Showing posts with label healthcare. Show all posts
Showing posts with label healthcare. Show all posts

Wednesday, April 08, 2015

"What is Plan B?"

asked Armine Yalnizyan of Canadian Centre for Policy Alternatives on CBC's The Current this morning. "What if your plan is not oil?" 

I'll get back to Yalnizyan's Plan B in a moment, but preceding her on the program was TD Bank VP and chief economist Craig Alexander. He spoke to that Bank of Canada survey of 100 executives that came out this week, 62% of whom called for diversification to reduce Canada's dependence on the energy sector as oil prices collapse.

"Energy plus metals and minerals mining amounts to less than 10% of Canadian economy but 25% of the entire Albertan economy," he said, where loss of oil jobs and stagnant wages will also affect retail spending despite a projected $900 saving per family per year at the pumps. So no growth for Alberta and Saskatchewan this year and under a 3% increase for BC and Ontario.  

Two and a half years ago and before the collapse of oil prices, he was calling for investing in childcare and early education in his TD report :
“It is very much an economic topic,” said Alexander. "If you are concerned with skills development, productivity and innovation, you should really care about this subject."

"For every dollar invested, the return ranges from roughly $1.50 to almost $3. For disadvantaged children, the return runs into the double digits ...  it follows that more focus should be put on investing in, and improving the system,” the report says." But later, when we can afford it.


CCPA's Yalnizyan says that time is now :
"In our global economy we need our best and brightest to be our best and brightest. We can ill afford to discount Canadians who cannot afford to upgrade their skills at any point in their lives, not just when they're getting out of high school." 
We are part of global economy in which Canada has fallen from 8th to 11th place while current government policy is directed at "ripping and stripping our natural resources," she said, despite those collapsing oil prices and the coming expense of population aging.

Plan B? Mission-oriented public policy is required, she said, because without it we will just get higher healthcare costs without necessarily any improvement.
Taking your hands off the wheel won't necessarily deliver what we need so how can we make life cheaper for the people who, unlike our corporate hoarders, spend every dollar they earn in the economy? 
"The global economy is transitioning and pivoting away from fossil fuels to renewables and we should be contributing to this fight to find the most energy-efficient ways of using and generating energy .
Focus on healthcare costs in a different way. Spend on social determinants. What causes all round good health?  Better housing, public transportation, education, even income redistribution. Population health-based intervention. 
While 10% of the economy is in the energy sector, 11% of our economy is in the health sector. Use that engine of the economy to improve peoples' lives and get a better bang for the buck.
We spent $14-billion on dental care for children in Saskatchewan and Manitoba in late 70s and early 80s. The mouth is the only part of healthcare that isn't covered."
$14B sounds like a lot to have spent on childrens' health until you consider that the government already spends $13B a year in taxpayer-funded subsidies to oil and gas industries. 

The program wrapped up with Stephen Gordon, economist at LaValle University. 
Shorter and presumably not ironic Gordon : "Oil is our precious. Why can't we just leave the markets a-l-o-o-o-o-o-n-e?"
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Wednesday, January 29, 2014

RU-4Choice? : Ethical Abortion

In November last year, MP Libby Davies asked Deputy Health Minister George Da Pont why Canada has not joined 57 other countries in making RU-486, the medical abortion pill for use within the first two months of pregnancy, available in Canada despite a strong recent endorsement editorial from the Canadian Medical Association Journal. 

Indeed. It's been legal elsewhere for decades.



As the Society of Obstetricians and Gynaecologists of Canada recommended in March 2003 ten freakin' years ago :
"The use of such medication for terminating early pregnancy constitutes a significant medical and public health gain and has achieved medical acceptability in Europe and the USA.
The SOGC urges Health Canada to work with professional organizations and industry to make this product available to Canadian women."
An article at the US National Institute of Health (NIH) looks into why mifepristone (RU-486) remains unapproved in Canada and concludes the reasons are both financial and political.
First, the drug approval process can only be initiated by an application from a pharmaceutical company.
"In Canada, it is predicted that revenues will be moderate because of cost controls and will not offset high regulatory approval costs ... due to abortifacient medicines' relatively infrequent use."
"Health Canada also has procedures for priority review and approval of critical new drugs and breakthrough therapies. To obtain priority status, however, the drug must be intended for life-threatening or other serious conditions."
"Life-threatening", as it happens, is the criteria the more *moderate* among the anti-choicers insist upon as a necessary condition for a woman to be permitted an abortion at all.


The NIH article also cites a history of reluctance on the part of Health Canada to approve any reproductive health medicines :
"11 of 12 contraceptive products approved for use in the United States, United Kingdom, Europe, and Australia in the preceding decade were unavailable in Canada 'either because of Health Canada's stricter requirements or because they are held up in the Canadian regulatory process.' "

So in the parlance of the Cons, we can either stand with those countries which recognize a woman's right to the "gold standard" in reproductive healthcare, or we can stand with Saudi Arabia, Yemen, Afghanistan, Pakistan, Iraq, Iran, Syria, Korea, Myanmar, and most of Africa and South America.

Ethical Abortion, baby.

h/t  Fern Hill and deBeauxOs at Dammit Janet
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Wednesday, July 29, 2009

The invisible hand of libertarianism

Hands up anyone even remotely surprised to hear a Fraser Institute alumnus making an argument in favour of slavery.

In an argument with Rafe Mair at The Tyee "Yes, Sell the Rivers", libertarian Walter Block defends privatization using an example of what he is careful to call "voluntary slavery" :

"My child is gravely ill. Only an operation can save his life. But, this medical care costs $100 million, and I am a poor man (we assume away the possibility of government health care that will swoop in and ruin our example).
Seemingly, my only option is to witness the passing away of my beloved child.
But wait!
Rafe Mair, richer than Bill Gates, has for a long time wanted me to be his slave. He'd like more than anything else to boss me around, and then whip me every time I displeased him. He values this opportunity way more than the medical costs necessary to save my child's life. So, we strike a deal. Rafe gives me the $100 million, which I immediately turn over to the hospital. Then, I go to Mair's plantation, and become his slave.

Why is this so objectionable? Rafe and I both gain from this deal. I value my child's life more than my own freedom; way more. Mair values my servitude more than the costs of buying me into servitude; again, way more, let us suppose. If voluntary slavery is legal, we can consummate this financial arrangement, to our mutual gain. If not, not, to the great loss of both of us.

Slave-master Rafe would never shell out the cold cash if, after he paid, I could haul him into court on assault and battery charges when he whipped me. Then, without this financial arrangement, I would have to witness the death of my child, probably the most devastating thing that can ever happen to a parent."


$100 million in medicare costs for an operation?
What kind of cockamamie example is that ?
Oh yeah, right, Walter Block is the author of "Socialized Medicine is the Problem".
"[Our healthcare system] should be privatized and take its place among all other industries (cars, computers, chalk) that contribute mightily to our advanced standard of living ...
At this point the critic will retort, “It is not fair to charge people market prices for health care; the rich will be treated better.” But that is precisely the point of being rich in the first place. If the wealthy did not get better treatment, what would be the point in trying to amass riches?"

So according to Block, voluntary slavery is the best scenario result of privatizing 'socialized' medicine.
Good to know.
Author Taras Grescoe once quipped to me that a libertarian is just a conservative who once smoked a joint. Maybe more than one was required here.
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Tuesday, April 28, 2009

Insite under seige again

In May last year the B.C. Supreme Court gave the supervised-injection site, Insite, a constitutional exemption to stay open without a federal exemption from drug laws. Also known as : provincial dibs.

Over the next three days, Canada's Attorney General and Minister of Health will attempt to overturn that ruling in the B.C. Court of Appeals because their neanderthal ideology prevents them from acknowledging that Insite's clients are actually real people with a right to healthcare.

A very good doc from The Fifth Estate does not make that mistake : Staying Alive
Neither does this piece, with accompanying slideshow, from the Vancouver Courier.

So will we be hearing from your government's expert panel of scientologists and US War on Drugs shills again this time ? Or are you just gonna stick with your "angel defence"?

A Department of Justice lawyer in court today argued that : "Making drug-related laws unconstitutional because they are difficult for drug addicts to obey would be "capitulation" along the lines of changing arson laws to accommodate pyromaniacs."

Or "capitulation" along the lines of changing your high horsie sensibilities to accommodate "not necessarily opposing safe-injection sites for illegal drugs in Quebec" .
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Monday, September 22, 2008

Will the Canada-EU Free Trade Agreement out-NAFTA NAFTA?

Be careful what you wish for.

Melvin J Howard, CEO of the Arizona-based Centurion Health Corporation, is in the process of filing a NAFTA Chapter 11 complaint against Canada's public healthcare system. Although our government has repeatedly assured us that Canadian healthcare is protected under NAFTA, recent tinkering with P-3s and privatization by the Quebec, BC, and Alberta governments has led Mr. Howard to believe he has a case, as argued on his blog :

1. Canada claims to have exemptions on their public health care system.
2. Canada has registered health insurance at the World Trade Organization as a financial service.
3. The World Trade Organization allows governments to exempt any service provided "in the exercise of government authority," as long as such services are not also available commercially.
4. Canadian private companies are already in the health business in Canada.
5. NAFTA dictates that Canadian, US, and Mexican businesses must have equal opportunities in all three countries.
6. Centurion has been barred from having the same investment opportunities private Canadian companies enjoy because it is based in the US.
7. Enter Chapter 11.

Mr. Howard is claiming $4 million in expenses and an additional $150 million in lost profit after a failed attempt to invest in the BC health care system. Although he has put his claim on hold until after the Canadian election, he states his intention to proceed "after the new Government is installed" if private negotiations with the federal government do not satify him.


Yesterday Red Tory was rather amused at my post on Harper's insistence on keeping his upcoming secret squirrel Canada-EU Free Trade Agreement negotiations out of the public eye till after the election. A "yawning non-story" and a "conspiracy theory", he said, despite the fact that the EU negotiators have already pressured Canada into accepting, as a precondition of their participation, a stipulation "which would require that Canadian governments allow European companies to bid as equals on government contracts for both goods and services and end the favouring of local or national providers of public-sector services."

I'm sure you can see where I'm going with this.
After, say, a company in Liechtenstein wins the bid to run the CBC on a for-profit basis, how long do you think it will take Fox News to file a Chapter 11 complaint at the WTO? An extreme and unlikely scenario to be sure, but I submit it to all of you who take comfort in the idea that a free trade agreement with the EU would naturally provide a much-needed corrective balance to NAFTA and our trade dependence on the U.S. Under the corporate-friendly conditions Canada has unfortunately already agreed to so far in the EU talks, I see no assurance that the balance will necessarily tip in our favour.

And Harper doesn't want to talk about it.

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