{"id":123,"date":"2005-06-10T08:52:14","date_gmt":"2005-06-10T12:52:14","guid":{"rendered":"http:\/\/gillesenvrac.ca\/carnet\/2005\/06\/debat-sante\/"},"modified":"2010-06-21T12:10:50","modified_gmt":"2010-06-21T16:10:50","slug":"debat-sante","status":"publish","type":"post","link":"https:\/\/gillesenvrac.ca\/carnet\/2005\/06\/debat-sante\/","title":{"rendered":"d\u00e9bat sant\u00e9"},"content":{"rendered":"<p>La <a href=\"http:\/\/www.ledevoir.com\/2005\/06\/10\/83921.html\">d\u00e9cision controvers\u00e9e<\/a> (4 contre 3) de la cours supr&ecirc;me du Canada concernant le droit d&rsquo;utiliser des services de sant\u00e9 du secteur priv\u00e9 aura vite repouss\u00e9 au second plan les tourments intestinaux de la course au leadership du Parti Qu\u00e9b\u00e9cois&#8230; provoqu\u00e9e par <a href=\"http:\/\/www.ledevoir.com\/2005\/06\/06\/83484.html\">la d\u00e9mission surprise<\/a> de Bernard Landry samedi dernier. <\/p>\n<p><em>Barbara Hogan would be dead today if she hadn&rsquo;t gone to a private U.S. clinic<\/em>, c&rsquo;est toujours comme &ccedil;a qu&rsquo;on pr\u00e9sente&nbsp;les avantages de&nbsp;la pr\u00e9sence d&rsquo;un secteur priv\u00e9&nbsp;en sant\u00e9. Ce qu&rsquo;on oublie de dire c&rsquo;est que 40 millions d&rsquo;am\u00e9ricains n&rsquo;ont AUCUNE couverture de sant\u00e9&#8230; et que 50% des faillites personnelles dans ce pays sont li\u00e9es aux co&ucirc;ts exhorbitants encourus&#8230; tout &ccedil;a pour une facture globale qui est de 50% sup\u00e9rieure &agrave; celle canadienne (15% VS 9,6% du PIB en frais de sant\u00e9). La diff\u00e9rence de frais de sant\u00e9 est sans doute plus proche du double, si on tient compte du fait que le PIB am\u00e9ricain inclut une masse financi&egrave;re incomparable de d\u00e9penses militaires. Ces arguments sont ramen\u00e9s par Roy Romanov, dans la section <strong>Comment<\/strong> du <em>Globe &amp; Mail<\/em> (mais accessible seulement aux abonn\u00e9s), laiss\u00e9s en marge comme si c&rsquo;\u00e9tait un discours pass\u00e9iste. <\/p>\n<p>Et pendant ce temps l&agrave;&#8230; <\/p>\n<blockquote dir=\"ltr\" style=\"margin-right: 0px\">\n<p align=\"right\">When the author began to give his e-mail address to all his patients,<sup> <\/sup>two thirds of health communication went online each week, and visit lengths doubled in time. <a href=\"http:\/\/bmj.bmjjournals.com\/cgi\/content\/full\/330\/7504\/E358?ecoll\">BMJ<\/a><\/p>\n<\/blockquote>\n<p>Les pratiques m\u00e9dicales int\u00e9ressantes en sant\u00e9 primaire : sessions de groupe, utilisation d&rsquo;Internet, dossiers informatis\u00e9s, pratiques&nbsp;d&rsquo;\u00e9quipe&#8230; viennent confirmer les orientations sugg\u00e9r\u00e9es&nbsp;par divers groupes (dont la commission Clair). &nbsp;&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>La d\u00e9cision controvers\u00e9e (4 contre 3) de la cours supr&ecirc;me du Canada concernant le droit d&rsquo;utiliser des services de sant\u00e9 du secteur priv\u00e9 aura vite repouss\u00e9 au second plan les tourments intestinaux de la course au leadership du Parti Qu\u00e9b\u00e9cois&#8230; provoqu\u00e9e par la d\u00e9mission surprise de Bernard Landry samedi dernier. Barbara Hogan would be dead &hellip; <\/p>\n<p class=\"link-more\"><a href=\"https:\/\/gillesenvrac.ca\/carnet\/2005\/06\/debat-sante\/\" class=\"more-link\">Continuer la lecture<span class=\"screen-reader-text\"> de &laquo;&nbsp;d\u00e9bat sant\u00e9&nbsp;&raquo;<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"atmosphere_disabled":false,"atmosphere_custom_text":"","_jetpack_feature_clip_id":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_post_was_ever_published":false},"categories":[],"tags":[26],"class_list":["post-123","post","type-post","status-publish","format-standard","hentry","tag-polis"],"jetpack_featured_media_url":"","jetpack-related-posts":[{"id":4688,"url":"https:\/\/gillesenvrac.ca\/carnet\/2013\/10\/sante-mentale-des-jeunes\/","url_meta":{"origin":123,"position":0},"title":"sant\u00e9 mentale des jeunes","author":"Gilles Beauchamp","date":"14 octobre 2013","format":false,"excerpt":"Kirby, l'ex-s\u00e9nateur champion de la sant\u00e9 mentale (rapport Kirby De l'ombre \u00e0 la lumi\u00e8re, 2006) persiste et signe. Il propose aux provinces et au f\u00e9d\u00e9ral d'investir l'\u00e9quivalent de la protection offerte aux employ\u00e9s du secteur public (et priv\u00e9 syndiqu\u00e9) : huit sessions pour faire face \u00e0 des probl\u00e8mes psychologiques, comportementaux.\u2026","rel":"","context":"Dans \"pr\u00e9vention\"","block_context":{"text":"pr\u00e9vention","link":"https:\/\/gillesenvrac.ca\/carnet\/tag\/prevention\/"},"img":{"alt_text":"","src":"","width":0,"height":0},"classes":[]},{"id":7609,"url":"https:\/\/gillesenvrac.ca\/carnet\/2024\/12\/une-premiere-ligne-agile\/","url_meta":{"origin":123,"position":1},"title":"une premi\u00e8re ligne agile","author":"Gilles Beauchamp","date":"7 d\u00e9cembre 2024","format":false,"excerpt":"Une ancienne ministre de la sant\u00e9 au Canada, mme Philpott, publiait r\u00e9cemment : Health for All: A Doctor\u2019s Prescription for a Healthier Canada. Les reportages diffus\u00e9s \u00e0 l\u2019occasion me faisaient penser aux CLSC, dans leur conception d\u2019origine : une \u00e9quipe multidisciplinaire en charge d\u2019une population donn\u00e9e, d\u2019un secteur g\u00e9ographique. Mais\u2026","rel":"","context":"Dans \"m\u00e9decine\"","block_context":{"text":"m\u00e9decine","link":"https:\/\/gillesenvrac.ca\/carnet\/tag\/medecine\/"},"img":{"alt_text":"","src":"","width":0,"height":0},"classes":[]},{"id":4075,"url":"https:\/\/gillesenvrac.ca\/carnet\/2012\/01\/services-a-domicile\/","url_meta":{"origin":123,"position":2},"title":"services \u00e0 domicile &#8211; public et semi-public","author":"Gilles Beauchamp","date":"20 janvier 2012","format":false,"excerpt":"Enfin, les chiffres que j\u2019attendais. Au Qu\u00e9bec en 2010-2011, plus de 323 685 personnes ont re\u00e7u plus de 8 240 297 interventions en soutien \u00e0 domicile pour un budget total de 765 millions. (\u2026) le groupe des personnes en perte d\u2019autonomie li\u00e9e au vieillissement, repr\u00e9sentant 55 % des usagers (i-Media\u2026","rel":"","context":"Dans \"cr\u00e9dit d'imp\u00f4t\"","block_context":{"text":"cr\u00e9dit d'imp\u00f4t","link":"https:\/\/gillesenvrac.ca\/carnet\/tag\/credit-dimpot\/"},"img":{"alt_text":"","src":"","width":0,"height":0},"classes":[]},{"id":669,"url":"https:\/\/gillesenvrac.ca\/carnet\/2007\/11\/un-marche-tordu-celui-de-la-sante\/","url_meta":{"origin":123,"position":3},"title":"un march\u00e9 tordu : celui de la sant\u00e9","author":"Gilles Beauchamp","date":"30 novembre 2007","format":false,"excerpt":"L'\u00e9ditorial du BMJ de cette semaine : The market has failed. Dans le m\u00eame num\u00e9ro, un article (d'acc\u00e8s libre, comme l'\u00e9dito) de Woolhandler et Himmelstein (Competition in a publicly funded healthcare system). Des articles qui appuient une nouvelle tendance : le recul apparent de la propension du syst\u00e8me de sant\u00e9\u2026","rel":"","context":"Dans \"\u00e9conomie\"","block_context":{"text":"\u00e9conomie","link":"https:\/\/gillesenvrac.ca\/carnet\/tag\/economie\/"},"img":{"alt_text":"","src":"","width":0,"height":0},"classes":[]},{"id":1349,"url":"https:\/\/gillesenvrac.ca\/carnet\/2008\/11\/le-prive-dans-la-sante\/","url_meta":{"origin":123,"position":4},"title":"le priv\u00e9 dans la sant\u00e9","author":"Gilles Beauchamp","date":"12 novembre 2008","format":false,"excerpt":"Il y a un an, le 10 novembre 2007, trois directeurs de sant\u00e9 publique publiaient \"Le priv\u00e9 dans la sant\u00e9 : un enjeu de sant\u00e9 publique\" en r\u00e9ponse \u00e0 la question pos\u00e9e par le comit\u00e9 Castonguay \u00abQuel est le message que \"la sant\u00e9 publique\" d\u00e9sire nous transmettre\u00bb. En f\u00e9vrier dernier,\u2026","rel":"","context":"Dans \"politiques\"","block_context":{"text":"politiques","link":"https:\/\/gillesenvrac.ca\/carnet\/tag\/polis\/"},"img":{"alt_text":"","src":"","width":0,"height":0},"classes":[]},{"id":641,"url":"https:\/\/gillesenvrac.ca\/carnet\/2007\/10\/quelques-rapports-et-donnees-recents\/","url_meta":{"origin":123,"position":5},"title":"quelques rapports et donn\u00e9es r\u00e9cents","author":"Gilles Beauchamp","date":"17 octobre 2007","format":false,"excerpt":"L'ICIS publiait r\u00e9cemment un rapport sur Les soins de sant\u00e9 au Canada 2007 o\u00f9 l'on peut voir que la part des h\u00f4pitaux dans le \"g\u00e2teau de la sant\u00e9\" est pass\u00e9e de 45% \u00e0 30%. Le langage n'est pas innocent (on s'attendrait \u00e0 mieux de la part d'un institut qui se\u2026","rel":"","context":"Dans \"canada\"","block_context":{"text":"canada","link":"https:\/\/gillesenvrac.ca\/carnet\/tag\/canada\/"},"img":{"alt_text":"","src":"","width":0,"height":0},"classes":[]}],"jetpack_likes_enabled":true,"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/gillesenvrac.ca\/carnet\/wp-json\/wp\/v2\/posts\/123","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/gillesenvrac.ca\/carnet\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/gillesenvrac.ca\/carnet\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/gillesenvrac.ca\/carnet\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/gillesenvrac.ca\/carnet\/wp-json\/wp\/v2\/comments?post=123"}],"version-history":[{"count":0,"href":"https:\/\/gillesenvrac.ca\/carnet\/wp-json\/wp\/v2\/posts\/123\/revisions"}],"wp:attachment":[{"href":"https:\/\/gillesenvrac.ca\/carnet\/wp-json\/wp\/v2\/media?parent=123"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/gillesenvrac.ca\/carnet\/wp-json\/wp\/v2\/categories?post=123"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/gillesenvrac.ca\/carnet\/wp-json\/wp\/v2\/tags?post=123"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}