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Coronavirus: What's happening in Canada and around the world on Wednesday – CBC.ca

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The latest:

Schools can safely reopen even if teachers are not vaccinated for the coronavirus, the director of the U.S. Centers for Disease Control and Prevention said Wednesday.

As some teachers’ unions in the U.S. balk at resuming in-person instruction before teachers are vaccinated, Dr. Rochelle Walensky said that “vaccination of teachers is not a prerequisite for safe reopening of schools.” Walensky cited CDC data showing that physical distancing and wearing a mask significantly reduce the spread of the virus in school settings.

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White House COVID-19 co-ordinator Jeff Zients called on Congress to pass additional funding to ensure schools have the resources necessary to support reopening.

How to safely reopen schools has been the subject of heated debate, not just in the U.S. but around the world. Walensky’s remarks come ahead of Ontario’s announcement that students will be back to class throughout the province by Feb. 16.

U.S. President Joe Biden has pledged to ensure that nearly all K-8 schools will reopen for in-person instruction in the first 100 days of his administration.

Teachers are prioritized as “essential workers” under the CDC’s vaccination plans, though many have yet to receive doses as the country continues to face a supply shortage of the vaccines.

Democrats, Republicans divided over rescue plan

The update from officials leading the new administration’s COVID-19 response came after Biden panned a Republican alternative to his $1.9 trillion US COVID-19 rescue plan as insufficient. Senate Democrats pushed ahead, voting to launch a process that could approve Biden’s sweeping rescue package on their own if Republicans refuse to support it.

Biden and Treasury Secretary Janet Yellen joined the Democratic senators for a private virtual meeting on Tuesday, both declaring that the Republicans’ $618-billion proposed plan was too small. They urged swift action to stem the coronavirus pandemic and its economic fallout.

As the White House reached for a bipartisan bill, Democrats marshalled their slim Senate majority, voting 50-49 to start a lengthy process for approving Biden’s bill with or without Republican support. The goal is to have COVID-19 relief approved by March, when extra unemployment assistance and other pandemic aid expires.

“President Biden spoke about the need for Congress to respond boldly and quickly,” Senate Majority Leader Chuck Schumer said after the lunch meeting. “If we did a package that small, we’d be mired in the COVID crisis for years.”

The night before, Biden met with 10 Republican senators pitching their $618 billion alternative and let them know it was insufficient to meet the country’s needs. The president made it clear that he won’t delay aid in hopes of winning GOP support. While no compromise was reached during the late Monday session, White House talks with Republicans are privately underway.

The U.S. has seen more than 26.4 million cases of COVID-19 and has reported more than 447,000 deaths during the pandemic, according to a tracking tool maintained by Johns Hopkins University in Maryland.

The two parties are far apart, with the Republican group of 10 senators focused primarily on the health-care crisis and smaller $1,000 direct aid to Americans than the $1,400 payments Biden proposed, while the president is leading Democrats toward a more sweeping rescue plan to shore up households, local governments and a partly shuttered economy.

Winning the support of 10 Republicans would be significant, potentially giving Biden the votes needed in the 50-50 Senate to reach the 60-vote threshold typically required to advance legislation. Vice-President Kamala Harris is the tie-breaker.

From The Associated Press and CBC News, last updated at 4:10 p.m. ET


What’s happening across Canada

WATCH | Students can go to school safely if some firm rules applied, says specialist:

Kids in southern Ontario can return to school safely, despite higher community spread of COVID-19, says Dr. Peter Jüni, scientific director of the Ontario COVID-19 Science Advisory Table. But he says it will be a challenge that needs to be well-managed. 7:31

As of 4:10 p.m. ET on Wednesday, Canada had reported 788,979 cases of COVID-19 — with 48,651 considered active. A CBC News tally of deaths stood at 20,328.

In Ontario, teachers, students and parents in several boards in the south of the province got word from the provincial government that students would be back in class by Feb. 8 in most parts of the province, and by Feb. 16 in Toronto, Peel and York Regions. 

“We have seen a considerable decline in community transmission,” Education Minister Stephen Lecce said during the afternoon announcement. “Ontario is ready to reopen all our schools because it is safe.”

Ontario reported 1,172 new cases of COVID-19 on Wednesday and 67 additional deaths. The update came a day after the province reported just 745 cases, though Health Minister Christine Elliott noted in a tweet on Tuesday that a data migration had impacted the daily count and the province anticipated “fluctuations in case numbers over the next few days.”

Hospitalizations in Ontario decreased to 1,066, according to a provincial dashboard updated Wednesday morning, with 336 COVID-19 patients in intensive care units.

In Quebec, health officials reported 1,053 new cases of COVID-19 and 37 additional deaths on Wednesday, a day after Premier François Legault announced that restrictions would be eased in some areas of the province. Hospitalizations in Quebec stood at 1,106, with 177 people in intensive care, according to a provincial database.

WATCH | Quebec moves toward gradual reopening:

With COVID-19 case counts and hospitalizations declining, Quebec has announced cautious plans to loosen some provincial restrictions, but major centres like Montreal won’t see much change for now. 4:05

The Northwest Territories has declared a COVID-19 outbreak at Gahcho Kué Mine, 280 kilometres northeast of Yellowknife. There are now two confirmed cases of COVID-19 at the mine, both involving non-resident workers.

The territory’s chief public health officer, Dr. Kami Kandola, said both active cases are self-isolating at the mine and doing well. Kandola said an outbreak was declared because the second person acquired the virus at the mine.

Here’s a look at what is happening across the country:

-From The Canadian Press and CBC News, last updated at 4:10 p.m. ET


What’s happening around the world

A bottle of hand sanitizer sits on a student’s desk, during a news conference at New Bridges Elementary School, ahead of schools reopening, in the Brooklyn borough of New York City last summer. (Jeenah Moon/Reuters)

As of Wednesday afternoon, more than 104.8 million cases of COVID-19 had been reported worldwide, with more than 57.7 million of those listed as recovered or resolved, according to a tracking tool maintained by Johns Hopkins University. The global death toll stood at more than 2.2 million.

A United Nations-backed program to deploy COVID-19 vaccines to the neediest people worldwide has announced plans for an initial distribution of more than 100 million doses by the end of the first quarter.

The COVAX Facility says it aims for nearly 200 million doses by the end of June. Most of the vaccines in the first phase will be from AstraZeneca and the Serum Institute of India.

Another 1.2 million doses of a vaccine from Pfizer are expected to be shared by 18 countries in the first quarter.

The AstraZeneca vaccine rollout needs “emergency use” approval by the World Health Organization, which is expected in mid- to late February. The rollouts are contingent on regulatory approvals and the readiness of nations to receive the vaccines, which recently have been in short supply worldwide.

In the Asia-Pacific region, South Korean health officials said they have detected the first local transmissions of what are feared to be more contagious forms of the coronavirus first identified in Britain and South Africa.

The Korea Disease Control and Prevention Agency (KDCA) said Wednesday it found four local cases of the variant first detected in the U.K.and one local case of the variant first detected in South Africa.

Since October, health workers have found 39 cases of new variants of the virus that causes COVID-19, also including a form that was first identified in Brazil. The previous cases were found in people arriving from abroad.

WATCH | A WHO team visits China’s Wuhan Institute of Virology:

A special team from the World Health Organization has visited China’s Wuhan Institute of Virology, a key site in their search for the origins of the coronavirus. The team did not speak to waiting journalists after the visit. 1:25

In all five of the locally transmitted cases, the virus carriers had been infected from relatives who recently arrived from abroad, the agency said.

The KDCA said it is expanding contact tracing to determine whether the new variants could have circulated further. It also called for administrative officials to strengthen monitoring of passengers arriving from abroad so that they minimize their contact with other people during their two-week quarantine period, which in most cases can be done at home.

New Zealand’s medical regulator has approved its first coronavirus vaccine, and officials hope to begin giving shots to border workers by the end of March. Regulators granted provisional approval for the vaccine developed by Pfizer and BioNTech for people aged 16 and over.

New Zealand has no community transmission of the virus, and border workers are considered the most vulnerable to catching and spreading the disease because they deal with arriving travellers, some of whom are infected.

In Africa, South Africa will get two million doses of vaccines by March from the COVAX vaccine distribution scheme co-led by the World Health Organization.

A health worker receives a dose of the Chinese-made Sinopharm COVID-19 vaccine at a vaccination centre in Karachi, Pakistan, on Wednesday. (Asif Hassan/AFP/Getty Images)

Uganda has ordered 18 million doses of AstraZeneca’s COVID-19 vaccine.

In Europe, EU lawmakers questioned chief executive Ursula von der Leyen for hours on Tuesday over the slow rollout and shortage of COVID-19 vaccines as she took responsibility for an export control plan that angered Britain and Ireland.

A German military medical team is heading to Portugal to help that country deal with a spike in coronavirus cases.

The team of 26 doctors and nurses was flying to Portugal on Wednesday from Wunstorf, in northern Germany. Dr. Ulrich Baumgaertner, head of the military’s medical service, said the team will help at a civilian hospital in Lisbon.

The COVID-19 situation in France remains fragile, but a new national lockdown is not necessarily inevitable, French government spokesperson Gabriel Attal told reporters on Wednesday.

The Ukrainian government is ready to cancel a nationwide lockdown and allow health authorities to ease lockdown measures in regions where COVID-19 cases are lower, Prime Minister Denys Shmygal said on Wednesday. The decision may be made in the coming days, he told a televised cabinet meeting.

WATCH | Capt. Sir Tom Moore dies at 100 after positive COVID-19 test:

Capt. Sir Tom Moore, the 100-year-old Second World War veteran who raised millions to fight the pandemic by walking in his garden, died in hospital where he was being treated after a positive COVID-19 test. 2:02

In the Americas, Colombia reported the highest incidence of cases, followed by Brazil, where the city of Manaus is still seeing exponential increases in both cases and deaths, Pan American Health Organization director Dr. Carissa Etienne said. Three new variants have been detected in 20 countries of the Americas, though their frequency is still limited, she said in a briefing.

Colombia’s president, Iván Duque, also warned Wednesday that the government’s plan to vaccinate more than 35 million people this year could face delays. The country said last week it had secured 61.5 million vaccine doses from a raft of pharmaceutical companies and via the World Health Organization-backed COVAX scheme.

A mortuary employee wearing full PPE checks coffins containing the remains of COVID-19 victims in a refrigerated container in Johannesburg, South Africa, on Tuesday. (Jerome Delay/The Associated Press)

But in a mid-week media briefing, Duque recognized that the process could face delays, including potential export limits placed on vaccines by other countries and a low uptake of shots amid circulating disinformation.

“Are there risks [to the roll-out]? Yes, without doubt risks exist,” Duque said.

Venezuela will send further shipments of oxygen to help neighbouring Brazil treat COVID-19 patients, President Nicolas Maduro said, after sending a convoy of oxygen-filled trucks to the Amazonian city of Manaus last month.

In the Middle East, Dubai will start vaccinating people with the Oxford-AstraZeneca vaccine, the state media office has said, after receiving its first shipment from India.

-From The Associated Press and Reuters, last updated at 3:15 p.m. ET

Have questions about this story? We’re answering as many as we can in the comments.

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Just bought a used car? There’s a chance it’s stolen, as thieves exploit weakness in vehicle registrations

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The fight against Canada’s worst-ever auto theft epidemic has largely focused on ramping up inspections at shipping ports, where organized crime groups have exported the overwhelming majority of stolen vehicles.

But criminals are adapting, police say, by increasingly selling hot vehicles in Canada to unsuspecting buyers with little protection, exploiting a weakness in provincial registration systems that veteran investigators argue needs to be fixed.

“The market is so lucrative it’s easy cash,” said Det. Sgt. Greg O’Connor of Peel Regional Police, west of Toronto.

While it is impossible to know what criminals do with all stolen cars and difficult to track shifting trends, police now estimate nearly one-third of stolen vehicles are being resold in Canada, marking a significant increase from just six months ago when the vast majority of vehicles were believed to have been exported.

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And often, buyers have no idea.

Derek Crocker bought a used Ford F-150 pickup truck from a dealership in Toronto in 2022. Just a few months later, his own investigation revealed the truck’s vehicle identification number — or VIN — had been replaced, mirroring the VIN of a similar truck registered in Utah.

Two photos of VIN stickers highlight two identical VINs to show how the identification number can be faked.
VIN stickers from two different vehicles show the same vehicle identification numbers. The original and authentic sticker, top, is from a vehicle registered in Utah. The lower number, a fake, is from the used Ford F150 purchased by Crocker in Ontario. (CBC)

“The whole reason you buy it from a dealership is so you don’t have to worry about dealing with that sort of thing,” he said.

In retrospect, there were small tells.

After Crocker entered what should have been the truck’s unique VIN in Ford’s app, the function to remotely start the vehicle never worked. The app also listed the vehicle as being located in the United States and indicated a different amount of fuel than his own vehicle tank was holding.

But it wasn’t until his F-150 was in an accident and required body work that the problem with the VIN was revealed. The repair shop ordered parts based on the VIN it saw on the dash. But the parts did not match.

“So I Googled the VIN number that was on my truck, and I found a truck for sale in Utah,” said Crocker.

A Ford F-150 in an outdoor parking lot.
This Ford F-150 truck cost Crocker almost $60,000 at a dealership. His own investigation revealed it had been reported stolen and had a new VIN sticker mirroring one from a similar truck already registered in Utah. Because the truck had been reported stolen, his insurance policy was immediately voided, as police seized the vehicle. (Submitted by Derek Crocker)

It turns out that was the true VIN, which thieves had cloned, placing fake VIN stickers with the Utah truck’s VIN on top of the true number for the truck Crocker bought.

VINs are most prominently displayed on a vehicle’s dashboard, as well as on the ownership title. When a vehicle is stolen, the VIN is flagged across North America to prevent it being sold.

But criminals are replacing the VIN plate, often with one from a comparable vehicle that has been totalled, legally exported or one registered in another province or U.S. state. They may go through junkyards, export records or simply walk through a mall parking lot to find a VIN to clone.

In doing so, they re-VIN or “wash” the vehicle of its stolen status.

A police officer stands in front of a recovered stolen car.
Det. Sgt. Greg O’Connor of Peel Regional Police stands with stolen luxury vehicles recovered by the auto theft squad he leads. The vehicles included a Porsche, Maserati, Land Rover and other cars that had each been ‘re-VINed.’ (Mia Sheldon/CBC)

Crocker called police, who seized the vehicle and returned it to the insurance company of the original owner.

Crocker’s own insurance would not cover his loss because he’d — albeit unknowingly — purchased a stolen vehicle. After a long discussion with the dealership that sold him the stolen truck, his money was returned.

“They did nothing extra,” Crocker said. “They didn’t help me at all.”

How could 2 cars with the same VIN be registered?

Provincial centres that administer vehicle registration, such as ServiceOntario, do not have a system that checks if VINs already exist in other jurisdictions.

“You can have a vehicle registered in one province and the same VIN on a different vehicle registered in another and we need to stop that,” David Adams, president and CEO of Global Automakers of Canada, told a recent auto theft summit in the Greater Toronto Area.

Neither Canada nor the United States has a national vehicle registry. Multiple police agencies are urging federal and provincial governments to create one.

“The reality is this is a national issue. And that’s why a national registry that moves itself beyond any sort of provincial jurisdiction is important in all capacities,” Nick Milinovich, deputy chief of Peel Regional Police, said in an interview.

CBC News asked Ontario’s Ministry of the Solicitor General why the province’s database can’t detect whether the same VIN is actively being used in another province or state.

“If changes to the provincial registration process are required, we won’t hesitate to make them,” it responded in a statement.

How to spot a potentially stolen car for sale

While it is impossible to know precisely how many fraudulently registered stolen vehicles are back on the road, recoveries have surged.

“The number of re-VINS is just blowing through the roof right now,” said O’Connor. “It’s costing drivers, banks, insurance companies big money. It’s a massive problem.”

It is impossible to know the full extent of the illegal economy and the proportion of vehicle exported versus those kept in the country. But police forces across southern Ontario have reported a surge in recoveries of vehicles that have had their VINs altered.

Car buyers are being advised to look at the VIN on the dashboard and the pillar between the front and back driver’s side doors to see if the numbering is bubbling, a sign there may be a sticker on top of the real VIN.

A fake vehicle identification number on a blue Porsche.
A fake VIN sticker on a police-recovered stolen Porsche Cayenne. Investigators point to bubbling and a slight discolouration as suspicious. The sticker, on the driver’s side pillar between the front and back seats, is one of two locations where a VIN is most prominently displayed. The other, on the front dash, is visible from outside the vehicle. Both had been altered by criminals. (Mia Sheldon/CBC)

Running the VIN through a paid service like Carfax could also yield key warning signs. For example: a vehicle that records show has been declared salvage after a crash later reappearing undamaged. Or a VIN with a sales and registration history almost exclusively in one province or state suddenly being for sale in another.

If an insurance company discovers a vehicle has a fraudulent VIN, the policy is voided. When police seized Crocker’s truck, insurance would not pay to replace it. He was only able to recover his money when the dealership that sold the stolen truck paid him out.

But police and insurance investigators have begun to warn of a proliferation of re-VINed vehicles being sold exclusively through social media platforms like Instagram.

“If you’re paying cash for that vehicle [in a private sale] or you do a bank transfer,” said O’Connor, “there’s no recourse.”

WATCH | A stolen car is found in Ghana: 

CBC finds Toronto man’s stolen car in West Africa

8 months ago

Duration 2:00

CBC’s David Common informs Len Green that his stolen car has been found in Ghana, 8,500 kilometres from Toronto, where it first went missing a year ago.

Registry employees alleged to be in on the crime

Police also allege organized crime has recruited employees at ServiceOntario, the registration centres operated on behalf of the province that offer an array of services, including issuing licences and managing the database of registered vehicles.

At the end of 2023, Toronto police charged seven ServiceOntario employees with a collective 73 charges, including fraud over $5,000, tampering with a vehicle identification number, breach of trust by a public officer and trafficking in identity information.

They allegedly provided an auto theft ring with registered addresses for specific vehicle models. Once stolen, the same employees assisted the ring in “re-VINing” the vehicles.

Fraudulent VINs may never be detected, although Peel police alone have seized more than 50 such vehicles in 2024 alone.

At other times, employees at ServiceOntario have flagged suspicious activity, such as when the same person shows up dozens of times to register different vehicles. That was allegedly the case with Milton Hylton, who was charged with 168 counts of various Criminal Code offences in March.

He was released on bail, pending trial. No charges are yet proven.

WATCH | An alleged repeat re-VINer is arrested:

Police arrest man for alleged serial re-VINing

1 day ago

Duration 0:29

CBC News takes you inside a police surveillance operation, witnessing an auto theft takedown connected to a growing aspect of the billion-dollar crime. Criminal rings are increasingly selling stolen cars in Canada to car buyers who often have no idea.

According to the warrant used to search his home and requested by Peel Regional Police Const. Gurinder Athwal, the 24-year-old travelled to “multiple ServiceOntario locations throughout the province and fraudulently registered vehicles.” Police say more than 100 vehicles were involved, and describe stolen Dodge Rams, Dodge Durangos and BMWs among them.

CBC News was present at the moment of Hylton’s arrest in Mississauga as multiple undercover police vehicles conducting surveillance moved in.

As investigators searched and then towed his silver Mazda, they say they found documents to register even more vehicles inside.

Hylton had just a few weeks earlier been banned from entering ServiceOntario locations without an appointment, because of suspicions. He was in the company of a woman he identified as his girlfriend. His sister was also arrested days later and now faces 36 charges of uttering forged documents and trafficking of stolen goods.

3rd-party registration being exploited

In a news release, Peel police describe Hylton as using “loopholes in the ServiceOntario procedures that allow ‘authorized’ individuals to conduct third-party transactions.”

While third-party registration is intended for car dealers, provisions for it mean nearly any individual can transfer registration of a vehicle or register a vehicle in another person’s name.

This process is typical in other Canadian provinces, too.

“It’s a huge problem,” said O’Connor. “And that’s how a lot of these vehicles are getting through.”

For instance, the warrant in the Hylton case alleges he transferred vehicle ownerships to both a speciality tool shop in Etobicoke and an automotive exporter in St. Catharines. Neither business authorized the transfers, and both insist Hylton is neither an employee nor known to them.

Were the vehicles in question stolen, the new registration would have detached them from their previous owners. Anyone buying the vehicles would be none the wiser and would have no insurance or other protection if the vehicle’s stolen status was ever uncovered.

A screenshot of an Instagram page showing customers giving testimonials about their newly purchased vehicles.
Peel police allege this Instagram page shows customers of Hylton’s apparent brokerage ‘Royalty in the Building.’ Testimonial videos describe how Hylton set up car purchasers with vehicles. Police say at least some of the vehicles in the videos were likely stolen and given replacement vehicle identification numbers to make them appear legitimate. (Royalty in the Building/Instagram)

Peel police say Hylton sold dozens of vehicles over a year through social media under the Instagram handle “Royalty in the Building.”

That name is associated with Facebook and Instagram accounts where apparent car buyers offer testimonials.

“I called up Milton. I told him I got my money up, I need plates, I need a car. And he got it just like that,” a person said in a testimonial while standing in front of a Honda Civic.

“Got my new SUV, fully loaded. Tints, light, rims, inside’s clean. Everything’s legit,” another person said in a testimonial.

“You give him your cash. You’re on the road. You ain’t got to go to ServiceOntario. You don’t got to do no running around,” said another.

WATCH | Inside a weeks-long auto theft investigation:

How stolen cars end up back on Canadian streets

1 day ago

Duration 7:34

CBC’s David Common gets exclusive access inside an auto theft surveillance operation, targeting a suspect who allegedly re-vinned more than 100 stolen vehicles to be resold, sometimes to unsuspecting buyers in Canada.

CBC News spoke with several police and insurance officials from across the Greater Toronto Area about third-party registrations.

Each insisted the loophole needed to be closed to prevent illegal transfers. But none wanted to speak on the record, citing the provincial Ministry of Transportation as a good partner they did not want to publicly besmirch.

Meanwhile, the auto theft problem continues to grow.

In 2022, an unprecedented $1.2 billion worth of vehicles were stolen across the entire country. By 2023, more than $1 billion was lost in just Ontario alone, according to the Équité Association, the national organization charged with reducing insurance fraud.

“It’s one of the top three revenue generators for organized crime,” said Milinovich. “It’s high reward, low risk, and an easy crime.”

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Federal budget 2024 disliked by half of Canada: poll

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OTTAWA –

A new poll suggests the Liberals have not won over voters with their latest budget, though there is broad support for their plan to build millions of homes.

Just shy of half the respondents to Leger’s latest survey said they had a negative opinion of the federal budget, which was presented last Tuesday.

Only 21 per cent said they had a positive opinion, and one-third of respondents said they didn’t know or preferred not to answer.

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Still, 65 per cent of those surveyed said the plan to spend $8.5 billion on housing, aimed at building 3.9 million homes by 2031, is good for the country.

Leger’s poll of 1,522 Canadians last weekend can’t be assigned a margin of error because online surveys are not considered truly random samples.

People in Alberta were most likely to say they had a very negative impression of the budget, with 42 per cent selecting that option compared to 25 per cent across the entire country.

More than half of the people who took the poll said they are in favour of the government’s plans to spend more on energy efficiency, national defence and student-loan forgiveness for health care and education workers.

And 56 per cent said they think the increase to the capital gains tax inclusion rate — a move that’s estimated to raise another $19.4 billion in revenue over the next four years — is a good thing.

The Liberals are billing the change as critical to their plan to improve generational fairness by taxing the ultra-rich.

It has drawn criticism, including from the Canadian Medical Association, which warned on Tuesday that it could affect the country’s ability to recruit and keep physicians.

The budget proposes to make two-thirds of capital gains — the profit made on the sale of assets — taxable, rather than half. For individuals, this would apply to profits above $250,000, but there is no lower threshold for corporations.

The medical association said many doctors will face higher taxes because they have incorporated their practices and used those companies to save for retirement.

While the Liberals are aiming changes to the capital gains tax at younger Canadians including millennials and gen-Zers, Leger’s poll found it had the support of 60 per cent of respondents over the age of 55 — the highest among any age group.

People between 18 and 35 were least likely to support the Liberal plan to spend another $73 billion on defence in the next two decades. Just 45 per cent of respondents in that age group said ramping up defence spending is good for the country, compared with 70 per cent of people over the age of 55.

Leger also asked questions about the country’s fiscal future.

Almost half the respondents, 47 per cent, said they want to see the government cut back on spending and programs to get the budget balanced as quickly as possible.

Just 16 per cent said spending more and running large deficits is the best plan for the next five years, and 14 per cent want to see the government increase taxes to bring the deficit down.

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Provincial audit turns up more than 40 medical clinics advertising membership fees

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Alberta’s health ministry says an audit has determined that more than 40 medical clinics in the province are advertising membership fees for services, nearly a year after one such plan landed a Calgary clinic in hot water.

The audit was launched last December. In July, CBC News reported that a medical clinic in Calgary’s Marda Loop district was moving to a membership system and planned to charge $4,800 a year for a two-parent family membership, covering two adults and their dependent children.

The next day, Health Canada said the arrangement at the Marda Loop Medical Clinic equated to patients purchasing “preferential access” and warned Alberta that it could face cuts to federal health transfers if the situation wasn’t handled.

Alberta Premier Danielle Smith and Alberta Health Minister Adriana LaGrange directed Alberta Health to investigate, and the clinic halted its plan for membership fees shortly after.

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In December, LaGrange told CBC News that “appropriate action” would be taken if audits determined that violations were found, adding the province would do whatever it took to ensure clinics were in compliance.

A woman speaks at a podium.
Speaking at a news conference in July 2023, Alberta Premier Danielle Smith said the Marda Loop Medical Clinic would be fined, lose medicare funding or be shut down altogether if it proceeded with a plan to charge membership fees. (CBC)

The province promised the audits early in the new year. Now, the health ministry says it has conducted interviews to gather information on operations and business models of the clinics, adding this work is ongoing.

“Over 40 clinics in the province [advertise] a membership meant to pay for a defined set of uninsured services, while also providing insured services covered under the Alberta Health Care Insurance Plan at no cost to Albertans,” wrote spokesperson Andrea Smith in a statement.

“Once this review is completed, its findings will be used to inform next steps. Alberta’s government will also determine if additional audits of more membership clinics is required.”

In July, Health Canada said executive and primary health clinics charging patients enrolment and annual membership fees exist in a number of provinces. Generally, investigations have indicated that clinics provide members with an variety of uninsured services, such as life coaching and nutritional services.

“However, in some cases … these fees are also a prerequisite to accessing insured services at the clinic (i.e., medically necessary physician services). Mandatory fees to access or receive preferential access to insured services are contrary to the Canada Health Act,” the government department wrote in a statement.

A spokesperson for LaGrange told CBC News in July the ministry wasn’t aware of any other clinics offering services for membership fees that didn’t align with legislation.

What comes next for those 40 clinics is a murky grey area, said Fiona Clement, a professor at the University of Calgary in the department of community health sciences. Much of it has to do with the exact language being used when services are outlined as parts of packages.

“We’re on the razor’s edge of exact wording there that runs them afoul. Really, I think it will come down to what the government is willing to fight with these clinics about,” she said.

CBC News asked the provincial government for a list of the clinics identified, but did not receive it by publication time. A spokesperson with the province said if any clinics are found to be non-compliant with legislation, appropriate action would be taken.

Report had identified 14 clinics

Clement said the big issue that got the Marda Loop Medical Clinic in hot water was the concept of guaranteed access.

“That’s the problem that Marda Loop got into, because there you are charging access to medical care, which is the part that contravenes the Canada Health Act,” Clement said.

At the time the Marda Loop clinic fell under scrutiny, it was clear there were other such clinics providing membership programs, in Calgary and Canada.

In 2022, researchers from Dalhousie University and Simon Fraser University released a paper tracking the number of clinics taking private payment across the country. Between November 2019 and June 2020, the period of the analysis, there were 14 private clinics in Alberta with a range of membership fees and private payment.

A woman smiles at the camera.
Fiona Clement, a professor at the University of Calgary in the department of community health sciences, says she hopes to see an ongoing review tied to Alberta clinics charging membership fees made publicly available. (Riley Brandt/University of Calgary)

“So, 40 is a larger number than I was expecting. And I think it speaks to growth in this area, the number of clinics that are charging fees for different parts of care,” Clement said.

“I think it underscores the lack of stability, and the need to really think about how we’re funding primary care, because more and more clinics are turning to this private charge as a revenue source to keep the doors open.”

Provinces that allow private health-care providers to charge patients for medically necessary services have dollars clawed back by the federal government under the Canada Health Act.

According to Health Canada, Alberta was subject to a $20,450,175 deduction to its Canada Health Transfer payment in March 2024 under the diagnostic services policy. That’s up from $13,781,152 last year.

But the province received $20,538,796 in partial reimbursements tied to its March 2023 and 2024 deductions, which represents actions that Alberta Health has taken to limit patient pay for publicly funded goods or services, according to Clement.

“I guess we’re making some progress. But it’s still a big number, which says there’s still a lot of patient billing going on,” she said.

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