Category Archives: Uncategorized

Bargaining: St. Elizabeth drops from top employer lists

There used to be a time when St. Elizabeth Health Care boasted of making Canada’s Top 50 employer list. They used to talk about how their happy staff didn’t need a union.

How times change.

The last time St. Elizabeth made the Report on Business best employer list was 2007.

Now the St. Elizabeth-run Peel Crisis Services is in bargaining with OPSEU. Peel Crisis Services is among the numerous home health care services contracts the non-profit charity maintains across Ontario. The Peel Crisis Services offers free support to individuals needing help in a mental health crisis, to their families, friends and caregivers. 

According to the comparison website payscale.com, St. Elizabeth pays workers about 8 per cent below market value, and within their own sector they are about a percentage point behind average.

As a health care organization, you’d think they’d have some understanding of how the system works, yet St. Elizabeth has drawn a line in the sand insisting that their workers give two weeks’ notice prior to any medical appointment unless it is an emergency.

That means workers experiencing long waits to see a specialist will be denied the opportunity to get in earlier in the event of a cancellation.

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Too frank for the food industry

Last year Dr. Yoni Friedhoff was invited by the Ontario Medical Association to speak at a small food industry association breakfast. Just days before the event, the organizers uninvited Dr. Friedhoff without any explanation.

Having prepared his Powerpoint and talk, he decided to post it on-line for all of us to hear and see. In fact, more than 228,000 people have already viewed it on YouTube.

Friedhoff says the food services industry has a fiduciary duty to make profits and zero responsibility to protect public health. That responsibility should be up to us, including levelling the playing field so that ethical food producers can compete with those who make false claims about the health of their products.

To watch Dr. Friedhoff’s amazingly frank and entertaining presentation, click on the window below. When you’re done, Dr. Friedhoff encourages us to pass it on.

Hit TV series reminds us why we need a public health system

Several years ago musician and labour advocate Tom Juravich reminded us that popular culture can be a means of comprehending an issue at a much deeper level than traditional political discourse.

Tom’s comments came to life while watching the new BBC series Call The Midwife. The six episode series has recently become available on DVD and BluRay in Canada.

Based on the 2002 memoirs by the late Jennifer Worth, it deals with a group of midwives working amid incredible poverty and ruin in London’s East End in the late 1950s. We are continually reminded that without the UK National Health Service (NHS), that the lives of these women and children would be considerably imperiled.

While this scenario would likely not have received the green light of any Hollywood producer, the series has been a runaway hit in the UK, prompting a Christmas special and a second season. Maybe it was all those babies. The final episode pulled in more than nine million views in Britain – more than that other famous export Downton Abbey.

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We all contribute to multi-million dollar CEO compensation packages

As we flail managers in the public sector for their annual bonuses, the Canadian Centre for Policy Alternatives reminds us who is hauling down the really big bucks at everyone’s else’s expense.

In 2011 Canada’s top 100 CEOs – all of them in the private sector – earned an average of $7,695,625 in compensation. By comparison, the average Canadian wage was $45,488, and if you are a woman, it would be $39,136. In our sector, the median salary for a hospital CEO in Ontario is $266,000.

The CCPA notes that Canada’s top 50 CEOs made 235 times more than the average Canadian in 2011. The staggering growth in inequality is reflected in this figure – in 1995 the top 50 CEOs made 85 times the average pay.

While we think of public sector compensation as being at our expense as tax paying citizens, clearly these staggering levels of compensation are reflected not only in the goods and services we buy as consumers, but also are reflected in costs directly borne by government. Consider 36 per cent of Ontario government spending is directly in the private sector for everything from construction costs to the gas in the vehicles of conservation officers.

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As a RTW province, would Ontarians face higher unemployment and lower wages?

With rising inequality challenging economies in developed countries, it is hard to understand why Ontario’s Tories would pursue a labour agenda that would only serve to further widen levels of inequality.

PC leader Tim Hudak’s promise to scrap the Rand Formula and wage war on labour is based on the badly misnamed “right to work” (RTW) movement in the United States. Hudak ignores the fact that Scandinavian Countries, with much higher rates of unionization than Canada or the United States, have far surpassed North America in raising living standards for its citizens over the last 30 years. Yet even in today’s difficult economic environment Sweden is second only to Germany among European countries in attracting new business investment.

Yesterday we discussed the lack of evidence to suggest RTW States had any economic advantage over their free-bargaining counterparts. In the case of Oklahoma, it appears to have had the reverse effect.

When Michigan debated whether to adopt similar RTW laws, the State of Mississippi was offered up as a RTW model of economic growth. The U.S. Chamber of Commerce suggested that if Michigan were more like Mississippi, it would gain more jobs and experience lower unemployment.

The U.S. Economic Policy Institute points out that citizens of formerly free-bargaining Michigan were already far better off than their Mississippi counterparts despite the downturn in the auto industry. Mississippi’s constitution entrenched RTW and the State has among the lowest rates of unionization in the U.S. Mississippi is also dead last in median household income and is first in poverty – a rate that is a shocking 50 per cent higher than Michigan’s. It is also first in infant mortality and 48th out of 50 States in the number of doctors per capita.

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Campaign: Health4All asks Ontario to follow other provinces to protect refugee healthcare

Even right-wing Saskatchewan Premier Brad Wall thinks it’s wrong.

Recent cuts to the Interim Federal Health program for refugees have led to a storm of criticism by the medical community and provincial politicians across Canada.

While Immigration Minister Jason Kenney defends the cuts, stating excluded refugees will still receive essential care, a man was denied chemotherapy in Saskatchewan under the new rules and doctors are alleging more individuals in need are being turned away.

The Saskatchewan government stepped in and paid for the chemotherapy the Federal government denied. Wall told the National Post “it’s unbelievable that some of the decisions that have been taken federally are having this impact on people who are clearly the most vulnerable, refugees who are obviously fleeing something quite terrible – that’s why they are refugees.”

Saskatchewan is not alone. Quebec has stepped in to fill the gap, and Manitoba has said they will do the same and send the bill to the Federal government.

While Ontario Health Minister Deb Matthews has been critical of the cuts, she has made no announcement about helping disenfranchised refugees here in Ontario.

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Hudak’s anti-labour policies could backfire on the economy

Provincial PC leader Tim Hudak’s war on unions is based on an overly simplistic theory that lowering workers’ wages and benefits will retain and attract new business to Ontario. This dramatic surge in new businesses will eventually lift the wages of all workers as demand for labour rises and the market economy takes over.

Of course, if he’s wrong, it could badly damage the standard of living for most workers in the province, drive up the deficit as lower paid workers pay less in taxes, and undermine critical infrastructure that really attracts companies to locate here (such as health and education). It would also surely drive up health care costs given the substantial evidence linking income levels to health status.

Given the high stakes, you’d think the Tories would take a close look at the evidence before taking such an extreme ideological hard-right position.

Unfortunately for Hudak, most impartial analysis suggests undermining unions and lowering wages has little effect on creating jobs or spurring economic growth. For some U.S. States that have gone down this road, it has actually led to a decline in jobs and industry locating there.

Let’s face it — if your goal is to make Ontario a low wage destination, you have a lot to compete with already, including 24 U.S. States that have preceded Ontario with such legislation. But even those low wage states are losing jobs to China and Mexico. Paul Monies, a Oklahoma business reporter, notes that “right-to-work laws are a welcome mat for companies who care most about low-wage, unskilled labour and who are committed to a region only until they are able to relocate someplace where the laws protecting workers are even weaker.”

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CPP reform: Pensions and population health objectives should be linked

There are two accepted axioms in health care:

1. The older you get, the more health care you use.
2. Wealth is closely linked to health, or what policy wonks like to talk about as the “social determinants of health.”

It is therefore curious that the Federal government is stalling on reforms to the Canada Pension Plan (CPP), a situation that would improve the economic outcome of seniors and presumably also have an impact on their use of the health system in retirement years.

We know that most Canadians are without supplemental private pension plans.

It is estimated that even with maximum CPP earnings at $12,500 per year, the average senior would face a shortfall of $6,200 to meet their basic needs.

This demographic bulge in baby-boom seniors would also be contributing less to the economy in the future on such limited pension income.

Therefore, it is logical to improve the Canada Pension Plan – a defined benefit pension plan – to raise the bar for most seniors so they don’t have to live out their “golden” years in poverty.

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Like Canada, growth in U.S. economy not going to workers

As the Ontario Tories gear up to take a run at suppressing the wages of working people north of the border through attacks on unions, defined benefit pension plans and overall public sector compensation, the U.S. Economic Policy Institute shows how dramatic the difference has been between wage and economic growth in that country over a period of nearly 40 years. Clearly, it hasn’t been workers who have been reaping the benefits.

The data shows that during the period 1973 to 2011 the U.S. economy grew in real terms by 80 per cent, but the median worker only took home 4 per cent of that growth in the form of real hourly wages. Total compensation — wages and benefits — grew by 10.7 per cent.

What wage growth there has been is very unequal in distribution.

While those in the top 5 per cent saw real wages grow by 34.1 per cent, those in the bottom 10 per cent would have only realized a 1.1 per cent difference.

If you separate out the modest gains made by working women during this period, real wages for men actually declined for the bottom 60 per cent.

For the most recent period, from 2007-2011 most workers – the bottom 70 per cent – saw real declines in their wages, while those in the top 30 per cent saw modest gains. The top 5 per cent of U.S. workers saw real growth of 2.4 per cent over the recent five-year period.

Real growth represents gains made over and above the rate of inflation.

The rate of inequality is actually growing faster in Canada than in the United States, although levels of inequality remain slightly higher south of the border. There are likely more similarities that differences between workers’ status in the two countries, raising the question why the Tories are pushing an agenda that would see workers’ share of economic growth decline further?

To view an interactive infographic on the issue, click here.

More bad news for private diagnostic facilities

Those darn private for-profit health care facilities.

You can’t locate them where you need them. You can’t tell if their doctor owners are padding their pockets with unnecessary referrals. Quality assurance is still questionable. So, the government concludes, let’s speed up the process of transferring services from hospitals to this sector.

Just weeks after a Toronto Star series highlighted the fact that nine private clinics failed to pass quality inspection and another 64 passed with conditions, the Auditor General of Ontario has issued a chapter in his 2012 report on “independent health facilities.”

The Auditor General notes that about 50 per cent of Ontario municipalities have been underserved by diagnostic services provided by these clinics and about 7 per cent have been consistently overserved from 2007-08 to 2010-11 (fiscal years).

Worse still, the Ministry indicates that many of these facility owners would like to relocate from less populated areas to more population dense locations.

Are we getting value? The Auditor General says we don’t know. Fifty per cent of these clinics (almost all for-profit) are owned or controlled by physicians, many of whom are radiologists. Yet the Ministry has not analyzed the patterns of physicians referring patients to their own facilities. Further many patients are not aware that they could in fact choose any facility or hospital providing such services.

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