Healthcare in Saskatchewan:

Getting ready for re-reengineering and shifting the blame

By Mario deSantis, November 2, 1999

   
  The recent resignation of Gord Nystuen(1), president of the Saskatchewan Health Information
Minister of Health, is beginning to understand the incompetence of her own ministry Network (SHIN), was the initial tangible signal of a governmental campaign to cover up the
financial flop of the SHIN project. The covering up of the financial disasters caused by health
reform is not stopping with the SHIN project. In fact, Pat Atkinson, Minister of Health, is
beginning to understand the incompetence of her own ministry, of the Saskatchewan Association of
Health Organizations (SAHO), of the Health Services Utilization and Research Commission
(HSURC)(2), and in an unprecedented move has called for an outside review of the Regina Health
district's $22.5 million operating deficit(3). Atkinson said that the review will be conducted by Bert
Boyd of British Columbia, a competent health management consultant who has served as CEO for
both health regions and hospitals. Also, Atkinson said that the review will investigate how to make
the boards more accountable and will explore whether the government should have more direct
  involvement in the affairs of health boards.
   
  Health reform have failed in Saskatchewan, and the Atkinson's solution for failure is more
her board was able to afford the $40 million overrun caused by the closure of the Plains Health Centre management by confusion(4) and more re-engineering by outside consultants. This government
would have had more accountable boards if these boards would have been allowed to assert their
own authorities and responsibilities as per the District Health Act and away from behaving as
puppets of both the government and SAHO. Further, in response to Atkinson's review, Regina
board chair Anita Bergman has stated "...We welcome the opportunity to demonstrate to a third
party the service demands that are placed on us by the public and the government, and the
underfunding which forces us to operate in a deficit position..." I wonder why Anita Bergman
doesn't demonstrate how her board was able to afford the $40 million overrun caused by the
  closure of the Plains Health Centre(5).
   
major causes of the health crisis is due to the corrupted policy Healthcare expenditures were approximately 33% of the governmental expenditures in 1993
and today, while we are experiencing a health care crisis, they have increased to approximately
40%. Therefore, the major cause of the health care crisis is not necessarily underfunding as
stated by Anita Bergman and most other health care leaders and governmental politicians. One
of the major causes of the health crisis is due to the corrupted policy directions of this
government(6) and of the Saskatchewan Association of Health Organizations(7)(8).
   
------------Endnotes:
   

1.
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Saskatchewan Health Information Network: Gord Nystuen leaves his post to cover his assets, by Mario deSantis, October 23, 1999
   

2.
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Fragmented Research comes to the help of Saskatchewan Reform, by Mario deSantis, September 28, 1999
   

3.
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Deficit review of health district makes SAHO nervous, by Bonny Braden, The StarPhoenix, October 30, 1999
   

4.
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The Saga of Health Reform: Pat Atkinson Wants Fewer Health Boards and Fully Appointed Boards, by Mario deSantis and reviewed by James deSantis, October 16, 1999
   

5.
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Premier Romanow: playing the number game. Publicizing the 22% salary increase and covering up the $40 million overrun, by Mario deSantis, April 19, 1999
   

6.
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One example of corrupted governmental source: Neil Gardner has been a long time fixture of Saskatchewan Health, first as Associate Deputy Minister and later as Chief of Information Technologies. In 1993 I met with Neil Gardner and he explained to me how busy he was in designing the so called Healthcare Computer Architecture, today's SHIN.
   

7.
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Letter dated April 28, 1997 from Mario deSantis directed to all Chairpersons and Chief Executive Officers of Saskatchewan District Health Boards. Re: Computerization of Health Care Payroll and Economic Policies. http://www3.sk.sympatico.ca/desam/paper-letterToChairsCEOs-Apr28-97.htm
   

8.
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Letter dated May 7, 1997 from McKercher McKercher & Whitmore and response by Mario deSantis http://www3.sk.sympatico.ca/desam/paper-letters-McKercher-deSantis-May97.htm