Tag Archives: Public Health

Roundup: Admission that deadlines will be missed

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The federal government announced yesterday that they weren’t going to be able to meet their deadline for fixing all of the boil-water advisories on First Nations reserves, in part because of delays caused by the pandemic. And while they should get some points for at least owning this rather than sending it down the memory hole like their predecessors did, this is yet one more file where they need to do a much better job of communicating what is going on with the file. And Marc Miller is better than many of his fellow ministers, but there needs to be a hell of a lot more candour that about these boil-water advisories, such as each case is unique so you can’t fit the same solution to all of them; it is a huge challenge to build major infrastructure in remote and fly-in communities, and that takes a lot more time to complete a project as a result; that in some communities, the bigger problem is capacity to maintain systems – and in some communities, the problem is that as soon as they train someone to maintain the system, they get a better offer and get poached. Miller did note that in some cases, the state of decay in some of these systems was not adequately appreciated, and that climate change and shorter winters make getting materials up to some communities on ice roads more difficult. The other aspect of note is that there is yet more funding attached to finish the job, as well as better ongoing maintenance and prevention of future advisories, which is all good, but again, they need to communicate what the challenges are, lest we get another round of people who live in cities not being able to appreciate that you can’t throw money at a problem like this and hope it gets fixed overnight.

This being said, there is already talk about broken promises, and the dangers of setting deadlines, and so on. I would note that there should be nothing wrong with setting ambitious targets, and there should also be nothing wrong with adjusting them, but that should be accompanied by candour that lays out why plans need to be adjusted. I think this government underestimates how much goodwill can be gained by frank and honest discussions of projects rather than just sticking to the happy-clappy talking points and other pabulum that they spout, but what do I know?

In pandemic news, the Alberta government has requested field hospitals from the federal government and the Red Cross, but they claim that this is just about contingency planning, and that they haven’t requested personnel for them. Given that infections are out of control in the province, and its hospitals are already at the point of being overwhelmed, you can be pretty sure that this line about it being for a “contingency” is bogus, that they know they need to do this because they refuse to lockdown, and this is just softening the ground.

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QP: Going hard on the CanSino conspiracy theory

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It being Wednesday, the prime minister was present and ready to respond to all questions put his way. Erin O’Toole led off, script on his mini-lectern, and he immediately started in on his CanSino conspiracy theory, apparently not understanding how vaccine regulation works, to which Justin Trudeau insisted that they signed on with Moderna and Pfizer before the CanSino deal fell apart, and why they put their eggs in as many baskets as possible. O’Toole said that CSIS was trying to warn the government about CanSino for years, but Trudeau again refuted this. O’Toole quoted an unnamed security analyst to say that China played Canada on the CanSino deal, and Trudeau stated that O’Toole was making stuff up, and that when the CanSino deal fell apart, Canada’s vaccine portfolio went from eight candidates to seven. O’Toole switched to French to claim that other countries will have all of their populations vaccinated by June, but Canada wouldn’t by September, to which Trudeau reminded him that Health Canada was studying four candidates and that there are guarantees for doses for Canadians. O’Toole demanded a plan to give the country “hope,” to which Trudeau said that their plan was to protect Canadians and help the economy weather the storm so that we will emerge from the pandemic in a strong state. Yves-François Blanchet got up next for the Bloc, and he demanded increased health transfers to the provinces, to which Trudeau reminded him that they have been working with the provinces since the pandemic began and have already transferred billions of dollars to them. Blanchet tried again, and got a much more emphatic version of the same answer. Jagmeet Singh was up next for the NDP, and in French, he lamented the lack of a vaccine plan, for which Trudeau reminded him that they have been working with the provinces since the spring to prepare for this. Singh changed to English to decry that the government wouldn’t be able to complete their pledge to end all boil water advisories on time, and read a statement from a First Nations child. Trudeau read a script that they have been working with those communities, and it takes time to overcome decades of neglect.

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Roundup: Moving on child care (again)

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The fiscal update and its feminist lens, as well was talk of the “she-cession” has given some people to look a bit more closely at the national early learning and child care proposal that the government is putting forward. And immediately you get those on the left chirping that the Liberals have been promising this for decades but never delivering (which is false – Paul Martin did deliver it, and had agreements signed with every province and money flowing, which Stephen Harper immediately killed thanks to the NDP helping him to bring down Martin’s government), and the Conservatives have resumed their 2004-2006 mantra that taxpayer dollars to child care spaces somehow robs stay-at-home mothers of their choice (also a verifiably bogus argument). Oh, and the Conservatives are also talking about refundable tax credits, which didn’t build a single child care space the last time they tried tax credits, nor will it build any should they form government again. Why? Because there is a supply-side problem, which is going to require federal and provincial investment. The first step of this is in the fiscal update – the immediate creation of a federal secretariat, which will do the work of developing policies for a national universal programme, as well as assisting with the federal-provincial negotiations, because child care is provincial jurisdiction, and the federal government can’t create these spaces without the provinces.

With this in mind, here is Lindsay Tedds and Jennifer Robson about the what is needed to make this a reality.

https://twitter.com/LindsayTedds/status/1333814949617881088

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QP: Calling out O’Toole’s vaccine misinformation

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The Speaker accidentally called out “quarrel questions” instead of oral questions, and that set the stage for the day. Erin O’Toole led off, script in hand, and tried to poke holes in differing statements that different ministers have made on vaccines. Justin Trudeau, appearing by video from home, reminded him that nothing has been approved to date, and that Canada has the most comprehensive portfolio of vaccines. O’Toole then tried to proffer his theory that the government was relying on the CanSino vaccine candidate, and Trudeau told him that he shouldn’t make stuff up. O’Toole pressed on the CanSino theory, and Trudeau repeated that this was not true. O’Toole switched to French to demand a vaccine plan, to which Trudeau stated that they were working with the provinces and experts. O’Toole then raised the CNN reports on China hiding early COVID data before returning to his CanSino theory, and Trudeau repeated that nobody has an approved vaccine to date. Yves-François Blanchet was up next for the Bloc, and he demanded increased health transfers for provinces, to which Trudeau reminded that they have been working with provinces throughout the pandemic and have transferred billions of dollars to them because of it, but he would be speaking with premiers and not the leaders of other parties. Blanchet raised the Quebec government’s objections to new federal programmes, for which Trudeau gave the well-worn line that there is no jurisdiction for the dignity and security of seniors. Jagmeet Singh then led off for the NDP, and he demanded to know which seniors would get the vaccine first, for which Trudeau said they were working with experts to determine who is prioritised on the rollout, with healthcare workers and the most vulnerable. Singh then raised a Manitoba First Nation dealing with a COVID outbreak, and that the Chief has asked for military assistance, to which Trudeau reminded him that they have been working with Indigenous leadership, and that they would continue to do so — but did not really answer the question.

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Roundup: The greater danger of spending too little

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Chrystia Freeland unveiled her first economic update yesterday, and much of it was predictable, from the size of the deficit (which every single news source focused on immediately, as though it were still 1995), to the lack of a fiscal anchor while we remain in the pandemic, to the promises for how to build back in a more inclusive and greener manner. One of Freeland’s major points was that there is a greater danger in not spending enough than there is in spending too much – particularly at a time of record low interest rates – and we saw this borne out in the last recession, where the Harper government withdrew stimulus too soon, and the Bank of Canada was forced to keep rates lower for longer and we had a consumer debt crisis as a result. There were “down payments” for the work of getting to national childcare, long-term care and the meeting climate targets, but those are also all areas where they need provincial buy-in, so that’s going to get interesting very fast, especially given the number of hostile premiers that are currently in office. There were also new programmes rolled out for tourism and live events, and plans to extend GST/HST to web giants.

Predictably, the opposition parties were unimpressed. Erin O’Toole spent his response speech lying about what has been done to date, set up a completely false revisionist history of the pandemic, and went on TV to moan that the government “overspent” on CERB – apparently not grasping that the point was to keep people at home so as not to spread the virus (ergo, the Conservative plan is apparently to force people back to work in unsafe conditions so that they can facilitate the spread of said virus). The NDP were also predictable in their demands for wealth and “excess profit” taxes, never mind that they are inchoate concepts that largely don’t work out in practice. This means that we get to go through yet another round of election speculation as people wonder if the opposition will gang up to bring the government down over the inevitable implementing legislation.

Meanwhile, Heather Scoffield remarks on the ambition in the fiscal update, and whether or not the government will have the ability to deliver on any of it. Kevin Carmichael bemoans the lack of a fiscal anchor, but does admit that Freeland is right in that there is a danger of spending too little, or withdrawing stimulus too early (like Stephen Harper did). Paul Wells is disquieted by the lack of details on big items in the update, as well as this government’s propensity to farm out tough decisions to people not in government – which is a problem.

https://twitter.com/LindsayTedds/status/1333534144752537600

https://twitter.com/LindsayTedds/status/1333535547239796737

https://twitter.com/LindsayTedds/status/1333536562450055169

https://twitter.com/LindsayTedds/status/1333537658740514819

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QP: Deliberately mischaracterizing the vaccine plans

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While both the prime minister and finance minister were in town and preparing for the fiscal update, neither were present for QP. Gérard Deltell led off, noting that the fiscal update was coming, but that no economic plan would be worth anything without a vaccine plan. Patty Hajdu responded that they have the best vaccine portfolio and that a fourth candidate has begun its regulatory approval process. Deltell then insisted that the government was too invested in the CanSino candidate and was late in other vaccine candidates, to which Navdeep Bains insisted that they supported Canadian vaccine candidates as part of their plan. Deltell then mischaracterised international vaccine plans to insist that Canada was behind, which Hajdu disputed. Peter Kent took over in English and worried about the plan for economic recovery, to which Sean Fraser reminded him that the federal government made the choice to incur the costs of courses rather than putting it on the backs of people. Kent then worried about the deficit — because apparently it’s still 1995 — and Fraser directed him to the statements by the head of the IMF around what Canada has done. Alain Therrien led for the Bloc and he demanded the vaccine plan, to which Hajdu repeated her lines about the portfolio and the fourth candidate seeking approval. On the follow-up, Hajdu read a statement in French about the doses acquired and working with partners. Jagmeet Singh was up next for the NDP, and in French, he regaled the House with the tale of a woman in Gatineau who works three jobs and needs a vaccine, for which Hajdu repeated her usual lines about the portfolio and the regulatory process. Singh switched to English to make the same demand for the plan, and Hajdu reminded him that provinces have the expertise on this.

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Roundup: Setting up the failure narrative

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The Conservatives spent Sunday trying to pre-position the narratives for today’s fiscal update by setting it up to fail, saying it needs a testing and vaccine roll-out plan to be effective – which are both areas of provincial jurisdiction and he knows it. The provinces have been given millions of rapid tests, and it’s up to them to roll them out (which most haven’t been, preferring to sit on them and wait instead) – and no, rapid at-home testing is still pretty much a figment of the imagination because the technology to make them like a pregnancy test still doesn’t exist. Likewise, we are still at a point where there are too many unknown variables with vaccines to make any definitive plans, which again, O’Toole knows but is pretending otherwise. O’Toole also tried to make the case that the government put “all their eggs” in the CanSino vaccine candidate basket, which was never able to leave China for testing, but absolutely nothing bears that out, given the massive investments in other local vaccine candidates, and ensuring that Canada would be positioned for access for other vaccine candidates that we couldn’t produce domestically.

To that end, the chairman of Moderna says that Canada is actually near the front of the line with their vaccine – which doesn’t require the same cold-storage chain that the Pfizer drug does – because we pre-ordered early. Of course, they can only produce so many vaccines so fast, so of course early doses are going to be lower than everyone would like, but they’re getting there (once they get approval). But then comes along Saskatchewan premier Scott Moe, who demands that the federal government get more doses faster – somehow. Apparently, they can wave a magic wand, or send bribes, or something. In reality, this is just Moe’s rather transparent attempt at making the federal government’s efforts look insufficient, so that it can distract from his own poor attempt to control the spread of the virus in his own province (and expect to see more of this from other premiers, particularly conservative ones).

In other pandemic news, the Alberta government has started listed co-morbidities with their death counts, as a rhetorical way of trying to lessen the actual impact of COVID deaths, trying instead to show that the people died of other complications and not COVID itself – which is bullshit, and a way for Jason Kenney to absolve himself of responsibility for his lack of action. And make no mistake, this is classic Kenney behaviour – and there is no small amount of irony that the man who keeps preaching “personal responsibility” in this pandemic is the one who refuses to take any measure of responsibility for his decisions.

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Roundup: Bringing in a general as a prop

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To finish out what was unofficially Vaccine Week™, prime minister Justin Trudeau announced that he had tasked Major General Dany Fortin, the country’s former NATO commander in Iraq, to head up the vaccine distribution response – because apparently, we have decided that if the Americans have a military response, we need one too. Also, Doug Ford went and hired former Chief of Defence Staff, General Rick Hillier, at great expense to head up Ontario’s vaccine roll-out, so Trudeau apparently felt the need to compete there too.

Paul Wells correctly noted on Power & Politics yesterday that this is mostly theatre, because the real work is being done by anonymous bureaucrats in public health offices in each province, who do the work of immunization on a constant basis. Nevertheless, the impulse to follow the American lead is so strong in Canadian politics, even when it makes no sense. In particular, the Americans needed their military to coordinate vaccine roll-out because they don’t have anything that resembles centralised healthcare delivery in any way. It’s more of a need than we have here, but hey, it looks like we’re being super serious that we have generals coordinating this. And it’s not to say that there wasn’t already coordination between the Public Health Agency and the Canadian Forces for any logistics help they might provide, which could mean transport or medical personnel (because remember that our complement of doctors and nurses are already being overloaded with COVID hospitalisations), but it wasn’t going to be a big Thing with the military in charge. Now Trudeau has pulled that trigger, and I’m not sure exactly what value he hopes to add to the equation from it.

Trudeau also stated yesterday that he estimates that most Canadians will be vaccinated by September of next year, but of course, this remains a bit of a moving target based on the number of vaccines available. If another candidate becomes viable and goes into production, that could cut the time down as well (assuming no logistics bottlenecks along the way). But as with anything, it’s a bit of a moving target, and there are still too many unknown variables to say anything definitive, despite the constant demands to, but that’s where we are. We’ll see if this fixation continues next week, or if the fiscal update will become the prevailing narrative instead.

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Roundup: Approvals sooner than we think

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The day in vaccine news was marked by the first in what was promised to be a weekly series of briefings about the progress of the planned vaccine rollout, wherein we learned that Health Canada’s close work with the FDA and the European Medicines Agency in the rolling application process, so that means that the Canadian approval for the vaccines should happen around the same time as their do – something that will relieve some of the anxiety. We are also expecting some six million doses (so, vaccinations for three million people) between approval and the end of March, with more doses to start ramping up considerably faster afterward. So there’s that.

Meanwhile, for all of the yelling and pleading for at-home tests, no manufacturer has applied to Health Canada (and Health Canada has proactively asked them to apply), and most companies haven’t even perfected their technologies yet, so this remains something of a pipe dream that we should stop hoping will be the panacea to ending lockdowns.

Over in Alberta, a number of recordings of meetings that their Chief Medical Officer of Health had were leaked to media, showing how her advice was being overruled by Cabinet, which confirms what was pretty much a no-brainer, but because it leaked, there is going to be damage to the way our system of government operates. Dr. Hinshaw called the leaks a betrayal of trust – and she’s right – but it really puts her in an impossible situation. (I have more about this in my weekend column, so keep an eye out for it).

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QP: Chauvinism and confusion over vaccines

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While the prime minister was around, neither he nor his deputy were in QP today, unfortunately. Erin O’Toole led off, script on mini-lectern, and he demanded to know if the government acquired the rights to manufacture the leading vaccine candidates — never mind that we have no capacity to manufacture them. William Amos replied, pointing out that the capacity to manufacture these vaccines had been lost in this country over decades, and that the government had reinvested that capacity. O’Toole then started — falsely — that the NRC facility in Montreal could produce millions of doses, which ignores that the facility has not yet been built and no Canadian facility has the technology to manufacture the two leading candidates. Patty Hajdu stated that Canada is one of the best placed for vaccines, and is the only country reviewing all three leading candidates. O’Toole tried again, and this time Hajdu pointed out that he was trying to confuse Canadians. O’Toole switched to French to repeat the question and Hajdu gave him much the same response. O’Toole then tried to point to letters from the premiers of Ontario and Quebec to say they have no idea about the federal government’s vaccine plans, and this time Pablo Rodriguez stood up to punch back at O’Toole’s assertions in French. Alain Therrien led off for the Bloc, and he called the vaccine plan chaos, which Hajdu rejected and stated that she was working with her provincial counterpart. Therrien went further, listing what he perceived as federal failures, to which Rodriguez got up to state that the premiers were meeting with the prime minister later in the day. Jagmeet Singh got up for the NDP, and concern trolled that the government hadn’t invested in the ability to produce vaccines over the past five years, to which Amos got back up to remind him that the government has been investing in biomanufacturing. Singh switched to French to demand the vaccine plan, to which Hajdu again reminded him that the provinces are the experts in immunisation and that the federal government was there to support them.

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