health

Thursday February 7, 2019

Editorial Cartoon by Graeme MacKay, The Hamilton Spectator – Thursday February 7, 2019

Health inspections, air ambulance won’t be privatized, minister says

December 3, 2002

Ontario’s health minister was forced to make assurances Monday that long-term care inspections and the province’s air ambulance service will not be privatized, as leaked documents appear to peg those services for “outsourcing.”

Christine Elliott’s comments came after the NDP released a second set of confidential government documents following the release last week of a draft version of the Progressive Conservative government’s upcoming health-care transformation legislation.

“The NDP have intentionally created confusion about the way care is delivered in this province,” Elliott said. “As we bring forward desperately needed and overdue change to health-care in this province, Ontarians will continue to access reliable, public health-care.”

December 21, 2016

The Ontario Provincial Police have been notified about the document leaks and the person responsible is no longer employed by the government, the head of the public service said in a memo.

Both sets of leaked documents show the government is creating a health “super agency” that would be in charge of managing health services, quality improvement, patient relations, digital health and tissue donation and transplants, among other responsibilities.

The draft legislation would allow the government to roll local health integration networks, Cancer Care Ontario, eHealth Ontario, the Trillium Gift of Life Network and other government health agencies into the super agency. The local health networks are responsible for delivering home care, and one document warns of a risk of service disruptions.

Animated!

Elliott said the plan is not final and consultations are ongoing, but the NDP say the documents they revealed Monday include references to cabinet already approving the overall plan and appointing super agency board members.

One document, as part of a Dec. 13 workshop for assistant deputy ministers, references outsourcing laboratories — many of which are already privately run — inspections, licensing, devices and the province’s air ambulance service, Ornge.

Elliott said none of those services will be privatized. (Source: Hamilton Spectator) 

 

Friday February 1, 2019

Editorial Cartoon by Graeme MacKay, The Hamilton Spectator – Friday February 1, 2019

1,000 Ontario hospital patients a day being treated in corridors: Report

Roughly 1,000 hospital patients in Ontario are getting medical attention in corridors instead of proper treatment spaces on “any given day,” Dr. Rueben Devlin says in his first report to Premier Doug Ford on improving health care and ending “hallway medicine.”

While the retired head of Humber River Hospital notes there is “much to be proud of” in the provincial health care system, his report found it is “too complicated” to navigate after hearing from more than 340 patients.

“People are waiting too long to receive care and too often are receiving care in the wrong place; as a result, our hospitals are crowded,” Devlin, an orthopaedic surgeon, wrote in the 32-page document titled “Hallway Health Care: A System Under Strain.”

“There needs to be more effective co-ordination at both the system level, and at the point-of-care. This could achieve better value (i.e. improved health outcomes) for taxpayer money spent,” he added. “As currently designed, the health care system does not always work efficiently.”

Animated!

One problem is people with mental health and addictions troubles often go to hospital emergency rooms when they could get better care from a family doctor or community agency, but wait too long and reach a “crisis point.”

According to one survey last year, 41 per cent of Ontarians who went to hospital emergency departments, and 93 per cent who went to walk-in clinics, were treated for conditions that could have been handled by a family physician or nurse practitioner in a primary care setting. This is often because hospitals are the only health care centre open 24 hours a day. (Toronto Star) 

 

Friday October 5, 2018

Editorial Cartoon by Graeme MacKay, The Hamilton Spectator – Friday October 5, 2018

Teenagers who use e-cigarettes more likely to start smoking, study finds

Teens who use electronic cigarettes are more likely to start smoking regular cigarettes – and they are likely to use both products more often over time, a new study found.

February 18, 2012

The Rand Corporation study looked at more than 2,000 youths in California, starting when they were teenagers and continuing until they were young adults.

The researchers found that youth who reported vaping were more likely to also report smoking cigarettes.

When they were surveyed around age 17, more of the teens said they used e-cigarettes in the last month – 8% – than regular cigarettes, at 6%. By around age 19, 9% of the young adults surveyed were using e-cigarettes, but cigarette smoking had jumped to 12%.

“Not only are adolescents who start vaping more likely to start smoking in the future, but they’re also likely to go on and use e-cigarettes and cigarettes more frequently,” said Michael Dunbar, the study’s lead author and a behavioral scientist at Rand.

“Our work provides more evidence that young people who use e-cigarettes progress to smoking cigarettes in the future,” he said. “This study also suggests that teens don’t substitute vaping products for cigarettes. Instead, they go on to use both products more frequently as they get older.”

It’s the latest research to suggest a link for young people between electronic cigarettes and smoking the more dangerous, traditional tobacco-based variety.

For adults who already smoke, e-cigarettes have been promoted as a safer to help them quit. (Continued: The Guardian) 

Friday August 31, 2018

Editorial Cartoon by Graeme MacKay, The Hamilton Spectator – Friday August 31, 2018

Change your stance on overdose prevention sites, health groups urge Ford

More than 100 health groups plan to send an open letter to Premier Doug Ford on Thursday, urging him to reconsider his Progressive Conservative government’s position on overdose prevention sites.

The letter — signed by 120 organizations including the Canadian AIDS Society and the Canadian Medical Association — urged Ford “to heed the recommendations of experts in public health, front-line clinicians, harm reduction staff, and people with lived experience of drug use.”

“Rather than impeding access to life-saving health services, we urge you to work with community organizations and other health services providers to ensure greater, equitable access to supervised consumption sites and overdose prevention sites for the people of Ontario.”

Since coming into power, Ford’s conservative government has put several approved sites on pause — including one in Toronto — while the government studies the issue.

“Minister Elliott is undertaking an evidence-based review, listening to experts, community leaders, community members and individuals who have lived through addiction to ensure that any continuation of drug injection sites introduce people into rehabilitation and ensure those struggling with addiction get the help they need,” a spokesperson for Elliott said in a statement to CBC Toronto.

“All of these voices will inform the review and recommendation. In the interim, the ministry has indicated that no new sites should open to the public. We expect this review to conclude in short order and will be making a recommendation on how to proceed.”

The organizations claim in the letter that the delays and closures of the sites could mean “more preventable overdose deaths and new infections of HIV, Hepatitis C and other illnesses.” (Source: CBC News) 

 

Thursday July 26, 2018

Editorial Cartoon by Graeme MacKay, The Hamilton Spectator – Thursday July 26, 2018

National pharmacare ‘blueprint’ will be unveiled next spring

With more than 100 different public drug plans available across Canada, including Ontario’s recently scaled-back OHIP+, one challenge for a countrywide pharmacare program will be finding agreement on which one will work best, says Eric Hoskins.

Hoskins, the former Ontario health minister who helped usher in OHIP+ and is now in charge of developing a national plan, spoke to Canada’s premiers on Friday about the issue, the same day his advisory council launched wider public consultations online.

“There’s tremendous diversity” out there, he said, noting there are also more than 100,000 private drug plans in the country. A national pharmacare program will offer “the ability to have consistency across the country, so that a child in Ontario can expect to receive the same access to prescribed medications as a child in New Brunswick or in British Columbia or in the Northwest Territories,” he told reporters after the breakfast meeting at the picturesque Algonquin Resort.

“Changes are being made almost every day at the provincial and territorial level … (as they) try to improve access. We are trying to build consensus … so your access isn’t dependent on your postal code.”

Hoskins was joined by Linda Silas, president of the Canadian Federation of Nurses Unions. Eight of 13 premiers attended the Friday morning session; Doug Ford was not among them.

Hoskins said premiers who didn’t make it sent senior staff, and noted that he just last week met with Ontario Health Minister Christine Elliott.

The big question premiers have is about a national pharmacare program is how much it will cost and the cost-sharing arrangement, both of which are still being worked out, he said.

Hoskins said a “blueprint” with full details on the model and pricing will be ready next spring.

Billions of dollars are wasted each year given the competing plans, he said, and a federal plan would see lower costs through efficiencies like bulk purchasing.

Currently, Canada spends the most per capita on prescriptions after Switzerland and the U.S. (Source: Toronto Star)