Video: Romanow on creeping health care privatization

Missed Wednesday’s Canadian Health Coalition forum in Ottawa? Rabble has made available streaming video of the event featuring former Saskatchewan Premier Roy Romanow, Dr. Michael Rachlis, the Parkland Institute’s Diana Gibson, Allan Maslove from the Carleton University School of Public Policy and Administration, Ontario Health Coalition director Natalie Mehra and others. Two of the panels were moderated by the Globe and Mail’s Andre Picard. To watch the video, click here.

(You may want to forward the video slightly from the beginning — there is a minute or two of ambience as participants stand around and wonder who left their keys behind on the podium).

Public or private, there is only one health care funder — us

On Wednesday former Saskatchewan Premier Roy Romanow expressed some regret over the cuts he made to health care while his province faced a tough economy. Speaking at a Canadian Health Coalition forum in Ottawa, Romanow admitted that pushing health care costs on to individuals was a false economy. The cuts have also created a lasting legacy for his political party, which has struggled to maintain seats in rural Saskatchewan after closure of many small town hospitals. This may be a direct lesson for Dalton McGuinty, whose government has itself toyed with the idea of reducing the scope of services at rural hospitals and delisted some OHIP coverage, particularly around physiotherapy, eye examinations, and chiropractic care.

Whether we pay through our tax dollars, or pay out-of-pocket, as Canadians we still pay. Evidence would suggest the difference between the two is a single-payer (tax-funded) health system is far more efficient and equitable.

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Docs more likely to make unnecessary referrals when they have ownership of the diagnostic service — study

There is a considerable body of evidence to suggest more investor-owned private delivery of public health care will increase costs and leave the government paying for unnecessary services.

The latest evidence comes from a Duke University study presented at the Radiological Society of North America this week.

The Duke University study reveals that doctors who have a stake in MRI (Magnet Resonance Imaging) scanners are far more likely to refer patients for scans.

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A time of great anxiety for the LHINs

These are likely times of great anxiety for the Local Health Integration Networks (LHINs).

The re-election of the McGuinty Liberals may have created a brief sigh of relief given both opposition parties had promised to kill the LHINs. According to the Mowat Centre’s Will Falk, there is “very broad consensus” that the LHINs will still be restructured.

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Professional liability insurance for OPSEU members of a regulated health profession

Bill 179 received Royal Assent in December 2009 making it law for all members of a Regulated Health Profession to carry Professional Liability Insurance (PLI). This law will be fully implemented by 2012.

The OPSEU Hospital Professional Division Executive has, in consultation with CG&B Insurance Group, arranged for members of Regulated Health Professions to get PLI at a discounted rate. For $40 per year, you can receive PLI that meets all the requirements of Bill 179.

This insurance is not only applicable to members of the Hospital Professionals Division, but for every OPSEU member who is also a member of a Regulated Health Profession.

Please see the attached form to find out more about this insurance offer.

All the fuss about parking-centered care

Patient-centered care is the latest catch phrase being used by health care administrators, politicians and policy wonks.

It has become so frequent in its use it has actually supplanted the mandatory use of “evidence-based decision making” as this year’s mantra.

Despite the mantra, most of us would be hard pressed to point to a specific initiative that trumps the patients’ interest over that of the interests of institutional health care providers.

It is therefore interesting to see the response to the Canadian Medical Association Journal’s (CMAJ) recent editorial that calls upon hospitals to abandon 1 per cent of their revenue to make parking free.

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Retirement homes in conflict of interest over abuse line — ACE

Have a complaint about abuse at a retirement home? The telephone line you are required to call is operated by the trade association run by the retirement homes – a conflict of interest according to the Advocacy Centre for the Elderly (ACE).

This spring the Ontario government introduced a new Retirement Homes Act, promising to immediately enact provisions to protect seniors living in these homes from abuse.

While the Retirement Homes Regulatory Authority (RHRA) is being set up as part of that Act, the public is being advised to call the Complaints Response and Information Service line (CRIS).

The CRIS line is operated by the Ontario Retirement Community Association (ORCA), the private sector trade association for retirement home operators. That means if you have a complaint about a retirement home, you have to take it back to the advocates for that home. 

ACE is concerned that CRIS will continue to operate the line after this initial set up period, triaging complaints and deciding what gets forwarded on to the independent authority responsible for licensing and inspecting retirement homes.

“ACE has raised this concern with the Office of the Minister Responsible for Seniors given that what is considered abuse and neglect may be different from the perspective of the operators of the CRIS line, the tenants (residents) of the homes, the home operators, and the Authority,” writes Judith Wahl, executive director of ACE in the centre latest newsletter.

ACE is also asking questions about whether complaints to the CRIS line operators will be required to be kept confidential from ORCA – the operator’s employer.

ACE is calling for an independent call line to be maintained directly by the regulator authority, and not by the trade association.

Retirement homes have become more populated with seniors with higher levels of acuity in the absence of available spaces in Ontario’s regulated nursing home sector.

Retirement homes are also being used by hospitals to off-load “alternate level of care” patients who are unable to go home on a short-term basis. The government says they are protecting these patients by applying the Long Term Care Act to these specific beds.

HCDC pocket calendars on their way

Are you a OPSEU health care member? Our popular pocket calendars are being sent out today to OPSEU health care locals.

This year’s Health Care Divisional Council calendar has a fresh new design that’s both attractive and easier to use.

The calendar puts together as many health-related dates as possible, from Weedless Wednesday to National Physiotherapy Month. If your professional date is missing, please let us know and we’ll endeavor to get it into next year’s calendar.

The calendar also includes a selection of health care related quotes and introductions from President Warren (Smokey) Thomas, Vice-President/Treasurer Eddy Almeida, and HCDC Chair Sara Labelle. This year’s theme is the growing income gap, which has a direct impact on population health.

If you are a OPSEU health care member, and would like a free copy, please contact your local later this week.

Video: Alex Himelfarb on the consequences of tax cuts

In Mid-October we wrote about Alex Himelfarb’s comments about why we needed to invest more in our future, not less.
The former clerk of the privy council, Himelfarb was frank about his assessment that we have been sold a bill of goods with regards to tax cuts and austerity.
The lecture was sponsored by the Canadian Centre for Policy Alternatives and the Literary Review of Canada. It was produced for TVO’s Big Ideas series.
Watch the full lecture and Q&A online here.
Rather read about it? Our Diablogue story is here.

Ottawa Hospital celebrates being number six

Recently we noted a press release from The Ottawa Hospital celebrating the fact that they were ranked number six among Canada’s research hospitals.

Last year The Ottawa Hospital was also number six.

The rankings come from a private company called RE$EARCH Infosource Inc. The dollar sign in “research” is not a mistake.

We asked RE$EARCH Infosource the basis of their rankings, especially given questions over the validity of other private sector rankings, such as the Maclean’s magazine ranking of Universities.

RE$EARCH Infosource never got back to us.

The list mostly appears to be based on the volume of money the hospitals attract for research, although it is not entirely uniform.

University Health Network tops the list. They attracted a staggering $267 million in research funding last year. UHN is affiliated with the Ontario Cancer Institute, Toronto General Research Institute, and Toronto Western Research Institute.

The second ranked hospital, Hamilton Health Sciences, actually recorded less money for research, dropping to $180 million in 2010 from $191 million the year before.

While Ontario had six out of ten hospitals at the top of the list, the big increases in research money primarily went to hospitals in BC and Quebec.

The British Columbia cancer agency was the biggest mover up the rankings, having doubled its research funding from $41 million to $81 million.

Does attracting more money than other research hospitals make you more of an innovation leader? Or does it mean you are better at attracting research dollars? Is there any point to this beyond flattering the hospitals at the top, all potential customers for the private company.