Drug benefits vulnerable for even those receiving the best plans — White

Julie White (CURC) says private drug plans are insecure, inconsistent, and unfair. They also make cost control difficult from a public policy perspective.

Julie White (CURC) says private drug plans are insecure, inconsistent, and unfair. They also make cost control difficult from a public policy perspective.

OTTAWA – Julie White has a grown son who lives in Toronto and suffers from a condition that produces debilitating migraines one to three times per week.

Representing the Congress of Union Retirees of Canada (CURC), White told a Ottawa Pharmacare conference Saturday that by trial and error her son’s doctors found a set of drugs that would give him “an approximation of a normal life.”

The bad news is the drugs cost $5,000-$6,000 per year and are not covered by the Ontario government. When White lived in Vancouver, her son was able to get assistance on the costs from the BC government.

Now she pays for them personally out of her retirement pension income.

White is among the 20 per cent of pensioners who were able to carry their benefits into retirement, but these retiree benefits only cover her personally, not her parents, kids, nieces, nephews, neighbours or friends.

Despite what she calls her “Cadillac” plan, she is aware that as a retiree she herself is vulnerable to negotiations every two years over the contents and rules of that plan. During the present ideological attack on the wages and benefits of working people, retirees are feeling unease over the ability of unions to maintain these plans, particularly for retirees.

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Federal health minister missing in action (again) during major conference on drug coverage

Jeff Connell (Canadian Generic Pharmaceutical Association) says Ontario spend $24 million more than they needed to by delaying adoption of the generic version of just one drug -- Crestor -- into the provincial formulary.

Jeff Connell (Canadian Generic Pharmaceutical Association) says Ontario spend $24 million more than they needed to by delaying adoption of the generic version of just one drug — Crestor — into the provincial formulary.

OTTAWA – Experts came from as far away as France, the United Kingdom and even New Zealand. Politicians from both the NDP and Liberals were there, as well as academics and policy-makers from across Canada. But Leona Aglukkaq, Canada’s Federal Minister of Health, couldn’t travel the few blocks from Parliament Hill to Ottawa’s National Hotel to participate in a national forum on pharmaceutical policy.

She might have been excused had her schedule not allowed her to come, but her letter to organizer Michael McBane stated “the subject matter of this conference has to do with health care delivery, which is a provincial and territorial responsibility.”

The question is, why is Aglukkaq so blatantly misrepresenting the Federal government’s responsibilities around both health care and pharmaceutical policy?

As we pointed out yesterday, the Federal government is the fifth largest direct provider of health care in Canada. They have a constitutional responsibility for health care to both First Nations and Inuit communities. They also have a responsibility to provide health care to specific groups within society, including veterans, refugees claimants, federal inmates, the Canadian Forces and the RCMP.

Forgetting even all of this, the Federal government also has a very specific role around pharmaceuticals, including approval and labeling of new prescription drugs as well as patent rights. They also regulate prices.

There is a sign here on Wellington Street that tells visitors the distance to both war and civilization, a reference to the two major museums. War is closer. Had the conference been about the war on drugs, rather than how to make civilization with a national Pharmacare program, the Feds might have actually been here. While the Federal Minister shows no interest in the savings that could be reaped from a national drug plan, the Federal government has been active in sending support to Mexico to fight the war on drugs.

This is not the first major conference on Pharmacare Aglukkaq has absented herself from. Representatives from industry, patient groups, labour, and even the Conservative-friendly National Citizen’s Coalition were in Vancouver earlier this year to discuss how we could better coordinate a national strategy to provide universal coverage to Canadians for prescription drugs.

Guess she had something else to do that week too.

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Federal health funding scheduled to drop when it most needed — McBane

Michael McBane of the Canadian Health Coalition speaks to the Canadian Health Professionals Secretariat meeting Thursday. Seated next to him is NUPGE's Len Bush.

Michael McBane of the Canadian Health Coalition speaks to the Canadian Health Professionals Secretariat meeting Thursday. Seated next to him is NUPGE’s Len Bush.

OTTAWA – In the late 1970s it was Monique Begin, then Federal Minister of Health and Welfare, who suggested that citizens needed to mobilize into coalitions to make noise in society to get anything to work.

As Michael McBane, the present National Coordinator of the Canadian Health Coalition said Thursday, “governments are not likely to see the light first.”

In 1979 the Canadian Health Coalition began, with many of the provinces quickly following suit with their own coalitions, including the Ontario Health Coalition.

The first project the national coalition embarked on was a campaign to abolish extra billing by doctors. Charging user fees over and beyond those provided by Medicare, the campaign eventually led to a ban on extra billing as part of the new Canada Health Act passed in 1984.

Speaking before the Canadian Health Professionals Secretariat in Ottawa yesterday, McBane says that while some things have changed, we are still fighting similar “zombie” ideas that keep on coming back.

Today the coalition is again fighting extra billing by private clinics, this time without a federal government willing to enforce the principles of the Canada Health Act.

“We no longer have three parties that believe in Medicare,” says McBane.

Transfer payments from the Federal government to the provinces was originally intended to allow Canadians to access consistent national standards of health care regardless of where they lived.

The Harper government is clearly on another path.

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Transferring hospital services to private clinics — a line in the sand

Code Blue in Ottawa: Marlene Rivier chairs a panel including (R-L) Maude Barlow (Council of Canadians), Mike McBane (Canadian Health Coalition) and Natalie Mehra (Ontario Health Coalition).

Code Blue in Ottawa: Marlene Rivier chairs a panel including (R-L) Maude Barlow (Council of Canadians), Mike McBane (Canadian Health Coalition) and Natalie Mehra (Ontario Health Coalition).

OTTAWA – Natalie Mehra says The Ontario Health Coalition is drawing a line in the sand when it comes to service transfers to private endoscopy clinics from The Ottawa Hospital.

Speaking at a “Code Blue” forum in Ottawa last night, the director of the coalition said the privatization of these hospital services were “unprecedented,” part of a series of changes that had become “divorced” from planning around patient need in the Ottawa region.

Mehra raised questions about the capacity of these private clinics to absorb 4,000 endoscopies, particularly when they were likely to lengthen wait lists.

Given endoscopies are going to be individually funded by the Local Health Integration Networks this year, funding normally allocated to the hospital for these procedures cannot flow from the LHIN to the private clinics given such clinics are outside the scope of the LHIN.

The transfer of endoscopies to private for-profit clinics also is in direct contradiction of the Ontario Health Minister’s commitment to transfer services to not-for-profit providers in the community.

Mehra also debunked the myth that the cuts to hospital services were merely part of a new reorganization of health care, noting the lack of funding support from Queen’s Park to home care over the last decade. Even with the recent funding increases, per patient funding is lower today than it was before the McGuinty Liberals took power in 2003.

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Academics present evidence that austerity really does kill

Ontario is presently entering year two of its austerity program, convinced that it is the only way out of an economic problem that wasn’t even created here.

We have previously highlighted economic arguments that suggest austerity creates a self-defeating “fiscal drag” that compounds debt and deficit problems. Now a new book by a pair of academics on either side of the Atlantic argues that not only is austerity self-defeating, but it is also bad for your health.

In The Body Economic: Why Austerity Kills, David Stuckler and Sanjay Basu present a convincing analysis that austerity policies have made citizens involuntary subjects of a grand experiment in public health. If you recently lived in the UK, Greece, Spain or Italy, you’ve likely recently witnessed very different population health outcomes than if you lived in Sweden, Iceland or Denmark.

The authors argue that this is not the first time this austerity versus stimulus experiment has taken place. In the U.S. States that adopted the depression-era “New Deal” stimulus programs had much better health outcomes than those that refused to do so.

“Economic choices are not only matters of growth rates and deficits, but matters of life and death,” the authors write.

In their peer-reviewed study, the pair of PhDs state that investment in the right programs can not only alleviate human suffering, but can itself spur economic growth. For every $1 invested in public health programs, the net benefit to the economy is $3. By anyone’s standards, that’s a sweetheart deal. Yet ideology prevents us from seeing the evidence before us.

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Lou Rinaldi must be stewing over Biron’s appointment as TSH CEO

Nobody can say Robert Biron didn’t know what he was getting into.

The former CEO of Cobourg’s Northumberland Hills Hospital has come to the big city, the next in line to take on the seemingly impossible task of fixing The Scarborough Hospital.

The good news is, unlike many of his counterparts at other hospitals, Biron will release the full details of $18 million in financial measures the hospital plans to implement to balance the budget.

The bad news is The Scarborough Hospital is still facing $18 million in cuts and fee hikes.

Biron is suggesting that there might yet be some flexibility in how the hospital tackles its deficit, telling The Toronto Star that “my first priority as we move forward is to reach out to these key stakeholders and hear about their concerns and suggestions about how we might move forward together to redefine health care delivery in Scarborough.”

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Health care activists set to converge on Niagara-on-the-Lake July 24-25

July 24-26 the provincial Premiers will be meeting in Niagara-on-the-Lake for the last Council of the Federation meeting before the 10-year federal-provincial health accord expires.

What comes next is largely a mystery. The federal government has committed to increased transfers but appears disinterested in what the provinces do with that money.

Federal transfers will continue at the 6 per cent threshold until 2017 but eventually align with economic growth. No matter what, the federal government has committed to a minimum growth in the Canada Health Transfer of 3 per cent.

Whereas the last accord was about reducing wait times for key diagnostics and procedures, there is no consensus about whether there will be any national objective over the next 10 years.

Health care groups are already organizing for the Niagara meeting, plans taking shape for a shadow summit and rally July 24-25.

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Ontario Shores under aggressive timelines to fix safety issues

Ontario Shores now has its orders from the Ministry of Labour.

It’s been almost a year since staff at the Whitby mental health centre went public with their concerns about violence at the Centre, expressing concern and frustration about a lack of meaningful action by their employer.

For all the activity Ontario Shores has shown to date, little has changed in the monthly statistics that show staff being assaulted on an almost daily basis.

Last September we noted a paper by Queen’s University faculty Dr. Heather Stuart suggests that aggressive behaviors differ dramatically in treatment units, “indicating that mental illness is not a sufficient cause for the occurrence of violence.”

Stuart states the “majority of incidents have important social/structural antecedents such as ward atmosphere, lack of clinical leadership, overcrowding, ward restrictions, lack of activities, or poorly structured activity transitions.”

Now Ontario Shores Centre for Mental Health Sciences has a very detailed prescription to follow from the Ministry of Labour. Limited in its scope, the Ministry of Labour is not in a position to evaluate the impact of cuts to programming at the Centre on the behavior of those in their care.

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Ottawa parody of Gangnam Style makes the case for unions

This is one of the more ambitious low-budget videos we have seen that makes the case for unions in Canada. Made by Corinne Dara, it is billed as a parody of Gangnam Style.  It certainly brought a smile to our faces. Nothing like enjoying your union-won weekend in the Ottawa snow! Check it out and pass it on using our share button.

A hornets’ nest in Trenton over plans to replace the hospital lab

It’s been a hornets’ nest for the past two months.

Quinte Health Care’s plan to shut down its lab at Trenton Memorial Hospital and replace it with “Point of Care Testing” (POCT) has raised the ire of local doctors, politicians and community members in this town of about 20,000 residents.

QHC plans to close Trenton’s lab in late September.

Doctors say the closure of the lab is the beginning of the end for Trenton’s emergency room – leaving the town with a glorified “first-aid post.” The hospital denies this, arguing the Picton and North Hastings sites maintain ERs with only POCT.

With cuts to nursing staff also part of the plan, the doctors question how emergency room nurses will have the time to safely operate POCT equipment.

POCT has remained controversial far beyond the confines of Trenton.

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