Health Reform in Saskatchewan: Digging Holes in the Ground

By Mario deSantis and reviewed by James deSantis, October 22, 1999

  In Saskatchewan we don't have a vision for health(1) and we don't have The

short-term management of confusion

Saskatchewan Way either. What we have is an undemocratic government who
unable to direct our economic system is spearheading a short-term management of
confusion and restructuring where only the strongest, the biggest, the most powerful
and the most reactionary survive. In this environment, the secret to survival is not in
creating wealth, but in having more taxpayer money to dig holes in the ground But
to dig holes in the ground is not an easy proposition for this government; in fact, the
digging must be justified by serious and expensive researches. Such researches not only
has to firstly justify the digging of the biggest and deepest hole in the ground, but later
they must conduct comparative studies to check if more money can be saved by digging
  more holes over the alternative of digging fewer and deeper holes.
  The biggest and deepest hole in the ground was conceptualized in 1995 when

the largest information technology ever mandated in the province

Saskatchewan Health and the Saskatchewan Association of Health Organizations
presented the Saskatchewan Health Information Network (SHIN) as "...the largest
information technology ever mandated in the province...". The integrity of the SHIN
project was supported by a research conducted by Ernst & Young which identified
  paper savings in the order of $58 to $114 Million.
  The most recent proposals for digging holes in the ground have been expressed by the

having full-service regional hospitals

wish of Pat Atkinson, Minister of Health, to have fewer and fully appointed health boards
and by Jim Melenchuk, Minister of Education, who wants to cut the 25,000 people on
elective surgical waiting lists by having full-service regional hospitals and by taking money
away from SHIN. The eventual bigness and depth of these proposed holes will be a
matter of debate and compromise since many agencies are asking for more money from the
  The government has specifically planned the downsizing of our healthcare people> on

healthcare will continue to deteriorate

behalf of capital projects such as SHIN, and now it is experiencing the highest
percentage governmental expenditure in health care. The government doesn't know that
people are the only creative resource, and as long as restructuring and obsolete capital
projects are put before people, healthcare will continue to deteriorate and biased
  researches will no longer salvage these policies and this government.


The Saga of Health Reform: Pat Atkinson Wants Fewer Health Boards and Fully Appointed Boards, by Mario deSantis, October 17, 1999


The Saskatchewan Way by Timothy W. Shire, August 26, 1999


Governmental coalition in saskatchewan: a private contractual deal at the expense of the electorate? By Mario deSantis, October 4, 1999


Conversation Paper on Economic Policies: Meeting of July 15, 1996 between Brian Rourke, Chairperson of SAHO, Arliss Wright, President and CEO of SAHO, and Mario deSantis of DigiCare.


Managing Information Technology-A Vision for the Future-Information Technology Architecture. Page 1.2, Saskatchewan Health, April 1995. Also, refer to 1995 Saskatchewan Health & SAHO request of proposal for SHIN


A Historical Perspective of The Saskatchewan Health Information Network, by Mario deSantis and James deSantis, March 1998


Review of Economic Soundness of the Implementation of the Saskatchewan Healthcare Systems Architecture, by Mario deSantis, June 21, 1995


Health reform lurks, by Mark Wyatt, The StarPhoenix, October 14, 1999, Saskatoon, Saskatchewan


Liberal health plan a go? by James Parker, The StarPhoenix, October 19, 1999, Saskatoon, Saskatchewan


What Happened to the Saskatchewan Health Information Network (SHIN)? By Mario deSantis, June 11, 1999


The Regina Health Board, after overspending some $40 Million for hospitals' renovation and experiencing an operational deficit of $4.7 Million, is asking for more money from the government. CBC Radio, John Weidlich, October 20, 99


The Saskatchewan Government and SAHO: Mismanaging Health Care and Blackmailing SUN Nurses, by Mario deSantis, May 9, 1999 


Technological Changes In Saskatchewan Health Care: An Abysmal Disaster, by Mario deSantis, May 27, 1999


Business Process Reengineering from the Perspective of Competitive Advantage, by Edwin B. Dean


Fragmented Research Come To The Help Of Sasktchewan Reform, by Mario deSantis, September 28, 1999