please summarize , as much as possible?

Question by “m” … : please summarize , as much as doable?
As provincial Finance Minister Dwight Duncan pointed out in his budget speech two weeks ago, spending on shape care in Ontario is rising quicker than every other category. Twenty years ago, shape care accounted for 32 cents of every dollar spent on provincial government programs; today, it is 46 cents (after discounting some one-time items); in 12 years, it is projected to be 70 cents.
That is clearly unsustainable. It will either bankrupt the government or drive down spending on every other item, from schools to subways.
What to do about it? Shape Minister Deb Matthews provided a broad outline of the government’s plans in a speech yesterday. While fleeting on specifics, the speech provided some fascinating clues on where Matthews is headed.
Initially of all, she has sensibly ruled out user fees or some other two-tier approach. “Whoever needs care will make care,” Matthews declared.
As for containing costs, the government is relying on a mixture of carrots and sticks. Among the carrots is legislation between the pay of shape-care executives to the quality of care delivered. The sticks include bargaining down generic drug prices and the “professional allowances” for pharmacies. (More on this in a subsequent editorial.)
Matthews said the government also plans to initiation an “independent, expert advisory board to provide evidence-based recommendations on clinical practice guidelines.” That sounds a lot like Britain’s Inhabitant Institute for Shape and Clinical Excellence, the watchdog that issues guidelines on what medicines, treatments and procedures are appropriate for coverage. Its recommendations have saved the British Inhabitant Shape Service hundreds of millions of pounds, but not without some controversy.
Finally, Matthews referred to “patient-based” payments for hospitals, which now make block funding from the government. “The main goal is to go toward a model where hospitals are compensated for services they provide and not just getting base-funding increases year over year,” she said. That could principal to rationalization of services, with certain procedures offered only in hospitals that can deliver them most efficiently. Again, it is likely to be controversial if it means closing, say, emergency place to stay or obstetrics wards in some hospitals.
It is not clear how quick and far the government will go down this path, especially if it encounters public resistance. Matthews said her aim is to start implementing the plot “in the coming year.” With an election looming next year, the government may miss that deadline. But at smallest amount it is starting to tackle the problem.

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Answer by Summer
Shape care spending in Ontario is increasing more quickly than any other type, according to Dwight Duncan. In the last 20 years it has risen by 14 cents on the dollar and will rise more. This level cannot continue in the long term. For a solution, the government will not be a two tier approach, but will be given to patients who need it, as and when they require it. To keep costs down, shape care professionals will be paid according to the quality of care they deliver, and the government will also try and obtain the medication at a lower price. An advisory board system akin to the one in Britain will also be set up to give guidance on treatments, which could save a lot of money. There will also be block funding for patient based payments so that hospitals make compensation for each individual service. But, this is controversial, as it could principal to rationalization of services. The year deadline may be missed and its not clear how long the plans will take to be implemented.

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