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Par conséquent, les trois coopératives doivent prendre les mesures appropriées afin de dissiper toute confusion, de sorte que les personnes assurées n'aient pas la perception qu'elles doivent être membres et payer une cotisation annuelle pour voir ou continuer de voir leur médecin. De plus, les trois coopératives de santé doivent modifier leurs règles de cotisation annuelle afin que celles-ci servent à financer leur fonctionnement et non à constituer un forfait annuel de services médicaux à l'intention des personnes assurées.

Les personnes qui ont déboursé des frais considérés comme illégaux dans ces trois coopératives peuvent demander un remboursement à la RAMQ. À cette fin, des factures détaillées et des preuves de paiement originales démontrant que de tels frais ont été payés doivent être jointes. La demande de remboursement doit être faite dans l'année suivant la date du paiement.

While the findings and recommendations are not binding, Smith said they highlight the challenges faced by African Canadians for the international community and hopefully put more pressure on Ottawa to rectify the inequities. "The situation is only going to get worse," Smith said. "We have families in the community torn apart at an alarming rate. "The future looks pretty bleak for our young people."

The UN delegation was in Toronto, Ottawa, Montreal and Halifax to meet with government officials, community members and rights groups to identify good practices and gaps in protecting the rights of black people. "We had been trying to secure a visit to Canada for a long time. It's a great joy that we were officially invited here," the working group's chair Ricardo Sunga told the Star in a phone interview Tuesday. "We look at Canada as a model in many ways when it comes to human rights protection.

We appreciate Canada's effort in addressing discrimination in various forms, but no country is exempt from racism and racial discrimination." Despite the wealth of information on socio-economic indicators in Canada, the investigators criticized the "serious" lack of race-based data and research that could inform prevention, intervention and treatment strategies. "The working group is concerned that the category 'visible minorities' obscures the realities and specific concerns of African Canadians," its report said. "There is clear evidence that racial profiling is endemic in the strategies and practices used by law enforcement. Arbitrary use of 'carding' or street checks disproportionately affects people of African descent."

The overrepresentation of black people in the criminal justice system was of particular concern for the group, who found African Canadians make up only 3 per cent of the population but account for 10 per cent of the prison population. In the last decade, the number of black detainees in federal correctional facilities has grown by 71.1 per cent, it warned. Among other findings by the UN experts: Across Canada, African Canadian children are being taken into child welfare on "dubious" grounds. Forty-one per cent of children in Children's Aid Society of Toronto's care were black when only 8 per cent of children are of African descent. The unemployment rate for black women is 11 per cent, 4 per cent higher than the general population, and they earn 37 per cent less than white males and 15 per cent less than white women.

A quarter of African Canadian women live below the poverty line compared to 6 per cent for their white counterparts. One-third of Canadian children of Caribbean heritage and almost half of continental African children live in poverty, compared to 18 per cent of white Canadian children. Chris Ramsaroop, an advocate with Justicia for Migrant Workers, hopes the report will raise awareness of the plight of African Canadians. "We need every opportunity to hold the feet of the federal and provincial governments to the fire," he said. The UN experts recommend a national department of African-Canadian affairs to develop policies to address issues facing black people and implement a nationwide mandatory disaggregated data collection policy based on race, colour, ethnic background and national origin.

Odion Fayalo, of Justice is Not Color Blind Campaign, protests racial profiling before a Toronto Police board meeting. • René Johnston/TORONTO STAR file photo

es," said Dr. Liz Tayler, senior technical adviser on antimicrobial resistance with WHO. There are many reasons why antibiotic resistance has struggled to gain traction as global priority, however. For one, it's a complex issue that can prove difficult to explain - a headache-inducing combination of molecular chemistry, evolutionary concepts, and bacteria with unpronounceable names. WHO has compared the problem to a "silent tsunami." Unlike

a high-profile killer like cancer, deaths caused by antibiotic resistance tend to be less obvious or visible. "It never goes on anyone's death certificate ... when someone has died of a nasty infection, the fact that it's resistant either wasn't known or hasn't been talked about," Tayler said. "And while it's a really big problem in developing countries, the labs there aren't very good and they don't have the resources to do the testing to find out (why someone died)." Antibiotic resistance is also considered a "tragedy of the commons," where the effectiveness of antibiotics has been depleted by people who prioritize their own interests over the public good. And everyone is culpable: patients who demand antibiotics unnecessarily and doctors who cave to their demands; farmers who feed their livestock antibiotics and consumers who demand cheap

meat; low-income countries that allow antibiotics to be widely sold without prescription, and wealthy nations that need to do more to help those countries improve the sanitary conditions that lead to high infection rates. All of this human activity is pouring unprecedented volumes of antibiotics into the environment - and placing evolutionary pressure on microbes to evolve new strategies for defeating them. "I think of this problem as a planetary change at a microscopic level - one that we don't even notice. We're changing microbial ecology in a very significant way," Laxminarayan said. "We need to protect antibiotics with the same seriousness as we protected the ozone layer through the Montreal protocol." Wednesday's UN meeting will likely see countries agreeing to a declaration on combating antimicrobial resistance. This step - while largely symbolic - will draw global attention to the issue, sketch out solutions, and place pressure on countries to address the problem within their own boundaries.

"It requires all of these folks to be paying attention that they are now on notice," Laxminarayan said. But the declaration won't be binding, nor will it contain specific targets. For Dr. Brad Spellberg, an antibiotic resistance expert with the University of Southern California, the UN meeting is just one step and "there's still a lot of heavy lifting that has to be done." Tackling antibiotic resistance will require work on multiple fronts, he said - everything from improving prevention efforts to reducing antibiotic use in livestock and fish farms. The world also needs to recognize that antibiotic resistance is a threat we will have to face for not just years, but centuries or millennia, he added.

The committee is one of the most well-respected human rights bodies in the world, comprised of independent and eminent international law experts from every continent. My experiences in Geneva affirmed my impression that the committee approaches the Herculean task of ensuring compliance with the International Covenant on Civil and Political Rights with professionalism and rigour. After reviewing thousands of pages of documentation, listening to hours of testimony from NGOs and the Canadian government, and grilling government representatives with insightful questions, on Thursday, the committee issued its final verdict.

The concluding observations for Canada are breathtaking in their scope, covering issues related to national security, Aboriginal Peoples' rights, prisoners' rights, and even freedom of expression and association for human rights defenders.

The document is a sobering reminder of how much Canada has changed in the 10 years since our last review and we should be outraged that, in such a short time, our international reputation has been so tarnished. We have gone from being a global leader in the protection of human rights - the gold standard, even - to a country that repeatedly ignores UN recommendations, engages in suppression of dissent, and enables cruel treatment of migrants. At seven pages in length, the UN's assessment of Canada is necessary pre-election reading for anyone wishing to chart the changes wrought to our society in the past nine years of Conservative government rule.

Of particular interest to me, of course, were the concluding observations and recommendations related to Canada's treatment of non-citizens, people like Hassan. The committee expressed grave concerns around laws that allow for the mandatory detention of asylum-seekers who arrive by boat, recent cuts to the interim federal health program for asylum-seekers, and indefinite detention of migrants.

The committee recommended that Canada ensure that there is proper oversight over CBSA, place time limits on immigration detention, and ensure there are viable alternatives to detention. It also recommended that those held in provincial jails be granted access to treatment centres for mental health issues.

These recommendations are an important vindication of the rights of non-citizens, thousands of whom are detained in maximum-security jails every year, including vulnerable migrants such as asylum-seekers, torture survivors and those with serious mental health issues, people like Hassan.

However, the UN's strong recommendations will quickly become cold comfort for Hassan's family if Canada does nothing to implement them. Despite the death of at least 11 immigration detainees held in CBSA custody since 2000, Canada has done nothing to end arbitrary detention and cruel treatment of non-citizens held without charge. Now that the UN has made recommendations to end rights violations against immigration detainees, we must press all the major political parties to commit to implementing the recommendations if elected. Renu J. Mandhane is executive director of the international human rights program at the University of Toronto's faculty of law.

la politique libérale sur la vieillesse présentée en mai 2012 ne répond pas aux enjeux réels. Avec seulement quelques centaines de nouvelles places en CHSLD, des investissements minimes dans les services à domicile et la poursuite en douce de la politique de privatisation des services qui, par définition, conduit à une dégradation de la qualité des services pour les moins nantis, nous sommes loin du compte ».  

Bien que l’ancien gouvernement libéral ait annoncé des investissements additionnels de 71,6 millions de dollars dans les services à domicile, l’analyse permet aux chercheurs de constater que « le budget additionnel pour les entreprises d’économie sociale en aide domestique (EESAD) au terme de ce plan de cinq ans n’aurait été, dans la réalité, que de 20 millions $ », ont conclu les chercheurs.

cette pratique mixte, qui n'est permise qu'aux radiologistes

le ministre veut que l'assurance maladie couvre les frais des échographies et des endoscopies réalisées dans le privé à l'avenir

We are, overall, quite pleased that the committee recognized that indefinite detention and the lack of alternatives are serious problems with the system in Canada," Mandhane said in an interview. "It hits all the key points we have raised. The fact that the Canadian government is required to report back within a year on its recommendations speaks to the seriousness of the issue."

Canada's immigration detention system has been under the spotlight in recent years, after the deaths of detainees in custody, including Mexican migrant Lucia Vega Jimenez in Vancouver in 2013 and Somali native Abdurahman Ibrahim Hassan, a mentally ill man who died in a Peterborough hospital in June. Last year alone, Canada detained 8,519 people - more than half in Ontario - who violated immigration law. While detainees were held an average of 23 days, 58 individuals had been detained for more than a year, including four who had been in jail for five years and more.