Alexandra Hospital: Of truckers and outpatient labs

The Alexandra Hospital has a rather unique demographic. Located in Ingersoll, just off the 401 nestled between Kitchener and London, we’re told the hospital’s outpatient services are used frequently by truckers.

Recently hospital staff learned that the hospital lab would be closed to outpatients beginning July 1st. Local residents will instead be sent to the private CML lab in town. The truckers will likely find somewhere else to go.

The Alexandra Hospital is feeling the pinch of the government’s decision to starve hospitals as part of what they claim is a realignment of services. Classified as a small hospital, the Ingersoll facility received a modest one per cent increase last year. That’s better than the zeros facing their larger counterparts, but not enough to cover ongoing cost pressures.

Ingersoll would not be among the first of Ontario hospitals to shed outpatient lab services. They would be among the last.

OPSEU has been notified of reductions in hours for some of its members as a result. The impact on labour will be relatively small, although any loss of work in a small town is a big deal. (It’s a huge deal if its your job.) Here’s the rub: while Alexandra may save a small amount of money by making this decision, it will likely cost the Ontario government much more.

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Was Monday really a tipping point?

Honking for Health Care on University Avenue in Toronto.

Honking for Health Care on University Avenue in Toronto.

On Monday I saw Ontario Health Coalition Director Natalie Mehra at a noon-hour rally on University Avenue. As far as rallies go it wasn’t a big one. About 50 people showed up to hold up signs urging motorists to honk for a new health accord. So many motorists did just that it became, at times, hard to hear each other speak.

Mobilizing people around the health accord is not the easiest sell. The health accord is a complex issue about planning, standards and funding. When you really strip it down, however, it’s really about the future of Medicare in this country.

I was recently asked by a gas station attendant about a button I was wearing with a red umbrella and the text “Canada Needs A New Health Accord.” With customers waiting behind me I had to explain in 30 seconds what it was about. That’s not so easy and made me think if I found this difficult, what about a 10-second sound bite?

March 31st we all were wondering if we just bit off more than we can chew.

Mehra has been circling the province in recent weeks working on five regional campaigns intended to pressure the government to back off on a plan to contract selected hospital services to private clinics. The campaigns are due to culminate this weekend in Windsor, London, Kitchener, Sudbury and Peterborough. Her enthusiasm has been infectious as she tells us of all the cards that have been collected to date.

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The wake for the Health Accord was great, but what’s next?

Actress Shirley Douglas shares the stage with Tabby Johnson, Jackie Richardson and other performers from Holler 4 Health Care.

Actress Shirley Douglas shares the stage with Tabby Johnson, Jackie Richardson and other performers from Holler 4 Health Care last night at the Trinity-St. Paul Centre in Toronto.

There’s got to be a morning after.

Yesterday more than 40 communities across Canada marked the end of the 10-year health accord between the provinces and the federal government.

Listening to actress Shirley Douglas speak last night at one of those events in Toronto, its clear many Canadians believe there is much more at stake than a framework agreement that trades health care objectives for cash.

Before the rally began last night, the daughter of Medicare founder Tommy Douglas told the Toronto Star that her father had warned of the slow strangulation of health care, telling her “if you don’t get up and fight for it, you are going to lose it.”

With her 80th birthday just a couple of days away, Douglas vowed to fight on for the next decade if necessary, pausing to add the caveat provided she’s still around.

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Health Accord: End of 10-year agreement sad reflection on leadership

Protest on University Avenue in Toronto March 31st.

Protest on University Avenue in Toronto March 31st.

Today is it. It’s the last day in which we can claim to have a national plan towards health care reform.

Starting tomorrow the Harper government is simply cutting the cheques and walking away from the table, leaving the provinces and territories to work out the details of how we move forward – or backward – on the national health care file. Never mind that the Feds are the 5th largest direct health care provider in Canada.

The Harper government has always appeared much more comfortable involving itself in health care commercialization than in ensuring Canadians have public access to quality care.

If Canadians feel ambivalent, it may be because the 10-year agreement was never a resounding success.

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Sunshine List overlooks thousands of private contractors: OPSEU

TORONTO – Ontarians aren’t getting a clear picture of government pay practices from the Public Sector Salary Disclosure Act, the president of the Ontario Public Service Employees Union says.

“Today’s release of the ‘Sunshine List’ doesn’t show tens of thousands of high-income-earners who get all or part of their pay from working for government,” Warren (Smokey) Thomas said. “If you really want to know how the government pays people, you should be including private contractors and those who work for them under the Public Sector Salary Disclosure Act.”

The percentage of government revenues that goes directly to the private sector has risen sharply since the late 1990s. A new analysis of Statistics Canada data by the Centre for Spatial Economics (C4SE) shows that in 1997, 27 per cent of provincial program spending went to the private sector. By 2010, that number was 38 per cent.

“With program spending this year budgeted at $117 billion, and 38 per cent of that going to the private sector, we are talking about a $44-billion ocean of money that is subject to very limited public scrutiny and, because it involves private contracts, considerable secrecy,” said Thomas.

“Making private contractors and their employees subject to the same rules as public employees would give the citizens of Ontario a whole new window into the actual workings of government – and where their money goes.”

Thomas first called for putting contractors on the Sunshine List on February 26.

The C4SE analysis is based on Statistics Canada’s input-output tables, information from which is only available for the 1997 to 2010 period.

High-profile line-up featured in Holler 4 Health Care March 31

You don’t want to miss this. More than 30 performers –including some of the most prominent actors in Canadian theatre and television – will be participating in Holler 4 Health Care March 31st in Toronto.

March 31st coincides with the end of the 10-year health accord between the provinces and the federal government. All across Canada citizens are calling on the federal government to sit down with the provinces to secure a plan for the future of health care.

Rick Mercer will appear via video at the event.

Rick Mercer will appear via video at the event.

The high-profile line-up for the evening includes Shirley Douglas, Fiona Reid, Brent Carver, Jayne Eastwood, Robin Duke, Art Hindle, Jackie Richardson, and Michael Therriault (who played Tommy Douglas in the CBC mini-series Prairie Giant). Videos of remarks made by Rick Mercer and Kiefer Sutherland will also be shown. Comedians Amy Matysio and Adrian Truss have recently been added to the line-up.

Other performers include John Alcorn, Ben Bass, Mary Lou Fallis, Kathryn Greenwood, David Huband, Tabby Johnson, Ray Landry, Jani Lauzon, Napalm-the-Magnificent, Judy Marshak, Nora McLellan, Andrew Moodie, Teresa Pavlinek, The Polka Dogs, Julian Richings, Rick Roberts, John Roby, Mike Ross, Viva! Youth Singers, David Warrick and Nancy White.

The organizers say the evening will be a “musical, comical, political rally filled with merry maladies and maladie melodies.” Once we figure out what that means, we’ll let you know.

The event takes place at the Trinity St. Paul’s United Church Centre, 427 Bloor St. W. beginning at 8 pm. Tickets are on a sliding scale from $12 to $20, $25 at the door.  To order tickets on-line, click here.

If the theatre is not your thing, the Ontario Health Coalition is also organizing a noon-hour rally at Queen’s Park on the same day. Come and make some noise to send a message that Canadians deserve better.

Both events are part of the Canadian Health Coalition’s call for a National Day of Action on the health accord March 31st.

Scarborough hospital CEO: “never say never” on merger

RVHS CEO Rik Ganderton with TSH CEO Robert Biron looking on during Wednesday's Central East LHIN Board meeting.

RVHS CEO Rik Ganderton with TSH CEO Robert Biron looking on during Wednesday’s Central East LHIN Board meeting.

The two CEOs representing the Scarborough and Rouge Valley hospitals appeared before the Central East LHIN this morning following news last week that their proposed merger was off – at least for now.

Both Rik Ganderton and Robert Biron looked nervous knowing at least in this venue the decision to pull back from the brink would be regarded as a disappointment. Had the two merged, they would have formed the seventh largest hospital corporation in the province.

The outcome of the meeting was predictable – the LHIN would work with the two hospitals to further an integration agenda and develop next steps. Both CEOs agreed to come back in April after meeting with the LHIN senior staff.

LHIN CEO Deborah Hammons tried to put the best face on the situation noting that the $3.8 million already invested in the merger was not entirely lost –getting the public to understand the position of the hospitals was “money well spent.”

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Who do you complain to? New regulation expands complaints process but also adds confusion

Making a complaint within a health care setting has always been a delicate process.

It used to be in home care the terms of your service suggested that if you complained too much, you could actually lose service.

This may not have necessarily changed. We recently heard from a reader who suggested that complaints he made about the rushed nature of his wife’s home care resulted in a scaling back of service. Suddenly the respite care they received was reduced from once a week to every other week. How any individual could ever reasonably prove such cause and effect remains an open question.

Similarly in Ontario’s nursing homes a complaint can affect the relationship a resident has with staff who do provide care. For the frail elderly, this can be intimidating. It is therefore surprising that more than 2,000 complaints come into the provincial hotline each year that require subsequent investigation by an inspector.

When the province introduced the Excellent Care for All Act in 2010, hospitals were required to put in place practices for handling patient complaints. That includes reviewing and resolving complaints made by patients and caregivers, recording and monitoring key information about the complaints, and informing the complainant of the results of such a review.

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Martin scores big on frustration of Canadians waiting to see our health system defended in the U.S.

It must have truly hurt The National Post to admit that Canadian doctor Danielle Martin “held her own” before a U.S. Senate subcommittee hearing earlier this month on comparative health systems.

Albeit the NP’s Tristan Hopper did say she did so “snidely,” which is a bit much for anyone who actually viewed the video and saw the professional demeanor Martin maintained throughout the questioning.

Other media were less reserved, calling Dr. Martin a hero for speaking truth to power in Washington or that she gave Washington “a lesson on Canadian health care.” Even the National Post’s headline writer called it a “smack down.” At Salon they went as far as saying Martin had made anti-Obamacare senator Richard Burr appear a “buffoon.”

Martin is best known to us as the former Chair of Canadian Doctors for Medicare, so her ability to speak knowledgeably about Canada’s health system came as no surprise.

While Martin didn’t try and gloss over the problems, she was forthright in asserting the single-payer model of health care was not to blame.

When Republican Senator Burr asked how many Canadians die on waiting lists each year, Martin snapped back that she didn’t know, “but I know there are 45,000 in America who die waiting because they don’t have insurance at all.”

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Take Action: Swift passage of Act needed to stop paid plasma donation in Ontario

It’s been almost two years since we stumbled upon a plan by a private for-profit company to open a series of clinics that would pay Canadian donors for plasma.

The last voluntary dedicated plasma collection center operated by Canadian Blood Services (CBS) had just closed its doors in Thunder Bay a week earlier in April 2012.

CBS has always maintained that there was never any connection between the two events. On the one hand CBS said they didn’t need the plasma generated from Thunder Bay, on the other a commercial company was being set up to exploit a world-wide demand for plasma to be manufactured primarily into intravenous immunoglobulin, used commonly to boost immunity during cancer treatments.

Such private companies are not that unusual in the world, but in Canada sensitivities remain particularly raw given the so-called “tainted blood” scandal. About 30,000 Canadians suffered the consequences of imported paid plasma into this country from the United States in the 1990s. We met one of the survivors as we protested the closure in Thunder Bay.

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