Archive | February 13, 2009

Two Tier Medicine – Good or Bad?

I have experienced private medicine in the US in the past when I’ve gotten sick on business trips.  My experiences in the US were generally good – fast, quality service, with current diagnostic tools – but for a price.   When I walked into an emergency ward in Texas, the first words out of the reception nurse was not “What is the problem?”, but rather “How will you be paying?”   In all cases I was lucky enough to have Blue Cross or company insurance cover the extra medical expenses.

I recently experienced private, two tier medicine in Canada.  I visited MEDCAN in Toronto for their “comprehensive health assessment”.   It took approximately 6 hours from start to finish and covered off tests that would have normally taken several days out of my time over a period of  weeks to  attend and then have the subsequent follow-up meeting with the doctor.  The MEDCAN service was fast, quality service, with current diagnostic tools – but for a price.

I talked about the experience with a doctor friend of mine who runs a large family practice in Ontario.   He was very much against two tier medicine in Canada because he feels it is undermining public medicine.   He holds that medicine in Canada should be a public service – available to everyone regardless of wealth or position.

What do you think?

Unemployment in Canada will be 10% or higher in 2009..

The following table is based on historical data from Statistics Canada, it shows the tight coupling of US and Canada unemployment rates, with the Canadian rates generally lagging the US.  The Canadian unemployment rates have been historically higher then the US by anywhere up to 4%:

unemployment

Click to Expand

The current unemployment numbers for the US and Canada are as follows:

  • United States Department of Labor states the current unemployment rate as 8.1% as of February 2009.   States with double digit employment in January 2009 were reported as: California 10.1%, Michigan 11.16%, Rhode Island 10.3%, South Carolina 10.4%.
us-unemployment

US Department of Labor, Feb 6, 2009 - Unemployment Rate

  • Statistics Canada states the current unemployment rate as 7.7% as of February 2009, with Ontario at 8.7% unemployment

unemploymentrate

Statistics Canada, March 13 2009 - Unemployment Rate

The  historically tight coupling of the US and Canada unemployment rates mean that US forecasts can be reasonably used as a proxy for future Canadian unemployment rates.   Some sources and their forecasts for the 2009 US unemployment rate follow:

screenshot_64

Click to Expand

Bank of Montreal is forecasting a US unemployment rate of 9.3% in 4Q09.

Royal Bank of Canada is forecasting a US unemployment rate of 8.8% in 4Q09.

Based on the current forecast US unemployment rates and past trends, I expect the Canadian unemployment rate to rise to over 10% and potentially over 14% nationally by 4Q09. (NOTE: Toronto Dominion bank’s March forecasts expect Canadian unemployment to reach 9.9% by 4Q09.)

The coupling of the Canada and US unemployment rates  is interesting in many ways.  In particular, there are academic papers that examine the question of Canadian government policy -  specifically, can Canadian policy have any significant impact on Canadian unemployment numbers due to the tight coupling of our economy to that of the US?

My sense is our government, in general, has little hope of stopping Canadian unemployment rates from following that of the US.   I believe that from a practical perspective, all our government can reasonably do is moderate the impact of the unemployment growth with special social and employment programs; and sustain our economy and workforce until the US economy recovers by driving infrastructure and  entrepreneurial economic development programs.

In order to break the cycle, the Canadian government should be actively working to diversify our economy by  aggressively fostering new small business development and developing export relationships and associated selling channels with other countries outside of the US.

Some interesting articles and papers on the US and Canada unemployment numbers include the following:

A factor that can have a big impact on the rate of unemployment growth is what protectionist actions are taken by Canada, the US and others.  It is almost inevitable that if the recession continues to deepen — politicians will find protectionism as  one of the last tools in their basket of options to try.   Already the politicians are dancing around this topic – some articles on this topic are below:

Small Business Has a BIG Impact on the Canadian Economy

Many people are not aware of the big impact that small business has on the Canadian economy.   Unfortunately, the focus of the news and government is usually on the few large companies – automotive and financial of late.

The Government of Canada publishes a ton of data on small businesses.   Some key metrics from 2007 about small business in Canada include:

  • There are over 1 million small businesses in Canada
  • Small businesses that have fewer than 50 employees -  contribute 26 percent to Canada’s GDP
  • Small businesses employed approximately 5 million individuals – 48 percent of the total labor force in the private sector
  • Small businesses created 100,000 jobs  – accounting for over 40 percent of all jobs created in Canada

Good sources for information on small businesses in Canada, their characteristics and impact on Canada’s economy include the following:

Lead to Win Ecosystem Announced

On Feb 12th, during a presentation at MaRS in Toronto, Tony Bailetti announced the launch of the Lead to Win Ecosystem.

ltw-ecosystem

The Lead to Win ecosystem will be headquartered in Ottawa,  it is focused on:

  • Facilitating the formation of multi-location, international teams
  • Equipping teams to exploit the new creativity economy
  • Supporting teams’ rapid start-up, operations and execution
  • Linking teams to opportunities and channels

The Lead to Win ecosystem is based on the 2002 Lead to Win program which was extraordinarily successful in delivering meaningful and measurable economic development results to the Ottawa region.

If you are interested in more information on the Lead to Win ecosystem or want to be a part of it – drop a note to Tony Bailetti, and read the material on Business Ecosystems on this site.

Recommended Joomla Extensions

Some of the best Joomla! content management system add-ons are listed below:

A complete list of all available Joomla! 3rd party extensions is available at http://extensions.joomla.org/


Follow

Get every new post delivered to your Inbox.

Join 38,524 other followers