VANCOUVER — Family doctors in British Columbia have been offered a significant raise under the province’s new compensation model as part of a plan to address the crisis in the health-care system.
The provincial government said Monday a full-time family doctor would be paid about $385,000 a year, up from the current $250,000, under a tentative three-year Physician Master Agreement reached with Doctors of BC last week.
Currently, family doctors are paid through a fee-for-service model and the government said the new plan will also pay them for hours worked, administrative costs, and the number and complexity of patients.
Dr. Ramneek Dosanjh, president of Doctors of BC, said the deal represents a “seismic shift” in the way family medicine is practiced in the province.
“It is a model unique in Canada bringing together the best of a range of payment models. It addresses rising business costs, it recognizes the value physicians provide when delivering longitudinal care and it will compensate us for the time spent on evening and weekend administrative burdens,” she said.
“We’re listening to the concerns of many of our family doctors who have left practice or have been contemplating leaving.”
The master agreement, which must be ratified by physicians, was developed between the Doctors of BC, the province and BC Family Doctors and will start in February next year.
The plan will cost the B.C. government $708 million over three years, representing overall increases to the total base budget between three and 5.5 per cent each year.
The cost is on top of a one-time $118-million program to hand out an average of $25,000 per family doctor to keep them in practice until the plan’s launch.
One in five B.C. residents, or about one million people, don’t have a family doctor and the compensation model aims to recruit and retain more physicians.
The agreement would be accompanied with a new “roster” system, to be introduced by mid-2023, where those looking for a family doctor can register to be linked with practices in their community instead of searching one out themselves, an official said Monday.
Health Minister Adrian Dix said the payment model will help protect and strengthen B.C.’s health-care system. However, he said the government doesn’t have a specific estimate for its impact in terms of the number of people who will get a family doctor, or the number of doctors recruited as a result.
“It’s going to have a very, very positive effect. We can’t be exact,” he said, adding that it’s not a one-step solution but is part of a broader overhaul of health services.
The roster system will give the government better information about who has care and who needs it, he said.
Green Leader Sonia Furstenau said in a statement that while the announcement seems to address major concerns expressed by family doctors, it’s important that the plan also measures outcomes.
In addition to pay increases, the government said in a statement the funds will cover income disparities and new hourly premiums for after-hours services.
One of the complaints from family doctors has been high overhead costs of operating a practice, averaging between $80,000 and $85,000 a year, that come out of their pocket, an official said.
The new model aims to close the pay gap between family doctors and hospitalists, who are paid close to $300,000 a year to work in hospitals and have the same training but not the overhead costs.
Full-service family doctors are those who work in communities to provide ongoing primary-care services to their patients.
Premier John Horgan said in a statement the new model will help deal with the staffing shortfall.
“Rising costs, pandemic-related pressures and staffing shortages required action for doctors on several fronts.”
This report by The Canadian Press was first published Oct. 31, 2022.
Amy Smart, The Canadian Press
COVID vaccines: Canada fell short at limiting wastage, AG says – CTV News
While the federal government was successful in procuring COVID-19 vaccines amid an urgent pandemic situation, the Public Health Agency of Canada (PHAC) fell short when it came to minimizing the number of doses wasted, according to Canada’s auditor general.
In an audit of the federal government’s COVID-19 vaccine procurement, tabled in the House of Commons on Tuesday, Karen Hogan found that while federal departments “secured COVID-19 vaccine doses so that everyone in Canada who chose to be vaccinated could be,” once the vaccines arrived the systems to keep track of them were lacking.
Hogan’s performance audit focused on assessing the job Public Services and Procurement Canada did in procuring vaccines, and how the Public Health Agency of Canada and Health Canada did in keeping track of the inventory as well as seeing the vaccines delivered across the country and later donated globally.
The audit found that PSPC’s “efficient” work—led by then-procurement minister Anita Anand—and the decision to sign advance purchase agreements with seven COVID-19 vaccine manufacturers ensured that Canada would have enough doses to meet the demand. However, Hogan noted that this approach came with the risk of Canada having a surplus of doses.
As this played out in realtime, and six of the seven potential vaccines were authorized for use in Canada, the federal government paid for 169 million doses of COVID-19 vaccines between December 2020—when Canada’s COVID-19 vaccine authorization and immunization rollout began—and May 2022.
Of those, the federal government administered more than 84 million doses across the country.
That left 85 million COVID-19 vaccine doses unused, 50.6 million of which the audit found were deemed surplus and offered for donation. However, just 15.3 million doses have been given to other countries while 13.6 million expired before they could be donated.
That meant that as of the end of May, Canada had 32.5 million doses—worth an estimated $1 billion—sitting in inventories across the country. The report flags that the majority of these shots are set to expire by the end of the year, resulting in more wastage if they are not used or donated soon. In addition to these shots, the government has gone on to procure doses of newly-developed bivalent booster shots.
The auditor general said that while PHAC “equitably allocated” COVID-19 vaccine doses to the provinces and territories and oversaw their delivery in a “timely way,” efforts to cut down on wasted doses was “unsuccessful.”
This was in part due to delays in the agency developing and implementing an information technology planning system called “VaccineConnect,” meant to help track and manage vaccine usage. By the end of the audit, the report states that even still “not all of the system’s functionalities were being used.”
Another factor that contributed to more doses potentially going to waste than necessary was that the agency did not have in place finalized data-sharing agreements with the provinces and territories, a long-standing issue the AG’s office has brought up repeatedly with this and previous governments, most recently in the 2021 audit on pandemic preparedness.
“This meant that the agency relied on voluntary reporting by the provinces and territories. Although some provinces and territories consistently reported to the agency, the agency was unable to obtain complete data from most,” the audit said. “This meant that the status of these doses was unknown and reduced the agency’s ability to predict supply needs and plan for donations.”
Hogan found that while the federal health bodies were timely in responding to the trio of confirmed vaccine safety signals, the data-sharing gap “affected the agency’s ability to effectively share detailed case-level safety surveillance data with Health Canada, the World Health Organization, and vaccine companies,” as it pertained to incidents of adverse reactions in Canada.
She is now calling for this gap to be addressed immediately, “because the sharing of health data is a cornerstone of effective surveillance to keep Canadians safe.”
Federal officials and opposition critics will be responding to Hogan’s findings this afternoon.
This is a breaking news story, more to come…
Inflation in Canada: Grocery execs on profiteering claims – CTV News
Grocery executives are disputing an accusation that grocery giants are taking advantage of inflation to drive up their own profits.
Executives from Loblaw and Empire testified at the House of Commons agriculture committee Monday as part of its study of food inflation.
“Empire does not like inflation,” said Pierre St-Laurent, chief operating officer of Empire, the parent company of Sobeys.
Jodat Hussain, Loblaw’s senior vice-president of retail finance, told MPs Loblaw has been raising prices because suppliers are charging more, and that the company’s gross margins on food have remained stable.
“Fundamentally, grocery prices are up because the costs of products that grocers buy from suppliers have gone up,” Hussain said.
The executive said Loblaw pushes back on suppliers when they do propose raising prices, citing its disagreement with Frito-Lay over the price of potato chips, which led to empty shelves during the dispute.
The rapidly rising cost of groceries has become a hot-button issue in politics, with food prices up 11 per cent in October compared with a year earlier.
And relief isn’t expected to come any time soon.
According to the 13th edition of Canada’s Food Price Report released Monday, the total cost of groceries for a family of four is expected to be $1,065 more than it was this year.
The study into food inflation by the House of Commons committee was called for by NDP agriculture critic Alistair MacGregor.
The New Democrats have accused companies like Loblaw of profiting off of inflation by unfairly raising prices on consumers.
MPs heard testimony from others in the grocery industry, including the Retail Council of Canada; Food, Health and Consumer Products of Canada; and Fruit and Vegetable Growers of Canada.
“We are experiencing a unique confluence of events — war, extreme weather and soaring fuel prices, all piling on top of supply chain disruptions and labour shortages,” said Karl Little, Retail Council of Canada’s senior vice-president of public affairs.
Sylvain Charlebois, a Dalhousie University professor of food distribution and policy, also appeared before MPs. The food researcher raised concerns about a lack of competition oversight that he says is feeding into distrust between consumers and grocers.
“The Competition Bureau is constantly failing the Canadian public by not providing forceful support to lawmakers in Canada when it simply endorses acquisitions and oversees investigations with little or no vigour,” Charlebois said.
The Competition Bureau announced in October it is launching a study to examine whether the highly concentrated grocery sector is contributing to rising food costs.
The competition watchdog is expected to provide a set of recommendations for the government in its final report, which it plans to publish in June.
The committee will also hold another meeting on food inflation on Dec. 12.
This report by The Canadian Press was first published Dec. 5, 2022.
More 'police' centres run by China found around world: NGO – CTV News
A human rights organization says it has found dozens of additional overseas Chinese “police service centres” around the world, including at least two more in Canada.
In a new report released Monday called “Patrol and Persuade,” the Spain-based non-governmental organization Safeguard Defenders says it used open source statements from People’s Republic of China authorities, Chinese police and state media to document at least 48 additional stations.
This on top of the 54 stations revealed in September, bringing the total number of documented centres to 102 in 53 countries. Some host countries also have co-operated in setting up these centres, Safeguard Defenders says.
The stations are accused of targeting Chinese nationals living abroad, particularly those who allegedly committed crimes in China, in order to coerce them to return home.
Safeguard Defenders reports that along with the three police “stations” previously confirmed in the Greater Toronto Area, which are operated out of the Chinese city of Fuzhou, it has found newly confirmed centres in Vancouver, operated out of Wenzhou, and another whose location is unknown but operates out of Nantong.
In a statement to CTV National News on Monday, the RCMP said it’s “investigating reports of criminal activity in relation to the so-called ‘police’ stations.” No further details were provided.
A similar statement was given by the police force to CP24 in late October following the previous report of Toronto-area stations.
The consulate general of the People’s Republic of China said at the time that the stations are to help Chinese citizens renew their driver’s licences, given many of them are unable to return to China due to the COVID-19 pandemic, and that the “local volunteers” facilitating this “are not Chinese police officers.”
However, Safeguard Defenders says the vast majority of the newly documented stations were set up starting in 2016, years before the pandemic began.
In its previous report in September, Safeguard Defenders found that Chinese police “persuaded” 230,000 claimed fugitives to return to China “voluntarily” between April 2021 and July 2022. Among the tactics used, Safeguard Defenders said, included denying suspects’ children in China the right to education and punishing relatives through “guilt by association.”
The U.S. Department of Justice accused seven people in October of a yearslong campaign to harass and intimidate a U.S. resident to return to China.
While Prime Minister Justin Trudeau attended the G20 summit in Indonesia in November, his office told reporters that he had raised concerns with Chinese President Xi Jinping of “interference” in Canada.
Asked about what specific interference he referred to, Trudeau later told the House of Commons, “We’ve known for many years that there are consistent engagements by representatives of the Chinese government into Canadian communities, with local media, reports of illicit Chinese police stations.”
With files from CP24 Web Content Writer Joanna Lavoie, CTV National News Vancouver Bureau Chief Melanie Nagy, CTV News Toronto Videojournalist Allison Hurst and The Canadian Press
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