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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
Doug Allan

Quinte West politician pushes for split - Infomart - 0 views

  • QUINTE WEST -- Sickened by service cuts, a Quinte West politician says the city should move even harder to get Trenton's hospital out of the QHC.
  • Coun. Sally Freeman made the comments following Tuesday's Ontario Health Coalitionbacked rally at Queen's Park.
  • Dozens of city residents rallied alongside hundreds of people from 10 other jurisdictions.
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  • "The bottom line is we've lost control of the hospital and we want it back," said Mayor John Williams, who was at the rally .
  • "We'll move even harder at de-amalgamation now," said Freeman. "It appears as though single hospitals like Campbellford and Northumberland Hills are getting a better deal."
  • "Our goal is to have more control over TMH whether it's the complete separation or developing a new model while staying in the QHC," said the mayor.
Doug Allan

Return to old-fashioned healthcare service wanted - Infomart - 0 views

  • At a time when most of the patients should have been settling for the night, there was much loud laughing and talking, I presumed at the nurses' station. No one was visible in the hall and when I had to ring the bell to tell them the patient in the other bed, who was on oxygen and a catheter, was trying to get out of bed there was no response. I had to go to the door where a Loyalist student nurse saw me and responded and got attention for the other patient. During the day the staffing was adequate and good.
  • I understand as one of the cost-cutting measures they are laying off maintenance staff; this when they cannot now keep halls free of debris and no real cleaning is being done
  • The condition of the medical floor is deplorable. It is literally crumbling. Does that mean it is next for expensive upgrades?
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  • This has gone too far. BGH has built and is still adding to its "Taj Mahal" at the expense of Trenton and Prince Edward County hospitals
  • The theory offered to offset the loss of beds in Trenton and the county is that there will be home-care and doctors' home visits; that's pie in the sky.
  • availability of such services is not there
  • There are still shortages of spaces in nursing homes for people who need 24/7 care.
  • They could lower their expenses greatly from needing to fight in-house bugs by employing full-time cleaning staff who have personnel available to ensure maximum cleanliness everywhere in the hospital at all times.
  • This includes the prompt cleanup and sanitizing of any area where a mishap may occur; such things are frequent in any nursing facility. Such staff should not be on a contract basis but full-time employees with benefits
  • Reinstate in-hospital food preparation and hopefully a full cafeteria offering healthy locally grown food to patients, staff, day patients and visitors.
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    Quinte hospital complaints pick up man CUPE issues
Govind Rao

Budget cuts slice staff at Quinte Health Care | CKWS TV - 0 views

  • March 04, 2015
  • THE LAYOFF AXE IS FALLING AGAIN AT QUINTE HEALTH CARE
Govind Rao

Liberal government cuts of $11.5 million to Quinte Health Services will devastate hospi... - 0 views

  • Liberal government cuts of $11.5 million to Quinte Health Services will devastate hospital programs in the region23/November/2015 10:20 AM
  • Toronto ON- “Plans to cut hospital budgets in Picton, Trenton and Belleville by 11.5 million dollars will endanger patient care” said Michael Hurley, President of the Ontario Council of Hospital Unions/CUPE. “The 84 staff positions eliminated and the program cuts across Quinte Health Care (QHC) will leave the Trenton hospital a shell ready for closure, shift services to Kingston where access is already a pressing issue and privatize and slash already threadbare hospital services to an unsustainable level,” Hurley said.
Doug Allan

TMH will forge ahead to separate - Infomart - 0 views

  • Mayor John Williams said Wednesday the city will forge ahead with an attempt to get Trenton Memorial removed from Quinte Health Care.
  • Fed up with the latest rounds of service cuts at TMH, Quinte West queued up behind a group in Prince Edward County calling themselves Patriots of our County Hospital, or POOCH, demanding local hospitals be yanked out of QHC.
  • Williams said the city will take a different tact. That means preparing a business case and presenting it to the southeast Local Health Integration Networks.
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  • But officials with POOCH received bad news Tuesday when provincial Health Minister Deb Matthews let it be known the hospital in Picton would not be de-amalgamated any time soon.
  • "We were told to state our case to the LHIN," said Williams.
  • "If we can't de-amalgamate, then we want to have more control over the decision making when it comes to TMH," he said. "And were not talking about forming another advisory committee. Those clearly haven't worked in the past. The thing is we want something with some real teeth."
  • City officials and medical staff who work at the hospital say TMH is on the verge of becoming nothing more than a first aid post.
  • Since the formation of the QHC, dozens of beds have closed and staff laid off.
  • As for services the hospital has lost its ICU, obstetrics, special care beds and its laboratory.
Doug Allan

Wait times worrisome - Infomart - 0 views

  • Government funding that is falling short of the increasing demand for certain surgeries sought locally has been blamed for the mounting wait times for several procedures including knee operations, hip replacement and cataract surgeries.
  • Trenton Memorial Hospital has the dubious honour of having the longest wait times for cataract surgeries in South East Ontario. Part of the problem involved Trenton losing funding that equated to costs for roughly 150 cases, creating a dilemma for ophthalmologists who book surgeries months in advance.
  • This week, QHC board member Doug McGregor confirmed the network is struggling to "try and live within the allocated volumes."
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  • "It's difficult to absorb the (cost) volumes," McGregor said about QHC offsetting the additional cost. He said ongoing funding cuts could "quite possible be a greater problem in coming years."
  • Last year, slightly more than 20,000 cataract procedures were completed in Trenton. The current wait time is 136 days, which falls below the provincial average of 142 days. The LHIN target is between 91 and 100 days. The network was funded for 219 hip (reduction of one from previous year) and 481 knee (10 less than previous year) procedures over the past year. Average wait times here, for both those procedures (hips 141 days and knees 138 days) fall below the provincial average.
  • "We are anticipating we will receive funding for about the same number of hips and knees as we had in 2012/13, but exact numbers have not been confirmed," QHC spokesperson Susan Rowe.
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    Quinte Cuts -- fights over allocations of surgeries
Doug Allan

Ambulances stretched to max - Infomart - 0 views

  • A rising workload means ambulances are not able to reach all emergency patients within provincial response times, Hastings-Quinte Emergency Medical Services Chief Doug Socha said, adding the only solution is more staff.
  • He said the service is stretched to "maximum capacity," and not only will some rural residents not get an ambulance during peak times, but Hastings County is paying thousands of dollars in overtime wages as well.
  • The "critical" problem isn't so much the current situation as the risk related to future calls, he said. Paramedics are busiest in the region's urban centres--and last year their response times actually improved.
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  • Socha said staff have shuffled crews and ambulances to maintain coverage during peak times, but extra funding for more staff is the only remaining solution.
  • Part of the problem, Socha said, is more people are using ambulances. Calls increased by seven per cent and life-threatening calls by 11 per cent from 2011 to 2012. Inter-facility transfers of life-threatening cases rose by 27 per cent.
  • Socha said the only hope of improvement is more staff. He's proposed a $750,000 enhancement plan which county council on Thursday agreed to consider at this month's annual budget talks.
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    "The only hope of improvement is more staff."
Heather Farrow

QHC, Nurses' Association differ on cuts | The Belleville Intelligencer - 0 views

  • May 11, 2016
  • The fates of some Quinte Health Care employees remain in limbo while executives await more information from Ontario’s health ministry. And while QHC executives describe staffing talks as saving jobs, the union representing registered nurses continues to predict it will be bad for patients. President and chief executive officer Mary Clare Egberts announced in November the corporation needed to cut $11.5 million from its 2016-2017 operating budget. To cope, senior staff and the board implemented an unprecedented reorganization of staffing across their four hospitals in Belleville, Picton, Bancroft and Trenton. They proposed slashing 162 positions of which 38 were vacant. The plan also called for the creation of 78 other jobs, with a net loss of 84. The figure was a worse-case scenario in which no staff accepted buyouts or moved within QHC.
Govind Rao

Cleanliness of Canadian hospitals 'less than optimal,' survey finds | canada.com - 0 views

  • Dr. Dick Zoutman, seen Quinte Health Care in Belleville, Ont., is an infectious disease specialist and professor in the school of medicine at Queen’s University in Kingston, Ont.
  • March 31, 2014
  • Nearly 40 per cent of hospital infection control experts believe their hospital is not clean enough to prevent spread of the toxic gut infection C. difficile and other potentially lethal organisms, a national survey has found. About one-quarter million Canadians will be sickened this year with an infection they pick up in hospital, and death rates from highly drug-resistant microbes are rising. Yet the new survey found that just 62 per cent of lead infection control staff believe their hospital is sufficiently clean. “We’re just not achieving the results we need,” said the study’s lead author, Dr. Dick Zoutman, an infectious disease specialist and professor in the school of medicine at Queen’s University in Kingston, Ont. The findings come from an online survey completed in 2012 and the first half of 2013 by infection control professionals at 119 hospitals nationwide. The survey was designed to assess how well infection control programs collaborate with environmental services — the people responsible for disinfecting patient rooms.
Govind Rao

Quinte News - QHC operations budget announced - 0 views

  • Tue, Apr 28th
  • 26 full time and 27 part time registered nursing positions are being slashed in an effort to save $6 million.
  • Although there are numerous RN layoffs expected, there will be also positions made for Registered Practical Nurses and Personal Support Workers.
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  • They, along with RN’s will work together in a team model, looking after as many as 15 patients at one time.
  • An RN can make up to $43.50 an hour, an RPN about $28 an hour and a PSW makes up to $22 an hour.
  • A total of about 83 positions in total will be effected. The QHC board has anticipated a $12 million shortfall between expenses and funding (including inflation). QHC has also received verbal confirmation they will receive funding, likely in the $6 million range, from the Ministry of Health. There is also a concern that they will have to dip into their line of credit to make payroll.
Govind Rao

Traffic in ORs open door to infection: study; Complications alert - Infomart - 0 views

  • National Post Wed Sep 23 2015
  • New Canadian research is revealing an alarmingly high rate of human rush-hour-like traffic in operating rooms, possibly exposing patients to potentially "disastrous" bacterial infections with every swing of a door. Quebec researchers who secretly recorded how often staff entered or left an operating room during 100 hip or knee replacements - which require a "particularly aseptic environment" - found the doors were opened as many as 176 times during a single surgery.
  • Overall, there were about 71 door openings per surgery. With the average surgery lasting 112 minutes, this means a door opened every 1½ minutes. "I expected the number to be high, but not quite that high," said lead author Dr. Martin Bédard, an orthopedic surgeon at Hôpital de l'Enfant Jésus de Québec.
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  • Frequent door openings can disrupt the positive-pressure airflow system in the OR, "possibly introducing more bacteria into the OR and potentially contributing to contamination of the wound," Bédard and his co-authors write in the Canadian Journal of Surgery. The "bacterial count" in an OR is directly proportional to the number of people in the room, and the more people in the room, the more traffic flowing in and out. "As a surgeon, infection is your worst complication," Bédard said in an email interview. "It is clear that bacteria are brought into the operating room by the OR personnel and can potentially cause surgical wound infections. The best way to monitor traffic is to count door openings."
  • Some people had valid reasons for leaving the OR - to retrieve an instrument or joint component, for example. But others left to "chat with a friend" in the hallway, ask questions not related to the case or to get personal items, Bédard said. Entering an OR should be viewed as "a privilege and not a right," he said. "Before entering any OR, OR personnel should ask themselves this question: Is my presence really beneficial to the patient?" While the study focused on joint replacements, Bédard believes the findings likely apply to other surgeries as well.
  • A leading infectious-disease specialist said the volume of surgery traffic startled him. More than 200,000 Canadians get infected in a healthcare institution each year, and surgical site infections account for about a third of all hospitalacquired infections.
  • "The misery - because I see a lot of these patients - is significant," said Dr. Dick Zoutman, a professor at Queen's University in Kingston and chief of staff at Quinte Health Care in Belleville, Ont. Hip and knee replacements are among the most frequently performed operations in Canada, accounting for more than 104,800 surgeries combined in 2012-13, says the Canadian Institute for Health Information. According to the Quebec researchers, "Infection following total joint arthroplasty remains a disastrous complication for both the patient and surgeon." The cost to treat an infected prosthetic joint can reach $60,000.
  • "Once the bacteria are in contact with metal, it is very difficult, if not impossible to eradicate with antibiotics alone," Bédard said. Infections require repeat surgeries and, sometimes, temporary removal of the prosthesis in order to sterilize the knee. While the individual risk of infection is low - about one to two per cent - "one per cent times thousands of surgeries per year is not insignificant," Zoutman said.
  • Patients are frequently given antibiotics before surgeries and airflow systems push air away from the surgical wound to help prevent infections. But, like Pigpen in the Peanuts comic strip, humans "slough off " millions of cells from the skin's surface, Zoutman said. "The staff are gowned and gloved. But the patient is there, giving off their skin cells as we yank and pull and do the surgery ... we all know from the Pigpen theory of infectious diseases, the more people in the room, the greater the risk."
Govind Rao

Surgery Cuts at Trenton only the start, as the Health Care Tomorrow project prepares th... - 0 views

  • 14/August/2015
  • Ottawa, ON –Cuts in surgery rumoured to come in 2016 are only the beginning as the Health Care Tomorrow project ( a collaboration of Brockville General Hospital, Hotel Dieu Hospital in Kingston, Lennox and Addington County General Hospital, Kingston General Hospital, Perth Smiths Falls District Hospital, Providence Care and Quinte Health Care ) prepares the ground for cuts to emergency and acute care services in smaller communities, the Ontario Council of Hospital Unions/CUPE charged today.“ Consultations held across the catchment area of these hospitals earlier this year promoted the idea that smaller communities should not expect a full range of hospital services. The latest announcement suggests that the push to integrate these institutions and cut, consolidate and privatize programs and services will intensify and will do that without meaningful public consultation, “ said Louis Rodrigues, First vice-president of the Ontario Council of Hospital Unions/CUPE.
Govind Rao

Province cutting hospital funding | The Belleville Intelligencer - 0 views

  • August 31, 2015
  • Inefficient operation will soon lead in part to funding cuts for three southeastern hospital corporations, Quinte Health Care among them. The size of those cuts, however, depends upon the intervention of the South East Local Health Integration Network (LHIN). The LHIN’s chief executive officer, Paul Huras, said Monday the cuts will affect QHC, Kingston’s Providence Care and Brockville General Hospital. It could also affect Kingston General “minimally,” he said.
Govind Rao

South East LHIN's announcement of $21 million budget cuts to area hospitals will endang... - 0 views

  • 04/September/2015
  • Toronto ON- “The announcement by the South East LHIN that it plans to cut hospital budgets in the region of the province that includes Brockville, Perth/Smith’s Falls, Kingston, Quinte, Picton, Trenton and Belleville by $16 to $21 million dollars is staggering and will ultimately endanger patient care” said Michael Hurley, President of the Ontario Council of Hospital Unions/CUPE. “This announcement comes on top of 4 years of budget cuts, which have reduced these hospitals budgets by 24% in real terms,” Hurley explained.
  • Hospital across the South East LHIN are cutting services in the face of a 5-year funding freeze imposed by the provincial Liberal government. An Ontario’s Auditor General report quotes studies which estimated that hospitals need a 5.8% increase in funding each year just to keep pace with the costs of drugs, medical technologies and doctors’ salaries which are rising faster than the general rate of inflation. The freeze has cut hospital budgets by 24% in real terms. Ontario hospitals were already the most efficient hospitals in the country with the fewest beds and staff and the shortest lengths of stay going into the budget freeze. Ontario spends $350 less per capita than any other province in Canada.
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  • We can predict that beds and services will close as a result of funding cuts of this magnitude. Access problems will intensify and quality of care will deteriorate further. Women and the elderly will be hit hardest. The hospital staff that we represent will plan a stiff resistance, including demonstrations, rallies, lobbying, advertising and public engagement,” said Hurley.
  • Ontario’s Liberals dropped the corporate income tax rate to one of the lowest in North America, and economists estimate that the province has lost nearly $20 billion in revenue. This drop in tax revenue triggered austerity in provincial expenditures including a 5-year funding freeze for Ontario hospitals, already the worst funded per capita in Canada. “ Ontario’s hospitals are the least expensive and most efficient in the country and they are starved of operating revenue. It’s time for the provincial government to reverse the deep cuts it has made in hospital budgets in Ontario. The announcement of budget cuts of $20,000,000 to hospitals in the South East LHIN is surely an indicator of how bad the situation has become,“ said Hurley.
Govind Rao

Access top priority for health care: LHIN survey | The Belleville Intelligencer - 0 views

  • By Luke Hendry, The Intelligencer
  • June 23, 2015
  • Patients and health care workers agree on some of the top priorities for the health system, a regional survey has shown.
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  • Quinte residents accounted for more than one-third of participants in last month’s study by the South East Local Health Integration Network (LHIN). The Health Care Tomorrow survey on hospital care showed patients’ top priority was access to care, such as shorter waits for emergency care and for diagnostic procedures.
Govind Rao

Health care cuts protest held in Cobourg - 0 views

  • Dec 18, 2014
  • MP said health spending has increased
  • COBOURG -- Fears over the perceived privatization of health care in Canada spurred a recent protest.
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  • Organized by the Northumberland Labour Council, the Fairness for All protest, in front of Northumberland-Quinte West MP Rick Norlock’s Cobourg office on Dec. 5, focused on cuts to health care and the loss of the Health Accord.
  • “We want the health accord renewed,” said Chris Leavitt, political action chairman for the Northumberland Labour Council.
Govind Rao

Community rallies for its hospital - Infomart - 0 views

  • North Bay Nugget Mon Nov 16 2015
  • The cold front that blew into the region Friday is nothing like the cold shoulder that hundreds of people gave the provincial government. More than 600 health care workers and residents were at Friday's rally in Trenton's Centennial Park protesting cuts to health care. Bus loads of unionized health care workers from across central and eastern Ontario descended on the park to attend the first in a series of four Ontario Health Coalition rallies being held across the province.
  • The health coalition and Canadian Union of Public Employees (CUPE) are organizing a Take Back Our Hospital Rally for noon Nov. 30 at Lee Park in North Bay. Natalie Mehra, executive director of the Ontario Health Coalition, stated previously the public is concerned about cuts at the North Bay Regional Health Centre, where 158 full-time equivalent jobs are being eliminated. Mehra said the recent cuts are among the worst in Ontario. "This routine of unstable funding and continuous cuts has to be stopped," she said during a teleconference town hall last month in North Bay in which more than 4,300 people participated.
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  • Mehra said the rally will show hospital executives and politicians at Queen's Park the community's strength and commitment to public health care. Beleaguered Trenton Memorial and other small, rural hospitals including Northumberland Hills Hospital were the focus of attention during the rally cut short Friday by blustery winds and falling temperatures.
  • "Small and rural hospitals like TMH can not survive another two more years of cuts. Hospitals in small towns are teetering on the brink of disaster," said Mehra. That drew an angry response from the crowd of "no more cuts." Despite the weather conditions, the crowd was upbeat as one speaker after the other slammed the provincial Liberal government. Louis Rodrigues, president of the Ontario Council of Hospital Unions, said funding cuts are shredding services. "All of us are here today demand the restoration of services, and services that have been shuttered in small communities. We're also here to demand that full service be restored at Trenton Memorial," said Rodrigues.
  • Again the crowd broke into the "not more cuts" chant. "We are all united in pushing back against a provincial Liberal government that is attacking our hospitals in our communities. We are here today to demand an end to the funding freeze that is choking the life out of our hospitals," said Rodrigues. Vicki McKenna, provincial vice-president of the Ontario Nurses Association, kept the crowd riled up.
  • "Health care in this province is under attack. We will have to fight for it in order for it to stay. It seems to be the easy thing to do -to slowly cut bits and pieces out of the health care system so that our hospitals are left as skeletons. It's not acceptable to me as a registered nurse and it's not acceptable to communities. Our communities need to be strong and continue to stand up and do anything they can because if they don't health care will not be there for you," said McKenna. Northumberland-Quinte West MPP Lou Rinaldi was singled out for not being at the rally. "He likely didn't have the guts," said a protester standing in the crowd. But neighbouring Conservative MPP Todd Smith had plenty to say.
  • Smith said the No. 1 priority he hears from people across the region is they want good access to health care and they want it close to home. "They don't want to have to travel to Kingston or Ottawa for services," said Smith. Smith slammed Liberals for misspending public money on gas plant scandals, payouts to teacher unions and the sell off of Hydro One. "It's not good news for health care that priorities are not being placed in the right place," said Smith.
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