Jan 14, 2020 • 32M

Dr. Peter Cram Discusses Health Care Delivery In Canada (January 13th)

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Appears in this episode

David Introcaso, Ph.D.
Podcast interviews with health policy experts on timely subjects. The Healthcare Policy Podcast website features audio interviews with healthcare policy experts on timely topics. An online public forum routinely presenting expert healthcare policy analysis and comment is lacking. While other healthcare policy website programming exists, these typically present vested interest viewpoints or do not combine informed policy analysis with political insight or acumen. Since healthcare policy issues are typically complex, clear, reasoned, dispassionate discussion is required. These podcasts will attempt to fill this void. Among other topics this podcast will address: •Implementation of the Affordable Care Act •Other federal Medicare and state Medicaid health care issues •Federal health care regulatory oversight, moreover CMS and the FDA •Healthcare research •Private sector healthcare delivery reforms including access, reimbursement and quality issues •Public health issues including the social determinates of health Listeners are welcomed to share their program comments and suggest programming ideas. Comments made by the interviewees are strictly their own and do not represent those of their affiliated organization/s.
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Considering the frequent favorable assessment of Canadian health care of late, by, for example, several presidential candidates and (surprisingly) the Trump administration via its recent decision to propose a regulatory pathway for US entities to import drugs from Canada, the question is begged how or how well do the Canadians deliver universal health care and at what expense.

During this 30-minute interview Dr. Cram begins by providing a general overview of population health in Canada.  He goes on to discuss moreover how care is organized and budgeted (or how spending is managed) in Canada, how care is designed (via an emphasis on primary care), the extent to which providers enjoy autonomy and patients suffer lengthy appointment/referral wait times and the prospects of Americans importing drugs from Canada.  

Dr. Peter Cram, an American citizen (a Connecticut native), is currently the Director of General Internal Medicine and Geriatrics at Sinai Health System and the University Health Network and Professor of Internal Medicine at the University of Toronto.  Previously, he was on faculty at the University of Iowa from 2002 to 2013.  Dr. Cram has published more than 180 research papers and is the co-founder of the International Health System Research Collaborative (IHSRC).  He earned his medical degree at the Wake Forest School of Medicine and completed his medical training at the University of Michigan.  

During this interview mention was made of Cram, et al., "Trade-Offs: Pros and Cons of Being a Doctor and Patient in Canada," it is at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5400751/