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Abortion accessibility in Canada: The Catholic hospital conflict – CTV News

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A leaked draft showing that the U.S Supreme Court justices are preparing to overturn the Roe v. Wade abortion-rights ruling has sparked debate in Canada, including whether Catholic hospitals can impede your access to abortion.

While geography, knowledge and equity play important roles in limiting access, one woman from Estevan, Sask., told CTV News that she experienced barriers at a Catholic hospital.

The woman, who asked to remain anonymous, went to St. Joseph’s Hospital, the only hospital in her city, to get an abortion in 2013. The now mother-of-two said she was referred to another hospital in Regina, which was 200 kilometres away and an approximate two-hour drive. 

“The reason why I was getting an abortion was because the baby wasn’t viable,” she told CTV News in a phone interview. 

“I was going through one of the hardest things in my life. Then, you’re just shipped off to another city, and I just felt that judgment. It’s not that I was denied an abortion exactly, but they sure don’t make it easy.

“I was lucky that I had the means and support to travel to get an abortion. But what about the women in my city who can’t?” she added.

The hospital, which is a member of the Catholic Health Association of Saskatchewan (CHASSK), confirmed to CTV News that they currently do not perform abortions or stock emergency contraceptives on-site. 

They are one of many health-care providers in the country that does not provide some services due to faith-based exemptions. 

Under section two of The Canadian Charter of Rights and Freedoms, Catholic hospitals are allowed to deny certain services to patients under their right to religious freedom – but, unlike those who choose to attend Catholic schools, patients frequently turn up in a Catholic health-care facility simply because it is the closest one. 

All Catholic hospitals and health-care providers are part of the official universal health-care system. Tax dollars fund them, but they have their own policies that govern treatment plans for services that include abortion, birth control prescriptions, IUD insertions, emergency contraceptives, and dilation and curettage (D&C) procedures.  

There are 129 Catholic health-care facilities across the country, according to the Catholic Health Alliance of Canada (CHAC). In certain regions of Canada, such as Saskatchewan and Nova Scotia, the sole hospitals in towns and cities are affiliated with a Catholic health-care association and adhere to Catholic ideals.

The largest Catholic health-care provider in Canada is in Toronto. Unity Health’s network includes three major hospitals, St. Michael’s, St. Joseph’s and Providence Hospital. According to Unity Health’s spokesperson, abortions are not performed in their hospitals, but emergency contraception and hormonal therapies are stocked on-site. 

Catholic establishments in Alberta presently account for 12 per cent of acute-care beds and 27 per cent of palliative-care beds, according to The Walrus. Catholic institutions also control around 15 per cent of health services in Ontario, according to the CHAC. 

Federal government’s response to improving access 

The Government of Canada announced more than $3.5 million in funding for projects by Action Canada for Sexual Health and Rights (Action Canada) and by the National Abortion Federation Canada on May 11 to improve access to abortion services and offer accurate reproductive health information to Canadians. 

The primary goal of the funding was to improve access for women in rural areas, Marie-France Proulx, the Press Secretary for Health Canada, told CTV News. 

However, Frederique Chabot, the director of domestic health promotion at Action Canada, worries that the funding won’t offer a long-term solution, especially for women who only have access to a single hospital in their vicinity. 

“Every single case can take up to a week of really intense work …, especially with cases that have complex circumstances that we need to support them with,” she said.

“When you start to add up things like plane tickets, hotels, food, taxis … it can cost $1000 plus per case and so, we’re already worried if this incredible influx of resources is going to help real people in real-time.” 

Access to abortions isn’t dependent on Catholic hospitals when they only make up less than 5 per cent of hospitals in the country, Moira McQueen, the Executive Director of the Canadian Catholic Bioethics Institute, says. 

“There are multiple questions that are problematic in health care … when it comes to abortion services, it is problematic that there is only one hospital available (in many cities), and you can’t blame that on the Catholic Church,” she said. 

What does the law say?

According to Kathleen Mahoney, a law professor at The University of Calgary, the law has always been clear that individuals can refuse to do certain procedures based on their religious beliefs. 

“But an institution has never been given that right. It’s likely that if a hospital were challenged on ethical guidelines or requirements for their employees to do or not do certain things … then those considerations would likely be struck down,” she said. 

However, Mahoney says that patients often don’t want the hassle of issuing a legal challenge or complaint and go to private clinics to receive services; and that has become Catholic Hospitals’ greatest strength. 

“They have a legal standing to deny services unless it’s challenged. Unless there’s no law out there that says you can’t do that,” she said.

“If there’s no law that says you can’t jaywalk, then people will jaywalk. So it’s legal unless there’s a law that says you can’t. And that’s what you know; civil liberties are all about.” 

Questions around Catholic health institutions’ right to refuse procedures against their faith have come up before but remained unresolved, including Medical Assistance in Dying (MAID).

MAID became legal in Canada in June 2016 but has caused discontent in the medical community, Gilbert says. Patients have had to be transferred out of Catholic-run long-term care homes, hospices, and hospitals and put into ambulances to receive the assisted death they desire. 

“MAID has led to what is called forced transfers. So, patients get forced out of the hospital to transfer to somewhere else if they want to get MAID because Catholic institutions will not provide it on-site,” said Daphne Gilbert, a law professor at the University of Ottawa specializing in Advanced Sexual Assault law. 

“This has been happening for years for decades with abortion, but it never reached the sort of public imagination as much as it has with MAID because we’ve at least had the option of clinic abortions.” 

“The problem is we don’t have a protective constitutional right to health care. We do have a publicly funded system, and it has to be administered equally,” said Gilbert.

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Looking for the next mystery bestseller? This crime bookstore can solve the case

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WINNIPEG – Some 250 coloured tacks pepper a large-scale world map among bookshelves at Whodunit Mystery Bookstore.

Estonia, Finland, Japan and even Fenwick, Ont., have pins representing places outside Winnipeg where someone has ordered a page-turner from the independent bookstore that specializes in mystery and crime fiction novels.

For 30 years, the store has been offering fans of Agatha Christie’s Hercule Poirot or Arthur Conan Doyle’s Sherlock Holmes a place to get lost in whodunits both old and new.

Jack and Wendy Bumsted bought the shop in the Crescentwood neighbourhood in 2007 from another pair of mystery lovers.

The married couple had been longtime customers of the store. Wendy Bumsted grew up reading Perry Mason novels while her husband was a historian with vast knowledge of the crime fiction genre.

At the time, Jack Bumsted was retiring from teaching at the University of Manitoba when he was looking for his next venture.

“The bookstore came up and we bought it, I think, within a week,” Wendy Bumsted said in an interview.

“It never didn’t seem like a good idea.”

In the years since the Bumsteds took ownership, the family has witnessed the decline in mail-order books, the introduction of online retailers, a relocation to a new space next to the original, a pandemic and the death of beloved co-owner Jack Bumsted in 2020.

But with all the changes that come with owning a small business, customers continue to trust their next mystery fix will come from one of the shelves at Whodunit.

Many still request to be called about books from specific authors, or want to be notified if a new book follows their favourite format. Some arrive at the shop like clockwork each week hoping to get suggestions from Wendy Bumsted or her son on the next big hit.

“She has really excellent instincts on what we should be getting and what we should be promoting,” Micheal Bumsted said of his mother.

Wendy Bumsted suggested the store stock “Thursday Murder Club,” the debut novel from British television host Richard Osman, before it became a bestseller. They ordered more copies than other bookstores in Canada knowing it had the potential to be a hit, said Michael Bumsted.

The store houses more than 18,000 new and used novels. That’s not including the boxes of books that sit in Wendy Bumsted’s tiny office, or the packages that take up space on some of the only available seating there, waiting to be added to the inventory.

Just as the genre has evolved, so has the Bumsteds’ willingness to welcome other subjects on their shelves — despite some pushback from loyal customers and initially the Bumsted patriarch.

For years, Jack Bumsted refused to sell anything outside the crime fiction genre, including his own published books. Instead, he would send potential buyers to another store, but would offer to sign the books if they came back with them.

Wendy Bumsted said that eventually changed in his later years.

Now, about 15 per cent of the store’s stock is of other genres, such as romance or children’s books.

The COVID-19 pandemic forced them to look at expanding their selection, as some customers turned to buying books through the store’s website, which is set up to allow purchasers to get anything from the publishers the Bumsteds have contracts with.

In 2019, the store sold fewer than 100 books online. That number jumped to more than 3,000 in 2020, as retailers had to deal with pandemic lockdowns.

After years of running a successful mail-order business, the store was able to quickly adapt when it had to temporarily shut its doors, said Michael Bumsted.

“We were not a store…that had to figure out how to get books to people when they weren’t here.”

He added being a community bookstore with a niche has helped the family stay in business when other retailers have struggled. Part of that has included building lasting relationships.

“Some people have put it in their wills that their books will come to us,” said Wendy Bumsted.

Some of those collections have included tips on traveling through Asia in the early 2000s or the history of Australian cricket.

Micheal Bumsted said they’ve had to learn to be patient with selling some of these more obscure titles, but eventually the time comes for them to find a new home.

“One of the great things about physical books is that they can be there for you when you are ready for them.”

This report by The Canadian Press was first published on Sept. 15, 2024.



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Labour Minister praises Air Canada, pilots union for avoiding disruptive strike

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MONTREAL – Canada’s labour minister is praising both Air Canada and the union representing about 5,200 of its pilots for averting a work stoppage that would have disrupted travel for hundreds of thousands of passengers.

Steven MacKinnon’s comments came in a statement shared to social media shortly after Canada’s largest air carrier announced it had reached a tentative labour deal with the Air Line Pilots Association.

MacKinnon thanked both sides and federal mediators, saying the airline and its pilots approached negotiations with “seriousness and a resolve to get a deal.”

The tentative agreement averts a strike or lockout that could have begun as early as Wednesday for Air Canada and Air Canada Rouge, with flight cancellations expected before then.

The airline now says flights will continue as normal while union members vote on the tentative four-year contract.

Air Canada had called on the federal government to intervene in the dispute, but Prime Minister Justin Trudeau said Friday that would only happen if it became clear no negotiated agreement was possible.

This report from The Canadian Press was first published Sept. 15, 2024.

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As plant-based milk becomes more popular, brands look for new ways to compete

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When it comes to plant-based alternatives, Canadians have never had so many options — and nowhere is that choice more abundantly clear than in the milk section of the dairy aisle.

To meet growing demand, companies are investing in new products and technology to keep up with consumer tastes and differentiate themselves from all the other players on the shelf.

“The product mix has just expanded so fast,” said Liza Amlani, co-founder of the Retail Strategy Group.

She said younger generations in particular are driving growth in the plant-based market as they are consuming less dairy and meat.

Commercial sales of dairy milk have been weakening for years, according to research firm Mintel, likely in part because of the rise of plant-based alternatives — even though many Canadians still drink dairy.

The No. 1 reason people opt for plant-based milk is because they see it as healthier than dairy, said Joel Gregoire, Mintel’s associate director for food and drink.

“Plant-based milk, the one thing about it — it’s not new. It’s been around for quite some time. It’s pretty established,” said Gregoire.

Because of that, it serves as an “entry point” for many consumers interested in plant-based alternatives to animal products, he said.

Plant-based milk consumption is expected to continue growing in the coming years, according to Mintel research, with more options available than ever and more consumers opting for a diet that includes both dairy and non-dairy milk.

A 2023 report by Ernst & Young for Protein Industries Canada projected that the plant-based dairy market will reach US$51.3 billion in 2035, at a compound annual growth rate of 9.5 per cent.

Because of this growth opportunity, even well-established dairy or plant-based companies are stepping up their game.

It’s been more than three decades since Saint-Hyacinthe, Que.-based Natura first launched a line of soy beverages. Over the years, the company has rolled out new products to meet rising demand, and earlier this year launched a line of oat beverages that it says are the only ones with a stamp of approval from Celiac Canada.

Competition is tough, said owner and founder Nick Feldman — especially from large American brands, which have the money to ensure their products hit shelves across the country.

Natura has kept growing, though, with a focus on using organic ingredients and localized production from raw materials.

“We’re maybe not appealing to the mass market, but we’re appealing to the natural consumer, to the organic consumer,” Feldman said.

Amlani said brands are increasingly advertising the simplicity of their ingredient lists. She’s also noticing more companies offering different kinds of products, such as coffee creamers.

Companies are also looking to stand out through eye-catching packaging and marketing, added Amlani, and by competing on price.

Besides all the companies competing for shelf space, there are many different kinds of plant-based milk consumers can choose from, such as almond, soy, oat, rice, hazelnut, macadamia, pea, coconut and hemp.

However, one alternative in particular has enjoyed a recent, rapid ascendance in popularity.

“I would say oat is the big up-and-coming product,” said Feldman.

Mintel’s report found the share of Canadians who say they buy oat milk has quadrupled between 2019 and 2023 (though almond is still the most popular).

“There seems to be a very nice marriage of coffee and oat milk,” said Feldman. “The flavour combination is excellent, better than any other non-dairy alternative.”

The beverage’s surge in popularity in cafés is a big part of why it’s ascending so quickly, said Gregoire — its texture and ability to froth makes it a good alternative for lattes and cappuccinos.

It’s also a good example of companies making a strong “use case” for yet another new entrant in a competitive market, he said.

Amid the long-standing brands and new entrants, there’s another — perhaps unexpected — group of players that has been increasingly investing in plant-based milk alternatives: dairy companies.

For example, Danone has owned the Silk and So Delicious brands since an acquisition in 2014, and long-standing U.S. dairy company HP Hood LLC launched Planet Oat in 2018.

Lactalis Canada also recently converted its facility in Sudbury, Ont., to manufacture its new plant-based Enjoy! brand, with beverages made from oats, almonds and hazelnuts.

“As an organization, we obviously follow consumer trends, and have seen the amount of interest in plant-based products, particularly fluid beverages,” said Mark Taylor, president and CEO of Lactalis Canada, whose parent company Lactalis is the largest dairy products company in the world.

The facility was a milk processing plant for six decades, until Lactalis Canada began renovating it in 2022. It now manufactures not only the new brand, but also the company’s existing Sensational Soy brand, and is the company’s first dedicated plant-based facility.

“We’re predominantly a dairy company, and we’ll always predominantly be a dairy company, but we see these products as complementary,” said Taylor.

It makes sense that major dairy companies want to get in on plant-based milk, said Gregoire. The dairy business is large — a “cash cow,” if you will — but not really growing, while plant-based products are seeing a boom.

“If I’m looking for avenues of growth, I don’t want to be left behind,” he said.

Gregoire said there’s a potential for consumers to get confused with so many options, which is why it’s so important for brands to find a way to differentiate themselves, whether it’s with taste, health, or how well the drink froths for a latte.

Competition in a more crowded market is challenging, but Taylor believes it results in better products for consumers.

“It keeps you sharp, and it forces you to be really good at what you’re doing. It drives innovation,” he said.

This report by The Canadian Press was first published Sept. 15, 2024.



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