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Govind Rao

Not a slam dunk for government | Halifax Media Co-op - 0 views

  • KJIPUKTUK), HALIFAX - "We are happy with this decision. It creates four bargaining units and ensures that all nurses can be represented by one union," said Health and Wellness Minister Leo Glavine in a press release issued short
  • The idea of four bargaining units was never disputed, labour leaders say, so that's hardly a victory for the government.
  • And as far as the one union for nurses is concerned, Dorsey states that he doubts whether any one health-care union has the numbers to claim a majority.
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  • While the government has the right to wind up district health authorities and dismiss executives and managers in restructuring, it cannot reach across the table and assign new representational rights and responsibilities for independent trade unions or tell employees who will be their bargaining agent,” Dorsey writes.
  • Dorsey suggests that in the next arbitration phase, scheduled for early February, the unions explore the idea of amalgamated successor unions for at least some if not all of the four proposed bargaining units. An amalgamated successor union is a legal entity, with its own bylaws, leadership, and all the legal trimmings, made up of the relevant existing health care unions. Those unions keep their own leadership, members, etc.
  • “This isn't the slam dunk that the Liberal government wanted,” Danny Cavanagh, regional vice-president of the Canadian Union of Public Employees (CUPE) tells the Halifax Media Co-op. That collaborative approach to bargaining is really not that different from the bargaining associations all four affected unions were proposing earlier, Cavanagh argues. At that time the government rejected that idea. Now Dorsey ruled that response was wrong.
  • Dorsey thinks that there is nothing in Bill 1 that forbids the collaborative bargaining approach. “We could have been off to the races without going through the arbitration process,” Cavannagh says. Now there is another opportunity for the unions to come up with a collective bargaining structure. More formal than a bargaining association, the so-called amalgamated successor union, will need to encompass all the legal attributes of a bargaining agent.
  • The next phase of the arbitration hearings starts on February 2nd. It's not yet known whether the meetings will be open to the public.
Govind Rao

What does the Bill 1 decision mean for Nova Scotia health-care unions? | rabble.ca - 0 views

  • By Ella Bedard | January 22, 2015
  • Monday, arbitrator James Dorsey released his decision on Bill 1, the Nova Scotia Bill which will change the labour landscape for Nova Scotia health-care workers.
  • Though Nova Scotia's Health Minister Leo Glavine rejected the bargaining association model as an unworkable solution, the unions say that Dorsey has now re-opened the possibility of multi-union representation.
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  • The explicit meaning of the 196-page decision wasn't immediately clear. However, in the hours after the announcement, all four health-care unions affected expressed their satisfaction with the ruling, which they say resembles the bargaining association model favoured by labour.
  • Yet he also acknowledges that the government does not have the authority to rearrange union membership to the extent that Bill 1 proposes, writing: "While the government has the right to wind up district health authorities and dismiss executives and managers in restructuring, it cannot reach across the table and assign new representational rights and responsibilities for independent trade unions or tell employees who will be their bargaining agent."
  • Dorsey's ruling states that in order for one union to be the sole representative for a bargaining unit, it has to have what's being called a "double majority" -- that is, a majority in both the regional health authorities and IWK Health Centre, which is a separate entity jointly administered by the three Maritime provinces.
  • The NSGEU plans to use the upcoming arbitration period to negotiate with CUPE to form an amalgamated health care unit for the clerical workers, said Jessome, who believes that that option is still available for the nurses too.
  • In an interview broadcast on Halifax-based radio station News 95.7, President of the Nova Scotia Nurses Union (NSNU) Janet Hazelton said that she is also open to a multi-union approach.
Govind Rao

Grits should get a grip as health merger guru takes too many liberties - Infomart - 0 views

  • The Chronicle-Herald Sat Jan 24 2015
  • "... the nursing bargaining unit is composed of all unionized employees who occupy positions that must be occupied by a registered nurse or a licensed practical nurse." Dorsey explains his view of the "majoritarian principle," arguing that principles of democracy require a union to be supported by a majority of members to be certified. Of course, that is not the way our democracy works. It has been three decades since any party won more than 50 per cent of the vote in a Nova Scotian or Canadian election. And when one party has a plurality, but not a majority, of seats, it still gets to form the government. As a practical matter, only the clerical group (NSGEU) has a majority from one union. No matter. Dorsey tells us that "it cannot be the legislative intent in this restructuring for the first time in Canadian history to impose certification of three unions as exclusive bargaining agents for bargaining units of employees without majority employee support."
  • And "... no employer wants to bargain with a union ... that does not represent a majority of its employees." Any plain reading of the act tells us that was exactly the intent of the employer, because for three of the groups, there is no majority union. Both the IWK and the regional health authorities (RHAs) had plenty of opportunity to object. They did not. The NSNU has a majority of nurses (RNs and LPNs) at the IWK and in total. Dorsey estimates that the NSNU has 48.9 per cent of the nurses in the amalgamated authority. He appears to have searched everywhere for a pebble to stumble on and finds it there. It is crystal clear that the straightforward path to follow the act is by certifying the NSNU for those employees. Premier Stephen McNeil has eliminated this unnecessary impasse by combining the nursing units for the provincial health authority and IWK Health Centre into a single or common employer unit for bargaining purposes, without compromising the IWK's independence. Good.
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  • Needless to say Dorsey, likewise, cannot abide allowing Unifor and CUPE, the two other unions, to represent the health-care and support groups since there is nothing close to a majority share of representation in either. Instead, he argues that each individual union local is a union for this purpose and invites them and the relevant NSGEU locals to fashion amalgamations. They seem to be amalgamations in name only: "(it) can also take the form of an amalgamation in which each of the former unions continues to exist, perhaps only with a change in name. There can be minor changes with the unions (by which he means the relevant union locals) continuing to operate with their pre-amalgamation structures and organization essentially unchanged." In other words it looks like a bargaining association, which the government has rejected, dressed up in different clothes. Worse, it preserves obsolete boundaries for no reason that benefits members.
  • Dorsey argues that the amalgamations meet the province's requirement for single bargaining agents, and that what he is proposing is "not a council of trade unions, not a bargaining association and not a joint structure of autonomous unions." Union leaders are getting a different message. They believe that they can keep their members after amalgamation. How can such an arrangement serve the interests of the new union's members? Since there is to be only one contract, why is there a continuing need for different locals? He invites the unions to create amalgamations for the health-care and support groups, but he does not exclude it for the others. The members of these new creations will not have voted for them - so much for majoritarian principles.
  • It's time for government to get a grip. It was not expecting this outcome. The process has already dragged on longer than it was supposed to, and no conclusions on representation have been reached. The unions may not reach an amalgamation agreement, or may present one that government views as unsatisfactory, but which Dorsey chooses to accept. The government must define clear timelines for a complete decision on representation to be reached, and specify the conditions it expects, including the degree of autonomy, in any new amalgamations that are proposed as candidates. The government has patiently and effectively moved this file along since the day it was elected. It should not let the project become derailed at this late stage.
Govind Rao

Why We Need to Transform Teacher Unions Now | Alternet - 1 views

  • This work reminds me of the words of activist/musician Bernice Johnson Reagon, of Sweet Honey in the Rock: “If you are in a coalition and you are comfortable, that coalition is not broad enough.”
  • February 6, 2015
  • Immediately following Act 10, Walker and the Republican-dominated state legislature made the largest cuts to public education of any state in the nation and gerrymandered state legislative districts to privilege conservative, white-populated areas of the state.
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  • By Bob Peterson / Rethinking Schools
  • long history of being staff-dominated.
  • And it has. In New Orleans, following Katrina, unionized teachers were fired and the entire system charterized.
  • But it recognizes that our future depends on redefining unionism from a narrow trade union model, focused almost exclusively on protecting union members, to a broader vision that sees the future of unionized workers tied directly to the interests of the entire working class and the communities, particularly communities of color, in which we live and work.
  • It requires confronting racist attitudes and past practices that have marginalized people of color both inside and outside unions.
  • Having decimated labor law and defunded public education, Walker proceeded to expand statewide the private school voucher program that has wreaked havoc on Milwaukee, and enacted one of the nation’s most generous income tax deductions for private school tuition.
  • For nearly a decade we pushed for a full-time release president, a proposal resisted by most professional staff.
  • “Social Justice Unionism: A Working Draft”
  • Social justice unionism is an organizing model that calls for a radical boost in internal union democracy and increased member participation.
  • business model that is so dependent on staff providing services
  • building union power at the school level in alliance with parents, community groups, and other social movements.
  • The importance of parent/community alliances was downplayed
  • instead of helping members organize to solve their own problems.
  • Our challenge in Milwaukee was to transform a staff-dominated, business/service-style teachers’ union into something quite different.
  • only saw the union newsletter after the staff had sent it to the printer.
  • Key elements of our local’s “reimagine” campaign and our subsequent work include:
  • Building strong ties and coalitions with parent, community, and civic organizations,
  • broader issues
  • action.
  • earliest victories was securing an extra $5/hour (after the first hour) for educational assistants when they “cover” a teacher’s classroom.
  • lobby
  • enlist parents
  • we amended the constitution
  • consistently promoting culturally responsive, social justice teaching.
  • encourage members to lead our work.
  • release two teachers to be organizers
  • appear en masse at school board meetings
  • to shift certain powers from the staff to the elected leadership
  • new teacher orientation and mentoring are available and of high quality.
  • The strength of the Chicago Teachers Union (CTU) 2012 strike,
  • rested in large part on their members’ connections to parent and community groups
  • Karen Lewis
  • Portland, Oregon, and St. Paul, Minnesota
  • In Milwaukee, our main coalition work has been building Schools and Communities United,
  • We wanted to move past reacting, being on the defensive, and appearing to be only against things.
  • Key to the coalition’s renewal was the development of a 32-page booklet, Fulfill the Promise: The Schools and Communities Our Children Deserve.
  • concerns of the broader community beyond the schoolhouse door
  • English and Spanish
  • Currently the coalition’s three committees focus on fighting school privatization, promoting community schools, and supporting progressive legislation.
  • schools as hubs for social and health support,
  • This work reminds me of the words of activist/musician Bernice Johnson Reagon, of Sweet Honey in the Rock: “If you are in a coalition and you are comfortable, that coalition is not broad enough.”
  • Our new professional staff is committed to a broader vision of unionism with an emphasis on organizing.
  • We need to become the “go-to” organizations in our communities on issues ranging from teacher development to anti-racist education to quality assessments.
  • nonprofit organization, the Milwaukee Center for Teaching, Learning, and Public Education
  • We provide professional development and services to our members
  • reclaim our classrooms and our profession.
  • We partner with the MPS administration through labor/management committees
  • multiple committee meetings, inservice trainings, book circles (for college credit), and individual help sessions on professional development plans or licensure issues.
  • we offered workshops that drew 150 teachers at a time.
  • More teachers were convinced to join our union, too, because our teaching and learning services are only open to members.
  • mandate 45 minutes of uninterrupted play in 4- and 5-year-old kindergarten classes
  • We also won a staggered start
  • convincing the school board to systematically expand bilingual education programs throughout the district.
  • school-based canvassing around issues and pro-education candidates, and organizing to remove ineffective principals.
  • With the plethora of federal and state mandates and the datatization of our culture,
  • It’s clear to me that what is necessary is a national movement led by activists at the local, state, and national levels within the AFT and NEA—in alliance with parents, students, and community groups—to take back our classrooms and our profession.
  • social justice content in our curriculum
  • waiting to use any perceived or real weakness in public schools as an excuse to accelerate their school privatization schemes,
  • On the other hand, speaking out can play into the hands of the privatizers as they seek to expand privately run charters
  • including participation on labor/management committees, lobbying school board members, and balancing mass mobilizations with the threat of mass mobilizations.
  • In the end, we recognize a key element in fighting privatization is to improve our public schools.
  • In Los Angeles, an activist caucus, Union Power, won leadership of the United Teachers Los Angeles, the second largest teacher local in the country.
Govind Rao

The courts have acknowledged the right to strike: Now it's time to strike | rabble.ca - 0 views

  • By Tara Ehrcke | February 12, 2015
  • Trade unionists across the country were delighted to see the Supreme Court of Canada finally recognize a constitutional right to strike. The landmark decision overturned legislation impeding the right to strike, and acknowledged that the right to strike is a form of freedom of association. The decision also recognized that legislative interference in the right to strike gives undue power to employers, who already have the upper hand in bargaining. Justice Abella wrote in her judgement: “In essentially attributing equivalence between the power of employees and employers, this reasoning, with respect, turns labour relations on its head, and ignores the fundamental power imbalance which the entire history of modern labour legislation has been scrupulously devoted to rectifying.”
Govind Rao

Robust health-care stocks reaching new highs; Sector's offerings are attractively price... - 0 views

  • The Globe and Mail Tue Mar 24 2015
  • Investors remain obsessed with the slowing global economy and its effects on commodity prices while U.S. health-care stocks - with little sensitivity to worldwide growth - are hitting new highs with blowout performance well ahead of the S&P 500. Digging deep into health-care subindexes, we also find that despite dramatic outperformance, most areas within the industry are trading at valuation levels close to historical average forward-price earnings ratios. There are 10 major equity subsectors in the U.S. health-care sector and eight of them outperformed the S&P 500's 15-per-cent appreciation over the past 12 months (upper chart). The best performers - managed health (health-care benefits planners), health-care facilities, biotechnology and health-care distribution - generated returns more than double the broader benchmark.
  • Only health-care supplies (a onestock index consisting of Dentsply International Inc.) and the S&P Life Sciences Tools & Services Index (which includes companies such as Thermo Fisher Scientific Inc. and Agilent Technologies Inc.) underperformed. The market success of health care is based on high levels of sales and profit growth in a broader environment where improvement in these areas has been remarkably rare, even with the help of widespread share buybacks. In the most recent quarterly earnings season, the S&P 500 Health Care Index showed the second-best yearover-year improvement in terms of revenue growth (technology was first) and profit growth of 21.6 per cent that outdistanced every other major industry sector in the market.
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  • Health stocks are hot for a reason - the longer-term profit outlook is bright. With hundreds of attractively priced ETFs to choose from, the sector offers a compelling investment opportunity for Canadian investors. Scott Barlow, Globe Investor's inhouse market strategist, writes exclusively for our subscribers at ROB Insight and Inside the Market online. Subscribe to Globe Unlimited at globeandmail.com/globeunlimited.
Govind Rao

Demise of PSW registry gives province opportunity to get it right and end exploitation ... - 1 views

  • Jan 29, 2016
  • Toronto, ON – Now that the “ill-conceived” registry for personal support workers (PSWs) has been scrapped, the 20,000 PSWs represented by the Canadian Union of Public Employees (CUPE) Ontario in long-term care, hospitals and community care are asking for the issue of regulation for PSWs to be made a priority.
  • “Despite this, the government’s economic interest has been to perpetuate the exploitation of PSWs in the home care sector by denying them effective self-regulation, available to most other occupations. Our expectation is equal treatment with Ontario’s other professions and trades,” says Michael Hurley first vice-president of CUPE Ontario.
Govind Rao

Hill Times Events - TPP - 0 views

  • TPP Forum Dec. 8, 2015 | Delta Ottawa City Centre
Govind Rao

Seeing healthy returns in health-care shares - Infomart - 0 views

  • National Post Wed Dec 9 2015
  • Even bottom-up stock pickers need to pay attention to the bigger picture. So when global equities sold off last week after the European Central Bank failed to deliver as much stimulus the markets were hoping for, Dennis Mitchell was happy to step in and add to positions in his favourite companies. "One of the things that started the rout was the disconnect between the ECB's outlook and the market's," the portfolio manager at Sprott Asset Management said.
  • Unilever PLC is one example of a name that sold off with the rest of the market, but that Mitchell boosted his position in. One sector that's been beaten up of late is U.S. health care, whether biotech stocks that came under pressure due to their lofty valuations, only to recover and then pull back again, or pharma companies that are facing scrutiny from politicians due to drug pricing. This has prompted Mitchell to add to his exposure in the Sprott Global Focused Balance Class, and three other recently-launched funds he manages.
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  • You want to look at companies that are primarily taking costs out of the system, payers rather than providers," he said. "Providers such as hospitals and other facilities aren't necessarily adding to the problem, but they are in the cost bucket that are trying to be taken out of the system in the U.S." Mitchell aims to build concentrated portfolios (35 to 45 names) of high-quality businesses that generate high returns on invested capital, strong recurring free cash flow, have a portfolio of irreplaceable assets, and finance their operations with low leverage.
  • Valuation itself is not a catalyst," he said. "It makes more sense to buy high-quality business that have generated strong returns historically, and offer enough return for the risk you're taking." For example, Mitchell only buys stocks that offer a total return of 15 per cent of more. Another holding, Medtronic PLC, a medical device company that typically grows its revenues between four and six per cent, appears to fit the bill.
  • Although its spine business is in a secular decline, the company is innovating and developing new therapies around catheters and drugcoated balloons. As a result, Mitchell expects it will grow its revenue at 10 per cent over the next three to five years. The company is also benefiting from a tax inversion following its purchase of U.K.-domiciled Covidien PLC, which freed up US$9 billion of cash that was outside the U.S. this past quarter. Medtronic thinks it can generate US$40 billion of free cash flow in the next five years, roughly half of which is set to be returned to investors in the form of dividend increases, share buybacks or special dividends.
  • They can allocate capital to other businesses and grow," Mitchell said. "It's also trading at a discount to its health-care peers, so it offers great upside." The portfolio manager also has a position in Novartis AG, which is still the largest pharma company in the world until the merger between Pfizer Inc. and Allergan PLV is complete. Like many names in the sector, Novartis faces pressure from generic drugs entering the market. That's the case with its cancer drug Gleevec. However,
  • Mitchell noted that Novartis has taken steps to replace its sales with another drug. But what's most compelling about this story is its pipeline of other drugs, including Entresto, which treats heart conditions and has shown strong efficacy and improvement versus existing drugs. Mitchell noted that it has "blockbuster" potential, with revenue potential of US$5 billion annually at peak. Similarly, Cosentyx, which treats severe cases of psoriasis that can cause arthritis, could be another big winner for Novartis. Mitchell also sees opportunity in Daimler AG, which is held in his global portfolios. While many people point to the auto industry as a sign of strength in the U.S. economy, Mitchell looked to Europe to find a German auto maker that has performed well.
  • He noted that China, a key market for many luxury auto makers, recently reduced taxes on small and mediumsized businesses, and Daimler has resolved a dispute it had with local dealerships there. "They've also put a number of their vehicles on a common platform with common parts, which brings down costs and boosts margins," Mitchell said. "With a better mix of highermargin, higher-value vehicles, I expect sales to pick up."
  • yler Anderson, National Post / Portfolio manager Dennis Mitchell sees a steady path to growth in biotech, pharma and other health-care stocks.
Govind Rao

Valeant deal will save U.S. $600 million; Agreement with Walgreens leads to price reduc... - 0 views

  • Toronto Star Wed Dec 16 2015
  • Valeant Pharmaceuticals plans to deliver up to $600 million (U.S.) in annual savings to the U.S. health-care system starting next year after agreeing to cut the prices of several of its drugs as part of distribution agreements with the popular Walgreens retail chain. The Quebec-based company said it will drop wholesale prices for branded prescription-based skin-and eye-care products by 10 per cent.
  • The price cuts under the 20-year agreement with one of the largest American drug chains will be introduced in six to nine months, with the potential for other therapeutic treatments being added to the program. Walgreens will also distribute more than 30 of Valeant's branded products at comparable generic prices, starting in the second half of 2016. The average price decrease is expected to be more than 50 per cent, with reduced prices ranging between 5 and 95 per cent.
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  • The price cuts don't apply in Canada where Valeant doesn't have similar distribution agreements with pharmacy retailers such as Shopper's Drug Mart, Jean Coutu or the Rexall Group. Valeant's pricing practices have been under investigation by U.S. authorities, including Congress, since the company dramatically hiked prices for some specialty products this year.
  • The company has also come under fire as the result of a civil suit by a small U.S. pharmacy that shed new light on Valeant's distribution agreements and practices. "We have listened and we've taken positive steps to respond," Valeant chairman and CEO Michael Pearson said in a news release Tuesday, a day before he's scheduled to hold a conference call with industry analysts.
  • The distribution agreement with Walgreens - a chain with more than 8,000 retail outlets - follows Valeant's decision to sever ties with mail-order pharmacy Philidor Rx Services. That relationship came to light as a result of a court battle between Valeant and another mail-order pharmacy. Valeant says the Walgreens agreement will be used as a model for distribution deals with independent retail pharmacies. After losing 73 per cent over the past few months, Valeant's shares closed up nearly 16 per cent in Tuesday trading on the Toronto Stock Exchange.
Govind Rao

Federal Liberal platform th; in on health commitments; Party promised new health accord... - 0 views

  • St. Albert Gazette Sat Oct 24 2015
  • While the five main political parties in Canada made hay with a great many different election issues, very little was said about that most Canadian of institutions, the public health-care system. Discussion about health care was very conspicuous in its absence and a look at the health-related platform of the Liberal Party of Canada, which won a majority in the Oct. 19 election, doesn't shed much light on its plans.
  • The major components of the platform include commitments to negotiate a new health accord between the federal government and the provinces, to fund increased access to home care, and to developing a pan-Canadian strategy on prescription medications including bulk purchasing, and improving mental-health services. Home care The most significant component of the platform in terms of funding commitments is expanding home care services across the country with an investment of $2.95 billion over the next four years.
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  • St. Albert physician Dr. Darryl LaBuick said while a bit more money for home care will help the situation, it barely scratches the surface in addressing the biggest issues facing healthcare in Canada. "We've got a huge increasing requirement for seniors care. We look at home care, we look at long-term care, we look at assisted living care, palliative care," he said. "We look at all those areas nobody has looked at closely from a political point of view to address some of the issues." The importance of home care is something stressed by Dr. Kim Fraser, a nursing professor at the University of Alberta and expert on the topic.
  • She said while seeing the commitment to improve home care in the province is a step in the right direction, simply throwing more money at the problem won't be enough. Instead, we've got to rethink how home care in Canada is provided. "Co-ordinated home care programs first came into effect in the late '70s and 1980s in Canada, and our approach to home care has not changed since that time," she said. "It's really kind of episodic, targeted, taskspecific care rather than a more comprehensive integrated care approach." So rather than simply having more home-care aides providing this kind of task-oriented service to patients in their home, we should look at providing a higher level of care to patients with more complex needs.
  • "We have got just so many more patients going into that system," she said. "I think funding will help the growing home care problem, and will help provide, perhaps, more professional nursing services from RNs and LPNs in the community." Alberta Health Minister Sarah Hoffman said she was pleased to see the commitment to home care on the federal agenda, noting it was one of the main pieces of the NDP platform with respect to the healthcare system. "Home care is certainly one of the pieces we're focusing our effort on as a government, and I look forward to working with the new federal government to make that a reality," she said. When pressed for specific details about what form home care may take, she said she couldn't talk about specifics until they're released as part of the provincial budget next week.
  • "The pillars of the platform should be reflected in the work we're doing," Hoffman said. LaBuick also identified the importance of a national drug strategy that would cover the cost of prescriptions for all Canadians. Seniors still must pay a portion of prescription drug costs, and many young adults without health benefit plans are left in a position where they must pay the full cost or simply go without; it's something he's seen in his own practice. "We see young folks that don't have a good prescription plan, or any prescription plan," he said, "And the Blue Cross plan doesn't cover everything either, so there's gaps within that system, too."
  • It's a concern echoed by Friends of Medicare director Sandra Azocar, who spoke with the Gazette prior to the election and said a national drug plan was high on her organization's agenda. She expressed concern that the Trans-Pacific Partnership, a trade deal negotiated by the previous government behind closed doors that has yet to be approved by Parliament, could make it more difficult to get cheaper generic drugs. "We see that as having a negative impact for generics to be available in the market, and people will pay significantly more for drugs," she said. "I don't think medicine should be a luxury, it should be available for all people who need it. These are huge concerns we have." Hoffman said bringing down the cost of prescription drugs is something she's heard is important to Albertans, but is also significant within her own ministry when it comes to budgeting. She said a provincial prescription drug plan is something worth considering, but it's not going to happen in the near future.
  • "I think it's a great long-term objective, but in the short-term I need to address the immediate pressures of drug costs," she said. "I think we can find ways to do bulk buying and find other efficiencies in a pan-Canadian strategy, and look at other partnerships in taking it further so we can maximize those savings and pass those savings on for an increased benefit to all Albertans." Health Accord Azocar identified the need to renew the Canada Health Accord as an important component of what the federal government must do to support healthcare in the country.
  • "We need to go back to the level of leadership in our healthcare system for it to be functional all across the country," she said. "That's not something we've seen coming from some of the parties." The Liberal platform includes a commitment to renew the waccord, and to include a long-term funding agreement. This is a crucial element, Azocar noted, because in tough economic times federal funding in health care tends to decrease to the detriment of Canadians. "People don't stop needing health care when the economy is down, in fact it's the reverse," she said. "Studies have shown people need more services when the economy is down, so it's a situation that doesn't play well for the sustainability and the long-term planning that health care needs across the country."
  • Hoffman said she's unsure what negotiating a new accord might look like, as she hasn't been through the process before, but said it's something she looks forward to working on with the federal government. "We were elected not too long ago and they were elected more recently, and I think Albertans deserve to have the very best public health-care system," she said. "I look forward to working with the federal government to make that a reality." Elephant in the room One element of the discussion around health care that is absent and has been for quite some time, LaBuick suggested, is the "elephant in the room" of increasing private delivery as a way to reduce the budget impact of health care. "The minute we start to talk about it, they catastrophize the whole conversation," he said. "The reality is we need to talk about it because we simply can't afford it."
  • He noted roughly 30 per cent of health care in Canada is already provided privately - things like dental, vision, psychology, and private insurance plans. Furthermore European countries that blend public and private have better outcomes. LaBuick suggested the way forward is to look to European models that provide universal health care with a blend of public and private delivery - many of which have better outcomes at a lower cost than the Canadian model. He's not optimistic, however, that a federal Liberal government or provincial NDP government will engage in that discussion.
  • We have all of these areas that are private, but nobody talks about it," he said. "Nobody talks about a strategy around how it can benefit all citizens, for the betterment of everybody."
Govind Rao

The Trans Pacific Partnership | Common Ground - 0 views

  • by Bobbie Blair
  • • More than a decade after he was fired from his position as senior scientific advisor at Health Canada for telling the truth, Canadian ‘whistleblower’ Dr. Shiv Chopra is now warning us about a new threat to our health and our food safety: the Trans Pacific Partnership (TPP). In 2004, Dr. Chopra lost his job for refusing to approve a genetically engineered bovine growth hormone (rBGH) developed to increase milk production in dairy cows. He faced an incredible amount of pressure to lie to the public, not only from the powerful biotech industry, but also from his superiors inside the government agency. Dr. Chopra’s story is still a red flag for us today: we cannot rely on the government to look out for our health. But while they took his job and destroyed his career, neither the industry nor Health Canada could rob Dr. Chopra of his good name. A Federal Court established it was not only his right, but also his duty to blow the whistle about rBGH health concerns, as a scientist holding a position of public trust. Dr. Chopra has no regrets. A couple of years ago, he told an audience, “I would blow the whistle again!” This year, he keeps his promise.
Govind Rao

In U.S., a bold economic experiment begins on the minimum wage - The Globe and Mail - 0 views

  • Apr. 06, 2016
  • Seattle, Los Angeles and San Francisco
  • California and New York – enacted legislation to raise the minimum wage to $15 within six years.
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  • Only four years ago, when fast-food workers first began holding marches to demand a $15-an-hour minimum wage, they were dismissed as impractical dreamers. Now, in a twist that has surprised economists and activists alike, that dream is becoming a reality in some parts of the country.
  • Portland, Ore.
  • If there are costs as a result of the higher wages, the question is how they compare with the benefits, said Ben Zipperer, an expert on the minimum wage at the Washington Center for Equitable Growth. “Both [costs and benefits] may arise,” he said. “How people feel about the trade-off is more complicated.”
Heather Farrow

Could Trudeau use health care to get carbon deal? - Infomart - 0 views

  • The Globe and Mail Mon Sep 26 2016
  • Justin Trudeau faces tough talks with provincial premiers to hammer out a national climate-change plan. But he also has a critical tool to get a deal: cash. At first blush, the meeting with premiers seems to be shaping up as a clash. The federal government wants provinces to put a price on carbon, either through a carbon tax or a capand-trade system. And if they don't, Environment Minister Catherine McKenna has warned, Ottawa will slap a federal carbon tax on them. Four provinces have a carbon price now, but some premiers are wary, and Saskatchewan's Brad Wall sounds implacably opposed.
  • Then again, the premiers want something, too: money. Most provinces have high debt, and fear aging populations will mean rising costs in social programs and health care. They're clamouring for Ottawa to provide bigger-than-planned increases in health transfers. In other words, the premiers can probably be bought off. Put that way, of course, it sounds cynical. But it's been a formula for federal-provincial dealmaking for decades. The federal Liberals are already promising $2.9-billion over five years for climate-change measures, including $2-billion in the next two years to start a Low Carbon Economy Fund for projects chosen with the provinces. But money for other things could also be used to grease the wheels. The provinces want bigger streams of health-care money, but so far the federal Liberals aren't promising much. On Sunday, Health Minister Jane Philpott said she's working on the assumption there won't be much change, aside from a $3-billion federal injection for home care.
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  • What if the Prime Minister linked a climate deal to a health deal? That could be politically explosive. But McGill economist Chris Ragan thinks it's a good idea. One reason is that Mr. Ragan thinks the federal government will end transferring more money to the provinces anyway. Although the growth in provincial health spending has actually slowed in recent years, there are forecasts that it will grow by 3 per cent of GDP - by 2040. Mr. Ragan figures Ottawa will eventually give in, and might one day pay a third, that would be about $30-billion in 2027. The feds might as well admit it now and get a climate-change deal out of it, he argues. In other words, mix talks on health and climate together. "The more things you choose to put on the table, of course it becomes more complicated, but it also becomes a lot easier," Mr. Ragan said. "Because one of the things you bring to the table is a bunch of money."
  • There are a few problems. One is that Mr. Trudeau's government already wants something else from the provinces, a deal on home care. Ottawa is offering $3-billion and wants provinces to agree to meet targets for home-care services. Another is that Ottawa might not be ready to concede that it's going to have to transfer more to provinces. The recent years of slower growth in provincial health-care costs is an argument that the provinces don't really need the extra money. But that doesn't mean it will stay that way: Many economists believe those costs will rise sharply again in the near future. Then there is politics. Health transfers are to help the sick. Linking it to something else is likely to be seen as crass. But in the end, health-care transfers are dollars, and no one can really identify which dollar is spent on what. Mr. Ragan suggests they could be spent both on health and a climate deal.
  • Mr. Ragan is also chair of the Ecofiscal Commission, an organization of economists studying climate policy, which argues pricing carbon is the most efficient way of reducing greenhouse-gas emissions, because it will cost the economy less. The Ecofiscal Commission's models indicate that as long as the revenues are pumped back into the economy in the right ways, the costs of carbon pricing will be modest. In other words, if you are going to reduce emissions, a carbon price is the least costly way. In fact, the premiers, including Mr. Wall, agreed last spring to work on carbon-pricing options. Ms. McKenna is now brandishing a federal carbon tax as a stick to demand they seal a deal. But money is the traditional carrot. Mr. Trudeau might find it too politically dangerous to link health transfers to a climate deal. But it would allow him to offer what it usually takes to make a deal: money.
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