Foreign doctors won’t solve our family physician crisis. Here’s what might

Posted on October 14, 2024 in Health Delivery System

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Expand and reform medical education… increase capacity and tailor programs to meet current needs, especially in family medicine… Reform selection processes to attract medical students who are committed and suited for specialties in need, particularly family medicine… Embrace community-based training… Incentivize family medicine… Integrate technology… Promote team-based approaches that maximize and effectively integrate the skills of various health professionals, improving patient care and physician satisfaction.

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Child & Family

… How Ontario is failing kids who are ‘too complex’ for care

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Last-resort placements are painting a picture of a situation where Ontario’s most vulnerable children are the least likely to get help… The costs of these emergency placements can range upward from $200,000 annually per child… Often, the children are getting no treatment… Increasingly, child welfare leaders say unlicensed spaces are being used as last-resort measures because there are no treatment or residential placement options for these children


Ontario’s closure of youth detention facilities has not resulted in more support for young people

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The move to shift youth in the justice system away from confinement and towards community is a positive one. However, without investment in community-based service providers to support youth being transitioned out of custodial settings, it is unlikely that youth will thrive. Such failures are likely to increase acute mental health crises and demands on ambulatory care within general medicine and psychiatric hospitals… [and] increase the number of youth who will come into conflict with the criminal legal system as adults.


Education

Why teachers like me are dreading the return to school

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… 30 per cent of Ontario teachers leave the vocation in the first five years as educators. Ontario educators are leaving teaching behind as severe provincial spending cuts, the strain of COVID and a drastic rise in student violence have created an education crisis in Ontario… The provincial government began slashing funding to education in 2019. This resulted in multibillion dollar budget shortfalls for Ontario boards… A 2023-2024 survey reported a 24 per cent shortage of teaching staff in elementary schools, and a 35 per cent teaching shortage in secondary schools.


Nigmendra Narain speaks truth about Ontario’s manufactured university crisis

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ON funding $6000 below national average… this scarcity of university funding… has been completely manufactured by a provincial government bent on ‘saving tax-payer dollars’ by downloading costs onto individuals while encouraging public-private partnerships… Ontario’s ratio is currently 34 students : 1 professor. Contrast that with the rest of Canada averaging 23 students : 1 faculty.


Employment

What’s behind Canada’s housing crisis? Experts break down the different factors at play

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The market is most likely to respond to the housing needs of those with strong purchasing power, leaving behind low and moderate income families whose housing needs cannot generate effective market demand. The consequence is growing housing inequality, with many low-income families trapped in precarious living conditions… De-commodifying and de-financializing housing is key. This means expanding community housing, prioritizing community-based solutions and ensuring long-term security for all.


Only the United States benefits from renegotiating the Canada-U.S.-Mexico trade deal

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Ideologically, the U.S. is no longer the free-trade champion it was… concessions are highly unlikely to convince the U.S. — regardless of which party is in power — to surrender the most potent weapon it has in its arsenal to pressure its neighbours to adopt its preferred policies. Policy reform, simply put, leads to U.S. market access… The 2018 CUSMA didn’t preserve free trade in North America. It signalled its demise and the return of power politics to our most important economic relationship.


Equality

The rich say boosting the capital gains tax will hurt productivity, but it’s just not true. Time to do a little myth-busting

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Most academic economists support a higher inclusion rate, partly because it levels the playing field between different types of capital income. But the best motivation is $20 billion in revenue it will raise over five years, to support modest new programs announced in this budget. This will help fund school lunches, affordable housing initiatives, dental care and disability benefits — while still respecting Freeland’s fiscal “guardrails.”


Pierre Poilievre’s vision for Canada: Heaven for the very rich and squat for everyone else

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… the real redistribution in recent years hasn’t been the small bit directed toward benefits for ordinary Canadians but rather the gush of money toward the wealthiest Canadians. In 2021, the richest .01 per cent saw their incomes grow on average by a stunning 30 per cent to $12.5 million a year, while the incomes of 14 million working Canadians actually declined, according to Statistics Canada.


Health

Foreign doctors won’t solve our family physician crisis. Here’s what might

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Expand and reform medical education… increase capacity and tailor programs to meet current needs, especially in family medicine… Reform selection processes to attract medical students who are committed and suited for specialties in need, particularly family medicine… Embrace community-based training… Incentivize family medicine… Integrate technology… Promote team-based approaches that maximize and effectively integrate the skills of various health professionals, improving patient care and physician satisfaction.


Ford’s bungling of Ontario’s nursing shortage is aimed at undermining public health care

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… staff shortages and long wait-lists in Ontario are problems that were greatly exacerbated by Ford’s mishandling of the nursing crisis. Could it be that the dissatisfaction with our health-care system may be best solved — not by introducing a lot of private, profit-making clinics — but simply by paying nurses good wages within the public system?


Inclusion

Toronto hospital to open permanent supportive housing apartments for homeless people

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A new housing project for those who live on the streets and frequently end up in the emergency room is set to welcome its first residents in Toronto this month, supported by one of the largest hospital networks in Canada… The hope is that the project will ease pressures on hospitals while also providing stable care for vulnerable individuals… [and] a playbook for other jurisdictions or other partnerships between every level of government, between hospital and community, to try to advance concrete solutions for people


Advocacy toolkit: Preventing Canada Disability Benefit clawbacks

This toolkit contains documents meant to help organizations advocate and engage with government decision-makers to prevent clawbacks related to the new Canada Disability Benefit in their province or territory… To ensure that people with disabilities will receive the full value of the CDB, we need to request meetings with and advocate to provincial/territorial ministers, influential politicians, and senior civil servants. 


Social Security

There are Better Ways to Spend $3 Billion on Seniors than Boosting OAS

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If $3 billion per year were spent on seniors, where would it be best spent: Income security, supports, services or residential and nursing care?  And if income security turns out to be the answer to that question, then why via OAS, which is paid to 7 million Canadian seniors? Should it not instead be the Guaranteed Income Supplement (GIS), which is targeted towards to Canada’s 2.2 million lowest income seniors almost all of whom really do struggle to make ends meet?


Fully Indexing Ontario Social Assistance is Long Overdue

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October 1 was the six-year anniversary of the last inflation adjustment for Ontario’s social assistance payments. Their real value has steadily eroded ever since, made worse by inflation’s recent return… The lack of indexation of Ontario social assistance benefit levels has eroded the value of these benefits significantly and contributed to rising homelessness, hunger, and demand for social and health services. It is time to introduce a more economically efficient and fairer way of adjusting these benefits on a regular basis.


Governance

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.


I cover the far right for a living. This is why I wasn’t surprised to find Canadians embedded in an alleged Russian propaganda scheme

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… Tenet Media produced at least 51 videos this year focused on Canada that were viewed half-a-million times… on hot button cultural issues, including immigration, crime, gender and sexuality, as well as “anti-white” sentiment, unmarked residential school graves, and economic grievances about grocery prices and housing affordability… It is bad for our democracy when a significant slice of our population is being deliberately misled and even radicalized.