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Contents contributed and discussions participated by Cheryl Stadnichuk

Cheryl Stadnichuk

For-profit nursing homes provide 'inferior' care, new report claims - British Columbia ... - 0 views

  • For-profit nursing homes provide "inferior" care to seniors, and though the evidence isn't perfect it's strong enough that policy makers should pay attention, argue authors of a new paper published today in the peer-reviewed joural PLOS Medicine. The authors draw on years of research, in the U.S., Canada and elsewhere, comparing for-profit long-term residential care facilities to ones run by public bodies, or nonprofit groups. "The weight of the evidence says that for-profit delivery models provide inferior care," in terms of staffing hours, pressure sores, and other measures, says author Dr. Margaret McGregor, a Vancouver family physician and researcher with the University of B.C.'s faculty of medicine.
  • There is this conflict of interest between the profit motive and actually spending money on things like staffing." Past studies on the topic, which McGregor and colleagues reviewed for the current paper, have been criticized as inconclusive, because they're observational studies rather than experiments, she said. The researchers make a case that the observational data is strong enough, especially when making decisions that affect vulnerable and frail seniors. "This is a highly vulnerable population, who are not able to get up and leave if the care is poor. It's very difficult even to complain." McGregor hopes the paper spurs debate among policy makers, at a time when aging populations mean more care facilities will be needed, and the trend has been toward for-profit care in Canada and elsewhere.
  • In Canada, 37 per cent of nursing home beds are in for-profit facilities, compared to 78 per cent in the U.K. and 67 per cent in the U.S., according to the paper. In B.C., 34 per cent of the 292 long-term residential care facilities catering to seniors are private for-profit, according to the Office of the Seniors Advocate.
Cheryl Stadnichuk

Pharmacare advocates go to bat at health committee - iPolitics - 0 views

  • UBC school of population and public health professor Steve Morgan, along with other signatories of Pharmacare 2020 — an academic group report that makes the case for expanding universal public health care system to include the cost of prescription medicines — argued that instituting a national pharmacare program could better leverage bulk purchasing power, lower drug prices in Canada and fill gaps in coverage. He was yet another witness who told MPs Canadians are paying too much for their drugs. “Canada spends 30 per cent to 50 per cent more on pharmaceuticals than 24 of the OECD countries, including many with comparable health care systems to ours,” Morgan said.
  • “If we designed the system right, and said we’re going to develop a program and it’s going to have a budget and negotiate prices, we can in fact start it now and see it happen in a reasonable timeline at prices far lower than we currently pay,” he told iPolitics. Pharmacare not being in Philpott’s mandate didn’t discourage Morgan – he said it doesn’t preclude the Liberals from “passing legislation that gives the provinces, say, three years to phase in implementation.”
  • “To be perfectly clear,” he said, “Canadians are literally dying” as a result of “lack of action.” In Ontario, he said, citing a 2012 University of Toronto study, over 700 diabetic patients under 65 died each year prematurely between 2002 and 2008 due to inequitable access to essential prescription drugs.
Cheryl Stadnichuk

One in five Toronto-area workers has mental health issue, while job insecurity is makin... - 0 views

  • A report from CivicAction released Monday found that nearly 21 per cent of the labour force in the Greater Toronto and Hamilton Arrea (GTHA) is living with a current mental health issue. Roughly 31 per cent of the workforce, according to the report, has experienced a mental health issue in the past.
  • CivicAction will likely cite statistics contained in the report as the organization begins a campaign Monday to motivate employers and employees to tackle mental health issues in the workplace. Eight per cent of the GTHA workforce will experience a substance use disorder in 2016, the report found; about 10 per cent will experience anxiety, a figure the authors predict will grow by 27 per cent over the next 30 years. Beyond the bullet-point statistics, though, the report paints a picture of stressed workers lacking adequate support.
  • The report also lists the high cost of childcare in the GTHA as a risk factor for mental health issues. (The Canadian Center for Policy Alternatives says that Toronto’s childcare costs are  the highest in the country.) “It’s not surprising at all,” said Lyndsay Macdonald, co-ordinator for the Association of Early Childhood Educators Ontario, referring to stress created by high fees. “It’s because we rely on a market-based approach to childcare, and that means high fees for parents.”
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  • CivicAction also lists income inequality and job insecurity as contributing factors for mental health issues. Wayne Lewchuk, a professor at McMaster University who has studied precarious labour extensively, said its strain goes beyond a worker’s schedule and employment status. “You’re less likely to have friends at work because you’re moving from workplace to workplace,” Lewchuk said. “Your support system is weaker.”
Cheryl Stadnichuk

Health Minister Jane Philpott 'anxious' to sign new health accord by year's end - Polit... - 0 views

  • Canada's health minister is eager to draft a new health accord so the federal government can start flowing funds to help cash-strapped provinces deal with the mounting costs of care. "The sooner we can come to those agreements the better. I am as anxious, or more, as you are to get this done and I think Canadians are going to be pleased," Jane Philpott said in an interview with Chris Hall on CBC Radio's The House. "I would like to see the [discussions] wrapped up toward the end of this year and hopefully have a big announcement in 2017."
  • The current federal-provincial health accord is set to expire next year, and annual increases to health-care funding will then be tied to GDP growth rates. A sluggish economy would restrict the amount of money transferred to the provinces.
  • Prime Minister Justin Trudeau campaigned on a promise to pen a new health accord, with a different long-term funding formula. But there was little mention of health care in the budget released last month save for a $270 million commitment for health infrastructure in indigenous communities.
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  • "One thing that's really important in health care ... [is] to make sure there are not silos," she said. "I'm not interested in giving little pockets of money here and there along the way for pilot projects." She said that any deal negotiated with the provinces will address home care, a pharmacare strategy, improved mental health services and a commitment to bolstering palliative care. "We will come to those agreements, and the money will be there," she added.
Cheryl Stadnichuk

Rally urges Cassellholme remain public | North Bay Nugget - 1 views

  • Rally urges Cassellholme remain public
  • Canadian Union of Public Employees members from North Bay were joined by compatriots from Timmins, Sudbury and Sault Ste. Marie to let North Bay council, Cassellholme and other municipalities know the facility must not be made private. “We want to maintain it as municipally run,” North Bay Labour Council president Henri Giroux said.
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  • A report from KPMG recommends Cassellholme’s board, which wants to move forward with a $60-million redevelopment, looks at becoming a not-for-profit facility. That would see member municipalities eventually divest themselves of the home and their financial contributions toward it. A subcommittee - with the help of an outside consultant - has been tasked with reviewing the KPMG recommendations. The review will be used to develop a proposal that - if supported by the board - will then go to member municipalities for approval.
  • generations."
  • Giroux said he will make presentations to all nine municipal councils which contribute to Cassellholme’s operations to urge them to keep the facility in public hands. “What we are saying is, ‘This is our home,’” Giroux said.”This is the home we own. People should be proud of it.”
  • The biggest difference, he said, is that if a municipally owned facility needs more operating funds, it can turn to the municipal councils and ask for it. Other facilities have to approach the province for any extra funding.
Cheryl Stadnichuk

Blood safety groups want Saskatoon plasma clinic's licence pulled - Saskatoon - CBC News - 1 views

  • Canadian Plasma Resources accused of
  • putting collection centres next to methadone clinics, homeless shelters
  • Groups advocating blood safety are calling on the federal government to stop the practice of compensating donors for giving blood.
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  • The Canadian Health Coalition and Bloodwatch.org held a joint news conference in Ottawa Tuesday. Both groups are calling on government to revoke the licence for Canadian Plasma Resources. 
  • In a press release, blood safety advocates accuse the company of setting up collection centres next to methadone clinics, homeless shelters and payday loan businesses.
  • "It is the sole responsibility of Canadian Blood Services to collect all blood and plasma on behalf of the public," said Kat Lanteigne, co-founder of Bloodwatch.org.  "Selling off a major stake in our blood system contravenes the promise that was made to Canadians in the most fundamental way since our blood tragedy."
  • Meanwhile, the Canadian Health Coalition wants the federal government to continue to implement the Krever inquiry's recommendations, which called for blood products to be collected solely on a voluntary, non-compensatory basis.
Cheryl Stadnichuk

Seniors in long-term care often overprescribed drugs: study - The Globe and Mail - 0 views

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    Too many seniors with dementia are being prescribed drugs that cause confusion and worsen cognitive function, according to findings of a new study based on Canadian data.
Cheryl Stadnichuk

Canada's sluggish track record on health inequality must be addressed, say experts &#82... - 0 views

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    Health inequality in Canada is growing. And nowhere is that more evident than in the health gap between indigenous and non-indigenous Canadians. In a report released last November the Canadian Institute for Health Information concluded that Canada wasn't likely to see any major improvements in health inequality without addressing the social determinants of health. "A big part of that isn't our health care system, it's that we don't have the kind of equal society, we don't have the social safety net that many European countries for example do. And that reflects in statistics," said Dr. Ryan Meili, a family doctor from Saskatoon and a former provincial NDP leadership candidate.
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    Health inequality in Canada is growing. And nowhere is that more evident than in the health gap between indigenous and non-indigenous Canadians. In a report released last November the Canadian Institute for Health Information concluded that Canada wasn't likely to see any major improvements in health inequality without addressing the social determinants of health. "A big part of that isn't our health care system, it's that we don't have the kind of equal society, we don't have the social safety net that many European countries for example do. And that reflects in statistics," said Dr. Ryan Meili, a family doctor from Saskatoon and a former provincial NDP leadership candidate.
Cheryl Stadnichuk

SNC-Lavalin, Innisfree company sues Quebec and MUHC | Montreal Gazette - 0 views

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    Health Minister Gaétan Barrette is blasting a private consortium headed by SNC-Lavalin for suing the Quebec government and the McGill University Health Centre for $330 million, charging that the amount being sought in additional compensation for having constructed the MUHC superhospital is "enough to build a small town hospital."
Cheryl Stadnichuk

Medicare threatens to put Justin Trudeau to the test: Walkom - 0 views

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    Moves in Quebec and Saskatchewan toward two-tier health care will force the new Liberal government to act, one way or another. their health systems toward two-tier medicine. Quebec's reforms in particular could end up violating the Canada Health Act, a federal statute that prohibits physicians from charging extra fees for medically necessary services. That province has long allowed physicians to extra-bill patients for "medication and anesthesia agents." The idea, presumably, was that doctors couldn't charge patients out-of-pocket for, say, looking at a sore finger. But they could charge for the cost of a bandage. .... Saskatchewan presents Ottawa with a murkier problem. In November, Premier Brad Wall's government passed a law allowing private MRI clinics to operate in the province, charge whatever fee they choose and bill patients directly for the service.
Cheryl Stadnichuk

Key surgeries: Patients wait to get on a waiting list | Montreal Gazette - 2 views

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    An annual report into wait times for priority procedures says four out of five Canadians get surgery within wait-time guarantees the provinces implemented a decade ago. Critics say a new report falls short because it fails to consider weeks and months it can take for patients to get on a waiting list.
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    Critics say a new report falls short because it fails to consider weeks and months it can take for patients to get on a waiting list.
Cheryl Stadnichuk

Blood for money debate takes off in B.C. after Health Minister fails to reject the idea - 0 views

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    In response to reports that a pay-for-plasma firm has applied for a licence in B.C., Heath Minister Terry Lake said Tuesday that the ministry hadn't taken an "ideological position" on such operations. But by not outright rejecting them, the ministry spurred widespread debate about how pay-for-plasma operations could impact donations. Cumming said it's a "slippery slope" when it comes to mixing profit and the procurement of human tissue. He is part of a network of survivors involved with BloodWatch.org, whose mandate is to uphold recommendations from the Krever Inquiry of 1997, conducted following the scandal. Among Justice Horace Krever's 50 recommendations was that donors shouldn't be paid for blood or plasma, except in rare cases.
Cheryl Stadnichuk

Allen v Alberta: The Sound and Fury of Section 7 and Health Care - TheCourt.ca - 0 views

  • The pain became so disabling that Dr. Allen was forced to sell his dentistry practice in July 2009. In desperation, Dr. Allen underwent surgery at his own expense in December 2009. The surgery was successful, relieving his pain and signalling a return to health. The cost of the surgery was $77,000.
  • Dr. Allen argued that section 26(2) of the Alberta Health Care Insurance Act, RSA 2000, c A-20 prevented him from obtaining private health care insurance and covering the cost of his surgery. The section in question prohibits insurers from issuing private health care insurance for basic health care already covered under the Alberta Health Care Insurance Plan. It gives the public Plan a monopoly on health care insurance for basic health care services. Dr. Allen argued that this was unconstitutional, infringing his section 7 Charter rights
  • The chambers judge held that the unconstitutionality of section 26(2) was dependent on whether Dr. Allen could demonstrate that this particular restriction on private health insurance in this specific context offended section 7. In his view, the connection between state-caused effect and the harm suffered by Dr. Allen had not been satisfied. This was because there was no evidence indicating either that the prohibition caused Dr. Allen’s wait time in the Albertan health care system, or that private health care insurance would have been available for this type of surgery anyway.
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  • Justice Slatter clearly had issues with the majority judgment in Chaoulli. He highlighted that section 7 is a notoriously unsettled and controversial Charter provision, and the “drafters of the Charter never intended it to be applied to the review of social and economic policies” (para 33).
Cheryl Stadnichuk

Fixing botched stomach-shrinking surgeries performed in other countries costs Canadians... - 0 views

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    Doctors say abysmally long wait lists in Canada are driving people out of the country for surgery. When things go wrong, Canadian doctors are left to treat them
Cheryl Stadnichuk

Ontario's long-term care problem: Seniors staying at home longer isn't a cure for waiti... - 0 views

  • Frail and afflicted with mild vascular dementia, Luty is cared for by his wife of 63 years, Belva, herself 82, and a stream of home care workers supplied by the Community Care Access Centre (CCAC). Their daughter, Sandra, drops by almost every day to pitch in. Three other children, scattered a bit further away around the Ottawa Valley, help out when they can.
  • This is how Ontario’s Home First system is supposed to work, keeping seniors in their own homes for as long as possible before they need one of the limited and costly beds in long-term care. The Lutys get six hours of home care service a day, largely because Con is still recovering from a lengthy stay at the Queensway Carleton Hospital in November, but even so, Belva finds life exhausting, stressful and socially isolating. She doesn’t know what service she’ll get when the hospital’s home care commitment ends.
  • “I have no life. No life period,” Belva says. “I have no social life whatsoever. It’s either doctors’ appointments or something else. Today I have to go and pick up pills. 
Cheryl Stadnichuk

Ottawa woman calls for more palliative care support - 0 views

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    Amy Desjardins became well versed on the topic of end-of-life care over the course of her 12 years working as the communications director for the Bruyère Foundation, which deals with patients in need of palliative care. But having to deal with its realities never really hit home until her own sister became terminally ill.
Cheryl Stadnichuk

Health minister defends plasma clinic that pays donors $25 per visit - 1 views

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    A clinic that pays donors for their blood hosted its official opening today in Saskatoon. Canadian Plasma Resources will pay donors a $25 gift card each time they donate plasma. Canadian Blood Services collects enough plasma from volunteers for blood transfusions across the country but can't get enough to meet the demand for plasma-derived drugs.
Cheryl Stadnichuk

Quebec wants to change how hospitals are funded - 1 views

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    Health Minister Gaétan Barrette announced a pilot project on Tuesday that aims to fund hospitals based on the care they give to patients. Quebec hopes the new system will help it save hundreds of millions of dollars per year. Barrette said the first step will be to compare the cost of surgeries done in the public system versus those done in the private system. In the coming months, a pilot project will be conducted involving three private clinics in the Montreal area (Clinique de chirurgie Dix30, Rockland MD and Groupe Opmedic).
Cheryl Stadnichuk

Health system Lean report gives guidance to government - 2 views

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    Saskatchewan's health care system is "broken," according to many sector leaders interviewed for a report into the first phase of Lean implementation. But those same leaders seem optimistic the sometimes controversial management method is the "best hope yet for true system transformation." The report calls the structure of Lean "rigid, prescriptive and stifling at times," noting it can "disempower leaders who feel the need to adapt tools and programs to their local contexts." It also noted "a lack of ability to set local priorities, and lack of flexibility to adapt tools to local contexts." (for full story click on the link)
Cheryl Stadnichuk

Patients go private to alleviate wait times for surgery - 0 views

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    Una Ginnane spent two frustrating years in a wheelchair after doctors at five Montreal hospitals refused to give her a new hip at her age because she was deemed too fragile. "I had to go private, to have a new hip, and I can assure you I don't have the money," said 90-year-old Ginnane, who took out a line of credit on her Montreal home last year to finance her hip replacement. In June, Ginnane paid $19,000 for an operation at a private clinic that lasted 40 minutes. Once she woke up, Ginanne got off the gurney and walked. "I was in a wheelchair for 20 months," said Ginnane, who says her only regret is not going to a private clinic earlier. (click on link to read full story)
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