‘Ford Government Using The Health Care Crisis To Privatize Ontario’s Public Hospital Services And Push Seniors Out To Long-Term Care Beds In The Worst Nursing Homes No One Wants To Go To’ – Ontario Health Coalition

A News Release from the Ontario Health Coalition, a citizens’ advocacy group for quality public health care in Ontario

Posted August 19th, 2022 on Niagara At Large

Health Coalition response to Ford government’s plans to move seniors out of hospitals & privatize hospital diagnostics and surgeries to for-profit clinics and hospitals

Now that – thanks to enough Ontario voters – the Ford government has won another majority, it is moving forward with selling our public health care services off to private corporations.

Toronto, Ontario  – The Ford government released what it called a five-point health care plan this morning in a press conference. In summary:

·         On COVID-19 there was nothing new.

·         On the unprecedented staffing crisis in Ontario’s hospitals, long-term care and home care, there was another in a long string of reannouncements of plans to bring in thousands of new staff in a series of ad hoc measures, similar to what we have heard before. The government remains intransigent on revoking Bill 124. There remains no plan that is anywhere near sufficient nor urgent enough to deal with the staffing crisis.

·         There were, in addition, two very serious and negative announcements, including plans to privatize Ontario’s public hospital surgeries and diagnostics to for-profit clinics, and new legislation to enable the government to move seniors waiting for long-term care out of hospital beds into long-term care homes not of their choosing.

Ontario Health Coalition director Natalie Mehra

“Cutting through all the bafflegab, today’s (this August 18th) announcement had very little to improve public health care and a lot to promote for-profit privatization,” said Natalie Mehra, executive director.

“The bottom line is the Ford government is using the health care crisis to privatize Ontario’s public hospital services and to push seniors out to fill long-term care beds in the worst nursing homes that no one wants to go to because they have terrible reputations, most of them for-profit.

“It is all couched in very carefully selected and manipulative language, but the actual policy changes they are proposing are clear and they clearly benefit for-profit companies at the expense of patients, particularly seniors.”

The Coalition issued the following fact checker on the Ford government statements and what these announcements mean:

*Health staffing crisis*

Doug Ford. He’s Ontario’s Premier for another four years and he is going to do what he wants to please his masters in private business.

The Ford government has repeatedly announced that they are going to bringin thousands, even tens of thousands of PSWs and nurses over the last two years.  They continue to ignore entirely the critical shortage of health professionals (MRI, CT and Laboratory Technologists, Respiratory Therapists and others). Despite the government’s repeated announcements, the staffhave not materialized and Ontario’s hospital critical and emergency care are now in an unprecedented staffing crisis.

The government has not acted upon comprehensive recommendations <https://www.ontariohealthcoalition.ca/index.php/release-emergency-measures-needed-to-address-the-health-care-staffing-crisis/> to attract back staff who have left and to urgently enact emergency measures to mitigate the crisis. The Minister of Health continued today fail to acknowledge that there is a crisis.

The supposed plan for 6,000 staff announced today and 400 internationally trained nurses bear no relation to the actual shortages. There are more than 20,000 nursing vacancies in Ontario <https://www.cbc.ca/news/canada/thunder-bay/northern-ontario-nursing-shortage-toll-1.6290814> .

Hospitals are closing MRIs overnight and respiratory therapists (responsible for ventilating COVID-19 patents and others) describe being unable to do all the overtime they are being called upon to do. Ontario long-term care homes require 37,000 nurses and PSWs <https://www.fao-on.org/en/Blog/Publications/2021-ltc-estimates> to meet care needs and crisis level shortages continue across the province. Home care also has an unprecedented staffing shortage leaving patients without any access to home care <https://ottawacitizen.com/news/local-news/patients-left-in-hospital-requests-unfilled-as-home-care-staffing-crisis-worsens> or left at home waiting with home visits missed.

This spring’s Ontario election is history, so off comes the mask and let’s get down to business privatizing our once-proud public health care system

The claims by Premier Ford that it is normal for emergency departments and critical care to shut down in hospitals across the province is false. In the Ontario Health Coalition’s fifty years of existence, the widespread closures we are seeing this summer have never happened before. In fact, emergency department closures are very rare and have only happened in a few small hospitals as a last resort. We are not aware of critical care units shutting down due to shortages ever.

The Health Minister’s refusal to acknowledge that there is an unprecedented health care staffing crisis is disputed by everyone from from line physicians, nurses, health professionals and PSWs to the leaders of long-term care, home care and clinical hospital leaders. The current crisis is unprecedented and very real. It is threatening needed care for patients.

Despite the Premier’s claim that the government cannot control price gauging by private for-profit staffing agencies, the Premier announced in the pandemic that he would stop price gauging and even launched a toll-free number for Ontarians to report it. The previous government agreed to make amendments to legislation to require a reduction in the use of agency staff. It is false that the government has no power over the corrosive practices and predatory pricing of the for-profit staffing industry.

*For-profit privatization of hospitals*

So-called “Independent Health Facilities” are in fact private for-profit clinics. Ontario’s Auditor General reports that 98% of the IHFs are for-profit <https://www.auditor.on.ca/en/content/annualreports/arreports/en14/406en14.pdf>. The Private Hospitals Act (1973) banned any new private for-profit hospitals fifty years ago, for good reason.

It is false for the Minister to assert that privatizing the provision of hospital surgeries and diagnostics will not result in two-tier health care and user charges for patients. Across Canada the overwhelming majority of hospital surgeries and MRIs/CTs are done in public hospitals operated on a non-profit basis in the public interest. However, there have been ongoing attempts to privatize these services by governments close to the for-profit corporations. We have, multiple times called every private clinic in the country and have caught the majority of them charging patients thousands of dollars for health care services <https://www.ontariohealthcoalition.ca/index.php/private-clinics-the-threat-to-public-medicare-in-canada-results-of-surveys-with-private-clinics-and-patients/>.

We have published the transcripts of those calls and surveys of hundreds of patients giving the evidence of these violations of the Canada Health Act and provincial laws that prohibit charging patients user fees amounting to double, quadruple or even five-times the cost under public health care.

 ($1000 for an MRI that costs around $300 under OHIP. $2000 for cataract surgery that costs $550 under OHIP.) The evidence is that the private clinics sell all kinds of medically unnecessary add ons, upsell extra unneeded diagnostic tests to elderly patients, and engage in unethical self-referral, requiring their patients to pay hundreds or thousands of dollars in out-of-pocket charges. The evidence is that the for-profit privatization of public hospital services poses an existential threat to single-tier public medicare.

The Ontario Health Coalition held 20 press conferences in the months leading into the election warning that the Ford government was planning to privatize surgeries and diagnostics. They categorically denied it in numerous media interviews but are now, a few months after the election doing precisely what they proclaimed they were not planning to do. Here is a sampling of the Ford government spokesperson’s statements weeks before the provincial election call:

“These claims are categorically false,” said Hilkene. “To be clear, the government is committed to supporting the province’s public health care system. The use or function of private hospitals and independent health facilities in Ontario is not being expanded or changed.” Their statements

are available here <https://www.therecord.com/news/waterloo-region/2022/03/17/privatization-of-health-care-claims-are-categorically-false-ministers-spokesperson-says.html>,

here <https://london.ctvnews.ca/london-health-coalition-fights-to-stop-privatization-of-health-care-with-new-campaign-1.5851916> and here <https://www.intelligencer.ca/news/health-coalition-blasts-private-care-provincial-approach>

*Forced movement of seniors into long-term care homes not of their choice

* Long-Term Care Minister Paul Caladra’s claims that this initiative is to allow conversation is so manipulative as to be false. Obviously hospital discharge planners already have the ability, and have always had the ability, to have conversations with patients to move them out of hospitals.

What they are not allowed to do is coerce patients. Patients already have

to choose a minimum of five LTC homes to shortlist and there are an arrayof measures to pressure patients to move out of hospitals. Already coercive tactics to push the elderly out of hospitals without care or to inadequate places is one of the most common cause of complaint received by patient advocates. The change proposed by the government enables them to push elderly patients into places not of their choosing.

The claim that these moves will be temporary is false. The life expectancy of seniors entering long-term care is 18 months. Many will never make it to a home of their choice. Many will die in a place they do not want to live.

The claim that this will fix the hospital staffing crisis is false. Emergency departments and Intensive care units are staffed by specialized RNs and health professionals. Alternate care units where seniors are waiting for long-term care are staffed by PSWs and RPNs primarily. They are not transferable.

We think this announcement is about filling up the beds of the long-term care homes that are empty – the worst homes, primarily for-profits where noone wants to go. The public and non-profit homes have always had longer wait lists than the for-profits.

Since the horrific exposés in the pandemic, Ontarians more widely have heard about the terrible long-term care homes and do not choose them for their shortlists. The LTC operators do not get full funding unless their beds are 98% full. Forcing or otherwise pressuring the elderly into terrible homes that they do not want to go to, especially as it is likely the place will they will die, is odious.

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2 responses to “‘Ford Government Using The Health Care Crisis To Privatize Ontario’s Public Hospital Services And Push Seniors Out To Long-Term Care Beds In The Worst Nursing Homes No One Wants To Go To’ – Ontario Health Coalition

  1. Yes, the PC’s are ‘paving the way to poverty’ for the average Ontarian while filling the pockets of private health corporations.
    Great recipe to help out the rich. Create a health system problem by ignoring it and the front-line workers so they can displace a public system.

    Corporations don’t have a conscience; they have lawyers and accountants and a big helping hand from Ford.

    Your best health care right now is to take that licence sticker money and buy a first aid kit because that’s all we’re getting from Ford and the PCs.

    Like

  2. I hope and trust that everybody who voted in this appalling excuse for a government is heartily regretting their choice at this moment. Not only are the Ford PCs venal and uncaring, they are also staggering incompetent and they lie through their teeth. Can we please take a break from slamming Justin Trudeau to make Doug Ford understand how angry we are???!!

    Like

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