As expected, Doug Ford announced a plan to move more outpatient surgeries to private clinics. While I have a column on this coming out later today that goes into my thinking on this in greater depth, I did want to share some of the more salient tweets on this through the day, because they’re asking the right questions.
Public solutions to reduce surgical wait times:
1. Create centralized waitlists for next available surgeon
2. Extend OR times to evenings/weekends by hiring more staffWhy didn't the Ontario government exhaust these options first…before investing in for-profit healthcare?
— Dr. Amit Arya (@AmitAryaMD) January 16, 2023
The Auditor's office hired "mystery shoppers" who contacted 25 different IHFs, private hospital, private clinics.
Add-on fees for OHIP-insured cataract surgery ranged from $450-$5000 extra per eye for "non-OHIP lens."
Some were told purchasing the specialty lens was mandatory.
— Michael Warner (@drmwarner) January 15, 2023
https://twitter.com/robert_hiltz/status/1615014400385077251
Based on today's announcement:
1. Patients will have no protection vs upsellingWe need enforceable rules not a complaints pathway that presumes medical literacy of patients
Clinics should not be making margin on hardware
2. There is no plan to protect public hospital staffing
— Michael Warner (@drmwarner) January 16, 2023
We should note the interview that provincial health minister Sylvia Jones did Power & Politics, where the question of these clinics upselling to patients was raised, and Jones dismissed any concerns as this being about “choice,” which is a red flag.
"I wouldn't call it upselling. I would call it patient options," said Ontario Health Minister Sylvia Jones when asked about the risk of patients being persuaded to spend money at for-profit clinics. pic.twitter.com/0iBGMktnXj
— Power & Politics (@PnPCBC) January 16, 2023
Jagmeet Singh was, of course, demanding that Justin Trudeau swoop in to save the day, in spite of not really having any particular federal levers to deploy.
What tools does Trudeau have to force Ford to back down? He’s already having a hard enough time attaching outcomes to funding. He can cut Canada Health Transfers by the same amount as is being diverted to privatized service, but then what? pic.twitter.com/zpthgH9Ysb
— Dale Smith (@journo_dale) January 16, 2023
Meanwhile, Chrystia Freeland was busy subtweeting the whole thing.
The federal government and @CMA_Docs are aligned on many priorities for the future of our health care system, and we believe in a public system that works for Canadians and our health care workers. Thank you for the insightful discussion today! pic.twitter.com/FIZhmzKuG3
— Chrystia Freeland (@cafreeland) January 17, 2023
Nurses are integral to our health care system. We know they are under enormous strain, and all governments can work together to support their hard work. I spoke with @CanadaNurses to discuss improvements and solutions to the challenges they face. pic.twitter.com/r3pAIK5X1J
— Chrystia Freeland (@cafreeland) January 17, 2023
And of course, the Beaverton had one of the most salient responses to Ford’s announcement, as they are wont to.
Doctors: We need our own Jonathans so we don’t spend half our day charting, and we can treat more patients.
Ford: What’s that? More private clinics? Coming right up!
Doctors…
Ford: I do this because I care.
cc @DGlaucomflecken https://t.co/1vfT9xZ1Jy— Dale Smith (@journo_dale) January 17, 2023
Ukraine Dispatch, Day 328:
The death toll from the Russian missile strike on the apartment building in Dnipro has risen to 40, as rescuers continue to sort through the rubble. There was also Russian shelling in Kherson, killing three people. Meanwhile, Russians may have finally taken Soledar, though it remains unconfirmed, though that came at a horrific cost of thousands of dead or wounded Russians—a tactic where the Ukrainians are trying to exhaust the Russians leaving them vulnerable in other areas.
https://twitter.com/tpyxanews/status/1615112061951909894
Good reads:
- Justin Trudeau went to Saskatoon to visit a rare earth element processing plant, and Scott Moe got put out because Trudeau didn’t call him first.
- Trudeau sidestepped questions about Ford’s announcement, but said he hoped to announce “positive steps” on health transfers in the very near future.
- Trudeau also said that he is looking at the letter the premiers sent on bail reform (never mind that the bigger problem is provinces not enforcing bail conditions).
- Steven Guilbeault has approved a lithium mine in James Bay—pending some 271 conditions to mitigate its environmental impact.
- Federal and provincial agriculture ministers have reached an agreement on a grocery code of conduct to reign in abuses by the grocery oligopolies.
- The plans to replace the military’s Twin Otter aircraft, used primarily in the Arctic, are on hold without any explanation.
- Another class-action lawsuit is now underway for sexual misconduct in the military’s cadet programme.
- The Canadian Standards Association has come up with national guidelines for long-term care, but the government won’t say when they plan to legislate them.
- A group of MPs from all parties are demanding more action from the federal government to protect vulnerable Afghans.
- Danielle Smith says she’s no longer pursing pardons for COVID rule-breakers because our system doesn’t work like that. (Really?! You don’t say!)
- Kevin Carmichael explores the need for the Bank of Canada to learn their lessons from the inflation spike and aren’t being blinded by their prior beliefs.
- Paul Wells recalls the late Auditor General Michael Ferguson’s warning about the state of the public service, and the fact that there has been five years of silence on it.
Odds and ends:
My Loonie Politics Quick Take questions whether the F-35 procurement was really the debacle that talking heads are calling it.
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Doug Ford is a scammer. Only one could devise a health system that paves the way to clinics who will scam individuals under the guise that OHIP will pay all costs. BS. The sheeple taxpayers are getting scammed again, but they voted for his regime! Health care in Canada which is under provincial jurisdiction is at this precarious stage because provincial governments did not build hospitals and infrastructure, educate more doctors and nurses and others but misappropriated the funds for other vote getting projects. It has taken the pandemic to highlight this shortcoming along with a rapidly aging populace. Strings, strings, strings, perhaps ropes and cables from the Federal government and even then Canadians cannot trust their Provincial governments to do the right things.