adplus-dvertising
Connect with us

News

How NATO — and Canada — could do a lot more to defend Ukraine – CBC News

Published

 on


It’s become clear to all by now that NATO is not going to risk a Third World War by imposing a no-fly zone in Ukrainian airspace contested by Russian warplanes.

But perhaps the debate over a no-fly zone has distracted attention from other actions that Canada — and what Russian President Vladimir Putin calls “the collective West” — could take to help save Ukraine from Russia.

Canada has given Ukraine a considerable amount of assistance over the years. Since the annexation of Crimea, Canada has launched the Operation Unifier training program for Ukrainian troops and has contributed non-lethal aid — and lately, lethal military materiel — from its own meagre stocks. Canada also has been among the most aggressive countries when it comes to sanctioning Russia.

300x250x1

But there are other things this country, and other NATO allies, could do to help Ukraine.

Operation Distraction

Russia already has poured a significant portion of its combat power into Ukraine — but it still has more in reserve, spread out over its vast territory.

As the Russian offensive has stalled, Russian citizens in Siberian cities like Krasnoyarsk have been recording long trains carrying Russian armour west toward Ukraine.

Could NATO do anything to disrupt or discourage the movement of reinforcements to Ukraine? It could — through distraction.

If NATO were to stage joint exercises with Japan near the disputed Kuril islands off Russia’s Pacific coast, Russia might be much less sanguine about stripping the region of its defences to bolster its forces in Ukraine. 

NATO also could stage manoeuvres in the Baltic region to discourage Russia from transferring forces from its North Military District.

If NATO really felt like pushing the envelope, it could stage exercises in the western part of the Black Sea, off the coasts of NATO members Romania and Bulgaria. That would mean the Russian ships now assembling off Odessa and shelling the coast — apparently in preparation for an amphibious assault — would have to operate with NATO warships and warplanes right at their backs.

Keep them on their toes

“That’s certainly one of the tactics NATO will be looking at,” said Christian Leuprecht of the Royal Military College of Canada.

“The Black Sea is a very serious and genuine option. Romania has every reason to say, ‘The Russians are shelling the Ukrainian coast. What are we doing to defend our coast?'”

Leuprecht said NATO should give Russia short notice of the exercises. “Usually these are announced a year ahead of time,” he said. “That gives them time to draw down their forces.”

A U.S. Boeing AH-64 Apache attack helicopter flies during the NATO military exercise Crystal Arrow 2022 at the Adazi military range in Latvia on March 11, 2022. (Martins Zilgalvis/AP)

Instead, he said, NATO should make use of the new troops moving to defend the alliance’s eastern flank and be “more sporadic and spontaneous. You want to keep them on their toes.”

“That forces the Russians to keep their forces deployed elsewhere.”

Risky business

This strategy is far from risk-free. It plays on the fact that military exercises can provide cover for an invasion force — a threat Putin understands better than anybody, having just used that same ruse himself. 

But when rival forces are in close proximity at times of heightened tension, there’s always a risk of violence.

That would be especially true in the Black Sea, where Russian naval commanders are already on a hair-trigger setting.

Putin also could choose to interpret any NATO exercises on his frontiers as an attack in order to justify launching a war with NATO. That action might not be rational but there are doubts about how rational Putin’s thinking is now.

“NATO exercises near Russian borders could be used by Russia to respond and escalate” if Putin decides escalation is in his interest, said Ivan Katchanovski, a political scientist at the University of Ottawa who has written extensively about conflict in his native Ukraine.

MASH at the border

One strategy less likely to widen the war is to set up Level 3 military hospitals at Ukraine’s borders on alliance territory in Poland, Slovakia and Romania. There, Ukrainian soldiers could be treated and, where possible, returned to the fight, saving lives and relieving a tremendous burden on Ukraine’s army.

Ukrainian soldiers are dying from injuries that could be treated under better conditions.

This action would be essentially humanitarian — and difficult for Russia to portray as a provocation.

In this photo provided by the Ukrainian Presidential Press Office on Sunday, March 13, 2022, President Volodymyr Zelensky, centre, shakes hands with a wounded soldier during his visit to a hospital in Kyiv, Ukraine. (AP)

“You can assume that among the wounded refugees showing up in European hospitals are wounded soldiers,” said Leuprecht. “But it’s currently happening on a very low-level, subversive scale. But NATO could make it much more explicit.”

Such hospitals also would allow NATO’s smallest members, like Albania, to contribute in a tangible way. 

“I suspect that’s going to come. Because we’re going to need to keep Ukrainian soldiers motivated, and that’s an easy piece of support and an easy sales pitch,” said Leuprecht. “There’s enough of these field hospitals around that you could run them at each of Ukraine’s borders.”

Escrow the oil and gas money

A no-fly zone isn’t the only tactic that seems out of reach for Ukraine’s allies right now. Another is Europe halting all purchases of oil and gas from Russia.

European countries have given hundreds of millions of dollars in assistance to Ukraine since the invasion began on Feb. 24. Over the same period, many of those countries paid Russia, collectively, over $20 billion for fossil fuels.

In a New York Times opinion piece published Thursday, Ukrainian President Volodymyr Zelensky’s economic adviser Oleg Ustenko complained that Putin’s “war is paying for itself” and asked for secondary sanctions to go after companies that ship or handle Russian oil and gas.

“In the meantime,” wrote Ustenko, “payments for Russian gas should go into escrow accounts, so that the proceeds cannot be used to buy weapons. This is standard practice when there are sanctions.”

But there is a major problem with this proposal — it risks splitting the western alliance.

Not ready to go cold turkey

Germany and some other EU members have made it clear that they won’t ask their people to freeze in the dark for Ukraine. Even Poland — where the entire population seems to have mobilized to support Ukrainians — continues to buy energy from Russia.

Katchanovski said the Europeans know their position is weak.

“Russia would just stop delivery of natural gas to western Europe and other EU countries like Poland and Slovakia,” he said. “This would lead to very negative consequences for these countries.”

Activists with the environmental organization Greenpeace paint the words ‘Oil fuels war’ on the hull of a ship carrying Russian oil near the German island Fehmarn on Wednesday, March 23, 2022. (Frank Molter/AP)

“Recently,” he added, “Putin issued a demand for buyers of natural gas from Russia to pay in rubles” in an effort to shore up his country’s plunging currency” — another sign that Putin believes Moscow holds the cards when it comes to energy diplomacy.

(He may yet get a rude surprise. Slovenia’s PM said on Thursday that he doesn’t think “anybody in Europe knows what rubles look like. Nobody will pay in rubles.”)

For now, it appears that weaning Europe off Russian oil and gas is a long-term proposition.

Start collecting for reconstruction now

Like all wars, this one will end someday. Katchanovski said Ukrainians are counting on something like a Marshall Plan for their country — a massive injection of foreign capital to fund the country’s post-war recovery.

But the reconstruction effort doesn’t have to begin and end with national governments. Nor does the collection of reconstruction funds have to wait for the shooting to stop.

Past experience with disasters such as the 2010 Port-au-Prince earthquake shows that very large amounts of money can be raised outside of government treasuries when governments use imaginative mechanisms such as matching private donations dollar-for-dollar.

Needs assessments will be necessary in certain cases, but some needs don’t require studies before the fundraising starts. Ukrainian towns such as Irpin and Mykolaiv have been forced to blow up their own bridges to stop Russian advances. The solution in such cases is obvious: rebuild the bridge.

Adopt a highway … or a bridge

Two European governments showed one way to do that. Italy has pledged to rebuild the Mariupol theater brutally bombed by Russian warplanes while hundreds of civilians sheltered inside. And Greece has committed to give Mariupol a new maternity hospital to replace the one destroyed by Russian artillery.

Rather than waiting for Ottawa to act, Canadian provinces and municipalities, corporations and unions, associations and groups of individuals could commit to rebuilding a single landmark or piece of infrastructure.

Dr. Anatolii Pavlov takes pictures of a damaged psychiatric hospital after it was hit in a military strike in Mykolaiv, Ukraine on March 22, 2022. (Nacho Doce/Reuters)

The model is scalable: it could be as large as an airport or as small as a daycare. The federal government could assist by ensuring that such efforts will be treated as charitable donations for tax purposes.

“It would be very helpful to access private money,” said Katchanovski, pointing to private fundraising efforts that already have raised significant amounts of money, such as the one organized by Ukrainian-American Mila Kunis.

Open the clubhouse doors

This war has made it clear to all, including President Zelensky, that NATO membership for Ukraine is off the table for the foreseeable future.

But Russia’s demands go much further than that, said Katchanovski. 

“Currently the Russian demands include no NATO membership, demilitarization of Ukraine, Russian-language official status, independence of Donbas, recognition of the annexation of Crimea, and a demand for ‘denazification’,” he said.

But the extortionate demands Russia has presented to Ukraine in negotiations do not include ruling out Ukraine’s eventual membership in the European Union, said Katchanovski.

If the war ends through a negotiated ceasefire (as most wars ultimately do), then Ukraine may find itself forced to accept some form of neutrality that would make military alliances impossible. But as the examples of Austria and Finland show, it’s possible to remain outside NATO while still being thoroughly integrated economically into Europe.

“Ukraine could be offered EU membership as part of a peace deal where it agrees to renounce NATO membership and declares itself neutral,” said Katchanovski. “This would present Ukraine with something tangible and generate public support.”

Everything depends on the battlefield

Katchanovski says that the harshness of final peace terms will depend entirely on the progress of the war. 

“If Russia achieves more significant military success, this would lead to Ukraine losing its independence or becoming a Russian client state with some kind of formal union between Russia and Ukraine.”

If Ukrainian forces continue to hold their own, however, its government will be inclined to refuse the outrageous territorial demands Russia has placed upon them, which amount to the loss of a third of their country.

There were signs on Friday that Russia might already be scaling back ambitions. 

It all comes down to whether the Ukrainian armed forces can achieve success on the battlefield and whether Western governments have the stamina to continue to support them.

“This could go on for months; it could go on for years,” said Leuprecht. “Showing that we’re willing to do this for the long term, and that we can co-ordinate ourselves to keep this going the way we did in the Cold War until we get to an end — that’s going to be the most important piece.”

Adblock test (Why?)

728x90x4

Source link

Continue Reading

News

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

Published

 on

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.

300x250x1

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.”

Adblock test (Why?)

728x90x4

Source link

Continue Reading

News

Federal budget 2024 disliked by half of Canada: poll

Published

 on

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.

300x250x1

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.

Adblock test (Why?)

728x90x4

Source link

Continue Reading

News

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

Published

 on

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.

300x250x1

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.

Adblock test (Why?)

728x90x4

Source link

Continue Reading

Trending