Access to care: 5 principles for action on primary health-care teams

Posted on January 10, 2025 in Health Delivery System

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… a “health home”…would guarantee every person access to a primary care team close to where they live. The Primary Care Action Team has announced its plans to achieve this goal within five years. A health home is the front door to the health system and includes a team of primary care providers that supports an individual’s health and wellness; co-ordinating care across the system and through every stage of their lives… based on where you live… just as you would have access to your local school.

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Child & Family

The push for a national caregiving strategy

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A fundamental goal of a national caregiving strategy must be to change the narrative about care work and fully articulate the value it provides society and what we stand to lose in economic and human terms if we don’t support carers. A fundamental part of this work involves acknowledging and addressing the outsized burden of care carried by women and racialized people… a national caregiving strategy will make the issue of care politically and socially unignorable and will drive recognition that care work is skilled, dignified, necessary, and worthy of proper compensation.


New child care fees take effect in Ontario on Jan. 1: Here’s what families need to know 

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As of Jan. 1, 2025, fees are capped at $22 per day for children under the age of six — but only if your licensed child care provider is enrolled with the Canada-wide Early Learning and Child Care system… According to a Statistics Canada report, parents in 2023 paid an average of $7,557 annually for the main full-time (30 or more hours per week) child care arrangement for their child five years of age and younger… an average of $630 per month for full-time child care, or $30 per day.


Education

In my next teacher-parent meeting, my focus will be the teacher. Here’s why

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Since Premier Doug Ford came to power in 2018, school board funding has dropped a stunning $1,500 per student, on average, when adjusted for inflation. The increase in class sizes and the introduction of mandatory online courses have resulted in the province having 5,000 fewer teachers than it would otherwise… With Ontario asking teachers to do more with less and blaming them for the shortfalls of underfunded schools, recruitment and retention will only become more challenging.


Canada’s international student crisis was predicted — and ignored

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These are days of doom and gloom at Ontario’s universities and colleges. You don’t have to have a PhD to know why… provinces outside Ontario provide universities an average of $20,772 per full-time student. Ontario coughs up $11,471. To catch up — that is to be just average — would require spending another $7 billion a year. Ontario has responded by promising $1.3 billion over three years. 


Employment

Canada, the 51st state? Eliminating interprovincial trade barriers could ward off Donald Trump

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… if interprovincial trade barriers were removed, there would be an improvement in Canadian productivity of between three and seven per cent. In dollar terms, that would add $50-$130 billion dollars to Canada’s economy. The CFIB findings put the figure at $200 billion, or $5,100 per person… Bringing down barriers to trade across Canadian provinces would create conditions that could enable Canadian companies to be more competitive internationally, and beyond the U.S. market in particular.


Say what you want about Justin Trudeau — there’s still no arguing Canadians became wealthier while he was in power

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…the poverty rate… now nine per cent, [is] down from 14.5 per cent when he first took office… achieved in large part by Trudeau’s Canada Child Benefit, which has lifted as many as half a million children from poverty. Trudeau’s national daycare program has also helped, reducing monthly daycare expenses to $400 from about $2,000, dropping further to about $200 in the next two years… [and] introduction of limited denticare and pharmacare, a foundation for future governments to build on.


Equality

Company men: CEO pay in 2023

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Following two blistering years of all-time high compensation, Canada’s 100 highest-paid CEOs pocketed $13.2 million, on average, in 2023—the third biggest haul since we’ve been tracking CEO pay. On average, these 100 CEOs were paid 210 times more than the average worker’s wage in 2023—from its high of over 240 times more pay in the previous two years… This report notes several trends and busts key myths about CEO pay and their worth:


Canadians are feeling increasingly powerless amid economic struggles and rising inequality

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The perception of a worsening cost of living, combined with seeing Canada as significantly more unequal, is creating a perfect storm for a deteriorating sense of control in everyday life… This is a worrying trend for our collective psychological well-being. The most powerless people tend to be the most distressed and distrustful of others — two indicators that reflect the daily sense of alarm, hopelessness and suspicion that powerless Canadians may feel when thinking of the economy.


Health

Does the Canada Health Act require reinterpretation, or a more fundamental rethink?

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The Canada Health Act clearly states that “physician services” and “hospital services” are covered by medicare. There is nothing about “physician-equivalent services.” … But, if some of the work of NPs, pharmacists and midwives is to be considered essential, what about psychologists, physiotherapists and other allied health professionals? And while we’re at it: Should everything doctors do be considered medically necessary and covered by medicare?


Free treatment for adults with depression and anxiety now available in Ontario 

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Ontario Structured Psychotherapy (OSP) is a free program for adults 18+ experiencing depression or anxiety-related concerns. Available virtually, by phone and in-person, OSP offers a range of services designed to address patient concerns and teach practical coping skills and strategies.


Inclusion

Unpaid labour: Why volunteers can’t sustain essential services

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ThePhilanthropist.ca – 2024/04 April 15, 2024.   Joanne McKiernan There’s a shortage of meal-delivery volunteers, writes Volunteer Toronto’s Joanne McKiernan. The reality of prioritizing basic needs in challenging times, she says, means we cannot rely on volunteers for the same types of roles, time commitments, or skills exchange as in the past. There’s a shortage of […]


Doug Ford needs to follow the evidence on supervised consumption

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… harm reduction doesn’t simply prevent overdoses and infectious diseases; it eases pressure on Emergency Response Services and our crowded ER’s… all residents deserve to live in peace and security… However, community safety is not a zero-sum game. It is possible to keep our neighbourhoods safe and clean while implementing comprehensive treatment services that save lives — even if it means moving those services to more appropriate locations and improving the way we deliver them.


Social Security

Why the Canada Disability Benefit won’t end disability poverty, and how it could

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It won’t be a game-changer, but it could help many if eligibility and access expand and clawbacks are not allowed to erode possibly its entire value… Though the benefit will not fill the poverty gap for hundreds of thousands of people, it could still reduce their depth of poverty… If it is intended to fill the poverty gaps in provincial and territorial social-assistance programs, the benefit amount should reflect that… Poverty is a policy choice – one that is inconsistent with Canada’s human-rights obligations.


It’s not too late to fix a government benefit that could lift thousands more Canadians out of poverty

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… its very design ensures that [the Canada Disability Benefit] will help far too few people in need. There are two key reasons for its underwhelming impact: unnecessarily restrictive eligibility criteria, and the wildly insufficient size of the benefit… The CRA applies rigid, and often arbitrary criteria, to establish eligibility — especially with respect to mental health conditions and chronic illness… The other critical flaw in the Canada Disability Benefit’s design is the woefully low benefit of only $2,400 per year.


Governance

Stream of election gimmicks and promises will violate our human rights obligations

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All of these proposals rely on borrowing money so it can be sent to many people who don’t need it… Meanwhile, homelessness, food insecurity, and poverty are on the rise, and this comes with both immediate and long-term costs. Governments would be wise to invest every extra dollar they have in proven solutions, such as a stronger income security system and non-market housing sector… our governments [are] obligated to steer our society toward the fulfillment of everyone’s human rights…


This is why you need the CBC

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Public media can lead the way in charting a course for all media to use AI ethically, and in ways that diminish rather than contribute to the flow of misinformation… developing and testing ways to encourage civil online conversations as an antidote to the harmful, toxic online discourses that are fed by misinformation and disinformation.