healthcare

Friday April 8, 2022

Editorial Cartoon by Graeme MacKay, The Hamilton Spectator – Friday April 8, 2022

Budget doesn’t address lessons learned during the pandemic, health groups say

March 23, 2022

After a pandemic that has left Canada’s health-care system buckling under the strain of staffing shortages and surgical backlogs, Thursday’s federal budget drew criticism from health groups, while committing billions to a national dental plan.

Dental care, a pillar of the governing agreement struck between the Liberals and New Democrats two weeks ago, emerged as the centrepiece of the federal government’s health-care spending. The government committed $5.3 billion over the next five years to launch the national program.

But urgency around the plight facing health-care workers in this country was absent from the budget, experts said.

“The big miss in this budget was providing care for Canadians. Everything from health care to long-term care to home care is in crisis,” said Armine Yalnizyan, an economist and an Atkinson Fellow on the Future of Workers. “There’s just no reference to the people that provide the care that are burning out and dropping out.”

December 24, 2021

The Canadian Federation of Nurses Unions (CFNU) has argued that COVID-19 exacerbated long-standing issues already slamming the health-care system. According to Statistics Canada, 70 per cent of health-care workers reported their mental health worsened during the public health crisis, with about 32,000 regulated nurse positions needing to be filled.

The federal government has estimated that the pandemic delayed approximately 700,000 surgeries and other medical procedures, leading to wait-lists and backlogs for medical care.

CFNU president Linda Silas said the budget largely ignores health-care workers, something she said came as a “surprise” given assurances from Ottawa that retaining and recruiting talent is a priority.

“We’ve been having meetings with every politician of every stripe, at every level of government, and everyone understands that we’re dealing with a health human resource crisis in this country,” Silas told the Star. “Those words and actions weren’t part of budget 2022.”

December 21, 2016

The budget also doesn’t offer additional top-ups in health-care transfer payments to provinces and territories.

The document instead repeats the commitment of a one-time top-up of $2 billion to the Canada Health Transfer to clear surgical backlogs. That falls short of the $6 billion the Liberals promised in their election platform to “immediately invest” in eliminating health system wait-lists.

Premiers have repeatedly called on Ottawa to increase its share of health-care costs from 22 per cent to 35 per cent — an additional $28 billion per year — with no strings attached.

The budget primarily addresses the crisis facing health-care workers by pledging $26.2 million over four years, starting in 2023, to increase the amount of forgivable student loans by 50 per cent. That would result in up to $30,000 in loan forgiveness for nurses and up to $60,000 for doctors working in rural or remote communities.

March 31, 2021

There is also a promise to give $115 million over five years to Canada’s foreign credential recognition program to allow up to 11,000 health-care professionals trained abroad to find work here.

Canadian Medical Association president Dr. Katharine Smart said Thursday’s budget signals that Ottawa has similar priorities to the health sector, “but it’s very clear that much, much more needs to be done to actually bring about that change, and the deep investments that are going to be needed.”

The Mental Health Commission of Canada, meanwhile, had hoped to see movement on the Liberals’$4.5 billion campaign pledge to set up permanent transfer payments to the provinces and territories for mental health. (The Toronto Star) 

 

Thursday April 1, 2021

Editorial Cartoon by Graeme MacKay, The Hamilton Spectator – Thursday April 1, 2021

Ontario reports more than 2300 new COVID-19 cases as ICU numbers reach record high

Ontario health officials reported more than 2,300 new cases of COVID-19 as the province reached a record high number of people battling the disease in its intensive care units.

January 16, 2021

The province confirmed 2,333 new cases of the novel coronavirus on Wednesday. Daily case numbers have remained above the 2,000 mark for seven straight days.

The province’s seven-day average for number of cases recorded is now 2,316, up from 1,676 one week ago.

With 52,532 tests processed in the last 24 hours, the province says its COVID-19 positivity rate dropped to 4.8 per cent after two days above the six per cent mark.

The latest Critical Care Services Ontario report, obtained by CTV News Toronto on Wednesday morning, shows there are currently 421 patients in intensive care units (ICUs) across the province with COVID-19.

The total marks the highest number of COVID-19 patients in critical care at one time since the pandemic began. The last time the ICU admission total surpassed 400 was in January during the height of the pandemic’s second wave.

July 27, 2019

“We’re in a critical spot today,” Dr. Michael Warner, medical director of critical care at Michael Garron Hospital, said on Wednesday.

“This is a train heading down the tracks and it’s going to take a while to slow it down. So even if we implement significant public health measures today, we could see ICU numbers hit 500, but if we don’t, that’s when things could really get bad.”

Meanwhile, CTV News Toronto has learned the Ontario government will announce Thursday that it will force the province into a month-long shutdown.

November 5, 2020

According to the government’s guidelines, a shutdown—indicated as a sixth tier in the government’s framework—is similar to the old grey zone rules in which retail is allowed to open with strict capacity limits, indoor dining remains closed and gyms are shuttered.

Ontario Premier Doug Ford told reporters at a news conference on Wednesday that he was prepared to act swiftly.

“I’m very, very concerned to see the cases go up. I’m very concerned to see the ICU capacity and we all have to be vigilant,” he said. “I’m just asking people don’t gather in large groups, don’t have big, big gatherings and follow the protocols.”

Warner said the province must focus on implementing public health restrictions as the COVID-19 vaccine rollout continues.

“We need to protect the health and safety of people, set economic interests aside for now, and get some control over what’s happening to all of us right now,” he said. (CTV) 

 

Wednesday March 31, 2021

Editorial Cartoon by Graeme MacKay, The Hamilton Spectator – Wednesday March 31, 2021

We need a blueprint for the next pandemic

It’s a damning indictment. On Thursday, Canada’s auditor general released a report that finds Canada’s public health and border control authorities did a poor job at the outset of the COVID-19 pandemic.

March 4, 2021

Systems didn’t work as planned. Updates and monitoring were not carried out in spite of ample warnings being given, particularly to the Public Health Agency of Canada (PHAC). There were recommended changes that were ignored, literally for decades. The country’s vaunted pandemic early-warning system didn’t work properly. There were shortcomings in how the Canada Border Services Agency (CBSA) and PHAC responded, so border restrictions were not applied consistently, which hindered attempts to stop the virus from spreading.

Auditor general Karen Hogan pulled no punches as she assessed weaknesses in the government’s early responses to COVID in the first six months of the pandemic. 

January 7, 2021I 

None of this should come as a surprise to anyone who has been paying attention. Canada’s federal public health bureaucracy was slow and inept to begin with, and didn’t find its feet until the pandemic was already well underway. To be fair, that was the case in many other countries around the world. Almost without exception, the ones that were better prepared fared better in terms.

Does the fact that Canada was in good company make a difference? Arguably, yes. Scientists have been warning the world about the next pandemic since the last pandemic. And collectively, the world paid lip service to the warnings, for the most part. 

August 15, 2008

For those who like to see heads roll and blame assigned, who should we be pointing at? Presumably, public health and border service leadership at the time. The buck always stops at the government, so the Trudeau Liberals get some of the blame, too. 

January 31, 2014

There is an election coming soon, and those who want to send a message can vote for a different party if that helps. But keep in mind that the most likely alternative, the Conservatives, were in power for much of the time the warnings were being sounded, and they did little or nothing, like the Liberal government before them.

March 30, 2021

The auditor general’s mission is not a witch hunt. Her criticism and observation are of critical importance, not so we can assign blame, but so we can make sure we do this a lot better the next time a pandemic comes knocking, as we know it will.

And there is another aspect of accountability and blame to consider. Governments don’t tend to do things in the face of overwhelming public opposition. Had there been tremendous pushback when the Mulroney government privatized Canada’s largest domestic vaccine manufacturing lab, or when cuts to research and development by the Harper government led to other pharmaceutical companies packing up and moving to friendlier climates, those things would not have happened. Those things were not big priorities to the average Canadian at the time, otherwise they would not have happened.

Now, with hindsight, we know how much better off Canada would have been had those things not happened. And now, if we want different outcomes, we can demand different things. We must have a domestic vaccine industry. We must have unfettered access to all sorts of PPE. We must have proactive policy and bureaucratic measures in place so all the things that went wrong this time don’t go wrong the next time.

It will not be cheap or easy. It will not work with a small government that wants the market to drive everything. Preparing for future pandemics demands government, industry and business buy-in and collaboration. We can have that if we want it, or we can take our chances. (Hamilton Spectator Editorial)

Octopus sketching is such a joy!

 

Saturday January 16, 2021

Editorial Cartoon by Graeme MacKay, The Hamilton Spectator – Saturday January 16, 2021

Why Doug Ford probably won’t regret expelling this rogue MPP

December 1, 2020

The forces looking to make martyrs out of every single person who faces consequences for foolishness are probably already at work trying to make Roman Baber, the now-independent, formerly Tory MPP for York Centre, into the next saint of free speech. Baber was defenestrated from the Progressive Conservative caucus Friday morning after having released a letter, addressed to the premier, calling for an end to lockdowns — so he’ll undoubtedly be lauded by the conspiracist set. This would be a mistake on their part, but, then, if these people had any ability to navigate the world without making obvious errors, Baber would still be in the PC caucus.

Baber, a lawyer who won the York Centre seat from the Liberals in the 2018 election, had not particularly distinguished himself as an MPP and had a habit of getting attention for the wrong reasons. There was his heckling of former premier Kathleen Wynne, which was so egregious that even the Tory leadership tried to disavow it. Earlier in the pandemic, he advised a constituent that that he could “see [his] parents,” despite the risks to the elderly from COVID-19.

June 15, 2018

The first time Baber appeared on my radar was probably during the ill-fated select committee the Tories convened at Queen’s Park to try to throw a show trial for former Liberal ministers — but especially Wynne. The day Wynne testified at the committee was only ever going to be antagonistic, but Baber’s performance was something else — as I noted at the time, he was so over the top that the chair of the committee (PC MPP Prabmeet Sarkaria) repeatedly told him to knock it off.

June 21, 2019

The select-committee episode wasn’t the PC party’s finest hour in government, but Sarkaria handled the dubious job of chairing that committee well, and now he’s a cabinet minister. Several other MPPs who at least took their jobs seriously that day are either in cabinet or have other substantial positions in the government. Wynne comported herself well, and, years later, even Doug Ford has respectful and kind words to say about the former premier — they are, after all, both members of what’s still a small political club.

Baber chose a different path: he played stupid games and won stupid prizes. And so his career in high-level politics is almost certainly over, at least for a while. Don’t feel too bad for him, though: he’ll get to collect a six-figure paycheque as an MPP until the next election, and, after that, there are always city councils and school boards (where, alas, the profoundly unserious can continue to have long careers further away from the media spotlight). And, if none of that pans out, he’s still a lawyer, though having seen the quality of his arguments, I would suggest that anyone looking for counsel shop around a bit more.

While he probably has friends in caucus who’ll regret his absence at the next meeting, at the higher levels of the Tory leadership, it’s hard to believe he’ll be missed: his primary skill seemed to be grabbing headlines the government came to regret, and his expulsion gives the Tories the opportunity to find someone better able to defend a seat the Liberals could mount a very serious challenge for in 2022. (Continued: John Michael McGrath , TVO) 

 

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)