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Specialists join forces to push B.C. for same recognition as family doctors

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Specialists ranging from cardiologists to pediatricians and orthopedic surgeons are pushing the British Columbia government to alleviate backlogs that have worsened wait times.

Their stance comes as the head of the Canadian Medical Association says it’s time for innovative solutions to address the same problem across the country.

Twenty-six doctors sent an open letter Wednesday to Health Minister Adrian Dix, saying they want an urgent meeting with him due to a “crumbling” health-care system that is leaving them “exhausted and demoralized.”

By Thursday, 135 specialists had signed the letter, which was uploaded to the Consultant Specialists of BC website.

“Patients are getting sicker and dying on our wait-lists,” says the letter, which outlines examples of the effect on patients, including one who experienced sudden hearing loss and permanently lost their hearing after waiting too long to see a specialist.

It says one million patients in B.C. are waiting to be seen, based on data from the Consultant Specialists of BC, which surveyed members in August.

Dr. Chris Hoag, a North Vancouver urologist who signed the letter, said a broad base of specialists joined forces to pressure the government to act because they’re burned out while trying to see more patients that have become sicker.

“I do everything I can to keep that wait as short as possible. But you know, there are times when I have a huge load of patients waiting for cancer surgery, and I can’t sleep because I don’t know how I’m going to get them all done in a time frame that is appropriate.”

Unlike family doctors, who have recently received temporary funding of $118 million to offset overhead costs, specialists who run practices that also amount to small businesses have had nothing, Hoag said.

“It’s been incredibly distressing to specialists to see that there has not been conversation about the same issue shared in specialty care,” said Hoag, president of Consultant Specialists of BC.

“Primary care is an absolute disaster and definitely needs to be fixed,” Hoag said about the lack of family doctors, adding that delays referrals to specialists, potentially worsening patients’ condition to the point they end up in an emergency room.

“Then they’re taking up hospital beds, which takes away from surgical procedures because we have nowhere to move the patient to out of the (operating room), so we can’t do the surgery. So, it’s a huge domino effect that’s happening and not just isolated to primary care issues.”

Even patients with a general practitioner are lingering on wait-lists for an average of 10 months and sometimes up to two years, he said.

Hoag said Dix had not responded to the letter.

The Health Ministry said the minister was not available for an interview, but it provided a written statement.

All doctors, including specialists, have ways to get their concerns addressed through Doctors of BC, the association that represents them in talks with government, the statement says.

Doctors of BC said a so-called physician master agreement that expired in March is currently being negotiated with the government on behalf of all doctors but that the needs of specialists go beyond its scope and can’t be addressed through compensation.

“Rather, in many cases addressing specialist wait-lists can only be accomplished through improvements to health authority infrastructure, processes and resources such as increasing (operating room) time,” it said in a written statement.

“We fully intend to advocate specialist issues, and work with Consulting Specialists of BC and the different specialty sections,” the association said, adding its board would determine when that would happen.

Dr. Alika Lafontaine, president of the Canadian Medical Association, said specialists in all provinces and territories are dealing with a “collective crisis” as millions of patients wait for their services.

“Primary care and specialty care are all being overwhelmed at the same time,” he said, adding the letter by specialists in B.C. points to major, unprecedented issues involving multiple problems like overcrowded and closed emergency rooms in various jurisdictions due to a lack of nurses and other health-care providers.

“These sorts of letters were not going out even mid-pandemic,” Lafontaine said of the stress that health-care providers are under.

“There’s a human cost for patients, but there’s also a human cost for providers showing up to work day after day with this high degree of tension.”

Lafontaine said collaboration is needed by provinces and territories to find innovative solutions like more virtual and team-based care, not merely more requests for funding, which has been increased in all jurisdictions.

“I don’t think a lot of provinces have leaned into team-based care, making sure that the care is distributed to the right people at the right time and in the right place,” he said.

“Places that are decreasing administrative burdens on physicians are definitely creating more time for physicians to provide care,” he said of doctors having to repeatedly submit information to multiple regulatory agencies.

Lafontaine called for an emergency meeting between federal, provincial and territorial governments to create a long-term, sustainable system.

He said the association will be gathering this fall with other advocacy groups, including the Canadian Nurses’ Association and patient advocacy groups, to discuss how best to address similar needs.

This report by The Canadian Press was first published Sept. 22, 2022.

 

Camille Bains, The Canadian Press

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Wealthsimple discloses that it’s profitable as it marks 10 years in operation

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TORONTO – As Wealthsimple marks a decade in operation, the financial platform is disclosing for the first time that it’s profitable as its revenue and assets jump.

The company that started as a robo-advisor has been steadily adding investment capabilities over the years as well as more bank-like features as it tries to lure customers away from the established players.

Wealthsimple’s suite of offerings, which include everything from no-commission trading to the recent addition of mortgages, has helped it amass more than $50 billion in assets, roughly double what it had a year earlier.

“We benefit from that as a business because it means a more diversified, resilient set of revenues, a deeper relationship with our clients,” said chief executive Michael Katchen in an interview.

The private company, in which Power Corp. of Canada and related entities own a controlling stake, said its second-quarter revenue of $129 million was up 88 per cent from last year as it counts more than three million customers.

Even before the revenue jump, the company said it’s been profitable since the second quarter of last year, though Katchen declined to provide further details on how much money Wealthsimple is making.

Wealthsimple has faced skepticism over whether its low-fee model could turn a profit because of the scale required, a concern Katchen says the company has proven wrong.

“What is so important about being a profitable business with the business model we have is, we’ve proven you can.”

Wealthsimple’s growth has not come without bumps, including cutting around 13 per cent of staff in 2022 as the market pulled back.

It also ditched U.S. expansion efforts after selling its U.S. book of business to Betterment in 2021, and sold its Wealthsimple for Advisors to Purpose Advisor Solutions as it focused in on Canadian consumers.

The company’s valuation is also down from its peak. Power Corp., which across several divisions together held a 55.1 per cent undiluted equity interest as of June 30, said the fair value of its holding was $1.5 billion. That’s down from $2.1 billion in 2021.

But the company has still managed a steep climb in assets from growth across the board, whether it’s wealth management, trading and brokerage or its banking business, said Katchen.

It comes as Wealthsimple increasingly positions itself as a full-suite alternative to the big banks, including boosting its banking services last year, that has helped lead to a $20 billion boost to the bank’s net deposits.

“We’ve been pretty excited about a more complete product offering,” said Katchen.

Wealthsimple, which also offers tax services after buying Simpletax in 2019, launched a mortgage offering earlier this year and plans more credit products ahead along with an expansion into insurance, he said.

It’s all part of the company’s effort to rival the big banks, by having more than a trillion dollars in assets under administration.

While Katchen had originally said he’d want to reach that goal within the first fifteen years, he’s now aiming for a slightly less ambitious timeline of within 20 years of co-founding Wealthsimple.

“We’re not done yet,” he said. “We’ve got a long way to go.”

This report by The Canadian Press was first published Sept. 18, 2024.

The Canadian Press. All rights reserved.



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General Motors and Unifor reach tentative agreement at CAMI plant

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LONDON, Ont. – General Motors Canada and Unifor reached a tentative agreement Wednesday at the company’s CAMI assembly plant in Ingersoll, Ont.

Details of the new contract, which is subject to ratification, were not immediately available.

The union had said when the contract began that its priorities would be wages, job security and better pension plans.

“We had very clear goals heading into bargaining set by our members and I believe that we have reached a tentative agreement that reflects those goals,” said Mike Van Boekel, Unifor Local 88 plant chair.

Unifor represents about 1,300 employees at the plant.

The workers build Chevrolet BrightDrop electric delivery vans and battery modules.

The union says a ratification meeting is set for Sunday.

The tentative agreement follows a deal last year between Unifor and GM that covered workers at the company’s assembly plant in Oshawa, Ont., engine and transmission plant in St. Catharines, Ont., and a parts distribution centre in Woodstock, Ont.

This report by The Canadian Press was first published Sept. 18, 2024.

The Canadian Press. All rights reserved.



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Corus announces two new lifestyle networks after Rogers scoops Food Network and HGTV

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Corus Entertainment has announced two new lifestyle brands following the loss of Canadian content rights for Food Network and HGTV to Rogers Communications Inc.

Flavour Network and Home Network will launch Dec. 30, offering a blend of original Canadian programming and international content acquired through new and expanded licensing agreements.

The broadcaster says original shows that were meant for Food Network Canada and HGTV Canada will air on the new networks.

That includes new seasons of “Renovation Resort,” Scott McGillivray’s “Scott’s Vacation House Rules” and Pamela Anderson’s “Pamela’s Garden of Eden.” Flavour Network will also carry Anderson’s new series “Cooking with Love,” as well as returning shows “Top Chef Canada” and “Carnival Eats.”

Home Network will air fresh titles including “Building Baeumler” with Bryan and Sarah Baeumler, “Rentovation” with Natalie Chong and “The Big Burger Battle” with Andrew Phung.

Corus announced in June that it will lose the rights to several key Warner Bros. Discovery brands including HGTV, Food Network, Cooking Channel, Magnolia Network and OWN at the end of the year. Those brands move to Rogers in January.

Corus says Flavour Network and Home Network will replace the current channel positions of Food Network Canada and HGTV Canada next year.

The broadcaster says more programming details and new series will be announced later this year.

This report by The Canadian Press was first published Sept. 18, 2024.

The Canadian Press. All rights reserved.



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