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Friday, June 29, 2018
Thursday, June 28, 2018
RIND Launches Next Generation of Dried-Fruit Snacks
"Skin-on Superfruit" is Latest Chapter in a Family Story of Delicious Health
NEW YORK, June 28, 2018 /PRNewswire-PRWeb/ -- RIND® Snacks has
launched a line of "Skin-on Superfruit" dried-fruit snacks,
distinguished by their whole-fruit inclusion of both fruit flesh and
peels, with no sugar or no sulfites added. The line's three tangy, chewy
flavors include "California Kiwi" and two blends: "Tropical"
(bittersweet orange, organic pineapple, kiwi) and "Orchard" (persimmon,
apple, peach). All contain nothing but slices of delicious, USA-grown
and dried fruit. RIND fruit snacks come in 1.5-ounce single-serve and
3-ounce re-sealable pouches designed with fresh, fun photos of the fruit
inside.
RIND's offerings feed a growing consumer appetite for naturally healthier snacks. U.S. retail sales of specialty nuts, dried fruits and trail mixes reached $1.46B in 2016. The "on-the-go" snackable fruit and vegetable category that RIND participates in posted a 10% compound annual growth rate from 2012 to 2016.
But perhaps the most telling statistic about the dried fruit snack market's growth in particular comes from an analysis of Amazon.com sales. Dried fruit snacks outperformed growth of all other peer segments in the e-commerce leader's "Snacks & Sweets" category, with an increase of 75% in 2017.
RIND founder Matt Weiss's launch of a snack line focused on maximizing the nutritional potency found in high-fiber, vitamin-rich, skin-on dried fruits comes from a commitment to healthy food that's been part of his family legacy for three generations. Weiss's great-grandmother, Helen Seitner, was a health food pioneer who sold bulk natural foods from her "Stay-Well" health shop in Michigan in the 1920's. "My great-grandmother would juice whole fruits and vegetables every day," shares Weiss. "She let nothing go to waste and used every part of the produce, including the rind, long known to offer concentrated health benefits. Her example planted the seed for RIND Snacks that blossomed from that lesson decades later."
For Weiss, RIND represents his great-grandmother's visionary passion for both personal health and environmental sustainability. The key to those twin values is in his products' fruit peels. On average, fruit rinds contain three to four times the fiber of an equivalent serving of fruit flesh and also hold the greatest concentration of nutrients like antioxidant-dense Vitamin C. That nutritional boost for the body is complemented by the way use of the peel also aids the earth. Discarded and edible fruit peels are a major component of the food scraps that account for over 21% of total municipal waste in the U.S. and are part of the more than 38 million tons of food discarded every year.
At this year's Summer Fancy Food Show in New York City, the company will debut its 1.5-ounce single-serve pouches of its products for distribution through offices around the country, including the B2B snack-supply giant, SnackNation. Distribution in his hometown of NYC has come from Weiss' direct cultivation of more than two dozen specialty stores and markets that now carry RIND. These grassroots efforts will soon be supplemented by NYC distributors. RIND has also been selling so well online that its products have earned both a coveted "Amazon's Choice" designation and a "#1 New Release" rating in its category.
For RIND's founder, the thought of providing the tasty nutrition that keeps everyone from kids to millennials to great-grandmothers healthy and satisfied can't help but make him smile. "Great-grandma Helen would've loved it," he says simply. "She was always way ahead of her time."
About RIND®
Launched in NYC in 2018, RIND Snacks are the epitome of a multigenerational family-focus on delicious, all-natural foods that sustain personal and planetary health. The company's line of "Skin-on Superfruit Snacks" are the chewy, tangy, whole-fruit solution that welcomes everyone to: "Keep it Real. Eat the Peel.™" RIND is proud to partner with a network of small California farmers that keep its products grown (not flown) in the U.S.A. Learn more at rindsnacks.com and @rindsnacks on Instagram.
Press Contact:
Matt Weiss
matt(at)rindsnacks.com
(802) 828-7463 (RIND)
SOURCE RIND Snacks
RIND's offerings feed a growing consumer appetite for naturally healthier snacks. U.S. retail sales of specialty nuts, dried fruits and trail mixes reached $1.46B in 2016. The "on-the-go" snackable fruit and vegetable category that RIND participates in posted a 10% compound annual growth rate from 2012 to 2016.
But perhaps the most telling statistic about the dried fruit snack market's growth in particular comes from an analysis of Amazon.com sales. Dried fruit snacks outperformed growth of all other peer segments in the e-commerce leader's "Snacks & Sweets" category, with an increase of 75% in 2017.
RIND founder Matt Weiss's launch of a snack line focused on maximizing the nutritional potency found in high-fiber, vitamin-rich, skin-on dried fruits comes from a commitment to healthy food that's been part of his family legacy for three generations. Weiss's great-grandmother, Helen Seitner, was a health food pioneer who sold bulk natural foods from her "Stay-Well" health shop in Michigan in the 1920's. "My great-grandmother would juice whole fruits and vegetables every day," shares Weiss. "She let nothing go to waste and used every part of the produce, including the rind, long known to offer concentrated health benefits. Her example planted the seed for RIND Snacks that blossomed from that lesson decades later."
For Weiss, RIND represents his great-grandmother's visionary passion for both personal health and environmental sustainability. The key to those twin values is in his products' fruit peels. On average, fruit rinds contain three to four times the fiber of an equivalent serving of fruit flesh and also hold the greatest concentration of nutrients like antioxidant-dense Vitamin C. That nutritional boost for the body is complemented by the way use of the peel also aids the earth. Discarded and edible fruit peels are a major component of the food scraps that account for over 21% of total municipal waste in the U.S. and are part of the more than 38 million tons of food discarded every year.
At this year's Summer Fancy Food Show in New York City, the company will debut its 1.5-ounce single-serve pouches of its products for distribution through offices around the country, including the B2B snack-supply giant, SnackNation. Distribution in his hometown of NYC has come from Weiss' direct cultivation of more than two dozen specialty stores and markets that now carry RIND. These grassroots efforts will soon be supplemented by NYC distributors. RIND has also been selling so well online that its products have earned both a coveted "Amazon's Choice" designation and a "#1 New Release" rating in its category.
For RIND's founder, the thought of providing the tasty nutrition that keeps everyone from kids to millennials to great-grandmothers healthy and satisfied can't help but make him smile. "Great-grandma Helen would've loved it," he says simply. "She was always way ahead of her time."
About RIND®
Launched in NYC in 2018, RIND Snacks are the epitome of a multigenerational family-focus on delicious, all-natural foods that sustain personal and planetary health. The company's line of "Skin-on Superfruit Snacks" are the chewy, tangy, whole-fruit solution that welcomes everyone to: "Keep it Real. Eat the Peel.™" RIND is proud to partner with a network of small California farmers that keep its products grown (not flown) in the U.S.A. Learn more at rindsnacks.com and @rindsnacks on Instagram.
Press Contact:
Matt Weiss
matt(at)rindsnacks.com
(802) 828-7463 (RIND)
SOURCE RIND Snacks
Tuesday, June 26, 2018
Wednesday, June 20, 2018
The private cost of health-care queues in Canada
Our closed government-heavy system stands in stark contrast to other universal health-care systems that have shorter wait times
By Bacchus Barua
Associate director of the Centre for Health Policy Studies The Fraser Institute
And for some patients, wait times can have serious consequences.
While this may be obvious for patients in need of critical care, it's also true for Canadians waiting for medically necessary elective care such as hip replacements, hernia repair, cataract removal, aneurysm surgery and non-emergency pacemaker operations, for example.
It's estimated that more than one in 10 patients are adversely affected by waiting for non-emergency surgery. Physicians indicate that patients wait longer than what's considered clinically reasonable. And, of course, of the more than one million Canadians who waited for care in 2017, many would likely prefer to receive treatment earlier if possible.
The reasons are obvious. Patients waiting for treatment may be in pain, may be worried, and may have to depend on family or friends for assistance, or hire caregivers. In the most unfortunate cases, patients may also see their conditions worsen, from simpler and more treatable conditions to more complex, debilitating and perhaps permanent or fatal disabilities.
And then there's the economic cost, in the form of lost wages and productivity. Based only on the wait from specialist consultation to treatment (10.9 weeks on average across Canada in 2017), and the number of hours in the normal work week, wait times cost the Canadian economy an estimated $1.9 billion - roughly $1,800 per person waiting. And this is a conservative estimate, which excludes the wait to see a specialist (10.2 weeks in 2017) and places no value on non-working hours spent pain-free. If you include hours outside the work week (while still excluding eight hours for sleep), the cost of waiting goes up to $5.8 billion or roughly $5,600 per patient.
Of course, only patients experience the true cost of waiting for treatment. However, even rough estimates are useful to remind policy-makers of the need for reform.
But waiting is not a necessary price to pay for universal health care. Countries such as Germany, Switzerland, the Netherlands, Sweden, France and Australia all share the goal of universal access to care, and spend about the same as we do, but don't have our long wait times.
Why?
Perhaps because they do universal health care differently by embracing the private sector, expecting patients to share in the cost of treatment (with exemptions for vulnerable groups), and incentivizing hospitals to treat patients through activity-based funding by procedure or case, rather than 'global budgets' common in Canada. Our closed government-heavy system stands in stark contrast to other universal health-care systems that have shorter wait times.
Sadly, the data have been clear for a long time. Despite spending increases, wait times for medically necessary elective treatment in Canada are remarkably long and have been getting longer for years.
However, we must remember that these long waits are not simply statistics - they underscore the reality that many patients in Canada suffer pain and anxiety due to the nature of our system.
It's time to do something about wait times by reforming policies or, at very least, offering patients an alternative when they need it most.
Bacchus Barua is associate director of the Fraser Institute's Centre for Health Policy Studies. |
Monday, June 18, 2018
Friday, June 15, 2018
Ditch the Chemical-Laced, GMO Hot Dogs this BBQ Season -- Get The True Story™ About Organic Hot Dogs
When it comes time to enjoy the summer, for many, grilling is a must. Unfortunately, that often means sacrificing health for great taste. True Story™ makes it easy to have both with organic, non-GMO hot dogs and sausages made with only a few simple, real ingredients.
SAN FRANCISCO, June, 2018 /PRNewswire/ -- Not all hot dogs
and sausages are created equal. In fact, the lowest quality of these
types of food – laced with chemicals and additives – barely even qualify
for the name and more resemble something like a science project. The
good news is that True Story, makers of Organic or Project
Non-GMO Certified meats have the solution to this problem well-handled.
The company provides a healthy alternative this hot dog season with
their famous Organic Grass-Fed Beef Hot Dogs, perfect for fun times at
the grill this summer. The only 'additives' you'll get with these hot
dogs are the ones you want, like good ol' mustard and relish.
"Our hot dogs are a lot different than the ones I had growing up; wholesome, gluten-free, Non-GMO and never with anything artificial added," notes Kathryn Winstanley, Vice President of Marketing at True Story Foods. "These are the hotdogs you can be proud of, whether you are a San Francisco Yogi or Dad at a tailgate party."
True Story's all-natural line-up of Organic/non-GMO varieties perfect for summer include:
True Story Italiano Hot Dog: Add some Italian flavor to your next hot dog http://www.truestoryfoods.com/recipes/italiano-hot-dog
True Story Tropical Hot Dog: Mustard, relish and ketchup? You're outta here! A medley of tropical flavors to discover a whole new ballgame in a bun http://www.truestoryfoods.com/recipes/tropical-hot-dogs
About True Story:
What is True Story's Mission? True Story believes in a future of food that is a return to what is real and true. A future that is respectful of the source of our food –the soil, the animals, and the farmers. True Story is nurturing a community of family farmers, artisan producers, progressive retailers, and food lovers who are dedicated to this future.
True Story is available nationally in select natural and traditional grocery retailers and Costco. For more information, visit www.truestoryfoods.com.
Media contact:
Stacey Bender
197053@email4pr.com
973-744-0707
"Our hot dogs are a lot different than the ones I had growing up; wholesome, gluten-free, Non-GMO and never with anything artificial added," notes Kathryn Winstanley, Vice President of Marketing at True Story Foods. "These are the hotdogs you can be proud of, whether you are a San Francisco Yogi or Dad at a tailgate party."
True Story's all-natural line-up of Organic/non-GMO varieties perfect for summer include:
- Organic Grass Fed Beef Hot Dogs
- Organic Sweet Italian Chicken Sausage
- Organic Thick Cut Oven Roasted Chicken Breast - A 2017 Expo East Nexty Winner
- Organic Uncured Applewood Smoked Ham
True Story Italiano Hot Dog: Add some Italian flavor to your next hot dog http://www.truestoryfoods.com/recipes/italiano-hot-dog
True Story Tropical Hot Dog: Mustard, relish and ketchup? You're outta here! A medley of tropical flavors to discover a whole new ballgame in a bun http://www.truestoryfoods.com/recipes/tropical-hot-dogs
About True Story:
What is True Story's Mission? True Story believes in a future of food that is a return to what is real and true. A future that is respectful of the source of our food –the soil, the animals, and the farmers. True Story is nurturing a community of family farmers, artisan producers, progressive retailers, and food lovers who are dedicated to this future.
True Story is available nationally in select natural and traditional grocery retailers and Costco. For more information, visit www.truestoryfoods.com.
Media contact:
Stacey Bender
197053@email4pr.com
973-744-0707
SOURCE True Story Foods
Wednesday, June 13, 2018
Vinitaly Roadshow China: debut in Shenzhen, Changsha and Wuhan 11-14 June
ITALIAN WINE. FOCUS ON CHINA FOR VINITALY: THE NEW ROADSHOW SETS OFF
TODAY
-
B2b mission for 46 companies including Italian wine cellars and
distributors; tastings involving more than 300 labels. More than 500 accredited
operators for the first stop-off
-
The Vinitaly-Nomisma Observatory estimates an average annual
increase of 7.5% in Italian wine exports to China through to 2020. This is
higher than the expected overall average local growth in demand of 6% per year
-
Collaboration with ICE-Italian Trade Agency is confirmed with the
organisation of "I love Italian wines" training
courses.
Verona,
11 June 2018 -
Shenzhen, Changsha and Wuhan. These are the new stop-offs for the Vinitaly
roadshow scheduled in China 11-14 June, whereby Veronafiere consolidates its
presence in Asia, after trips to Beijing, Shanghai, Hong Kong and Chengdu and
Vinitaly International Academy appointments.
The trade mission travels to three cities in the south-east of the
country, totalling more than 40 million inhabitants. The future of demand for
wine in China will be concentrated in cities, given the growing importance of an
upper class enjoying high spending
power (25% of the population by 2022) and a urbanization rate that will increase
by 5 points over the next five years to 63%.
According to data published by the Vinitaly-Nomisma Wine Monitor
Observatory, wine consumption in China grew by 3% in 2017 compared to 2016
with imports coming to 2.5 billion euros - thereby doubling in value over the
last ten years. Italy's market share in the opening months of 2018 sis 7% and
growth margins for Italian exports are consequently still very high. Yet the
first vital step in winning over new consumers is to promote the quality and
variety of Italian wine production among importers, agents and the horeca
channel.
With this objective in mind, Vinitaly - the leading international
event in the sector organised by Veronafiere - has scheduled three events in
Shenzen (11 June) Changsha (13 June) and
Wuhan (14 June), bringing together 46 companies in China,
including Italian wine cellars and Chinese
distributors.
The
formula envisages three days dedicated to b2b meetings and tastings of more than
300 labels exclusively for reserved for select professional audience. More than
500 operators have been accredited for the first stop-off in
Shenzen. The implementation of the roadshow sees
Vinitaly flanked by ICE-Italian Trade Agency, thereby complementing
scheduled activities with the "I love Italian wines" training courses
promoting awareness of more than 500 Italian native grape varieties. The
initiative in China also welcomes the collaboration of Shenzen Pacco
Cultural Communication, that already organizes the important
IWSS-International Wine and Spirits Show in
Chengdu.
"These three cities,"
said Giovanni Mantovani, CEO of Veronafiere, "are strategic hubs for spreading the
culture, history and lifestyle of Italian wine with a view to encouraging
consumption. Italian wine exports to China have increased by 50% over the last
ten years but we are still a long way behind the results achieved by our
competitors. The Vinitaly-Nomisma observatory has estimated through to 2022 an
overall increase in Chinese wine imports of 6% per year and 7.5% for Italian
labels. This is the catchment of potential consumers we must focus on, not the
least thanks to the support of ICE-Italian Trade Agency, with which we continue
to work profitably within the scope of the Special Made in Italy Promotion
Plan."
Monday, June 11, 2018
Food Addiction Is a Real Thing. But So Is the Power of Hope
Recovered Food Addict develops a proven program to release suffers from the bonds of
Food Addiction and move them into a life of hope and Food Serenity.
TORONTO, June, 2018 /PRNewswire/ -- Food Addiction is a prominent issue in society with over 10% of the general population deeply addicted to food or overeating. The problem is real and millions are suffering. Sandra Elia used to be one of them.
At her worst, Sandra Elia reached over 260 pounds and felt defeated from failed diets and empty promises from dieticians. She'd had enough. She set out to conquer her addiction to food and won - losing over one hundred pounds and keeping it off for over 13 years. This fueled Elia's passion to help others break free and to create The Food Addiction Recovery Program in partnership with medical doctors specializing in the treatment of obesity. This program was Ontario's first government-funded [OHIP: Ontario Health Insurance Plan] 12-week outpatient program for Food Addiction Recovery.
Being a problem that Elia deeply understands, she wanted to develop a clear and effective program for successful healing from Food Addiction. She now has a proven method to get everyone to a place of Food Serenity.
"Food Serenity, as I call it, is about remembering who you really are, and what you really need to feel nourished, loved, and accepted," Elia explains.
Addictive eating is mindless eating, she adds. The antidote is mindfulness, leading to regaining the power of choice. This involves developing interventions, techniques, and a daily spiritual practice.
Elia guides clients in mastering their thinking to end the mind chatter that comes with compulsive overeating so they can experience food freedom. They finally come to a place where they can deal with intense feelings without using food. Understanding the role dopamine, serotonin, and endorphins play in compulsive overeating are key. To guide others on how to overcome these triggers, Elia developed a cognitive behavioral therapy technique to remain calm and confident while facing cravings and urges. Over time, creating new neural pathways ends the addiction loop.
One of Elia's most effective programs is her 5-day Intensive Program. As one of the world's first Certified Food Addiction Counselors, Elia is a true pioneer in this field and developed her own system for taking clients out of their environment and placing them into a therapeutic and natural setting. This gives them a chance to detox from ultra-processed foods, extinguish cravings for sugar, and eat to stabilize hormones. Clients achieve appetite correction and come to a place of neutrality with food.
Each day of the 5-Day Intensive Program features a talk from a world-renowned expert in Food Addiction and Obesity Management. A daily visit from a chef ensures all clients leave with a solid understanding of meal preparation.
Along with personally helping others struggling with food addiction, Elia is working with a professional team to hopefully develop a formal diagnosis of Food Addiction in the Diagnostic and Statistical Manual of Mental Disorders (DSM–5). The DSM is the handbook used by healthcare professionals in the United States and much of the world as the authoritative guide to the diagnosis of mental disorders with descriptions, symptoms, and other criteria.
Sandra and her team are striving to educate healthcare providers and offer appropriate assistance to those who suffer with addictive eating. She has worked diligently with a professional team comprised of medical doctors, addiction doctors, researchers, physiologists and physiatrists to develop these programs that have yielded tremendous success. Through these programs, clients have achieved personal success including losing weight, reducing certain medicines, and most importantly, breaking free from Food Addiction.
At her worst, Sandra Elia reached over 260 pounds and felt defeated from failed diets and empty promises from dieticians. She'd had enough. She set out to conquer her addiction to food and won - losing over one hundred pounds and keeping it off for over 13 years. This fueled Elia's passion to help others break free and to create The Food Addiction Recovery Program in partnership with medical doctors specializing in the treatment of obesity. This program was Ontario's first government-funded [OHIP: Ontario Health Insurance Plan] 12-week outpatient program for Food Addiction Recovery.
Being a problem that Elia deeply understands, she wanted to develop a clear and effective program for successful healing from Food Addiction. She now has a proven method to get everyone to a place of Food Serenity.
"Food Serenity, as I call it, is about remembering who you really are, and what you really need to feel nourished, loved, and accepted," Elia explains.
Addictive eating is mindless eating, she adds. The antidote is mindfulness, leading to regaining the power of choice. This involves developing interventions, techniques, and a daily spiritual practice.
Elia guides clients in mastering their thinking to end the mind chatter that comes with compulsive overeating so they can experience food freedom. They finally come to a place where they can deal with intense feelings without using food. Understanding the role dopamine, serotonin, and endorphins play in compulsive overeating are key. To guide others on how to overcome these triggers, Elia developed a cognitive behavioral therapy technique to remain calm and confident while facing cravings and urges. Over time, creating new neural pathways ends the addiction loop.
One of Elia's most effective programs is her 5-day Intensive Program. As one of the world's first Certified Food Addiction Counselors, Elia is a true pioneer in this field and developed her own system for taking clients out of their environment and placing them into a therapeutic and natural setting. This gives them a chance to detox from ultra-processed foods, extinguish cravings for sugar, and eat to stabilize hormones. Clients achieve appetite correction and come to a place of neutrality with food.
Each day of the 5-Day Intensive Program features a talk from a world-renowned expert in Food Addiction and Obesity Management. A daily visit from a chef ensures all clients leave with a solid understanding of meal preparation.
Along with personally helping others struggling with food addiction, Elia is working with a professional team to hopefully develop a formal diagnosis of Food Addiction in the Diagnostic and Statistical Manual of Mental Disorders (DSM–5). The DSM is the handbook used by healthcare professionals in the United States and much of the world as the authoritative guide to the diagnosis of mental disorders with descriptions, symptoms, and other criteria.
Sandra and her team are striving to educate healthcare providers and offer appropriate assistance to those who suffer with addictive eating. She has worked diligently with a professional team comprised of medical doctors, addiction doctors, researchers, physiologists and physiatrists to develop these programs that have yielded tremendous success. Through these programs, clients have achieved personal success including losing weight, reducing certain medicines, and most importantly, breaking free from Food Addiction.
More about Sandra Elia
Sandra Elia knows first-hand the pain of living with morbid obesity. She has made it her life's mission to help others recover from addictive eating.
She is a Coaches Training Institute (CTI) Certified Professional Coach, and the Vice Chair for the Canadian Obesity Network (Toronto Chapter). The Canadian Obesity Network is Canada's authoritative voice on evidence-based approaches for obesity prevention, treatment, and policy.
Elia hosted a radio show on VIBE 105.5FM called "Your Daily Diet, A Spiritual Guide to a Healthy Body Size," which broadcasted to a base residential audience of over 1.6 million. Through that and other programs, she helps people tackle their minds and correct their thinking patterns, which is the single greatest obstacle to losing weight. Her brand's focus is on healing the whole person - mind, body, and spirit.
Learn more about Elia, her successful programs and the truth about Food Addiction at http://sandraelia.com.
Contact:
Sandra Elia
196669@email4pr.com
http://sandraelia.com
416-986-0006
http://sandraelia.com/presskit/
https://www.facebook.com/foodaddictionprogram
https://twitter.com/sandraelia_ca
https://www.linkedin.com/in/sandra-elia/
https://www.youtube.com/channel/UCGZMdB9AzmZ8aDSILWQCrVA
https://www.instagram.com/sandraelia.ca/
Sandra Elia knows first-hand the pain of living with morbid obesity. She has made it her life's mission to help others recover from addictive eating.
She is a Coaches Training Institute (CTI) Certified Professional Coach, and the Vice Chair for the Canadian Obesity Network (Toronto Chapter). The Canadian Obesity Network is Canada's authoritative voice on evidence-based approaches for obesity prevention, treatment, and policy.
Elia hosted a radio show on VIBE 105.5FM called "Your Daily Diet, A Spiritual Guide to a Healthy Body Size," which broadcasted to a base residential audience of over 1.6 million. Through that and other programs, she helps people tackle their minds and correct their thinking patterns, which is the single greatest obstacle to losing weight. Her brand's focus is on healing the whole person - mind, body, and spirit.
Learn more about Elia, her successful programs and the truth about Food Addiction at http://sandraelia.com.
Contact:
Sandra Elia
196669@email4pr.com
http://sandraelia.com
416-986-0006
http://sandraelia.com/presskit/
https://www.facebook.com/foodaddictionprogram
https://twitter.com/sandraelia_ca
https://www.linkedin.com/in/sandra-elia/
https://www.youtube.com/channel/UCGZMdB9AzmZ8aDSILWQCrVA
https://www.instagram.com/sandraelia.ca/
SOURCE Sandra Elia
Friday, June 8, 2018
Thursday, June 7, 2018
Monday, June 4, 2018
How to shorten hospital wait times in Canada
We can address the supply of surgical procedures, the demand for surgery and improve co-ordination within the system
By David Urbach
Expert Advisor EvidenceNetwork.ca
Canadians
treasure our single-payer, publicly-funded program of physician and
hospital care, virtually as a defining part of our national identity.
And yet, increasing legal and political pressure over quick access to
elective surgeries - cataract extraction and joint replacement, for
example - threaten to undermine that support.
And a case before the British Columbia Supreme Court
aims to topple provincial regulations that limit private payment for
medically necessary services, claiming that surgical wait times for
elective procedures such as arthroscopic knee surgery violate the
Canadian Charter of Rights and Freedoms.
The truth is that few people anywhere in the world are in love with their health-care system. Canada is no exception. Why?
Modern health care is expensive - so expensive, at C$5,900 per person per year in Canada, US$9,900 in the U.S. and £2,900 in the U.K., that it costs more than many people are happy to pay, whether through taxation, insurance premiums or out-of-pocket.
Many
Americans still lack health insurance and even insured Americans may
not be approved for every treatment they desire. Among developed
countries, Germany has the highest public support
for their health system but even there, 40 per cent believe the system
requires fundamental changes or a complete rebuild. Sound familiar?
But
this doesn't mean Canadians are doomed to long waits for elective
surgery forever. There's actually much that can be done fairly easily
without resorting to private payment. We can address the supply of
surgical procedures, the demand for surgery and improve co-ordination
within the system to gain significant improvements.
Increasing the supply of surgery can be achieved by paying hospitals using "activity-based funding"
payments for each procedure they do for surgeries like joint
replacements, rather than receiving an annual global budget in the hope
that they will meet the demand. Reimagining the way we use hospitals,
incorporating new anesthesia techniques and virtual care to transform common procedures like joint replacement to day surgery can reduce costs and free hospital beds to further increase the supply of surgical procedures.
The
demand for surgery is also elastic. Removing people who aren't in dire
need of surgery from waiting lists improves access for those in greater
need of services. It also prevents the overtreatment of healthy people,
which is rampant in many areas of medicine - 32 per cent of patients waiting for cataract surgery in B.C. had near-perfect vision, in just one example.
Ironically,
the case before the B.C. court - the most pressing legal challenge to
the constitutionality of Canadian medicare - is in part about access to
arthroscopic knee surgery, a procedure that might actually cause more harm than benefit in some patient groups.
Wait times in Canada may be long on average, but they're not long everywhere. Take the example of knee replacement surgery in Ontario.
At first glance, the waits certainly seem long: in 2017, only 78 per
cent of people had their knee replacement within the recommended six
months and 10 per cent waited longer than nine months. In spite of this,
half of all people actually had their surgery within three months.
Why is it that some people have surgery quickly and others wait?
Mostly
because there's little co-ordination of surgical practices. Long ago,
other industries adopted effective queue-management strategies that
prevent situations where some people wait much longer than others. Single-entry models
- where all people enter one queue and take the next available slot
once they get to the front of the line - smooth out the waits and
increase efficiency in banks, fast-food restaurants and at Disneyland.
Centralized
intake, triage and referral of patients to appropriate heath-care
providers - taking advantage of inter-disciplinary teams including
nurses and physiotherapists - would go a long way to reducing variation
in wait times and improving access to surgery.
Medicare
is not perfect, but it's still very good at providing excellent quality
care to all Canadians who become ill and require hospital and physician
services. Decisive action to improve wait times is necessary to
maintain the public confidence required to preserve our unique
health-care system for future generations.
The
good news is that this can be done by fixing medicare's problems with
surgical precision, without killing the patient in the process.
David R. Urbach, MD is an expert adviser with EvidenceNetwork.ca,
surgeon-in-chief at Women's College Hospital, Toronto and professor of
Surgery and Health Policy at the University of Toronto. He is also
senior innovation fellow, Women's College Hospital Institute for Health
System Solutions and Virtual Care (WIHV). |
Friday, June 1, 2018
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