Health Canada “consultation” on paid plasma less than adequate

The issue of paid plasma donations in Canada has taken a new development.

It didn’t take long between the publishing of our joint letter in the Hill Times and the decision by Health Canada to solicit input on the question of paid plasma donations.

Health Canada finally released its report yesterday on the April roundtable in Toronto, doing its best to shoot down concerns raised by those hand-selected by them to participate in that meeting. Despite our national profile and research on this issue, OPSEU was denied an invitation.

However, Health Canada was happy to have the Plasma Protein Therapeutics Association there. The PPTA is an industry lobby group whose mission is, among others, to break down “artificial barriers on trade and compensated donors.”

While 28 organizations had called for a comprehensive national consultation, what we are now getting is no more than a blank invitation to write to Health Canada on the issue before July 26. There is no indication whether the submissions will be made public, read, or whether they will be simply collected as evidence that a consultation had taken place. The consultation process is not highlighted on Health Canada’s website and is very difficult to find.

Given a month to prepare submissions in the dead of summer, it tells us Health Canada really doesn’t care about effective consultation. Our notification didn’t come from Health Canada – despite our subscription to their website and prior contact over this issue. Instead it came from our colleagues at Canadian Doctors for Medicare, who were able to attend the April roundtable.

Presentations by both Health Canada and Canadian Blood Services (CBS) at the earlier invitation-only meeting emphasized that contrary to cautions expressed by the World Health Organization, that paid donations were safe and necessary given shortages of plasma for pharmaceutical use.

CBS and Health Canada don’t see the irony in telling us that the present technology can screen out any virus, while at the same time telling us that the private for-profit Canadian Plasma Resources, the company at the centre of this controversy, will be required to do diligent screening of individuals selling their plasma.

If they are so confident of the technology being foolproof, why do screening at all?

Nowhere in the roundtable report does CBS admit that they contributed to that plasma shortage by closing down their last dedicated volunteer plasma collection centre in April 2012. That centre was producing more than 10,000 units of plasma per year in Thunder Bay. CBS also closed down another blood distribution centre last year in Saint John, New Brunswick.

Instead CBS CEO Graham Sher told the roundtable that Canada couldn’t possibly be self-sufficient in volunteer donated plasma to meet our plasma-based pharmaceutical needs. It does get especially difficult when you close down existing collection sites.

Forty-one of 151 countries belonging to the World Health Organization report producing all or part of plasma-derived medicinal products through the fractionation of plasma collected in the country.

Sher says we would need to raise between 600,000 and 700,000 litres of plasma for fractionation in order for Canada to become self-sufficient, yet Canadian Plasma Resources says we are already collecting 20 per cent.

Despite Sher’s claim that it would be impossible, Canadian Plasma Resources says that it intends to make us self-sufficient by eventually operating 10 paid donation centres that will achieve a production rate of 400,000 litres annually (not the 600,000 to 700,000 litres Sher says is required).

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Heartless — cuts to refugee health care

On June 17 Canadian Doctors For Refugee Care conducted demonstrations across Canada drawing attention to the Harper government’s 2012 changes to the Interim Federal Health Plan that would deny many desperate refugees access to our health system.

As the people in one of the following videos states, “the fact that there are people here in Canada who are deemed ‘unworthy’ of health care is despicable.”

Many doctors have filled the gap and have been providing care for free, but it is hardly a solution.

Two recent videos worth watching: the first is a very well-done promotional video prepared by the Canadian Doctor’s For Refugee Care for the Montreal rally. The second is coverage of Hamilton’s rally by our good friends at Operation Maple.

Please take the time, watch, and get active! It’s one more reason to show up in Niagara-on-the-Lake July 24-25.

Conservatives vs. Conservatives – Anti-union bill gets gutted in Canadian Senate

When the Federal Tories took “progressive” out of their title after merging with the Reform Party, it was inevitable that the radical right wing ideology of the Reformers would come into conflict with the more pragmatic former Progressive Conservatives.

This week the Conservative majority in the Senate effectively blocked a bill from the Conservative majority in the Commons demonstrating that at least 16 Conservative Senators had no appetite for the kind of anti-democratic rough play that has been characteristic of the Harper government. Another six abstained from the vote.

Amendments by the Upper House have stalled a piece of anti-union legislation brought under the cover of a private members’ bill. Bill C-377 was introduced by MP Russ Hiebert to force public disclosure of all union payments of $5,000 or more to outside groups or individuals. It also proposed that any union salaries over $100,000 be subject to disclosure along the same lines as the Ontario Sunshine list.

Unions run on dues collected from members, they don’t rely on taxpayer funding. While union members have access to financial information and participate in the decision-making around how that money is spent, there is no particular reason why those who don’t contribute should have access to that information.

At OPSEU the union budget is debated openly every year at Convention. The details are hardly a secret when close to 2,000 people are present for the discussion.

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Road trip looks at how dangerous Conservative election plank plays out in real life

We’ve previously written on the folly of the provincial Conservatives in pursuing American-style labour legislation that would erode the standard of living for most Ontarians.

Making most of us poorer will not help Ontario reduce health care costs – studies looking at the social determinants of health suggests the opposite to be true. Lower wages also means less tax revenue to pay for hospitals, home care, nursing homes and mental health.

This week OPSEU is sending a film crew to the United States to examine the social and economic impact of such State legislation.

The film crew will be led by former CBC foreign correspondent Bill Gillespie, a veteran journalist who has reported from such hot spots as Afghanistan, Chechnya and Iraq.

A BLOG has been set up to follow their journey and preview what may come to pass in Ontario if a Conservative government is elected in the next provincial election.

Click here to view “Road Talk.”

Make history — meet us in Niagara-on-the-lake July 24-25

Shadow-Summit-and-RallyIt’s the last meeting of the provincial Premiers before the 10-year 2004 health accord expires. With the expiry of that accord, so too goes any concerted effort to implement a national strategy to fix health care.

July 24-25 the Premiers will get together at Niagara-on-the-Lake. We’ll be there too alongside community and labour representatives from across Canada gathered to send a united message that a public health strategy is essential to address the changing needs of our nation.

In fact, with no accord past 2014, there won’t be national targets for such issues as wait times, emergency room access, or coverage for catastrophic drug costs. Nor will the Health Council of Canada be in existence to monitor those targets. The Harper government has already said the Health Council will be dismantled with the end of the accord.

Download the registration form here: Shadow Summit Registration Form

Details re Toronto Region 5 bus to the rally at right.

While the Federal government is the fifth largest direct provider of public health care in Canada, they oddly don’t think they have a place at the table when it comes to deciding how to best support the health needs of everyone in this country.

Federal Finance Minister Jim Flaherty has told the provinces they will continue to get six per cent increases in federal health transfers until after the next election. Then the funding will slide up and down with the economy – essentially reducing funding at precisely the moments when it is most needed.

Our Medicare system is basically the same one that came into being in 1966. It’s heavily focused on acute care delivery – the definition of essential health care mostly confined to doctors and hospitals.

The reality is our population is aging and health care needs are changing. So are the places from which health care is delivered. We have great need for better chronic and long-term care. We need to move beyond the patchwork systems of home care, something former Royal Commissioner Roy Romanow called the next essential service. This spring the movement for universal public drug coverage has been gathering steam as the analysis shows that Pharmacare could save billions of dollars in health care costs. Last year a national mental health strategy was unveiled — it will take considerable political will to get it implemented.

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Privately-developed London area mental health hospitals justified by massive “risk” calculations

Evaluating value-for-money on a privatized public infrastructure project has always been a bit of a mugs game. A value-for-money (VFM) assessment is produced every time the province engages the private sector in the building of public infrastructure such as hospitals, court houses, or recreation facilities.

The problem with these assessments is they are always done by an organization that has everything to gain by making the assessment support the privatized option. Given these value for money calculations are usually done after the deals are signed, it would be very embarrassing for government to show otherwise.

These assessments were formerly done directly by Infrastructure Ontario (IO), but given IO’s mandate to engage the private sector in such projects, it was felt they failed the test of unbiased independence. A look at the Auditor General of Ontario’s review of one of their earlier projects – the William Osler Health Centre – would suggest IO got quite creative in justifying a project that looks to have cost taxpayers at least $400 million more than had the government taken a more conventional approach to financing and operating the hospital.

After it was acknowledged that perhaps IO wasn’t independent enough, business consultants like KPMG were asked to do this work. Unfortunately these business consultants were also members of the Canadian Council for Public Private Partnerships, and therefore, also subject to criticism of bias. Now a third-party is engaged to evaluate the “fairness” of these evaluations prepared by KPMG and others. These “fairness monitors” are often themselves involved in the world of public-private partnerships, and therefore far from impartial.

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St. Thomas forensic mental health centre opens with fanfare and problems

The bright and shiny new Southwest Centre for Forensic Mental Health has opened in St. Thomas with much fanfare and more than a few problems.

The new building may “fight stigma,” as its proponents say, but a bowl of the cafeteria’s soup will cost a lot more for patients, staff and visitors and a glitch in the computerized security system is creating more than a few security headaches. Nor are there enough beds to facilitate the transfer of all eligible patients from the regional detention centre.

The building is the first of two new privatized regional mental health facilities to open in the London area. During the June 14 opening ceremonies officials praised the architecture, noting it reflects a new level of respect for the hospital’s occupants. The second and larger of the two mental health hospitals will open in London for 2015.

The two mental health facilities are being built as public-private partnerships, which means that in addition to the design and construction being provided by the private sector, 30-year maintenance and financing is also part of the deal. Facilities maintenance can include elevator maintenance, electrical and mechanical systems, ventilation systems and other similar work.

After less than a week in the new facility — patients were not transferred into the building until June 19 — employees are already frustrated by the wristband system that is supposed to monitor and control the whereabouts of patients.

Forensic patients are those who have arrived at the hospital following a tangle with the justice system. They have either been found unfit to stand trial, or the court has deemed them to be not criminally responsible for their actions. Contrary to the stereotype, more than 90 per cent of forensic patients are there as a result of non-violent incidents.

The wristband system is supposed to reflect the individual restrictions placed on these patients by the Ontario Review Board (ORB). However, the new security system is allowing patients with much broader security clearance to bring their much more restricted buddies through doors they are not meant to travel through.

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Towards a new health accord: Make a video, share your Medicare story

The Council of Canadians is asking you to share your experiences with the Medicare system by making a video and uploading it to their YouTube channel.

It doesn’t have to be polished – just sincere.

The Council is not just looking for stories where the system has failed, but also where our public system has succeeded. For many Canadians our public system continues to save lives and improve quality of life.

The goal is to make the system work for all Canadians and to protect and improve the quality of care.

The video stories are being collected in the run up to this summer’s meeting of the Council of the Federation – the last get together of the provincial Premiers before the 10-year 2004 health accord with the federal government expires. (See activist’s calendar at right).

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28 organizations call for public policy review on for-profit plasma collection

OPSEU is among twenty-eight organizations that have signed a public letter calling on Health Canada to consult before licensing the for-profit Canadian Plasma Resources to collect and pay for plasma donations at two Toronto clinics.

Published this week in the Hill Times, the letter notes the significant change in practice to Canada’s blood system.

“Although Health Canada is responsible for evaluating the safety and regulatory aspects of Canadian Plasma Resources, it has not examined the impact of these paid donation facilities on our voluntary blood and plasma donation system,” the letter states.

The organizations call upon Health Canada to create a real public policy review that allows interested parties to contribute to the decision-making process.

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Social Determinants: Where did 55,000 Ontario households go?

What happened to 55,000 low-income rental households in Ontario? Between the late 1990s and the early 2000s they simply disappeared from the census.

A new report from the Ontario Non-Profit Housing Association and the Co-operative Housing Federation of Canada suggests that more than enough people to populate Kingston or Guelph simply retreated into shared or non-traditional housing arrangements in the face of unaffordable rents.

That could mean renting a room, a basement, moving in with relatives, or sharing a dwelling with more than one family. For a few, that could also mean homelessness.

The period coincides with severe cuts to social assistance by the Harris government.

Crowded and insecure living arrangements are an important factor in the social determinants of health. The cheapest accommodation often means an unhealthy building desperately in need of repair.

Households that remain in more traditional units are forced to make the choice to pay rent over food and other basics.

“The longer households remain in unaffordable housing, the harder it is on their health, their long-term career prospects, their children’s education, and our province’s future,” the report states.

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