1. The Honourable Carolyn Bennett M.D., M.P. McMaster Medical School February 20, 2013

2. www.carolynbennett.ca2 1.Respond to individual patient health needs and issues as part of patient care; 2.Respond to the health needs of the communities that they serve; 3.Identify the determinants of health of the populations that they serve; 4.Promote the health of individual patients, communities and populations.

3.  Patient as Partner  Doctor Multidisciplinary  Hospital Community  Social Determinants of Health 3

4. “The worst thing for a physician is to help someone get well and then send them straight back into the situation that made them sick in the first place” 4

5. “Good public policy is developed when the policy-makers can keep in their mind’s eye the people affected.” Jane Jacobs

6. When physicians speak, people listen  Dr. Albert Schweitzer - Humanitarian  Dr. Gro Harlem Bruntland - Norway  Dr. Helen Caldicott – anti-nuclear activist  Dr. Michelle Bachelet -Chile  Dr. Howard Dean –Governor  Prime Minister Charles Tupper- Canada www.carolynbennett.ca6

7. from cynicism to effective citizenship “A politician’s guide to listening A citizen’s guide to being heard work in progress !!! www.carolynbennett.ca7

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10. Patient as Partner Ask people what’s wrong and listen, together develop a plan Patient knew their body best, Doctor knows the system best www.carolynbennett.ca10

11.  Sharing risk  getting people the health care they need when they need it  Keeping people well not just patching them up once they get sick 11

12. “Politics in Canada has always been the art of making the necessary possible. Peter C. Newman

13. Deciding ‘what’s necessary’….. is political www.carolynbennett.ca13

14. 14  Fair  Transparent  Takes people seriously

15.  INITIATED BY  Government  Parliament PUBLIC CONSULTATION  INITATED BY  Citizen  Stakeholder group ADVOCACY www.carolynbennett.ca15

16. “People don’t want to govern they want to be heard.” “Civic efficacy” “Two-way accountability” www.carolynbennett.ca16

17. Government vs Parliament www.carolynbennett.ca17

18. www.carolynbennett.ca18

19. INFORMATION COMMUNICATION SEND AND RECEIVE www.carolynbennett.ca19

20. www.carolynbennett.ca20

21.  NGO’s  Professional Organizations  Media  Electoral Politics www.carolynbennett.ca21

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24.  Who  What  When  Where  Why  And HOW www.carolynbennett.ca24

25.  What  Why  Who  Where  When  And HOW www.carolynbennett.ca25

26.  WHAT  Short Term  Long Term www.carolynbennett.ca26

27.  WHY  Evidence  International, other jurisdictional examples  Win, win www.carolynbennett.ca27

28.  WHO  Minister, staff  MP’s on Committee  Other possible MP champions  Opinion leaders  Getting ‘unusual suspects’ onside  Gotta get a posse www.carolynbennett.ca28

29.  WHEN  Have a look at the Parliamentary Schedule !  Earlier the better !!! www.carolynbennett.ca29

30.  IDEAS floated  Think tanks  party platform  Speech from the Throne  White Papers, Green Papers, Draft Leglislation  Bill tabled www.carolynbennett.ca30

31.  HOW  Tell the truth !! what will the opponents be saying ?  Bills:  Prepare possible amendments  Suggest other witnesses  Questions for QP  Petitions www.parl.gc.cawww.parl.gc.ca  Media www.carolynbennett.ca31

33. 2005 CAUSE S of the CAUSES 33

34. As a nation, we aspire to a Canada in which every person is as healthy as they can be – physically, mentally, emotionally and spiritually. 34

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36. HYGEIA: Goddess of Health 36

37. I swear by Hygieia, the goddess of health making her my witness that I will fulfill according to my ability and judgment this oath and covenant: I affirm that the ultimate goal of all health providers is to promote health, prevent disease and injury whenever possible. 37

38.  Patchwork quilt of non- systems  Focus on sickness… and the repair shops 38

39.  “For every complex human problem, there is a neat simple solution. It’s just that it is wrong.”  HLMencken  Complex problems require complex solutions  We need simpler messages…… www.carolynbennett.ca39

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42. A) strong fence at the top of the cliff B) state of the art fleet of ambulances & paramedics waiting at the bottom ? 42

43. A) Clean air B) Enough puffers and respirators for all 43

44. A) a falls program to reduce preventable hip fractures B) private orthopaedic hospitals and more surgeons 44

45. A) how much they spent on the sickness care system B) the health of their citizens, leaving no-one behind 45

46.  Most appropriate care  In the most appropriate place  By the most appropriate person – paid and unpaid 46

47. PREVENTION  Public Health Network – 13 jurisdictions  Regulation  Transfats, Sodium, Generic Oxycontin  Social Determinants of Health  Poverty –EI, housing, pensions  Violence – gun control  Environment – air, water, land  Equity  Education – FN’s, post secondary 47

48. QUALITY  Health Council Canada  was overseeing 2004 Accord  6 provinces have Quality Councils  ? Insist on 13  Hold Federal Government accountable for results  Aboriginal, Corrections, Military, Veterans, (RCMP) 48

49. www.carolynbennett.ca49

50.  Use the system wisely  Keeping our families well  Clinical guidelines  Self Care Manuals  Fight for more HEALTH so we`ll need less health care  Democracy between elections 50

51. Putting the ‘poli’ into policy  Research  Policy  Practice www.carolynbennett.ca51

52. www.carolynbennett.ca52 research practicepolicy

53. www.carolynbennett.ca53 research practicepolicy KT

54. www.carolynbennett.ca54 research practicepolicy KT Political Will

55. www.carolynbennett.ca55 research practicepolicy KT Political Will Applied research

56. www.carolynbennett.ca56 research practicepolicy KT Political Will Applied research CITIZEN ENGAGEMENT

57. Physical and mental energy come from feeling in control of your life, having real choices, and being involved with other to find ways of organizing change for the better. Barbara Rogers www.carolynbennett.ca57

58. “We are not tinkers, who patch and mend what is broken. We must be watchmen, guardians of the life and health of our generation, so that stronger and more able generations may come after.” Dr. Elizabeth Blackwell first woman physician North America 58