health care

Friday May 19, 2023

Editorial Cartoon by Graeme MacKay, The Hamilton Spectator – Friday May 19, 2023

Nursing Agencies: Profits Over Patients

March 1, 2023

Nursing agencies are taking advantage of the nursing shortage, driving up profits while pushing publicly-funded organizations towards bankruptcy. This predatory behavior harms our health care system and must be addressed.

Nursing agencies were meant to address short-term staffing shortages, not fill chronic, province-wide, full-time nursing staff gaps. Reliance on these agencies is unsustainable and leaves rural hospitals and long-term care homes with limited options and soaring costs.

The recent closure of the emergency department in Minden, Ontario, due to staff shortages, highlights the community-wide impact. Nursing agencies thrive due to lack of regulation, charging exorbitant rates up to $300 per hour, while public hospitals are restricted from offering incentives.

News: Staffing woes in Ontario’s health system drive growth in patient complaints  

January 21, 2023

This creates conflict among colleagues, as agency nurses earn more while permanent staff train them and supervise their work. The toxic environment drives nurses away, hindering the profession and discouraging new talent.

Instead of relying on agencies, we should focus on training more nurses within Canada and supporting countries in need. Expanding nursing student seats and fostering partnerships between universities and rural hospitals will attract and retain nurses in underserved areas.

We must establish government oversight, including licensing and cost restrictions for nursing agencies, to protect nurses and ensure affordable, high-quality health care.

It’s time to prioritize the stability of our nursing workforce and build a more equitable health care system for all. (AI)

 

Saturday March 25, 2023

Editorial Cartoon by Graeme MacKay, The Hamilton Spectator – Saturday March 25, 2023

When the Rain Cloud of Affordability Strikes

March 23, 2023

The cost of living is a complex issue that affects people from all walks of life. It’s not just about the price of goods and services, but also about the availability of affordable housing, healthcare, and education, among other things. Unfortunately, for many families, the cost of living has become a dark cloud that hangs over their heads, threatening to rain down financial ruin.

To illustrate this point, let’s imagine a satirical scenario where a family is out for a leisurely walk on a sunny day, only to be suddenly caught in a downpour. As the rain pours down around them, they realize that they’re completely soaked through and shivering. Looking up, they see a dark cloud hovering over their heads, representing the affordability crisis that has made their lives so difficult.

The family looks at each other in dismay. They know that they can’t afford to go home and change their clothes, let alone buy a new set of rain gear to protect themselves from future storms. They’re stuck, cold and wet, with no way out.

As they trudge through the rain, they notice other families in the same predicament. Some are huddled under awnings, trying to stay dry. Others are frantically trying to find a way to get home without getting even more soaked. But there’s no escape from the rain, and no relief from the financial pressure that is bearing down on them.

January 31, 2023

In this scenario, the rain represents the constant financial stress that families face in the face of rising costs and stagnant wages. The dark cloud symbolizes the looming sense of uncertainty that hangs over their heads, making it difficult to plan for the future or feel secure in their present circumstances.

As the family finally makes it home, they realize that they’ve been lucky to make it through the rain without any major mishaps. But they also know that they can’t keep living like this forever. They need real solutions to the affordability crisis, not just band-aid fixes that will only delay the inevitable.

LINK: Ontario unveils biggest-ever $204B budget, but one with little to ease daily affordability issues (CBC) 

It’s time for society as a whole to take a serious look at the cost of living and work together to find solutions that will benefit everyone. Whether it’s through policy changes, community initiatives, or individual actions, we can all play a role in helping families weather the storm of financial hardship and find a path towards a brighter, more secure future. (AI)

 

Wednesday March 1, 2023

Editorial Cartoon by Graeme MacKay, The Hamilton Spectator – Wednesday March 1, 2023

Sliding toward a new reality in health care

January 17, 2023

According to an Ipsos opinion poll released in February, more Canadians than ever are open to the idea of private-sector delivery of publicly-funded health-care service. Not only did the poll find 59 per cent of respondents support private delivery, 60 per cent supported the idea of private care for those who can afford it.

But wait — just a couple of months earlier half of the respondents to an Angus Reid Institute poll said more private care options would a negative impact on the system, with only 32 per cent believing private options would improve things.

Vagaries of methodology and ideology aside, what’s going on here. Could both things be true? Neither?

It’s a relevant discussion as Ontario and other provinces look to the private sector to deliver more services, reducing wait times and allowing more people to get needed care. But how much private-sector involvement is too much? When does the Canada Health Act, the blueprint for universal health care, become more of a suggestion than the rule?

It certainly doesn’t help when governments, in particular the Ontario government, are more interested in promoting their preferred ideological and political outcome than in providing straight answers.

August 19, 2022

Consider Premier Doug Ford’s promise that Ontarians will always be able to access care with their “health card not a credit card.” Lovely sentiment, but is it true?

There is a lot of private-sector delivery of health services already in the market, so no one can credibly claim private delivery doesn’t work. But increasingly there are some grey areas that should make us worry.

For example, consider the pediatric practice in Toronto that offers same-day virtual access to registered practical nurse services, but only to people willing to pay a monthly subscription and per visit fee. Yes, sick young patients will be seen regardless, but if you want to be sure of same-day virtual care and in-person consultation within a day or so, you need to pay.

Without casting aspersions, does that really sound like equitable access to care, as described in the Canada Health Act? Or does it sound more like real two-tier care, one tier for those who can afford it, the other for those who cannot?

January 18, 2023

There are other anecdotal examples, including some where people say they’ve been told they can get access to services and procedures, but it might take a year or more, unless they want to pay in which case they can get access in short order.

Some tiered service has existed for years now, such as in cataract surgery, where patients are offered different options for lenses, one covered by OHIP, others not and available if you can afford them or have insurance coverage.

The point here is not to denigrate services, patients or providers dealing with this changing landscape. It is that the system is evolving, in real time, without much reflection, debate or study. We’re sliding toward a different health-care universe, and it’s happening largely by stealth. That’s not the he way it should be, nor is it a prescription for success or public buy-in. (Hamilton Spectator Editorial) 

 

Tuesday February 7, 2023

Editorial Cartoon by Graeme MacKay, The Hamilton Spectator – Tuesday February 7, 2023

Justin Trudeau’s Liberals are stuck in the mud and hoping a health care deal helps pull them out

December 21, 2016

Justin Trudeau told us he was roaring into 2023 to “meet the moment” but lately his Liberals have been regrouping, retreating and running around in circles.

In a speech to his caucus prior to the resumption of Parliament, he said the Liberals would put forward a “positive vision for the future,” including good jobs, safe communities with clean air, and “an economy that works for everyone.”

At the top of the list was a fix for health care, which he promised would mean not only more federal money but better health care outcomes. Mr. Trudeau had just announced that he was convening a meeting with premiers for Feb. 7, a sign that a federal-provincial deal on health care is close. That was supposed to be the first big item on the Liberal agenda in 2023.

So this week Mr. Trudeau has an opportunity to take back the initiative.

A prime minister’s meeting with premiers never goes by without disagreement, but it is a place where the PM’s voice carries the loudest. And if the meetings do end with a level of federal-provincial agreement, sealed by a major, multiyear injection of federal cash, then Mr. Trudeau will tout progress on an issue at the top of Canadians’ concerns.

November 24, 2015

At this point, the Liberals are getting a little desperate for that kind of agenda-setting. Anything where the news is something the Liberals are doing, rather than something they are undoing, or something they wish they could do over. So this is a big week for Mr. Trudeau.

His Liberals would like to carry a health care deal into a spring of initiatives and a budget that is expected to centre on clean-tech incentives and industrial strategy.

But that’s just a hope right now. Mr. Trudeau’s government has had setbacks and scandals and made blunders before, but the Liberals have eventually regained the ability to set the political agenda with a flurry of activity. That is one of the home-field advantages of being in power: Government actions have consequences, so their agenda is consequential. Yet lately, Mr. Trudeau’s team seems less able to control it.

Mr. Trudeau’s government is encountering problems of a third-term government that has been through a lot.

One is that things come undone or are shown to have been done badly. (Continued: Globe & Mail) 

 

Tuesday January 31, 2023

Editorial Cartoon by Graeme MacKay, The Hamilton Spectator – Tuesday January 31, 2023

Parliament resumes

Members of Parliament are making their way back to Ottawa ahead of resuming sitting on Monday, as the city prepares to mark the one-year anniversary of the arrival of “Freedom Convoy” protesters.

September 23, 2022

Liberal and Conservative MPs gathered on Parliament Hill Friday for respective caucus meetings, plotting out their priorities for the 2023 sitting of the House of Commons, which kicks off on Jan. 30.

Among the top issues facing federal politicians this winter are the ongoing cost-of-living crunch and risk of a recession; the state of Canada’s health-care systems and the prospect of massive new funding deals with the provinces; as well as the government’s ability to deliver services amid the recent increased reliance on private consultants.

In widely differing but similarly-rousing speeches to their caucuses, Prime Minister Justin Trudeau and Conservative Leader Pierre Poilievre previewed the lines of attack that are sure to be repeated in question period, both centred around an ongoing debate the two leaders are having over whether Canada is “broken.”

April 8, 2022

“Everything feels broken,” Poilievre said in a speech that questioned what is happening in this country, from the rates of drug overdoses to violent crime.”[Trudeau] gets very angry when I talk about these problems. He thinks that if we don’t speak about them out loud that Canadians will forget that they exist.” 

“You told us that better was always possible, and yet everything is worse, and you blame everyone else,” he said. 

Responding to the claims from his Official Opposition counterpart, Trudeau shot back that Poilievre has “chosen to amplify people’s real anger, and instead of offering them solutions, to offer them more anger.”

June 14, 2022

In his caucus address, Trudeau spoke about how the Liberal “positive vision” for the future “could not be more different than Mr. Poilievre’s version.”

The New Democrats gathered on Parliament Hill last week for their pre-House strategy session. In a statement on Friday, NDP Leader Jagmeet Singh said that his caucus plans to leverage its supply-and-confidence deal with the minority Liberals to “to fight for relief from the crushing cost of living, and rebuilding and protecting public universal free health care.” (CTV)