Doctors, nurses call for action on crumbling care, health ministers meet in Vancouver
VANCOUVER — A family doctor who works in British Columbia and Alberta says patients who don’t get the care they need before ending up in overburdened emergency rooms should be a focus for quick action by the country’s health ministers as they meet in Vancouver.
Dr. Carllin Man said sicker patients without a family physician tend to return to ERs where burnt-out doctors and nurses put in longer and longer hours as colleagues leave the profession.
“For a long time, our health systems have relied on our goodwill as health-care professionals,” Man said. “We’re doing more and more when we should have stopped a long time ago, but there’s no one else. What are you going to do, just let those patients suffer? Of course not.”
Man, who works part-time at a walk-in clinic in Burnaby, B.C., as well as in emergency rooms in central Alberta, said he will need to refill some patients’ prescriptions during an upcoming 10-day vacation because there won’t be anyone to cover for him.
“So, every day I have to log into my computer and try to manage the things I can while I’m away,” he said of his chronically ill patients who are not best suited for care by other doctors without full knowledge of their medical history.
Man said it’s time that governments across Canada listened to the concerns of patients and those who look after them.
Health ministers from all 13 provinces and territories, along with their federal counterpart, Jean-Yves Duclos, are set to meet in Vancouver on Monday and Tuesday.
The meetings come four months after premiers from across Canada convened in Victoria to discuss the ills plaguing the health-care system. The premiers asked the federal government to hike the Canada Health Transfer, the money each jurisdiction gets for health care, to 35 per cent, from 22 per cent.
B.C. Health Minister Adrian Dix said the extra cash is needed as the province tackles nursing and doctor shortages, improved access to digital health care, as well as mental health and substance-use services related to the toxic drug crisis.
“We need the federal government to be our partner in this approach,” he said in a statement. “That means having a serious discussion about the Canada Health Transfer.”
The Canadian Medical Association, the Canadian Nurses Association and HealthCareCAN, which represents various organizations and hospitals, have joined forces to push the health ministers to retain workers through incentives like mental health supports.
They are also calling for a Canada-wide strategy to gather data on the workforce, allow doctors to more easily be licensed wherever in the country they are most needed, and to improve access to primary care and virtual visits.
Man completed his training in Alberta seven years ago but said getting his licence to practise in British Columbia was a months-long, arduous process.
“I had to jump through all these hoops. I had to physically travel to Vancouver, to the (College of Physicians and Surgeons’ office), to show my face and my degrees. I mean, they didn’t do that in Alberta. They trusted the fact that I was licensed with the National Medical Council of Canada and all these other national organizations that verify our educational degrees and training.”
Dr. Alika Lafontaine, president of the Canadian Medical Association, said the collapse of primary care is spilling into other parts of hospitals beyond ERs, as well as long-term care, due to cost-cutting.
“There’s a recognition that we have fallen far behind the demand for health services in every part of the country. In Ontario, there are tens of millions of health services and thousands of surgeries that have been delayed,” said Lafontaine, who is an anesthesiologist in Grande Prairie, Alta.
“The biggest fear that I have for the health-care system moving forward is that those of us who believe it will be there tomorrow, it may not actually be there in the same form. And you won’t actually know that until you need the care.”
Lafontaine said he is hoping the meeting of health ministers results in collaboration across Canada “because the crises are too big for any one jurisdiction. If we don’t act, all of our systems will continue to deteriorate. And I think the impetus for action is now because of how severely patients are suffering.”
Sylvain Brousseau, president of the Canadian Nurses Association, said undervalued nurses are leaving their jobs because their mental health is suffering due to poor working conditions.
He said they are often tasked with work that has nothing to do with their training, due to lack of clerical and cleaning staff.
“Nurses are doing 48 per cent of non-nursing duties,” he said.
“When you ask a nurse to clean the floor because someone has been sick, it’s not the role of nurses to do that.”
Brousseau said the time for ongoing discussions by federal, provincial and territorial politicians when it comes to resourcing health care is over.
“We’ve dialogued a lot. Now, it’s time for action,” he said. “No nurses, no health-care system.”
This report by The Canadian Press was first published Nov. 6, 2022.
Camille Bains, The Canadian Press
'Abnormally dry' conditions causing farmers concern in Atlantic Canada – CTV News
Farmers in Atlantic Canada are growing increasingly worried about drought, as many regions on the east coast have been classified as drier than usual for this time of year, with little rain in the forecast.
According to the Canadian Drought Monitor, as of the end of April, numerous parts of New Brunswick, Prince Edward Island, Nova Scotia and Newfoundland and Labrador were “abnormally dry,” with some areas in New Brunswick, Nova Scotia and P.E.I. marked as experiencing “moderate drought.”
The lack of rain is having an effect: in Nova Scotia’s Annapolis Valley, food producers are using their water reserves two months earlier than expected.
William Spurr has been doing what he can to keep his fields from drying up, with much of his crop still in the ground. But he says a hot, dry spring and unusually cold nights have made growing conditions difficult.
“We’ve just been irrigating non-stop,” Spurr, president of Horticulture Nova Scotia, told CTV National News. “The last two and a half weeks, we’ve been irrigating probably as much as we normally would in like July and August, and it’s not even June yet.”
Spurr says he planned to install a costly irrigation system later this summer but was forced to do it now to ensure he wouldn’t lose a batch of young apple trees.
“I’m a little worried about what could come if we don’t get any rain,” he said. “If this keeps up, then we’re going to be in a lot of trouble.”
Greg Donald, potato board general manager for P.E.I., says many potato producers in the province only got a quarter of the rain that they usually get in both April and May.
“If we get rain, like good rain, over the next couple weeks, we’ll be fine, but if we don’t, it will be very concerning,” Donald said.
According to Environment and Climate Change Canada, parts of New Brunswick and Nova Scotia experienced the driest April on record.
A mild winter followed by a sudden cold snap that plunged temperatures to -20 also took its toll on many farms, including those in Wolfville, N.S.
“That killed all the blossoms in the peaches and nectarines — 90 per cent of the cherries and 80 per cent of the plum blossoms are affected,” Andrew Bishop, of Noggin’s Farms, told CTV National News.
Researchers continue to point to climate change as the leading cause of these unpredictable weather events.
Increasingly, extreme weather events have become more erratic as the planet heats up, with weather events swinging from one end of the pendulum to the other, experts say.
“It’s either the coldest June temperature — in 2018 we had that frost — or its the coldest winter temperature we’ve had in the last 25 years, or its been one of the warmest winters we had,” Harrison Wright, Agriculture Canada researcher, told CTV National News.
Farmers say they’re relieved to see that there is some rain in the forecast, but they will need a lot more in the coming weeks to improve growing conditions on the surface.
With files from CTVNews.ca‘s Alexandra Mae Jones
Canada’s banks are guarding against bad loans. What this means for your money – Global News
Nestled in the balance sheets of Canada’s biggest banks are fears that the economy is set for a rough patch that could see more Canadians defaulting on their loans.
While some experts say the country’s banks are just “being prudent,” they say that move signals choppy waters ahead for Canadians with outstanding loans as interest rates continue to put pressure on household budgets.
Canada’s five biggest banks — RBC, Scotiabank, CIBC, BMO and TD Bank — moved in lockstep this past week to increase their loan loss provisions as they reported second-quarter earnings. All except for CIBC missed earnings expectations in the period.
Loan loss provisions, or provisions for credit losses, are essentially money that banks set aside in case the loans they’ve given out to clients go sour.
Laurence Booth, finance professor at the University of Toronto’s Rotman School of Management, says banks always try to put aside more money to cover these losses if they think their clients — be they everyday consumers, commercial customers or homeowners with a mortgage — are more likely to default on their loans.
With fears of a recession rumbling for much of the past year, Canada’s banks are building up their reserves in case the economy takes a hit and Canadians or businesses aren’t able to pay down their loans.
Is Canada headed toward recession? Experts have ‘no consensus’ on future of inflation
“This is (as) regular as clockwork. Whenever we get a slowdown in the economy, or a forecast of a slowdown …(the banks) increase their provisions,” Booth tells Global News.
Booth notes, as well, that just because banks are raising their provisions doesn’t mean they’ll need them if a pronounced recession doesn’t come to pass.
The last time Canadian banks raised their loan loss provisions by significant magnitudes was at the start of the COVID-19 pandemic, when they feared consumers would be out of work and without steady income for an uncertain period of time.
Gregory Taylor, chief investment officer at Purpose Investments, says banks quickly lowered those provisions again once the federal government stepped in with COVID support programs in the early months of the pandemic.
“Now we’re seeing them reverse that, put them back on and try to be a little bit cautious heading into what could be a volatile period,” Taylor says.
“The banks are being a little prudent, from this point of view.”
Canadian banks not immune to U.S. turmoil
Canadian bank loan provisions also extend to lenders’ activities in the U.S. market, Booth notes, where the financial system has faced turmoil in recent months over the collapse of Silicon Valley Bank and other regional players.
While Canada’s large and well-capitalized banks have been well-insulated from the specific vulnerabilities that spurred uncertainty south of the border, Booth says banks such as TD have been pushing more into the U.S. market in recent years and have to adjust their risk profiles accordingly.
“The strength of the Canadian banks has allowed them to move into the U.S. with acquisitions, but that then exposes them to the risks of the U.S. market, which generally has higher provisions for credit losses,” he says.
First Republic seizure: What does the latest U.S. bank failure mean for Canadians?
TD Bank’s planned $13.4-billion acquisition of U.S. regional bank First Horizon was scuttled earlier this month after regulators denied the necessary approvals for the deal.
While the acquisition’s collapse was a factor in TD’s earnings miss last quarter, the extra capital the bank now has on hand because of the failed deal is helpful given the dour economic outlook, said CEO Bharat Masrani on an earnings call.
“We are going through an uncertain period here from an economic perspective … so to have the level of capital we have, that is a good thing,” he said.
Taylor agrees that it was probably good for TD overall that it didn’t have to pay the original price it offered for First Horizon as regional banks in the U.S. go through a revaluation.
Some analysts have said TD should take the opportunity to pause and rethink its U.S. expansion strategy.
“TD should revisit the idea of whether or not they should be pursuing aggressive growth in United States banking through acquisitions,” Veritas analyst Nigel D’Souza told Reuters this week.
What do higher loan loss provisions mean for consumers?
Canada’s banks are battening down the hatches on the loan side of their businesses at the same time as Canadians’ debt levels, particularly mortgage debt, continue to climb.
The Canada Mortgage and Housing Corp. (CMHC) said this past week that the country has the highest household debt in the G7, with the bulk of that held in mortgage loans.
Total residential debt surpassed $2 trillion in January, CMHC said on Thursday, up six per cent year-over-year.
Canada’s economy is heavily reliant on the health of the housing market, which Taylor says means any signs of stress in banks’ mortgage books are “something to monitor” if they start to appear.
“It’s probably too soon to say whether it’s going to be a really big issue or not, but it’s definitely one of the reasons the banks were increasing their provisions going into the quarter,” he says.
Why mortgage and rent costs drove inflation up in Canada
Booth notes that mortgages are one of the last things Canadians’ tend to default on as they’re willing to make most sacrifices before losing their home and the equity they’ve built up in it, which helps keep rates of mortgage delinquency relatively low in Canada.
From a macro perspective, both Booth and Taylor say there’s not much cause for concern for the banks themselves as they’ve put aside more money for loans going bad.
But on an individual level, Canadians should take the higher loan loss provisions as a sign that they might need to tighten their belts in the months to come.
“While Canadians don’t have to worry about their banks, they do have to worry about whether they can afford higher interest costs and that means that they have to cut back other spending,” Booth says.
More on Money
Messaging from the Bank of Canada and U.S. Federal Reserve in recent weeks that interest rates might need to remain higher for longer — or even rise further — means that Canadians should plan for an elevated interest rate environment, Taylor says.
One way to do that, he says, is by keeping less money in chequing accounts and putting it in investment vehicles that are showing higher rates of return. Taylor says that’s a solid approach for anyone worried about their finances through an expected period of “turbulence.”
“For Canadian consumers, it’s something that everybody should be looking at to make sure you’re getting the most for your money with higher interest earned on your cash.”
— with files from The Canadian Press, Reuters
Evacuation orders mount as fire rages in Upper Tantallon, Hammonds Plains area – CBC.ca
Nova Scotia RCMP have ordered residents of subdivisions in the Upper Tantallon/Hammonds Plains area to leave their homes in the face of a fast-moving wildfire.
The Westwood Hills subdivision in Upper Tantallon, N.S., was the first to begin an evacuation as the fire consumed at least 10 homes.
Halifax Regional Fire & Emergency District Chief Rob Hebb said dozens of crews were at the site attempting to control the fire. One helicopter was at the scene and another was on the way.
CBC Radio in Nova Scotia and New Brunswick will carry a live call-in special on the fire starting at 8 p.m. AT, which can be listened to on CBC Radio.
Nova Scotia RCMP sent a tweet prior to an emergency alert being issued telling residents of the area to evacuate their homes immediately via Winslow Drive to Hammonds Plains Road.
RCMP corrected an earlier tweet that indicated evacuation was via Windsor Drive.
Subsequent emergency alerts at 6:11 p.m. and 7:41 p.m. said the evacuation order was extended to residents of the Highland Park subdivision in nearby Yankeetown, Haliburton Hills, Glen Arbour, Pockwock Road, White Hills subdivision and Lucasville Road to Sackville Drive.
Residents were told to take their pets with them.
People are being asked to stay away from the area to allow the evacuations to take place.
An emergency alert sent earlier said a comfort centre was open at the Black Point community centre.
Area resident Cynthia McKenzie said she left her home with her family and pets. She said they are safe and sheltering in a pet store in the area.
She said she was cooking dinner when her husband said they had to leave immediately.
“It just happened so fast,” she said. “I grabbed my animals as quick as I could and my photos and albums as best I could and got in the truck and headed out.”
Smoke originating from wildfires at upper <a href=”https://twitter.com/hashtag/Tantallon?src=hash&ref_src=twsrc%5Etfw”>#Tantallon</a> gradually covering Halifax! <a href=”https://t.co/4jmhgyiKOr”>pic.twitter.com/4jmhgyiKOr</a>
She said the smoke and flames were so bad that they had to turn around and take another route to get out of the subdivision.
“You couldn’t see your hand in front of you,” she said.
Shawn Beaulieu, another resident of the area, said he and his son were out shopping and were told to turn around when they tried to return to the subdivision where his wife was.
He said he and his son are taking temporary shelter at a restaurant in Upper Tantallon that opened its doors to evacuees.
“It’s frustrating, but it’s better to be alive,” he said. The three were reunited later in the day.
Taylor Martin, who lives about a seven-minute drive from the fire said she and her partner, Kirk Jessome, were preparing for a possible evacuation order.
“We’re getting things together,” she said. “Packing up necessities, getting the crate for our cat ready, getting all our important documents ready. Making sure everything is set to go if we have to leave.”
She said she is lucky that she has family who will make room for them.
He said that with the fire spreading, people are outside the subdivision and waiting for what is next. The area is packed with people and he said roads are jammed.
Environment Canada issued an air quality alert for Halifax Metro and Halifax County West shortly after 6 p.m. Sunday. It said smoke from the fire in Upper Tantallon has reduced visibility and air quality in the area downwind of the fire.
It said people respond differently to smoke and mild irritation and discomfort are common.
The alert said people should take a break from the smoke at a community location with cool, clean air.
CBC meteorologist Ryan Snoddon said firefighters have a number of challenges.
“Halifax firefighters are not only battling the fire, they are also battling the wind,” he said. “Gusty west/southwest winds are fanning the flames right now.
“Winds shift to northerly this evening, but unfortunately, will remain breezy through the day on Monday. Winds look set to become lighter Monday night and Tuesday.”
We’re following the wildfires in Nova Scotia closely and stand ready to help if federal assistance is required. <br><br>Please follow the guidance from your local officials and stay safe.
Snoddon said there was a chance of isolated showers later Sunday, but they wouldn’t be of much help to the firefighters. He said there isn’t another significant chance of rain until Friday.
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