Five controversial lessons to cure health care from Jane Philpott
Her goal in writing Health for All is to ensure “every person living in Canada has access to a primary care home, in the same way that every child has access to a public school.” But she acknowledges that it will require a transformation that challenges current thinking, practices and interests… 1. The federal government has a role in public health care, despite complaints from the provinces… 3. Phase out fee-for-service payments and put doctors on salary…
Child & Family
Primary-care teams can act as informal managers of home care through facilitating the medical, social and comfort components of care. All of this would still add up to far less than the financial and environmental cost of hospitalization. At a time when we’re pressured to cut costs and reduce harm to the environment, and when we know dying patients would rather be at home, why can’t we help?
How to quell the sharp rise in youth violence in Canada
Major risk factors for violence include limited access to economic opportunities, family instability and neighbourhood disadvantage. Without interventions that address these risks, vulnerable youth and adults are more likely to engage in criminal behaviour or reoffend. A key vital component of violence prevention is trauma-informed case management… community-based programs… can more holistically support the needs of youth leading to better choices and coping mechanisms.
Education
In my next teacher-parent meeting, my focus will be the teacher. Here’s why
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
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
As environment minister, I believed the oil sands sector would help us save the planet. I was wrong.
The oil sands sector has been lying to us for years. They are not getting cleaner. They are not part of the solution… Canada can choose to be on the right side of history. We can act with the urgency the climate crisis requires and the economic case makes clear. Or, we can double down on the oil sands, abandon the Paris Agreement, ignore the economic opportunities of clean energy, and leave our children a deadly and unsustainable future.
To raise funds urgently needed to address the climate and affordability crises and curb growing monopoly power, we recommend the implementation of an economy-wide windfall profits tax that could raise over $50 billion from publicly traded companies and a monopoly profits tax that could raise $8 billion annually.
Equality
Our economic system was born of the false premise that if the wealthy are prioritized in government policies, their wealth will trickle down to the poor. Since 2020, the world’s five richest men have more than doubled their fortunes. Recently, the CBC reported that “income inequality in Canada (had) hit the highest level ever recorded.”… Minimum wage increases have little impact in a system that enables and perpetuates kleptocracy.
In waves of paternalism and government intervention, Indigenous Peoples were moved off their lands, onto reserves or into the cities and, far too often, into the courts and prisons… That “reconciliation” entered the national vocabulary is a testament to his gentle persuasiveness… His vision for a reconciled Canada sought to unite the strengths of Indigenous Nations and Canadian ideals, creating a path toward a future where the best of both worlds could flourish together.
Health
Massive tobacco settlement at risk of being misused
The settlement provides financial restitution to class-action claimants and allocates funds to a vaguely defined research foundation. But where are the funds for front-line solutions? … To ensure [meaningful change], provinces must direct funds toward lung health programs, tax all nicotine products, close gaps in vaping regulation, and institute ongoing cost-recovery fees… ensuring that the funds are allocated where they’re needed most: to education, prevention, and treatment programs that advance lung health.
Five controversial lessons to cure health care from Jane Philpott
Her goal in writing Health for All is to ensure “every person living in Canada has access to a primary care home, in the same way that every child has access to a public school.” But she acknowledges that it will require a transformation that challenges current thinking, practices and interests… 1. The federal government has a role in public health care, despite complaints from the provinces… 3. Phase out fee-for-service payments and put doctors on salary…
Inclusion
Doug Ford needs to follow the evidence on supervised consumption
… 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.
The history of domestic implementation of Canada’s international human rights commitments is disappointing, particularly when it comes to economic and social rights… Over the past 75 years, Canada has neglected to build the necessary legal foundations, government structures, and political will at home to institutionalize human rights and provide accountability to rights holders. We need a new national framework for international human rights implementation.
Social Security
Why the Canada Disability Benefit won’t end disability poverty, and how it could
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.
… 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
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…
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.
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