Category Archives: Uncategorized

Changes to Interim Federal Health plan places communities at risk — AMMI

Changes to the Interim Federal Health plan for refugees may result in higher costs and place communities at risk says the Association of Medical Microbiology and Infectious Disease Canada (AMMI).

In a June 18 letter signed by AMMI President Dr. A. Mark Joffe, the association says they “strongly disagree” that the changes will protect public safety.

The Federal program provides a bridge to refugees who may not yet be eligible for provincial health plan coverage.

Jason Kenney, Minister of Citizenship, Immigration and Multiculturalism announced cuts to the program in April, removing supplemental coverage such as dentistry, drugs, vision care and mobility assistive devices.

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PSW registry up and running despite unresolved key issues

Health Minister Deb Matthews rose in the legislature to announce June 13 the new PSW Registry is up and running. Initially PSWs (Personal Support Workers)  in the home care sector are being asked to sign up, followed by those working Ontario’s long term care homes.

This is the same registry the Health Professionals Regulatory Advisory Committee (HPRAC) recommended against in 2006 after extensive consultations with PSWs, employers, clients and other stakeholders.

HPRAC instead recommended additional steps to be taken to “improve PSWs education and training, staffing and supervision, and to provide better access to satisfactory recourse for patients and clients as a means of addressing instances of abuse and misconduct.”

HPRAC felt the cost of establishing such a registry would be prohibitive compared to the benefits it could generate.

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Seniors’ Care: What a difference an Ombudsperson can make

In February the British Columbia government received a 216-page report on seniors care. In it are 176 recommendations covering home care, assisted living and residential care. It is the second major report on senior’s care in that province since 2009. Both reports were investigated and prepared by the BC Ombudsperson.

BC walks the talk on integration: the Ombudsperson includes many recommendations to bring consistency to seniors’ care in that province.

It also makes important recommendations around mandatory staffing standards — something Ontario has resisted for years. The BC Ombudsperson pointed out the inconsistency between the province’s handling of vulnerable seniors and vulnerable children, of which there are measurable staff-to-children ratios for child care facilities but not for seniors’ care.

The BC Ombudsperson says the regional health authorities were asked to work towards a staffing level of 3.36 direct care hours per resident per day, but failed to achieve it despite a new residential rate structure that was introduced in 2010.

By comparison, Ontario maintains that its nursing homes have an average of 3.0 hours of care per resident per day, but Ontario counts paid hours, not direct care hours. Nor is any of this made mandatory by legislation.

As the BC Ombudsperson points out, “measuring the hours that staff provide direct care is more precise than measuring the number of staff hours because it accounts for the fact that not all staff provide direct care, and the even those who do also have other duties to perform.”

In Ontario the Ombudsman’s office is shut out from investigating long-term care homes. Andre Marin points out that the Ombudsman has authority over long-term care in most other provinces.

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New Operation Maple video highlights corporate tax evasion

Thirty Fortune 500 companies didn’t pay any tax in the last three years. Ever wonder why corporations continue to pay less or no tax while governments become more and more destabilized by debt? Our friends at Operation Maple have just released this short video featuring Osgood Hall law professor Neil Brooks and economists Erin Weir and James Henry:

Summer election may be fought over sneaky clause in budget bill

Dalton McGuinty is threatening to pull the plug on his own government after the opposition parties amended his budget bill yesterday in the legislature’s finance committee.

Like the Harper government budget bill, the McGuinty government inserted a large number of legislative amendments to create a massive omnibus bill. Many of these the NDP and Conservative opposition stripped out yesterday with their 5-4 majority on the committee.

Among them is the controversial Schedule 28 which would give the government enhanced latitude to privatize public services without returning to the legislative assembly for debate and approval.

McGuinty claims the Schedule is to facilitate the complete privatization of ServiceOntario, itself a mistake. High-profile lawyer Paul Cavalluzzo accompanied OPSEU President Warren (Smokey) Thomas to the legislative committee last week to point out that such privatization potentially opens up serious privacy concerns given U.S. subsidiaries would be forced by American law to share sensitive information gathered by ServiceOntario with the American government.

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MPP Bill Mauro introduces 2,000 signature petition to Ontario legislature

Liberal MPP Bill Mauro introduced a 2,000-signature petition into the Ontario legislature today calling upon the government to use its influence to reopen the Canadian Blood Services Thunder Bay Plasma Donor Clinic.

The clinic closed its doors back in April after CBS claimed it had an oversupply of plasma for transfusion.

In fact, Thunder Bay had also been a contributor to a high-demand plasma product called intravenous immunoglobulin (IVIG). Canada is amongst the highest users of IVIG in the world.

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When the shift hits the fan

Dr. Danielle Martin has practically catalogued the various attacks on Canada’s Medicare system over the last two decades. The Chair of Canadian Doctors for Medicare says that while the arguments continually “shift,” the prescription from the right is always the same – two tier health care and privatization is the answer no matter the question.

She says this shift is part of an ongoing attack that has never resonated with Canadian values, but shows signs of making inroads with Canadian politicians.

At first it was the argument that the rich should have the right to use their money how they see fit and buy their way to the front of the line. Clearly Canadians saw the unfairness and lack of equity in that argument. Then the privateers argued the public system was broken, until the 2004 federal-provincial accord brought down wait times across Canada. Then the story became an aging population would break the bank, until health care economists noted aging only accounted for less than one per cent of health care cost increases, well within the normal capacity of economic growth. Now the latest argument is that health care is unsustainable and about to consume provincial budgets.

Martin tells a story that many progressive health care advocates have been using recently. A family of four sends a child away to university in another province. The remaining child is told they are no longer sustainable as a result. The parents argue that the child used to eat one-fourth of the family food. With the other child gone, now they are consuming one-third of the dinners. When someone argues health care is taking money away from other services, this is essentially what they are arguing. Health care is not unsustainable – tax cuts are.

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Docs take McGuinty to court – case likely to decide whether government can unilaterally impose fee schedules and wage freezes

Ontario’s doctors are fighting back after the government unilaterally cut $340 million in fees last month.

The Ontario Medical Association is applying to the Ontario Supreme Court of Justice for a review of the government’s negotiations tactics and the imposition of fee cuts.

The doctors are arguing the landmark BC case in which the Supreme Court of Canada recognized the right to collective bargaining should be extended to the OMA, which has negotiated the fee schedule with government since the beginning of Medicare.

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Briefs: Budget bill paving the way for privatization? / Chaos in the absence of patient transfer regulation

There has been much press coverage of what the Federal government has quietly inserted into its omnibus budget bill, including considerable environmental deregulation. Hiding sweeping legislative changes inside these large budget bills isn’t the exclusive domain of the Harper government.

The McGuinty government has inserted into its omnibus bill sweeping powers to authorize contracting out or privatization of public services without public oversight. The government claims it is to facilitate privatization of Service Ontario, however Schedule 28 is much broader in scope.

“Once that authority is given, there is no requirement for transparency or accountability for privatization decisions made by the Minister or the quasi-Crown corporations similarly empowered under the Act,” states Steven Shrybman in a legal assessment written for CUPE Ontario.

Further, when the privatization comes in conflict with out statutes, the new Bill takes precedence, meaning the objectives set out in hundreds of pieces of legislation would be set aside.

Today OPSEU President Warren (Smokey) Thomas and legal counsel Paul Cavaluzzo will appear before the legislature’s budget committee to address this issue.

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Bruyere cuts 28 jobs – tip of the iceberg?

Bruyere Continuing care is the latest hospital to announce cuts to balance its budget. The Ottawa hospital is cutting 28 jobs as part of its efforts to eliminate a $3.1 million deficit.

Calculating government revenues are not an easy task this year. Hospitals have been told they will receive no increase to their base budgets. The government is also implementing a new funding formula that will negatively impact 36 hospitals. Then the LHINs will be invited to tinker further. There will be modest increases for specific hospital funding envelopes such as wait times initiatives. Bruyere has calculated the net funding impact will be an increase of just 0.2 per cent.

Support staff will take the brunt of the cuts, including rehab and palliative care orderlies. Two managers will also lose their jobs. Bruyere also intends to shorten its cafeteria hours and eliminate laundry for long-stay patients.

Michel Bilodeau, the interim CEO, told the Ottawa Citizen “if we still get around zero (per cent) next year, it’s going to be a very difficult year. I can’t see that we would go another year like this without closing beds.”

The layoffs and service cuts will not entirely close the gap – Bruyere is still looking for another $500,000 in cost reductions.

Bruyere’s announcement is likely to be the tip of the iceberg when it comes to hospital cuts this year. Last summer the Auditor General of Ontario warned in his pre-election report that a 3.6 per cent funding increase for health care would challenge hospitals to either cut services or run larger deficits. The McGuinty spring budget has instead proposed even less – an average of 2.1 per cent for health care, most of that being distributed to home care and long-term care.

Bilodeau recently made headlines by advocating for private two-tier health care.

In mid-May The Ottawa Hospital announced it would be shedding 96 jobs due to budget restraint.

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