Category Archives: Health System

In Brief: Defending Medicare, funding a hospital, and voting for a favourite doctor

As voters go to the polls in the Toronto Centre by-election, the Ontario government has pledged $15 million to save the Toronto Grace Health Centre. With new money in hand, the Salvation Army reversed its decision to cease operating the aging facility. The NDP have made hospital funding a core issue in the byelection. Curiously, Health Minister Deb Matthews said “we have not let a hospital close under our watch and I can assure you we would not let the Grace.” Fort Erie, Port Colborne and Shelburne may beg to differ. … Ontario is rebuilding 4,183 existing beds and updating facilities at 37 long-term care homes. The government has pledged to redevelop 35,000 older beds in a decade-long plan. Now if they would only fund adequate staff to provide the care. … The Ontario Health Coalition is urging members to vote for Dr. Gordon Guyatt for the British Medical Journal’s life-time achievement award. For 30 years Guyatt has been a leading advocate for universal, publicly funded health care. You can vote at www.bmj.com/cgi/content/full339/dec29_2/b5546 . … Dr. Michael Rachlis defends Canadian heart care as “good as the best centres in the U.S.” in an opinion piece in today’s Toronto Star. U.S. Medicare critics have jumped on Newfoundland Premier Danny Williams for seeking heart surgery in their country, claiming this was evidence of Canadian Medicare’s inadequacy. Rachlis points out that very few Canadians seek such surgery in the U.S., while Americans are known to come to Toronto for valve surgery, for which the city is world famous. A 2002 study by American and Canadian academics found that one out of 500 Canadian hospitalizations occurred in the U.S. and 80 per cent of these were for pregnancy-related conditions – women going into labour while travelling. Another 10 per cent were for other emergency conditions, meaning about one in 5,000 Canadian hospitalizations in the U.S. were for patients deliberately seeking elective care, like Williams. To read the full article, go to http://www.thestar.com/opinion/article/760217–medicare-attack-dogs-barking-up-wrong-tree

In Brief: Ombudsman report on LHIN expected soon / Emergency Physician calls for standards in wake of Niagara death / RNAO drafts election priorities / More…

Ontario Ombudsman Andre Marin has completed his investigation into the process used in two key Local Health Integration Network (LHIN) decisions. The ombudsman received 37 complaints about the Hamilton Niagara Haldimand Brant LHIN from residents, community associations, health care professionals and a Hamilton-area MPP. The complaints stemmed from decisions to reorganize services at the Niagara Health System and at Hamilton Health Sciences. The Ombudsman’s office has told the media that the findings will be released in the next several weeks. … Dr. Alan Drummond, speaking on behalf of the Canadian Association of Emergency Physicians, said national standards are needed in planning emergency care. “Let’s decide what we as a nation are going to accept in terms of time and and distance to effective emergency care, because that doesn’t seem to be defined by anybody,” he told the Canadian Press. Drummond was responding to the recent death of an 18-year-old Niagara woman who died before being able to reach the Welland Hospital. Her family believe her life may have been saved had she been able to go to the former Fort Erie hospital. Fort Erie’s ER was closed due to budget restraints last year. “Why don’t we take this opportunity of this tragic death to say, ‘look, let’s re-dedicate ourselves to planning effectively. Let’s not make health care decisions based on budgetary constraints within regional health authorities.” BC is the only province in Canada that has developed such standards. The province has stipulated that 98 per cent of residents in a region should be able to get access to an emergency department within an hour. … The Registered Nurses Association of Ontario has released a paper challenging the provincial political parties to adopt platforms that strengthen the health care system and improve communities. Creating Vibrant Communities: RNAO’s Challenge to Ontario’s Political Parties outlines key policy priorities for the nursing association. Copies can be downloaded from the RNAO web site at http://www.rnao.org/ …Dan Carriere, CEO of Southlake Regional Health Centre, will head up the Peer Review of the Peterborough Regional Health Centre. Carriere has been CEO of the Newmarket based hospital for 16 years. The final report is expected at the end of April. … Four hospitals in the Central East LHIN are getting additional money through the $10 million provincial growth fund. The fund is intended to make adjustments to the budget of hospitals situated in regions with high population growth. Lakeridge Health is receiving $1,054,400 – enough the pull the hospital out of deficit for the first time since amalgamation. Rouge Valley will receive an additional $236,400, Northumberland Hills will get $63,800, and Campbellford Memorial will get $55,400.

Cutting jobs while stimulating the economy makes no sense — OPSEU

Some recent postings on our main OPSEU site —

Closure of the Windsor public health lab makes no sense when the province is spending billions to stimulate the economy. See President Warren (Smokey) Thomas’ letter to Finance Minister (and Windsor-area MPP) Dwight Duncan at http://www.opseu.org/bps/health/Microsoft%20Word%20-%20Dwight%20Duncan%20Jan%2025%202010.pdf

OPSEU writes to the Central West LHIN urging them to stop plans to effectively close the Shelburne Hospital. See the union’s letter at http://www.opseu.org/bps/health/Microsoft%20Word%20-%20Joe%20McReynolds%20Jan%2025%202010.pdf

Startling new data from the Canadian Institute for Health Information indicates health care may be sustainable — but tax cuts aren’t. See the President’s message at http://www.opseu.org/presidentsmessage/january-25-2010.htm

Morbid Symptoms – Health Under Capitalism

A book launch for Morbid Symptoms — Health Under Capitalism (edited by Leo Panitch and Colin Leys)  is taking place Thursday, January 21, 7:30 pm  at Annex Live, 296 Brunswick Ave., Toronto.

A fundraising event for the Ontario Health Coalition, the evening will feature a panel discussion by three of the book’s contributors — Colin Leyes, Pat Armstrong and Roddy Loepky. The OHC’s Natalie Mehra and Andy Coates from the US Physicians for a National Health Program, will also speak.

In Brief – Freeze could force “rather ugly” cuts / Ontario repatriates bariatric surgery / Obama health care bills a gift to private insurance companies

More hospital CEOs are warning of impending cuts should the province freeze funding to hospitals later this year. Windsor Regional Hospital CEO David Musyj told the Windsor Star  “if the announcement is zero, which is not going to be a shocker… there isn’t one hospital in this LHIN that is going to be able to balance (its budget) without making service cuts and job cuts.” Musyj told the newspaper wage restrictions are necessary to avoid job losses and service reductions. OPSEU continues to maintain a web site where those opposed to a funding freeze can write an e-letter to their MPP and copy it to the premier, health minister, and two opposition health critics. Go to www.avoidingzero.ca  ….  Family physicians will no longer be able to determine if a patient needs bariatric surgery, but will instead have to refer him or her to one of five designated assessment centers in the province. Bariatric surgery includes gastric bypass, a procedure which reduces the volume of the individual’s stomach. Ontario is trying to repatriate the OHIP-funded surgeries from the United States. More than 1600 patients travelled to the U.S. to get the procedure despite the fact that it costs the province $10,000 more per patient than had it been performed in Canada. Ontario is spending $75 million to expand the province’s capacity to perform the surgeries to 1470 per year from 244. At least four new “bariatric centres of excellence” will be established. At present there is none between Toronto and Ottawa and in the north. Before patients can be accepted for OHIP coverage, they have to fail a three-month lifestyle intervention to reduce their weight. … Advocates for a single payer health care system in the United States are upset about what’s left of President Obama’s health plan after it passed the House and Senate. San Francisco nurse Eileen Prendiville writes in an international health workers e-newsletter: “people will be forced to purchase high-cost, low coverage policies. Those who don’t will be fined. The proposed industry regulations offer major loopholes and no means of enforcement. The legislation attacks women’s rights by prohibiting any government-subsidized programs for providing coverage for abortion services. And the Senate version taxes existing workplace medical benefits, affecting one in every four unionized workers.” The U.S. National Nurses United and Physicians for a National Health Program strongly condemned both bills, warning that they will worsen the healthcare crisis. Prendiville reports that health insurance companies stocks have soared once it became clear the public option was basically finished. Go to http://hosted.verticalresponse.com/301992/e9fd74c7e8/1750500119/0f48ea2925/.