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Govind Rao

Nurses launch freedom of information request to get to the bottom of medical tourism - ... - 2 views

  • Canada Newswire Tue Sep 30 2014
  • ORONTO, Sept. 30, 2014 /CNW/ - The organization that represents registered nurses, nurse practitioners and nursing students in Ontario has issued a formal request to the provincial government for information related to medical tourism. The Registered Nurses' Association of Ontario (RNAO) is seeking all general records between 2009 to the present regarding the treatment of international patients (also known as medical tourists) not covered by the Ontario Health Insurance Plan (OHIP) in the province's hospitals. The request includes all letters, reports, briefings, agreements, hand-written notes, electronic documents and emails from the Ministry of Health and Long-Term Care, Treasury Board, Finance, Cabinet Office and the Office of the Premier. "Hospitals that are part of Toronto's University Health Network, and Sunnybrook Health Sciences Centre have made no secret that they are open for business when it comes to treating patients from abroad for a fee," says RNAO's Chief Executive Officer Doris Grinspun, adding that the CEO of Windsor Regional Hospital is also pursuing a partnership with Henry Ford Hospital in Detroit to formalize a 'medical free-trade zone' that he says will become the 'envy of the health-care world.'
  • RNAO hopes the request for information will reveal where else medical tourism is occurring and to what extent the Ontario government is behind this attack on Medicare. Medical tourism is the practice of soliciting international patients for medical treatment within Canada's health system in order to turn a profit. "It will erode the viability of our health system, a cherished part of our social safety net, and shift it from one that understands its mission to treat all according to need, to an Americanized version where health-care services are for sale to those with money and power," says Grinspun. "Allowing hospitals to go shopping for patients to increase their revenue redirects precious resources away from the people who need care the most - patients in Ontario," says RNAO President, Vanessa Burkoski, adding that hospitals that engage in medical tourism are inviting lawsuits from people willing to pay a fee to get ahead of the line.
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  • "What particularly alarms nurses is the lack of transparency on the part of the Ontario government when it comes to disclosing this ugly trend to the public," stresses Burkoski. Despite letters to both Premier Kathleen Wynne and Health Minister Eric Hoskins calling for a ban on medical tourism, the practice continues. "We hear that the government is investigating but in our view, there is nothing to investigate when there is clear evidence that hospitals are engaging in medical tourism," adding that even one is one too many. The Registered Nurses' Association of Ontario (RNAO) is the professional association representing registered nurses, nurse practitioners and nursing students in Ontario. Since 1925, RNAO has advocated for healthy public policy, promoted excellence in nursing practice, increased nurses' contribution to shaping the health-care system, and influenced decisions that affect nurses and the public they serve. For more information about RNAO, visit our website at www.RNAO.ca( (www.rnao.ca») ).You can also check out our Facebook page at (www.RNAO.org») (www.rnao.org») ) and follow us on Twitter at www.twitter.com/RNAO( (www.twitter.com») ) SOURCE Registered Nurses' Association of Ontario
Govind Rao

Ontario election reality check: "The leanest government in Canada"? - Toronto | Globaln... - 0 views

  • May 12, 2014
  • By James Armstrong  Global News
  • Additional data from Statistics Canada shows Ontario has fewer general government workers and fewer health care workers, percapita. than any other province.
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  • There are 56 Ontarians for every one person working in the government-employed health and social services sector. Newfoundland ranks the highest with 25 to one.
Govind Rao

Home care was totally inadequate - Infomart - 0 views

  • Montreal Gazette Sat Sep 13 2014
  • ""My story, like so many other stories in The Gazette recently, is just another example of Quebec's broken health-care system. My 88-year-old mother, who lives in the Eastern Townships, will be moving into a private long-term care home in two weeks. My siblings and I have done everything we could to prevent this from happening. Several years ago, my mother was diagnosed with Alzheimer's disease. In the past three years, the disease had progressed to the point where she could not be alone. We contacted our local CLSC. After an assessment, it determined she would be given seven hours of assistance per week to ensure she was eating. My mother could not cook, did not know what day it was, and had difficulty dressing and with hygiene. Instead, the family hired a local woman to spend eight hours a day with our mother. Last year, the woman spent eight hours a day and the CLSC did its annual assessment and offered only two hours per day. During this period, my mother had a series of falls, and refused to change her clothes or bathe. She turned the heat off one winter weekend and the pipes froze. Still, the CLSC offered nothing more. The family continued to pay for homecare until she was hospitalized after a fall.
  • I have spent the past 10 months caring for my mother in her home. When I left my family in Ontario to come here, I worked on getting her the services she needed and deserved. I was met with an uncaring, unprofessional system. I have dealt with four different social workers. I contacted the local MP asking for help and he never responded. I filed a complaint with the complaints commissioner and it went nowhere. It was only after I threatened to sue them for negligence that they acted. They offered 21 hours per week, the maximum, which is simply nowhere near enough. It's an unfortunate end to what has otherwise been a good life for our mother. She, like so many like her, will end her days in a strange place, when all she wanted was to live in her own home and die there. Nancy Fraser Stanstead
Govind Rao

Reconciliation still to come; Pattern of neglect, Editorial April 29 - Infomart - 0 views

  • Toronto Star Tue May 5 2015
  • Pattern of neglect, Editorial April 29 The Truth and Reconciliation Commission will conclude on June 3, with much of the truth revealed but reconciliation still a hopeful vision. Making it a reality will be the work of all Canadians. We will need to unlearn racist ideas, relearn a history that did not tell the whole story and foster new relationships. But reconciliation also requires huge changes in indigenous communities where dramatic inequities continue to exist, as highlighted by your editorial. Until First Nations, Inuit and Métis peoples experience the same level of health, education and social services as others in Canada, reconciliation will remain a noble aspiration. Jennifer Henry, executive director, KAIROS: Canadian Ecumenical Justice Initiatives
Govind Rao

The Five-Step Process to Privatize Everything | Common Dreams | Breaking News & Views f... - 0 views

  • May 04, 2015
  • byPaul Buchheit
  • Law enforcement, education, health care, water management, government itself -- all have been or are being privatized. People with money get the best of each service. At the heart of privatization is a disdain for government and a distrust of society, and a mindless individualism that leaves little room for cooperation. Adherents of privatization demand 'freedom' unless they need the government to intervene on their behalf. These privatizers have a system: 
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  • Convince Yourself that "I Did It On My Own"
  • Insist that the Removal of Government Will Benefit All People
  • Ensure that Government Isn't Removed Until You Get Rich 
  • At least $2.2 trillion per year in tax expenditures, tax underpayments, tax havens, and corporate nonpayment go mostly to the very rich, the most brazen of whom make the astonishing claim that their hedge fund income should be taxed at a much lower rate than a teacher's income. 
  • Defund Government Until Privatization Seems Like the Only Option 
  • Remain Ignorant of Any Troublesome Facts 
  • Health Care: The most expensive system in the developed world, with the price of common surgeries anywhere from three to ten times higher than in much of Europe, and with 43 percent of sick Americans skipping doctor's visits and/or medication purchases in 2011 because of excessive costs. Medicare, on the other hand, which is largely without the profit motive and the competing sources of billing, is efficiently run, for all eligible Americans. 
Govind Rao

The Enabling Society - 0 views

  • Peter Hicks April 9, 2015
  • According to Hicks, the welfare state’s approach of addressing the broadly defined needs of broadly defined groups of beneficiaries in a broadly uniform manner at a single point in time is simply no longer adequate.
  • The evidence base generated by the system of big statistics
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  • individualization of programs and services, the adoption of a life-course perspective, and the ongoing use of evidence-based information in designing and adapting policy.
  • Moreover, with citizens having direct access to the same information, they will be better equipped and able to make their own choices or decisions on courses of action.
  • A major restructuring of Canada’s income security system will likely be required in order to follow through on these principles. Here, Hicks recommends reconfiguring the system around three pillars: guaranteed annual income, social insurance and lifetime accounts.
  • The first pillar would ensure that every Canadian has access to a relatively modest minimum income so that no one falls through the cracks. As Hicks notes, governments are not far away from achieving this objective thanks to programs such as the National Child Benefit Supplement/Canada Child Tax Benefit, the Working Income Tax Benefit and the Guaranteed Income Supplement/Old Age Security.
  • reduce the disincentive to work in older age.
  • In recent years these two objectives have become intermingled as programs such as employment insurance (EI) have taken on new roles and responsibilities (parental, sickness and care leave, for example). This has created unintended disparities within the labour market between those who qualify for assistance and those who do not, making it difficult for many people to manage key transitions in life.
  • integrated lifetime accounts
  • These lifetime accounts would operate in a similar way to retirement and other tax-preferred savings accounts (RRSPs, TFSAs, RESPs), which allow accumulation of capital through direct contributions over time and follow individuals through life. The pillar would incorporate lifetime accounts that already exist (such as public pension and education saving programs), while extending the model to a number of other areas including the many special benefits programs currently administered within EI, as well as various tax credit and loan programs for individuals. There are a range of options for how such accounts could be used, financed and managed.
Govind Rao

Ebola whistleblower given provincial health and safety award - Infomart - 0 views

  • The Hamilton Spectator Fri May 29 2015
  • Blowing the whistle on McMaster Children's' Hospital's failure to properly prepare staff to handle the deadly Ebola virus last year has earned a provincial honour for Hamilton labour activist Kathy MacKinnon. She received the Ontario Health and Safety Award from the Canadian Union of Public Employees this week for exposing the facility's lack of worker training and protective equipment.
  • "Kathy has been on their case quite often over the last 25 years," said Dave Murphy, president of CUPE Local 7800, representing 3,800 Hamilton Health Sciences workers. "She was instrumental in the Ebola case after the hospital said they were ready for it and we found out they weren't." A spokesperson for Hamilton Health Sciences did not respond by deadline.
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  • At the end of August last year, MacKinnon cut short a vacation to rush to the hospital after at least three union members refused to clean a room where a child suspected of being infected with the deadly Ebola virus was treated. The workers said they lacked the proper training or equipment to face such a threat. "We gave them several weeks, but they didn't seem to be doing what they said they would do, so I called the Ministry of Labour," MacKinnon said. "They just didn't seem to care about the employees."
  • The Ministry of Labour investigated MacKinnon's complaints and issued five orders requiring the hospital to train workers and ensure proper equipment was available. The child eventually tested negative for the virus. MacKinnon is worker co-chair of the McMaster Children's Hospital health and safety committee as well as health and safety chair for the local. "I do this because I want to look out for the health and safety of all the employees here, even if they're management," she said. "Workers need an advocate to fight the fight."
  • Murphy said bringing the hospital's actions during the Ebola scare to public attention was an important move, especially as the Pan Am Games move closer, bringing people from around the world into Hamilton and Ontario. MacKinnon was nominated for the award by members of Local 7800, who pointed to her work ensuring workers and contractors were properly protected from exposure to asbestos in the McMaster hospital. Her efforts on that front eventually led to charges and fines of $19,000 against the facility.
  • "Kathy is absolutely tireless about these issues," Murphy said. "Even if her nose gets bloodied she gets up, dusts herself off and gets right back into the fight." The award, he added, isn't something MacKinnon would have sought for herself, but he and the members nominated her for years of effort. "She would never want this for herself but I thought she deserved it," he said. "For years she has been fighting for us so that when people go to work, they can come home again healthy." CUPE Ontario represents 250,000 members in social services, health care, municipalities, school boards, universities and airlines. sarnold@thespec.com
Govind Rao

Public debate begins in Scotland on future of NHS | The BMJ - 0 views

  • MJ 2015; 351 doi: http://dx.doi.org/10.1136/bmj.h4266 (Published 07 August 2015) Cite this as: BMJ 2015;351:h4266
  • Bryan Christie
  • An open debate has begun on the future of health and social care services in Scotland, inspired by the high level of public engagement seen in last year’s independence referendum.The “national conversation” seeks to involve the public in determining the priorities that will be set for the NHS over the next 15 years. It has been welcomed by doctors’ leaders, but they warn that the exercise needs to take account of the pressures on the system if the outcomes …
Govind Rao

Hospitals send patients home without confirming home situation is adequate, report says... - 0 views

  • BMJ 2015; 351 doi: http://dx.doi.org/10.1136/bmj.h3974 (Published 21 July 2015) Cite this as: BMJ 2015;351:h3974
  • Ingrid Torjesen
  • Vulnerable patients are being discharged from hospital unsafely and sent home to situations where they have inadequate support because of lack of coordination between health, social care, and community services, an investigation by the healthcare consumer organisation Healthwatch England has found.The investigation was based on the experiences of discharge of 3230 people considered as vulnerable (elderly people, homeless people, and people with mental health conditions) and on information gathered from trusts through freedom of information legislation and from surveys of patients. It showed that although patients …
Govind Rao

Living Up to the Promise | BC Health Coalition - 0 views

  • Report: The Importance of Home Supportfor an Aging Population
  • What kind of services and supports are needed for seniors to maintain their independence, remain socially engaged and still be supported as their health declines?
Govind Rao

More spent on taxes than food, shelter and clothing - Infomart - 0 views

  • Winnipeg Free Press Fri Aug 28 2015
  • CANADIANS spend more on taxes than on food, clothing and shelter combined, according to a study released Thursday. The study by the Fraser Institute shows the average Canadian family spent 42.1 per cent of its income on taxes while 36.6 per cent went to the combined basic necessities of food, clothing and shelter. In its study, the non-partisan, public policy think-tank looked at an average family in Canada earning $79,010 in 2014. While 42.1 per cent of that income went to taxes, just 21 per cent was spent on shelter, 11 per cent on food and five per cent on clothing.
  • That translated to $33,272 in total taxes compared to $28,887 on food, clothing and shelter combined. "With growth in the total tax bill outpacing the cost of basic necessities, taxes now eat up more family income, so families have less money available to spend, save or pay down household debt," Charles Lammam, director of fiscal studies at the Fraser Institute and co-author of the study, said in a statement. However, a community advocate cautions people should remember taxes cover programs such as health care that would have to be paid by families as necessities if those programs didn't exist. "There's no question we're paying far more in taxes, but what tends to be really misleading is to state that we are paying more in taxes than we are paying in necessities in life when you take into account medicare because that's part of the reasons taxes went up after 1961," said Harold Dyck, a community social-assistance advocate with Winnipeg Harvest, referring to Canada establishing its universal health-care program. A key focus of the study was a comparison of taxes paid in 2014 by families with taxes paid by families in 1961. It found an average family's tax bill has risen 1,886 per cent in the past 53 years while average income increased by 1,480 per cent, a slower rate than taxes.
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  • In 1961, the scales tipped the other way as the average family spent 33.5 per cent on taxes and 56.5 per cent on food, clothing and shelter. "Over the past five decades, the tax bill for the average Canadian family has ballooned, and now the amount of money going to taxes is greater than what's spent on life's basic necessities," Lammam said in a statement. The study noted the total tax bill considered reflected "both visible and hidden taxes families pay to the federal, provincial and local governments, including income taxes, payroll taxes, sales taxes, property taxes, health taxes, fuel taxes, alcohol taxes and more." Dyck said it is necessary to consider the 1961 date as the baseline for the comparison to get a clearer picture.
  • "From 1961 back, we did not have a national medicare program. Since then we have, and that is definitely part of our tax dollars. We now have free access to this necessity of life, medical care," he said. "A portion of that tax burden needs clarification so people aren't left with the impression that this (tax dollars) goes into some netherworld where we never see anything coming back to us," Dyck said. "It (the study) is a subtle way to get people's ire up that we want taxes cut, cut, cut without asking what does that mean and how would that impact Canadians in the end? What services are we going to lose? There are many other things you can consider necessities. Taxes pay for our highways and roads, hospitals, education system, all these things that should also be considered necessities."
  • The study showed average families in 1961 earned an average of $5,000 and paid taxes worth $1,675. In the past 53 years, the average family's tax bill increase of 1,886 per cent outpaced price increases to food (561 per cent), clothing (819 per cent) and shelter (1,366 per cent). Dyck said the focus should be on where the waste takes place in use of tax dollars and ways to reduce that waste. The study also found the percentage of income used to pay taxes has risen steadily since 2008 when 40.9 per cent of income was spent on taxes. ashley.prest@freepress.mb.ca
Govind Rao

AFN chief urges aboriginal people to vote, even though he does not - Infomart - 0 views

  • The Globe and Mail Thu Sep 3 2015
  • The Assembly of First Nations says aboriginal voters could be deciding factors in as many as 51 ridings and, in a close race, could determine the outcome of the Oct. 19 federal election - if they actually cast ballots. But AFN National Chief Perry Bellegarde might have undercut his organization's campaign to mobilize aboriginal voters with a frank admission that he's never voted in the past and doesn't intend to do so this time either.
  • "It's a very personal choice," Mr. Bellegarde told a news conference Wednesday. He said he's never voted because he's been in various First Nations leadership roles and wanted to preserve the appearance of impartiality. Moreover, Mr. Bellegarde said he was following the advice of First Nations elders who advised him against voting, arguing that the Crown has treaty obligations that must be honoured no matter which party forms government.
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  • "If you have to choose, then you lose that impartiality and non-partisanship," he said. At the news conference, Mr. Bellegarde unveiled the AFN's election priorities, to which it wants all parties to commit. The priorities - including increased funding for First Nations education, training, child welfare, health care and police services, creation of a national inquiry into missing and murdered indigenous women and an action plan to address violence against aboriginal women - are aimed at "closing the gap" between aboriginal people and other Canadians. "First Nations are a major factor in this election," Mr. Bellegarde said. "Our voices matter, our priorities matter and our votes matter." Mr. Bellegarde later acknowledged his own refusal to vote might hurt his message "a little." Nevertheless, he still expects turnout among aboriginal voters to increase, due to social-media campaigns that are engaging young aboriginal people and education campaigns launched by the AFN and others.
  • "Out of respect for those old people, I think that's why I haven't voted." Such views are not uncommon among aboriginal peoples and are at least partly responsible for abysmally low turnout in elections. Elections Canada estimates that the average turnout for eligible voters on First Nations reserves is 44 per cent, well below the overall 61 per cent turnout in 2011. Pressed by reporters to explain how he hopes to encourage others to vote if he won't do it himself, Mr. Bellegarde suggested he'll "revisit" his decision to refrain from voting. But in an in... terview a short time later, he dug in his heels, stressing his need to remain strictly neutral so that he can work with whomever forms government.
  • The AFN has sent voting kits to all First Nations chiefs, with information on how to get ballot boxes to remote locations, the voting process and the new rules on identification each voter will need to produce. The Conservative government's Fair Elections Act requires every voter to produce two pieces of ID, one of which must include the voter's address. Experts have warned the proof of residency rule could disenfranchise hundreds of thousands of voters, particularly those on reserves where there are often no addresses. To overcome that new hurdle, which Mr. Bellegarde called "voter suppression," the AFN's voter kit includes a form letter that chiefs or band managers can sign to verify residency for eligible voters.
Govind Rao

It's time to add drugs to Medicare; Prescription drug plan would keep Canadians healthy... - 0 views

  • The Hamilton Spectator Tue Sep 1 2015
  • During my 30 years as a family physician practising in downtown Hamilton, many of my patients struggled with the cost of prescription drugs. I frequently found myself begging drug company representatives for "samples" to give to patients with inadequate or no drug coverage. Canadians spend more on prescription drugs than any of the 33 member countries of the Organization for Economic Cooperation and Development (OECD), except the United States. We're the only country with a universal health-care system that doesn't cover medications. In a recent Angus Reid Institute poll, one in four Canadians (23 per cent) reported that in the past year they or someone in their household did not take their medication as prescribed because of cost. The numbers are higher for younger adults, lower income Canadians and those with no or limited drug coverage. An overwhelming majority (88 per cent) agree that "Every Canadian - regardless of income - should have access to necessary prescription medication."
  • More than 100 health policy experts and health-care leaders from across the country have endorsed the Pharmacare 2020 campaign recommendations for a universal, single-payer, publicly accountable pharmacare program. And earlier this month, Hamilton's city council passed a motion calling on the provincial, territorial and federal governments to implement a universal pharmacare program. So what are we waiting for? The usual argument against universal pharmacare is that we can't afford it.
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  • However, according to a recent study in the Canadian Medical Association Journal, a universal public drug plan, one facilitated by the federal government and run by the provinces, would be cost-saving. Such a plan could provide coverage for all Canadians, ensuring access to the prescription drugs they need, while saving Canadians $7.3 billion a year - a 32 per cent reduction in total drug expenditures.
  • Individuals and businesses would save $8.2 billion while government expenditures would increase by $1 billion, which is considerably less than 1 per cent of current government expenditures on health care. The cost to governments could be even less because these figures don't account for the potential savings from reduced use of publicly-funded hospital and physician services resulting from improved access to safe, effective and appropriate medications. Let's stop for a minute and imagine: a social program that improves health and saves Canadians several times the added cost to the public purse. What's not to like?
  • A national pharmacare plan would yield substantial benefits for municipalities such as Hamilton. Approximately two-thirds of municipal employees in Canada, including those in Hamilton, receive supplemental health care insurance through their employer. In Hamilton, prescription drug coverage represents over half the cost of employee health benefits. Cities across Canada spend more than $500 million each year on drug plans. Imagine what it would mean to have that money available for other municipal priorities. Council's recent support of a national pharmacare plan clearly makes good economic sense. Hamilton has joined other cities across the country in its call for such a plan. Organizations and individuals are adding their voices through the Campaign for National Drug Coverage (www.campaign4nationaldrugcoverage). It's time to add prescription drugs to Canadian medicare. Dr. Brian Hutchison, Professor Emeritus of Family Medicine and Clinical Epidemiology and Biostatistics at McMaster University, is a retired family physician and is on the board of directors of Canadian Doctors for Medicare.
Govind Rao

Feds should focus on 'fiscal architecture'; Wealth redistribution has hurt some provinc... - 0 views

  • Toronto Star Tue Sep 1 2015
  • David MacKinnon admits he sometimes feels like a lone voice in the wilderness. Perched at his lakeside home in bucolic Prince Edward County, the respected former high-ranking bureaucrat in Ontario and Nova Scotia warns that Canada's crumbling "fiscal architecture" hurts the economy. The archaic way Ottawa redistributes taxpayers' money around the country - through the national wealth-sharing equalization program and federal transfers for health and social services - may in fact do more harm than good, he says.
  • "I'm a Maritimer and I've watched it all my life with great professional concern. What we've got is that several provinces now have no serious economic viability except for constant subsidies by other Canadians," said MacKinnon. His comments refer to handouts to Atlantic Canada from taxpayers in Ontario, British Columbia, Alberta and Saskatchewan.
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  • "We are dealing with programs or structures that are 50 years old and haven't been modernized very much over that entire time," said the P.E.I. native and former Ontario Hospital Association president. Yet even as MacKinnon pens worthy articles and reports for Policy Options magazine, the Fraser Institute and the Ontario Chamber of Commerce, he is mindful that such weighty issues get little traction before, during and after election campaigns.
  • And that, said the senior fellow at the Atlantic Institute for Market Studies think-tank, shortchanges voters - especially in Ontario. "What I don't think is yet understood in Ottawa is that Ontario has the least accessible provincial programming of all provinces. Fewer doctors in relation to population, fewer nurses, fewer judges - a whole range of issues when you go into education, into long-term care spaces."
  • MacKinnon said subsidizing Atlantic Canada - and to a lesser extent Quebec - "has done incalculable harm. "The system we've got makes sure that the part of the world where I come from is always going to be an economic disaster," he said. "How do we compete in the world with that nonsense going on? This is profoundly damaging Canada's productivity and its ability to compete in the world."
Govind Rao

Quebec health institute calls on province to cover psychotherapy - Montreal - CBC News - 0 views

  • Mental health advocate Michael Sheehan lauds report's findings
  • Jun 27, 2015
  • Teens can experience anxiety as they try to find their own way in the world.
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  • A Quebec report concludes psychotherapy is as effective as drugs for treating depression and moderate anxiety — and cheaper, with longer lasting results.
  • Sheehan lost a son to suicide, and he now leads a Quebec coalition aimed at improving access to psychotherapy.
  • However, with just one in three psychotherapists practising in the public sector, by far the majority of those benefiting from talk therapy either have private insurance or the financial means to pay for it themselves.
  • Quebec's commissioner for health and social welfare recommended in 2012 the government should insure more mental health services and offer more equitable access to psychotherapy. The health ministry mandated INESSS to undertake the assessment of the costs and effectiveness of psychotherapy compared to psychopharmaceuticals at that time.
Govind Rao

Empty beds push Alzheimer's home to brink; Owners of cutting-edge Alzheimer Centre of E... - 0 views

  • Toronto Star Thu Jul 9 2015
  • At a time when the number of people with dementia is rising, a state of the art home for Alzheimer's patients in north Toronto is on the verge of bankruptcy - because many of its beds are empty. B'nai Brith, which opened the home's doors to the public 18 months ago, has struggled to fill the 44 rooms and pay the bills despite $5.4-million funding from the federal government and the assistance of Western University's Ivey International Centre for Health Innovation.
  • As of two weeks ago, the home had $65,000 in reserves and a cash "burn rate" of $50,000 a month. It owes $11 million to creditors, including a bank, a construction company and firms that leased televisions, washing machines, DVD players, Nintendo Wii game systems and a karaoke machine, all part of the care package that families pay $7,500 a month to support. "Hopefully, someone else will come in and take the home over, and take it to the next level," new B'nai Brith CEO Michael Mostyn said in an interview.
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  • Now the four-storey retirement home is under insolvency protection and up for sale. Court documents prepared by the home's owner warn that if a solution is not found it would "jeopardize" the care of the handful of residents now living in the Alzheimer Centre of Excellence near Bathurst St. and Finch Ave. Meanwhile, bills are piling up.
  • Mostyn and others involved in the process stressed that the residents of the home are the priority in this process. Last fall, Mostyn replaced Frank Dimant, who ran B'nai Brith for 36 years and came up with the plan for the home. Dimant said it took too long to build and he mistakenly kept a sign up saying "opening soon," which led to a loss of confidence in the community as construction dragged on. Those funding the project became concerned. "My policy was always to beg and plead (with the bank) and try for another day," former CEO Dimant said in an interview. "Things caught up, I guess." The Alzheimer Society of Canada states that in 2011, the most recent figures on its website, 747,000 Canadians were living with Alzheimer's disease and other dementias.
  • Researchers predict that will rise to 1.4 million by 2031. Dimant said he spotted this trend years ago and he envisioned a "beautiful modern facility." B'nai Brith, known for community lodges, social housing, sports programs and its work combating anti-semitism, began designing the project in 2002. Some of the land was donated, some purchased. Donations were sought, and the federal government kicked in money, some of it earmarked for work done for the home by specialists in innovative health care at Western University. Western professor Anne Snowdon would not answer questions about the home, saying "we no longer have any affiliation with this organization."
  • Just before it opened in 2013, B'nai Brith issued a release promising to "offer new hope to families afflicted by the cruelty of Alzheimer's disease." "We understand you only want what's best for your loved one. And we truly offer the most caring approach to living with Alzheimer's. By offering cutting-edge programs. By collaborating on therapies at the forefront of Alzheimer's research. And by providing the highest quality of personal, loving care that makes the difference between living with the disease, and living."
  • The home boasts beautiful gardens, well-appointed private rooms, and round- the-clock care. "If you build it, they will come," said Dimant, acknowledging more should have been done to market the home before it opened. The other problems? Officials at B'nai Brith say the monthly charge - $7,500 - was too high. Then there were issues with the home. For example, none of the washrooms are wheelchair accessible. All residents must be able bodied, something that in hindsight was a mistake, officials say. The home opened in December 2013 with four residents. During Dimant's time it rose to 17. Recently, it has reached 20 residents. There are more staff than residents at the home, with 12 full-time staff and 20 part-timers.
  • nsolvency documents prepared by the home show that in February, the home wrote to the Bank of Nova Scotia to say it would be out of cash within two months and could not continue loan payments. Between then and now, the bank worked with the home (and then the insolvency trustee) to come up with a plan to sell the home. The home cost about $16 million to build and outfit. There were numerous work stoppages, cost overruns, and some legal action regarding unpaid contractors bills over the lengthy construction process. A selling price has not been set for the home. B'nai Brith's Mostyn said he is committed to returning his organization to the community work it has done so well over the years. "My goal has been to modernize the way the charity conducts its business. That means taking advantage of new technologies and improving on the many grassroots initiatives and community services that B'nai Brith provides, like our principled advocacy initiatives, sports leagues, food basket programs and affordable housing," he said.
Govind Rao

New Pugwash hospital still in holding pattern - Local - Cumberland News Now - 0 views

  • July 09, 2015
  • The new hospital will be the first one purpose built as a Collaborative Emergency Centre. Visitors would enter one door and have access to many services including emergency care, radiology, labs, physiotherapy, occupational therapy, family physicians and the East Cumberland Lodge.
Govind Rao

Work Overload: Time for a Union Strategy | The Bullet No. 1158 - 0 views

  • September 6, 2015
  • Michael Hurley and Sam Gindin
  • If unions can't affect something as basic as the daily oppression of overwork and its link to injuries and constant physical and mental exhaustion, it's all the less likely that they can develop member confidence in broader collective action.
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  • Amazon
  • Unions taking on workloads can also lead to securing support from the unemployed.
  • At the same time, the heavily increased workloads in the provision of healthcare, education, and social welfare translate directly into the declining quality of services to the public.
  • was expressed inside the workplace as ‘lean production’.
Govind Rao

VIHA needs to be pushed for more beds - Infomart - 0 views

  • Alberni Valley Times Fri Sep 11 2015
  • Re: 'Care facility in Tofino unlikely' AV Times Page 3, Sept. 4 The tone in the comments of VIHA spokesman Suzanne Germaine as quoted in the Friday edition of the AV Times (an article reprinted from the Westerly News), are enough to raise the hackles of anyone in the Alberni-Clayoquot Regional Health District. She says VIHA must "focus its limited budget on areas of greatest need." I guess we should not be surprised that, in VIHA's estimation, the needs of Nanaimo and Qualicum continue to trump the needs of Port Alberni and Tofino.
  • These remarks display their complete ignorance of the geographical, cultural and social differences between Nanaimo-Qualicum and Port Alberni-Tofino. It's easy to sit in an office in Victoria and figure that funding care beds in Nanaimo and Qualicum should pacify residents here. Ms. Germaine states that VIHA is funding services to "allow folks to live at home for longer." That's all well and good, but there comes a time when living at home is just too much strain for the family and outright dangerous for the patient, and that is when a care facility must be available. In Nanaimo and Qualicum the median income levels are higher than here, there are those who can afford private care beds at $5,000 to $7,000 per month, and private facilities are available. Private care homes do not exist here. The only care homes in this regional health district are those that VIHA will fund.
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  • Unfortunately Tofino Mayor Osborne seems resigned to this arbitrary verdict that no care beds will be funded for Tofino. Rather than complaining that she's on a hamster wheel, she should stand up and fight VIHA for equitable health care for West Coast citizens. It's time that VIHA provide adequate levels of care for our area, and a good start would be to fund more care beds in this area, for citizens of this area. To alleviate overcrowding in our hospital, to serve our aging population -VIHA will you listen? Bev Denning Port Alberni
Govind Rao

Nursing home workers present minister with petition against P3 - Infomart - 0 views

  • Miramichi Leader Wed Sep 23 2015
  • Apparently unmoved by a commitment from senior government officials to work hard to ensure their wages, benefits, pensions and job security is protected once a new privately operated nursing home is built in the city, unionized nursing home staff took to the streets in protest once again on a chilly Monday morning. Dozens of workers clad in their now-familiar, red anti-P3 shirts marched down Water Street from the Miramichi Senior Citizens Home to the constituency office of Tourism Minister Bill Fraser with Twisted Sister's "We're Not Gonna Take It" providing the soundtrack. This latest demonstration comes just days after Social Development Minister Cathy Rogers and Fraser, the Liberal MLA for Miramichi, said they were committed to doing whatever they could to address some of the labour-related concerns that have been front and centre since the 240-bed facility was announced in May.
  • Nurses and support staff from Mount St. Joseph Nursing Home and the Senior Citizens Home have been worried that the transfer to the new private building will mean they will have to start their careers from scratch and compete for jobs in a wider pool of candidates despite have decades of experience in some cases. They have been vocal about these issues throughout the summer and after Fraser eventually emerged from his officer a little before 11 a.m., the demonstrators quickly presented him with a petition signed by 10,000 people who are against instituting a P3 model in the new home. Fraser spoke to the group gathered outside his office for several minutes and committed to presenting the petition in the legislative assembly on their behalf.
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  • Wayne Brown, the president of the New Brunswick Council of Nursing Home Unions, which falls under the Canadian Union of Public Employees umbrella, said the members of the locals representing the two nursing homes don't plan on going away without assurances their issues will be dealt with. "We're getting more and more pressure on him and I know he has to tow the party line but he also has to step up to the plate for those folks who are his constituents," Brown said.
  • "So we're certainly not done yet - it all hinges on that RFP that is coming out and my feeling is that they are certainly revisiting that RFP, so maybe they're looking at something ... hopefully they will blink on this one because there are ways for them to save face." During a town hall meeting organized by government officials in Miramichi last Thursday, Rogers and Fraser stopped short of guaranteeing the union concerns would be addressed in full.
  • Fraser said he would like to engage in deeper dialogue with officials from the Senior Citizens Home about how they could partner up to help ensure that programming like Meals on Wheels and adult daycare are enhanced in the transition to the new place. In terms of the labour concerns, Fraser said the government team is "well aware" of them and said high-level discussions have taken place to discuss how to mitigate some of them and potentially work some of them into the RFP.
  • But on the P3 model, he said the government has to make strategic changes to the way it has traditionally done things in order to trim expenditures and free up efficiencies. The government has made a commitment to building any new nursing homes moving forward using a P3 model and it just so happens that the Miramichi facility is first in line for this new way of doing things. That setup, he stressed, allows the government to dictate the standards of care without adding to its financial burden and it is clear the province doesn't have any current plan to back away from that strategy.
  • Fraser said people have to "get past the fact that we're going to an RFP" for the new nursing home. "The province is in a fiscal situation that is at the brink - the interest payment on our debt alone is in excess of $650 million a year ... that's not the debt, that's the interest payment," Fraser said.
  • "Think of the good things we could do if we could get that under control, and this home would not be possible any other way without going through the RFP process to ensure the best economic return on our dollar and for the best care, safety and comfort of our seniors." There are presently three private nursing homes in New Brunswick and all of them are operated by Shannex. Fraser said the main reason the province is committing to this project is to alleviate some of the strain being put on the delivery of front-line health services at the Miramichi Regional Hospital, where many seniors are forced to reside until a new nursing home bed opens up. He said the community "needs to come together" on this.
  • But both ministers said they were actively listening to what the workers were saying and would attempt to work some of those issues into the request for proposals which will ultimately lead to the proponent that will build and maintain the home. Speaking last Friday, Fraser said once again he understands how staff would be nervous about the situation given that a new entity will be coming in to run the new building.
  • "Are we going to guarantee everything? Probably not, but are we going to do our best to address as many of the issues as we can? Absolutely we are," he said. "Because at the end of the day we want our residents to be cared for by people they know in an environment they love, and I'm confident that's going to happen." As for the CUPE membership, Brown said they aren't willing to compromise on the issues they've outlined and he hopes the government understands why.
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