Tag Archives: Healthcare

QP: The person not in charge didn’t make a request

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For proto-PMQ day, all of the leaders were present for the first time in a while, so that made for a nice change of pace. Candice Bergen led off, script on her mini-lectern, and she raised the testimony of the RCMP Commissioner at committee, saying she did not request the use of the Emergencies Act, even though she found it helpful. (Note that she would not have been the one to request it because the RCMP was not the police of jurisdiction). Justin Trudeau read a statement about the police needing the tools and that they now had the inquiry to review what happened. Bergen insisted that the use of the Act was an overreach and the prime minister was trying to cover it up. Trudeau dropped the script and extemporaneously stated that the Conservatives seem to be pretty nervous that the inquiry will uncover their complicity in keeping the occupation going. Bergen pivoted to the rising cost of living, or the line-ups at airports and Service Canada office, and tried to paint him as out of touch by pointing out that he doesn’t buy his own groceries or pump his own gas—never mind that as leader of the Official Opposition, she also gets a chef and a driver. Trudeau recited the list of benefits the government has been enriching for people. Luc Berthold took over in French, declared the prime minister to be a “master of disinformation” and decried the invocation of the Emergencies Act. Trudeau read the powers that were needed, and that there was an inquiry underway. Berthold then accused the prime minster of doing nothing about the cost of living and demanded a break on gas taxes, to which Trudeau read that if Conservatives really cared about affordability, they wouldn’t delay the budget implementation bill.

Yves-François Blanchet led for the Bloc, and he raised their Supply Day motion yesterday to replace the daily prayer in favour of a moment of daily reflection, insisting that this was related to the “British Monarchy,” and demanded to know how the prime minister would vote on it. Trudeau listed the things that people were more concerned about than this issue. Blanchet tried to pin Trudeau down on it, and he called this out as a desperate attempt to find wedges to exploit.

Jagmeet Singh rose for the NDP, and he raised the price of gasoline before demanding new taxes on oil companies to pay for social programmes. Trudeau reminded him that they already raised taxes on the wealthiest one percent and indexed benefits to inflation, and that the NDP had voted against that at the time. Singh repeated the question in French, and got the same answer.

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QP: In the shadow of O’Toole’s demise

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In the wake of the vote ousting Erin O’Toole as Conservative leader, he was absent from the Chamber, as one would very well expect. As well, because Justin Trudeau was still in COVID isolation, he would be answering everything by video. Candice Bergen led off, with her script in front of her, and she demanded that the prime minister bring resolution with the grifter occupation and let them know that they are being heard. Trudeau, by video, first thanked O’Toole for his service, before reminding them that there was an election where vaccine mandates were an issue. Bergen repeated that these grifters need to feel like they’re being heard (you do know that their demand is to overturn democracy, right?), and Trudeau recited that they are engaged in encouraging people to get vaccinated. Bergen worried about the supply chains as a result of this vaccine mandate, and Trudeau reminded her that the mandates have not impacted the supply chain, but COVID has, which is why they need to be vaccinated. Gérard Deltell took over in French and said a bunch of nonsense about the PBO blaming government spending on inflation, which Trudeau disputed given that COVID has ultimately been the cause. Deltell gave a somber recitation about food inflation and insisted that this was not a global problem but because of government spending—a complete falsehood—and Trudeau reiterated that this is a global issue, while they are there to help families.

Yves-François Blanchet, the only leader in person today, rose for the Bloc, and he too paid brief tribute to O’Toole, before worrying about the grifter occupation and wanted concrete action to end it. Trudeau reminded him that politicians do not direct police forces, but they would provide all resources necessary for law enforcement. Blanchet that Trudeau wasn’t taking action and wanted a timeline, and Trudeau noted that he did tell them that they had been heard and that it was time to leave, and that they would continue to work with law enforcement agencies.

Jagmeet Singh appeared by video, and he wondered why the laws to protect healthcare workers are not being enforced—because he just heard that governments don’t direct police, right? Trudeau recited about how they passed that law and that healthcare workers deserve a safe workplace. Singh then made a brief thanks to O’Toole for his service before repeating his question in French, and Trudeau repeated his response.

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Roundup: The desperate flailing of provincial governments

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We are at a stage of the pandemic when we are seeing a number of provincial governments reach the stage of just flailing. Saskatchewan is a basket case where the premier, who has COVID (and found this out after giving a maskless press conference) refuses to institute lockdown measures so that businesses forced to close because their staff are all sick can’t access federal benefits. In Quebec, that’s François Legault spit-balling major policy with no clue about implementation, and trying to distract from the fact that his polling numbers are plummeting as a result of the latest round of curfews that have been ineffective at curbing spread, as the province’s death rate continues to be the highest in the country (in part because of the horrific first wave continues to skew numbers)—and it’s an election year. It’s also an election year in Ontario, much sooner than in Quebec, and lo, we’ve seen a spate of resignations, many of the MPPs not even bothering to wait for the spring election. Case in point was Doug Ford’s long-term care minister, who resigned abruptly, and plans to resign his seat next month. And because Ford is flailing (on top of being an incompetent murderclown), the portfolio has been handed to Paul Calandra. No, seriously. Paul gods damned Calandra, who was the clownish apologist for Stephen Harper’s government, whose job was to stand up and obfuscate. And he’s now in charge of reforming Ontario’s long-term care system.

Meanwhile, Ford has sent his MPPs to use misleading charts to “prove” that Ontario is doing pretty well, which it’s not. But lying to cover up their incompetence is how his government operates, and they’re only going to get worse, the more desperate they get as the election looms ever closer.

https://twitter.com/HNHughson/status/1482041262639353859

https://twitter.com/HNHughson/status/1482053619700666370

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Roundup: The healthcare debate needs to include strings

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Our healthcare system is the topic du jour across much of the media, with a lot of “told you so,” and handwringing about how provincial governments drove “efficiencies” over the past number of decades that left almost no surge capacity­—Ontario most especially—while not doing anything about its robustness. And through it all, there are a number of opportunists saying “See! We need more private options!” which in turn leads to accusations of “See! You want American-style healthcare!” and the argument goes binary and unhelpful. (And here is some perspective on the American system amid COVID, which had more capacity, but is similarly overburdened now and some hospitals are declaring bankruptcy because they have had to cancel elective surgeries).

What I find particularly curious, however, is that in none of the pieces I read over the weekend was it ever acknowledged that over the decade that the health transfer escalator was at six percent annually, that provincial health spending didn’t match that growth, and that the money was being spent elsewhere. Provincial governments should be held to account for the fact that they were given money to fix their healthcare systems, and they didn’t, which has led us to this situation, and while my reply column on Twitter likes to insist that this is just conservative governments, no, it was common to governments of all stripes for decades now. This is why we need all future federal transfer agreements to come with hard strings, and compliance measures to ensure that we actually use those federal dollars to fix the system, not paper over cracks while they use the money to lower taxes elsewhere.

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Roundup: The limits of federal capacity to help

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As the omicron variant continues to surge and stress hospital systems around the country, the federal health minister has started issuing a warning to provinces—the federal government’s resources to help provinces are finite, and that provinces are going to need to do more to bend their curves and reduce caseloads, because the federal government is about tapped out. That could include stricter vaccine mandates within provinces, because they may not have a choice as the unvaccinated continue to swamp the healthcare system. (This is where Jason Kenney and his mini-me, Scott Moe, immediately declared that it wasn’t going to happen in their provinces).

The Canadian Forces’ own medical abilities are very finite, and even before the pandemic, they were already short thousands of bodies necessary to do all of the work they’re supposed to be doing. The pandemic has very much not helped this situation, and between pandemic needs and natural disasters (wildfires and floods), the military is having a hard time doing its own job and preparing soldiers for possible combat deployments when provinces keep demanding more military help—and there is talk that Ontario should bring in more military personnel to deal with the crisis that is yet again brewing in its long-term care homes. This is not only not sustainable, but I suspect there is also a troubling willingness on the part of provinces to simply turn to the federal government (and federal dollars) because it’s easier than doing the hard work on their own, in their own backyards.

Yes, the federal government is doing what it can, but at this point in the pandemic, a lot of bad decisions by provinces are catching up with them, but we already know that the blame is going to fall on the federal government because they couldn’t do enough to fix the premiers’ mistakes (and really, they have neither the jurisdiction, the capacity, or the necessary competence to do so). But too many bad actors are willing to blame the federal government because it suits there purposes to do so, and I will bet you that virtually nobody in the media will bother to correct them because too many of them believe the maxim that “nobody cares about jurisdiction in a pandemic,” even though real life doesn’t work that way, and no amount of political willpower (or Green Lantern rings) can change that fact. And premiers whose bad judgment cost thousands of lives will get away with it, because we have an allergy to holding the right people to account in this country.

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Roundup: Theatre of the absurd, housing motion edition

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The closer the House of Commons gets to rising for the winter break, the more absurd theatre we see. Yesterday was case in point, with the Conservatives’ second and final Supply Day of the calendar year. The topic was housing, but their motion was a complete dog’s breakfast of nonsense, contradiction and outright unconstitutional demands. Because of course it was.

The point was made that the inclusion of the outright lie about capital gains taxes was a ploy for the Conservatives to say that the Liberals were not ruling it out when this motion as inevitably defeated (as indeed it was). But Liberal Mark Gerretsen though he was being crafty and tried to move a motion after QP to head off those talking points, trying to call for unanimous consent to reaffirm that they wouldn’t tax capital gains. But the motion didn’t pass, so Gerretsen tried to spin that too, and it’s just utterly stupid that I can’t even.

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Roundup: Knives out for O’Toole?

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Erin O’Toole’s future is under discussion, as a number of vocal MPs are coming out to support his continued leadership, and former Ontario premier Mike Harris is adding his voice to the call. But this is as other MPs are phoning up journalists, on a not-for-attribution basis, absolutely savaging O’Toole and the fact that he is a lying liar and an opportunist of the highest order, and that ultimately undermined their case during the election. (Threads here and here).

This is going to start resolving itself at the first caucus meeting, whenever that takes place, because it’s when the party is going to have to vote on which provisions of the (garbage) Reform Act they are going to adopt for the 44th parliament, including the provision about having the caucus hold a vote to start a leadership review process. Why this is important is one of the reasons that makes the Act garbage in the first place – it actually makes it harder for caucus to push out a leader because it establishes a threshold of 20 percent of the caucus needing to demand a vote before it can be held. That exposes his critics at a time when he is deciding on critic portfolios and things like committee chairs for opposition-chaired committees, and he can use that fear-or-favour system to punish his critics if they fail to meet that 20 percent threshold. If they didn’t have this threshold or this framework, we’ve seen leaders read the writing on the wall with far fewer MPs/MLAs going public, and resigning as a result. The (garbage) Reform Act provides protection for those leaders where it’s supposed to be putting the fear of caucus into them, and it’s just such a dark irony that once again, attempts to improve the system only make it worse.

And while there are a bunch of voices (especially over on the CBC) who seem to think that Andrew Scheer was pushed out for his loss, they have all apparently forgotten that he resigned, particularly after his use of party funds came to light. Whether that was an excuse is not really the point – it wasn’t simply because he lost the election.

Programming note: I am taking the weekend off of blogging entirely because I am exhausted from the election and need to catch up on some sleep. See you next week.

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Roundup: The “brother” meltdown

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Because we’re in an election and it ramps up the absolute stupidity across the board, we had another so-called “gaffe” that made a bunch of people performatively lose their minds, and I can’t even, you guys.

In a press conference about the situation in Afghanistan, Maryam Monsef, the minister responsible for the status of women and gender equality and a former refugee from Afghanistan, who fled when she was a child, made a direct address to the Taliban about letting people out of the country, and used the term “brothers.” And people lost their gods damned minds. She was asked about it and said that the context was cultural and she absolutely considers them to be terrorists, and yet the insinuation persists that, somehow, she was using the term as being sympathetic to a group that is diametrically opposed to everything she is about. WTF.

https://twitter.com/ChrisGNardi/status/1430565362265907205

And I don’t think it’s beyond the pale to suggest that there was a racist or Islamophobic undercurrent in the media even questioning that she was somehow trying to be sympathetic to the Taliban. Because seriously, you think that somehow Monsef personally, or the Trudeau government, is going to be “soft on terror,” or some other bullshit like this? Are these the tropes by which we will repeatedly fall back into, because we have learned nothing over the past twenty years? Apparently not, especially when it’s all being done to put on a show. It’s pretty gross, you guys. Do better.

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Roundup: Cherry-picking and one-upping policy

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There was a definite whiff of cynicism with the Liberals’ latest announcement, this time around housing, and it is starting to look like their election platform is to cherry-pick what the other two main parties have done and try to either one-up those policies, or extend the existing Budget 2021 framework with these rival policies in mind. So that’s going well.

On the other side, you have both Erin O’Toole and Jagmeet Singh proclaiming that Trudeau had that six years could fix the housing affordability crisis, because apparently, it’s that easy to solve – and while Justin Trudeau did call them out in saying that anyone who thinks it can be solved in a snap doesn’t understand the depth of the crisis, and he’s right. He’s also right to point out that they had a big hill to climb when it comes to re-engaging the federal government on housing with agreements with the provinces, and they’ve been getting there, and accelerating a lot of that funding through the pandemic, but there has been little acknowledgement that the biggest bottlenecks to building more housing is coming from the municipal governments. It’s one of the reasons why the federal dollars for housing aren’t getting spent – projects can’t get approved at the municipal level. Now, the Liberals do have something to address this in their platform, which is a $4 billion fund that essentially seeks to bribe these councils into approving projects, but it is being argued that this won’t help those municipalities where this is a problem by very much, and it may be easier to go to the provinces to amend their own municipal parent legislation to remove some of these regulatory barriers from their end. Of course, that’s another case of “working with provinces,” though in this case, they may be more motivated than on other files.

This being said, nothing any of the parties are going to do is likely to help affordability anytime soon – especially because the problems for increasing the housing supply are dependent on eliminating those bottlenecks, and ensuring there is sufficient labour to build the houses, and in the major markets where this housing is most needed, that may be a problem in and of itself (especially if you want to attract that labour from other provinces, but they can’t afford a place to live when they arrive). And especially because nobody wants to piss off existing homeowners, who want their current home equity to keep appreciating, never mind that it just continues to make the problem worse. But politics is about tough choices, so we’ll see who can make reasonable ones.

In the meantime, here’s Jennifer Robson in this long thread recounting the last time a federal government tried a home buyers’ savings account, and Mike Moffatt gives his take on these announcements.

https://twitter.com/MikePMoffatt/status/1430253010618355727

https://twitter.com/MikePMoffatt/status/1430254029729378307

https://twitter.com/MikePMoffatt/status/1430254668458991620

https://twitter.com/MikePMoffatt/status/1430255115085156356

https://twitter.com/MikePMoffatt/status/1430256554561974276

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Roundup: Considerations on the private delivery debate

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The accusations and sanctimony from that video continued to reverberate around the campaign yesterday, with the Liberals defending the video and its edits, while the Conservatives wrote to the Commissioner of Elections to have it taken down, and really, we’re all the dumber for it.

It did keep the debate on healthcare going throughout the day, and while I do have a column on this coming out later today, I’ll make a few additional observations, which is that there are nuances to the debate around private delivery, and one of them is how stringently the federal government enforces the Canada Health Act when it comes to that enforcement. There are concerns that the Conservatives’ pledge to increase health transfers with no strings attached is a signal that they are willing to allow more private delivery, whereas the Liberals are starting to resume clawbacks of health transfers in proportion to fees collected from private delivery, as they paused those clawbacks during the pandemic so as to give provinces as many resources as possible (though one could argue that the federal government could have played harder ball). An example is Clinic 554 in New Brunswick, which is a private abortion clinic as the province won’t pay for its services, citing that the province is already sufficiently covered with the three hospitals that provide the service (which is disputed as the Clinic is in Fredericton, where the service is not provided publicly). The federal government was clawing back health transfers related to fees that people paid to the clinic, but stopped when the pandemic hit. It looks like this is going to start in Saskatchewan and Manitoba with private delivery of services in those provinces.

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