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The speaker's experiences over the last year since he joined the Ontario Hospital Association. His visits to 34 of the 215 public hospitals in Ontario and a summary list of what happened on those visits. First, a descriptive picture of Ontario's hospital system, shaped by his encounters in his hospital visits and consultations with the Minister and Health and his Deputy. Second, a description of the consequences of current government policies relating to hospitals and health care as they are felt by those who work in the hospital system. Third, addressing some of the problems that appear to be associated with how those policies are developed. Finally, some suggestions about how, by changing direction, the best can be evoked from the system and the level of public concern about health issues can be reduced. Many topics are addressed during this discussion, including the following. Our hospital system and how it works for the majority of Ontarians. Concerns on the front line. Reductions in management levels in hospitals. Concerns about the current restructuring process. Worries over the transfers of funds from hospitals to other programmes and providers without detailed analysis or evidence about who does what best, or whether the result will be improved service for consumers. How we got here; how these problems originated. A system grounded in quality, but with fundamental problems. The question of where we go from here. Alternative approaches to health planning, with specific suggestions. Comments on the Ontario government's process of reactive micro-management. Micro-managing as the surest way of wearing all the risk and ensuring a continuing high level of public controversy. Alternatives to delivering better quality health care at an affordable cost.