Social Policy in Ontario

The first of Ford’s health care campaign promises was an end to “hallway medicine” and hospital overcrowding. The campaign provided no insights as to the innovations necessary to resolve this now chronic hospital dilemma. Whatever the still-to-be-revealed innovations are, they would require more, not less, resources.

In the government’s recent budget, delivered by the now demoted finance minister, hospital funding was set at less than the rate of inflation. This means real dollar cuts to hospitals and further pressure on already-stressed facilities.

In keeping with the budget decision, hospital service cuts include the closure of surge beds designed to help with transient large increases in required care, such as a flu epidemic. Targeted cuts in staff and hospital services have occurred in Sudbury, Toronto, Kitchener-Waterloo, Windsor and other communities.

The funding reductions do not come to an Ontario health care system with excessive resources: indeed, Ontario already has fewer per capita hospital beds than any other province — a fact that, no surprise, is never acknowledged in government statements regarding Ontario’s hospital care. So much for ending hospital overcrowding.

During the campaign, the former Toronto city councillor’s second major health care promise, improved mental health care provided — as was typical of the campaign — no specifics as to how the goal was to be achieved.

The only apparent action the premier has taken on the mental health front is cutting, by more than $330 million per year, the previous government’s planned increase to mental health funding.

Ford’s third major health care campaign item promised improved access to long-term care with the expansion of long-term care beds. The Ford government has included in its numbers of new long-term care beds more than 1,000 beds announced and tendered by the former Liberal government. Staff shortages raise the possibility of inadequate capacity to open the beds. Thus far, no new long-term care beds have been built or opened.

Could the premier’s health care campaign promises have been nothing more than a sop to reassure a worried public? Could it be that Ford actually has an antipathy toward universal publicly funded health care?

A truly remarkable appointment in the premier’s cabinet shuffle suggests this might be the case. The new Minister of Long-Term Care, Merrilee Fullerton, a former family doctor, has made repeated statements suggesting advocacy for two-tiered privatized health care system.

For several years, Fullerton hosted a blog site related to the health care sector and related politics. Her handle was “realist.” She often advanced the idea of introducing a second private tier of care in Canada, referring to her ideal “hybrid system” of care.

Our new minister has publicly campaigned to revise the Canada Health Act to allow for private health care delivery. In 2013, Fullerton gave an interview in the U.S. warning the talk-show audience that “I would caution anyone in the U.S. not to adopt the system we have here. We’re trying to change the system we have here.”

And, later: “It’s almost at a point now where people are being given the idea that people have a duty to die for the system.”

Our premier’s priority seems to be reducing the size of the government and government expenditure. Some previous governments with similar agendas have spared health care.

As reflected in Dr. Fullerton’s appointment, the current Ontario government’s lack of commitment to high quality universal health care may explain why hospitals and mental health are on the chopping block. So much the worse for citizens of Ontario.

https://www.thestar.com/opinion/contributors/2019/07/24/doug-ford-failing-to-keep-his-health-care-promises.html