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The ups and downs (but mostly ups) of federal health transfers

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OTTAWA – The message Canada’s premiers sent to Ottawa last year was unanimous: the federal government needed to pay its fair share to contain the ballooning cost of health care.

Before Prime Minister Justin Trudeau put a 10-year, $196-billion deal on the table, they insisted federal contributions to health spending had slowly slackened over time.

Checking that claim proved more difficult than anticipated, since provincial spending and federal transfers are rarely centrally compiled and compared.

The Canadian Press, in partnership with Humber College StoryLab, collected data on provincial health budgets and federal health transfers from 2004 to 2023. The goal was to track annual spending from the launch of the 2004 federal-provincial health accord under former Liberal prime minister Paul Martin.

That was also the year a dedicated federal health care transfer was established.

Provincial health systems had taken a substantial hit in the late 1990s when Martin, then the finance minister, slashed federal transfers as Ottawa desperately tried to reign in its deficit.

Federal health transfers to the provinces, which totalled $18.5 billion in 1995-96, fell to $14.7 billion in 1997-98 and $12.5 billion in 1998-99. The figures have not been adjusted for inflation.

Five years later Martin, by then the prime minister, stepped in to try and fix what his austerity budgets had caused, signing a new, 10-year deal with the provinces to add more than $40 billion to federal health transfers over the decade.

The 2004 deal included some immediate injections of money as well as a pledge that federal health transfers would increase by at least six per cent a year.

Health transfers did rise substantially right out of the gate, from $15.1 billion in 2004-05 to $18.9 billion in 2005-06, before following the promised pattern and rising by at least six per cent each year through 2010-11.

In 2011, Conservative finance minister Jim Flaherty told premiers he would keep the six per cent escalator until 2016-17, after which health transfers would be tied to economic growth, but no less than three per cent each year.

The Liberals had returned to office under Justin Trudeau by the time that adjustment was set to kick in, but they kept the plan. Between 2017-18 and 2022-23 the Canada Health Transfer rose between three and five per cent annually.

Between 2005 and 2023, the federal transfers have risen seven per cent on average, compared to a five per cent increase in provincial health spending over that period.

In January 2023, after months of pleading from provinces, Trudeau put a new offer on the table, which included a guaranteed minimum increase of five per cent to the health transfer for five years. That was in addition to tailored one-on-one deals with each province.

The government anticipated at the time the offer would result in a 33 per cent increase in federal health spending over the next five years, and 61 per cent over 10 years.

In exchange, all provinces and territories agreed to sign on to a plan to gather and share data about Canada’s health systems.

So far, that does not include data about how much each level of government contributes to those systems.

This report by The Canadian Press was first published Sept. 2, 2024.

The Canadian Press. All rights reserved.



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As sports betting addiction takes hold in Brazil, the government moves to crack down

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SAO PAULO (AP) — “King” doesn’t disclose his real name. Even clients of his Sao Paulo newsstand have to call him by his moniker. The Brazilian online sports gambling addict lowered his profile after a loan shark threatened to put bullets in his head if he didn’t pay up.

Broke and embarrassed, King sought treatment and support earlier this year.

“I was once addicted to slot machines, but then sports betting was so easy that I changed. I got carried away all the time,” he told The Associated Press.

King’s story is that of many vulnerable Brazilians in recent years. The country has become the third-biggest market in the world for sports betting, following the U.S. and the U.K., a report by data analysis company Comscore said last year. But unlike those countries, rampant advertising and sponsorship have been coupled with an unregulated market. The government is now — belatedly, some say — striving to get a handle on the epidemic.

On a recent evening, King’s Gamblers Anonymous meeting took place in an improvised classroom inside a church, with coffee and cookies to keep everyone awake, and supportive messages scrawled onto the blackboard. One that’s become ubiquitous in Brazil and beyond: “Only for today I will avoid the first bet.”

King and other attendees, all Christian, started a prayer and the meeting began.

King said his financial problems arose from his addiction to online sports betting, chiefly on soccer.

“I miss the adrenaline rush when I don’t bet,” he said before the gathering. “I have managed to stop for a couple of months, but I know that if I do it once again, even a small bet, it will all come back.”

Driven by the pandemic

The COVID-19 pandemic was a key driver for Brazilians embracing sports betting. King said he transformed almost every sale during that time into a bet. His hook was the non-stop advertising on TV, radio, social media as well as sponsorship of local soccer teams’ jerseys. He asked for bank loans to pay his gambling debts and then, to cover those, went to the moneylender. His total debt now amounts to 85,000 reais ($15,000) — impossible to pay off with his monthly income of 8,000 reais.

Digging oneself out of debt in Brazil is especially daunting with its sky-high interest rates. Loans from Brazilian banks could add interest of almost 8% per month to the borrowed sum, and from loan sharks could be even more.

Four Gamblers Anonymous meetings attended by the AP in October featured discussions about difficulties paying down debts, forcing working-class members to postpone housing payments and cancel family vacations.

Some members of impoverished Brazilian families have used welfare money for betting instead of paying for groceries and housing, official data suggests. In August, beneficiaries of Brazil’s flagship program Bolsa Familia spent 3 billion reais ($530 million) on sports betting, according to a report from the central bank. That was more than 20% of the program’s total outlay in the month.

A host of gambling related problems

Sports betting was made legal in 2018 in a bill signed by former President Michel Temer. The subsequent turmoil has recently been setting off alarm bells, with addicts venting on social media and media reports of people losing huge sums.

On Oct. 1, the economy ministry prevented more than 2,000 betting companies from operating in Brazil for having failed to provide all the required documents. Soccer-loving President Luiz Inácio Lula da Silva said in an interview on Oct. 17 that he will shut down the entire market in Brazil if his administration’s new regulations — presented at the end of July— fail to work. And Brazil’s Senate on Oct. 25 opened an investigation into betting companies, focusing on crime and addiction.

“There’s tax evasion, money laundering of organized crime, the use of influencers to trick people into betting. These companies need to be audited,” Sen. Soraya Thronicke, who proposed the inquiry, told journalists in Brasilia.

Sérgio Peixoto, a ride-sharing app driver in Rio, is one of many lower-middle-income Brazilians who have reduced their spending due to sports betting debt. Peixoto’s debt currently amounts to 25,000 reais ($4,400). His monthly income is four times less than that.

“It stopped being a game, it wasn’t fun. I just wanted to get the money back, so I lost even more,” said Peixoto, 26. “I could have invested that money. It would surely have given me more benefits.

Pressure to bet

Pressure on people to gamble is everywhere. Current and former soccer players, including Vinicius Júnior, Ronaldo Nazário and Roberto Rivellino, are among the poster boys for local and foreign brands. All but one of the top-tier soccer clubs have betting companies among their main sponsors, with their name and logo emblazoned on their kits. There have been cases of kids and teenagers setting up accounts using their parents’ personal information and money, multiple local media outlets have reported.

Brazil’s economy ministry estimates that Brazil’s sports betting market had $21 billion in transactions last year, a 71% increase compared with the first year of the pandemic, 2020.

The ministry’s newly presented regulations include facial recognition systems for gamblers to bet, the identification of a single bank account for transactions involving sports betting, new protections against hackers and the government-authorized domain, bet.br, which will host all betting sites that are legal in Brazil. Once they are in place, come January, between 100 and 150 betting companies will continue to operate in the South American nation.

The changes in Brazil have prompted some companies to take preemptive action. A report by Yield Sec, a technical intelligence platform for online marketplaces, said several betting companies voluntarily restricted their operations in different places after the latest editions of the European Championships and Copa America in the hopes of presenting “the best possible license application face to the Brazilian authorities.”

Magnho José Santos de Sousa, the president of the Legal Gambling Institute, a betting think tank, said Brazil is currently “invaded by illegal websites that have licenses in Malta, Curação, Gibraltar and the United Kingdom.”

De Sousa expressed hope that the new regulations for advertising, responsible gambling and qualification of sports betting companies will transform the country’s deregulated arena into a more serious one that doesn’t exploit the vulnerable.

“The whole operation could turn from water into wine,” he said.

Gamblers Anonymous in high demand

Meantime, the demand for Gamblers Anonymous meetings in Sao Paulo has grown so much in recent years that the weekly gathering, in place since the 1990s, was no longer enough. Many groups have added a second day in the week to help new people recover, mostly sports bettors.

Earlier in October, a group on Sao Paulo’s northern edge admitted a man who was struggling with sports betting and card games. The 13 other people in the room stressed that he wasn’t alone.

“Welcome,” one long-time attendee said, in a greeting that has become a regular for the group. “Today, you are the most important person here.”

___

Dumphreys reported from Rio de Janeiro.



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Saskatchewan’s Jason Ackerman improves to 6-0 at mixed curling nationals

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SAINT CATHARINES, Ont. – Saskatchewan’s Jason Ackerman remained undefeated on Wednesday with a 7-4 win over Newfoundland and Labrador’s Trent Skanes at the Canadian mixed curling championship.

After going down 3-1 through four ends, Ackerman (6-0) outscored Skanes (3-3) 6-1 the rest of the way, including three points in the seventh end.

Alberta’s Kurt Alan Balderston also earned a win, defeating New Brunswick’s Charlie Sullivan 9-2 in another matchup in the final draw.

The win improved Balderston’s record to 4-2 and sits in third in Pool B.

The top four teams from each pool will play four more games against the survivors from the other pool. The remaining three teams from the pool will play three more seeding games to help set the rankings for next year’s event.

The championship final is scheduled for Saturday.

This report by The Canadian Press was first published Nov. 6, 2024.

The Canadian Press. All rights reserved.



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Oilers fall 4-2 to Golden Knights in McDavid’s return from injury

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EDMONTON – Noah Hanifin had a pair of goals as the Vegas Golden Knights won their first road game of the season, coming from behind to shock the Edmonton Oilers 4-2 on Wednesday.

Jack Eichel had a goal and two assists and Mark Stone also scored for the Golden Knights (9-3-1), who have won two in a row and six of their last seven. The Knights entered the game 0-3-1 on the road this year.

Brett Kulak and Zach Hyman replied for the Oilers (6-7-1), who have lost two straight despite getting captain Connor McDavid back from injury earlier than expected for the game.

Adin Hill made 27 saves for Vegas, while Stuart Skinner managed 31 stops for Edmonton.

Takeaways

Golden Knights: With an assist on the Knights’ second goal, William Karlsson has recorded at least a point in all five games he has played this season (two goals, four assists).

Oilers: McDavid was a surprise starter for the Oilers, coming back just nine days after suffering an ankle injury in Columbus and initially being expected to miss two to three weeks. The star forward came into the contest with 11 points (three goals, eight assists) during a six-game point streak versus the Golden Knights, but was held pointless on the night.

Key moment

With just 48.4 seconds left to play, the Golden Knights won a race to the corner and Ivan Barbashev was able to send it out to a hard-charging Hanifin, who sent a shot glove-side that beat Skinner for his second goal of the third period and third of the season.

Key stat

It was Hyman’s third goal in the last four games after the veteran forward went scoreless in his first 10 games this season following a 54-goal campaign last year. Hyman now has five goals in his last six games against Vegas.

Up next

Golden Knights: Head to Seattle to face the Kraken on Friday.

Oilers: Travel to Vancouver on a quick one-game trip to clash with the Canucks on Saturday.

This report by The Canadian Press was first published Nov. 6, 2024.

The Canadian Press. All rights reserved.



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