Close X
Friday, November 29, 2024
ADVT 
National

Health Canada Eyes Private-sector Cash To Fund Opioids Solution

Darpan News Desk The Canadian Press, 06 Sep, 2019 08:49 PM

    OTTAWA - Health Canada is hoping to use private-sector dollars to fight opioid addiction because "conventional efforts are not enough" to address the national health crisis, newly released documents reveal.

     

    For months, the department has been quietly considering a pay-for-performance project to see if specific help targeted at a small group of opioid addicts reduces their dependence on the drug, improves their health and, above all, reduces deaths from overdoses.

     

    What makes the effort unique is that officials are looking at having private backers take on the financial risk to fund the experiment, which is estimated to cost more than $4 million, with federal coffers to pay out only if the work produces measurable success.

     

    The results of a study filling in details on the actual work and costs, as well as the level of private-sector interest in bankrolling the project, were delivered to Health Canada last week.

     

    If federal officials give the plan a go-ahead — a decision that has yet to be made — it would be a rare moment when a social-impact bond, as the financing model is known, is used to pay for a health-related research project.

     

    Social-impact bonds have helped fund about 20 health-related projects worldwide, including in Canada and the United States, officials wrote in one briefing note among almost 130 pages of documents obtained by The Canadian Press under the Access to Information Act.

     

    What makes the bonds appealing to governments is that they require a service provider, usually a non-profit, to get funding from private investors with the help of a broker.

     

    The government pays out only if certain benchmarks are met — meaning investors can earn back their investment plus a profit depending on the amount of risk in a project, the non-profits find new sources of funding beyond limited government dollars, and governments push the financial risk off their books.

     

    The federal Liberals, like the Conservatives before them, have shown a keen interest in the bonds and the larger concept of social financing, putting hundreds of millions into a fund designed to spur growth in the sector as part of a wider strategy. Overseeing the strategy and the fund will be an advisory council, which has an application deadline of Sept. 13.

     

    The path to this latest federal effort in the area began in June 2018 when the Toronto-based Centre for Addiction and Mental Health and the MaRS Centre for Impact Investing applied for government backing for a social-impact bond to tackle the opioid epidemic.

     

    A discussion paper CAMH researchers and the MaRS Centre provided to Health Canada last year proposed running a four-year study with 300 people to test ways to treat their opioid-use disorders.

     

    Among the early options proposed for the project were to use funding through the bond to cover the costs of a "care navigator" who would help keep participants on track, expand addiction and mental health supports at CAMH, and provide medications to reduce opioid dependence.

     

    The paper suggests some of the outcomes would be straightforward to measure — declines in opioid use and hospital visits compared to the general population, for example — while others would be more complicated.

     

    Tying payments to changes in the severity of each participant's opioid-use disorder would be more difficult because it assumes "a standard, linear process" for recovery "that is directly related to a reduction in the incidence of opioid-related deaths." For example, the document says a participant might see a drop in the severity of their disorder, but still have "an accidental opioid overdose" at any point.

     

    The feasibility study was to set a more detailed plan and see whether there was enough private-sector interest to create a social-impact bond, or whether Health Canada would need to fund the effort directly.

     

    CAMH declined an interview request. The MaRS Centre didn't give a response to an interview request.

    MORE National ARTICLES

    U.S. Residents Visiting B.C. Help Save Drowning Man In North Vancouver

    U.S. Residents Visiting B.C. Help Save Drowning Man In North Vancouver
    VANCOUVER - Several Good Samaritans from the United States have saved a man from drowning in British Columbia.    

    U.S. Residents Visiting B.C. Help Save Drowning Man In North Vancouver

    Airline Confirms Three Dead After Float Plane Crashes In Labrador Lake

    ST. JOHN'S, N.L. - A search is underway for four people missing after a float plane crashed into a Labrador lake on Monday, killing three of the occupants.    

    Airline Confirms Three Dead After Float Plane Crashes In Labrador Lake

    Cuts To Legal Aid Ontario Will Cause Hearing Delays: Immigration Refugee Board

    Cuts To Legal Aid Ontario Will Cause Hearing Delays: Immigration Refugee Board
    The tribunal that adjudicates asylum claims in Canada says it expects cuts to legal-aid funding imposed by the Doug Ford government in Ontario will lead to delays and other disruptions of refugee hearings.

    Cuts To Legal Aid Ontario Will Cause Hearing Delays: Immigration Refugee Board

    Ride-Hailing To Come To B.C., But Will Uber, Lyft?

    VICTORIA - The British Columbia government's firm position on tougher driver's licence requirements for ride-hailing is a move in the right direction, given the experiences from other jurisdictions, a transportation expert says.    

    Ride-Hailing To Come To B.C., But Will Uber, Lyft?

    Jagmeet Singh Sees Quebec As 'Fertile Ground' For NDP As He Hits Province For Tour

    NDP Leader Jagmeet Singh says the province of Quebec offers the New Democrats "fertile ground" despite private hand-wringing about its current state ahead of the election.

    Jagmeet Singh Sees Quebec As 'Fertile Ground' For NDP As He Hits Province For Tour

    IIO Investigates VPD After Man Dies In Fall From West End Apartment

    IIO Investigates VPD After Man Dies In Fall From West End Apartment
    A distraught man, throwing large items out of a high-rise West End apartment, has fallen to his death.

    IIO Investigates VPD After Man Dies In Fall From West End Apartment