SUN NEWS COLUMN: Technology will address climate issues

In 1898, government bureaucrats gathered at the first urban planning conference in New York to discuss a very serious problem ­– the “Great Horse Manure Crisis.”

At the time, city streets around the world were full of horse and buggies transporting people and products all over the place. But those same streets also had a growing problem with horse manure, and in some cases, horse carcases laying on the roads for days at a time. All this culminated in an influx of flies that spread typhoid fever and other diseases.

Urban planners at the New York conference never did solve this problem though. The issue was eventually addressed by technological change as cars replaced the horse and buggy.

Over 100 years later, governments around the world are once again sounding alarm bells, this time about a “climate emergency.” Greenhouse gas emissions are now in the crosshairs of politicians across the political spectrum.

But just as we saw with the “Great Horse Manure Crisis,” it likely won’t be preachy politicians and bureaucrats that address the planet’s emissions, but rather technological change.

Note that society is currently addicted to oil and that doesn’t appear to be changing. The United States government just released analysis that estimates global oil and gas usage will increase at least until 2050. Other forecasts show similar growth patterns.

Oil demand is expected to grow not only for transportation purposes, but also for making products that are made with oil: plastics for our cell phones, children’s toys, aspirin, lipstick and bicycle tires to name a few.

Electric cars are one option to help reduce emissions (provided they don’t receive their power from coal power plants), and they’re starting to put a very small dent mall dent in vehicle sales, but mass adoption is likely quite far off.

What we have seen, however, are several companies coming forward with new technology to reduce emissions. Here are a few great Canadian examples:

Ontario-based Pond Technologies has created a system that diverts carbon dioxide from smokestacks into large tanks that have algae inside. The algae then consume the carbon dioxide that’s pumped into the tanks and multiply. Ultimately, the algae can be processed and used to produce everything from animal feed and nutraceuticals to bioplastics and fertilizer.

Ontario-based Berg Chilling Systems has also developed technology that’s quite innovative. Their equipment reduces the amount of volatile organic compounds (VOCs) that are burned at sites where oil and gas is extracted. Instead of oil companies burning methane and other gases when they extract oil and gas from the ground, Berg Chilling System’s equipment allows the companies to captures these gases and reduce their greenhouse gas emissions.

According to Berg’s site, just one of their units can reduce carbon dioxide emissions by 11,500 tons in a single year.

In the trucking world, companies such as Drivewyze have developed apps to help trucks with good safety track records bypass weigh stations. By skipping these stops, the trucks don’t have to sit and waste fuel while staff weigh their vehicle and review their records.

To be sure, these tools won’t address Canada’s emissions on their own, but Canadians should know that lots of local companies are busy working on technological solutions. Dire predictions about the end of the world are more horse manure than anything.

Colin Craig is the president of SecondStreet.org, a new Canadian think tank.

This column was published in Sun newspapers on November 2, 2019

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Prevention – reduce demand in the first place

If Canadians lived healthier lives, we could reduce demand for emergency services, orthopaedic surgeries, primary care and more. 

For instance, if you visit the Canadian Cancer Society’s website, you’ll read that “about four in ten” cancer cases are preventable. The Heart and Stroke Foundation notes that “almost 80 percent of premature heart disease and stroke can be prevented through healthy behaviours.” A similar number of Diabetes cases are also preventable. 

Many joint replacements and visits to ERs and walk-in clinics could also be avoided through healthy living. 

To be sure, not all health problems can be avoided through healthy living – everyday the system treats Canadians with genetic conditions, helps those injured in unavoidable accidents and more.  

But there is an opportunity to reduce pressure on the health care system through Canadians shifting to healthier lifestyles – better diets, more exercise, etc. 

To learn more, watch our Health Reform Now documentary (scroll up) or see this column. 

Partner with non-profits and for-profit clinics

European countries will partner with anyone who can help patients. 

It doesn’t matter if it’s a non-profit, a government entity or a private clinic. What matters is that patients receive quality treatment, in a timely manner and for a competitive price.  

In Canada, governments often delivery services using government-run hospitals instead of seeing if non-profit or private clinics could deliver the services more effectively. 

When governments have partnered with non-profit and private clinics, the results have often been quite good – Saskatchewan, Ontario and British Columbia are just a few examples of where partnerships have worked well. 

Canada should pursue more of these partnerships to reduce wait times and increase the volume of services provided to patients.  

To learn more, watch our Health Reform Now documentary (scroll up) or see the links above. 

Make cross border care more accessible

In Canada, citizens pay high taxes each year and we’re promised universal health care services in return. The problem is, wait times are often extremely long in our health system – sometimes patients have to wait years to see a specialist or receive surgery. 

If patients don’t want to wait long periods, they often have to reach into their own pocket and pay for treatment outside the province or country. 

Throughout the European Union, we also find universal health care systems. But a key difference is that EU patients have the right to go to other EU countries, pay for surgery and then be reimbursed by their home government. Reimbursements cover up to what the patient’s home government would have spent to provide the treatment locally. 

If Canada copied this approach, a patient waiting a year to get their hip operation could instead receive treatment next week in one of thousands of surgical clinics throughout the developed world. 

Governments benefit too as the patient is now back on their feet and avoiding complications that sometimes come with long wait times – meaning the government doesn’t have to treat those complications on top of the initial health problem. 

To learn more, watch our Health Reform Now documentary (scroll up) or this shorter video. 

Legalize access to non-government providers

Canada is the only country in the world that puts up barriers, or outright bans patients from paying for health services locally. 

For instance, a patient in Toronto cannot pay for a hip operation at a private clinic in Toronto. Their only option is to wait for the government to eventually provide treatment or leave the province and pay elsewhere. 

Countries with better-performing universal health care systems do not have such bans. They allow patients a choice – use the public system or pay privately for treatment. Sweden, France, Australia and more – they all allow choice. 

Why? One reason is that allowing choice means some patients will decide to pay privately. This takes pressure off the public system. For instance, in Sweden, 87% of patients use the public system, but 13% purchase private health insurance. 

Ultimately, more choice improves access for patients. 

To learn more, watch our Health Reform Now documentary (scroll up) or watch this short clip on this topic. 

Shift to funding services for patients, not bureaucracies

In Canada, most hospitals receive a cheque from the government each year and are then asked to do their best to help patients. This approach is known as “block funding”. 

Under this model, a patient walking in the door represents a drain on the hospital’s budget. Over the course of a year, hospital administrators have to make sure the budget stretches out so services are rationed. This is why you might have to wait until next year or the year after for a hip operation, knee operation, etc. 

In better-performing universal health systems, they take the opposite approach – hospitals receive money from the government each time they help a patient. If a hospital completes a knee operation, it might receive, say, $10,000. If it completes a knee operation on another patient, it receives another $10,000. 

This model incentivizes hospitals to help more patients – to help more patients with knee operations, cataract surgery, etc. This approach also incentivizes hospitals to spend money on expenses that help patients (e.g. more doctors, nurses, equipment, etc.) rather than using the money on expenses that don’t help patients (e.g. more admin staff). 

To learn more about this policy option, please watch our Health Reform Now documentary (scroll up) or see this post by MEI.