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privatization

Wednesday March 1, 2023

March 1, 2023 by Graeme MacKay

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) 

 

Posted in: Ontario Tagged: 2023-04, Doug Ford, efficiency, health care, Ontario, privatization, reform, toll route, traffic, universal access

Saturday February 3, 2023

February 4, 2023 by Graeme MacKay

Editorial Cartoon by Graeme MacKay, The Hamilton Spectator – Saturday February 3, 2023

Ottawa contracts comprise up to 10 per cent of McKinsey Canadian revenue

Global management consulting giant McKinsey and Company says its contracts with the federal government make up as much as 10 per cent of its gross revenue in Canada.

June 17, 2017

The Canadian revenue figures for McKinsey’s Canadian operations, contained in a U.S. court filing, show how integral federal government contracts are to the New York-based firm, which has offices in Toronto, Montreal, Calgary and Vancouver.

McKinsey’s contracts with Ottawa are being investigated by the House of Commons committee on government operations and estimates, because of the company’s ties to the Liberal government and the many international controversies in which it has been involved.

The Globe and Mail has reported that the total value of federal contracts awarded to McKinsey since 2015 is at least $116.8-million, up from a previous estimate of $101.4-million provided by the government earlier this month.

The filing was made in May, as part of a court case in Puerto Rico. The document lists many of McKinsey’s significant clients in different countries.

January 15, 2013

The court documents also say that private-sector clients – such as Montreal-based Bombardier, Toronto Dominion Bank, Mastercard, the Canada Pension Plan Investment Board, Canadian Tire, Shell PLC and State Street Corporation – each accounted for 1.01 per cent to 5 per cent of McKinsey Canada’s revenue during the same period.

The filing mentions individual United States government departments. For instance, the U.S. Department of Defence is listed as accounting for 20.01 per cent to 25 per cent of the gross revenue for McKinsey’s Washington branch during the period from March 1, 2021 through Feb. 28, 2022.

Alley Adams, head of external relations at McKinsey Canada, said contracts awarded to the firm represent a small share of the Canadian government’s outsourcing compared to other consulting firms. Deloitte, Ernst and Young, KPMG and PricewaterhouseCoopers were paid a combined total of about $338-million in 2020-21 and $354-million in 2021-22, according to a Carleton University analysis.

Jennifer Carr, president of the Professional Institute of the Public Service, told MPs the growth in outsourcing ends up costing taxpayers and is hurting morale among federal workers. (The Globe & Mail) 

 

Posted in: Canada, Ontario Tagged: 2023-03, architecture, Beijing, bureaucracy, Canada, consulting, Kremlin, Parliament, pentagon, privatization

Wednesday August 24, 2022

August 24, 2022 by Graeme MacKay

Editorial Cartoon by Graeme MacKay, The Hamilton Spectator – Wednesday August 24, 2022

So, four premiers go into a bar …

October 29, 2019

Something sadly predictable happens whenever a group of premiers gets together to talk, in particular about health care. We have to do better, a Team Canada approach, equal partners blah, blah, blah. And oh, by the way give us money, Ottawa. Loads more money. But don’t attach any strings, because that would intrude on provincial jurisdiction, which health care is.

All this happened this week when Maritime premiers and Doug Ford got together in New Brunswick. Ford said: “We look forward to having a collaborative relationship with the federal government … This is a Team Canada approach that we need to take.”

“The delivery of health care in P.E.I. and across the country is going to be fundamentally different than it used to be,” said the island province’s premier Dennis King.

Posted in: Canada, Ontario Tagged: 2022-27, Blaine Higgs, Canada, Dennis King, Doug Ford, health care, maritimes, New Brunswick, Nova Scotia, Ontario, Prince Edward Island, privatization, rescue, summit, Team Canada, Tim Houston

Friday August 19, 2022

August 19, 2022 by Graeme MacKay

Editorial Cartoon by Graeme MacKay, The Hamilton Spectator – Friday August 19, 2022

Ontario to fund more private clinic surgeries, send patients to temporary LTCs to ease health-care pressures

August 3, 2022

Ontario is hoping to ease health-care pressures by increasing publicly covered surgeries at private clinics, waiving the exam and registration fees for internationally trained nurses, and sending patients waiting for a long-term care bed to a home not of their choosing.

On Thursday, Health Minister Sylvia Jones announced a plan that aims to hire more health professionals, free up hospital beds and reduce surgical wait lists. The plan comes as nursing staff shortages have seen emergency departments across the province close throughout the summer for hours or days at a time.

On long-term care, the government plans to introduce legislation today that will allow patients awaiting a bed to be transferred to a “temporary” home while they await space in their preferred home. It’s also taking 300 beds that had been used for COVID-19 isolation and making them available for people on wait lists, and says there is a potential to do that with 1,000 more beds within six months.

Posted in: Ontario Tagged: 2022-27, Doug Ford, health, health card, Insurance, Ohip+, Ontario, open for business, privatization

Saturday, November 7, 2015

November 5, 2015 by Graeme MacKay

By Graeme MacKay, The Hamilton Spectator - Saturday, November 7, 2015 Five things to know about Hydro One: big revenues, big profits and big salaries Hydro One makes its debut on the TSX today, and the $1.66 billion it raised from its underwriters makes it one of the largest initial public offerings in the last 15 years. Here are five things to know about the power utility: It's huge: Hydro One owns more than 150,000 kilometres of low-voltage and high-voltage transmission and distribution lines, with 290 transmission stations and 1,026 distribution and regulating stations. The system includes more than 1.4 million smart meters attached to homes and buildings across the province. The company has about 1.4 million customers and $22.6 billion in assets, making it one of the largest transmission systems in North America. Big revenues, big profits: Hydro One made a profit of $749 million on revenues of $6.55 billion in 2014. Capital spending amounted to $1.53 billion last year. Revenue has increased by 13 per cent since 2012, and the company's net assets have increased by 15 per cent in the same period to $7.95 billion. The sun shines on its staff: More than 4,300 employees at Hydro One and its subsidiaries made Ontario's Sunshine List of those who make more than $100,000 per year on the public dime. That's out of more than 5,700 total full-time employees. CEO Carmine Marcello was one of the top-ten best paid public employees with a salary of $745,208.25 in 2015, more than three times that of Premier Kathleen Wynne at $209,385.30. After the IPO, Hydro One salaries will no longer be disclosed on the Sunshine List. Acquisitions: Hydro One already transmits and distributes around 97 per cent of Ontario's power, based on revenue, and the company has been growing its footprint by buying smaller distributors. In 2014, Hydro One completed its buyout of Norfolk Power and agreed to buy two other local power companies, Woodstock Hydro and Haldimand Hydro. Communications: H

By Graeme MacKay, The Hamilton Spectator – Saturday, November 7, 2015

Five things to know about Hydro One: big revenues, big profits and big salaries

Hydro One makes its debut on the TSX today, and the $1.66 billion it raised from its underwriters makes it one of the largest initial public offerings in the last 15 years.

Here are five things to know about the power utility:

It’s huge: Hydro One owns more than 150,000 kilometres of low-voltage and high-voltage transmission and distribution lines, with 290 transmission stations and 1,026 distribution and regulating stations. The system includes more than 1.4 million smart meters attached to homes and buildings across the province. The company has about 1.4 million customers and $22.6 billion in assets, making it one of the largest transmission systems in North America.

By Graeme MacKay, Editorial Cartoonist, The Hamilton Spectator - Saturday October 31, 2015 ÔItÕs going,Õ Kathleen Wynne says of the looming sale of Hydro One despite watchdog warning ItÕs Òfull steam aheadÓ with the Liberal governmentÕs sell-off of Hydro One despite a damaging report from the budget watchdog warning the sale will hurt the provinceÕs bottom line. Premier Kathleen Wynne said she is sticking to her plan to unload 60 per cent of the utility in order to bankroll transportation infrastructure. ÒItÕs going,Ó Wynne said firmly on Thursday in Niagara-on-the-Lake. As first disclosed by the Star, Stephen LeClair, the new financial accountability officer, warned the province will be in even ÒworseÓ shape after the sale of the Crown utility. In a report to the legislature, LeClair said there is much ÒuncertaintyÓ surrounding the sale of the electricity transmitter. His findings landed the same day the government announced the first tranche of 89 million shares of Hydro One Ñ 15 per cent of the company Ñ will begin being sold next Thursday on the Toronto Stock Exchange for $20.50 apiece, generating $1.83 billion. ÒWe are pleased to announce that 40 per cent of shares are being reserved for retail investors, so individual Ontarians can participate in the IPO,Ó said Energy Minister Bob Chiarelli. Both the Progressive Conservatives and New Democrats are imploring the Liberals not to sell such a valuable public asset. ÒThis government has known all along that the most they could get was limited new money on the fire sale of Hydro One . . . while you lose an asset that brings in $700 million each and every year,Ó said Progressive Conservative Leader Patrick Brown. NDP Leader Andrea Horwath echoed BrownÕs assessment. ÒThis is a terrible deal and it makes no sense whatsoever. Will the premier and her government stop this insane sell-off of Hydro One?Ó she said. LeClair warned the LiberalsÕ move would increase the provincial debt by reducing revenue. ÒIn th

Big revenues, big profits: Hydro One made a profit of $749 million on revenues of $6.55 billion in 2014. Capital spending amounted to $1.53 billion last year. Revenue has increased by 13 per cent since 2012, and the company’s net assets have increased by 15 per cent in the same period to $7.95 billion.

The sun shines on its staff: More than 4,300 employees at Hydro One and its subsidiaries made Ontario’s Sunshine List of those who make more than $100,000 per year on the public dime. That’s out of more than 5,700 total full-time employees. CEO Carmine Marcello was one of the top-ten best paid public employees with a salary of $745,208.25 in 2015, more than three times that of Premier Kathleen Wynne at $209,385.30. After the IPO, Hydro One salaries will no longer be disclosed on the Sunshine List.

Acquisitions: Hydro One already transmits and distributes around 97 per cent of Ontario’s power, based on revenue, and the company has been growing its footprint by buying smaller distributors. In 2014, Hydro One completed its buyout of Norfolk Power and agreed to buy two other local power companies, Woodstock Hydro and Haldimand Hydro.

Communications: Hydro One’s telecom subsidiary owns a 6,000-km fibre-optic network and sells capacity to telecom carriers and commercial customers. The network includes hospitals and other health care locations across Ontario. (Source: Hamilton Spectator)

 

Posted in: Ontario Tagged: caboose, Hydro One, Kathleen Wynne, money, Ontario, privatization, sale, train
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This website contains satirical commentaries of current events going back several decades. Some readers may not share this sense of humour nor the opinions expressed by the artist. To understand editorial cartoons it is important to understand their effectiveness as a counterweight to power. It is presumed readers approach satire with a broad minded foundation and healthy knowledge of objective facts of the subjects depicted.

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