate through provincial wide standardized

budgeting and accounting processes."

secrecy - deficit
Today, July 14/2000, we hear that the districts' budgets have been developed in secrecy, that

most of the budgets will experience a deficit, and that of the thirty-two districts, only five saw

their budgets accepted without change by Honourable Pat Atkinson⁽²⁾, Minister of Health.

not given the autonomy
MLA Brenda Bakken was very perspective when she said "the health districts are running

deficits, but at the same time they're not given the autonomy to find a way to improve their

situations."

two-hundred eighty jobs
have to be
cut
Further, Pat Atkinson has stated that about two-hundred-eighty jobs will have to be cut provincial

wide⁽³⁾. In the province we have some forty-thousand people employed in the health districts,

and Pat Atkinson states that two-hundred eighty jobs have to be cut! It is ridiculous to hear such

non sense from a Minister of Health, and it is more ridicoulous when for the last few months the

same minister has been crying to have more nurses for this province.

they are puppets
Where is the entrepreneurship of our districts in locally reconceptualizing health services? Where

is the autonomy of the health districts provided by the legislation? There is no entrepreneurship

and there is no autonomy of the districts, they are not independent, they are puppets of this

government and Pat Atkinson is breaking the Health Districts Act again and again.

a set of principles
Pat Atkinson has stated that "We're not micromanaging each individual district, but we are

setting out a set of principles which my understanding is what people are calling for."

what
principles?
Which principles Honourable Pat Atkinson? You break the law, you have a paper vision of

wellness, you have a phony needs-based funding allocation, where are your new set of principles

the people are calling for? Maybe we have to wait for the recommendations of the one-man

Commission on Medicare and two million dollars later to come up with another set of paper

principles in health care.

pandemonium
Health care has become a pandemonium in Saskatchewan, and the public is being perceived as a

bunch of idiots when the same ex-minister of health, Louise Simard, is blasting the government

for interfering in the autonomy of the districts⁽⁴⁾ just after one day we receive confirmation that

her husband Honourable Dwain Lingenfelter has accepted a $250,000 executive position in the

oil patch.

still looking
This government has been in power for the last nine years and after passing unconstitutional laws

and breaking their own laws, they are still looking for a new set of principles on how to run their

administration.

--------------Endnotes:

General reference: Articles by Mario deSantis published by Ensign http://www.ftlcomm.com/ensign/authors/desantisNG.html

1.

--
Immediate Need of New Budgeting Processes for Saskatchewan Health and District Health Boards, by Mario deSantis, March 9, 1995 http://www3.sk.sympatico.ca/desam/paper-NeedBudgProc-mar09-95.htm

2.
-
DISTRICT HEALTH PLANS REVIEWS COMPLETE, Government of Saskatchewan, Health - 432 July 14, 2000 http://www.gov.sk.ca/newsrel/2000/07/14-432.html

3.
-
Province over-rules most hospital district budgets, CBC Saskatchewan, http://sask.cbc.ca/ Web Posted | Jul 14 2000 9:39 PM EDT

4.
-
Ex-health minister blasts gov't, by Anne Kyle, The StarPhoenix, July 15, 2000, Saskatoon, Saskatchewan

Pandemonium and no principles *in health care*

Nipawin - July 15, 2000 - by: Mario deSantis

needs-based funding allocation	As early as 1995 I stated that "Saskatchewan Health shifted its attention from the universal
	budgeting and accounting processes to the needs-based funding allocation⁽¹⁾" and that
	"Saskatchewan Health ignored the importance of the overlapping economic and social
	relationships of historical health services, historical funding, and historical healthcare level
	of employment of the districts. More importantly, Saskatchewan Health neglected to understand
	that budgeting and accounting processes are not mutually exclusive with the different methods
	of funding allocation." I also stated that "the districts will feel autonomous and effective when
	they will be able to live within their funding and operate through provincial wide standardized
	budgeting and accounting processes."

secrecy - deficit	Today, July 14/2000, we hear that the districts' budgets have been developed in secrecy, that
	most of the budgets will experience a deficit, and that of the thirty-two districts, only five saw
	their budgets accepted without change by Honourable Pat Atkinson⁽²⁾, Minister of Health.

not given the autonomy	MLA Brenda Bakken was very perspective when she said "the health districts are running
	deficits, but at the same time they're not given the autonomy to find a way to improve their
	situations."

two-hundred eighty jobs have to be cut	Further, Pat Atkinson has stated that about two-hundred-eighty jobs will have to be cut provincial
	wide⁽³⁾. In the province we have some forty-thousand people employed in the health districts,
	and Pat Atkinson states that two-hundred eighty jobs have to be cut! It is ridiculous to hear such
	non sense from a Minister of Health, and it is more ridicoulous when for the last few months the
	same minister has been crying to have more nurses for this province.

they are puppets	Where is the entrepreneurship of our districts in locally reconceptualizing health services? Where
	is the autonomy of the health districts provided by the legislation? There is no entrepreneurship
	and there is no autonomy of the districts, they are not independent, they are puppets of this
	government and Pat Atkinson is breaking the Health Districts Act again and again.

a set of principles	Pat Atkinson has stated that "We're not micromanaging each individual district, but we are
a set of principles	setting out a set of principles which my understanding is what people are calling for."

what principles?	Which principles Honourable Pat Atkinson? You break the law, you have a paper vision of
	wellness, you have a phony needs-based funding allocation, where are your new set of principles
	the people are calling for? Maybe we have to wait for the recommendations of the one-man
	Commission on Medicare and two million dollars later to come up with another set of paper
	principles in health care.

pandemonium	Health care has become a pandemonium in Saskatchewan, and the public is being perceived as a
	bunch of idiots when the same ex-minister of health, Louise Simard, is blasting the government
	for interfering in the autonomy of the districts⁽⁴⁾ just after one day we receive confirmation that
	her husband Honourable Dwain Lingenfelter has accepted a $250,000 executive position in the
	oil patch.

still looking	This government has been in power for the last nine years and after passing unconstitutional laws
still looking	and breaking their own laws, they are still looking for a new set of principles on how to run their
	administration.

--------------Endnotes:

	General reference: Articles by Mario deSantis published by Ensign http://www.ftlcomm.com/ensign/authors/desantisNG.html

1. --	Immediate Need of New Budgeting Processes for Saskatchewan Health and District Health Boards, by Mario deSantis, March 9, 1995 http://www3.sk.sympatico.ca/desam/paper-NeedBudgProc-mar09-95.htm

2. -	DISTRICT HEALTH PLANS REVIEWS COMPLETE, Government of Saskatchewan, Health - 432 July 14, 2000 http://www.gov.sk.ca/newsrel/2000/07/14-432.html

3. -	Province over-rules most hospital district budgets, CBC Saskatchewan, http://sask.cbc.ca/ Web Posted \| Jul 14 2000 9:39 PM EDT

4. -	Ex-health minister blasts gov't, by Anne Kyle, The StarPhoenix, July 15, 2000, Saskatoon, Saskatchewan