Posts Tagged ‘jurisdiction’

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

Monday, September 30th, 2024

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.

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

Sunday, September 29th, 2024

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.

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Posted in Child & Family Delivery System | 8 Comments »


Addressing the Crisis in Access to Primary to Primary Care: A Targeted Approach

Sunday, September 29th, 2024

… a major cause for the dysfunction is the reluctance of provincial governments to undertake institutional reforms, for fear of provoking interest groups – particularly physicians’ organizations. The provinces have not made major changes to their health delivery systems since forced to do so by the deficit crises of the 1990s… The author recommends… an aggressive increase in the number of nurse practitioners working in community primary care, usually in multi-discipline clinics; and… rostering patients and expanding capitation in multi-discipline clinics.

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Doug Ford wants to stop doctors from handing out clean needles. Here’s why they shouldn’t listen

Monday, September 16th, 2024

The government’s plans include prohibiting provincially funded community health centres with consumption services from distributing clean needles and providing safer supply of opioids and other prescriptions. The government alleges that needle distribution and safer supply threaten community safety and are ineffective ways to treat substance dependent people. The government is wrong on both counts… public health is protected by providing clean needles… and the prescribing of opioids reduces overdose-related mortality. 

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Six key takeaways from Welfare in Canada, 2023

Monday, September 16th, 2024

Total welfare incomes were deeply inadequate across Canada in 2023. Increases to social assistance benefits between 2018 and 2023 were uneven across jurisdictions. Very few jurisdictions have indexed benefits and tax credits to inflation as of 2023… Provinces and territories should invest in higher social assistance benefits and tax-delivered income supports. Governments at all levels should index all social assistance benefits and tax-delivered benefits or credits to inflation where they don’t already do so.

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Posted in Social Security Policy Context | No Comments »


Why teachers like me are dreading the return to school

Wednesday, September 4th, 2024

… 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.

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Posted in Education Delivery System | 4 Comments »


Pierre Poilievre’s attack on me is a symptom of a larger problem

Wednesday, September 4th, 2024

Poilievre’s referring to these sites as “drug dens” is callous and deceptive. These sites offer a lifeline to those struggling with substance use. The very same harm reduction programs that some leaders are targeting don’t only save lives; they also open the door to treatment and recovery… Instead of mocking, Poilievre and his team could benefit from experts to understand the evidence on the importance of supervised consumption sites as an essential pillar of a multi-pronged approach to address this public health crisis and to make our communities safer for all.

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Ontario reduces child-care fees, introduces new operator funding formula

Sunday, August 18th, 2024

The new funding structure, which will come into effect January 1, also comes with an announcement that as of the same day the fees parents pay will be further reduced. They have already come down about 50 per cent to an average of $23 a day and next year will fall to an average of $19, and capped at $22. Those will be cut further to an average of $10 a day by March 2026, a date pushed back from an earlier pledge of September 2025.

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Posted in Child & Family Delivery System | No Comments »


Paramedics treating patients’ palliative needs at home benefits everyone

Monday, August 12th, 2024

… paramedics, with some extra training, can provide patient-centred care in the homes of people living with cancer and other life-limiting conditions. It is intended to make patients as comfortable as possible as they spend their last days at home, which is where most Canadians say they’d prefer to die… evidence clearly shows that enabling paramedics to provide home-based palliative care when appropriate creates a substantial benefit for everyone involved — classic win-win-win for patients, health-care providers and health-care systems.

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Posted in Child & Family Policy Context | No Comments »


Are private health care providers breaking the law? Four doctors speak out on for-profit care in Canada

Saturday, August 10th, 2024

… the Canada Health Act, which specifies that medically necessary care pertains to care provided by a physician or in a hospital in order for provinces to receive their full Canada Health Transfer payments. The Act, which became law in 1984, is understandably silent on other health-care providers, such as nurse practitioners, or technological platforms that have emerged in the ensuing years… “… it’s absolutely horrible that people are being asked to pay for primary care especially when we see such a lack of support for physicians working in primary care through the publicly funded route.”

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Posted in Health Delivery System | No Comments »


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