health care

Friday November 5, 2021

Editorial Cartoon by Graeme MacKay, The Hamilton Spectator – Friday November 5, 2021

Ontario and Quebec bow to anti-vax hospital workers

Chalk up two big points for the nation’s anti-vax brigade. And two ridiculous own-goals by the governments of Ontario and Quebec.

August 31, 2021

In a dispiriting display of spinelessness, both provinces decided Wednesday against requiring their health care workers to do the morally right and medically necessary thing — and be vaccinated against COVID-19. While Ontario Premier Doug Ford announced he would not proceed with a vaccination mandate, Quebec Health Minister Christian Dube actually scrapped a vaccination edict already in place.

Both decisions will worry and, yes, endanger patients. They won’t know whether the person treating them has had the jab and whether, if unvaccinated, that individual might put them at heightened risk of catching COVID-19. Both decisions also do a profound disservice to the overwhelming majority of health care workers who’ve acted responsibly by taking their jab. They should have the right to work in the safest environment possible, something only possible after mass vaccinations.

April 1, 2021

So why did it come to this? In both provinces, the decisions were motivated by the unsubstantiated fear that vast numbers of hospital workers would quit rather than be vaccinated. Ford cited “the potential departure of tens of thousands of health-care workers” if his government mandated vaccinations instead of leaving the decision to individual hospitals and health organizations, many of which have imposed their own vaccine requirements.

But the Ontario Hospital Association and the Registered Nurses’ Association of Ontario both pleaded with the premier to set down a consistent approach across the entire provincial health care system. Instead, Ford has, by default, saddled Ontarians with a confusing, far less effective, patchwork of rules. As for the premier’s numbers, they’re outdated. His own health minister, Christine Elliott, said so. And while she agreed the number of potential staff losses would have been “significant” she failed to provide precise numbers to back up her assertion.

September 15, 2021

To be fair, it’s true that at least some health care providers would be stubborn enough lose their jobs rather than be vaccinated. But rather than cave in to their threats and irrational, irresponsible behaviour, the governments of Ontario and Quebec should have stood firm and called their bluff. No health care worker would ever be forced to have a vaccine injected into their arm. But those who refused would deal with the consequences.

In marked contrast, Air Canada has stuck to its vaccine-mandate guns and suspended 8,000 of its 27,000 employees for refusing to get the jab. Its planes are still flying. The Toronto District School Board has put nearly 800 workers on unpaid leave because they failed to disclose their vaccination status. The schools remain open. If an airline trying to protect its customers and staff and a board trying to guard its students and employees are willing to go to these lengths, so should the Ontario and Quebec governments when the integrity of their hospitals is at stake. Their health care systems would have gone on, too, likely with more fully vaccinated workers.

January 27, 2021

Ford’s decision is especially puzzling considering that another branch of the provincial government, the Ministry of Long-Term Care, has mandated COVID-19 vaccines for anyone working in care homes. Workers in these facilities face termination unless they show proof of vaccination by Nov. 15. Go figure. Why do some of our key leaders seem incapable of running a mass vaccination initiative?

It now seems only a matter of time before Canadian children aged five- to 11-years-old will be eligible for a COVID vaccine. But parents aware of Ford’s laissez-faire approach to vaccinations might erroneously conclude it’s no big deal to spare their children from the jab. If that happens, the hope of reaching the 90-per-cent vaccination level that would make this province truly safe will have faded. (Hamilton Spectator Editorial) 

 

Tuesday March 30, 2021

Editorial Cartoon by Graeme MacKay, The Hamilton Spectator – Tuesday March 30, 2021

Canada falls behind on barcode technology for COVID-19 vaccine tracking

Millions of COVID-19 vaccines set to pour into Canada will carry a tiny barcode that would allow the package to be tracked all along the supply chain, and could even help to connect a patient’s digital vaccination record to a specific dose. That level of tracking is taking place in other countries such as the United States – but won’t happen in Canada because the country lacks the technology to scan those barcodes.

February 25, 2021

It’s a frustrating gap for those who have been pushing for such an ability since the 1990s. As a recent Deloitte report on the COVID-19 vaccination campaign pointed out, these barcodes can go a long way to “reduce errors and improve efficiency and safety.”

The technology is available – cellphones and tablets can scan these barcodes with the right software. But the barcode issue reveals larger problems with Canada’s fragmented and outdated health infrastructure – it involves 14 jurisdictions doing 14 different things, sacrificing efficiency for independence.

December 21, 2016

Currently, some provinces are tracking supplies by manually updating spreadsheets and logging by hand the lot number of administered vaccines. Ontario and Quebec have devised a more advanced database of their available vaccines, but it still relies on someone manually entering the serial numbers of vaccine shipments.

Other countries have figured this out: Vaccinators in the U.S. are scanning COVID-19 vaccine shipments and individual doses, allowing states to build accurate and timely databases of who has been vaccinated. Ireland and Turkey are also relying on these barcodes. The World Health Organization is encouraging every country to use them to promote efficiency and fight counterfeiting.

June 13, 2019

n Canada “should have been written in the pandemic plan.”

There was a plan to make these barcodes central to Canada’s public-health system, and there was a time when Canada was ahead in digitizing its health system “by a decade,” Dr. Van Exan said. Canada’s 1998 vaccine strategy first proposed barcoding vaccines to promote efficiency and accuracy. The 2003 SARS epidemic, and the creation of the Public Health Agency of Canada, hastened that work.

In normal times, Canada administers millions of vaccines a year for diseases such as mumps and influenza. Provinces slowly adopted digitized immunization records in the early 2000s, but continued entering all the data manually: Audits of some provincial systems found fully 15 per cent of immunization records were incomplete, nearly a quarter had inaccurate information, and crucial data was missing from one in five adverse-reaction reports. (Continued: Globe & Mail) 

 

Saturday July 27, 2019

Editorial Cartoon by Graeme MacKay, The Hamilton Spectator – Saturday July 27, 2019

Ontario’s health reforms loaded with risk and reward

This week The St. Catharines Standard and The Hamilton Spectator did something uncommon. The sister news organizations published a joint investigative feature on health-care reform in Ontario.

April 6, 2019

We did it together because the issues and challenges involved are shared by citizens of Hamilton and Niagara. The Local Health Integration Network, to be replaced by a new oversight body, covered both regions. It made sense to share our joint expertise, personified by Joanna Frketich of The Spectator and Grant LaFleche of The Standard.

We’re proud of the series, which is the most comprehensive reporting on the most significant reform to Ontario’s health system in recent history. We explained what we could, and were forthright about what we don’t know — which is a lot given the vagueness and lack of detail in the strategy.

March 19, 2019

That’s the worry. There is great potential in the reform plan. While we are not among those who describe the current system as broken, there’s no doubt it is underperforming, and too often failing health-care consumers. So you cannot fault the Ford government for wanting to improve the system, especially at a time when an aging population will increase use of and stress on health care.

There is also great risk, as there would be with any attempt to change something as vast, complex and critical as health care. If it’s not done right, the costs could be very high. Unfortunately, this government’s track record at getting things right is not stellar. The autism debacle. Public health cuts that had to be temporarily reversed. Breaking a beer company contract that will probably cost millions. Killing cap and trade for ideological reasons, forcing Ottawa to implement a carbon tax, and depriving towns and cities in millions from cap-and-trade revenue.

February 16, 2019

Can we trust the Ford government to get health reform right?

The government’s reform blueprint is called the Connecting Care Act. Read it and you’ll be surprised by the lack of detail. We know that an uncertain number of Ontario Health Teams (OHT) will be put in place. They will be made up of health-care stakeholders — hospitals, primary care (family docs and family health teams), community-based and long-term care providers. They will provide the local input on health care across the spectrum. They will report to a new super agency, called Ontario Health.

In and of itself, this structure is puzzling. Part of the province’s rationale is to reduce bureaucracy. But in the future, instead of having LHINs, we’ll have OHTs, reporting to the new super agency, which presumably reports to the ministry of health. This isn’t a smaller bureaucracy, it’s the opposite.

December 15, 2017

The new system also collapses previously independent health agencies, such as Cancer Care Ontario, under one umbrella. But CCO is recognized as a world leader. Does it really make sense to break what isn’t broken in cancer care?

It’s also the same model Alberta has had in place for years. And health-care costs in that province have not gone down under the super agency system, they’ve gone up to a point where Alberta has higher per patient costs than any other province.

It’s not all bad news. Innovative initiatives, liked Bundled Care, which was developed at St. Joseph’s Healthcare in Hamilton, will be rolled out across the province, promising shorter hospital stays with remote support provided to patients at home.

Once it comes back from its extended summer holiday, health reform will be prominent in the news, and we’ll continue to cover and try to explain it. For Ontarians who care, and we all should, this wave of reform demands close scrutiny and robust public discussion. (Hamilton Spectator Editorial) 

 

Wednesday September 27, 2017

Editorial Cartoon by Graeme MacKay, The Hamilton Spectator – Wednesday September 27, 2017

U.S. VP Pence blasts ‘failings’ of Canadian health system

The vice-president of the United States has some less-than-complimentary words for Canada’s health-care system, which he accuses of certain “failings.”

Mike Pence made the remarks in an interview last week with Alaska radio station KFQD.

He was being asked about the Republican health legislation struggling to get through Congress.

Republicans appear to be wrestling to get a bill that would repeal Obamacare through the legislature before a procedural deadline later this month — and the effort is in deep trouble.

Pence warned that if the legislative effort collapses, the U.S. will be on a course for something similar to Canada.

That’s because the Democratic party is starting to rally to an unprecedented degree around the idea of single-payer health care as a long-term solution to the U.S.’s endless health debates.

“We have a clear choice here,” Pence said.

“You know, somewhere in between where I’m sitting in Washington, D.C., and (you) Alaska, is a place called Canada. I probably don’t need to tell the people Alaska about the failings of national socialized health care because it’s right in our neighbour and you see the results every day.

“Look, we’ve got a choice: It’s between big government, Washington, D.C., solutions that ultimately, I believe, will collapse into single-payer health care — or whether or not we’re going to repeal the (Obamacare) individual mandate.”

Canada’s health system is known to suffer from long wait times, especially for elective procedures. On the other hand, Canadians not only have longer life expectancies, but also spend far less on health care than Americans according to World Bank data.

The Trump administration has just received a fresh round of bad news about its health-reform effort: After John McCain, Susan Collins became the latest senator Monday to say she opposes the Obamacare repeal bill, almost certainly dooming it. (Source: Hamilton Spectator) 

 

Saturday August 5, 2017

Editorial Cartoon by Graeme MacKay, The Hamilton Spectator – Saturday August 5, 2017

This health-care crisis is growing

Hospitals — running over budget, operating beds they don’t have funding for. Emergency rooms — patients stacked up in hallways. Acute care beds — too many blocked, occupied by people waiting to leave hospital but with no place to go. Ambulances — stretched to the limit, often not available at all.

December 21, 2016

It’s an old story. One we would rather not argue about again. But here’s the problem. Things are not getting better, they’re getting worse. And so this old story appears here yet again in hopes it will take on a new sense of urgency.

Hamilton Health Sciences needs to cut $20 million from its budget, St. Joseph’s Healthcare $7 million. In both cases, staffing will be affected, stretching already thin human resources even thinner. Executive staff are being cut as well as front line. In the case of HHS, three senior executives are leaving. And that’s at a hospital system that already spends below the provincial average on administration, according to the Canadian Institute for Health Information. HHS spends 4.9 per cent on administration, higher than the national average of 4.3 per cent but well below the provincial average of 5.6 per cent. Keep that in mind next time someone declares hospitals would be fine if only they cut senior management costs. 

May 10, 2016

Hospitals have seen provincial funding cut repeatedly. The province provided some relief this year with a two per cent increase. That doesn’t even cover inflation.

That’s why it’s so frustrating when Health Minister Eric Hoskins says he doesn’t expect funding to impact patient care. What world do Hoskins and other politicians live in? It’s already affecting patient care. In Ontario, you’re not supposed to spend 48 hours on a bed in a hallway awaiting admission. You shouldn’t expect to wait double-digit hours in the ER. You shouldn’t expect to be told there’s no acute care bed for a sick relative. You shouldn’t expect years-long waiting lists for aging relatives waiting for long-term care. All these are happening and getting more common. (Source: Hamilton Spectator Editorial)