Tag Archives: Tim Hudak

Tories use think tank notorious for fabricating evidence to support white paper

It is interesting that the Ontario Tories quote the Pacific Research Institute in this week’s white paper on labour.

In the paper, the Tories say the average yearly economic growth in U.S. States with voluntary union rules is 4.4 per cent compared to 3.6 per cent in those which use a system similar to Ontario’s.

Oddly, the PRI says the “calculations” are based on data collected by the U.S. Bureau of Economic Analysis. Calculations? What kind of calculations? Wouldn’t the bureau have available economic growth numbers for the States? Why would they need to be “calculated” by PRI?

The PRI is an extreme right-wing organization whose vision, according to their website, is to promote “individual freedom and personal responsibility. The Institute believes these principles are best encouraged through policies that emphasize a free economy, private initiative, and limited government (emphasis added).”

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Ontario PC white paper plans to take labour legislation back to the 19th century

The Ontario PCs have staked out a far-right position on labour with the release Wednesday of their white paper “Paths to Prosperity: Flexible Labour Markets.”

For Ontario’s heavily organized health care sector, this is a ‘sit up and pay attention moment,’ even if the Tories chose to do it in the summer months when most are paying less attention to the goings-on at Queen’s Park.

The Tories evidently believe the path to the 21st century lies in the 19th century as they undermine the power of working people to get organized, seek reasonable wages, and expect fair treatment within the workplace.

For example, it is a head scratcher how ending source dues deductions would increase prosperity, unless they are counting the number of people Ontario’s unions would have to hire to process and collect dues invoices from tens of thousands of individual members. And the cost of all that inefficiency would be borne by the workers themselves.

Hands up those who would prefer to receive a monthly dues invoice to remit rather than having the cost simply deducted from source?

Does Hudak intend to do the same for United Way donations, Canada Savings Bonds, income taxes, employment insurance and other deductions that come off our paycheques?

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Queen’s Park: Buildings matter. Health care delivery? Not so much.

The next election appears to be set up to be fought over the bricks and mortars of health care, and not the quality of the system itself.

Liberals are using robocalls in Halton to urge constituents to call their MPP and urge her to vote for the provincial budget lest the $300 million redevelopment of Joseph Brant Memorial Hospital be placed in jeopardy.

The Liberals felt no compulsion about doing the same around Grimsby’s West Lincoln Memorial hospital redevelopment or five other projects that were taken off the table in the same provincial budget. Five of six of these projects are in provincial Tory ridings.

“Their decisions are not about health care. Their decisions about what hospitals to fund have become part of a political game,” PC leader Tim Hudak told the Hamilton Spectator.

According to the Spectator, Burlington MPP Jane McKenna received more than 1,000 calls to her office as a result of robocalling that started Monday.

While hospitals are telling us about impending layoffs due to a base budget freeze, at Queen’s Park the real battle is over the buildings, not the care delivered in those buildings.

Hudak flip flops on health care issues

Have the Ontario Tories ditched some of their long-standing health care issues in the wake of the Drummond report?

On the one hand, Hudak likes Drummond’s idea for even larger Local Health Integration Networks, on the other hand, he remains silent on Drummond’s call to hold the line on new long-term care beds. During the election Hudak called for the elimination of the LHINs and pledged to create 5,000 new long-term care beds and renovate 35,000 more.

While PC Leader Tim Hudak has accused Premier Dalton McGuinty of cherry picking the report, he himself has been all over the map, one day insisting the Premier implement it, the next day carving out his own exceptions from the 362 recommendations.

“If the Premier takes a single one of them off the table he must specify an alternative approach,” Hudak said. And then Hudak himself began taking them off one by one, starting with his call to protect $340 million in revenue from slot machines shared with the horse racing industry.

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Health care and Andrea Horwath’s hair – the election winds down

It’s not even election day and the media has already begun navel gazing about why voters ignored the platforms and got hung up on the minutiae of the horse race. The National Post is doing so by trying to analyse the content of Twitter posts. Do they really think this represents the views of typical Ontarians?

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Hudaks says he may legislate public sector wage freezes

While Tim Hudak talks about making life more affordable for Ontarians, clearly he isn’t thinking about families that rely on public sector wages.

Canadian Press reported Friday that Hudak would not rule out using legislation to enforce a public-sector wage freeze.

Hudak said that such legislation would only be used as a “last resort” in the event that union demands become “unreasonable.”

“If these groups are not responsible, you have to consider any tool at your disposal,” he told CP.

The Supreme Court of Canada has ruled that unionized public sector workers have a right to collective bargaining, making it unlikely that Hudak’s legislation would hold up to a challenge.

While Hudak cries poor when it comes to public sector wages, he plans on spending $3.5 billion over four years on new tax cuts.

Do Ontarians want to choose from rated health care providers, or do they want uniform quality standards?

“[My wife] Debbie and I can visit a city and see how restaurants and hotels are rated, but there’s nothing like that for our healthcare system. If my mom gets her knees done, I want to make sure she knows she can get that done where she can get the best possible results and they treat the patient well throughout their entire experience.” – PC Leader Tim Hudak.

Where has Tim Hudak been? Ranking the performance of the health system has become a sizeable activity in this province. Much of it is as limited in value as the hotel and restaurant rankings he and his wife appreciate.

Not all of it is in the public sector. For example, many private-sector sites exist that ask users to do the rating. For example:  http://www.ratemds.com/ allows patients to trash or praise their doctor. Of course, none of this information is verified or subject to professional review. Want to find a quality nursing home? Similarily you can always try http://www.nursinghomeratings.ca/understand-the-nursing-home-system/ontario

Public bodies also provide information rating health care providers.

Wait times are kept on a central web site at http://www.health.gov.on.ca/en/public/programs/waittimes/

Health Quality Ontario issues annual reports on the performance of the system at http://www.ohqc.ca/en/index.php

Each individual hospital posts a performance scorecard on-line, although many people may have problems understanding the methodology and terms on these sites.

And there is an Ontario Hospital Association site that allows you to compare your hospital’s performance against the average. See http://www.myhospitalcare.ca/Pages/homepage.aspx

Looking for a long term care home? The government maintains a site with inspection reports at http://publicreporting.ltchomes.net/en-ca/default.aspx

Like those hotel and restaurant ratings he and his wife enjoy accessing, all this health care data can be suspect, incomplete, and lacking timeliness. Is it really helpful to know what a specific hospital’s C-Difficile rate is if the data is eight months old?

Peterborough Regional Hospital recently posted a negative standardized hospital mortality ratio score (HSMR). The HSMR is a ratio of a hospital’s rate of unexpected deaths to a national average, adjusted for age, sex and diagnoses of patients. It appears Peterborough’s method of fixing the score is not to improve care at the hospital, but to change the way hospital deaths are recorded. Under such circumstances, what is the real value of such data?

Also, the more health care is pushed into the private sector –as is Hudak’s pledge – the more difficult this information is to obtain.  Corporations frequently claim information is proprietary if they don’t want to release it to the public.

Hudak recently complained that health professionals were spending too much time on paperwork. If he expects greater reporting, this would require more paperwork, not less.

In a recent Vector poll the public liked the ability to look up quality performance information, but overwhelmingly said that it was up to government to provide oversight and maintain quality standards.

Instead of picking and choosing based on dubious quality reports, shouldn’t the government’s objective be to provide consistent high-quality care regardless of where it is located?

Health care has finally made it to the Ontario election

After talking about everything but health care, the major parties are turning their attention to the issue Ontarians say they most care about.

Premier Dalton McGuinty raised the Harris/Eves record while in Ottawa this week, noting the PCs closed 28 hospitals while the Liberals opened 18 news ones.

This is technically true, but not entirely correct. When hospitals merged, it allowed for satellite locations to remain a part of the hospital even if it no longer offered full hospital services. In some cases, it did involve actually taking the white and blue “H” sign off the side of the building.

Fort Erie and Port Colborne both technically lost their hospitals once the Emergency Rooms were closed by the McGuinty government, but both facilities remain part of the Niagara Health System.

In Shelburne the situation couldn’t be clearer – the last services offered at the local hospital were removed a few years ago and now residents are told to go to Orangeville for service. Shelburne’s local hospital was once part of the Headwaters Health System, which continues to exist. Technically Headwaters is still with us, but not the Shelburne Hospital. You can’t get much more closed than that.

The Ontario Health Coalition has been campaigning to keep small and rural hospitals open amid plans to further rationalize local health services.

More interesting is McGuinty’s reminder that the Mike Harris government attempted to close the cardiac unit at the Children’s Hospital of Eastern Ontario (CHEO). At the time the Tories argued that there were too few procedures performed to maintain clinical proficiency and competency for this kind of specialized care. This is an argument that the McGuinty government have themselves used repeatedly to justify the concentration of services in the so-called “centres of excellence.”

The Liberals allege that the current Tory platform has a $14 billion hole in it, implying the $6.1 billion four-year commitment to health care funding increases may be just an illusion.

It is no surprise that the Liberals have decided to attack on health care – an August Nanos poll indicated voters trust McGuinty much more on the health file, whereas Hudak and McGuinty post similar numbers when it comes to taxes and the economy.

The Liberals have also been under attack for recent changes to what has been a motherhood issue – literally. The McGuinty government is cutting the “Healthy Babies Health Children” program operated by public health. Within 48 hours of discharge a new mother is offered a phone call and subsequent visit from a public health nurse. Instead the government is planning on making this program available for high-risk families only.

The NDP campaign so far has focused on jobs, transit, tourism, education, corporate taxes, municipalities, agriculture and green initiatives – but little about health care despite significant commitments in their “Change That Puts People First” platform.

NDP health critic France Gelinas recently told the Globe and Mail that Tim Hudak’s plan to create thousands of long-term care beds does little good if the people occupying them would be better served through home care. The NDP plans to increase the supply of home care by a million hours over four years and to conduct a comprehensive review with the goal of creating a new publicly-owned and accountable home care system.

 

Tories set the stage for problems at eHealth

According to Toronto Star columnist Martin Regg Cohn, Tory leader Tim Hudak intends to use the e-Health scandal in the provincial election much like Toronto Mayor Rob Ford used gravy at the municipal level.

What Hudak might be a little more worried about is the media taking a serious look at what the Auditor-General of Ontario actually had to say in his report on eHealth.

While it is true there were many sole-source contracts, the reality is the problems at eHealth can be directly linked back to the Smarts System for Health Agency (SSHA) started by the Tories.

In fact, of the $1 billion spent as of 2009, the year the auditor filed his report, $800 million of it was spent in the six years leading up to the scandal – including the Harris/Eves years.

Much of the Ontario General’s report focuses on the fact that the SSHA was set up without a strategic plan, leading to incredible waste. Looking at the slow progress of the SSHA in 2006, McGuinty hired Deloitte Consulting to do a comprehensive review.

“Among the problems Deloitte identified was the absence of a comprehensive government eHealth strategy, which resulted in the SSHA not being clear on its role and not being able to complete its own strategy,” writes the auditor.

The problem with consultants was one that escalated over time. Some of the consultants, the auditor reported, had been under contract for seven years –that would be prior to the arrival of the McGuinty government.

In his report, the auditor questions the reliance on consultants: “The fact that the development of an EHR (Electronic Health Record) had been on the government’s agencda as far back as the early 2000s caused us to question the heavy, and in some cases almost total, reliance on consultants.”

While the auditor had found improper sole-source contracting, and contract awards to companies that had much higher bids, the auditor made it clear there was no evidence of political influence or fraud despite Hudak’s accusations of “deliberate price-fixing and bid-rigging.”

Clearly eHealth was a mess. It started with poor foundations set by the Tories, and it took the Liberals well into their second term before the mess could be addressed.

Hudak is promising an inquiry. He may think otherwise, especially if he bothered to actually read the auditor’s report.

“Fat raises and lavish benefits?”

Do you feel you have been getting “fat raises” and “lavish benefits” from the McGuinty government?

According to the Toronto Sun, Tim Hudak’s Tories are launching a television commercial attacking public sector unionized workers, urging “taxpayers” to call a toll-free number to register their objections to Dalton McGuinty “giving away more of your money to union bosses.”

The ad suggests unions are “investing in McGuinty” because “they want hundreds of millions in fat raises and lavish benefits.”

Heavy on the “cheese” – the ad looks like a late-night low-budget infomercial – it is intended to counter union messaging on the threats Hudak poses for working people.

The hysteria suggests McGuinty “handed out a 25 per cent increase for one union,” but does not say who, when or over how many years. MPPs did give themselves a 25 per cent pay raise in 2006.

The commercial also misleads the public about current wage settlements. According to statistics Canada, the average wage increase in Ontario was  2.1 per cent (as of April 2011) – well below the province’s spring’s inflation rate of 4.0 per cent. That means most workers are in fact losing ground.

The “fat raises” and “lavish benefits” also fly in the face of the McGuinty wage freeze.

A Globe and Mail review of 2010 executive pay shows CEOs at Canada’s 100 largest companies saw their compensation jump 13 per cent last year, led higher by a 20-per-cent increase in annual cash bonuses.

Hudak is taking a page out of the playbook of his former boss Mike Harris, who whipped up public sentiment against public sector workers. The Harris government ended up repealing anti-scab legislation, froze the minimum wage, made it harder to get worker’s compensation, and challenged the ability of public sector workers to bargain collectively.

Looking at their paycheques, health care workers should be asking Tory candidates if they think their current settlements are “fat” and “lavish,” and whether such attack ads are a preview of what Hudak’s relationship with labour will be?