ORNGE wasn’t the first costly warning McGuinty ignored

“Someone at a very high level was manipulating the Mazza scheme through the cabinet approvals process against the advice and warnings of senior civil servants.” – Tory MPP Frank Klees, Toronto Star, May 29, 2012

Today’s revelations that the McGuinty government was warned about problems with the ORNGE air ambulance service seven years ago shouldn’t come as a surprise.

Tory MPP Frank Klees claims to have found a box full of internal cabinet memos that indicate the McGuinty government was warned about the proposals ORNGE boss Chris Mazza was bringing forward to government.

It wasn’t the only such debacle the government was warned about.

When Dalton McGuinty’s government came to power in 2003, they commissioned a Deloitte study into the feasibility of plans by the Tories to build two public hospitals as public-private partnerships (P3s).

That report suggested the cost of the William Osler Health Centre could run as much as $300 million more than if it had been built under traditional public procurement.

What was McGuinty’s response?

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Ontario Health Coalition forums head north this week

The Ontario Health Coalition heads north this week, hosting community forums in Matheson (Monday), Sault Ste. Marie (Wednesday), Thunder Bay (Thursday) and Kenora (Saturday).

The forums discuss the impact of the provincial spring budget on the future of health care delivery in Ontario.

Trish Hennessy

Trish Hennessy

Trish Hennessy, a director with the Canadian Centre for Policy Alternatives, joins OPSEU’s Mary Cory, ONA’s Diane Parker, CAW’s Kari Jefford and OHC Director Natalie Mehra Thursday night in Thunder Bay.

A former journalist, Hennessy is director of the CCPA’s income inequality project, which specializes in research on the growing gap between the rich and the rest of us. She has a BSW from Carleton University and a Master’s degree in Sociology from OISE/University of Toronto.

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Stories we couldn’t let pass by this week

CCACs hire 144 direct care nurses

This month the government announced 900 new nursing positions to come from their 2007 commitment to 9,000 new nurses for the health system. Among them are 144 nurses who will go into the schools to support early identification and intervention of students with potential mental health and/or addictions issues. The nurses will assess and develop plans of care, provide direct service for mild cases, and offer support and referral for more complex issues. What’s particularly interesting about this initiative is these nurses will be working directly for the Community Care Access Centres, the first new hires to provide direct care since Bob Rae was in the Premier’s seat. When Mike Harris changed the NDP’s multi-service agencies into the CCACs, he insisted that a strict purchaser-provider split exist, hoping to divest all direct care workers to private agencies. He never entirely succeeded – OPSEU still represents CCAC home care therapists that were supposed to be divested by 1998. The fact that the government has placed these nurses into the employ of the CCAC is a hopeful sign that the terrible Harris-era competitive bidding process may quietly be coming to an end. While Deb Matthews publicly said competitive bidding would return, OPSEU members are telling us the agency contracts are all being extended again.

Merging surgical departments in Windsor

A zero base budget for hospitals is forcing many administrators to look at novel ways to make ends meet. In Windsor much has been made about Finance Minister Dwight Duncan’s proposal for a very expensive mega-hospital, however, the two hospitals are looking at integration options that might save money in the meantime. Windsor Hotel Dieu is pushing for greater coordination of surgical departments with the Windsor Regional Hospital. Facing a $700,000 operating room budget deficit, Dieu is hoping costs could be saved by having the two hospitals move into even greater specialization than currently exists. Dieu presently specializes in trauma and neurosurgery while WRH does most of the pediatric surgeries. WRH CEO David Musyj told the Windsor Star he was cautious — concerned that Hotel Dieu’s financial problems could put more pressure on his 11 operating rooms.

Harper attacks Council of Canadians

Our friends at the Council of Canadians are under attack by the Harper government for encouraging Canadians to overturn elections of seven Tories elected in ridings involved in the so-called robocall scandal. According to the Ottawa Citizen, the Federal Tories hope to overturn lawsuits that seek new elections in the ridings. The Tories are basing their bid to throw out the lawsuits on an obscure and ancient legal prohibition against “champerty and maintenance,” which the Citizen describes as “meddling in another party’s lawsuit to share in the proceeds.” While the Council of Canadians would not stand to gain anything monetarily from the actions, the Tories highlight a Council fundraising campaign that notes the challenge among its work. Of course the Tories have no problems with right-wing organizations, many with American funding, helping to litigate against such left-wing institutions as Medicare. That includes the Canadian Constitution Foundation, an extreme right-wing group based in Alberta that supported Lindsay McCreith and Shona Holmes in their 2007 case intended to open up Ontario to two-tier private health insurance. While the CCF doesn’t say where their money comes from, they do specifically note on their website that they have charitable status with the U.S. Internal Revenue Service. Like the Council of Canadians, the CCF lists its McCreith/Holmes case as among the worthy activities it undertakes to solicit donations.

Unemployed Docs: You don’t want fries with that

Much has been made of potential doctor shortages resulting from the no-holds barred death match between the Ontario Medical Association and Health Minister Deb Matthews.

It is notable that last year Dr. Sacha Bhatia, the former health advisor to Premier Dalton McGuinty, wrote an essay published on longwoods.com last year that discussed the problems young physicians will soon have finding work.

Bhatia notes a Royal College of Physicians and Surgeons of Canada study that reports graduates in 13 specialities in Canada were having difficulty finding jobs, and another study published in the Annals of Thoracic Surgery that found 34 per cent of cardiac surgery graduates were underemployed.

“There are several factors affecting demand for physicians,” writes Bhatia. “Hospital budget constraints mean less capacity for physicians to operate in. Technology changes, expanded scopes of practice of non-physician specialties, and improvements in efficiency also mean fewer physicians are required to do the same volume of work.”

Bhatia states that these efficiencies should be offset by increased demand resulting from an aging medically complex population.

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Hospital Food: Will evidence and accountability be the end of rethermalized food?

The food served in hospital may be directly linked to chances of survival for critically ill patients according to Dr. Daren Heyland, a staff physician at Kingston General Hospital.

Heyland and his research team has just received a grant from the U.S. National Institute of Health to continue research into meeting the nutrition needs of high risk, critically ill patients. According to release from Queen’s University, such a grant to a Canadian researcher is rare.

“The optimal amount of energy and protein given to a critically ill patient remains unclear but CERU’s (Queen’s University Clinical Evaluation Research Unit) review of current intensive care unit nutrition practice shows over recent years the amount of energy and protein delivered to critically ill patients is too low,” the release states (emphasis added).

There’s no question that every time you process food, it loses much of its nutritional value.

When a hospital converts from fresh to rethermalized food service, the patient meals lose more nutrition in the cooking, freezing, and reheating process. This is a scientific fact.

The proteins that patients need are altered in the process, or what some call “denaturing.” According to one source, “protein molecules are long chains of 100 or more amino acids all linked together forming a coil called an alpha helix. When a protein is stressed, as it is when it is heated or cooked, it begins to uncoil and changes, losing or altering some of its properties.”

Earlier this year OPSEU took advantage of the freedom of information process to seek food costs at South Bruce Grey Health Centre (SBGHC).

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Thunder Bay lags behind other hospitals in fulfilling freedom of information request

Evidently some hospitals have kinks to work out in their processing of Freedom of Information (FOI) requests.

In mid-February we sent out requests – along with an initial $5 fee – to 20 hospitals to look at how the ratio of front line workers to managers has changed over the last five years.

Three months later we still don’t have all the information despite FOI rules that set a 30-day time limit for responding unless the information holder sends an extension letter.

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Former Thunder Bay CBS clinic staff thanks donors

The rain didn’t dampen last week’s gathering of former donors and staff from the Thunder Bay Plasma Donor clinic. Canadian Blood Services closed the clinic April 12 after two weeks’ notice, claiming they had a Canada-wide surplus of plasma for transfusion.

The appreciation event at the Thunder Bay Labour Centre was an opportunity for staff to say goodbye to long-time donors to the clinic. It was also an opportunity to sign petitions calling for greater self-sufficiency in Canada’s plasma supply.

Former staff of the Thunder Bay Plasma Donor Clinic thank long-time donors.

Former staff of the Thunder Bay Plasma Donor Clinic thank long-time donors.

CBS showed in their annual report that they are increasing imports of American plasma while shutting down the last remaining dedicated plasma donor clinic in Canada. Meanwhile several new private for-profit plasma donor clinics are being set up in Southern Ontario.

Thunder Bay resident Reg Meclay spoke about the health problems he experienced after receiving American plasma collected from an Arkansas prison. City Councillors Ken Boshcoff and Larry Hebert – both former donors at the clinic – also spoke. Messages were read from Mayor Keith Hobbs and federal MPs Bruce Hyer and John Rafferty.

The event was hosted by OPSEU’s Kelly Borchardt, whose son sang the national anthem to open the gathering.

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Cookies made for the occasion.

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