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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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Transat AT reports $39.9M Q3 loss compared with $57.3M profit a year earlier

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MONTREAL – Travel company Transat AT Inc. reported a loss in its latest quarter compared with a profit a year earlier as its revenue edged lower.

The parent company of Air Transat says it lost $39.9 million or $1.03 per diluted share in its quarter ended July 31.

The result compared with a profit of $57.3 million or $1.49 per diluted share a year earlier.

Revenue in what was the company’s third quarter totalled $736.2 million, down from $746.3 million in the same quarter last year.

On an adjusted basis, Transat says it lost $1.10 per share in its latest quarter compared with an adjusted profit of $1.10 per share a year earlier.

Transat chief executive Annick Guérard says demand for leisure travel remains healthy, as evidenced by higher traffic, but consumers are increasingly price conscious given the current economic uncertainty.

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

Companies in this story: (TSX:TRZ)

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Dollarama keeping an eye on competitors as Loblaw launches new ultra-discount chain

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Dollarama Inc.’s food aisles may have expanded far beyond sweet treats or piles of gum by the checkout counter in recent years, but its chief executive maintains his company is “not in the grocery business,” even if it’s keeping an eye on the sector.

“It’s just one small part of our store,” Neil Rossy told analysts on a Wednesday call, where he was questioned about the company’s food merchandise and rivals playing in the same space.

“We will keep an eye on all retailers — like all retailers keep an eye on us — to make sure that we’re competitive and we understand what’s out there.”

Over the last decade and as consumers have more recently sought deals, Dollarama’s food merchandise has expanded to include bread and pantry staples like cereal, rice and pasta sold at prices on par or below supermarkets.

However, the competition in the discount segment of the market Dollarama operates in intensified recently when the country’s biggest grocery chain began piloting a new ultra-discount store.

The No Name stores being tested by Loblaw Cos. Ltd. in Windsor, St. Catharines and Brockville, Ont., are billed as 20 per cent cheaper than discount retail competitors including No Frills. The grocery giant is able to offer such cost savings by relying on a smaller store footprint, fewer chilled products and a hearty range of No Name merchandise.

Though Rossy brushed off notions that his company is a supermarket challenger, grocers aren’t off his radar.

“All retailers in Canada are realistic about the fact that everyone is everyone’s competition on any given item or category,” he said.

Rossy declined to reveal how much of the chain’s sales would overlap with Loblaw or the food category, arguing the vast variety of items Dollarama sells is its strength rather than its grocery products alone.

“What makes Dollarama Dollarama is a very wide assortment of different departments that somewhat represent the old five-and-dime local convenience store,” he said.

The breadth of Dollarama’s offerings helped carry the company to a second-quarter profit of $285.9 million, up from $245.8 million in the same quarter last year as its sales rose 7.4 per cent.

The retailer said Wednesday the profit amounted to $1.02 per diluted share for the 13-week period ended July 28, up from 86 cents per diluted share a year earlier.

The period the quarter covers includes the start of summer, when Rossy said the weather was “terrible.”

“The weather got slightly better towards the end of the summer and our sales certainly increased, but not enough to make up for the season’s horrible start,” he said.

Sales totalled $1.56 billion for the quarter, up from $1.46 billion in the same quarter last year.

Comparable store sales, a key metric for retailers, increased 4.7 per cent, while the average transaction was down2.2 per cent and traffic was up seven per cent, RBC analyst Irene Nattel pointed out.

She told investors in a note that the numbers reflect “solid demand as cautious consumers focus on core consumables and everyday essentials.”

Analysts have attributed such behaviour to interest rates that have been slow to drop and high prices of key consumer goods, which are weighing on household budgets.

To cope, many Canadians have spent more time seeking deals, trading down to more affordable brands and forgoing small luxuries they would treat themselves to in better economic times.

“When people feel squeezed, they tend to shy away from discretionary, focus on the basics,” Rossy said. “When people are feeling good about their wallet, they tend to be more lax about the basics and more willing to spend on discretionary.”

The current economic situation has drawn in not just the average Canadian looking to save a buck or two, but also wealthier consumers.

“When the entire economy is feeling slightly squeezed, we get more consumers who might not have to or want to shop at a Dollarama generally or who enjoy shopping at a Dollarama but have the luxury of not having to worry about the price in some other store that they happen to be standing in that has those goods,” Rossy said.

“Well, when times are tougher, they’ll consider the extra five minutes to go to the store next door.”

This report by The Canadian Press was first published Sept. 11, 2024.

Companies in this story: (TSX:DOL)

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U.S. regulator fines TD Bank US$28M for faulty consumer reports

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TORONTO – The U.S. Consumer Financial Protection Bureau has ordered TD Bank Group to pay US$28 million for repeatedly sharing inaccurate, negative information about its customers to consumer reporting companies.

The agency says TD has to pay US$7.76 million in total to tens of thousands of victims of its illegal actions, along with a US$20 million civil penalty.

It says TD shared information that contained systemic errors about credit card and bank deposit accounts to consumer reporting companies, which can include credit reports as well as screening reports for tenants and employees and other background checks.

CFPB director Rohit Chopra says in a statement that TD threatened the consumer reports of customers with fraudulent information then “barely lifted a finger to fix it,” and that regulators will need to “focus major attention” on TD Bank to change its course.

TD says in a statement it self-identified these issues and proactively worked to improve its practices, and that it is committed to delivering on its responsibilities to its customers.

The bank also faces scrutiny in the U.S. over its anti-money laundering program where it expects to pay more than US$3 billion in monetary penalties to resolve.

This report by The Canadian Press was first published Sept. 11, 2024.

Companies in this story: (TSX:TD)

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