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Dâ€"6 â€" THE LIBERAL. Wednesday. February 7, 1979 The Minister of Health recently announced budget plans for Ontario Hospitals for the fiscal year 1979-30. A 5.3 per cent increase is planned for each chronic care and rehabilitation hospital, for chronic care and rehabilitation units within active treatment hospitals, and for out- patient operations. A 4.5 per cent increase is planned for public hospitals, after "ad- justments for bed- population guidelines. There is to be a three- year program to phase in bed-population guidelines of 3.5 beds per 1,000 in Northern Ontario. The Minister stated that no hospital will receive legs money in this fiscal year than last, and that district health councils and other organized local health planning bodies will have increasing responsibil- ities in co-ordinating health care services for both hospitals and alternate forms of care, such as long-term care. H e m e n t i o n e d copayment adjustments for ambulance services, the introduction of $8.80 per diem copayment for long-term chronic care and capital financing incentives for hospital cost-saving projects. There is to be continued funding for life support and oneâ€"ofâ€"a-kind programs, and long-term care services may be expanded as a result of studies of long-term care requirements now being conducted by district health councils and other health planning bodies. Two kinds of ad- justments will affect hospitals as of April 1. The first is with respect to Sears Richmond Hill HillEféét Mall All ages welcome Hospital budget plans announced Now you can enhance all your portraits with our colour- l'ul colleclion of backgrounds â€" a nursery scene. perfect for lhe little ones. fall or spring settings. great for children and adults; Our traditional sxudio swing is also doane hall HAS A SERVICE ESPECIALLY FOR YOU FOLLOWING BREAST SURGERY â€" TRAINED. QUALIFIED STAFF. QUALITY PRODUCTS. 0Companior1 By Airway .Tru Life by Camp .Lymphedema arm sleeves .Mastectomy bras .Leisure bras ' .Swim Wear (on request) CALL FOR A PERSONAL APPOINTMENT AT YOUR CONVENIENCE MASTECTOMY Wheelchairs / Walkers I Canes / Crutches SALES O SERVICE 0 RENTALS C Colostomy/ Ileostomy Supplies 9 Braces / Support Garments To meet your doctorTs brescrlptions I I3 _ â€" *1 . ramesextra 8x10 colour portralt FIRST SUBJECT HANDLING IN PORTRAIT PER PORTRAIT ' Q O \J portrait backgrounds! Family groups welcome! Bring the entire lamin in â€"â€" our bac grounds are also perfect for portraits ol‘ family groups. grandparents an couples, all your portraits with our colour- available, No appomtment is necessary. One offer per rounds â€" a nursery scene. perfect person. two per family. $1.25 for each additional person all or spring settings, great for in groups Purchase of additional prints at reasonable ur traditional studio setting is also pnces is optional. Now through Sat, Feb. 10th Exciting colour and variety with our queen's park By ALF STONG MLA â€" York-Centre As the Minister pointed out. the principle of user fees is not new. Those who use ambulances and those in nursing homes have paid user fees ever since these services became insured benefits. budgets, and the second is in connection with measures designed to encourage “better use of the health system” â€" specifically copayment or user fees. Insured persons who use the ambulance ser- vice are charged a fee for each trip and extended care residents of nursing homes are charged a per diem rate. Certain user fees have also been recommended by a number of com- mittees and groups studying health costs in recent months, such as the Taylor Committee and the Legislature's Select Committee on Health Care Financing and Costs. The Minister pointed out that at this time some 35,000 extended care patients in nursing homes and homes for the aged pay a per diem charge. while patients in chronic hospitals, which cost far more, now pay no per diem fee at all. There is currently no incentive to move patients from chronic beds to nursing home beds when nursing home care could more properly meet their needs The Government is therefore introducing a per diem charge for those oc- cupying a chronic bed in a public or chronic hospital longer than 60 days. The 60-day qualifying period began February 1. As of April 1, 1979, the fee is to be $9.80 a day, equal to the per diem nursing home fee. The same fee Photographer’s Hours: Tues. 9:30 a.m.-5:30 pm. Wed. to Fri. 9:30 a.m.-8:OO pm. Sat. 9:30 a.m.-5:00 p.m. would also apply to those occupying a bed in a provincial psychiatric hospital longer than 60 days. Exemptions from the chronic care copayment will include those on Family Benefit Allowance and on General Welfare Assistance, as well as those veterans in Sun- nybrook and West- minister for whose care we have agreements with the federal government. As of April 1, the am- bulance copayment will increase, for the first time since its inception 11 years ago. For insured persons, it will increase from $5 to $20. The mileage charge for longer trips will be abolished For those not insured or for uninsured services, such as medically un- necessary trips. the user charge will increase from $25 to $40. The actual cost of an average ambulance trip is about $90. The Liberal Party supports the shift away from expensive in- stitutional care to cheaper community alternatives. We can understand the reasoning of the government in attempting to restrain the budgets of general hospitals and to charge certain patients a copayment fee. We are somewhat concerned, however. that the alternatives to these acute care facilities have not been provided‘ and the proposals of the government will require further assessment. The proposal to levy a charge against those in psychiatric hospitals for example for more than 60 days is crude, cruel and discriminatory. Patients are likely, even after 60 While both the Taylor Committee and the Select Committee on Health Care costs and Financing recommended user charges for certain chronic care patients in order to treat them on the same basis as those in nursing homes who currently pay per diem charges, neither Com- mittee recommended such charges for days, to be in the acute phase of their illness. Most of them still must maintain their homes and families since they are very likely to recover sufficiently to return to their regular life pattern. Furthermore, they are, with modern treatment, likely to be visiting home regularly during their hospital stay. They are not in a position to be paying “rent” to the psychiatric hospital while maintaining their own home and family. 24" long. Ideal for those small cutting jobs. 8 point. cross cut. manutaclured by Nicholson Tool. - A - CEDAR WOODSTRIP HANDSAW It‘s an inexpensive and creative way to add warmth oi real western red cedar to any room. And is easy to use. You simply cut the strips to til the area or design pattern you‘re covering, apply an adhesive, and press the strips in place. Got an idea? Get Woodstrip. And glue it to it! CASH & CARRY CASH a. CARRY LUMBER psychiatric pgtilents As the Minister has proposed it to date, we see little alternative but to oppose this suggestion. In addition, within a so- called “overbedded” area (over four beds per thousand) all hospitals are being treated the same. Instead of dealing with each hospital in- dividually, efficient hospitals and inefficient ones alike are to be restrained on the basis of their geographic location. Because efficiency receives no reward, morale will be un- dermined in those hospitals that have been making a genuine effort to utilize their facilities in an economical and ef- ficient manner This is unwise, in our view. We would like to see the restraints related to some extent to a hospital‘s record of economy and efficiency. 398 CASH A CARRY Quality is built into this 3/." X 12‘ steel measuring tape. Model Y8312. 748 LUFKIN RULE HARDWOOD LUMBER 0 PHILIPPINE 8: HONDURASM'AHOGANY 0 RED 8: WHITE OAK 0 BURMA TEAK I. WALNUT2<= A " / ' ‘ 33 SQ. FT. 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