Health Canada tells us to take a hike as Russia moves to prohibit paid blood donations

Heavens – even Russia is more sensible than Canada when it comes to paid blood donations.

As Health Canada takes a pause and organizes a roundtable on the issue in Toronto next week (of which we weren’t invited), Russia is now prohibiting paid donation except in cases where rare components and blood groups are being donated.

In Canada the issue has come to a boil within the last six weeks after the media discovered Toronto was about to get two private for-profit plasma donation centers that intended to pay $20 per donation. A third is also planned for Hamilton. This is clearly a major shift in how we handle blood donations in Canada, and there had been precisely no debate (beyond the confines of our little BLOG). It also runs counter to the recommendations of both Canada’s own Krever Inquiry and that of the World Health Organization.

Having been at the center of this debate for the past year, you might say we are a little miffed to be sidelined on this. For Health Canada, us unions can wait and make our submissions at a later date.

Of course this is the same Health Canada that inspected Sandoz’s Boucherville Quebec plant and found no issues, only to have the U.S. FDA come in and tell Sandoz to fix their problems or be prohibited from selling their product south of the border.

While Sandoz knew it had to shut down its line well in advance, it failed to give early notice to Health Canada, resulting in significant shortages of intravenous drugs at hospitals across Canada.

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Secrets: Responsibility for diluted chemo cocktails may be tied up in secret contract

Who is responsible for the unexpectedly diluted chemotherapy cocktail that more than a 1,000 cancer patients received since February 2012? And will we ever know when aspects of the story are being treated as safely guarded secrets?

The issue has been making headlines this week with fingers pointing in all directions.

At least two of the hospitals involved have now taken back the preparation of the drug cocktail – both Durham Region’s Lakeridge Health and the Windsor Regional Hospital have said they are able to prepare it themselves.

London Health Sciences also says they have the capacity to prepare the drugs internally, but LHSC Vice-President Tony LaRocca told the London Free Press that they contract out the work because it is “more practical and efficient.”

Did he really say that with a straight face, especially after knowing the questions London patients and their families must now have?

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Campaign: It’s time we challenged our employers to talk about mental illness

Partners for Mental Health are blunt. They call it the cost of doing nothing.

That’s the cost of employers failing to address mental illness in the workplace.

PFMH has all the data. 500,000 Canadians will miss work today due to mental illness. One in three disability claims are related to mental illness. The cost of mental illness to Canada’s economy is estimated to be $51 billion per year – or about five times the current Ontario deficit.

Yet even talking about it is a stretch in most workplaces. According to PFMH only 23 per cent of Canadians would be willing to talk about their mental illness with their employer. That’s means more than three out of four would not.

If we can’t talk about it, how do we begin to deal with it?

It becomes particularly tricky when many of our employers are still using destructive attendance management programs. Given widespread stigma that exists around mental illness, workers could fairly wonder how their mental illness will be treated in such an environment.

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OPSEU provides TV support for Kingston P3 plebiscite campaign

KINGSTON – The Ontario Public Service Employees Union is supporting the Kingston community plebiscite campaign by sponsoring a new television commercial to air over the next two weeks on CKWS-TV.

Produced with the Kingston Health Coalition, the commercial urges community members to vote April 13 on whether or not they want the proposed new psychiatric/rehab hospital to remain fully public.

Ontario is using the controversial public-private partnership model to replace the aging St. Mary’s Of The Lake and Providence Care hospitals. That means the hospital will be designed, built, financed and maintained for 30 years by a private for-profit consortium.

“At a time when the government is telling us they have no money we can’t understand why the Wynne government would want to proceed with a far more expensive method of replacing these hospitals,” says Warren (Smokey) Thomas, president of the 130,000 member OPSEU.

When the Auditor General of Ontario looked at Brampton’s William Osler Health Centre privatization in 2008, he concluded that the higher rate of interest paid by the private sector added about $200 million to the cost of the project. He also noted that $28 million in transaction costs were added as a result of using the P3 method. Both of these issues would be factors in the decision to build the new Kingston hospital.

OPSEU has also done the only study of its kind in Canada looking at the impact of P3s on the day-to-day functioning of a public hospital. Examining the Royal Ottawa Health Centre a year after it opened as a P3, the OPSEU reports noted additional costs to clinical budgets and frustration among workers who have little control over their physical environment.

To view the commercial:

Show me – some countries put everyone’s salary on the sunshine list

“If there’s a more pointless annual story than the sunshine list, I can’t think of it.” – Tweet today from Adam Radwanski, Globe and Mail columnist.

Radwanski didn’t always think this way. In 2010 he argued salary disclosure had the effect of pushing salaries upwards as senior staff could compare their compensation to others. It also meant that front line staff could see the widening gap between senior managers and their own salaries.

Let’s face it – we all want to look. Our sunshine list stories on this blog are always popular. Feel free to click here if you want to see this year’s report.

But why stop there? As much as the right-wing media like to rush to judgement, nobody asks how these salaries even compare to the private sector? Without context, much of this list is, as Radwanski states, pointless.

Nor does the list actually tell you anything about how it was earned. Is it the result of a lot of overtime? Is severance included? Is it smaller than it should be because the executive began the job mid-year? What about non-taxable benefits?

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A tale of two LHINs – Champlain could learn from Central East when it comes to community involvement

In the past few weeks we have been challenging the Champlain Local Health Integration Network (LHIN) to step up to the plate around cuts and transfers of services from The Ottawa Hospital.

Champlain LHIN CEO Chantale LeClerc has dug herself in for the fight, insisting that considerable changes to health service delivery in her region do not warrant an integration decision nor any additional public consultation.

Curiously, in her most recent letters to both OPSEU and the Ontario Health Coalition, she has suggested that regional volumes of endoscopies have not yet been decided and that the LHIN has no mechanism to transfer them outside of a hospital environment (LHINs have no jurisdiction over private clinics performing public OHIP work).

The Ottawa Hospital CEO Jack Kitts is publicly stating the hospital will perform 4,000 fewer endoscopies per year (initially it was 5,000 fewer) and that it was his expectation that these volumes would be picked up by independent community-based clinics and other regional hospitals.

Clearly the hospital CEO and the LHIN CEO are not on the same page even though the LHIN is telling us the hospital is merely following its accountability agreement.

Endoscopies will be coming under what are called “Quality Based Procedures” for the coming year. These QBP get funded separately from hospital global budgets. That means if The Ottawa Hospital decides to stop doing 4,000 endoscopies, it also stops getting funding for them. Unless TOH is losing money on these procedures, it doesn’t suggest that such cuts will do anything to aid their bottom line – the whole point of this “restructuring.” Until we know where these procedures are migrating to (if anywhere), we have no idea whether the region will be saving any money or whether the public will be maintaining access.

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Pharmacare increasingly on the agenda – two upcoming events

In 2007 we attended SOS Medicare II, a high-profile national conference in Regina looking at the unfinished Medicare agenda.

Tommy Douglas’ original vision for Medicare extended far beyond what we have in Canada today. Once the envy of the world, our Medicare system is now wanting compared to other developed nations which have a much broader scope of public coverage.

Canada is drawing closer to the United States than Europe in the percentage of our health care system that remains totally private. The evidence is clear – the U.S. system is the most costly in the world and fails to deliver good population-based health outcomes. We spend far less than our neighbours to the south, live longer and have a much better infant mortality rate. If we want a truly more sustainable health care system, then perhaps it is time to start looking at expanding public coverage instead of delisting more services.

This year Pharmacare – public coverage for prescription drugs – is getting particular attention due to increased interest by the provinces. Canada is an outlier among developed nations for our lack of a universal Pharmacare program. While Conservatives would scoff at the cost of such a program, the reality is Canadians would stand to save substantially on health care costs with its introduction.

In February we were in Vancouver for Pharmacare 2020, a two-day event that involved a cross-section of patient advocates, pharmaceutical companies, insurance providers, academics and labour. (Read our stories here.)

Two more events are now on the horizon:

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Video: Inside the Nicaraguan Maquilas

OPSEU is engaged in solidarity work that extends well beyond our borders. In February we travelled with Cobourg’s Horizons of Friendship to look at development projects in Nicaragua. Our 9-part BLOG has been well received, and there is a possibility of an unexpected future development partnership arising from it. Meanwhile, after catching our breath, and with the help of OPSEU’s Anna Jover, we have edited some of our material into a short video that focuses mostly on our day in the Nicaraguan Maquilas — the free trade sweatshops. Seldom do activists get inside these factories — we were fortunate that this factory happened to have a good working relationship with the local garment union and the Horizon’s sponsored women’s organization, Maria Elena Cuadra. As such, it is considered a good employer compared to some of the other free trade factories despite its long shifts and $50 a week pay. As the general manager freely admitted on camera, he was only able to take his workers from “misery to poverty” and raised the necessity of an international minimum wage. Maybe the time has come. To watch our video, click on the box below.

Second deadline for PSW Registry is cancelled – for now

Let’s be clear: there is no present deadline for anybody to get on the Personal Support Worker (PSW) Registry. Employers may be setting their own deadline, but this is not coming from the PSW Registry itself.

There was a deadline of April 1, 2013 for the home and community care sector. On March 14th a letter was sent out informing employers that this deadline was no more. This is the second time the deadline for that sector has fallen by the wayside. Originally the home care sector was to have registered by the end of last August, but too few PSWs actually did that.

There was never any registration deadline for PSWs working in other health care sectors.

Without any enforcement mechanism, the April 1st deadline is pointless. At present there is no penalty for public employers wishing to hire someone to do the work of a PSW who isn’t on the Registry.

According to the PSW Registry, at this time registration is totally voluntary.

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The Ottawa Hospital: Restructuring now called cutbacks?

Last week we were in Ottawa publicly challenging the Champlain Local Health Integration Network to treat service transfers from The Ottawa Hospital as an integration decision.

There was a terrific media turnout for the press conference we shared with the Ontario and Canadian Health Coalitions.

Following the press conference, one of the local newspapers, the South Ottawa EMC, contacted Champlain LHIN CEO Chantale LeClerc for comment.

According to the EMC, LeClerc told them the cutbacks don’t count as an “integration,” so no formal consultation or board decision was required.

Cutbacks?

Up until now the Minister of Health and the LHIN had maintained changes at the hospital were about health care restructuring.

Now that health care activists are asking the LHIN to follow process that normally accompanies such restructuring, the changes have become cutbacks after all.

The reality is nobody knows what the impact of these cuts or restructuring or whatever-you-want-to-call-it will be.

The LHIN could require the hospital to come forward and present its plan. That plan should tell us where the services are being transferred to, what the cost will be, and how it will impact patient access.

You might call it health care planning.

Instead we have had a litany of excuses as to why such massive cuts to the hospital and potential privatization of services are not being treated in an orderly and transparent fashion.

Yesterday we learned of another LHIN that required repeat prompting by the local MPP before they would launch an investigation into a northern hospital that was generating considerable community concern.

Is this really how it’s supposed to work?