Tag Archives: Healthcare

Roundup: The limits of federal capacity to help

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As the omicron variant continues to surge and stress hospital systems around the country, the federal health minister has started issuing a warning to provinces—the federal government’s resources to help provinces are finite, and that provinces are going to need to do more to bend their curves and reduce caseloads, because the federal government is about tapped out. That could include stricter vaccine mandates within provinces, because they may not have a choice as the unvaccinated continue to swamp the healthcare system. (This is where Jason Kenney and his mini-me, Scott Moe, immediately declared that it wasn’t going to happen in their provinces).

The Canadian Forces’ own medical abilities are very finite, and even before the pandemic, they were already short thousands of bodies necessary to do all of the work they’re supposed to be doing. The pandemic has very much not helped this situation, and between pandemic needs and natural disasters (wildfires and floods), the military is having a hard time doing its own job and preparing soldiers for possible combat deployments when provinces keep demanding more military help—and there is talk that Ontario should bring in more military personnel to deal with the crisis that is yet again brewing in its long-term care homes. This is not only not sustainable, but I suspect there is also a troubling willingness on the part of provinces to simply turn to the federal government (and federal dollars) because it’s easier than doing the hard work on their own, in their own backyards.

Yes, the federal government is doing what it can, but at this point in the pandemic, a lot of bad decisions by provinces are catching up with them, but we already know that the blame is going to fall on the federal government because they couldn’t do enough to fix the premiers’ mistakes (and really, they have neither the jurisdiction, the capacity, or the necessary competence to do so). But too many bad actors are willing to blame the federal government because it suits there purposes to do so, and I will bet you that virtually nobody in the media will bother to correct them because too many of them believe the maxim that “nobody cares about jurisdiction in a pandemic,” even though real life doesn’t work that way, and no amount of political willpower (or Green Lantern rings) can change that fact. And premiers whose bad judgment cost thousands of lives will get away with it, because we have an allergy to holding the right people to account in this country.

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Roundup: Theatre of the absurd, housing motion edition

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The closer the House of Commons gets to rising for the winter break, the more absurd theatre we see. Yesterday was case in point, with the Conservatives’ second and final Supply Day of the calendar year. The topic was housing, but their motion was a complete dog’s breakfast of nonsense, contradiction and outright unconstitutional demands. Because of course it was.

The point was made that the inclusion of the outright lie about capital gains taxes was a ploy for the Conservatives to say that the Liberals were not ruling it out when this motion as inevitably defeated (as indeed it was). But Liberal Mark Gerretsen though he was being crafty and tried to move a motion after QP to head off those talking points, trying to call for unanimous consent to reaffirm that they wouldn’t tax capital gains. But the motion didn’t pass, so Gerretsen tried to spin that too, and it’s just utterly stupid that I can’t even.

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Roundup: Knives out for O’Toole?

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Erin O’Toole’s future is under discussion, as a number of vocal MPs are coming out to support his continued leadership, and former Ontario premier Mike Harris is adding his voice to the call. But this is as other MPs are phoning up journalists, on a not-for-attribution basis, absolutely savaging O’Toole and the fact that he is a lying liar and an opportunist of the highest order, and that ultimately undermined their case during the election. (Threads here and here).

This is going to start resolving itself at the first caucus meeting, whenever that takes place, because it’s when the party is going to have to vote on which provisions of the (garbage) Reform Act they are going to adopt for the 44th parliament, including the provision about having the caucus hold a vote to start a leadership review process. Why this is important is one of the reasons that makes the Act garbage in the first place – it actually makes it harder for caucus to push out a leader because it establishes a threshold of 20 percent of the caucus needing to demand a vote before it can be held. That exposes his critics at a time when he is deciding on critic portfolios and things like committee chairs for opposition-chaired committees, and he can use that fear-or-favour system to punish his critics if they fail to meet that 20 percent threshold. If they didn’t have this threshold or this framework, we’ve seen leaders read the writing on the wall with far fewer MPs/MLAs going public, and resigning as a result. The (garbage) Reform Act provides protection for those leaders where it’s supposed to be putting the fear of caucus into them, and it’s just such a dark irony that once again, attempts to improve the system only make it worse.

And while there are a bunch of voices (especially over on the CBC) who seem to think that Andrew Scheer was pushed out for his loss, they have all apparently forgotten that he resigned, particularly after his use of party funds came to light. Whether that was an excuse is not really the point – it wasn’t simply because he lost the election.

Programming note: I am taking the weekend off of blogging entirely because I am exhausted from the election and need to catch up on some sleep. See you next week.

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Roundup: The “brother” meltdown

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Because we’re in an election and it ramps up the absolute stupidity across the board, we had another so-called “gaffe” that made a bunch of people performatively lose their minds, and I can’t even, you guys.

In a press conference about the situation in Afghanistan, Maryam Monsef, the minister responsible for the status of women and gender equality and a former refugee from Afghanistan, who fled when she was a child, made a direct address to the Taliban about letting people out of the country, and used the term “brothers.” And people lost their gods damned minds. She was asked about it and said that the context was cultural and she absolutely considers them to be terrorists, and yet the insinuation persists that, somehow, she was using the term as being sympathetic to a group that is diametrically opposed to everything she is about. WTF.

https://twitter.com/ChrisGNardi/status/1430565362265907205

And I don’t think it’s beyond the pale to suggest that there was a racist or Islamophobic undercurrent in the media even questioning that she was somehow trying to be sympathetic to the Taliban. Because seriously, you think that somehow Monsef personally, or the Trudeau government, is going to be “soft on terror,” or some other bullshit like this? Are these the tropes by which we will repeatedly fall back into, because we have learned nothing over the past twenty years? Apparently not, especially when it’s all being done to put on a show. It’s pretty gross, you guys. Do better.

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Roundup: Cherry-picking and one-upping policy

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There was a definite whiff of cynicism with the Liberals’ latest announcement, this time around housing, and it is starting to look like their election platform is to cherry-pick what the other two main parties have done and try to either one-up those policies, or extend the existing Budget 2021 framework with these rival policies in mind. So that’s going well.

On the other side, you have both Erin O’Toole and Jagmeet Singh proclaiming that Trudeau had that six years could fix the housing affordability crisis, because apparently, it’s that easy to solve – and while Justin Trudeau did call them out in saying that anyone who thinks it can be solved in a snap doesn’t understand the depth of the crisis, and he’s right. He’s also right to point out that they had a big hill to climb when it comes to re-engaging the federal government on housing with agreements with the provinces, and they’ve been getting there, and accelerating a lot of that funding through the pandemic, but there has been little acknowledgement that the biggest bottlenecks to building more housing is coming from the municipal governments. It’s one of the reasons why the federal dollars for housing aren’t getting spent – projects can’t get approved at the municipal level. Now, the Liberals do have something to address this in their platform, which is a $4 billion fund that essentially seeks to bribe these councils into approving projects, but it is being argued that this won’t help those municipalities where this is a problem by very much, and it may be easier to go to the provinces to amend their own municipal parent legislation to remove some of these regulatory barriers from their end. Of course, that’s another case of “working with provinces,” though in this case, they may be more motivated than on other files.

This being said, nothing any of the parties are going to do is likely to help affordability anytime soon – especially because the problems for increasing the housing supply are dependent on eliminating those bottlenecks, and ensuring there is sufficient labour to build the houses, and in the major markets where this housing is most needed, that may be a problem in and of itself (especially if you want to attract that labour from other provinces, but they can’t afford a place to live when they arrive). And especially because nobody wants to piss off existing homeowners, who want their current home equity to keep appreciating, never mind that it just continues to make the problem worse. But politics is about tough choices, so we’ll see who can make reasonable ones.

In the meantime, here’s Jennifer Robson in this long thread recounting the last time a federal government tried a home buyers’ savings account, and Mike Moffatt gives his take on these announcements.

https://twitter.com/MikePMoffatt/status/1430253010618355727

https://twitter.com/MikePMoffatt/status/1430254029729378307

https://twitter.com/MikePMoffatt/status/1430254668458991620

https://twitter.com/MikePMoffatt/status/1430255115085156356

https://twitter.com/MikePMoffatt/status/1430256554561974276

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Roundup: Considerations on the private delivery debate

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The accusations and sanctimony from that video continued to reverberate around the campaign yesterday, with the Liberals defending the video and its edits, while the Conservatives wrote to the Commissioner of Elections to have it taken down, and really, we’re all the dumber for it.

It did keep the debate on healthcare going throughout the day, and while I do have a column on this coming out later today, I’ll make a few additional observations, which is that there are nuances to the debate around private delivery, and one of them is how stringently the federal government enforces the Canada Health Act when it comes to that enforcement. There are concerns that the Conservatives’ pledge to increase health transfers with no strings attached is a signal that they are willing to allow more private delivery, whereas the Liberals are starting to resume clawbacks of health transfers in proportion to fees collected from private delivery, as they paused those clawbacks during the pandemic so as to give provinces as many resources as possible (though one could argue that the federal government could have played harder ball). An example is Clinic 554 in New Brunswick, which is a private abortion clinic as the province won’t pay for its services, citing that the province is already sufficiently covered with the three hospitals that provide the service (which is disputed as the Clinic is in Fredericton, where the service is not provided publicly). The federal government was clawing back health transfers related to fees that people paid to the clinic, but stopped when the pandemic hit. It looks like this is going to start in Saskatchewan and Manitoba with private delivery of services in those provinces.

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Roundup: Debating the “manipulated media” tag

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Because this campaign is already reaching levels of stupid that are hard to comprehend, we got into the supposed health care debate portion over the weekend, with Chrystia Freeland tweeting clips of Erin O’Toole responding to a question where he praises certain elements of privatizing healthcare – apparently to help “drive efficiencies” – but what the clip didn’t show was him saying that he still felt universal healthcare was paramount. And while this raged back and forth over social media, Twitter slapped the “manipulated media” tag over the French version of the video (but not the English, leading to some speculation that it was because of the subtitles), and lo, did all of the Conservatives on social media have a field day.

Of course, said field day simply outlines their own hypocrisy, as they went into the weekend widely sharing shitposts of Justin Trudeau saying he doesn’t think about monetary policy – while having truncated the clip so that you don’t hear him talking about affordability. It’s a game they’ve long played (hello, the truncated quote of “budgets balance themselves” anyone?) so they can’t claim to be the wounded party here, and their wounded tones about Freeland proving she wasn’t such a statesman after all is all partisan bullshit, and yet, we’re in a campaign so it’s not wholly unexpected. But seriously, guys, tone down the sanctimony – and the gloating.

Meanwhile, a couple of reminders when it comes to the healthcare debate:

https://twitter.com/tammyschirle/status/1429525317866115079

https://twitter.com/MikePMoffatt/status/1429546698184003589

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Roundup: Stay-at-home again, complete with feigned surprise

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Ontario is now back under a “stay-at-home” order, issued its third state of emergency, and lo, there has been movement on vaccinations in that they are now going to start targeting high-risk neighbourhoods and essential workers, like they should have started weeks ago, so that’s positive. Oh, but still no paid sick leave because Ford and company continue to mislead people by claiming the federal sickness benefit is the same thing, which it absolutely is not. What most assuredly is not positive is the fact that the provincial government knew this was coming. They have been warned for weeks that this was going to happen, and they were explicitly told that loosening restrictions in the face of the new variants would be a disaster. There was that press conference on February 11th that said just that – and they didn’t listen, and now they have the gall to pretend to be surprised that the numbers are exceeding their worst-case scenarios? Sorry, but no. Get out of here with that bullshit.

https://twitter.com/moebius_strip/status/1379884476054966272

https://twitter.com/robert_hiltz/status/1379962777566085120

And here’s Supriya Dwivedi which lays out why Ford has completely ballsed this up and created this Third Wave and all of the illnesses and resulting deaths as a result.

Meanwhile, the National Advisory Committee on Immunization has decided to stick with their advice that second doses can be delayed for up to four months – and the “up to” is key – but given increasing vaccine supplies, that interval is likely to be less. And the reason why they’re saying this is because they are looking at the balance of ensuring that as many people get a first dose as soon as possible in order to have at least some level of protection. The problem is that this isn’t being effectively communicated by most media outlets (the Star piece linked here is actually doing a decent job) and even on Power & Politics last night, after the head of NACI patiently explained all of this, Vassy Kapelos still characterised it as NACI recommending a four-month delay, omitting the “up to” and creating a false impression of the advice, and it makes it easy for certain parties like the Conservatives to deliberately misconstrue NACI’s advice for partisan point-scoring. I do not understand what CBC thinks they are doing by reporting this way. It defies sense.

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QP: O’Toole with the follow-up

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Wednesday, proto-Prime Minsters Questions Day, and all of the leaders were present. Erin O’Toole led off, with his script on the mini-lectern in front of him, and not only declared that Canada would not get vaccines until other countries do, and demanded the “real” vaccine plan. Justin Trudeau assured him that Canada has one of the most robust vaccine plans in the world. O’Toole was not mollified, and again demanded the plan, to which Trudeau gave some bland platitudes before he said they had a numerous plans for distribution in the works. O’Toole complained he wasn’t getting a real answer, wondered about American “emergency” approvals for drugs, and accused the government of not having a plan. Trudeau gave a weary sigh and noted that people don’t care about what they hear in QP, but that they wanted the government to get stuff done, and they were. O’Toole switched to French to complain that the government was been mean to Quebeckers by not applying the province’s Bill 101 to federal workplaces, and Trudeau assured him that they were committed to protecting the French language in Quebec. O’Toole then mischaracterised comments by MP Emmanuella Lambropoulos as being “contemptuous” of Quebeckers, and Trudeau assured him that she had apologised for the her remarks. Yves-François Blanchet picked up on this line and decried the decline of French, and Trudeau repeated that they respect French and were working to strengthen it. Blanchet ratcheted up his rhetoric for his follow-up, and Trudeau wondered why the Bloc was trying to start a fight over something the government agrees with. Jagmeet Singh was up next, and in French, he accused the government of doing less in the second wave than they did in the first to which Trudeau listed measures that they have taken to assist the provinces. Singh then switched to English to repeat the accusations, and Trudeau repeated his response. 

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QP: Assertions of no PMO interference

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All of the leaders were absent for the day, and not even the deputy PM was present, making it feel a little more like a Friday than a Monday. Gérard Deltell led off in English, lamenting that the prime minister wouldn’t protect the unconditional freedom of speech, and feeling there should be limits on it. François-Philippe Champagne responded with condolences for the people of France, and saying that Canada would defend freedom of expression around the world. Deltell repeated the question in French, to which Champagne warned him against politicising such a horrific incident. Deltell tried to put forward the notion that it took Trudeau twelve days to condemn the murder of that teacher in France, to which Champagne rebutted that he made a statement the following day. Deltell reminded Champagne that he is not yet prime minister, and insisted that the government was not standing by its ally in France, and Champagne rebutted that the government speaks as a whole. Deltell again returned to Trudeau citing that there are limits to freedom of expression, for which Champagne again chided him about politicising the issue. Stéphane Bergeron led for the Bloc, and he too hammered on Trudeau saying there were limits to freedom of expression, for which Champagne reiterated his that Canada stood by France and to defend freedom of expression. Bergeron accused the government of downplaying Islamic terrorism and hurting Quebec’s special relationship with France, to which Champagne repeated that Canada was standing by France. Jagmeet Singh was up next by video, and in French, after mentioning the attack in Quebec City, he demanded increased funding for mental health services, for which Patty Hajdu reminded him that they have been increasing funds for provinces for mental health services. Singh switched to English to worry about small businesses paying commercial rent, accusing Trudeau of helping “Liberal insiders” instead. Sean Fraser responded with a list of programmes available for small businesses. 

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