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Family Doctors/Medical Professionals: When they are Gone, their Gone.

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Have you or someone you know been having difficulty finding a family doctor? Have you applied for admittance to a doctor’s practice, or called asking to become a patient only to be refused? Well friend you are not alone in this endeavour. About 3% of family doctors across the province of Ontario, some 385, stopped practicing between March and September 2020. (Unity Health Toronto). That accounts for an estimated 170,000 patients losing access to primary care and was higher than the 1.6% of family doctors who stopped working during a comparable period between 2010 and 2019.

The pandemic has made a bad situation even worst in primary care. Ontarians and Canadians need to address this issue by supporting those who wish to go into family medicine and primary care. This is a near-crisis situation that the Province and Federal Governments seem to be neglecting. As of March 2020, 1.8 million Ontarians did not have a family doctor, and a further 1.7 million Ontarians have a family doctor older than 65 years old. Yes, that is retirement age.

When Ontario locked down the province in 2020, they directed doctors to not see patients unless absolutely necessary. This pushed visits, either in person or virtually down by more than 30%. Doctors who charge the province by a fee-for-service modal lost most of their income while keeping their offices open for the few who visited. Patients in need visited the Emergency offices of hospitals, filling these venues. Then hospitals redirected the patients to private or walk-in clinics that were limited in how many patients they can help. Family Doctors were placed in the middle of a healthcare storm, with patients in need on one side, and provincial governments on the other. In those Doctors that had smaller practices, fewer than 500 patients left the job at a higher rate.

Between 2010-2019 Ontario had 12.247 active Family Doctors, while from 2019 to September 2020 only 11,862. Regionally, Northwestern Ontario, the Niagara Region and Bruce Penninsula Region, Toronto, and Ottawa lost the most doctors. This situation hit hardest in rural communities, where the number of doctors was smaller, to begin with, and the doctor’s influence upon the community was greater. The trend toward retirement found within the medical field in general places our health system into a present and future crisis.

While the provinces are attempting to move patients without crisis needs out of their hospitals, opening up their surgical and emergency wards, the doctors in need continue to place their efforts in peril. Those patients in need continue to go to ERs, often to find rural and smaller community ER’s periodically closed for a few days or a week. The province needs to deal with the increasing costs to maintain its health systems. Medical professionals leave the health system only to return better paid through temp firms.

Is the province trying to bring in some form of privatization within our health system? TwoTiered Medicine is already to hear, with doctor’s offices charging for things once taken care of by the province. Universal Healthcare seems to not work these days, especially when the province ties medical professionals’ hands and denies them the funds they need. Preventive medicine, the most cost-effective healthcare has gone out the window, replaced by triage and reactive medicine.

what can the government do?

1. Institute Homecare as the basis for the health system. If the problem can be done at home, medical professionals visit domestically.
2. Emergency Departments are only for Emergencies.
3. Allow new Canadians who are medically trained to enter the system as quickly as possible. End the Medical Associations’ stranglehold upon who works in the province and where.
4. Make strict annual medical checkups legally essential. Preventive medicine must become legally binding to all citizens.
5. Medical Professionals must be the highest paid civil servants.
6. The medical system must be independent of provincial management, with active and powerful auditors present to make sure the system is operating cost-effectively and properly.
7. Those studying to become Medical professionals should receive a full allowance for their studies. Only if they graduate into the system all their education should be paid for by the province.
8. Complete family services should be offered to medical professionals, such as child care, family emergency crisis management, etc…

New doctors, who are beholding to the province, should begin their residency in rural areas of the province, generating experience, people skills, and patience in service. Nursing should be treated in the same manner. The public must give these professionals what they want and need, and demand of them provincials service for a five-year period, perhaps longer. The staffing shortage within the most important department our government has must not happen again. Taxes will go up, but what are you worried about when your loved one is ill? Money or their welfare?

Steven Kaszab
Bradford, Ontario
skaszab@yahoo.ca

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Port of Montreal employer submits ‘final’ offer to dockworkers, threatens lockout

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MONTREAL – The employers association at the Port of Montreal has issued the dockworkers’ union a “final, comprehensive offer,” threatening to lock out workers at 9 p.m. Sunday if a deal isn’t reached.

The Maritime Employers Association says its new offer includes a three per cent salary increase per year for four years and a 3.5 per cent increase for the two subsequent years. It says the offer would bring the total average compensation package of a longshore worker at the Port of Montreal to more than $200,000 per year at the end of the contract.

“The MEA agrees to this significant compensation increase in view of the availability required from its employees,” it wrote Thursday evening in a news release.

The association added that it is asking longshore workers to provide at least one hour’s notice when they will be absent from a shift — instead of one minute — to help reduce management issues “which have a major effect on daily operations.”

Syndicat des débardeurs du port de Montréal, which represents nearly 1,200 longshore workers, launched a partial unlimited strike on Oct. 31, which has paralyzed two terminals that represent 40 per cent of the port’s total container handling capacity.

A complete strike on overtime, affecting the whole port, began on Oct. 10.

The union has said it will accept the same increases that were granted to its counterparts in Halifax or Vancouver — 20 per cent over four years. It is also concerned with scheduling and work-life balance. Workers have been without a collective agreement since Dec. 31, 2023.

Only essential services and activities unrelated to longshoring will continue at the port after 9 p.m. Sunday in the event of a lockout, the employer said.

The ongoing dispute has had major impacts at Canada’s second-biggest port, which moves some $400 million in goods every day.

On Thursday, Montreal port authority CEO Julie Gascon reiterated her call for federal intervention to end the dispute, which has left all container handling capacity at international terminals at “a standstill.”

“I believe that the best agreements are negotiated at the table,” she said in a news release. “But let’s face it, there are no negotiations, and the government must act by offering both sides a path to true industrial peace.”

Federal Labour Minister Steven MacKinnon issued a statement Thursday, prior to the lockout notice, in which he criticized the slow pace of talks at the ports in Montreal and British Columbia, where more than 700 unionized port workers have been locked out since Nov. 4.

“Both sets of talks are progressing at an insufficient pace, indicating a concerning absence of urgency from the parties involved,” he wrote on the X social media platform.

This report by The Canadian Press was first published Nov. 8, 2024.

The Canadian Press. All rights reserved.



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‘Disgraceful:’ N.S. Tory leader slams school’s request that military remove uniform

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HALIFAX – Nova Scotia Premier Tim Houston says it’s “disgraceful and demeaning” that a Halifax-area school would request that service members not wear military uniforms to its Remembrance Day ceremony.

Houston’s comments were part of a chorus of criticism levelled at the school — Sackville Heights Elementary — whose administration decided to back away from the plan after the outcry.

A November newsletter from the school in Middle Sackville, N.S., invited Armed Forces members to attend its ceremony but asked that all attendees arrive in civilian attire to “maintain a welcoming environment for all.”

Houston, who is currently running for re-election, accused the school’s leaders of “disgracing themselves while demeaning the people who protect our country” in a post on the social media platform X Thursday night.

“If the people behind this decision had a shred of the courage that our veterans have, this cowardly and insulting idea would have been rejected immediately,” Houston’s post read. There were also several calls for resignations within the school’s administration attached to Houston’s post.

In an email to families Thursday night, the school’s principal, Rachael Webster, apologized and welcomed military family members to attend “in the attire that makes them most comfortable.”

“I recognize this request has caused harm and I am deeply sorry,” Webster’s email read, adding later that the school has the “utmost respect for what the uniform represents.”

Webster said the initial request was out of concern for some students who come from countries experiencing conflict and who she said expressed discomfort with images of war, including military uniforms.

Her email said any students who have concerns about seeing Armed Forces members in uniform can be accommodated in a way that makes them feel safe, but she provided no further details in the message.

Webster did not immediately respond to a request for comment.

At a news conference Friday, Houston said he’s glad the initial request was reversed but said he is still concerned.

“I can’t actually fathom how a decision like that was made,” Houston told reporters Friday, adding that he grew up moving between military bases around the country while his father was in the Armed Forces.

“My story of growing up in a military family is not unique in our province. The tradition of service is something so many of us share,” he said.

“Saying ‘lest we forget’ is a solemn promise to the fallen. It’s our commitment to those that continue to serve and our commitment that we will pass on our respects to the next generation.”

Liberal Leader Zach Churchill also said he’s happy with the school’s decision to allow uniformed Armed Forces members to attend the ceremony, but he said he didn’t think it was fair to question the intentions of those behind the original decision.

“We need to have them (uniforms) on display at Remembrance Day,” he said. “Not only are we celebrating (veterans) … we’re also commemorating our dead who gave the greatest sacrifice for our country and for the freedoms we have.”

NDP Leader Claudia Chender said that while Remembrance Day is an important occasion to honour veterans and current service members’ sacrifices, she said she hopes Houston wasn’t taking advantage of the decision to “play politics with this solemn occasion for his own political gain.”

“I hope Tim Houston reached out to the principal of the school before making a public statement,” she said in a statement.

This report by The Canadian Press was first published Nov. 8, 2024.

The Canadian Press. All rights reserved.



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Sides in B.C. port dispute to meet in bid to end lockout after talk with minister

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VANCOUVER – Employers and the union representing supervisors embroiled in a labour dispute that triggered a lockout at British Columbia’s ports will attempt to reach a deal when talks restart this weekend.

A spokesman from the office of federal Labour Minister Steven MacKinnon has confirmed the minister spoke with leaders at both the BC Maritime Employers Association and International Longshore and Warehouse Union Local 514, but did not invoke any section of the Canadian Labour Code that would force them back to talks.

A statement from the ministry says MacKinnon instead “asked them to return to the negotiation table,” and talks are now scheduled to start on Saturday with the help of federal mediators.

A meeting notice obtained by The Canadian Press shows talks beginning in Vancouver at 5 p.m. and extendable into Sunday and Monday, if necessary.

The lockout at B.C. ports by employers began on Monday after what their association describes as “strike activity” from the union. The result was a paralysis of container cargo traffic at terminals across Canada’s west coast.

In the meantime, the union says it has filed a complaint against the employers for allegedly bargaining in bad faith, a charge that employers call a “meritless claim.”

The two sides have been without a deal since March 2023, and the employers say its final offer presented last week in the last round of talks remains on the table.

The proposed agreement includes a 19.2 per cent wage increase over a four-year term along with an average lump sum payment of $21,000 per qualified worker.

The union has said one of its key concerns is the advent of port automation in cargo operations, and workers want assurances on staffing levels regardless of what technology is being used at the port.

The disruption is happening while two container terminals are shut down in Montreal in a separate labour dispute.

It leaves container cargo traffic disrupted at Canada’s two biggest ports, Vancouver and Montreal, both operating as major Canadian trade gateways on the Pacific and Atlantic oceans.

This is one of several work disruptions at the Port of Vancouver, where a 13-day strike stopped cargo last year, while labour strife in the rail and grain-handling sectors led to further disruptions earlier this year.

This report by The Canadian Press was first published Nov. 8, 2024.

The Canadian Press. All rights reserved.



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