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Heather Farrow

CMA head vows to act on climate change; President says physicians have heard MSF founde... - 0 views

  • The Globe and Mail Tue Aug 23 2016
  • Climate change is the "greatest global health threat of the 21st century," so it is incumbent that physicians take a stand to protect their patients, one of the world's leading human-rights advocates says. "Responding to climate change is not just a scientific or technological issue," James Orbinski, a founding member of both Medecins sans frontieres (Doctors Without Borders) and Dignitas International, told the general council of the Canadian Medical Association in Vancouver on Monday. "It's time for the CMA to step up and step out, to be genuinely courageous on climate change," he said.
  • Cindy Forbes, president of the CMA, said the message was heard loudly and clearly by physicians. "We heard clearly about the absolutely critical need for action to address the very real and growing effects of climate change," she said. "As a nation and as a planet, we cannot ignore climate change." Dr. Forbes said the CMA has a long-standing concern about the impact of climate change on health both globally and domestically but, given the seriousness of the issue, needs to do more.
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  • She said a lot of work is already being done by Canadian physicians but the CMA "is committed to finding the best way to support efforts that are taking place from coast-to-coastto-coast." Dr. Orbinski presented delegates with a grim catalogue of the health impacts of climate change, including a rise in infectious disease, drought and rising water levels that cause mass displacement, and even violent conflict. But, worst of all, he said, "climate change is a threat that magnifies other threats." Dr. Orbinski cited the example of the Darfur region of Sudan, where tensions between farmers and herders over disappearing pasture and evaporating water holes have degenerated into violent clashes and civil war.
  • "You will do anything to feed your children, even if it means going to war," he said. Darfur is often described as the world's first climate-change war, but there could be many more to come, Dr. Orbinski warned. He noted that the world is in the midst of an unprecedented refugee crisis - with 60 million people worldwide displaced - and increasingly those mass movements are driven by drought and climate change. For example, 29 million people are now on food assistance in southern Africa. "The No. 1 health issue there is no longer AIDS; it's drought." Dr. Orbinski, who currently holds the research chair in global health at the Balsillie School of International Affairs in Waterloo, Ont., said that while climate change disproportionally affects developing countries, especially the poor and marginalized, even wealthy countries such as Canada are not immune from the devastation wrought by climate change.
  • The rate of increase in temperature in Canada is two times higher than the global average," he said, and that will have dramatic impacts, especially in the Far North and the country's coastal regions. "There are real questions about the viability of Vancouver as a city due to rising sea levels in the coming decades," Dr. Orbinski said. A study published in 2008 by the Canadian Medical Association estimated that 21,000 Canadians die prematurely each year due to air pollution. (Worldwide, there are eight million preventable deaths attributed to bad air.)
  • The rise of carbon dioxide emissions, caused largely by the burning of fossil fuels, is one of the principal drivers of climate change. With the global population increasing by one billion people every 13 years, "we're going to see massive increases in CO2 emissions unless we take radical action," Dr. Orbinski said. The Canadian Medical Association, which represents the country's 83,000 physicians, is holding its 149th annual general council meeting in Vancouver this week.
Govind Rao

Public fears senior care's future; Poll finds few are confident that the system is set ... - 0 views

  • The Globe and Mail Mon Aug 24 2015
  • Canadians are rapidly losing faith in the ability of the health system to provide care for their aging loved ones and they want the federal government to step up and find solutions, two new public opinion surveys show. Fewer than one in four believes there will be adequate home care and long-term care facilities, and just one in three thinks there will be sufficient hospital beds available to meet their basic medical needs as they age, according to a poll commissioned by the Canadian Medical Association. At the same time, three in five of those surveyed do not feel they are in a good position - financially or otherwise - to care for aging family members in need of long-term health care.
  • The CMA, which represents Canada's 80,000 physicians, residents and medical students, is holding its annual meeting in Halifax this week, and it is using the occasion to press all federal parties to commit to adopting a national strategy on seniors' care. "We don't want little election goodies with a seniors' theme; we want a commitment to a long-term strategic plan," Dr. Chris Simpson, president of the CMA, said in an interview. "Everyone already has horror stories in their families, and when they hear the doomsday stats, they really get worried about the future," Dr. Simpson said. "Seniors' health care is an issue that is really starting to resonate across the generations."
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  • A second poll, commissioned by the Canadian Alliance for Long Term Care (CALTC), found that just 18 per cent of citizens believe that hospital and longterm care homes would be able to meet the needs of the aging population, and only 20 per cent think there will be enough trained staff to provide adequate care. The CALTC survey also showed that the top three concerns about the health-care system are long wait times for surgery, lack of access to long-term care and insufficient home-care services. Candace Chartier, chief executive officer of the Ontario Long Term Care Association, agreed that public angst is growing. "How we are going to care for our aging population is the No. 1 concern of Canadians," she said. "The public realizes what's coming down the pipeline and they're frustrated that governments aren't reacting." In fact, both polls showed that voters want the federal government to take a leadership role on seniors' care, but they also realize this has to be done in conjunction with the provinces.
  • In the survey conducted for the CMA, 89 per cent said the next prime minister needs to make addressing the health needs of Canada's aging population an "urgent priority," while the CALTC poll found that 93 per cent believe Ottawa has an obligation to ensure Canadians have equitable access to care, regardless of where they live. A significant number of those surveyed, 57 per cent, said that how they vote in the Oct. 19 federal election will depend, at least in part, on which party has the best plan to address seniors' health care. Seniors now represent 15 per cent of the population, up from 8 per cent in 1971. By the time all of the baby boomers have reached 65, they will make up an estimated 25 per cent of the population.
  • While this demographic shift is having an enormous impact on demand for services, the health system has been slow to adjust and is struggling to keep pace. The result is seen, among other things, in the rationing of home care, ever-worsening shortages of nursing home and longterm care spots, hospital beds filling up with frail seniors with nowhere else to go, inadequate hospice and palliative-care services, and stubbornly long wait times for surgery.
  • Dr. Simpson stressed that the answer to these woes is not necessarily more money but delivering care differently by, for example, shifting spending from institutional care to home care, and placing much more emphasis on prevention. "Seniors today want to age well at home and in the community, and health-care professionals (and politicians) need to tune in to those aspirations," he said. The CMA poll, conducted by Ipsos Reid, surveyed 2,008 Canadian adults between July 20 and 24. It is considered accurate to within 2.5 percentage points, 19 times out of 20. The CALTC poll, conducted by Nanos, surveyed 1,000 Canadian between June 18 and 20. It is considered accurate to within 3.1 percentage points, 19 times out of 20.
Govind Rao

Doctors call for national seniors strategy; Better service for aging population require... - 0 views

  • The Globe and Mail Tue Aug 25 2015
  • Reshaping the health system to deal with the onslaught of aging baby boomers is urgent and needs to be a political priority, the head of the Canadian Medical Association says. "Addressing the growing and evolving health-care needs of Canada's aging population is one of the most pressing policy imperatives of our time," Dr. Chris Simpson told a news conference on Monday at the CMA's annual meeting. "The country must act now to create a health strategy to ensure that all seniors have access to effective, integrated, affordable care." He made the comments as the CMA, which represents the country's 80,000 physicians, residents and medical students, unveiled what it called a "policy framework to guide a national seniors' strategy for Canada."
  • The 33-page document calls for significant changes across the health-care continuum to make care more seamless and seniorfriendly in the following areas: Wellness and prevention: Pay attention to the social determinants of health and ensure seniors have adequate income, housing, food security and social connections to keep them in the community. Primary care: Ensure seniors have a primary-care provider and a co-ordinator of their chronic-care needs. Home care and community support: Provide sufficient longterm home care and support for unpaid caregivers. Acute and specialty care: Address the lingering issue of wait times for surgery and deal with the "alternate level of care" problem - seniors living in hospitals because they have nowhere else to go.
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  • Long-term care: Invest in infrastructure so there is an adequate number of beds, and so they are affordable, particularly for seniors with specialized needs, such as those with dementia. Palliative care: Promote advance-care planning and ensure everyone gets palliative care at the end of life. In a wide-ranging discussion, delegates to the CMA meeting identified a number of specific issues that are hampering the provision of care to seniors with chronic health conditions, such as the lack of electronic health records, the way health-care delivery is siloed in Canada, the absence of pharmacare, physician payment schemes that reward volume rather than quality of care, the lack of training in geriatrics and a lacklustre commitment to patient-centred care.
  • The overarching theme was that if care is going to be improved for the burgeoning population of seniors, it must begin with better co-ordination. Dr. David Naylor, who headed the federal Advisory Panel on Healthcare Innovation, also stressed this as an essential element of reform. In a keynote address to the CMA meeting, he said that while Canadians love their medicare system - at least in theory - the reality is that "the scope is narrow and performance is middling." Dr. Naylor said the main reason Canadians don't get good value for money when it comes to health spending is a lack of co-ordination of care. "The critical factor is integration of services," he said.
  • Right now, far too many patients, especially seniors with chronic conditions, are being cared for in hospitals rather than in the community and their care is disjointed, the CMA's report notes. Fixing that will, among other things, require a reorganization of roles between various health professions, including physicians, nurses and pharmacists. "All health-care professionals are going to have to do their bit to deal with this grey tsunami," he said, stressing that many innovative solutions have been put in place across the country, but they are too rarely scaled up.
  • Dr. Naylor said policy-makers, and federal politicians in particular, need to take a leadership role to ensure this happens. Dr. Simpson of the CMA also called for federal political parties to commit to a seniors' strategy during the current election campaign, and said he is confident they will. "We know they're thinking about it. We know their hearts are in the right place," he said. "Now we want them to start talking about seniors' health care in the context of the election campaign so people can cast their votes accordingly."
Govind Rao

In 'symbolic gesture,' medical association to get out of fossil-fuel investments - Info... - 0 views

  • The Globe and Mail Thu Aug 27 2015
  • The Canadian Medical Association will divest its holdings in fossil-fuel companies, a move doctors hope will send a powerful symbolic message that climate change is an urgent health concern. "Given the health impacts of fossil fuels, we have to take a stand," Courtney Howard, a board member of the Canadian Association of Physicians for the Environment and a physician practising in Yellowknife, said in addressing the CMA's general council meeting on Tuesday.
  • "This is a show of leadership, a political step; it's not a financial step," said Dr. John Haggie of Gander, Nfld. "We either believe in this principle or we don't." Dr. Ewan Affleck, a Yellowknife physician, expressed a similar view. "This is a symbolic gesture: $1.8-million is a tiny thing but we need to do this to remain relevant."
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  • During the debate at the CMA general council in Halifax on Wednesday, there was significant opposition to divestment, with the primary concern being the impact to the group's bottom line. The meeting heard, however, that the move will have very little financial impact on the CMA or its members. It has only about $29-million in its reserves, and $1.8-million of those investments are in fossil-fuel companies. That money will instead be invested in companies that work in the renewable energy field, such as solar and wind power.
  • She likened the move to earlier decisions by the organization to divest out of tobacco companies. The move by the CMA is part of an accelerating trend of high-profile institutions such as universities and faith-based organizations to take a stand on climate change by pulling their investments out of oil and gas companies.
  • The new policy does not apply to MD Financial Management Inc., a CMA-owned wealth-management company that manages more than $40-billion in investments for physicians and their family members. (Because most physicians do not have pension plans, they have significant investments.) But some members made it clear that could be a next step.
  • Brian Peters, CEO of MD Financial Management, said that its fossil-fuel investments are not a large part of the portfolio, but it is studying what the impact of divestment would be, and the practicalities. Canada's doctors are following the lead of their counterparts in Britain and Australia, whose national associations have both divested from fossil fuels.
  • At least 30 campuses in Canada have divestment campaigns to move out of fossil-fuel holdings. No university has announced plans to divest, and some, such as the University of Calgary, have ruled out that option. But change is afoot: Concordia University is creating a $5-million fossil-free fund, while faculty and students at the University of British Columbia and University of Victoria have voted in favour of divesting. Several churches have divested.
  • And one Toronto-based foundation this year took its investments out of oil sands and coal and is putting them into renewable energy - including one initiative that converts zoo manure into biogas. The medical journal The Lancet has called climate change "the biggest global health threat of the 21st century." The World Health Organization has estimated that by 2030, the direct health costs of climate change could be $2-billion (U.S.) to $4-billion annually.
Govind Rao

Beware the Solange Denis Effect, Prime Minister | The Tyee - 0 views

  • Canadian doctors call to make health care for seniors a federal election issue. By Tom Sandborn, Today, TheTyee.ca
  • It is safe to assume that Brian Mulroney still remembers Solange Denis, and probably with some chagrin. The current prime minister should remember her too, particularly the painful lesson she taught his predecessor. Denis was the fiery 63 year old who confronted the then prime minister on Parliament Hill in 1985, calling him a liar because his health minister, Michael Wilson, had announced government intentions to de-index old age pensions, effectively allowing them to be eroded by inflation. Denis accused the PM of reversing campaign promises not to solve government budget problems by going after pensions.
  • The 14.4 per cent of us currently over 65 already consume half the nation's health care expenditures. The event, held at a senior friendly afternoon timing, featured speakers from the Canadian Medical Association, the BC Health Coalition, and the BC Centre for Elder Advocacy and Support, who all echoed the CMA's recent call for a coordinated national strategy to address what has been described as an ongoing crisis in care for seniors. A recently released CMA paper reads in part: "The CMA is concerned that Canada is ill-prepared for the demographic shift already underway... According to an Ipsos Reid poll commissioned by the CMA, a majority of respondents (83 per cent) said they were concerned about their health care in their retirement years. This poll found that nine out of 10 Canadians (93 per cent) believe Canada needs a national strategy for seniors health care that integrates home care, hospitals, hospices, and long-term care facilities into the continuum."
Heather Farrow

More federal funds needed to deal with aging population's health costs: CMA - The Globe... - 0 views

  • Sunday, Aug. 21, 2016
  • Ottawa should provide a financial “top-up” to help provinces and territories deal with the additional health costs caused by an aging population, the president of the Canadian Medical Association says.At least $1.6-billion a year more is needed to meet the ever-growing health needs of seniors, notably better access to prescription drugs, home care and long-term care, Dr. Cindy Forbes, president of the CMA, said Sunday in an interview.
Govind Rao

Physician health: reducing stigma and improving care - Healthy Debate - 0 views

  • March 27, 2014
  • Bradford did not seek help immediately. “I was sort of thinking I’ll get over it,” he remembers, “I had about two months of this where I was struggling.” Then things came to a critical point when he came just short of an angry outburst while testifying in a dangerous offender’s case. “Immediately after that I sought help, I got in contact with the Physician Health Program at the Ontario Medical Association.” Bradford realized he was suffering from post-traumatic stress disorder or PTSD, an anxiety disorder characterized by reliving a psychologically traumatic situation through flashbacks and nightmares. But even after being connected with a Canadian psychiatric expert in PTSD, Bradford had further delays in receiving treatment. The PTSD expert was someone Bradford knew professionally, creating a potential conflict in the doctor-patient relationship.
  • “Delay in treatment was my own resistance,” he recalls. “Part of the reason that I talk about it is to help others. Not only educating people about vulnerability in medicine, but about resistance to treatment.” Bradford says that he believes “physicians are resistant to treatment, particularly for psychiatric issues. As much as we try to de-stigmatize it, it’s not an easy thing to come out and say- I suffer.”
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  • Much of the data on this comes from the The Canadian Physician Health Study, which surveyed nearly 8000 of Canada’s 75,000 licensed physicians in 2007. The study reported that Canadian physician physical health is comparable if not better than that of the general population. Indeed, more than 90% reported being in good to excellent health, and leading healthy lifestyles.
  • Physician wellness is undoubtedly critical for the overall functioning of the health system. In fact, some experts have suggested that physician wellness is a missing quality indicator of health system performance.
Govind Rao

Fix seniors' care first, says CMA president-elect - 0 views

  • CMAJ October 7, 2014 vol. 186 no. 14 First published August 18, 2014, doi: 10.1503/cmaj.109-4875
  • Lauren Vogel
  • It’s time the federal government takes a bigger role in transforming health care to meet the needs of aging Canadians, says the incoming president of the Canadian Medical Association (CMA) on the cusp of the Aug. 18–20 annual meeting. “For too long, they’ve fallen back on the constitutional framework that health care is a provincial responsibility,” says CMA president-elect Dr. Chris Simpson. “If you look across the Atlantic to more successful health systems, what they have in common is ambitious goals, engaged doctors and strong national governments willing to lead the change.”
Heather Farrow

Seniors' health comes first for most Canadians | CMAJ News - 0 views

  • By Lauren Vogel | CMAJ | Aug. 18, 2016
  • Most Canadians want seniors’ health to take top priority under a new health accord, but few realize that new funding talks are underway, according to the 16th Annual National Report Card on Health Care by the Canadian Medical Association (CMA).
  • Only 15% of Canadians polled by Ipsos Reid for the report were aware the federal government is renegotiating how it provides health funding to provinces and territories. Even so, most people agreed on what a new accord should include.
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  • At the top of their wish list: a national seniors’ health strategy, which 84% of Canadians ranked as very or somewhat important. Seventy-four percent supported additional federal payments to provinces and territories with older populations.
Heather Farrow

Implementing assisted-dying legislation in a social policy vacuum - Policy Options - 0 views

  • As Canada’s aging population grows, our assisted-dying dying legislation cannot stand in isolation – the federal government must do its part to ensure doctors, health-care providers and families receive adequate options and pathways for care at the end of life. So, what are some of the social policies that are needed to support the assisted-dying dying legislation? In its nationwide consultations, the Canadian Medical Association (CMA) identified the importance of advance-care planning (ACP), palliative care, long-term care, home care, a national seniors’ strategy, and research and investment in Alzheimer’s as parallel issues to assisted dying.
  • While the medical and legal frameworks for ACP are a provincial jurisdiction, the federal government should at a minimum support the forthcoming assisted-dying dying legislation by investing in ACP education and training for health-care professionals and launching public awareness campaigns. We have a lot to learn from other jurisdictions, including the United Kingdom’s Gold Standards Framework training institute and Australia’s National Framework for Advanced Care Directives.
  • While there are innovative models of delivering palliative care, actual access to high-quality palliative care varies by region and health provider. We need a Pan-Canadian palliative and end-of-life care strategy. In 2014, NDP MP Charlie Angus successfully moved such a strategy in Private Members’ Motion M-456. Dealing with issues of access, funding and standardization, Angus’s motion was nearly unanimous, but nonbinding. It calls for support for family caregivers and increased access to home-based and hospice-based palliative care. Canada’s assisted-dying legislation would only be strengthened with national direction on palliative care, which is long overdue.
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  • Calls for a Canadian national seniors’ strategy intensified in 2015 – everyone from the CMA to the IRPP held consultations across the country, identifying key issues and laying impressive groundwork for a future strategy. Lack of political will, however, holds us back – discussion of a national seniors’ strategy during the federal election was very limited, and it is still a political black box. An effective seniors’ strategy would provide a framework for all of the issues I have described – access, affordability and advance planning.
  • A national senior’s strategy will be essential to improving seniors’ quality of life, supporting families and caregivers, and planning for Canada’s rapidly aging population. Canada currently has one geriatrician for every 15,000 Canadians, and there are significant gaps across the country in the quality, cost and access to care.
  • The long-term-care sector will be a critical partner for implementing, supporting and evaluating assisted-dying requests when the proposed legislation becomes law. Home-care workers and health-care providers in long-term-care facilities, alongside family members, are often the last to care for dying patients outside hospital settings. For many Canadians, long waiting lists to access limited long-term-care spaces are a significant barrier. Regional disparities in access, quality and affordability also exist, and multiple advocacy organizations have emphasized the need for national leadership on issues of elder abuse and neglect in long-term-care facilities.
  • May 24, 2016 
  • ith Canada’s assisted-dying dying legislation currently before Parliament, it becomes increasingly urgent for the Liberal government to make substantive commitments to policies and programs that will support this sea change in the health-care system.
Irene Jansen

Medicare reform must result in 'patient-centred' system: CMA head - 0 views

  • Dr. John Haggie, president of the Canadian Medical Association (CMA)
  • What's needed now from the federal and provincial politicians is clear, said Haggie."Leadership and collaboration. And a will to look at the system so it's changed, it's transformed. Not tinkered with around the edges. So at the end of the day, it delivers what Canadians need."
  • In an interview with a Calgary radio station Thursday, Harper reiterated the message."We will continue to expand health-care funding significantly in this country," the prime minister told talk-show host Dave Rutherford."But all governments are going to have to come, and are frankly, coming to grips with the reality that health-care funding can't, over the long period, grow quicker than the economy because obviously it would bankrupt the system.""The provinces themselves, I think, are going to have to look seriously at what needs to be done to make the system more cost-effective. We have a great health-care system, and notwithstanding its problems, it provides people the care when they need it, but it's doing so at a cost that is continuing to rise far faster than provinces can afford."
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  • It could be a new accord, or a "gentleman's agreement," said Haggie.
Govind Rao

Provinces with more seniors should get more health care cash, doctors say | Globalnews.ca - 0 views

  • August 19, 2015
  • By Leslie Young
  • As Canada hands out federal health money on a per capita basis, provinces with aging populations could be in trouble.
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  • The Canadian Medical Association fears this framework could mean those dollars aren’t going to where they’re needed most: Canada’s seniors.
  • Canadians 65 and over account for only 15 per cent of the population, but consume 45 per cent of health care spending, according to statistics from the CMA.
Govind Rao

Canadian Medical Association Journal: New CMA president tackles demographic issues - 0 views

  • August 26, 2015
  • As a runner and competitive paddler, the 56-year-old family physician from Waverley, Nova Scotia, knows about endurance.
  • First up on her agenda is making the strategy for seniors' health care a pivotal election issue
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  • Over-65ers already account for nearly half of health spending; by 2031, their number will double and the load will threaten the entire system.
  • federal government to get back into the health care."
  • plus the branding of NewCo, CMA's new subsidiary of for-profit enterprises, including CMAJ.
Govind Rao

CMA boss fears for future of health care - Infomart - 0 views

  • leaderpost.com Wed May 21 2014
  • Canada risks becoming a country of haves and havenots when it comes to health care, the president-elect of the Canadian Medical Association warns. Dr. Chris Simpson, the chief of cardiology at Queen's University and Kingston General Hospital who becomes head of the CMA this summer, is among the speakers at a town-hall meeting in Ottawa later this week about the just-expired Canada Health Accord. The end of the accord will be a blow to health equality across the country, said Simpson, who characterizes what he's seeing as a move away from a national leadership presence in health care.
Govind Rao

Canadian Conference on Physician Leadership 2015 - 0 views

  • Canadian Conference on Physician Leadership 2015 Dates: 24 – 25 Apr, 2015 Location: Vancouver, BC Address: Sheraton Wall Centre The sixth Canadian Conference on Physician Leadership, co-hosted by the CMA and the Canadian Society of Physician Executives (CSPE) is a must-do. Immerse yourself in our informative and inspiring conference to hear relevant keynote speakers and take away tools and techniques from a variety of interactive workshops (8 workshops run simultaneously both in the morning and afternoon over 2 days). Rub elbows and exchange ideas with your peers in the leadership community. For more information or to register visit the conference website:https://www.cma.ca/En/Pages/conferences.aspx. 
Govind Rao

Canadians desperate for a national seniors care strategy as population ages - Infomart - 0 views

  • Canada Newswire Mon Aug 18 2014,
  • OTTAWA, Aug. 18, 2014 /CNW/ - Nearly all Baby Boom Canadians aged 45 years and over (95 per cent) identify the need for a panCanadian seniors care strategy, according to the Canadian Medical Association's (CMA) 2014 National Report Card on health issues. Not only are 81 per cent of these Canadians concerned with the quality of health care they can expect in their future, 78 per cent are worried about their ability to access quality home and long-term care in their retirement years, the Ipsos Reid poll found. "As the Canadian Baby Boom generation looks down the road to the future they see clearly that Canada desperately needs a seniors strategy and politicians should pay attention during the next federal election. This should be an issue one would ignore at their own political peril," CMA President Dr. Louis Hugo Francescutti said today.
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