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Telus virtual health-care app touted by Alberta government sparks outcry from physicians – CBC.ca

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Some family doctors are voicing their concerns about a new Telus Health app being introduced by the province that allows Albertans online access to a doctor.

Babylon is a free downloadable app developed by Telus Health that lets Albertans meet with licensed physicians in one-on-one video consultations through their smartphone.

The app can be also be used to check symptoms — including those of COVID-19 — book appointments and get prescriptions and referrals, all covered under Alberta’s public health-care insurance.

Health Minister Tyler Shandro said Thursday the joint initiative with Telus Health comes at a time when the health system is asking people to self-isolate as a result of the COVID-19 pandemic.

But the announcement prompted many Alberta physicians to complain that the service is deeply flawed.
    
Katherine Bisby, a family physician in Calgary, said she’s not opposed to adding this tool to the mix — especially to keep patients and doctors safe during the pandemic.
    
But she said it appears to undermine family doctors who already offer a virtual service by phone — and who have been asking the government to increase their virtual billing rate, which is just $20 per call.
    
Calgary family physician Dr. Jennie Herd told CBC News in an email that the $20 per call billing rate is unfair, especially given that Babylon doctors are paid more.

“Clinic overheads remain the same at an average of $60-80 per hour per doctor. So, at four patients per hour at our current rate of seeing them we are just covering clinic costs and providing this service for free,” she said.

“I am very upset as a physician in practice for over 20 years that the government is promoting and funding a service for my patients to call an unknown physician, with no access to my patients’ charts, when I am available for the same service,” wrote Edmonton general practitioner Dr. Alice Bedard.

According to Alberta government spokesperson Steve Buick, doctors with Babylon are paid under an Alternative Relationship Plan based on the fee for a basic office visit of $38.

Continuity of care

Some doctors also said the app won’t give patients the continuity of care they would receive with their own family doctor.

Dr. Ruoh-Yeng Chang said Babylon seems like the equivalent of a walk-in clinic where whoever answers the call will not know a patient’s history.

“This is an undermining of existing family practices and the relationship between family doctors and their patients,” she said.

“We are the medical home. Patients can call us with concerns and we will talk to them. Now they are being told to call someone else instead.”

Other doctors raised similar objections.

Community pediatrician Dr. Natalie Forbes said the introduction of Babylon undermines the important goal of ensuring all Albertans have a “medical home” to receive care.

“Babylon is substandard private health care, funded by our government, putting money into the pockets of Telus,” she wrote. 

Appropriate compensation

Dr. Kimberly Dary, a child and adolescent psychiatrist at Edmonton’s Stollery Children’s Hospital, said it’s going to be increasingly important that the doctors in her field are able to continue to treat patients as the health crisis evolves.

“Right now, families are experiencing heightened anxiety, significant panic, children are not in school. There’s going to be an escalation of psychiatric emergencies,” she said.

But the emergency room is the not right place to see those patients during a pandemic, she said.

Dary said it’s vital that the government quickly find a means of appropriately compensating physicians as they are forced to move to virtual delivery of health care.

“This is not a 10-minute phone call. Our assessments and followups are very in depth,” she said. “Right now, there’s no support from the government to moving us to doing this.”

Buick said in an email to CBC News that the Babylon platform is not intended to replace the traditional family practice.

“It provides a new and convenient option for publicly funded virtual physician visits to supplement existing services,” he said.
    
Health Minister Shandro promoted the new app on Twitter, where there were also several posts critical of the service. 

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Japan’s SoftBank returns to profit after gains at Vision Fund and other investments

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TOKYO (AP) — Japanese technology group SoftBank swung back to profitability in the July-September quarter, boosted by positive results in its Vision Fund investments.

Tokyo-based SoftBank Group Corp. reported Tuesday a fiscal second quarter profit of nearly 1.18 trillion yen ($7.7 billion), compared with a 931 billion yen loss in the year-earlier period.

Quarterly sales edged up about 6% to nearly 1.77 trillion yen ($11.5 billion).

SoftBank credited income from royalties and licensing related to its holdings in Arm, a computer chip-designing company, whose business spans smartphones, data centers, networking equipment, automotive, consumer electronic devices, and AI applications.

The results were also helped by the absence of losses related to SoftBank’s investment in office-space sharing venture WeWork, which hit the previous fiscal year.

WeWork, which filed for Chapter 11 bankruptcy protection in 2023, emerged from Chapter 11 in June.

SoftBank has benefitted in recent months from rising share prices in some investment, such as U.S.-based e-commerce company Coupang, Chinese mobility provider DiDi Global and Bytedance, the Chinese developer of TikTok.

SoftBank’s financial results tend to swing wildly, partly because of its sprawling investment portfolio that includes search engine Yahoo, Chinese retailer Alibaba, and artificial intelligence company Nvidia.

SoftBank makes investments in a variety of companies that it groups together in a series of Vision Funds.

The company’s founder, Masayoshi Son, is a pioneer in technology investment in Japan. SoftBank Group does not give earnings forecasts.

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Trump campaign promises unlikely to harm entrepreneurship: Shopify CFO

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Shopify Inc. executives brushed off concerns that incoming U.S. President Donald Trump will be a major detriment to many of the company’s merchants.

“There’s nothing in what we’ve heard from Trump, nor would there have been anything from (Democratic candidate) Kamala (Harris), which we think impacts the overall state of new business formation and entrepreneurship,” Shopify’s chief financial officer Jeff Hoffmeister told analysts on a call Tuesday.

“We still feel really good about all the merchants out there, all the entrepreneurs that want to start new businesses and that’s obviously not going to change with the administration.”

Hoffmeister’s comments come a week after Trump, a Republican businessman, trounced Harris in an election that will soon return him to the Oval Office.

On the campaign trail, he threatened to impose tariffs of 60 per cent on imports from China and roughly 10 per cent to 20 per cent on goods from all other countries.

If the president-elect makes good on the promise, many worry the cost of operating will soar for companies, including customers of Shopify, which sells e-commerce software to small businesses but also brands as big as Kylie Cosmetics and Victoria’s Secret.

These merchants may feel they have no choice but to pass on the increases to customers, perhaps sparking more inflation.

If Trump’s tariffs do come to fruition, Shopify’s president Harley Finkelstein pointed out China is “not a huge area” for Shopify.

However, “we can’t anticipate what every presidential administration is going to do,” he cautioned.

He likened the uncertainty facing the business community to the COVID-19 pandemic where Shopify had to help companies migrate online.

“Our job is no matter what comes the way of our merchants, we provide them with tools and service and support for them to navigate it really well,” he said.

Finkelstein was questioned about the forthcoming U.S. leadership change on a call meant to delve into Shopify’s latest earnings, which sent shares soaring 27 per cent to $158.63 shortly after Tuesday’s market open.

The Ottawa-based company, which keeps its books in U.S. dollars, reported US$828 million in net income for its third quarter, up from US$718 million in the same quarter last year, as its revenue rose 26 per cent.

Revenue for the period ended Sept. 30 totalled US$2.16 billion, up from US$1.71 billion a year earlier.

Subscription solutions revenue reached US$610 million, up from US$486 million in the same quarter last year.

Merchant solutions revenue amounted to US$1.55 billion, up from US$1.23 billion.

Shopify’s net income excluding the impact of equity investments totalled US$344 million for the quarter, up from US$173 million in the same quarter last year.

Daniel Chan, a TD Cowen analyst, said the results show Shopify has a leadership position in the e-commerce world and “a continued ability to gain market share.”

In its outlook for its fourth quarter of 2024, the company said it expects revenue to grow at a mid-to-high-twenties percentage rate on a year-over-year basis.

“Q4 guidance suggests Shopify will finish the year strong, with better-than-expected revenue growth and operating margin,” Chan pointed out in a note to investors.

This report by The Canadian Press was first published Nov. 12, 2024.

Companies in this story: (TSX:SHOP)

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RioCan cuts nearly 10 per cent staff in efficiency push as condo market slows

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TORONTO – RioCan Real Estate Investment Trust says it has cut almost 10 per cent of its staff as it deals with a slowdown in the condo market and overall pushes for greater efficiency.

The company says the cuts, which amount to around 60 employees based on its last annual filing, will mean about $9 million in restructuring charges and should translate to about $8 million in annualized cash savings.

The job cuts come as RioCan and others scale back condo development plans as the market softens, but chief executive Jonathan Gitlin says the reductions were from a companywide efficiency effort.

RioCan says it doesn’t plan to start any new construction of mixed-use properties this year and well into 2025 as it adjusts to the shifting market demand.

The company reported a net income of $96.9 million in the third quarter, up from a loss of $73.5 million last year, as it saw a $159 million boost from a favourable change in the fair value of investment properties.

RioCan reported what it says is a record-breaking 97.8 per cent occupancy rate in the quarter including retail committed occupancy of 98.6 per cent.

This report by The Canadian Press was first published Nov. 12, 2024.

Companies in this story: (TSX:REI.UN)

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