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Health Care in Manitoba

In Health by Jon Gerrard

I will explore with you some ideas for what I see is needed in leadership, governance and decision making from the provincial Health Minister. Provincial leadership sets the framework for our health care system – within the national framework of the Canada Health Act and its principles, to which should be added the principle of accountability. Health care is a complex system which must respond to the needs and wishes of people and communities, and provide access to a full range of physical and brain health care. Complex systems do not perform optimally with centralized top-down micromanagement. First – the relative roles of the province, the regional health authorities or RHAs and their boards, communities, health care professionals and residents.   The governance principle of subsidiarity is important – certain responsibilities belong to the province, others at the RHA level and yet others with the local community and with individuals. Direct …