JUNE 13. 1952-

-Q43

.u A vetsgne. Eiluhow"

"Seems everybody 'round here his a Safety Deposit Box at the Bof M."

Of course, you can feel sorry" for him if you want to. But there's a limit. Don't help him out by leaving your valuables around the house when you take your vacation this Ybar.

If you have an jewelry, valuable apcrs, bonds, ut t ern away safely in s bofM Safety eposit Box. It costs so little . . . less than two cents a day. And you'll learn the full meaning "of a carefree holiday. Why not drop in at your neighborhood B of M branch and rent a Safety Deposit Box now-while you have it in mind?

BANK or MONTREAL an-4.4!-,74ut.Esr54 ' A

Charlottetown Branch. 105-lo'l Grsiton Sireeis BEN ROGERS, Manager

woarmo Willi CANADIANS IN rvnv WALK or in: since ill i "ll.

.Tl1ere Ought To.Be A Law

0

A taxi or

continued irom page i

quality available to all, whether they belong to low or high-income groull. or reside in rural on

areas. The problem we d ap- gaatr to be the method and the

:ItLis also necessary to consider I n 4' I Ln-

. "Y

surance could be reconciled with a iree society, whether it could assure high quality medical care to the entire.populetion. or whe- ther it would aacriiice quality in the interests or quantitative in- creases. -

Government Action Limited

"In this Province. government action in this lleld has been lim- ited to the care or the indigent aged and inilrm, as well as to mentally ill and- tuberculous pe- tlenls. Medical developments in the tment oi tuberculosis, men disorders and b - cases, have modiiled the role oi government in these ilelds. In in- stitutions therapy is gradually be- ing substituted for mere custod- ial care, and preventive and re- medial services seek to check the mounting rate 'oi institutionalise- tion. 'i'hls has been especiauy true in this Province since the intro- duction oi the Federal Health Grants Program.

"Financial contributions or the Provincial Government to the support oi hospital care have been growing steadily. especially during the pest iew years. In 1949 -the amount contributed mpresented H.196 of all hospital income, end was 15.496 oi the total govern- ment budget for health services. It is depressing to note here that a lesser amount, only rm. oi the total government budget ior health services, was ell that was expend- ed ior the preven” or disease.

Local Responsibility

"it is considered by this Com- mission that the ultimate applica- tion oi all medical services which may be financed by government iunds, should be local, and re- sponslblc participation by local government authorities and by local professional - , is im- perative ior the success oi any program. It is also recommended that the proiessional aspects or any medical care program should be developed under the direction oi medical personnel.

"When the Government spends tax money ior services it is re- sponsible to the public ior the proper allocation oi these funds. For this reason government sup- ervision oi ccrtain administrative procedures appears inevitable in the interest or the patients, the lmedical profession and the pub-

c. "With the acceptance by the medical .. oiessio of I ponsibil- ity ior the supervision or govern- ment medical care programs, it is considered by this Commission that medical care oi high quality can be best assured through the developme it of close collaboration in hospital practise, the concent- ration oi medical resources and the maintenance oi superior re- cords.

"hit is not impossible to conceive -in iact it is recommended ior

eds laws-Is ' -- .' IN A BIG-RUSH TD FINISH HIS GOLF-' 3" V b

s?END ms REST OF THE DAY N

i Tue ctusuouse ' BLOWING ABOUT ms GAME!

'l'ilENCN'l'HE I2'.” I PITCH r ONE OVER THE WATER HOLE

RIGHT ON THE GREEN FOR A BIRDIE. AND WAlT'LL ITELL

V0.1 WHAT HAPPENS ON THE I71? -u ..

all ' it v '3

OUR B()A.RDllNG HOUSE ' Major Hoopla 'l' ,1: HM! I've so-r W 2 dm?,3g?..,',;l55”Ri'3.i:o -ro BLUEPRNT A y 2

FOR Tl-'.O5& SEWEL5 -44- AND THEY l 4;, MADE THE.-

CHECK out To AMOS B. I-IOOPLE

l.lTTLE' CYCLONE

'9

, -N axiseaisnasxi &;.-xi ; ' ” . -

THE .6ADDLE 7-

1

THE GUARDIAN. CHARIDTTETOWN

consideration. both by the govern- ment end medical proiession or this province-that serious consid- eration be given to hospital ser- vices being extended beyond in- patient and out-patient care. The hospital, in this sense, might be considered as a health centre pro- viding all types at preventive and curative medical service, as a nucleus oi all the medical activi- ties oi the community. and as the un t oi the eliective organ- isation oi medical care.

Methods Dlsemesd

"rho subject oi the relative mer- its oi nnencing medical care by general tax iunds, or by contrib- utory prepayment insurance plans, or by a combination oi both. has been actively discussed by this Commission. In this respect it is noted that in i049 general tax iunds contributed 15.195 oi all hospital income, while contribut- ory prepaid insurance contributed 19.376. Fees irom patients, etc., remalnt:dLthe. highest source 0 .

to 52.396 oi the year's revenue. However, it must be remembered that many oi these patient pay- ing ior their own hospitalisation also contributed through taxation to the amount contributed by government.

"In this Province. over the past several years, an increasing num- ber hss participated in the vol- untary prepayment plen oi Meri- time Blue Cram Hospital Care. More recently this plan has been expanded to provide certain med- ical and surgical beneilis. with this plan the corporation enters into contracts with groups oi em- ployed persons who make regular pe.iodic payments by means or payroll deductions. This hospital service plan establishes contracts with a group oi lparticlpeting hos- pital.s' which guarantee to render the necessary hospital services to subscribers and members requiring care. At the time oi sickness the subscribers and members have free choice oi participating hospitals and, ii they have contributed ior added medicalbeneflts, iree choice oi physician. '

Policy Formulation

"Thai quest” of responsibility ior the determination or policy and its application, is a basic con- sideration in the study of the or- ganization oi health insurance programs, whether voluntary or compulsory. The group that de- termlnes policydecidcs upon the services to be given by the plan. This group also prescribes the rules governing the administra- tion oi the plan with respect to individuals and agencies rendering services, eligibility ior subscriber membership. rates to be charged and actuarial controls to bemain- talned.

"The responsibility ior policy iormulation is placed nrst,-in the Legislature, which, through insurance legislation, establishes certain broad controls governing the operation oi the voluntary health insurance plans. Within this broad legislature iramework the Board oi Trustees or the in- dividual plan establishes the pol- icy governing the organization and operation.

"Under the prevailing Blue Cross Hospital Plan. policy making is the hands ci a Board oi Trustees made up oi representatives or the hospitals, the physicians, and the general public, while the hoe- pltals and the physicians maintain voting control. Public representa- tion is in the ,mlnority, but at least some degree or democratic control is provided.

Complex Factors

"In this Province this plan has appeared to be tisiactory and, ior the pre , it is idered that it should be continued. There is agreement. however, that it is not ,” lly organised. super- vised nor distributed, and that the development of plans ior its im- provement should be preceded by study oi many complex factors. It is apparent that in a country as vast as Canada, no one plan can be ppllcable to parts. and that many and varied experiments ior cxtendin y and improving med- ical care, in coniormity with local conditions. are urgently needed. "One oi the apparent shortcom- ings oi the present plan in opera- tion is the matter of enrollment oi varying income groups. The problem is to attempt to devise e program that will provide adeq- uate health services and. at the same time. make it possible ior those in the low income group to pay ior the protection oilered. T health problem oi the indig- en portion oi the popula” is considered to be a matter of con- cern oi governmental agencles. In this Province this is reiiected in the increasing amounts paid through government channels ior wcliere services and assistance. "It is suggested. thereiore. that a portion oi the low income and all oi the no income - , have their health needs supplied within the iremework oi the voluntary plans. and that the costs be paid by government agencies. Under this arrangement the insurance organisation relieves the weliare agency oi the iunction it has per- iormed in making arrangements ior payment on an individual basis ior medicel cases among its clients.

"One advantage of this arrange- ment, to the recipient oi public

tity as a weliare client is lost, and the stigma attached to status need not anect his rela- tionship with the medical person- nel who handle the case.

ltsblllty And Solvency

"In this arrangement. govem- mt aibsidy should not be lim-

cmountlng mm,

aid is that, as a patient. his idsn- 3"

""14 retrain ii-om

likewise be ocvered by the insur. Ineo oi prepayment plans.--the Oinlllllhlii 131313! the Premium. Concerning the composition oi this latter group. it is suggested that this mgiougkd. be the iunction 0!. and M Illbroval of. a non- political local board.

"hr optimal results in the ex- pansion oi a voluntary prepayment Plan. the co-operation oi physic- ians is required. For euccessiul

oi performance to be iollowed by all the individuals engaged in the enterprise. To sn- iorce the standards. and to ach- :lelll'10b:b:Ilmel r:e.sultI, yqupervision

Activities Umllol

"Another shortcoming of the present plan in operation is its lack oi emphasis on preventive medicine, its activities being um. ited almost entirely to curative

” ' . The beneilte do not in. clude such preventive services as periodic Dhyllcal examinations, unisations, etc. Ii a complete health service is to be provided through insurance. preventive care must play a prominent role in the program.

"This is not to imply' that all such health services should be the iunction oi the insurance plan; certain services will likely remain the responsibility or the Public Health Department. However. the programs oi the two agencies should be careiully co-ordinated so that they supplement each other and do not overlsp,' or leave unnecessary gaps in the care ev- allable. - "With respect to the present program or preventive medicine as presently maintained by the Pro- vinclal Government, certain re- commendations have been made previously in this report which are designed to provide a much more adequate service than is presently being rendered in this Province. "It has been shown previously in this report that in l949 only 11.695 of the total budget oi the Health Branch of the Department oi Health and Weliare was ex- pended 'on purely preventive ser- vices. The remaining 8.'2.49;. was, in the main, expended on institu- tional cars and subsidies to gen- ersl hospitals. Thereiore, as just stated. the outstanding weakness oi the present prepayment plan in this Province is its iailure to provide and to foster the practise oi preventive medicine because it compensates only ior curative ser- vices. The voluntary non-proiit ,repayment plan oilering compre- hensive coverage is in a most advantageous position to include preventive services.

Preventable Illness

"It is an obvious point that medical costs will decrease when preventible illness is eliminated. There are enormous expenditures ior the medical care or people whose illness arises principally ” oi inadequate housing, food and sanitation. There are -also many illnesses which are allowed to reach serious propor- tlons because oi the ignorance oi those stlected, or because oi their reluctance to use available medical facilities. I-llghcr living standards and health education would can-

in tribute substantially to the re-

duction in the overall costs or edical care.

"A t”er weakness in the plan which is in practice in this Pro- vince is that it iails to provide iacllities to assist in the diagno- sis oi disease. This Commission iavors the experimental develop- ment oi diagnostic consultation services at a minimum ilat ice. "in seriousl llnesses, specialists' services and diagnostic iacilitles account ior the bulk oi the doc- tor's bill. These services are ex- pensive. partly because they are not iully utilized. partly because they are expensive.

"A promising solution in this problem. and an effective way to reduce costs in medical serv ce. is to establish diagnostic c tree. These centres should be relatively easy to organise and could prove iiective in that segment oi med- ical costs where economies can be most easily achieved. They would also remove one obstacle which laces general practitioners in their eiiorts to give adequat care, and they do not involve a sudden change in the overall organiza- tion oi the practise or medicine.

Other Advantages

"Diagnostic centres, by shooting some oi the basic causes oi high medical costs, provide means oi lowering costs without deteriorat- ing quelity. Diagnostic centres may limit their services to X-ray and laboratory tests, or they may also ' ' d consultation in various specialties. Patients participating in such a plan, upon reierral by a private physician, might under- go a complete examination in- volving as many tests and con- sultstions as might be necessary.

vide medical treatment. Ordin- ary diagnostic iacilities can be successiully provided to small towns and even to rural areas. It can be shown, once started on a sound basis. laboratory and x-ray services make a substantial con- tribution to the goal or a health- ier community.

Government support

"it is unlikely that rapid pro- se can be made either in the establishment oi adequate hospital and health facilities or in the pro-

" vision oi euiiiciently skilled per-

sonnel without aid trom govern- ment sources.

"Per the furtherance of volun- tary prepayment plans. this Com- mission isvors government sup- port.-the government being local. provincial or iederal. or e c”.'nbi-

f nation. The commission is cos-

nisent oi the disedventeees and risks involved in every iorm oi

WW” payment to the physician made

from a payment fund. and has recommending one iorm oi payment, and advises, instead. experimentation with the various pomlble iorms or payment until time and experience prove which are the best.

"it is the opinion of this com- Inlulon that ii the principles oi the above, plan can obtain the understanding end,oo-dvlrltlgnuilll the public, the pro emion an e government alike, it will ultim- etely lead to the desired goal.- gnedloel mum; otlilcgohnpmelit lac:

can o a on y 9005-",

alltba

operation there must also bestrlct ' s dsrds

Fhfherb '-.,Day

'JUNE 15

Huge Oil Refinery Opened In Edmonton

EDMONTON. June 12-(UP)-A mulil-million dollar reilnery cap- able oi processing 5.500 barrels oi crude oil daily was oiiiclally Canada.

opened today at Edmonton by the McColl-Frontenac Oil Co. Ltd. The refinery will process crude into gasoline, diesel iual oil. heating oils. petroleum coke and industrial oils. Most oi its out- put will be marketed in Western

LOST I5 IOUND .,

ROSE VALLEY, Sa.ek.. -(Q)-u District iarmcr George Rustad load his wallet while operating to. farm combine four years ago, Now the wallet has been iound by Joa Marynidr, a neighboring fauna. in seed grain he was handling ,

V...

PARZATI belongs to the versatile family of carba-ll maic fungicides which give powerful disease control without harmina the plsnts.:

Though PARZATE gives outstanding protection against early and

ate blights.-

iis action is so mild that it will not damage the foliage. It may be safely used. either alone or combined with other spray or dust nuur-rials, in even the hottest

wca I her.

Use before diseases become established

PARZATI fungicides are preventive materials, hence they are most cfective if used before diseases become established. Because they give superior disease con. trol without injury to plants, PARZA'l'l'J lungicitics result in vigorous, licalihy

crop growth and higher yields.

Two Formulations to Protect Your Crops

PARZATI fmigic-iuios come in two forms, liquid and tlry-lo suit your needs. Both are highly eileciive against early and late blight.

PAIIATI-Zlnob (Dry form). A wetteble powder which may be used either as a spray or dust. When used as a dust. dilute with talc to concentrations of not lees than 1073.

'RsginsovlnelsIaavldB.I.daPoIIlleNsmem's'ICo. Una.)

(blquld Form). A handy- to-use fungicide in liquid form which die- :-rses almost immediately in the spray tank. lust always be used with zinc sulphate.

CTIIII C-I-I. POTATO PIDTICIDID ii DIICOP Due! (35 DD?-SS Co or). For bl' his and insects. For seed-potato crops ' ... heavy aphid infestation, use 1) lECOP Dues -7 (sm, DDT-7'Z, Copper). I DIICOP Spray (I55 DDT-IDS Copper). Developed especially for potato insects, I

but also excellent for many other mops. C-I-I. 50f Wenablo DDT. Highly efective against leefhoppcrs. beetles and many '

other insects.

Day from your dealer

INDUSTRIIS LIMITED Agricultural Chemicals Department HALIFAX

CIIAUIAQ.

CANADIAN

IOIHIIAI. 0 IOIOOHO e

GD

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