Most Canadians doubt health care system prepared to handle ‘tsunami’ of aging boomers, new poll shows

From:     Sharon Kirkey, Postmedia News  13/08/19

Three in five Canadians surveyed said they will have to rely on the public system for home care and long-term care if they need it later in life.

Canadian Physiotherapy Association/CNW GroupThree in five Canadians surveyed said they will have to rely on the public system for home care and long-term care if they need it later in life.

Canadians have little faith the country’s health system is prepared to handle the needs of a looming “tsunami” of aging boomers, a new poll has found.

Six in 10 Canadians surveyed said they lack confidence in the health system’s ability to care for Canada’s rapidly greying population.

Women, as well as Canadians aged 34 to 54, and those already caring for an elderly person, are among those least confident that hospitals and long-term care facilities can handle the demands of a population that is living longer than at any other time in the nation’s history, according to the Canadian Medical Association’s annual report card on health.

Only in Quebec does a majority (54 per cent) believe that hospitals and long-term care facilities in their area are sufficient to meet the needs of the elderly, according to the survey.

The anxiety Canadians have about health care in their so-called golden years is both real and well-founded

The Ipsos Reid poll of 1,000 Canadians was released to coincide with Monday’s opening of the CMA’s annual meeting in Calgary, where main items on the agenda include a special session devoted entirely to end-of-life care issues.

“The anxiety Canadians have about health care in their so-called golden years is both real and well-founded,” outgoing CMA president Dr. Anna Reid said in a statement released with the poll.

All levels of government, including the federal government, “need to act to address the demographic tsunami that is heading toward the health care system,” she said.

A vast majority of Canadians — 93 per cent — support a national, seniors’ health strategy for home care and long-term care, the poll found, with support highest in Alberta and Ontario, as well as among women and Canadians nearing retirement age (55 to 65).

Three in five Canadians surveyed said they will have to rely on the public system for home care and long-term care if they need it later in life.

Half are “very” concerned about maintaining their health in their retirement years; seven in 10 are worried about their financial future, the poll found.

Those already caring for an older adult are among those most worried about there not being enough services should they ever need home or long-term care in their own old age.

Reid, who has been caring for her own elderly father, who suffers from dementia, said more resources are needed for nursing care, home-based care and palliative care, particularly in smaller communities. “We know how to do good palliative care, it’s just not being practised across the board,” she said in an interview.

We could be saving the system an enormous amount of money by providing far more support in the home environment

It costs nearly $1,000 a day to keep a senior in a hospital bed, and $126 a day for a bed in a long-term care facility, said Dr. Louis Hugo Francescutti, incoming president of the doctors’ group.

“To keep them in home with supportive home care and assisted living costs about $35 to $50 a day,” he said. “We could be saving the system an enormous amount of money by providing far more support in the home environment.”

The average life expectancy of Canadians has increased by more than 30 years since the early 1900s, to 78 for men and 83 for women in 2011. But the number of years lived in good health is sliding. The majority of today’s seniors have at least one chronic condition; as many as one in four has two or more.

Overall, the 2011 census counted nearly five million people aged 65 and older in Canada.

By 2031, 22.8 per cent of the population will be 65 or older, jumping to one quarter — 25.5 per cent — by 2061.

The Ipsos telephone poll was conducted between July 17 and July 26. A sample this size is considered accurate within 3.1 percentage points.

Three-quarters, or 75 per cent, of those surveyed gave an “A” or “B” grade to the overall quality of health services. However, views on the future are split — about half think health services will get better and the other half believe things will get worse.

Only about half gave an “A” or B” grade to access to diagnostic equipment such as MRIs and CT scans, or access to specialists. The marks were worse for mental health, with only 41 per cent of those surveyed giving an “A” or “B” grade for access to mental health services.

Few — 29 per cent — gave the federal government top marks in dealing with health care in Canada.

A Race To The Floor For Minimum Wage: Can It Be Stopped?

just-saying_thumb      By Andrew Chernoff     https://andrewchernoff.wordpress.com/

First it was Jordan Bateman of the Canadian Taxpayers Federation with his article, “The pay of government workers is way out of line” published July 31, 2013 in The Province, to which I made my feelings known about on August 3, 2013 in my commentary, “Bateman Advocates A Race To The Floor For Minimum Wage…You First, I’ll Give Ya A Push”.

Just like a bad smell you can’t get rid of, or a bad itch you just can’t seem to scratch, another proponent of the drive to lower wages——–using a corrosive and mean-spirited abuse of the privilege of free speech for hateful, venomous and spiteful unsupported comments with the intent to rile, incite anger and get an antagonistic reaction——comes forward.

Ms. Margaret Wente, a so-called journalist for the The Globe and Mail, woke up recently seemingly during that bitchy time of the month (the only way I can explain it), and decided to lambaste, insult and take undignified shots at Canada’s firefighters—all of the “Nations” firefighters—-without exception.

In her article on August 8, 2013,  “A Nation of $100,000 Firefighters”, Wente charges, “municipalities do not love firefighters.”

Further, she claims to speak and know the feelings of our municipalities and regions, proclaiming, “ Across Canada, towns and cities are getting hosed by the skyrocketing costs of their fire departments.”, of which firefighters, she suggests, are the main reason for those increased costs because, municipalities, “simply match the settlements that everybody else got, including police. So the costs spiral ever upward,”

She continues, by adding insult to injury when she claims, “Thanks to arbitration settlements, your firefighters are the best paid (and possibly the most underworked) guys in town.”

Really?? Possibly the most underworked in MY town? Hmmm….she’s been in my town??….I think not!

She claims to have nothing against fire fighters. “I have nothing against firefighters, personally. But times have changed. We can’t go on like this. I could write the same column about the police. You guys are supposed to protect us. But we can’t afford you any more.”

But she does say, “They look good on calendars.”  A sexist comment I dare say. And dare I do.

So nobody is safe. The police make too much. School teachers? Bus drivers? Janitors? Airline pilots? Ambulance drivers? Paramedics? Who is not a target for Ms. Wente?

She obviously has a lustful crush for Stephen Harper and his Canadian Austerity plan. In her desire to drive down wages, she is a true Harperite, spreading propaganda for that race to the floor for minimum wage, to increase that disparity between those that have, and those that don’t—between the 1% and the 99%.

According to Wente, our firefighters have barely anything to do, “Working conditions are pretty sweet too. Thanks to modern safety standards, there are very few fires left to fight. These days, most fire department calls are medical. To prove that they’re still needed, fire departments have been adding defibrillators and Jaws of Life, and frantically expanding their repertoires to respond to even minor non-fire emergencies. Still, there’s an awful lot of what we shall euphemistically call “down time,” which firemen fill by preparing meals, sleeping, watching television, polishing the trucks and rewinding the hoses.”

She claims that the costs and salaries for Canadian firefighters are for smaller cities, “typically the largest item in the budget. It accounts for upward of a quarter of their costs.” And that firefighters and their unions are so insensitive, greedy in the community and regions they live in, that “the costs spiral ever upward, and towns are forced to cut back on libraries and roads.”

This is one woman who has one hell of a bitchy time of the month; so much so, that a grizzly bear would be no match for her spite and hate.

“But the really crass way that the rich have of driving down wages is by subtly and not so subtly feeding people’s envy and greed…making us worry that someone else might be getting ahead, might be doing better than us. We aren’t talking about getting us riled over the wages of bankers, brokers and sports stars; we profile them in the fashion and shopping pages of the papers.”, OperationMaple writes in its reaction to Wente’s column, titled, “Let Us Count The Ways of Driving Down Wages”.

I continue with the following quote from OperationMaple’s article referred to above:

“The Rich and their Media Mavens saved the corrosive power of envy and greed for school teachers, fireman, bus drivers…all the folks that live next door and shop at the same stores we do. Let’s get agitated and angry with Joe down the street and Alice around the corner for having a job with a union, a negotiated wage and benefits and let’s try and pull them down to our situation…part time work and no benefits and lousy pay. Because when their economic situation is as desperate as ours, then everything will be ok.

They get paid too much and work too little and couldn’t we all get by with a volunteer firefighting force? Just because they are the ones who run into burning buildings when the rest of us are running from burning buildings, in Wente’s view, doesn’t justify the wage they get.

It used to be the case that when people got decent wages and benefits through collective action we’d all cheer them on and try to copy their efforts, create our own unions and seek our own collective success. Not anymore. Now we just want to tear down those folks lucky enough to have a union. The drive to lower wages by making all of us envious of our neighbours is succeeding. That’s why the 1% and their media allies, their media employees go after Employment Insurance and Firefighter wages…because it works and it distracts us from the folks that are truly criminally over-paid: bankers and brokers.”

I conclude with the following remarks.

The drive to lower wages may be succeeding in some minds, but it has not succeeded everywhere and with everybody. Are you going to let it happen to you? Will you start fighting back now, and let yourself be heard? Will you stand up? Will you get involved in civil disobedience and fight the good fight?

The drive to lower wages is nothing but a race to the floor of minimum wage. We are expected to give up more, so the rich can get richer? I think not.

The richest 300 people in the world are more wealthy than the poorest 3 billion combined, and every year rich countries take over 10 times more money from poor countries than they give in aid, according to therules.org. Find out more by visiting  http://www.therules.org

Don’t let yourself succumb to the race to the floor of minimum wage.

Austerity chokes the down-and-out, as Harper and Flaherty look the other way

By Nick Fillmore  August 16, 2013  http://rabble.ca

Austerity chokes the down-and-out, as Harper and Flaherty look the other way

The exceedingly aggressive austerity cuts carried out by Prime Minister Stephen Harper and Finance Minister Jim Flaherty over the past seven years have come home to roost as millions of Canadians, depressed and without hope, are succumbing to its worst consequences.

Program cuts and tax reductions for corporations and the wealthy have had a huge, disproportionate impact on the poor, working poor, underemployed, and those with health problems including mental illness.

The massive austerity program translates into less income, decreased services, and reduced health care for many of Canada’s most vulnerable people. It appears that more than 3.5-million Canadians — mainly the poor, the unemployed/underemployed and the under-privileged — are struggling.

The attacks on the vulnerable began soon after the Conservatives came to power in 2006. They launched cuts that were a broadside attack on the government’s ability to finance many of its activities, including these much-needed employment and social support programs.

Ignoring the needs of Canadians living in desperate conditions, Harper and Flaherty initiated the extremely aggressive austerity program because of their determination to reduce the deficit and cut the size of the federal government. Their decisions were based on their own neo-liberal economic beliefs, not what Canadians needed or wanted.

There are numerous examples of needless, brutal cuts. Claiming it was concerned that some people don’t have enough incentive to work, Harper-Flaherty toughened up the Employment Insurance rules. They took millions of dollars away from mostly seasonal workers, leaving them vulnerable.

Human Resources and Skills Development Canada (HRSDC), the government department that provides the most hands-on support for the poor, is being cut more than any other department. It will lose 5,700 positions — one-quarter of its workforce by 2016. The largest cut in absolute terms is to the Citizen-Centered Services Program, which helps Canadians access government services by phone and online.

Harper also cut funding to the National Aboriginal Health Organization (NAHO) and to a number of Aboriginal women’s health organizations — crucial programs on suicide prevention, women’s health, and diabetes. They also cut the Women’s Health Contribution Program, which funds six women’s health organizations across the country.

The austerity cutting is based on Harper and Flaherty’s near-fanatical determination to cut the deficit and reduce the size of government. The two unwaveringly believe in neo-liberal economics, which enriches corporations and the wealthy at the expense of the rest of us. We have two people running our country who don’t really believe in government!

Unfortunately, the problems of the less fortunate are not acknowledged in the PMO or Department of Finance. It is much more important that interest rates remain low for the benefit of corporations and the one per cent. A Google search for any Harper or Flaherty comments that express any concern or interest in the problems of the poor comes up empty.

Two moves early on by Harper and Flaherty eliminated the ability of the Conservatives to fund the kind of generous, liberal-minded government Canadians have been used to. First, a two-per-cent cut in the Goods and Service Tax income in Flaherty’s first two budgets cost the government a staggering $10-billion to $12-billion annually in revenues that had been used to help support government services.

In addition, Flaherty has cut $60-billion in corporate taxes since the Conservatives took power in 2006 – needlessly reducing the country’s corporate tax rate to the lowest among G8 countries.

The austerity program and other government cuts have had disastrous consequences for millions of Canadians. There are staggering disparities in life expectancy based on the amount of education a person receives and their amount of education. On average, people living in rich neighbourhoods live an average of 86.3 years, while those living in a poor neighborhood live only 65.5 years — a difference of 21 years.

There is more hunger across the country than ever before. In March, 2012, 882,188 people received food from a food bank in Canada — an increase of 2.4 per cent over 2011 and 31 per cent higher than in 2008, when austerity was being launched.

Children are not spared from the suffering. According to UNICEF’s most recent report, Canada is 21st out of 29 top countries for relative child poverty, and 27th for the percentage that were overweight.

Between the years 2007 and 2011, Statistics Canada reported a 20 per cent rise in people who said their mental health was deteriorating. Mental illness is already the number one cause for disability claims in the workplace. According to the Mental Health Commission of Canada, awards for mental injury at work have dramatically increased in recent years because of pressure placed on workers to produce more during the austerity period.

It’s also likely been an increase in suicides in Canada due to the distress suffered by individuals as a result of the austerity program. Two international researchers, David Stuckler and Sanjay Basu, have documented substantial increases in suicide in several European countries and the United States as a result of austerity cuts. Suicides in Canada increased from 3,512 in 2005 to 3,890 in 2009, which takes in the early part of the austerity period. However, Statistics Canada is three years behind in posting its deaths statistics, so no information is available covering a large period of austerity. But, assuming that Canada is experiencing roughly the same fallout as are Europe and the U.S., it is safe to predict a sizeable increase in suicides here.

Throughout the Conservatives’ seven years in office, independent economists argued that the austerity program was not achieving its stated goal of preparing the country for an economic recovery, but Flaherty refused to budge.

Then in April, the world was shocked when the austerity experiment, which was had destroyed the lives of millions in Europe, was totally discredited. Thomas Herndon, a young University of Massachusetts Amherst graduate student in economics, discovered that an influential paper endorsing austerity practices as a way of rebuilding beleaguered economies was incorrect because of spreadsheet coding errors and selective data.

Amazingly, Flaherty continued with the austerity experiment. “What I worry about is those that suggest that austerity should be abandoned,” he noted. “I think that’s the road to ruin quite frankly.”

So more cuts that will affect the poor the most are on the way. Harper and Flaherty will chop another $11.8 billion from government spending by 2014-15; job losses in both the public and private sectors will be 90,000 by 2014-15; and there will be 1.4 million unemployed workers in the country in 2015.

If Harper and Flaherty really wanted to balance the budget and look after people at the margins, they could work harder to collect the $29 billion the government is owned by the rich and corporations in unpaid taxes.

They also could try harder to find the $3.1-billion that was given to the anti-terrorism program but now cannot be accounted for.

The Council of Canadians says if Harper and Flaherty really wanted to both gradually reduce the deficit and look after the needs of the poor, they could continue to stimulate job growth through needed infrastructure projects (water, transit, green energy, roads, etc.), and reverse corporate tax cuts. Not by suffocating those at the very bottom of the pyramid.

Nick Fillmore is a freelance journalist who worked in many areas with the CBC over nearly 30 years. He is a former member of THIS magazine’s editorial board and was publisher of The 4th Estate, an independent weekly in Nova Scotia, during the 1970s. Fillmore was also a founder of the Canadian Association of Journalists. To see other articles, visit his blog.

On Tim Hudak’s Evangelical Political Fervour

Thursday, August 15, 2013                 From:http://politicsanditsdiscontents.blogspot.ca

Crazed clerics are not the only ones possessed of an evangelical fervour. Young Tim Hudak, leader (at least for now) of the Ontario Progressive Conservative Party, is well-known for wanting to bring back some of that old-time religion in the form of union-bashing and dismantlement, something he likes to describe eupehmistically as workplace democracy.
Happily, the agenda clumsily yet avidly embraced by Mr. Hudak and his federal brethren is transparent to many, as the following Star letter makes clear:

Re: A Conservative banner you won’t see, Aug. 10

Susan Delacourt misses the point. While home ownership is the dream of all middle-class and would-be middle-class Canadians, the changes to tougher mortgage restrictions by the Conservative government is not the problem.

The problem is that fiscal Conservatives like Prime Minister Stephen Harper and Mayor Rob Ford, not to mention the wanabee premier Tim Hudak, bash unions and are thereby responsible for the loss of middle class and fair wage jobs.

In the name of fiscal responsibility we have seen in the last decade the radical decline of good paying employment. Unions protect not only their members but, by raising the bar on wages and benefits, also protect non-members. But, these fiscal elites bash unions and give jobs to the minimum-wage-paying private for profit sector.

The real culprit in the decline of the middle class and the smashing of their dreams is not changes to mortgage lending, but rather the overall decline of wages and salaries. The growth in wealth of the 1 per cent does not make for a sound economy. Unions are the major defence against the one-sided economy we now have.

If the middle class hopes to regain some of its vitality (and surely the entire country depends on this) then it’s time for union bashing to end. Conservatives like the prime minister and the mayor and Mr. Hudak believe that divide and conquer, by creating jealousy on the part of non-union workers of those lucky enough to be protected by group action, is the way to keep wealth in the hands of the few. That’s the secret agenda.

It’s really time the electorate woke up to this Machiavellian plan and took back their power.

Stephen L. Bloom, Toronto