A reminder of what we’re fighting for

OPSEU represents about 36,000 health care professionals and support staff who work in settings ranging from community mental health to large urban hospitals.

When it comes to this BLOG, we don’t hide our perspective as workers.

We hope that those who read our BLOG do so with the understanding that the stories we write about and the positions we advocate are with the intent of building a better public health system.

We are aware that not everyone shares that goal. Since Medicare was founded, there have always been those who would undermine it, and sometimes it makes for odd bedfellows in the opinion pages.

Sometimes we need to ask ourselves, are we building on Tommy Douglas’ legacy, or are we tearing it down by only pointing out the system’s weaknesses?

It was therefore refreshing to see a letter this week in the Windsor Star by health reporter Veronique Mandal that points out what we hear too seldom – for most of us, the health system still works.

“As a health reporter, I have written hundreds of stories about Canada’s health system – some were laudatory, many showed its shortcomings and failures,” she writes.

The public letter goes on to thank the “doctors, nurses, admitting and technical staff” at Windsor’s Hotel Dieu Grace Hospital who saved her life April 20. Mandal doesn’t specify what her medical emergency was.

Mandal says that “being rescued from the brink of death is a profoundly life-changing experience.”

At Diablogue we often write about hospitals being overcrowded, cuts to cleaning and its impact on infection control, unhealthy and inedible rethermalized food, poor performance scorecards and the perils of privatization. At the end of the day, however, most hospitals still score above 90 per cent in patient satisfaction surveys and Canadians are still embracing our public Medicare system.

For all the problems, we’re obviously still doing some things right.

This does not mean that everyone is getting the care they need, or as the province likes to rhyme off, we’re not finding the right care in the right place at the right time. Not yet.

Letters like Mandal’s do remind us what we are fighting for.

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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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Fixing long term care not one of health minister’s choices either

It only took a day to dash hopes that Ontario was finally going to take significant measures to improve long-term care.

The Long Term Care Task Force on Resident Care and Safety made 18 recommendations Wednesday to improve care and reduce incidents of abuse in the province’s nursing homes.

The task force was created after Health Minister Deb Matthews called sector leaders into her office after the latest feature series in the Toronto Star detailed fresh cases of resident abuse.

After weeks of telling us that hospitals and doctors had to be cut in order to make choices, Matthews is now saying there is no money at this time for long-term care either.

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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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Ontario budget “Republican-lite” — Roth

Ontario’s deficits have more to do with unsustainable tax cuts than they do with public spending says Dr. Reuben Roth, a Laurentian University sociologist.

Roth was speaking Tuesday night in Oshawa as part of a province-wide series of town hall meetings hosted by the Ontario Health Coalition.

“Ontario is no Greece and no Spain,” says Roth, “but we inherited two structural deficits from the Harris government.”

Laurentian University's Reuben Roth with Natalie Mehra

Laurentian University’s Reuben Roth with Natalie Mehra

Roth explains that tax cuts and high unemployment have contributed to the current deficit – neither of which are the result of spending on health care and public services.

Roth says the government even brags that Ontario spends the least on program spending than any other province in Canada.

“If we are the lowest, then why cut more?” he asks.

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Is Canadian Blood Services rolling the dice on the future security of needed plasma products?

Their employer fled town, but the workers are still there.

Canadian Blood Services wasted no time in vacating the premises formerly occupied by the Thunder Bay Plasma Donor Clinic up until April 12.

While CBS maintains closure of the clinic was in the works for some time, they had to break their lease and other contracts to make their quick getaway out-of-town. We have no idea what that cost, but along with the layoff of 28 managers and staff, I’m sure they regard it as “just business.”

Initially selling the public on the idea that they had too much plasma — this in a country that has never been self-sufficient in plasma – it has become clear that the real reason behind the closure is financial.

Put simply, it’s cheaper to buy products with source plasma collected from other countries than it is to collect it here and have it fractionated abroad.

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Turning the consultation tables on the LHINs

Part of the mandate of the Local Health Integration Networks has been community engagement. Usually the LHIN organizes the consultation and groups are invited to participate.

There have been times when OPSEU members have engaged in these consultations and found them to be useful. Other times we have had reports where members felt the consultation process was manipulative towards a specific end.

This week we are trying something a little different.

Instead of waiting for an invitation, OPSEU’s Mental Health Division is inviting the LHINs to our own consultation.

Two regional meetings are taking place this week, although more are being planned.

Mental health has been top of mind this week with the release of the Mental Health Commission of Canada’s strategy paper.

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Can Canada’s first mental health strategy really find buy-in from the provinces?

At the very end of the launch of Canada’s first ever mental health strategy, a reporter asked Federal Health Minister Leona Aglukkaq if the government intended to seek uniform mental health services across the provinces.

Senator Michael Kirby jumped in, saying there never has been uniformity. The level of access to services presently varies between provinces. Some will need to do more than others. The gaps were different.

Dr. David Goldbloom, the new Chair of the Mental Health Commission of Canada, said the recommendations were meant to be at a high enough level that they could be shaped by the individual provinces.

The presenters had begun the presentation by describing the strategy in historic terms; the reality became clear by the end that there was a considerable job ahead to sell the provinces on one guiding path forward.

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