Category Archives: Uncategorized

Not all home and community care receiving increases this year

It’s always been an odd concept to us to separate out hospitals from other community-based providers. If hospitals are not operating in their communities, where the heck are they operating? It also makes little sense when the watchword these days is “integration.”

The reality is that hospitals are health care citadels within their communities and attract far more community involvement than some of the so-called private for-profit “community-based” health care providers the government seems to be taken with.

Walk into the lobby of any hospital and you’ll likely see an information desk with volunteers from the community sitting behind it. If you’ve had heart surgery recently, you’ll have probably received a visit by a hospital volunteer who is there to answer your questions. Community volunteers are key to making fundraising foundations work for hospitals. Hospitals likely couldn’t function without them.

Unlike some of the province-wide private agencies, hospital boards are mostly made up of people who live in the community. They are much closer to the local communities than say the boards of the non-profit St. Elizabeth Healthcare or the for-profit Bayshore Home Health.

It is therefore with great interest that we note not all home and community care providers are receiving increases this year despite the government’s rhetoric about shifting services away from hospitals. That’s because some of this work is actually done by hospitals.

Continue reading

Ontario’s nursing homes — 10 years of empty promises from Queen’s Park

Here we go again. This week news of another shocking nursing home death – this time in The Wexford, a Scarborough long term care residence. A second resident was also injured in the resident-on-resident attack.

Health Minister Deb Matthews predictably told the Toronto Star “if there is anything that can be learned from this incident, you have my commitment that action will be taken.”

In 2003 then Health Minister George Smitherman was moved to tears after a Toronto Star series on resident abuse. His famously vowed a “revolution” in long-term care.

In 2005 a Coroner’s jury made 85 recommendations after investigating the 2001 deaths of two residents at the hands of another in a different Toronto-area nursing home.

At the time the report was released, the home’s lawyer suggested there was a gap in the system for specialized long-term care units for residents with cognitive impairment (today that describes almost a third of all long-term care residents).

Smitherman declined comment that time.

In 2008 David Caplan was asked about a Canadian Press series that showed three-quarters of Ontario long-term care homes were not in compliance with provincial legislation. Caplan said he was too new to the post to comment and promised nothing.

In 2010 Metroland, which operates community newspapers across Ontario, ran its own series on long-term care. They called it “Situation Critical.”

Continue reading

Who is that new guy on the banner?

His name is Ed Arvelin. He is a Registered Practical Nurse (RPN) with St. Joseph’s Care Group in Thunder Bay. He is  as also Chair of OPSEU’s Mental Health Division. Patients at the Thunder Bay mental health facility can be there for three months or sometimes the rest of their lives. This often builds a close relationship between caregiver and patient. Ed says these patients feel like an extended family.  To watch a short video of Ed, click the window below.

Would you like to live on the Diablogue banner for a month or two? We’re looking to profile the hundreds of professions that make up the 43,000 members represented by OPSEU’s Health Care Divisional Council. Whether you cook in a hospital, travel to client homes to deliver physiotherapy, or work in a public health unit, we’d like to feature you. It just involves a couple of pictures and a short video profile. Contact rjanson@opseu.org if you are a OPSEU health care member and would like to promote your profession on our banner. Don’t be shy! We’ll be looking for someone new in April.

Kingston P3 Plebiscite: Kenney memo to Providence Care staff misleading

Kingston’s Providence Care took the extraordinary step of sending a memo to staff on Tuesday stating that the proposed new psychiatric and rehab hospital will remain public.

The new hospital is presently going through a competition to select a private for-profit consortium to design, build, finance and maintain the new 270-bed hospital for 30 years.

“You may get the wrong impression from the P3 (Private Public Partnership) slogans being used,” CEO Dale Kenney writes. “Partnership is defined as ownership in a business and I can assure you that Providence Care is not entering into partnership with the private sector to build our hospital.”

Kenney insists that the project is instead being built under Ontario’s Alternative Finance and Procurement model (AFP).

Kenney is likely trying to rescue the beleaguered MPP John Gerretsen, who sees the new hospital as his legacy project. The fact that the private sector has been invited into a pricey long-term relationship with the hospital is sticking in the craw of many unhappy Kingston residents and members of City Council.

If last night’s packed organizing meeting at the new pro-public campaign headquarters of the Kingston Health Coalition is any indication, there is high community interest in this decision. Volunteers are coming to the campaign with considerable motivation.

This idea that somehow an AFP is different from a P3 is complete nonsense. Nobody believes this – not even the promoters of such projects. The Canadian Council for Public Private Partnerships lists the new St. Mary’s/Providence hospital as a P3. Yet we don’t see Kenney or an Infrastructure Ontario trying to correct that very public record.

Continue reading

Deb Matthews enters paid blood donation debate

Ontario Health Minister Deb Matthews has asked Health Canada to delay licensing of three new clinics that would pay donors for blood plasma.

The new clinics represent a fundamental change in how we treat blood donations in Canada and is contrary to the recommendations of both the Krever Inquiry and the World Health Organization.

Two private clinics have been set up in Toronto, and a third is planned for Hamilton. The three cannot open until they get licensing approval from Health Canada.

We first learned about these clinics almost a year ago when Canadian Blood Services announced it was closing its last remaining dedicated plasma collection site in Thunder Bay.

At that time we wrote to all provincial health ministers — including Deb Matthews  — as well as Federal Health Minister Leona Aglukkaq. The NDP’s France Gelinas asked questions for us on the floor of the legislature. We even circulated two petitions which were also introduced into both Federal and Provincial Parliaments. Outside of Thunder Bay, the media treated the story with indifference despite our efforts.

A year ago we thought it odd that CBS was telling us on one hand that there was an oversupply of plasma, while on the other hand a private company was setting up shop in the province to collect substantially more. CBS’ own annual report showed they were also increasing imports of American plasma.

Continue reading

Could the Wynne government do a u-turn on austerity?

It didn’t get much coverage in the mainstream media, but last week the big banks told Federal Finance Minister Jim Flaherty to take his foot off the brake when it comes to public sector spending.

The banks argue with a weakening economy, now is not the time for restraint. That could mean pushing back Ottawa’s target to wipe out a $26 billion federal budget deficit by $5 billion per year.

“You won’t have many economists — or the bond market, which is perhaps a more critical vote — end up criticizing Canada if a couple of years down the road, instead of having a balanced budget, we have a $2 or $3 billion deficit,” CIBC chief economist Avery Shenfeld told the Toronto Star last week.

It’s a rare meeting of minds – the same message is being delivered by the Canadian Centre for Policy Alternatives, who argue economic growth is more important right now than the deficit.

Private sector economists are predicting economic growth in Canada will slow to 1.5 per cent for 2013.

If the economists left and right are telling Flaherty this, then Ontario’s Wynne government must be receiving the same message. This is important — if the provinces and the federal government are rowing in opposite directions, their initiatives would likely cancel each other out.

You can also bet that new Ontario finance Minister Charles Sousa – who emerged from the world of banking – is also listening to his former colleagues.

Continue reading

Premier Wynne – Important memo re public health care

Memo: To the Honourable Kathleen Wynne, Premier, Province of Ontario
From: Your new pals at OPSEU Diablogue

Dear Premier Wynne –

Imagine our surprise when we discovered in today’s newspaper that the public sector unions are in fact running government. We have to give thanks to PC Leader Tim Hudak for pointing this out, because we had no idea this had taken place.

Anybody who reads our BLOG will note that we have had many recent differences, ranging from your government’s addiction to costly private-public partnerships to the present round of deep cuts to our public hospitals. We know, you don’t call them cuts, you call it restructuring (now that we’re friends perhaps you’ll let us know where this work is being restructured so our members can pursue jobs there).

We thought we would start off with a basic principle – public is better.

Here’s the proof: at the dawn of Medicare in Canada, we spent about the same percentage of our economy on health care as the United States. That percentage has since gone up for both of us, but at a much faster rate in the United States where the majority of health care delivery is in private hands.

In 2010, the most recent year we have comparable international data, the U.S. was spending 17.6 per cent of its economic output on health care – both public and private. In Canada we spent 11.4 per cent. While we could do a lot better, our spending is comparable to countries such as France, Switzerland, Germany and the Netherlands. Incidentally, for all the panic about rising health care costs, Canada also spent 11.4 per cent of its economic output on health care in 2009.

Continue reading

Kingston P3: John Gerretsen should know better

Carleton University's Hugh Armstrong speaks about P3s in Kingston March 4.

Carleton University’s Hugh Armstrong speaks about P3s in Kingston March 4.

KINGSTON – As a Minister of the Crown, Kingston MPP John Gerretsen should know better.

At yesterday’s anti-privatization rally in front of his Kingston constituency office, Gerretsen was steadfast in his assertion that the deficit rendered the government unable to build new hospitals without private involvement in the finance, design, construction and long-term maintenance of the building.

The protesters are upset by the government’s plans to use a public-private partnership (P3) deal to build a new hospital in Kingston. The new facility will replace the aging psychiatric and rehab hospitals.

At the same time, Gerretsen surprised the protesters by telling them he knew the P3 option was more expensive.

The suggestion is that somehow using the private sector takes the costs of doing these projects off the government accounts. This is completely untrue.

It’s a little like taking out your high interest VISA card as a solution to your debts.

You don’t have to take our word for it.

The Conference Board of Canada issued a report in 2010 funded largely by pro-P3 groups such as the Canadian Council for Public-Private Partnerships, PPP Canada and Partnerships BC. To say the report subsequently contains a pro-P3 bias is a massive understatement.

Despite this, the report acknowledges that the idea of taking these financial obligations off-book has no value.

Continue reading

Kingston to launch P3 plebiscite campaign today – and we’re part of it

Moshe Safdie is one of Canada’s most celebrated architects. Best known for Habitat 67, a model community housing complex built for Expo 67, Safdie is also the architect behind both the Vancouver Public Library Square and the National Gallery of Canada. For six years he was director of the Urban Design Program at the Harvard University Graduate School of Design.

He was originally signed with much fanfare in 2006 to design Montreal’s $1.3 billion McGill University Health Centre Hospital. In 2007 he dropped out when the Quebec government decided to develop the hospital as a public-private partnership (P3/PPP).

At the time he said developing the hospital as a P3 meant the opportunity to build a medical facility appropriate to the 21st Century was now lost.

“It’s in the nature of the beast when you do a PPP. You can call it cutting corners. The objective of the private developer, in order to win this project, is to produce the cheapest possible solution, (emphasis added)” Safdie told the media. “My experience is that the PPP process… is not going to lead either to innovation or anything outside the box, other than the minimal interpretation of the written specifications.”

Safdie must be relieved he dropped out when he did. The McGill hospital project has been at the centre of Quebec’s corruption probe.

Continue reading

Why you should care about March 4

This winter has been the season of our discontent. One after another hospitals have been announcing cuts to staff, beds and needed programs.

On Monday communities are planning to do something about it with support from the Ontario Health Coalition (See activist’s calendar at right).

Hospital funding is flat in this province. In real terms that means about a three per cent cut in funding after taking into account inflation, population growth and the impact of aging. Worst still, the plan is to keep underfunding hospitals for at least another three or four years.

Hospitals in this province are the most crowded among developed nations. If Ontario were a nation, it would top the OECD for the most jammed hospitals, Israel following a close second, the rest of Canada third.

It’s one thing to run a hotel at capacity, another thing to run a hospital that way.

Many countries try to keep their average hospital occupancy rate below 85 per cent. This is to help them with surge capacity and to limit the spread of hospital borne infections.

Continue reading