Category Archives: Uncategorized

David Orazietti takes an unwarranted shot at Coalition’s Natalie Mehra

David Orazietti does protest too much.

The northern Ontario MPP took a shot May 30th at Natalie Mehra, Director of the Ontario Health Coalition, in what his press release calls the “15-city fear mongering tour.”

Orazietti says Mehra is personally “taking every advantage to distort the truth.”

Of course, prior to the NDP holding their feet to the fire over passage of second reading of the budget bill, the McGuinty government had failed to hold its own public hearings on the budget, an unusual state of affairs particularly given the significant austerity package cobbled together by Finance Minister Dwight Duncan.

If we are to suddenly change directions, should the public not have a say in what transpires?

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The Tim Hortons debate has come to Ontario hospitals

In Windsor unionized Tim Hortons workers are being trashed for making a living wage at the Windsor Regional Hospital. The hospital owns three Tim Hortons franchises within its walls.

The argument goes, if the hospital cannot break even on these franchises, then it is the workers who must pay – not the customer who buys the coffees and donuts.

With the cost of benefits, workers are earning about $26 an hour, admittedly above the minimum wage many Tim Hortons franchises pay workers.

Certain members of the public are clamoring for a pay cut, although nobody bothers to mention the 8 per cent share of all sales that are paid to Tim Hortons as a contributing factor to the loss.

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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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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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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.

Cookies made for the occasion.

Fun with numbers – CIHI under fire for hospital rankings

John Wright folded his arms looking more than a little apprehensive.

The CEO of the Canadian Institute for Health Information was about to address a room full of hospital officials, many upset about the Canadian Hospital Reporting Project (CHRP) launched a month earlier. The forum was the May 16 Breakfast with the Chiefs organized by publisher longwoods.com.

CHRP was supposed to be the ultimate benchmark, looking at data from 600 hospitals across Canada and involving 100,000 bits of information.

Wright said that CIHI had already experienced 80,000 hits on the site, which to some may suggest success, to others a quantification of the damage done to the reputation of their hospital.

Knowing the onslaught that was coming, Wright pointed out that “perfection is achieved by slow degrees. It needs the hand of time.”

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Coalition forums continue this week in Kingston, Cornwall and Ottawa

Dennis Howlett, coordinator of Canadians for Tax Fairness, will be at all three public health care forums this week in Eastern Ontario. The forums are hosted by the Ontario Health Coalition.

Given the focus on debt, deficit and public sector job cuts, much of the media coverage has overlooked the impact of the provincial budget on Ontario’s health care system. The March provincial budget slowed funding further than most had predicted, leading to concerns about longer waits, crowded ERs and the delisting of some health services.

As coordinator of CFTF, Howlett is building a national campaign to promote fair taxation. CFTF believes the tax system should be reformed to fund the comprehensive, high-quality network of public services and programs required to meet our social, economic and environmental needs in the 21st century.

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Peterborough Forum – Poverty kills more than cancer

Poverty kills more people than cancer according to Dennis Howlett, Executive Director of Canadians for Tax Fairness.

Speaking Thursday night at the Peterborough health care forum organized by the Ontario Health Coalition, Howlett addressed false economies in our present health system.

Panelists at the Peterborough health care forum Thursday night.

Panelists at the Peterborough health care forum Thursday night.

“There were going to freeze social assistance rates until the NDP negotiated a better deal,” said Howlett.,“yet the best way to reduce health care costs is to reduce poverty.”

Howlett told the town hall meeting that poverty condemns people to a lifetime of poor health, yet the government is doing little to address these upstream issues.

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Who really wrote these letters?

Last month we wrote to the provincial and territorial ministers of health about our concerns regarding the security of Canada’s supply of plasma and plasma-based products.

This was following the announced closure of the Thunder Bay Plasma Donor Clinic. While Canada has never been self-sufficient in its plasma needs, CBS said they had 10,000 units too many and were therefore shuttering their doors in that city.

This week we got two letters back from opposite ends of the country.

In the letter from Jane Crickmore, Executive Director at the BC Ministry of Health, she writes:

“While plasma self-sufficiency was an original goal when the CBS was created over 13 years ago, after extensive stakeholder consultation, it was determined that sufficiency, not self-sufficiency, was key to a broader risk management approach to ensure a safe, secure, cost-effective plasma supply.”

In a letter arriving the same day from Bruce Cooper, a Deputy Minister with the Department of Health and Community Services in Newfoundland and Labrador, he writes:

“While plasma self-sufficiency was an original goal when the Canadian Blood Services was created over 13 years ago, after extensive stakeholder consultation, this was revised with provincial and territorial representatives in 2004, when it was determined that sufficiency, not self-sufficiency, was key to a broader risk management approach to ensuring the plasma supply.”

This raises an obvious question: when it comes to ensuring the safety and security of Canada’s plasma supply, who is really wagging the dog? Is it the provincial and territorial ministers, or a group of executives at Canadian Blood Services?

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