Public Private Partnerships . Innovation or Profiteering?. 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
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Public Private Partnerships
Innovation or Profiteering?
Decline in federal transfers
Downloading of responsibility
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)
BTO – Build Transfer Operate
Harness new investment
Come in under budget and within timelines
Public control maintained
Separation of strategic control from operation
Cuts to services – shrinking scope of public medicare
Loss of democratic control
Legal wrangling/management breakdown
Commercialization of public service
Shoddy construction/maintenance and safety problems
Creation of new risks
Can We Jump Into P3s and Get Back Out Again?