public private partnerships innovation or profiteering?
TRANSCRIPT
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Public Private Partnerships
Innovation or Profiteering?
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History of Infrastructure Development
1800-mid 1900s religious, philanthropic, charitable institutions
1948 – National Health Grants Program 1971 – Wind up of National Funding,
Provinces and Municipalities take responsibility
1990s – Tax Cuts Agenda, Delayed Infrastructure Programs, Growth of P3s
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Fiscal Imbalance
Decline in federal transfers Downloading of responsibility
for infrastructure
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P3s – What Are They?
Public Private Partnerships, also called PFI – Private Finance Initiative, AFMs – Alternative Finance Mechanisms, AFPs – Alternative Finance and Procurement
While generically described as “partnerships” the legal relationship embodied in PPP may be a partnership, joint venture, corporation, lease, management arrangement, trust or other structure
All definitions include judgements on the benefits or damage caused by these schemes
Proponents – P3s harness innovation and transfer risk Ontario Health Coalition – P3s are simply another term for privatization British Medical Association – PFI is “Perfidious Financial Idiocy”
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Models of PPP
Privatization BOO – Build Own
Operate (Ontario Long Term Care facilities since 1997)
BOT – Build Operate Transfer
DBFO – Design Build Finance Operate (Brampton & Ottawa P3 hospitals and new P3 hospitals)
Concession Lease Corporatization BTO – Build Transfer
Operate Lease
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Ontario Health P3s/Privatization
P3 Hospitals – DBFO P3s, DBF P3s Long Term Care Facilities built under Conservative
Government 1998-2003 – BOO Private Homecare Contracts brought in under
Conservative Government 1997 MRI/CT clinics IT contracts, leasing and concession arrangements, etc.
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The Claims
Harness new investment
Not privatization Transfer risk Come in under
budget and within timelines
Innovate Find efficiencies Public control
maintained Separation of
strategic control from operation
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The Problems
Higher cost Cuts to services –
shrinking scope of public medicare
Inflexible contracts Loss of democratic
control Legal
wrangling/management breakdown
Commercialization of public service
Shoddy construction/maintenance and safety problems
Inequality Creation of new risks Deepening privatization
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P3s in Operation
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P3s in Operation
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P3s in Operation
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P3s in Operation
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Public Alternatives to P3s
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Can We Jump Into P3s and Get Back Out Again?
NAFTA Cost Duration
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Resources
www.policyalternatives.ca “Funding Hospital Infrastructure: Why P3s Don’t
Work, and What Will” by Lewis Auerbach, Arthur Donner, Douglas D. Peters, Monica Townson, and Armine Yalnizyan
www.ontariohealthcoalition.ca Click on Public Private Partnerships
www.P3watch.ca