A pair of abortion doulas in southwestern Ontario say Canadians shouldn’t take access to safe, legal abortions for granted because there are still barriers to care that are difficult to overcome, including time off work, a lack of financial resources and the distance from urban-centred clinics.
Christal Malone of London and Jennifer Surerus of St. Thomas help make access to safe abortions as seamless and easy as possible for people across the country.
Unlike doctors or nurses, their roles stop short of medical care. Instead, they provide physical and emotional support that runs the gamut from picking someone up from the airport to holding a thermometer in their mouth, even just giving someone a shoulder to cry on.
“We are trying to support people to make the choices they need, and we are not trying to persuade people to do anything,” said Surerus. “Often people don’t have [support] from family and friends.”
Abortion is legal, but access a problem
Unlike the United States, where the legal landscape of abortion is undergoing a radical shift following the landmark Supreme Court ruling that struck down a constitutional right to abortion for the first time in 50 years, Canada has no laws restricting access to the procedure.
Malone, left and Surerus attend an anti-abortion counter-demonstration outside the London Health Sciences Centre in southwestern Ontario. They’re shown with Surerus’s sister Tiffany, middle. (Supplied by Christal Malone)
In this country, abortion is legal, regardless of the reason. The procedure is also publicly paid for through a combination of the federal and provincial health systems, but just because it’s not illegal in Canada doesn’t mean Canadians should take it for granted, Surerus said.
“I think we’re a little too smug here. Transportation, child care, being able to get time off work — that all plays into the access equation.”
It’s a problem all over the country, but perhaps the most acutely felt in Canada’s Atlantic region, where restrictions to abortions are the highest, and the federal government has withheld health-care funding to provinces that didn’t provide adequate access.
In Ontario, 21,428 abortions were performed in 2020, according to the Abortion Rights Coalition of Canada. More than 15,000 of them were done at private clinics, while just over 5,000 were at the province’s hospitals.
Urban and rural divide
Despite the number of procedures, disparities exist between urban and rural areas in Ontario, Alberta, Saskatchewan and Manitoba, where abortion services are only in urban settings, despite 35 to 40 per cent of the population living in rural or remote communities.
The charity says more than half of its callers need help with costs of flights, accommodations and other travel expenses, citing the place where they live as the biggest barrier to accessing safe care.
“It’s pretty dire,” said Malone. “It is very hard to access an abortion if you live in a rural area, and it is very time-consuming and expensive to access certain types of abortions.”
Even in Malone’s hometown of London, a city of more than 400,000, there is only one clinic. It serves a huge catchment in southwestern Ontario as well as people as far away as Newfoundland and Labrador, Prince Edward Island, Nova Scotia and New Brunswick — provinces where access to abortion is the most restricted.
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When a patient does get to the London clinic, the person must attend a minimum of three appointments before health-care workers will agree to perform the procedure.
“It can be really challenging to get the time off work, or to get transportation, and a lot of them start early in the morning. So if the person is not local, they have to come the day before to access the service,” Malone said.
Pro-choice charities such as Action Canada step in to help fill the financial gap and help connect people seeking an abortion with doulas like Surerus and Malone.
In Ontario, there are nearly double the number of crisis pregnancy centres. at 77, compared to 38 hospitals and clinics that provide abortion access, according to Action Canada.
“The anti-choice is strong here, and there is a political component to it,” Surerus said.
VICTORIA – The British Columbia government says it is taking steps to ensure tree fruit growers are compensated for past harvests after the closure of a co-operative that had served farmers for almost 90 years.
It says the Investment Agriculture Foundation of BC is “redirecting” about $4 million in provincial funding that will be used to ensure co-op members receive money they are owed.
The province says the foundation will pay growers in the coming weeks and then recoup the funds at the end of the court process involving the BC Tree Fruits Cooperative that filed for creditor protection last month.
In July, the co-op, which processed, stored, packaged and sold fruit for 230 member farms, announced it was shutting down after 88 years of operation.
It says it has more than $58 million in liabilities.
The agriculture ministry says it is has also provided $100,000 to the BC Fruit Growers Association that will go toward food-safety certification that was previously done by the co-op.
This report by The Canadian Press was first published Sept. 12, 2024.
VANCOUVER – Jesse Marsch issued Canada’s men’s soccer squad a challenge — get physical.
The edict came after the Canadians surprised many at this summer’s Copa America tournament, making it through to the semifinals. As his players departed for their professional clubs, the head coach wanted them thinking about continued growth.
“I challenged them to be more physically present in the matches that they played in,” Marsch said. “I’ve tried to encourage all the players to sprint more, to win more duels, to win more balls, to be more dynamic in matches.”
When Canada reconvened for a pair of friendlies last week, the coach saw some players had already heeded his call, including Vancouver Whitecaps product Ali Ahmed.
The 23-year-old midfielder started in both Canada’s 2-1 victory over the United States on Saturday and Tuesday’s 0-0 draw against Mexico.
“I’m really happy for him,” Marsch said. “I think he’s still young and still has a lot of room and potential to continue to grow.”
Playing under Marsch — who took over as head coach in May — has been a boon for the young athlete, currently in his second full season with Major League Soccer’s Whitecaps.
“Jesse has a very clear way of playing,” Ahmed said. “And I think the way we’ve been training and the way we’ve been growing as a group, it’s been helpful for me.”
The reward of getting minutes for a national team can spur a player’s growth, including Ahmed, said Whitecaps head coach Vanni Sartini.
“Of course that fuels him inside to say ‘Hey, I want to be a better player. I want to get to that stage,'” said Sartini.
Vancouver had six players — including Ahmed — away on international duty during its 0-0 draw against Dallas FC on Saturday. The absences are a good problem to have, Sartini said.
“Because we have players that are close to the national team, we have a lot of players that development is faster, better, bigger than it would have been if they hadn’t been called,” he said.
Born in Toronto, Ahmed came up through the Whitecaps’ academy system and played for Vancouver’s MLS Next Pro side before cementing his spot on the first team in 2023. He put up two goals and two assists across 22 regular-season games, and added another goal and another helper in 19 appearances this year.
Taking the next step will require the five-foot-11, 154-pound Ahmed to push himself physically, Marsch said.
“Tactically, he’s technically gifted,” the coach said. “I’ve told him he’s got to get in the gym more.
“There’s a lot of these little things where too many guys, they still look like kids and we need to help them look like men and play like men. And that’s what the high standards of the game are about.”
Marsch has quickly adjusted to recalibrating standards in his short time with Team Canada. Since taking over the squad in May, the coach said he’s learned the players are smarter and more capable than he originally thought, which forces the coach to constantly recalibrate his standards.
“That’s my job right now, to keep raising the level of the demands,” he said.
The way 40th-ranked Canada is viewed on the international stage is evolving, too.
“I think we’re changing the perception on the way we’re playing now,” he said. “I think beating the U.S. — it would have been nice to beat Mexico as well — the way we did, the way that we performed at Copa, I think teams are starting to look at us differently.
“Right now, I think we’re focused on ourselves. We’re definitely trying to be the best in CONCACAF and we have higher goals as well.”
This report by The Canadian Press was first published Sept. 12, 2024.
An investigator gave the World Anti-Doping Agency a pass on its handling of the inflammatory case involving Chinese swimmers, but not without hammering away at the “curious” nature of WADA’s “silence” after examining Chinese actions that did not follow rules designed to safeguard global sports.
WADA on Thursday released the full decision from Eric Cottier, the Swiss investigator it appointed to analyze its handling of the case involving the 23 Chinese swimmers who remained eligible despite testing positive for performance enhancers in 2021.
In echoing wording from an interim report issued earlier this summer, Cottier said it was “reasonable” that WADA chose not to appeal the Chinese anti-doping agency’s explanation that the positives came from contamination.
“Taking into consideration the particularities of the case, (WADA) appears … to have acted in accordance with the rules it has itself laid out for anti-doping organizations,” Cottier wrote.
But peppered throughout his granular, 56-page analysis of the case was evidence and reminders of how WADA disregarded some of China’s violations of anti-doping protocols. Cottier concluded this happened more for the sake of expediency than to show favoritism toward the Chinese.
“In retrospect at least, the Agency’s silence is curious, in the face of a procedure that does not respect the fundamental rules, and its lack of reaction is surprising,” Cottier wrote of WADA’s lack of fealty to the world anti-doping code.
Travis Tygart, the CEO of the U.S. Anti-Doping Agency and one of WADA’s fiercest critics, latched onto this dynamic, saying Cottier’s information “clearly shows that China did not follow the rules, and that WADA management did nothing about it.”
One of the chief complaints over the handling of this case was that neither WADA nor the Chinese gave any public notice upon learning of the positive tests for the banned heart medication Temozolomide, known as TMZ.
The athletes also were largely kept in the dark and the burden to prove their innocence was taken up by Chinese authorities, not the athletes themselves, which runs counter to what the rulebook demands.
Despite the criticisms, WADA generally welcomed the report.
“Above all, (Cottier) reiterated that WADA showed no bias towards China and that its decision not to appeal the cases was reasonable based on the evidence,” WADA director general Olivier Niggli said. “There are however certainly lessons to be learned by WADA and others from this situation.”
Tygart said “this report validates our concerns and only raises new questions that must be answered.”
Cottier expanded on doubts WADA’s own chief scientist, Olivier Rabin, had expressed over the Chinese contamination theory — snippets of which were introduced in the interim report. Rabin was wary of the idea that “a few micrograms” of TMZ found in the kitchen at the hotel where the swimmers stayed could be enough to cause the group contamination.
“Since he was not in a position to exclude the scenario of contamination with solid evidence, he saw no other solution than to accept it, even if he continued to have doubts about the reality of contamination as described by the Chinese authorities,” Cottier wrote.
Though recommendations for changes had been expected in the report, Cottier made none, instead referring to several comments he’d made earlier in the report.
Key among them were his misgivings that a case this big was largely handled in private — a breach of custom, if not the rules themselves — both while China was investigating and after the file had been forwarded to WADA. Not until the New York Times and German broadcaster ARD reported on the positives were any details revealed.
“At the very least, the extraordinary nature of the case (23 swimmers, including top-class athletes, 28 positive tests out of 60 for a banned substance of therapeutic origin, etc.), could have led to coordinated and concerted reflection within the Agency, culminating in a formal and clearly expressed decision to take no action,” the report said.
WADA’s executive committee established a working group to address two more of Cottier’s criticisms — the first involving what he said was essentially WADA’s sloppy recordkeeping and lack of formal protocol, especially in cases this complex; and the second a need to better flesh out rules for complex cases involving group contamination.
