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Govind Rao

Hospital pest woes blamed on renovations; Official says rodents do not pose imminent he... - 0 views

  • Calgary Herald Mon Jan 19 2015
  • Rats scurrying down hospital hallways, chewing through wires and nibbling on food scraps near the cafeteria. These are a few of the recent rodent sightings reported by public health inspectors, nurses and staff members at B.C. Women's and Children's Hospital in Vancouver.
  • Inspectors issued verbal and written directives after the Dec. 22 visit, according to the environmental health inspection report, which notes: "Minimal pest proofing has been completed to date which is contributing to the difficulty in controlling and abating the rodent activity with the food services." The report also mentions: "A number of food products have been chewed through resulting in products being discarded," and "wiring of equipment chewed on in the retail side which also raises a safety concern." The most recent inspection report lists a "Target Completion Date" for rodent control recommendations as Jan. 27. Taki said the hospital has an action plan in place with the help of the pest control company. "We've asked them to almost quadruple-up on the service until everything gets under control," said Taki.
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  • A surging rat population in the hospital's cafeteria and food preparation area has prompted management to step up rodent control efforts in recent weeks. Inspectors believe that despite the increase, the rodents do not pose an imminent health risk to the hospital's patients, visitors or staff, said Richard Taki, regional director of health protection for Vancouver Coastal Health. But the results of last month's inspection highlight the hospital's ongoing challenges dealing with vermin, a situation hospital management and health inspectors say has been exacerbated by demolition and construction work in recent months. Inspection reports from 2013 show Vancouver Coastal Health had previously identified issues with rats and mice in the hospital cafeteria and more recently, last month's inspection found signs the problem had worsened.
  • "I don't think it's any different from any restaurant that has a rodent problem. They have rodents, they're under control, they've got a company looking after it. They're working toward resolving a problem, but you know, we live in a city that has rats everywhere." Nurses have seen the pest problem worsen, along with general cleanliness, said Claudette Jut, regional chair of the B.C. Nurses Union council. The Hospital Employees Union has identified the issue of short staffed cleaning and food service in the hospital and raised it "on several occasions" with the private contractor who employs the workers, said HEU spokesman Mike Old. "It's hard for us to tell what exactly has contributed to the rat infestation," said Old. "But it's a problem, I think, that the delivery of services is so badly fragmented because of privatization."
  • Frank Levenheck, director of facilities management for B.C. Women's and Children's Hospital, said demolition and construction on the hospital campus has contributed to the cafeteria's rodent issue. Over the past three weeks, hospital management has increased its efforts, Levenheck said, which includes working to seal holes in the building that act as entry points for vermin, more frequent cleaning and more frequent visits from the pest control company. Demolition for the hospital redevelopment began last May. Excavation began in August and is scheduled to be complete in February. Eight months before demolition began, hospital management had been directed to improve rodent control, records show. A VCH inspection on Sept. 3, 2013 found issues with "Inadequate Insect/Rodent Control," noting: "Areas have not been cleaned and Manager not aware if Pest Control has been in to specifically address these new sightings. Communication between services found to be poor and lacking in followup."
  • A week later, a followup reinspection report dated Sept. 10, 2013, noted: "Rat droppings still to be THOROUGHLY cleaned from underneath the heater vents in the production area. Noted mouse droppings in warehouse areas have not been cleaned up." The next Inspection Report, from July 2014, does not specify whether the rodent situation had improved or worsened since the problems noted in the report from the September before. The July 2014 report was the most recent posted to the Vancouver Coastal Health website until Postmedia News contacted the health authority this month to ask about inspections. Taki acknowledged the Dec. 22 inspection and provided Postmedia with a copy of the report, which was subsequently uploaded to the health authority's website.
  • Kristy Anderson, a spokeswoman from the provincial Ministry of Health, said if an inspector finds a food service establishment is not responsive to food safety notices or orders, the establishment "could be fined or ultimately be required to shut down until the situation is remedied. To our knowledge this has never occurred in a hospital or health authority-run facility."
  • Eight months before demolition, management at B.C. Women's and Children's Hospital had been directed to improve rodent control, records show.
Govind Rao

Patient funds covered real estate; MUHC diverted $5.3 million from operating budget - I... - 0 views

  • Montreal Gazette Mon Nov 23 2015
  • The McGill University Health Centre used $5.3 million in public funds meant for patient care to cover the deficits of a money-losing real-estate venture, government auditors have found. In 2006, the Royal Victoria Hospital Foundation acquired a commercial office building at 5100 de Maisonneuve Blvd. for $40 million. The MUHC then signed a lease with the foundation to manage the property for 30 years and agreed to assume all risks involved with the building.
  • But for nearly a decade, much of the rental space in the building remained vacant, while the Royal Vic foundation had to pay offa mortgage that was worth 100 per cent of the purchase price of the property. As a result, the foundation accumulated deficits totalling $5.3 million. And since the MUHC was on the hook legally for any rental losses at 5100 de Maisonneuve, it ended up redirecting $5.3 million from the hospital network's operating budgets - money that is supposed to go to care for patients - to cover the foundation's deficits. "The MUHC ended up footing the bill to cover the shortfall in rental revenues in the building for many consecutive years, financing the operational deficits of a third party (the foundation) to the cumulative tune of $5.3 million," Johanne Beauvais, Health Minister Gaétan Barrette's press attaché, told the Montreal Gazette in an email Friday.
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  • Asked whether the MUHC siphoned funds from its operating budget to cover the rental losses at 5100 de Maisonneuve, Beauvais responded: "Indeed, operational budgets ended up covering for the loss of rental revenues, which is why the minister firmly requested this practice to end." Michel Bureau, a former deputy health minister, was appointed by the Quebec government in 2013 to scrutinize the MUHC's troubled finances. In April, Bureau produced a report that raised numerous questions about the property at 5100 de Maisonneuve, suggesting that the MUHC was using public funds to cover the foundation's deficits.
  • However, the Bureau report did not cite any figures. Barrette delved into the 5100 de Maisonneuve file after the Montreal Gazette published a series of articles about the property at the end of October. The articles examined why a private clinic staffed by MUHC doctors that opened in the building on Oct. 13 was charging the parents of children for blood tests that used to be covered under medicare at the former Montreal Children's Hospital location. Since the private Brunswick Medical Group started renting the space for the clinic from the MUHC, the foundation has not run any deficits.
  • The MUHC had also affixed its crest above the main entrance at 5100 de Maisonneuve. Barrette ordered the MUHC to remove the logo and the hospital network complied. The minister also re-examined the financial ramifications of the foundation's investment in the property. Beauvais noted that the MUHC signed the lease with the Royal Vic foundation under the orders of the late Arthur Porter, who was head of the MUHC at the time. At least two government reports faulted the MUHC for never obtaining the required prior authorization of the government to enter into the lease agreement with the foundation.
  • "The whole series of transactions (involving 5100 de Maisonneuve) were never necessary for the implementation of the clinical plan approved in 2007, were never authorized by the relevant authorities, and were initiated in great secrecy by the late Arthur Porter," Beauvais added. "The unauthorized lease is a legal problem the MUHC must extricate itself from, and the current board of directors agrees." On Nov. 6, Barrette sent a formal letter to the MUHC ordering it to cancel the lease "at the earliest opportune moment." Barrette also ordered the MUHC to report to the government about the property regularly, and "until such time as the lease is cancelled, no money can come out of the MUHC budget to cover rental fees or other payments in relation to that building."
  • The MUHC's Public Affairs Department, headed by Richard Fahey, refused repeated interview requests by the Montreal Gazette concerning 5100 de Maisonneuve. But the department did release the following statement: "Following the release of Dr. Bureau's report earlier this year, the MUHC discussed the property at 5100 de Maisonneuve with government officials. The MUHC has agreed to a deferred plan to discontinue its emphyteutic lease that will not impact financial results." Should the MUHC cancel the lease, it would have to pay a considerable penalty. And should the Royal Vic try to sell the building in today's market, it might lose money "since it's not certain (in today's real-estate market) that the actual value of the building is equivalent to the price paid in 2006," Bureau warned in his report.
  • The Royal Vic foundation purchased 5100 de Maisonneuve from Air Canada under orders by Porter. Four months after the acquisition, Porter was appointed to the board of directors of Air Canada. Porter died in jail in Panama on June 30 of complications from cancer as he fought extradition to Quebec to face criminal charges that he accepted $22.5 million in bribes to help engineering firm SNC-Lavalin win the contract to build the $1.3-billion superhospital. aderfel@montrealgazette.com Twitter.com/Aaron_Derfel
  • DAVE SIDAWAY, MONTREAL GAZETTE / In 2006, the Royal Victoria Hospital Foundation acquired a commercial office building at 5100 de Maisonneuve Blvd. for $40 million. But a lease arrangement, for which the MUHC was legally responsible, left deficits of $5.3 million over the next decade.
Govind Rao

Drug prices expected to jump as result of trade deal - Infomart - 0 views

  • The Globe and Mail Mon Dec 7 2015
  • The intellectual-property provisions in the Trans-Pacific Partnership agreement will drive up global drug prices and make it harder to treat diseases in developing countries, Medecins sans Frontieres (Doctors Without Borders) says. A month after the final text of the TPP was released, the medical humanitarian organization has completed its analysis of the portions of the massive trade pact that will affect drug costs.
  • Despite changes from earlier leaked versions of the text, there are still serious problems, Judit Rius, MSF's U.S. legal policy adviser, said. "This is catastrophic. This is very negative. The impact is going to be at multiple levels," Ms. Rius said in an interview. "First of all, it is going to delay access to generic competition [for brand-name drugs], which is a proven intervention to reduce the price of medicines."
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  • Ms. Rius said there were six problem areas - from MSF's perspective - in the early leaked versions of the TPP. Three have been eliminated in the final text, although she said some of those were "absurd" in the first place. Among them was a provision that would have made it illegal to oppose a patent before it was granted and another that would have forced governments to allow surgical techniques to be patented. There are three key remaining problem provisions, according to the MSF analysis. One would allow pharmaceutical companies to "evergreen" their product patents, essentially making small changes to a drug's use to extend its protection from competition. Another would extend patent protection if there are delays in regulatory approval of a new product.
  • More broadly, allowing greater monopoly protection for brand-name drug makers will diminish innovation at other firms, Ms. Rius said. "If you are trying to develop a pediatric formulation of a product, if you are trying to combine different pills into one pill, ... if you are trying to improve a medicine and create a second generation, all of that technology and knowledge is going to be protected by secondary patents." The final text of the sweeping trade pact, which has been in the works for eight years, was released in early November. Canada is one of 12 countries that have negotiated the pact, although it was the former Conservative government that signed on. Prime Minister Justin Trudeau said his government will wait for parliamentary hearings on the TPP before deciding on ratification. Each country has to ratify the agreement before it comes into effect.
  • For generic drug makers, she said, the TPP will create additional legal barriers that will get in the way of making new products, and that will stunt the industry. The TPP will actually raise drug prices, especially in developing countries, she said, and this "will affect our capacity, and the capacity of the ministries of health with whom we work, to scale up treatment programs and reach as many people as needed."
  • A third would allow developers of certain advanced drugs - called biologics - to keep their clinical data private for up to eight years. That would make it much tougher for competitors to create similar drugs, or at least delay that from happening. This "data exclusivity" rule would be new for some of the countries that are part of the TPP group, although Canada already has a similar provision in place. Indeed, many of the provisions of the TPP are already part of the Canadian scene, at least in some form, said trade lawyer Larry Herman, of Herman & Associates in Toronto. The former Conservative government had said the TPP was "in line" with Canada's existing patent laws, and this appears to be true from his read of that part of the text, Mr. Herman said.
  • Still, he said, from a global perspective "there is no doubt that the agreement increases patent protection and enhances the monopoly rights of the patent owner." From the perspective of Canada's generic drug industry, the TPP has to be looked at in conjunction with the Comprehensive Economic and Trade Agreement (CETA) between Canada and the European Union, said Jim Keon, president of the Canadian Generic Pharmaceutical Association.
  • CETA, which has not yet taken effect, would extend patent protection for drugs and cut into the business of Canadian generic drug makers - thus boosting drug costs - Mr. Keon said. But it also contains some specific protection for the generic industry to mitigate that impact. It is not clear yet whether the TPP will allow those mitigating measures to be implemented in Canada, he said. And because of the immense complexity of the TPP, "you've got all sorts of potential for misinterpretation here," Mr. Keon added.
Govind Rao

Little change in wait times, reports find; New studies highlight Saskatchewan as an exa... - 0 views

  • The Globe and Mail Tue Dec 8 2015
  • Canadians continue to queue up for medical care with efforts to reduce wait times bringing limited improvements, say two new studies that come one month before federal and provincial ministers meet to begin negotiating a new health accord.
  • The pair of annual reports - one from the Wait Time Alliance, the other from the Fraser Institute - find little year-over-year change in the wait for medically necessary procedures. Where there is improvement, the report from the Wait Time Alliance finds the progress is "spotty" with access to care, dependent on where in the country you live and, at times, your age.
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  • The Alliance, a coalition of medical specialists, is calling on provincial and federal leaders to help fashion a "new national vision for health care," one that sets national benchmarks that go beyond the 2004 initiative that targeted five procedures: hip and knee replacements, cataract surgery, heart operations, diagnostic imaging and cancer radiotherapy.
  • We still don't measure nearly enough," said Dr. Chris Simpson, chair of the alliance and a former president of the Canadian Medical Association. "You can't fix what you can't measure."
  • At a time when more care is moving out of the hospital, Dr. Simpson said wait times for home care and long-term care beds should be monitored by all provinces, as should the number of patients in hospital because they cannot access these services.
  • When health ministers meet in January in Vancouver, Dr. Simpson said he hopes a partnership to establish such standards will be part of the discussion, rather than just the level of federal funding. "If we have made a collective mistake in the past, it is to say to the federal government, 'It's all up to you,' " he said.
  • The annual report card provides a snapshot of wait times across a range of measures gathered from provincially available information this summer. In doing so, it highlights the variation in the information available among provinces, and this year also notes that the federal government - responsible for delivering health care to First Nations, refugees, veterans, Canadian Forces and inmates in federal prisons - provides only limited data on its own performance.
  • The study, which gives a grade to provinces across a range of procedures, finds those provinces that got high marks last year - Saskatchewan, Ontario and Newfoundland and Labrador - continue to do well.
  • Both studies point to the success of Saskatchewan in cutting wait times as evidence of what can be done with a focused effort and both note that the improvement came from more than increased funding.
  • In five years, the number of patients in Saskatchewan waiting more than six months for surgery dropped by 96 per cent, the Alliance report card finds, thanks to a $176-million investment over four years and also because of innovative practices. Bacchus Barua, a senior economist at the Fraser Institute and author of its wait-time study, said measures such as a pooled referral system helped give Saskatchewan the shortest wait times in the survey.
  • The report from the Fraser Institute is based on a survey of specialists and tracks the time between the initial referral and the appointment with a specialist as well as the time between seeing a specialist and treatment. At the national level, it found the median wait time from referral to treatment was 18.3 weeks, almost the same as the 18.2 weeks recorded in 2014, but almost double the 9.3 weeks recorded in 1993 when the survey began.
  • Across Canada, wait times have stabilized, but they have stabilized at a very high level," Mr. Barua said
  • Saskatchewan had the shortest total wait at 13.6 weeks and Prince Edward Island had the longest at 43.1 weeks, although the small sample size in PEI makes that result less reliable. Among specialties, the longest waits were for orthopedic surgery at 35.7 weeks and the shortest were for patients in line for radiation oncology at 4.1 weeks, the study said.
Govind Rao

Rally draws hundreds; Province called upon to free up money for hospitals - Infomart - 0 views

  • North Bay Nugget Tue Dec 1 2015
  • The size of your wallet should not determine the quality of health care you receive. That was the message delivered to close to 1,000 protesters calling for the provincial government to free up more money for hospitals in Northern Ontario - particularly the North Bay Regional Health Centre.
  • "In North Bay, and across Northern Ontario, we are seeing the most severe cuts," said Linda Silas, president of the Canadian Federation of Nurses Unions. The rally drew supporters from across the province to protest cuts across the province. This year, the North Bay Regional Health Centre announced it is cutting almost 160 positions and closing more than 30 beds in an attempt to stave off a flood of red ink. "Here you are looking at 100 layoffs every year" if the province does not end a freeze on healthcare spending, Silas said.
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  • Silas was one of a number of speakers who called on the government of Premier Kathleen Wynne to increase spending on health care in the province. North Bay, they said, is particularly hard hit because it is a P3 (public-private partnership) hospital - and because it brought three hospitals - two general and one psychiatric - under one roof. "It is time to raise the alarm," said Natalie Mehra, executive director of the Ontario Health Coalition.
  • "This is devastating to the community, so let's raise the alarm." Mehra said people should not make the mistake of "believing that these hospital services are being replaced in so-called community care. You do not replace medical and surgical beds in community care. It's just not community care. It is acute hospital care services that are being cut. "You do not replace emergency room nurses. You do not replace cleaners in community care. Let's not buy into the nonsense that is just window dressing to cuts, cuts and more cuts to local services that are needed by the community." Michael Taylor, one of the organizers of the rally, said the cuts in North Bay are "the worst and deepest". .. that affect departments throughout the whole hospital.
  • Jamie Nyman was part of a large contingent from Sudbury to travel to North Bay Monday. "This is a very important issue," he said. "The government is cutting services and patient care is declining." Sudbury, he pointed out, has also seen many cuts.
  • "It's leaving us with too much workload," he said. "We are seeing a lot of workload issues because of cuts." Debbie McCrank from Kirkland Lake, the local co-ordinator for the Ontario Nurses Association, said the cuts are "going to impact all the North." She is responsible for the area from Kirkland Lake to North Bay, including Mattawa and West Nipissing.
  • The North Bay Regional Health Centre, she said, is "a major treatment centre," but the province's cuts are putting that designation at risk, and putting extra pressure on all hospitals in the North. "It's just having a huge impact," McCrank said of the health funding cuts.
  • "It comes down to cheaper care versus quality care," she said. "The province is driven by the budget, not by the concern for quality health care." Another supporter was Mike Labelle, a locked-out employee at Ontario Northland. "I'm here to support all the nurses and everyone on down," he said. "Health care has really deteriorated here, and it's time the government wakes up."
  • Labelle said the mass of protesters "is the heart of the hospital." About 100 Ontario Northland employees, he said, turned up for the rally. Canadian Union of Public Employees president Mark Hancock said the province's health care cuts amount to an attack on the local hospital and the community.
  • The funding freeze means hundreds of staffand beds across Northern Ontario," he said, pointing to placards waved by hospital workers from Timmins, New Liskeard and Sudbury pointing out the effects of cuts at those facilities. Hancock said health care needs a 5.8 per cent annual increase just to meet rising costs, but the freeze means hospitals are getting zero per cent. In real terms, he said, that works out to a 20 per cent cut over the life of the spending freeze.
  • Also speaking was North Bay Mayor Al McDonald, who said the situation at the hospital is a major concern in the city. In addition to proper health care for all members of the community, he said, the jobs being cut at the hospital are good-paying jobs, and "if you want to build the city, you need your hospital to provide the same level of care as they have in southern Ontario." Nearby, Stan Zima was waving a large Canadian flag on a 10-foot flagpole.
  • "It's obvious the cuts in Northern Ontario have become excessive, and especially in North Bay," he said. "We are taking big hits in this. Hospital cuts hurt everybody. "Wynne has got to get the message. Northern Ontario is suffering more than any other area." Nipissing MPP Vic Fedeli, speaking at Queen's Park, called on the provincial government to address the funding crisis at the North Bay Regional Health Centre.
  • Health-care professionals and patients alike in my riding are concerned that the quality of care we're getting in Nipissing is in jeopardy. And it's creating turmoil in the community," Fedeli said, asking the government to restore "proper ongoing funding" to the facility.
  • Pj Wilson, The Nugget / Natalie Mehra, executive director of the Ontario Health Coalition, addresses a crowd of close to 1,000 people at Lee Park, Monday. Supporters from across the province were in North Bay to pressure the Kathleen Wynne government into providing more funding for hospitals across the province. • Pj Wilson, The Nugget / Close to 1,000 people called for the provincial government to increase funding to Northern Ontario hospitals and, in particular North Bay Regional Health Centre, at a rally at Lee Park, Monday. Busloads of supporters came from as far as Toronto, Hamilton and Stratford to support North Bay.
Govind Rao

Skateboarders scare as they show off skills ; Don't accept Trenton hospital cutbacks: c... - 0 views

  • The Peterborough Examiner Mon Oct 19 2015
  • QUINTE WEST -Natalie Mehra was blunt with her assessment of the proposed cost-cutting measures facing Trenton Memorial Hospital. On a scale of one to ten, Mehra rated the severity of cuts at nine. "They are setting the ground work for the demise of the hospital. There will be no future in it," said the executive director of the Ontario Health Coalition. But the Coalition wants Quinte West and Brighton to keep fighting back, even harder than in previous years. "I am a bit worried because people get tired of fighting back. But our (the Coalition) message is that when you push back hard enough we can often win. Every community should be demanding long term stability when it comes to their hospitals. The bottom line is there should be a basket of good services available in every hospital," said Mehra.
  • The Coalition and Our TMH are planning a massive day of protest set for Friday, Nov. 13 at Trenton's Centennial Park beginning at 12- noon. Mehra said the protest will include the involvement from people from across eastern Ontario from Perth to Brockville and west to Quinte West and the Peterborough region. "We're asking community volunteers, residents, nurses, and medical staff to be there. It's extremely important," said Mehra. Trenton Memorial isn't the only small hospital that's being hit.
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  • "Hospitals across the Southeast LHIN face a devastating restructuring plan that's all about cuts and centralizing services," said Mehra. Mehra described relocating complex continuing care beds to TMH as nothing more than a smokescreen. Retaining cataract surgery at TMH is also misleading. "The plan is to elimin
  • ate cataract surgeries at hospitals and move the service to private clinics," she same. The same goes for complex continuing care beds. Mehra said the ultimate plan is to relocate those beds to facilities outside hospitals. "Another kicker is losing half the acute care beds at TMH," said Mehra.
  • Mehra said other hospital across the province are, and have faced, a similar pattern to what's taking place at TMH. She also noted that hospitals in Ontario are chronically under-funded compared to other provinces. Mehra said hospitals in Welland, Fort Erie, Port Colborne, Niagara on the Lake and Niagara Falls are being gutted and face possible closure. Hospitals in those communities are part of the Niagara Health System.
  • "The first phase includes removing, diagnostics, surgical services and acute care beds, followed by replacing emergency rooms with urgent care centres," said Mehra. The final phase is closure. Mehra said amalgamated hospital systems have never worked. She used Quinte Health Care and the resulting yearly service cuts at TMH as a prime example.
  • "The current funding model has never worked. It means those hospitals face deficits every year. Virtually all hospital are under stress because the plan is to reduce the scope of services, resulting in the fact that residents will have to travel a lot further," said Mehra. The end result is that smaller hospitals inside large amalgamations are being "completely" gutted. But the local community, said Mehra, shouldn't give up hope. The Coalition has kept a watchful eye on Quinte West and Brighton, and its community hospital.
  • "Our TMH has done a fantastic job of generating great ideas that are constructive. They have great integrity and have done a great job of rallying the community," said Mehra. On that front, Mehra said the idea of a one-stop health centre and community operated hospital with inpatient beds has the potential to provide a "robust" range of care to tens of thousands of residents. Mehra said a proposed veteran's care centre is a natural extension of that plan. The idea has received attention from national party leaders during the federal election campaign.
  • But is that enough to convince the province, and those bureaucrats in charge at the LHIN and QHC? Ultimately, said Mehra, it depends on how hard the community pushes its agenda. De-amalgamating from larger hospital corporations wouldn't be precedent setting.
  • Mehra said smaller hospitals in Georgetown and St. Joe's Island (near Sault Ste. Marie) have successfully divorced from larger corporations. "But it's up to the community to raise a huge stink with the province and present a good plan," said Mehra. Mehra suggested Trenton Memorial, if it were locally owned and operated, form a coalition with other independently run hospitals such as Napanee, Campbellford or Northumberland.
  • "The bottom line is people have to fight for what they want. They have to stand up and be heard," said Mehra. Local organizers want that fight to continue in Trenton on Nov. 13. -The Trentonian
Govind Rao

Canada needs to end regional health inequalities - Infomart - 0 views

  • The Globe and Mail Mon Oct 19 2015
  • cweeks@globeandmail.com Canadians, on average, are fairly healthy. Life expectancy continues to rise, fewer of us smoke and more of us are becoming physically active. That's the problem with averages. They are misleading. In Ontario, for instance, average life expectancy is 81.5 years - a pretty decent number. It's only when you look beyond the big picture that you see the cracks.
  • The life expectancy of a baby born in Brampton is 84. A child born the same day in Sault Ste. Marie, less than 700 kilometres away, is 79. Another telling metric is potentially avoidable deaths - how many people likely died unnecessarily because they didn't receive proper care after a heart attack, weren't vaccinated against a disease or suffered another preventable or treatable ailment. According to the Ontario average, 163 in 100,000 people die from a potentially avoidable death a year. But in reality, the numbers vary wildly across the province, from a low of 114 per 100,000 in cities such as Richmond Hill and Vaughan, to a high of 258 in Thunder Bay, Marathon, Dryden and the surrounding area.
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  • These numbers are from a report released last week by Health Quality Ontario, a provincial agency mandated to improve the province's health care system. But this isn't just an Ontario problem
  • Across the country, the situation is much the same: startling, persistent regional health inequalities that, quite literally, are sickening and killing countless Canadians before their time. Often, stark inequalities exist between urban and rural or remote communities, which is why northern parts of the country are so often struck by much higher rates of disease and premature death.
  • There are many reasons behind these differences, such as the fact that in northern communities, people tend to smoke more, be less physically active, have a much more difficult time accessing specialized medical care, have higher aboriginal populations and have lower education and income levels compared with large urban centres. Of course, many of these same problems can be found within cities, where pockets of vulnerable individuals can live just a few blocks from affluence. But none of this explains why we as Canadians have allowed these problems to persist for so long. Why we consider it acceptable that, depending on where you live, how much you earn or what education level you have achieved, you are much more likely to die from a chronic illness or have to wait weeks longer for a loved one to get a spot in a long-term care home. The answer, quite possibly, is that many of us have never really stopped to consider that these differences exist. That, in 2015, aboriginals in Canada are being infected with and dying of tuberculosis. Or that many patients with chronic diseases living outside of urban centres often have few resources to help them manage their conditions. Or that many communities throughout Canada face crippling doctor shortages that close emergency rooms and delay treatment.
  • Joshua Tepper, president and CEO of Health Quality Ontario, says that many people simply don't "understand how dramatically different health outcomes are across the province." After all, most politicians and policy-makers live in and around the urban areas where health outcomes tend to be the best. It's all too easy to forget about the people living in remote cities or rural areas. Some will argue that it's up to people to take charge of their own health. That's true. But when the realities of daily life set them up for failure, it's a sign that change is needed from a higher level. An excellent example of this is cited by Connie Clement, scientific director of the National Collaborating Centre for Determinants of Health.
  • She notes that the Liquor Control Board of Ontario is able to tightly regulate the price of alcohol throughout the province. Yet nothing is done about the fact that milk or fresh produce can be priced so high that few families in remote communities can afford them. It's heartening to hear experts such as Tepper and Clement put these serious health inequality issues on the table. Now, it's up to the politicians and policy-makers to listen up and pledge to do something about it.
Govind Rao

Hospital, nursing home workers hold roadside vigil to protest privatization - Infomart - 1 views

  • Miramichi Leader Wed Aug 26 2015
  • Wearing their now-familiar red shirts and clutching makeshift candles made of Tim Hortons cups and whatever else they could find, nearly 200 unionized workers, mostly from the city's two nursing homes and the Miramichi Regional Hospital, lined up along Water Street in Chatham Head Monday night to rally against further privatization in the public sector. The candlelight vigil was organized by Kevin Driscoll, the president of the Canadian Union of Public Employees (CUPE) Local 865, which represents hospital staff in Miramichi.
  • A number of other locals joined in on the demonstration, including representation from CUPE 1277 and 1256 of the Miramichi Senior Citizens Home and Mount St. Joseph Nursing Home, respectively, CUPE 1190, which acts on behalf New Brunswick's highway workers, the New Brunswick Federation of Labour and staff from Hebert's Recycling. Driscoll, who works as a nursing unit clerk at the Miramichi Regional Hospital, said that workers are growing more disenchanted by the day as the provincial government continues to give the private sector a greater role in its health care and senior care system. He said CUPE staff felt they had to do something to draw attention to these issues and, with the hospital serving as the backdrop as night fell on the city Monday night, everyone agreed that gathering on the side of the road by candlelight would help convey their message.
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  • "It shows that people here really care about the Miramichi and it's too bad that politicians don't care about it as much," Driscoll said. "They want to privatize the nursing homes, they want to cut to the Education Department, their cutting the highway budgets and they're cutting to every service they can think of, so where are we going to go? They don't seem to think that matters." The Liberal government, come the fall, is expected to have a deal in place that will see all hospital food and cleaning services being outsourced to a private firm.
  • Government officials, including Health Minister Victor Boudreau have maintained that the changes are needed in order to help the province get its finances in order and will save the province millions of dollars through efficiencies that will be brought in under private management. Driscoll says those efficiencies, CUPE fears, are simply going to amount to job cuts at hospitals throughout the Horizon Health Network. The union learned from the province earlier in the summer that food and facilities management giants like Sodexo, Aramark and Compass Group are involved in the bidding process.
  • "If they privatize these services, then these corporations are going to come in and say 'you don't need all these people' ... we're going to cut because they're going to want to make at least a 20 per cent profit. Driscoll said the hospital is just one example of the trend toward the greater privatization of public services the union is seeing. Nursing home workers at Mount St. Joseph Nursing Home and the Miramichi Senior Citizens Home have been protesting at various points throughout the summer after learning the Department of Social Development would be using a private-public partnership (P3) model in building a new 280-bed nursing home that will replace both of the city's current facilities, which are run by a volunteer board of directors. Workers at both homes will have to reapply for positions at the new nursing home if that's what they choose to do and, with a private company running things, the membership has said it is concerned that those who do catch on at the new place could be subject to reduced pay and benefits.
  • The government is expected to open up a request for proposals (RFP) in the coming weeks to begin the process of determining which proponent will build and operate what will likely be New Brunswick's largest nursing home by the time it opens. Currently, each of the three privately run nursing homes in the province are owned by Shannex. The unions have also warned that the move to a P3 model would lead to a reduction in the level of community outreach programming offered to local seniors through things like Meals on Wheels and adult daycare. Tourism Minister Bill Fraser, the Liberal Miramichi MLA who advocated heavily for the new nursing home to be built and the man at the centre of much of the unions' ire, has shot down those concerns in previous interviews. Fraser has reiterated that regardless of whichever proponent emerges with the right to build and manage the structure, the initiative represents a major upgrade in terms of nursing home infrastructure.
  • He said the standards of care are dictated by the province and will remain, at the very least, on par with what has existed at the two current nursing homes over the last several years. Programs like Meals on Wheels, adult daycare and lifeline, would remain in place and potentially even enhanced and in terms of jobs, he said there will be provisions written into the RFP asking that priority be given to local applicants and that with an increase of 26 beds, even more staff will likely be required. As for pay and benefits, he said staff at two of the three Shannex properties have already unionized and the third was in the process of doing that.
  • Nursing home staff have called on the province to force the boards at the Mount and the senior citizens home to amalgamate together and operate the new facility using a model similar to what was undertaken in Edmundston when two nursing home boards melded into one in order to operate the new $48 million, 180-bed Residence Jodin. Danny Legere, the president of CUPE New Brunswick, was on hand for the vigil and urged the Miramichi workers to keep up the fight. "I want to congratulate the people of the Miramichi for taking a stand - the fight that you have started is a fight for all New Brunswickers," Legere said. "The militancy that you are showing is exemplary and it has to be carried on from one end of the province from one end to the other."
  • Andy Hardy, a Miramichi native and the president of CUPE 1190, said his sector is used to certain services being contracted out to private interests but when it comes to health and senior care, he said it was "flat out wrong." "You're looking after the most vulnerable people in that building right there," Hardy said. "When you privatize the food services and the cleaning services all it is is for profit - the service goes down and the profit goes up, and for nursing homes as well." Length: 1090 words
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Disposable linens will be used by hospitals NB - 0 views

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    The Daily Gleaner (Fredericton) Fri Aug 9 2013 Page: A1 Section: A Byline: ADAM BOWIE bowie.adam@dailygleaner.com The Horizon Health Network will move to disposable surgical linens and customized surgical kits by the winter of 2014. For more than a year, union officials who represent health-care providers and allied health professionals from across the province have expressed concerns about a proposed plan to switch from reusable operating room linens to disposable one-off products in provincial hospitals, citing environmental impacts and potential job losses as negative factors. In that time, The Daily Gleaner submitted multiple requests for information to the Horizon Health Network about the proposal. Several times the newspaper was told that it was under consideration and that nobody from the province's largest regional health authority would be commenting on the nature of the planned changes. Now Horizon officials say the changes will happen late next year and they've outlined the reasons behind the push to transition to a new product. Margaret Melanson, the Horizon Health Network's executive director of the Saint John zone and chairwoman of the regional health authority's surgical committee, said hospitals in the Fredericton, Saint John and Miramichi zones will soon be making the change, noting facilities in the Moncton zone are already using disposable surgical linens. "These products would be used predominantly within the surgical areas, the operating rooms; however, also within labour and delivery suites, within clinics and ambulatory areas, where small, minor surgical procedures are performed, and other areas, such as interventional radiology," she said. for more email hfarrow@cupe.ca
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Hardline rules costing Ontario nurses | Windsor Star - 0 views

  • Aug 28, 2013 - 11:25 AM ESTLast Updated: Aug 28, 2013 - 9:39 PM EST
  • Re: Changes to nursing accreditation could keep cross-border nurses from coming back, by Beatrice Fantoni, Aug. 26.
  • The Star’s article on new rules from the College of Nurses of Ontario does an excellent job of highlighting how Ontario is at risk of forever losing registered nurses who work in the U.S.
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  • For instance, the Ontario Nurses’ Association is supporting its members in challenging the CNO’s policies that discriminate against disabled nurses, including the branding of nurses as “incapacitated” on the CNO website, even though these nurses are able to work.
  • In fact, ONA has recently won an important commitment from the Ontario Human Rights Commission to discuss with the CNO the necessity of removing barriers that prevent nurses with mental health or addiction disabilities from accessing employment.
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Governments across the country brace for looming crunch, political dilemmas - Infomart - 0 views

  • he Globe and Mail Wed May 13 2015
  • Canadian governments are bracing for rising debtservicing costs, attempting to lock in low interest rates before the inevitable rise forces unpopular decisions on spending and taxes. After years of deficit spending, Ottawa and some provinces are just starting to climb back into annual surpluses. Now, the country must grapple with hundreds of billions in accumulated government debt. This year's budget season revealed governments are taking steps to lock in current low interest rates. The question is whether they are doing enough.
  • Since the recession hit in 2008, Ottawa has added more than $150-billion to the national debt. Provinces piled on a further $217-billion. The federal government is currently weighing whether to issue another round of 50-year bonds. It started that practice last year, raising $3.5-billion with yields below 3 per cent. Meanwhile Canada's two most indebted provinces - Quebec and Ontario - are stretching out the average length of maturity of their debt. The average maturity of Ontario's debt is now 14 years, up from eight years prior to the recession. Nova Scotia now has more than half of its debt maturing in 15 years or more.
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  • In dollar terms, the size of all of that post-recession debt is staggering. Some fear that when interest rates return to normal, governments will face crippling debt-servicing costs. But the scope of the problem is a matter of significant debate in policy circles. Experts do agree that whether or not government debt is a serious problem depends on where you live. Government books in Western Canada are relatively healthy. East of Manitoba however, debt is already forcing hard choices. Political debate over government finances is typically focused on the annual bottom line, which shows whether there is a annual surplus or a deficit.
  • Economists say the often overlooked - but far more important figure - is the size of government debt in relation to the size of the economy. As a percentage of gross domestic product, the net debt of all provinces and territories has grown to 28.6 per cent in 201314 from 20.5 per cent in 2007-08. The federal debt grew to a peak of 33.3 per cent in 2012-13 from 29.2 per cent in 2007-08. That's nowhere near the 67.1 per cent debt levels reached by Ottawa in 1995-96, when The Wall Street Journal warned that Canada was at risk of hitting the "debt wall." The size of the federal debt has already started to decline, reaching 32.3 per cent in 2013-14. The 2015 budget forecast that the federal debt-to-GDP ratio will reach prerecession levels by 2017 and decline further to 25 per cent by 2021. The debt picture among the provinces varies dramatically.
  • Alberta and Saskatchewan are currently facing hard times owing to low oil prices, but they are the darlings of Confederation when it comes to low debt. Alberta had no debt at all as of last year. The real debt troubles can be found in Central and Atlantic Canada. Quebec's net debt is the largest, at 50 per cent of GDP, followed by Ontario, at 38.4 per cent, and Nova Scotia at 37.7 per cent, using figures for 201314. While Quebec announced a balanced budget this year, Ontario's deficit was up slightly to $10.9-billion last year. Ontario insists the deficit will be erased by 2017-18.
  • Provincial governments are responsible for programs such as education and health care that can affect people more directly than federal programs. Spending restraint is easier said than done. The 2015 budget season has coincided with student protests in Quebec, New Brunswick and Nova Scotia, while Ontario is dealing with labour unrest from teachers' unions. Many provinces have also been negatively affected by a recent change to the federal health-transfers formula. The move to per-capita funding won out over arguments that the average age of provincial populations should be factored into the equation. Some of the most indebted provinces also face the most challenging demographics, with a shrinking ratio of younger workers to cover the costs of growing numbers of older citizens. The Parliamentary Budget Officer has said that while federal finances are sustainable over the long term, the provinces are facing structural shortfalls that will demand spending cuts, higher taxes or both. University of New Brunswick economics professor David Murrell said the return to surpluses in Ottawa will likely rekindle pressure from the provinces for more generous transfers. Shrinking deficits, growing debt
  • Provincial finance ministers are quick to pat themselves on the back over shrinking deficits and balanced budgets, but economists urge Canadians to view these claims with a bit of skepticism. Accounting methods vary across the country, making comparisons difficult. Unlike the federal government, provinces generally present two sets of books: an operational budget and a capital budget. Boasts of balanced budgets are in reference to operational spending. A province's overall debt could still be rising on the capital side even though the government is in an operational surplus. Supporters of this accounting method - including Calgary Mayor Naheed Nenshi - argue that it separates good debt from bad debt: Using debt to build public assets such as roads and bridges is better than slipping into the red to pay for public service salaries and other operational costs.
  • Critics such as tax-policy expert Jack Mintz have warned this approach allows provinces to play "hide the deficit." Charles Lammam, director of fiscal studies with the Fraser Institute, a conservative think tank that regularly warns about the dangers of mounting government debt, agrees that claims of improving budget balances can be misleading. "This is a real problem in places like British Columbia and Ontario," he said. "It doesn't seem like the growth in government debt will let up." Mr. Lammam's research found that Canadian governments - including municipalities - spend more than $60-billion a year servicing debt, which is about the same as the entire cost of providing primary and secondary education across the country. Ontario's recent budget said a one-point increase in interest rates would cost the government $400-million. "There's a real risk that provinces like Ontario, provinces like Quebec, can be subject to this very negative situation where they're paying even more to service their outstanding debt," he said. The new debt debate
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Family doctors weighing their options; Changes to Bill 20 are welcome, but the buzz amo... - 0 views

  • Montreal Gazette Sat May 30 2015
  • Montreal family physician Fahimy Saoud hated leaving her sick 5-year-old in someone else's care this week, but it was her turn to staffa walk-in clinic and she didn't want to let those patients down. But as the day wore on, Saoud kept hearing her daughter's plea when she left the house: "Who will take care of me?" So on Monday, after seeing everyone in the waiting room, Saoud left the clinic early; her daughter needed her as much as her patients did.
  • She went home thinking of her game plan as the provincial government prepares to pass Bill 20, the controversial carrot-and-stick health reform that Health Minister Gaétan Barrette would soften after alienating many of Quebec's doctors with the threat of clawing back 30 per cent of their salary if they failed meet a patient quota. Barrette announced this week that Bill 20's sanctions would not apply to family physicians for two years - taking the immediate sting out of the bill while keeping the onus on doctors to improve patient access. Which is small comfort to busy family doctors like Saoud.
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  • "I go help mothers with their sick children while I leave mine at home," Saoud said. "I can't see how I can do more." Saoud has three young children. She devotes 60 per cent of her workweek to a Montreal hospital's emergency department - irregular hours that include evening and weekend shifts - while the rest of her schedule is split between a walk-in clinic and what's known as "dépannage," replacing doctors in Quebec's more remote regions at least once a month. What she wants is more time for her job as a mother - helping with their homework and sharing meals - and not have to meet "an impossible" quota of following 1,500 patients, as the original Bill 20 would have required of each family doctor.
  • I am already at my maximum," said Saoud. And so, she has applied for a licence to practise outside Quebec. Nearly 24 per cent of Quebecers are on a waiting list or desperately searching for a family doctor. The crisis is rooted in a 1990s provincial government plan to save money by encouraging doctors to retire early. Staffing shortages ensued, and family doctors were obliged to fill the gaps by working outside their clinics in hospitals and far-flung regions. Quebec has attempted, with little success, to improve primary care over the last two decades by expanding community health clinics (CLSCs) and creating pools of doctors known as Groupes de médecine de famille (GMF) but both limped along under budget constraints and heavy bureaucracy. Barrette contends that the province has more than enough physicians to meet its needs, but that a profound structural change is needed.
  • He presented Bill 20 last fall as his road map to ensure that every Quebecer has a regular doctor. But the bill's punitive measures sparked widespread discontent among doctors against what they called a one-size-fits all, state-controlled, conveyor-belt approach to medicine. Doctors were further incensed at Barrette's assertion that doctors are not productive enough - which they saw as being accused of laziness - and frustrated at being blamed for a broken health system.
  • Like Saoud, many doctors prepared exit plans - from retiring to leaving the province. Some med students, many of whom were actively recruited to shore up Quebec's supply of family doctors, began reconsidering family medicine - or simply leaving to do their residency out-of-province, according to the Fédération des médecins résidents du Québec. Saoud was heading home to her sick daughter on Monday when Barrette announced he had cut a deal with the provincial federation of family physicians to exempt them from Bill 20 - temporarily. There would be no quotas and no penalties, Barrette said, as long as family physicians were able to collectively ensure that 85 per cent of Quebecers had a family doctor by the end of 2017. But Saoud says the change will not keep her here. And she's not alone.
  • The buzz among disillusioned physicians is that "everyone has a Plan B." And while the bill's delay has eased tensions a notch, some doctors are saying the two-year delay simply means they now have until 2017 to prepare a better exit. Bill 20 remains a guillotine above the heads of doctors. "Most definitely, there are physicians investing in Ontario licences and poised to leave if Bill 20 passes. I myself may have to leave," family physician Maggie O'Dell, who works at the Wakefield Family Medical Centre near the Ontario border, said before the bill was modified. And after Barrette backtracked, she had this to say: "It's nice to have reprieve, so it's a relief - for now ... a reason for many to hold back on pulling up stakes in the short term."
  • Doctors are willing to do their part to improve access, O'Dell said, but the Health Department must make participation in the Groupes de médecine de famille (GMF) more attractive by funding electronic records and support staff, and boosting mental health services and long-term beds in nursing homes. Dr. Catherine Duong, president of a collective of 550 general practitioners known by the French acronym ROME, said that the biggest threat of exodus is among doctors who live near the Ontario border. Physicians in that neighbouring province earn, on average, 15 per cent more than those in Quebec, and pay lower income taxes.
  • The group's recent survey - 204 of its members responded - indicated that Bill 20's sanctions would backfire. While the survey was taken three days before Barrette modified Bill 20, Duong said the results reveal that doctors, in particular those whose mother tongue is English, are at risk of leaving the province. Among the 134 francophone doctors polled about their intentions if Bill 20 were applied, 32 per cent said they would resign from hospitals, 12 per cent said they would leave Quebec and another nine per cent would go into private care.
  • Among the 70 anglophone respondents, seven said they already sent letters of resignations to their hospitals (it's not clear whether they are keeping their office family practice) and among the remaining 63 doctors, 34 - more than half - said they planned to leave Quebec. Another seven said they would retire early, seven would move to the private system and three would stop working as family doctors. It's a small sample, Duong conceded, but the study is nonetheless alarming.
  • We are worried that doctors will leave," Duong said, noting that every year, more doctors are opting out of the provincial insurance board (RAMQ), meaning they are no longer on the public payroll, though it's not clear whether they went to private practice or left Quebec. RAMQ representative Marc Lortie confirmed this week that 246 family physicians dropped out of RAMQ between May 2014 and May 2015, up from 204 the previous year and 187 in 2012-2013.
  • In the wake of Monday's announcement to put offBill 20's sanctions, many doctors remain skeptical of Barrette's 85-per-cent target, Duong says, "because it's far too ambitious a goal." Whatever doctors' efforts, Duong says, the reform will fail if the government doesn't help them do their jobs - for example, by abolishing mandatory hospital work. Others suggest the crisis between the province's doctors and Quebec's health minister is over. Bill 20 was heavy-handed, they argue, but if it leads to doctors taking on more patients it will have been a successful negotiating tool. Dr. Yoanna Skrobik, a critical care researcher and adjunct professor at McGill University's department of medicine, is among those who wholeheartedly support the Barrette reform.
  • It's the most dramatic change in the history of Quebec's health system, and the best thing that's ever happened to patients," said Skrobik, who worked side by side with Barrette at Maisonneuve-Rosemont Hospital in the early 2000s, when Barrette was chief of radiology and she was an intensivecare physician. She said that if 85 per cent of Quebecers have a family doctor, the quality of health care in the province will be much improved. Doctors may be offended by Barrette's manner, and by what they see as an attack on their autonomy, Skrobik said, "but it's also true that he puts patient care in the forefront."
  • But Saoud also has priorities. She earned her first medical degree in Haiti, then had to obtain it again after emigrating to Montreal. There's a saying among those who work in the ER, she said: "We know when we go in, but we don't know when we will leave." Saoud, who won the Nadine St-Pierre Award for her research as a resident in family medicine in 2009, still loves being a doctor. "It can be frustrating, but it's really gratifying work. Helping someone is really the cherry on the sundae. But my priority is not that." She would rather not force the children to uproot, but she's skeptical doctors can meet the demands of the health reform. And possible sanctions in two years could force her to to make a tough choice.
  • "My male colleagues don't have that issue. The bill is discriminatory. I'm just asking for the right to be a mother and not simply a doctor." With her permit application process in motion, Saoud says she will go wherever her licence takes her. cfidelman@montrealgazette.com twitter.com/HealthIssues
  • Medical students from four major Quebec universities demonstrate against Bill 20 in March near the legislature in Quebec City. • VINCENZO D'ALTO, MONTREAL GAZETTE / Dr. Fanny Hersson-Edery, left, at a diabetes clinic she runs with nurse Jen Reoch. Hersson has a full schedule, from research to teaching and seeing patients.
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Hospital, nursing home workers protest privatization - Infomart - 0 views

  • New Brunswick Telegraph-Journal Wed Aug 26 2015
  • miramichi * Wearing their now-familiar red shirts and clutching makeshift candles made of Tim Hortons cups and whatever else they could find, nearly 200 unionized workers, mostly from the city's two nursing homes and the Miramichi Regional Hospital, lined up along Water Street in Chatham Head Monday night to rally against further privatization in the public sector. The candlelight vigil was organized by Kevin Driscoll, the president of the Canadian Union of Public Employees (CUPE) Local 865, which represents hospital staff in Miramichi.
  • Driscoll, who works as a nursing unit clerk at the Miramichi Regional Hospital, said that workers are growing more disenchanted by the day as the provincial government continues to give the private sector a greater role in its health care and senior care system. He said CUPE staff felt they had to do something to draw attention to these issues and, with the hospital serving as the backdrop as night fell on the city Monday night, everyone agreed that gathering on the side of the road by candlelight would help convey their message. "It shows that people here really care about the Miramichi and it's too bad that politicians don't care about it as much," Driscoll said. "They want to privatize the nursing homes, they want to cut to the Education Department, their cutting the highway budgets and they're cutting to every service they can think of, so where are we going to go? They don't seem to think that matters."
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  • A number of other locals joined in on the demonstration, including representation from CUPE 1277 and 1256 of the Miramichi Senior Citizens Home and Mount St. Joseph Nursing Home, respectively, CUPE 1190, which acts on behalf New Brunswick's highway workers, the New Brunswick Federation of Labour and staff from Hebert's Recycling.
  • The Liberal government, come the fall, is expected to have a deal in place that will see all hospital food and cleaning services being outsourced to a private firm. Government officials, including Health Minister Victor Boudreau have maintained that the changes are needed in order to help the province get its finances in order and will save the province millions of dollars through efficiencies that will be brought in under private management. Driscoll says those efficiencies, CUPE fears, are simply going to amount to job cuts at hospitals throughout the Horizon Health Network. The union learned from the province earlier in the summer that food and facilities management giants like Sodexo, Aramark and Compass Group are involved in the bidding process.
  • "If they privatize these services, then these corporations are going to come in and say 'you don't need all these people' ... we're going to cut because they're going to want to make at least a 20 per cent profit. Driscoll said the hospital is just one example of the trend toward the greater privatization of public services the union is seeing. Nursing home workers at Mount St. Joseph Nursing Home and the Miramichi Senior Citizens Home have been protesting at various points throughout the summer after learning the Department of Social Development would be using a private-public partnership (P3) model in building a new 280-bed nursing home that will replace both of the city's current facilities, which are run by a volunteer board of directors. Workers at both homes will have to reapply for positions at the new nursing home if that's what they choose to do and, with a private company running things, the membership has said it is concerned that those who do catch on at the new place could be subject to reduced pay and benefits.
  • The government is expected to open up a request for proposals (RFP) in the coming weeks to begin the process of determining which proponent will build and operate what will likely be New Brunswick's largest nursing home by the time it opens. Currently, each of the three privately run nursing homes in the province are owned by Shannex. The unions have also warned that the move to a P3 model would lead to a reduction in the level of community outreach programming offered to local seniors through things like Meals on Wheels and adult daycare. Tourism Minister Bill Fraser, the Liberal Miramichi MLA who advocated heavily for the new nursing home to be built and the man at the centre of much of the unions' ire, has shot down those concerns in previous interviews. Fraser has reiterated that regardless of whichever proponent emerges with the right to build and manage the structure, the initiative represents a major upgrade in terms of nursing home infrastructure.
  • He said the standards of care are dictated by the province and will remain, at the very least, on par with what has existed at the two current nursing homes over the last several years. Programs like Meals on Wheels, adult daycare and lifeline, would remain in place and potentially even enhanced and in terms of jobs, he said there will be provisions written into the RFP asking that priority be given to local applicants and that with an increase of 26 beds, even more staff will likely be required. As for pay and benefits, he said staff at two of the three Shannex properties have already unionized and the third was in the process of doing that.
  • Nursing home staff have called on the province to force the boards at the Mount and the senior citizens home to amalgamate together and operate the new facility using a model similar to what was undertaken in Edmundston when two nursing home boards melded into one in order to operate the new $48 million, 180-bed Residence Jodin. Danny Legere, the president of CUPE New Brunswick, was on hand for the vigil and urged the Miramichi workers to keep up the fight. "I want to congratulate the people of the Miramichi for taking a stand - the fight that you have started is a fight for all New Brunswickers," Legere said. "The militancy that you are showing is exemplary and it has to be carried on from one end of the province from one end to the other."
  • Andy Hardy, a Miramichi native and the president of CUPE 1190, said his sector is used to certain services being contracted out to private interests but when it comes to health and senior care, he said it was "flat out wrong." "You're looking after the most vulnerable people in that building right there," Hardy said. "When you privatize the food services and the cleaning services all it is is for profit - the service goes down and the profit goes up, and for nursing homes as well." © 2015 Telegraph-Journal (New Brunswick)
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TALKING POINT; 'Home care has long been the Cinderella of the health-care system, under... - 0 views

  • The Globe and Mail Sat Jul 18 2015
  • "The failings of Ontario's Community Care Access Centres' services is, in part, a reflection of our ailing health-care system. "The unsung heroes in many of these scenarios are the patients' family members, who go to great lengths and personal sacrifice to provide care to patients where CCAC has failed them. But they, too, are human and can only endure so much. I routinely encounter patients and family members who are in crisis and can no longer cope at home after being abandoned by our system. "Is this the way an advanced society such as ours treats our more disadvantaged members?
  • "Anne-Marie Humniski, staff emergency department physician, Credit Valley Hospital, Mississauga "CCAC workers cared for my mom - some were nice and helpful, many just sat on the couch gossiping with her about other clients. Never bathed her, rarely lifted a finger. Just checked their texts and chatted for a half hour. "My mom was on a wait list for a facility for almost three years (we live far away, so we could do only occasional visits). She weighed 72 pounds, had no short-term memory and was on oxygen 24/7, but wasn't considered a priority. "Finally, she got into a care facility, where if it weren't for my nephew, she would have been sitting in a shared room with almost no interaction from the staff.
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  • "She was there for a month before she caught the flu and died. Staff never returned our many phone calls or responded to our e-mails. "This system has to change. It's a disgrace on all levels, both home care and facility care. "Julie Cameron, Vancouver "When the Ontario government cut acute-care beds in the 1990s, adequate home care was not put in place first, reflecting the headin-the-sand approach of successive governments to an aging society. "Home care has long been the Cinderella of the health-care system, underfunded and undervalued, yet it is of increasing importance. "Preventative support to keep seniors independent in the community has markedly decreased, because resources are concentrated on the acute needs of patients discharged from hospitals. This leads to unnecessary early institutionalization. "The burden is increasingly born by patients and their informal caregivers. These caregivers are often frail and vulnerable themselves or, if they are the patient's children, there is the economic impact of taking them away from their work. "Inevitably, there is a two-tier system, where the wealthy are able to obtain necessary support, while the rest are on waiting lists, receiving less than adequate care.
  • "With an aging society, the problem will become worse. "It is time to review the whole community care system and, learning from other jurisdictions, put in place a comprehensive, transparent and properly funded home-care system. "Rory Fisher, professor emeritus, medicine, University of Toronto
  • "My wife has advanced multiple sclerosis. Two years ago, she got a cut on her foot, which became infected. She was seen at a local hospital, where it was determined she would need intravenous antibiotic every eight hours. With the first treatment at 1 p.m., every third treatment was at 5 a.m. "After the fourth visit, a nurse at the hospital asked why we were not getting these treatments through home care. We did not know it was an option. "She picked up the phone and by the time we returned home, we had a message from the Champlain CCAC to schedule a nursing visit for the treatment.
  • "Within 48 hours, my wife was assessed and services assigned that exceeded our expectations in quality and oversight of her condition. Over a two-year period, she has received regular reassessment, with treatment plans adjusted according to her needs. "There is no doubt in my mind that home care is not only more cost-effective, but allows treatment to be delivered in a more comfortable setting without travel and waiting room purgatory. "There is also no doubt that the government planning process has failed this system miserably. "We are an hour from Ottawa, which may have something to do with it, but I cannot believe we are the only people in Ontario who have been this fortunate. "Ken Duff, Vankleek Hill, Ont.
  • "I used to "warn" my patients' families that the first thing CCAC tries to do is to get the family to take over care, even though they "promise" home care while in hospital (to get them out of the hospital). Then, CCAC cuts back on the hours until they "decide" that they must not need home care, because they are only getting four or five hours per week (instead of the 15 or 20 they were originally promised!). It is not the doctors and nurses trying to "get rid of patients," it is administration because of bed times (days in hospital). "Linda Steele, Grand Bend, Ont. "Government needs to put this on speed dial. "April Nairne, Vancouver
  • "Let's not paint the home-care system with one brush. My husband had excellent, timely and compassionate care through the last weeks of his life which allowed him to die at home, as was our wish. Nurses, personal support workers and supervisors were kind and empathetic. We could never thank them enough. "Ann A. Estill, Guelph, Ont. "Caregivers are frustrated and burning out. One in five Ontarians is a caregiver and they are not receiving the support they need to keep their loved ones at home - be it aging and/or ill parents, spouses or children. "Ontario has acknowledged the need for caregiver supports and more home care. That is great - but where is the change, instead of just lip service?
  • "In the meantime, families increasingly abandon their loved ones at hospital emergency departments, more caregivers fall into depression, and care recipients end up in hospital or longterm care when they could have stayed home. "We are ready for improvements to home care - any time now. "Lisa Levin, chair, Ontario Caregiver Coalition "Anyone wondering why we baby boomers are demanding the right to assisted suicide should read Kelly Grant and Elizabeth Church's excellent coverage of the Ontario home-care situation to learn the reasons. "Brian Caines, Ottawa " "Associated Graphic "'Care recipients end up in hospital or long-term care when they could have stayed home.'
  • "ADAM BERRY/GETTY IMAGES
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Flag will not be lowered for funeral of former spy watchdog - Infomart - 0 views

  • The Globe and Mail Thu Jul 2 2015
  • Prime Minister Stephen Harper has apparently suspended the protocol that would have seen the Peace Tower flag flown at halfmast in honour of Arthur Porter, the controversial physician who has died while fighting extradition in Panama. Dr. Porter was wanted on charges of fraud and corruption in Canada, but he was also a member of the Privy Council. He received the honour in 2008 when Mr. Harper appointed him to the body that serves as the watchdog for the country's spy agency.
  • According to federal protocol, the flag on the Peace Tower in Ottawa should be flown at halfmast on the day of his funeral. However, a senior federal official said "given the circumstances, the government will not follow the usual protocol." The official added that the "decision came from the Prime Minister." Born in Sierra Leone, Dr. Porter quickly developed high-level contacts in Ottawa, Montreal and Quebec City after he moved from the United States to Canada in 2004. He made a name for himself as a hospital administrator and a plugged-in political operative.
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  • He became toxic in recent years, however, as questions emerged over his role in an alleged kickback scheme related to the construction of new hospital in Montreal. Dr. Porter started running the McGill University Health Centre in 2004, and was instrumental in the awarding in 2010 of a $1.3-billion contract to SNC-Lavalin to build a massive new English hospital in Montreal. In 2013, two years after he left the health centre, Dr. Porter was charged with fraud and accepting bribes by Quebec's anti-corruption unit. He kept asserting his innocence as he fought extradition and battled lung cancer in Panama, where he was arrested as he tried to leave the country in 2013.
  • The McGill University Health Centre refused to comment on his death on Wednesday, except to extend its condolences to Dr. Porter's family. Mr. Harper has been accused by the opposition of having lacked judgment for appointing Dr. Porter to the Security Intelligence Review Committee (SIRC), which oversees the Canadian Security Intelligence Service. When he joined SIRC, Dr. Porter received the title of privy councillor, a story he recounted with pride in his 2014 autobiography. "I was now the Honourable Arthur Porter. I received a heightened security clearance. When I die, the flag flying above Parliament will be brought to halfmast," he wrote. In his book, The Man Behind the Bow Tie, Dr. Porter said he had gone through a "full-field" security-clearance process in the United States in relation to a position with the U.S. Department of Health. He added he was surprised at the lack of due diligence to work at SIRC, where he received access to classified material. "I did not have conversations with members of CSIS. Nobody came to my home. Whether extensive investigations occurred in the background, I don't know. I certainly never heard of it," he said.
  • As news reports emerged on July 1 about Dr. Porter's death, some of the people who had worked with him over the years were skeptical, fearing he had pulled another one of his tricks. "He's fooled so many different people on so many different things, I don't believe anything the family says," said a member of Montreal's medical establishment. A spokeswoman for Quebec's anti-corruption unit refused to comment, stating she was awaiting official confirmation from federal officials.
  • In mid-afternoon, a spokesperson for Canada's Department of Foreign Affairs responded to questions about Dr. Porter's death by stating: "We are aware of the death of a Canadian Citizen in Panama. ... Due to the Privacy Act, further details on this case cannot be released." The initial announcement of Dr. Porter's death came from the coauthor of his autobiography, Ottawa journalist Jeff Todd. "While family was present in the country, he died suddenly and alone," Mr. Todd said in a statement on his website. In his book, Dr. Porter said the money from SNC-Lavalin was linked to his work on international projects, not his work on the Montreal hospital. He said he helped the firm's interests in Africa over the years, including in Libya where the company enjoyed tight connections with the Gadhafi family. "... People often muddled SNC-Lavalin's strong interest in my international skills with its bid for the hospital contract. It was an unfortunate misperception," he said.
  • Dr. Porter developed a friendship during his time at McGill with Philippe Couillard, who was Quebec's health minister and is now the province's Premier. "There was a period when Couillard called me every day, asking what I thought about this issue or that decision," Dr. Porter said. Mr. Couillard has since distanced himself from Dr. Porter, stating a health company they created never got off the ground.
Govind Rao

Coroner deleted suicide note, worker's sister says - Infomart - 0 views

  • The Globe and Mail Wed Jul 8 2015
  • The sister of one of eight workers fired by the provincial health ministry is accusing the B.C. Coroners Service of deleting her brother's suicide note from his computer and refusing to provide the family with a copy. In a letter to Premier Christy Clark released Tuesday, Linda Kayfish alleged the service erased Roderick MacIsaac's suicide note before returning the laptop to his family after its investigation. Mr. MacIsaac wrote the suicide note and took his own life in his Saanich apartment in December of 2012, three months after the PhD student was publicly dismissed in relation to an alleged privacy breach.
  • Ms. Kayfish says in the letter that the family managed to recover the note from the computer's deleted files. The coroners service refuted the claims Tuesday evening. In an e-mailed statement, it said investigators never accessed Mr. MacIsaac's computer and only received a printed version of the note from the RCMP, which was responsible for storing and analyzing the laptop after it was seized by authorities. The coroners' statement added "police have confirmed they deleted nothing from the laptop."
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  • Ms. Kayfish's letter was released as part of an effort by the families of those dismissed to push for a public inquiry into the firings. The government has repeatedly said a public inquiry would be too costly and slow. Instead, the province said last week it would hand the matter to B.C.'s Ombudsman for review. Neither Health Minister Terry Lake nor the Premier were available for an interview Tuesday regarding Ms. Kayfish's allegations. But Mr. Lake's spokeswoman said in an e-mailed statement that the minister is confident the Ombudsman would complete a "thorough" investigation in "a timely and cost-effective way." Mr. MacIsaac, a doctoral candidate, had only three days left in his research placement when he and seven other health-ministry workers and contractors were fired in late 2012.
  • At the time, the B.C. government said the workers were dismissed due to inappropriate conduct related to the private medical information of millions of British Columbians. The minister at the time suggested the RCMP were investigating, but access-to-information documents uncovered last month showed the RCMP never began a probe. The province has apologized for firing Mr. MacIsaac and rehired or settled out of court with most of the employees. Lawsuits involving two others are ongoing.
  • Ms. Kayfish's letter says the family found out about the suicide note shortly after Mr. MacIsaac's death, but the B.C. Coroners Service refused to release it until their investigation was complete. After months of asking, Ms. Kayfish's letter says the coroners service agreed to read the note to the family over the telephone, while keeping any names mentioned in the document anonymous. Ms. Kayfish's letter says the coroners service responded to the family's request for the note with links to the province's access-toinformation laws. By October of 2013, the coroners' final report into the death had been completed and Mr. MacIsaac's computer was released to his family. Ms. Kayfish maintains someone had deleted the document from his computer.
  • he coroners service said in its statement that a police officer uncovered the note and forwarded the printed version to their investigators several days after the computer was recovered from Mr. MacIsaac's home. The service said it never had an electronic version of the note. Mr. MacIsaac's note does not mention his work or have any personal messages for his family, but it is "clear and concise" and "reflects his frustration with the public dismissals at the Ministry of Health," Ms. Kayfish says in her letter. She said later she would release the note to a public inquiry or the Ombudsman.
Govind Rao

Families feel burden of care, study shows; Relatives of sick, elderly report feeling di... - 0 views

  • The Globe and Mail Wed Oct 14 2015
  • The strain of caring for the sick and the elderly is increasingly being felt by family and friends, says a new Ontario report that finds one-third of informal caregivers are in distress - a number that has doubled in the space of just four years. The new findings were released late Tuesday by Health Quality Ontario, a provincial agency that advises the government and monitors the performance of the health-care system with a range of benchmarks. It found that almost all long-term home-care patients in the province rely on the help of family and friends for emotional comfort, as well as for routine tasks such as grocery shopping, transportation, managing medication and personal care.
  • But one in three primary caregivers reported last year feeling distressed, angry or depressed, or said they were unable to continue providing that support. That's up from slightly less than 16 per cent in 2010.
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  • The finding is the latest in a string of reports that point to a growing need for supports to help Canada's aging population remain at home. It comes at the same time that the Canadian Medical Association is calling for a $3.3-billion federal investment in seniors care and when, for the first time, Canadians older than 65 now outnumber those younger than 15. A report last month by British Columbia's Seniors Advocate found a similar portion of unpaid caregivers in that province were in distress, providing an average of 30 hours of support each week.
  • "People are older, sicker, living longer and they are in hospital for a much shorter period of time," said Joshua Tepper, the chief executive officer of Health Quality Ontario and a family doctor.
  • In his own practice in Toronto's low-income neighbourhood of Regent Park, Dr. Tepper said he has witnessed the increased burden placed on families as they care for one or more aging relatives - often juggling the demands of work and family across several generations. More than once, he said, children have come to act as translators for grandparents at medical appointments because sons and daughters can't take the time away from work.
  • Dr. Tepper said the spike in the number also may be a sign of a growing comfort among caregivers to speak up about the pressures they are feeling. "People are being more frank about the impact of caring for a loved one has on themselves without them feeling guilty about it," he said.
  • In a related finding, the annual report shows wait times for longterm care beds in the province have dropped over the past five years, but there are wide variations depending on where in Ontario patients live, and whether they are moving from a hospital bed or from their home. The longest wait - more than eight months - is for Toronto residents living at home who are applying for long-term care. The wait for those applying from a hospital ranges from 197 days in the Mississauga-Halton area west of Toronto to 34 days in the health region that includes London, Ont.
  • The long waits in some parts of the province such as Toronto may be in part because individuals prefer to go to a home that caters to a particular ethnic group, Dr. Tepper said. The report, called Measuring Up 2015, looks at 40 indicators and includes the following findings: Ninety-four per cent of Ontario residents have a primary care provider, but half say they are not able to get a same-day or nextday appointment when sick or when they need after-hours care.
  • Timely access varies widely across the province, but it is not necessarily linked to the ratio of doctors to the local population, suggesting, Dr. Tepper said, that other variables such as scheduling and hours of work may be a factor. Over the past decade, suicide rates in Ontario have remained constant despite growing efforts to focus on mental illness. Smoking rates have fallen to 18 per cent in Ontario, the second lowest in the country after British Columbia. Ontario residents are also becoming more active.
Govind Rao

P3s set for a banner year - Infomart - 0 views

  • National Post Sat Jan 24 2015
  • Given the pipeline of projects, 2015 could end up being remembered as the year of public private partnerships - the socalled P3s. Short lists are being completed for large and expensive projects in many provinces. There's $8 billion up for grabs in Toronto via the Eglinton-Crosstown LRT; potentially $5 billion that's set to be awarded for the construction of a new Champlain Bridge in Montreal and another $2 billion for an LRT system in Edmonton. As well, some projects will come from provinces relatively new to the world of P3s. In Saskatchewan, for example, SaskBuilds, an organization set up in 2012, has already awarded one contract to design, build, finance and maintain a new 225-bed long-term care facility in Swift Current. Plenary Health was awarded the $108 million contract in the summer of 2014 with construction of the hospital slated to finish in mid-2016.
  • That province has identified other projects, all in the pre-procurement stage, that are "being considered for P3 opportunities." Those projects range from the so-called Nine Joint-Use Elementary Schools Project, to the Regina Bypass (which could be $1 billion) to the North Battleford Integrated Correctional Facility. What's more, that province's two largest cities - Regina and Saskatoon - are also developing P3 projects. Three provinces to the east of Saskatchewan, the government of Quebec together with the Caisse de depot et placement, have announced a firstof-its-kind arrangement on infrastructure. One week ago, the two parties announced a deal whereby the fund manager will finance and construct $5 billion worth of transportation projects in and around Montreal. The Caisse is involved in financing other rail systems around the world, including Vancouver.
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  • Ontario, the province which is the largest user of P3s, has been busy already this year, having awarded preferred-bidder status to two projects: * The East Rail Maintenance Facility, being built in Whitby, about 50 kilometres east of Toronto. According to a release from Infrastructure Ontario, the facility will "support GO Transit's planned service expansion in the Greater Toronto and Hamilton Area." The contract was awarded to a multi-member consortium, with the developer being Plenary Group, Kiewit and Bird Capital. TD Securities was the financial adviser to the winning consortium. The cost of the project was not disclosed. * Highway 407 East Phase 11. This week, the Blackbird Infrastructure Group was named as the preferred proponent to design, build, finance and maintain the project. That project will extend the highway 22 kilometres further east from Oshawa to Clarington while providing a 10-kilometre north south link from the 407 to Highway 401. The cost of the project was not disclosed but construction of Phase 1 is set to be completed by year-end. Holcim and Cintra Infraestructuras are the developers on Phase 11. The original 407 Highway is one of the country's most famous roads: it was built by the provincial government, sold for double the cost because the government wanted to balance its budget prior to he 1999 election. It is now worth considerably more, and is a veritable licence to print money because no limits were placed on its ability to charge and collect tolls. Ontario seems to have learned from that decision: both Phase 1 and 11 will be publicly owned.
Govind Rao

Dying senior stuck with $61,000 medical bill - Infomart - 0 views

  • Dying senior stuck with $61,000 medical bill
  • Ottawa Citizen Fri Feb 6 2015
  • Jim Holt went to the doctor in November with a sore back, only to learn he had stage 4 cancer. Now the former Canadian fighter pilot and Foreign Affairs officer is facing $61,000 in medical bills as he lies dying in an Ottawa palliative care hospital.
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  • Holt, 79, moved to Italy 12 years ago when he married an Italian concert pianist after his first wife died. The pair split their time between Italy and Argentina - his wife's home country - and made regular visits to Canada to visit his children until last summer, when Holt developed a sore back.
  • Doctors in Argentina diagnosed a fractured vertebra. Not trusting the care there, Holt came to Ottawa in November and, with the help of his daughter Caroline, applied for Ontario Health Insurance Plan benefits, which require a minimum three-month residency.
  • He got the bad news from doctors at The Ottawa Hospital. The fracture was the result of cancer that had spread from his lungs to his spine. Doctors began aggressive treatment. He had other tests and eventually a massive dose of radiation just before Christmas that left him partially paralyzed below the waist.
  • The doctors who treated him in Canada have waived their fees and the Bruyère says it won't begin charging for his care until his OHIP coverage kicks in on Feb. 6. The $61,000 bill he's amassed so far includes the cost of tests, treatment and his bed on the ward in The Ottawa Hospital, where he was admitted as an in-patient in December.
  • "There is a sense of justice," Holt said. "I did the things I did because of a love for Canada. There was a sense of obligation to my country, but I think the country should have an obligation too."
  • As a federal retiree, Holt has comprehensive health insurance that would cover him if he were ill outside Canada, but not when he's home and supposedly covered by Canadian medicare.
  • "It isn't a case of someone who came home because he needed a hip replaced," said Caroline, who acknowledges that some people try to take advantage of the Canadian health-care system. "He's dying. He served his country for 50 years and he's never asked for anything back until now."
  • Holt grew up in B.C. and joined the RCAF in 1953. He was a member of the air force's Golden Hawks aerobatics team and eventually became squadron leader of the 439 "Tiger" Squadron, flying CF-104 Starfighters at CFB Baden-Soellingen in West Germany. Retiring as a lieutenant-colonel after 28 years in the military, Holt then spent another 20 years as a commerce officer with Foreign Affairs. He says his only other hospital stay occurred when he was 11 and had his tonsils out.
  • He was admitted to palliative care at the Bruyère Continuing Care Centre on Jan. 24. The three-month OHIP waiting period expires Feb. 6. Holt remains a Canadian citizen and has paid one-quarter of his pension income in Canadian taxes since leaving the country.
  • The family appealed to Ontario's OHIP Eligibility Review Committee, but was turned down. They are now taking the case to the independent Health Services Appeal and Review Board.
  • The odds aren't good, says Perry Brodkin, a Toronto lawyer who has taken on their case. Since 2002, the board has heard 219 appeals to waive the three-month eligibility requirement. It has rejected all of them.
  • The waiting period is set out in Ontario's Health Insurance Act and there are few exceptions, notably for newborns, refugees, adoptees and patients transferring from another province into long-term care in Ontario.
  • "There are no provisions in the regulation that allow OHIP coverage to be granted on compassionate grounds or for any other discretionary reason," said David Jensen of the Ontario Ministry of Health and Long-term Care in an email to the Citizen.
  • Brodkin wonders why there is an appeal process at all if the committee and review board have no power to overturn the law. He calls it a "scheme" to deflect complaints from the government.
  • OHIP says, 'We give them their appeals. We give them their reviews.' And then they'll lose anyway, a long time from now," Brodkin said. Time is not something her father has a lot of, says Caroline, who said the worries about how to pay for his medical bills have been exhausting. "We don't have years to wait," she said. "He'll be dead long before then."
  • Meanwhile, Jim Holt keeps busy at the Bruyère, dictating his memoirs into a digital recorder. If OHIP or his private insurance don't cover the bills, the money will come out of his estate he has willed to his wife. "For the want of a few months they're taking life savings from people," he said.
Govind Rao

Reaction to care placement mixed - Infomart - 0 views

  • The Leader-Post (Regina) Thu Feb 19 2015
  • Changes to the way longterm care beds are doled out in the Regina Qu'Appelle Health Region are being met with mixed feelings. Tuesday the RQHR announced that, as of July 1, Regina residents seeking long-term care might be placed up to 150 kilometres from home if a bed became available in a rural care facility, under the first available bed placement protocol.
  • People won't be allowed to stay in hospital to await a local long-term care bed. Holly Schick, executive director of Saskatchewan Seniors Mechanism, agrees no one should stay in hospital if they don't have to, where "they don't have the activity, they don't have the same kind of care that's appropriate for them." Moving someone outside of their community is not ideal, she said, but if they have needs that can't be met at home, a rural bed could be the best short-term option for them.
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  • As long as the objective is to as quickly as possible get them back to their home community, then it can be the best choice in some circumstances," said Schick. Under the new protocol, someone seeking long-term care will retain their spot on the wait-list to eventually move into one of their three preferred care facilities in the city. They could otherwise return home and utilize home care services, or move into a private personal care home. Corinne Pauliuk sees the latter as a poor solution.
  • "Not all care homes are equipped to accommodate those of a higher level of care," said Pauliuk, president of Regina and District Personal Care Home Association. Her own care home, Sunrise Country Haven near McLean, is one. "Once individuals here meet the criteria for a longterm care facility, I can't meet their needs safely, so I wouldn't qualify as a care home to look after those individuals, period, and I'm not sure how they could function with home care because usually it's 24-hour care that is required," she said.
  • Pauliuk knows of at least 25 care homes that would be unable to accommodate a resident with serious care needs. NDP health critic Danielle Chartier said home care and private care are not viable alternatives. "Your only other option is to use this government's already-stretched-thin home care and supplement with private care and many people can't afford private care," said Chartier.
  • "We have the concern in home care that they're pretty much maxed out in regards to workload," added Scott McDonald, president of CUPE 3967, which represents care aides. Chartier thinks of her own parents, who are 82. "I couldn't imagine having them moved 150 km from home, both from their perspective getting to see their family less, but also from my ability as a daughter" to make a long drive to see them often, said Chartier. Pauliuk agrees.
  • "I can't see family members being able to do that when they're already working full time ... They'd be lucky if it was once a week," she said. Chartier said government should enhance home care, create more long-term care spaces in the city and implement proper staffing. For the past 12 years, rural clients have received the first available long-term care bed 150 km from their home within the RQHR. Five other health regions in the province have a first available bed policy regionwide. Five others, including Saskatoon, are some distance within the region, from a 45-minute drive to 150 km away. amartin@leaderpost.com Twitter.com/LPAshleyM
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