Roundup: That’s not what the Canada Health Act means

As much as I have some residual shreds of optimism that some people are starting to wake up to what is going on with the collapse of our healthcare system and are finally starting to apportion blame where it belongs—namely the provincial premiers—that doesn’t extend to everyone. And lo, there are still far too many members of the pundit class in this country, including its newest inductee, who refuse to get the memo, and who misconstrue the system in order to pin the problems on Justin Trudeau. To add to that, my reply feed is inundated with people who believe the disinformation that Trudeau has either cut or withheld half of the funding for provinces, which bears absolutely no resemblance to what is happening in reality.

https://twitter.com/EmmMacfarlane/status/1603795671760486411

https://twitter.com/EmmMacfarlane/status/1603796262276550657

And do not start handwaving about the Canada Health Act, because you can pretty much guarantee that it doesn’t mean what you think it means.

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Ukraine Dispatch, Day 297:

Russia launched a major missile offensive against Ukraine, whose forces intercepted some 60 of the 76 missiles fired at them. That further damaged critical infrastructure in places like Kyiv, Kharkiv, Kryvhi Rih, and Zaporhizhzhia. This of course strained electrical grids even further, as each subsequent attack strains the system even further, making it harder to recover from each attack.

https://twitter.com/AnitaAnandMP/status/1603898290747080704

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Roundup: Delaying the expansion of MAiD?

The day after the House of Commons rose for the winter break, David Lametti and Carolyn Bennett announced that they would be moving to delay the implementation of the expansion of medical assistance in dying for those who suffer solely from a mental disorder, or for mature minors with terminal conditions. The problem? The expansion date is already legislated, so they will need to pass legislation when they return at the end of January in order to make that happen, and they haven’t released any details to opposition parties about what kind of delay they’re talking about.

There are a lot of problems with this announcement. While I won’t repeat most of what I wrote in this column last week, part of the problem is that this perpetuates an unfairness for those who have an untreatable mental disorder but also have another comorbidity who can apply for MAiD while those who don’t have the comorbidity can’t, and in the process, it continues to stigmatise mental illness. That’s why the delay also goes against the Supreme Court of Canada’s finding of unconstitutionality. Meanwhile, everyone who says “mental health is health” but is pulling for this delay is making a hypocrite of themselves because you’re proving that it’s something separate. Additionally, you can’t just say the federal government shouldn’t go ahead with the expansion until more supports are offered because they cannot legislate those supports. Those have to come from the provinces, who are not bound to any federal timetable, and while yes, the federal government is negotiating a dedicated mental health transfer to the provinces, we are back to the problem of negotiating outcomes into that agreement and provinces balking at strings. We can’t divorce the fact that most of the objections to this are either socially conservatives in nature that oppose all forms of MAiD in principle, or it’s from people squeamish about mental illness and who are further perpetuating stigmatisation. I have little doubt that this is going to turn into a meltdown in February once MPs are back, and it’s going to be extremely hard on the system.

Ukraine Dispatch, Day 296:

Russian forces are pounding the Donetsk region. Russia has been threatening “consequences” if the US does deliver a Patriot anti-missile system to Ukraine, without spelling out what those are, but part of the problem with America transferring the systems is that they take some 90 personnel to operate and training which they can’t provide on the ground.

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Roundup: End of the 2022 fall sitting

Yesterday was the last sitting day of 2022 for the House of Commons, and as is common at this time of year, everyone is cranky and ready to go home and have a nap, and this year is no different. This being said, Question Period has been pretty sedate overall the past few weeks, and there have been pre-Xmas QPs in years past that were rancorous, and we haven’t had that. Nevertheless, the government is in definite need of time to go regroup after the way they utterly ballsed-up their own gun control legislation, as well as some of the other problems with bills like their broadcasting and online news legislation. Hopefully some time away will help them get their priorities straight, and to fix the mistakes they made by either being too clever by half, or by sheer incompetence (and sometimes it’s a tossup as to what the problem was indeed).

I will note that there was an outcry over Twitter from members of the disability community that the Canada Disability Benefit legislation didn’t pass before they rose, and an NDP MP tried to pass a motion to give emergency funds in the interim, as though that were remotely feasibly and wouldn’t result in provinces clawing back their own meagre benefits. (Seriously, CERB was not magic.) The thing that needs to be remembered is that the CDB bill is just a framework—even if it passed yesterday, it wouldn’t pass the Senate in time, and when it does pass, it needs to go through a massive regulatory process to fill in the benefits, which also needs to be done with provincial negotiations so that we don’t wind up in a situation where provinces either claw-back benefits or funding so that these people are worse off than they were before, or where things wind up in a situation where other supports are withdrawn because they were means-tested and the federal benefit moves them out of reach of those thresholds, which again, will disadvantage those who need it. None of this is happening overnight, and it’s a process. So frankly, the fact that the bill didn’t pass before Xmas this year is not surprising, and wouldn’t have an immediate impact in any case.

Ukraine Dispatch, Day 295:

Ukrainian authorities say that they intercepted and destroyed thirteen explosive-laden drones headed for Kyiv yesterday, but the wreckage still damaged five buildings. Meanwhile, Russia has said there will be no Christmas ceasefire in Ukraine, which isn’t surprising (though the only thing even less surprising would be them agreeing to it and then reneging). In the meantime, they have shelled the regional administrative centre in Kherson, because.

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Roundup: Trudeau holding the line on health transfers

While NDP leader Jagmeet Singh makes empty threats about ending their confidence agreement with the government if they don’t *handwave* do something about the current crisis in paediatric hospitals, prime minister Justin Trudeau seems to be staking a pretty firm position that he’s not giving the provinces a blank cheque and that he’s going to only give money when there is an agreement to reform the system, starting with data on outcomes so that they can measure what the new funding is doing. In his year-end interview with The Canadian Press, Trudeau elaborated on this particular position, with the backing of some national doctors and nurses groups, that just throwing money at a broken system won’t solve anything, so he’s going to just keep kicking this problem down the road.

Of course, the provinces think they have the upper hand here and have spent all kinds of money trying to convince Canadians that this is all the federal government’s fault, because they have been given a free hand with blame-shifting for decades now, because they could get away with it. There is ever-so-slowly a coming around to the fact that no, this is pretty much entirely the provinces’ mess, and the fact that they think we’re all idiots who can’t see that they’re crying poor while running surpluses, handing out vote-buying cheques and giving tax cuts to upper income brackets. They can’t keep up this act forever, and they are looking increasingly desperate in their attempts to keep shouting “look over there!”

Meanwhile, let me note that PEI remains the only province still moving ahead (slowly) with national pharmacare, as they are slowly identifying gaps and adding them to the formulary.

Ukraine Dispatch, Day 294:

Ukrainians fleeing from Bakhmut describe constant shelling as Russians have pounded the city into nothing. In Kyiv, president Volodymyr Zelenskyy dissolved the District Administrative Court, which was rife with corruption and likened to a criminal organisation, saying that Ukraine can fight corruption and Russian invaders at the same time. The US has also been finalizing plans to send Patriot missile defence systems to Ukraine, which could help with the incoming Russian bombardment. Meanwhile, doctors and nurses from Mariupol have reassembled in Kyiv to help displaced Ukrainians in need of care. Elsewhere, here is the tale of Ukrainian women building drones in Latvia to send back to aid the war effort in Ukraine.

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Roundup: The passing of Jim Carr

Just before Question Period was about to start yesterday, the news broke that Liberal MP Jim Carr, who had been dealing with cancer for the past three years, had died. Proceedings were cancelled for the day, and tributes have been pouring in.

Ukraine Dispatch, Day 293:

It appears that Russia has burned through so much ammunition that they are now using decade-old stockpiles with high failure rates. Ukrainian forces say they have repelled Russian advances against four settlements in eastern Donetsk, and on eight settlements in Luhansk. Meanwhile, president Volodymyr Zelenskyy met virtually with G7 leaders about the need for modern tanks, artillery, shells, and natural gas to help their situation.

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Roundup: Not recognizing one of our most important events

Yesterday was Statute of Westminster Day, but you wouldn’t actually know it given how little attention it receives. My Apple calendar does mark the occasion, but how many people understand its significance? And they should, because it was probably the most significant development in our country’s constitutional history—arguably more significant than confederation itself, or of patriation in 1982. Why? Because the Statute of Westminster in 1931 was the creation of the Crown of Canada, as a separate and distinct entity from the Crown of the United Kingdom.

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This matters because it gave us control of our own foreign policy, and domestically, it centred the Governor General as taking advice only from the Canadian prime minister, no longer reporting to the UK’s foreign office like they used to do. There are fewer developments that are more important in how we have been able to operate independently as a sovereign country with our own sovereign at the head. So how did the various political parties mark the occasion, particularly in a year where the Crown of Canada has been in focus because of the transition to the new King?

Only the Conservatives put out a statement, and it didn’t even mention the Crown of Canada. So, that’s where we are. One of our most important constitutional developments as a country, left by the wayside. It’s a sad indictment of our history and civics knowledge that this happens year after year.

Ukraine Dispatch, Day 292:

Odessa is mostly in the dark after Russian attacks, and it could take a month to restore their power grid. As the battle in the eastern part of the country grinds on, the city of Bakhmut is essentially destroyed. And a month after being liberated, Kherson is still in the process of clearing the booby-traps Russian forces laid for civilians in the area.

https://twitter.com/strategywoman/status/1602012251543982080

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Roundup: The ideas guy versus the kludge

The rules around the kludge that is being called dental care are released, and lo, it’s about as bad as was expected, possibly even worse, because the CRA was always the worst way possible to deliver this benefit (particularly after some of the trust-but-verify problems surrounding pandemic benefits that the Auditor General illuminated earlier in the week), and ye they bullied ahead with it because the NDP didn’t care about implementation, so they put an unrealistic timeline in their agreement with the Liberals to prop up the government, and an expectation that this should be a federally-administered programme rather than an agreement with provinces like every other federal programme (most recently with early learning and child care).

And no, this is not something that could simply be added into existing healthcare systems because that would require provincial buy-in, and every premier who was asked about this balked, some of them because they have existing programmes for low-income households, and all of them because they really, really do not want another federal programme to manage and contribute to, or be on the hook for when a new government comes to power and starts to axe it.

But remember, the NDP are the “ideas guy,” who never worries about implementation, and who takes credit for the work the other guys did, because he came up with the idea, don’t you know? This is all going to go so badly because it was rushed and had really stupid conditions imposed on it, but they can crow that they got dental care.

Ukraine Dispatch, Day 290:

It looks like Russian forces may have kidnapped two senior employees of the Zaporizhzhia nuclear plant as part of ongoing pressure tactics to get them to sign the plant over to Russian authorities, which they have refused to do. Meanwhile, Belarus told the UN it would allow passage of Ukrainian grain through its territory to Lithuanian ports without conditions, but given that Belarus is a Russian puppet stage, we’ll see how much they actually uphold the deal.

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Roundup: Not a national government?

The “Sovereignty Act” passed in Alberta on Wednesday night, albeit in a slightly amended form where the Henry VIII clause was largely taken out, but it’s still hot garbage and still blatantly unconstitutional on a number of fronts, so have no worries there. Rachel Notley has, not incorrectly, pointed out that that the rejection of federal authority clearly lays the groundwork for separatism, and the brain trust (if you can call it that) which were behind the bill are actively trying to court a constitutional crisis, demanding constitutional changes or they’ll start holding separation referendums (because that won’t devastate the province’s economy like it did Quebec’s in 1980. Cripes).

And then Danielle Smith said something really stupid, like she is wont to do, insisting that we don’t have a national government (erm, we do), and that provinces are sovereign (they’re not), and made up a bunch of ahistorical nonsense about signatories to the constitution and powers of the provinces, and it’s all wrong, but it’s not like Smith cares.

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As for Justin Trudeau, he is steadfastly refusing to take the bait, and it looks like there will be some court challenges to the legislation in Alberta before the federal government is forced to make any kind of move to refer it to the Supreme Court of Canada. Some of those challenges may come from the province’s First Nations, who can clearly see that this is going to infringe on their inherent and treaty rights because it’s a resource grab by the province (and likewise in Saskatchewan with their “Saskatchewan First Act”) which is an absolute violation of Indigenous rights.

Ukraine Dispatch, Day 289:

Russian forces shelled the entire front of the Donetsk region, in what Ukrainians say is a bid to secure the bulk of territory they have already claimed, with the fiercest fighting once again near Bakhmut and Avdiivka. Ukrainian officials are also saying that Russia has installed multiple rocket launchers at the Zaporizhzhia nuclear power plant, apparently trying to use it as a base to fire on Ukrainian territory, which not only violates all rules around nuclear safety, but is trying to use the plant as a shield from retaliation.

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Roundup: The Auditor General is not infallible

I have to say that I am both amused and irritated by the number of stories out over the past couple of days about the Conservatives supposedly “defending” the Auditor General, or that there is a “battle brewing” between the AG and the Canada Revenue Agency because they didn’t agree with her calculations around some of the benefits or whom she believed were receiving them on a fraudulent basis. For one, the Conservatives didn’t come to her defence—it was a bit of cheap theatre for them to suddenly start screaming that the government somehow attacked her independence and therefore “democracy itself” (no, seriously, they said that) because the revenue minister said that the CRA didn’t agree with her calculations, and then cheekily added that it wasn’t her fault because the opposition was forcing her to do the audit (which is partially true—it was the compromise that they insisted on to pass the emergency COVID legislation back at the start of the pandemic, so the mandate was legislated, but because they demanded it).

My bigger problem is the fact that this disagreement is somehow scandalising because we have an unhealthy veneration of Officers of Parliament and the Auditor General most especially in this country. A virtual cult has been built around them, particularly by media, who love nothing more than watching the AG go to town on criticising the government of the day, no matter which stripe of government it is, and they will uncritically believe absolutely everything the AG says because they are independent, and therefore must be inherently credible. There are similar problems with this lack of critical engagement with the Parliamentary Budget Officer (and the current one has been a real problem around that, as he picks methodologies out of thin air), and again, his word is gospel. But they’re not infallible. The previous AG ballsed up the Senate audit really badly, and it was an absolute mess, but nobody wanted to talk about it because you can’t badmouth the Auditor General. It’s like a cardinal sin in this city. And departments should be allowed to have disagreements, because the AG isn’t going to get it right every time. That’s just a physical impossibility, and we should acknowledge that fact, but as we see, when it happens, it’s like heresy. People need to grow up, and media needs to be more critical of these Officers, because media is the only check they have.

Ukraine Dispatch, Day 288:

Kyiv’s mayor is warning people that while there is no need to evacuate at present, it could become necessary if Russian strikes continue on critical infrastructure over the winter. There are some concerns around movements inside of Belarus, but it is also suspected this may be a decoy and an information operation to keep Ukrainian troops near that border rather than at the front lines. Elsewhere, here is the harrowing tale of a Ukrainian father who was separated from his children by Russians while trying to flee Mariupol, and his ordeal in getting them back from Russian hands.

https://twitter.com/ukraine_world/status/1600404008463523841

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Roundup: A couple of not-that-scathing reports

The Auditor General released two reports yesterday on pandemic befits programmes and vaccine procurement, and they were…not explosive. Really. There were weak spots from the government, in large part because of the haste in which these programmes were designed because of the pandemic, and some inefficiency, but on the report about vaccines, part of the problem with wastage is because of a lack of provincial data, because the federal government hasn’t been able to sign agreements with the provinces. And as we’ve seen all too often, this is the fault of the provinces.

Nevertheless, the Conservatives were salivating over this release and put on a whole dog and pony show to decry that this was a sign that this government’s “wasteful spending” is what is fuelling inflation, which isn’t true, but this is the narrative they have been trying to push, and these numbers were ripe for the plucking. And as they do with every other officer of Parliament, they misconstrued the report, cherry-picked figures, and cranked up the hyperbole, and lo, this was scandalous. But that’s not what the report found. And it also ignores that they voted unanimously to design the benefit programmes this way because it was more important to get the money out the door.

Anyway, here’s Jennifer Robson’s read of the report, and it’s worth your time.

 

Ukraine Dispatch, Day 287:

Another drone strike within Russia set a third airfield ablaze, though the Ukrainians have not claimed responsibility for the attack. (Video here) More Russian missiles did strike civilian targets in Ukraine, but they were said to be less severe than other attacks in recent weeks. The strikes against Russian airfields have Russian bloggers questioning the competence of their government’s defences.

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