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N.B. election: ‘Business acumen,’ not more money, will fix health care, says Higgs

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FREDERICTON – Improving health care comes through better management, not spending more money, according to New Brunswick’s Progressive Conservative leader, who says he’ll bring “business acumen” to delivering services if he’s re-elected to a third term as premier.

Speaking at an event organized by the Fredericton Chamber of Commerce and the University of New Brunswick, Blaine Higgs said on Monday his government will analyze the strengths and weaknesses of the health network and “develop a model that works.”

“How do we manage to deliver better services through better management practices, other than more tax dollars? That’s what we’re doing in health care …. the whole purpose was bringing a business acumen to deliver health care,” he said.

But less than two weeks from the provincial election, Higgs and his party are still light on details regarding their health-care proposals, promising to release their platform next week.

Meanwhile, the health network continues to struggle. Wait times in emergency rooms are long, and patients regularly endure hours — sometimes as long as 12 hours — inside ambulances parked outside hospitals before being admitted inside. As well, the Liberals often cite the New Brunswick Health Council, which says 180,000 residents don’t have access to a family doctor; Higgs disputes the numbers.

In his discussion on Monday with Morgan Peters, chief executive officer of the Fredericton Chamber of Commerce, the Tory leader listed his government’s health-care achievements, which he said were an increase in virtual care and the opening of collaborative care clinics.

In an Aug. 30 fundraising email, the Progressive Conservatives boasted there were 49 collaborative care clinics “currently operating” and that eight more are opening soon, the majority of which after the election.

The Liberals have promised to create 30 community clinics across the province at a cost of $115.2 million over four years. But the Tories say that eight of the 30 clinics will have opened because of their government. “The Liberal plan is to take credit for work that our (Tory) government has already done!” the email said.

Holt, however, has said that the Progressive Conservatives have opened some health centres, “some of which have a single nurse in them, some of which have a single doctor — none of which are modelled on team-based collaborative care.”

For their part, the Greens have promised to invest $380 million annually to fix the primary health-care system.

On the campaign trail Tuesday, the Holt campaign announced a Liberal government would “immediately” eliminate the “Higgs gas tax,” which is a formula used by the Energy and Utilities Board to calculate how much of the cost of federal clean fuel regulations can be passed on to consumers. Ending the so-called “carbon adjuster,” she said, would bring down gas prices by about four cents per litre.

”Higgs chose to charge New Brunswickers more for gas, rather than oil and gas refineries,” Holt said in a statement.

“The cost of power, rent, and gas has increased significantly under Higgs, and New Brunswickers shouldn’t have to spend money to save money while costs continue to rise.”

Green Leader David Coon said his party will provide affordable alternatives to driving, should he be elected. A Green government, he said in a news release, will establish a provincial rapid rail network, the first phase of which will connect Campbellton, Moncton, and Sackville, with daily commuter service by 2028. Subsequent phases will connect Saint John and Moncton, and Fredericton to Saint John, he promised.

This report by The Canadian Press was first published Oct. 8, 2024.

The Canadian Press. All rights reserved.



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‘Crack houses’ across rural Newfoundland? RCMP has no reports supporting MP’s claim

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ST. JOHN’S, N.L. – A Conservative MP from Newfoundland and Labrador says some small towns in his rural riding are overrun with crime, but police say they haven’t received reports to that effect.

Clifford Small told the House of Commons last month there are towns with fewer than 1,000 residents in his riding of Coast of Bays—Central—Notre Dame where “five crack houses” were operating and teenage girls were being forced into sex work.

Cpl. Jolene Garland of the Newfoundland and Labrador RCMP says the force has not received reports of such activity from community members in the area.

Small also said a police cruiser was spray-painted in Lewisporte, N.L., which is serviced by the RCMP, but Garland says none of the force’s vehicles in the town were vandalized.

Small posted a video of his Sept. 26 remarks to the X social media platform, saying it was time to elect a government that would “put these thugs back where they belong” and make communities safer.

Dan McGettigan, who works with people in the criminal justice system in St. John’s, N.L., says issues including addiction and homelessness are driving an increase in serious crime, and people need stronger community supports, not more time in jail.

This report by The Canadian Press was first published Oct. 8, 2024.

The Canadian Press. All rights reserved.



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Foreign doctors’ skills will be assessed while they care for Nova Scotia patients

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HALIFAX – A new program to more quickly integrate internationally trained doctors into Nova Scotia’s health system is set to begin in the new year.

Premier Tim Houston announced Tuesday that a new Halifax-based clinic will assess the skills of international medical graduates while the foreign recruits provide primary care to about 2,500 patients. The program, he said, will significantly cut the assessment time for prospective candidates to about 12 weeks from the current 18 months.

“This we believe will be very appealing to the people we are trying to recruit to Nova Scotia,” he said. “All of this means Nova Scotians will get the primary care access that they need and physicians will have their education and skills assessed in a practical manner.”

Graduates of the program will receive a licence to practise in Nova Scotia and will be required to sign an agreement to work at least three years in the province.

Houston said that once the assessment program is fully expanded, it will issue about 45 licences a year, compared to the 39 that were issued over the last five years to internationally trained doctors.

The new clinic is the result of a partnership between the province, the College of Physicians and Surgeons of Nova Scotia, and the Medical Council of Canada, the latter of which will provide training and accreditation for doctors who will become competency assessors.

“The assessment clinic will be the first of its kind in North America,” said Dr. Gus Grant, registrar and CEO of the college of physicians. “This clinic will open the door wider for physicians to be assessed for licensure, but it will not lower the bar of competence or quality that we require of our physicians.”

To qualify to work in the assessment clinic, candidates must have a recognized medical degree, two years of postgraduate training, a proficiency in English, and must have trained or practised in medicine within the last three to five years.

Grant said that for too long, internationally trained doctors have been forced to either go through a period of retraining or write examinations that are often designed for new medical graduates — something he called the “wrong tool for the job” in assessing mid-career physicians.

“The right tool for the job is workplace-based assessment, and we are confident that direct observation by trained, skilled physician assessors working together will be an effective way to identify and evaluate competence,” he said.

Grant said it will take time for new medical schools, such as the one slated for Cape Breton University, to increase the flow of new doctors into the system. He said in the meantime, the immediate short-term source of competent physicians is found outside the country.

The provincial health department says 28 per cent, or 52 of the 185 new doctors who began practising in Nova Scotia in the 2023-24 fiscal year were recruited internationally.

“Already 34 per cent of Nova Scotia’s physicians did some or all of their training outside of Canada,” Grant said. “It’s in the public interest to take bold steps to find more physicians, provided they are safe and competent.”

At a cost of $7.4 million, plans are for the new collaborative primary care assessment clinic to begin accepting patients in early January with two physician assessors supervising four international medical graduates. A larger clinic is to be built sometime in 2026 that will eventually assess up to 45 physicians a year and care for as many as 6,400 patients.

This report by The Canadian Press was first published Oct. 8, 2024.

The Canadian Press. All rights reserved.



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Foreign doctors’ skills will be assessed while they care for Nova Scotia patients

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HALIFAX – A new program to more quickly integrate internationally trained doctors into Nova Scotia’s health system is set to begin in the new year.

Premier Tim Houston announced Tuesday that a new Halifax-based clinic will assess the skills of international medical graduates while the foreign recruits provide primary care to about 2,500 patients. The program, he said, will significantly cut the assessment time for prospective candidates to about 12 weeks from the current 18 months.

“This we believe will be very appealing to the people we are trying to recruit to Nova Scotia,” he said. “All of this means Nova Scotians will get the primary care access that they need and physicians will have their education and skills assessed in a practical manner.”

Graduates of the program will receive a licence to practise in Nova Scotia and will be required to sign an agreement to work at least three years in the province.

Houston said that once the assessment program is fully expanded, it will issue about 45 licences a year, compared to the 39 that were issued over the last five years to internationally trained doctors.

The new clinic is the result of a partnership between the province, the College of Physicians and Surgeons of Nova Scotia, and the Medical Council of Canada, the latter of which will provide training and accreditation for doctors who will become competency assessors.

“The assessment clinic will be the first of its kind in North America,” said Dr. Gus Grant, registrar and CEO of the college of physicians. “This clinic will open the door wider for physicians to be assessed for licensure, but it will not lower the bar of competence or quality that we require of our physicians.”

To qualify to work in the assessment clinic, candidates must have a recognized medical degree, two years of postgraduate training, a proficiency in English, and must have trained or practised in medicine within the last three to five years.

Grant said that for too long, internationally trained doctors have been forced to either go through a period of retraining or write examinations that are often designed for new medical graduates — something he called the “wrong tool for the job” in assessing mid-career physicians.

“The right tool for the job is workplace-based assessment, and we are confident that direct observation by trained, skilled physician assessors working together will be an effective way to identify and evaluate competence,” he said.

Grant said it will take time for new medical schools, such as the one slated for Cape Breton University, to increase the flow of new doctors into the system. He said in the meantime, the immediate short-term source of competent physicians is found outside the country.

The provincial health department says 28 per cent, or 52 of the 185 new doctors who began practising in Nova Scotia in the 2023-24 fiscal year were recruited internationally.

“Already 34 per cent of Nova Scotia’s physicians did some or all of their training outside of Canada,” Grant said. “It’s in the public interest to take bold steps to find more physicians, provided they are safe and competent.”

At a cost of $7.4 million, plans are for the new collaborative primary care assessment clinic to begin accepting patients in early January with two physician assessors supervising four international medical graduates. A larger clinic is to be built sometime in 2026 that will eventually assess up to 45 physicians a year and care for as many as 6,400 patients.

This report by The Canadian Press was first published Oct. 8, 2024.

The Canadian Press. All rights reserved.



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