Ukrainian medical workers frustrated by 'silence' on Nova Scotia licences – CBC.ca
Some Ukrainian medical workers who fled the war for Nova Scotia say they are frustrated by how hard it is to get approval to work in their new homeland.
Nova Scotia called for Ukrainian medical workers through the Support for Ukraine program, which says, “Are you a Ukrainian health-care worker looking to practise in Nova Scotia? There may be a great career already waiting for you!”
The program helps Nova Scotia Health hire nurse practitioners, registered nurses and licensed practical nurses.
Ukrainian refugees were also drawn by the Physician Stream, a provincial program seeking immigrant physicians to fill jobs Canadians and permanent residents have been unable to.
But many Ukrainian refugees say these programs aren’t working.
“For now, it’s only silence,” said Oksana Hatlan, who nursed in an intensive care unit in Ukraine for 14 years. She and her nine-year-old daughter were drawn to Nova Scotia by the Support for Ukraine program. Her husband is still in Ukraine.
“They announced that two months ago and since then, silence. So I’m not sure if it works.”
Ukrainians are facing numerous challenges navigating the medical licensing process.
That has meant weeks of waiting for a response from officials, from the College of Physicians & Surgeons of Nova Scotia, and for the medical diagnostic test needed for immigration so they can begin applying for jobs. The cost of medical licence fees adds to their list of worries.
Hatlan moved out of her host family’s residence within two weeks of her arrival in Truro, N.S. In that time, she found a job in the local hospital as a care team staff member.
She said community members and neighbours have bent over backward to ensure she settles in well. However, the province isn’t making use of the medical workers it has at its disposal, she said.
Hatlan said she cannot consider studying full-time to upgrade her qualifications because she needs to work to make ends meet.
“It is very important for health-care workers not to be left out of our profession. We must improve knowledge, skills, learn English and gain new experience,” said Hatlan.
Alison Graham, a councillor in Truro, hosted Hatlan and her daughter. She said after she learned she was a nurse, it motivated the entire community to help out, recognizing that an investment in a nurse is an investment in the community.
“We’ve done our part. Now it’s time for the province to step in and do their part,” said Graham.
Health minister wants to streamline process
Over a month ago, Health Minister Michelle Thompson said Nova Scotia is looking to recruit Ukrainians to fill various health-care roles. She acknowledged the process wouldn’t be easy because of the credentialing process.
On Tuesday, Thompson told CBC News that folks can reach back out to the Office of Healthcare Professionals Recruitment if they haven’t heard back from them.
She said the hiring process is cumbersome and some of the common issues are unequal credentials and a lack of English skills.
“We do want to streamline the process upholding public safety as the colleges are designed to do, but also, moving people into meaningful professions,” said Thompson.
Thompson said things could be done differently around credentialing to retain health-care workers in the Atlantic provinces, but how that is done remains to be seen.
Recently, Newfoundland and Labrador’s health minister met with Ukrainian refugee doctors following similar reports. The province is designating someone to help Ukrainians navigate the process and will also pay the licensing fees.
‘What should they do?’
Daria Vinnytska landed in Nova Scotia from Ukraine nearly two months ago.
She practised as a diagnostic radiologist for over 15 years in a Ukrainian hospital, but her postgraduate training was 20 per cent of what is required in Canada.
She could go through nearly five years of postgraduate training, or possibly work as a clinical assistant. Neither is appealing nor makes sense to her.
Vinnytska chose Nova Scotia because of the Physician Stream.
“The system and all this official organization, they are working very slow and that is the problem,” said Vinnytska. “Any immigrant waiting in Canada, what should they do?”
The Office of Healthcare Professionals Recruitment said it is working on a streamlined approach that helps with recruitment.
Dr. Gus Grant, CEO of the college of physicians and surgeons, told CBC News that the Nova Scotia Health Authority referred 69 medical professionals trained in Ukraine. Most of them are currently not in the province.
The college issues licences to allow physicians to practise medicine in the province. Grant said the college found 26 applicants were clearly ineligible for licensure of any form, and 10 were possibly eligible for a clinical assistant licence.
“There is no bespoke approach for Ukrainian physicians in particular,” said Grant.
Canada has a strict licensing procedure for physicians that must be met, said Grant, but that is not to say international medical graduates with experience cannot help in some way.
Those With Rare Diseases Need to Wait, as Usual
Science has developed the ability to research, develop and create functional cures for many of our so-called “incurable diseases”, but having the ability to do something and actually doing it are two different things. Medicine has always suffered from a problem with “knowing-doing”. It is the difference between what a doctor actually does for a patient and what can be done with all that we know. Developmental breakthroughs in medicine are allowing doctors to do things they never could imagine before. Sometimes these break-thoughts don’t fit into businesses/governmental financial or regulatory systems, meaning that it can take a long time for patients to actually benefit, a time many patients may not have.
The National Institutes of Health in America invest more than $40 Billion in biomedical research each year, and the private sector twice as much. The discoveries are valued by all, but why is it so hard to use these discoveries?
Science’s ability to engineer medicines has far outpaced how these medicines are actually built, tested, and put into human beings. Artificial Intelligence has assisted the community by mapping the human genome in efforts to cure various diseases. The US Government defines rare diseases as those that affect fewer than 200,000 people in America. Some affect only a handful of people. There are over 7000 different rare diseases, with more than 30 million people in America diagnosed with one of them. That is 10% of the US population. So improving how society can find and care for these patients could have a great impact. Problem is that the health system is not flagging enough people with these diseases, while many individuals don’t even know what disease they may have, or that they indeed have a disease. A.I. steps up front to assist in the recognition, tracking, analyzing, and identifying of these patients through computer-programmed systems. Put one’s symptoms into the machine, and often voila, a point from which a doctor can begin his medical investigation and treatment. A diagnostic odyssey in each individual case.
Artificial Intelligence has a prominent place within our health system, including helping design new treatments, helping predict which treatment is better for which patient, and screening for rare diseases with suggested diagnoses to boot. Why are many with rare diseases often left out in the cold, to search on their own for a cure? Money! Simple.
Who makes medicines, and invests millions in treatments and research for diseases? Pharmaceutical Firms.
What are they but profit centers for investment bankers, massive corporations, and a financial structure centered upon the shareholder, and not the average joe? Solutions can be found, but the willingness to spend way beyond what a firm can make in profits needs to be there. Sure our DNA is constantly changing, and evolving biologically. Making a drug that cures cancer, may cure some, but certainly not all forms since each person is unique, their biology specific to that person. Many doctors realize that their methods are much like witch Doctors, forever experimenting with the specific individual’s condition.
Our Health system is tied to our financial system. That is the root of it. So long as the doctors, hospitals, and researchers are tied to profit (our financial system) the necessary technology, research, and investment will not be found for those with rare diseases. I have a disease that has no cure. My immune system is attacking the tissue in my mouth. It is sorely painful, personally transformative, and damn if you could find a doctor who is a real expert in the field. Since it is rare, the institutions of the industry will not find proper medicine for its management, let alone its cure. I live with it, and the disease manages the way I eat, what I eat, how I clean my teeth, how I sleep, and interact with my partner too. This disease can transfer to another. Great eh!
For those of you who have or know of someone who has a rare disease, all I can say is to be patient. The present-day financial and healthcare systems need to change drastically, with governmental intervention in all aspects of research, planning, and manufacturing of medicines. Out of the hands who care for themselves, and hopefully into the hands of those who care about you and those you love.
Canada is set for its largest alcohol tax increase yet. Here’s what to know
Canadians could soon be paying around a quarter more for a 24-pack of beer thanks to the largest increase yet to a federal tax on alcohol.
The “escalator tax” is set to increase by 6.4 per cent on April 1 unless a change is announced before then, such as when the federal budget is revealed on March 28, according to food distribution professor at Dalhousie University, Sylvain Charlebois.
Charlebois told Global News that the tax, which was introduced in 2017, was designed to automatically increase over time based on the rate of inflation to avoid renegotiating it too often.
Given the amount of inflation Canada has experienced recently, the tax is now set for its biggest increase ever, he noted. Last year, the tax went up 2.4 per cent.
And while a penny a beer might not sound like much of a hike, industry experts say it’s one more factor pushing up costs for producers and distributors that’s likely to have ripple effects on what consumers pay.
Breaking down the cost increase
Charlebois predicts the tax will increase the price of a single beer by one cent, while the finance ministry told Global News in a statement that the amount would be three-quarters of a cent. Charlebois said that the price increase would be visible immediately after the tax is scheduled to be implemented on April 1.
Beer Canada told Global News in a statement that the tax increase will bring up the price of a 12-pack by 10 cents. For a 750 ml bottle of wine, the price could increase close to three cents, according to figures from the Canadian Revenue Agency.
In a statement to the Canadian Press, the Liquor Control Board of Ontario (LCBO) said that a 750 ml bottle of a spirit of 40 per cent alcohol by volume (ABV) may increase 70 cents. Charlebois said that the tax may have a smaller impact on the price of craft beer since it is lower volume and usually at a higher price, but could affect larger manufacturers more.
The tax could have a ripple effect on costs, as well.
Beer Canada said since the tax is a production tax imposed on the brewer at the point and time of production, “it is then magnified by other fees and taxes imposed by distributors, retailers, and provinces, including sales taxes,” making the impact on a 12-pack likely closer to 20 cents.
Along with other inflation factors, beer retail prices are projected to rise 10 per cent in 2023, according to the organization.
Beer Canada notes there has been a 60-per cent increase in barley prices, 40-per cent increase in packaging costs, and a doubling of freight costs.
Industry group Restaurants Canada told Canadian Press it estimates the tax increase will cost Canada’s food-service industry about $750 million a year, with the average casual dining restaurant expected to pay an extra $30,000 towards alcohol.
The carbon tax is also set to increase April 1 to $65 a metric ton of carbon from $50, which Charlebois said could impact alcohol prices as well since most producers do not have completely green supply chains. In addition, provinces individually typically increase their tax on alcohol, as well.
Overall, the escalator tax alone will amount to an extra $125 million a year that Canadians will pay to the government.
“It’s just one tax people don’t need right now,” Charlebois said. “It doesn’t seem like much, but it’s more that the tax burden is only increasing.”
“It’s a lot of pressure,” he added.
Industry calls for no tax increase
There is still the possibility the tax could be scrapped, Sylvain said, as lobbyists are moving against it.
Beer Canada says that Canada has the highest alcohol taxes among G7 nations, with about half the cost of a typical can of beer going to taxes, while up to 80 per cent of a bottle of alcohol is taxed, according to Spirits Canada.
The organization is calling on the federal government to freeze current alcohol taxes until inflation reaches closer to the Bank of Canada’s two per cent target.
“It’s do or die time in terms of action,” CJ Hélie, president of Beer Canada, told Global News. “April 1 is right around the corner and the question will be, does the government’s actions live up to their commitment.”
On March 22, MPs voted 170 to 149 in favour of a motion calling on the government to cancel the alcohol tax increase, sponsored by Conservative Leader Pierre Poilievre.
Helie told The Canadian Press that the escalator tax used to be “digestible” when it was around two per cent, but with more than triple the usual increase, it should now be reconsidered.
“When inflation is through the roof, we need to rethink this automatic formula,” Helie said. “The industry is already in dire straits. Using a rigid formula in a time like this is unacceptable.”
— with files from The Canadian Press
© 2023 Global News, a division of Corus Entertainment Inc.
Principal resigns after Florida students shown Michelangelo statue
A principal of a Florida school has been forced to resign after a parent complained that sixth-grade students were exposed to pornography.
The complaint arose from a Renaissance art lesson where students were shown Michelangelo’s statue of David.
The iconic statue is one of the most famous in Western history.
The 5.17m (17ft) statue depicts an entirely naked David, the Biblical figure who kills the giant Goliath.
The lesson, given to 11 and 12-year-olds, also included references to Michelangelo’s “Creation of Adam” painting and Botticelli’s “Birth of Venus”.
Principal Hope Carrasquilla of Tallahassee Classical School said she resigned after she was given an ultimatum by the school board to resign or be fired.
Local media reported that Ms Carrasquilla did not know the reason she was asked to resign, but believed it was related to the complaints over the lesson.
They also said Ms Carrasquilla had been principal for less than one year.
In an interview with US outlet Slate, the chair of the school’s board, Barney Bishop III, said that last year the principal sent a notice to parents warning them that students were going to see Michelangelo’s David – but that this wasn’t done this year. He called it an “egregious mistake” and said that “parents are entitled to know anytime their child is being taught a controversial topic and picture”.
“We’re not going to show the full statue of David to kindergartners. We’re not going to show him to second graders. Showing the entire statue of David is appropriate at some age. We’re going to figure out when that is,” Mr Bishop said.
On Thursday, Florida’s governor, Ron DeSantis, moved to expand a law that banned public schools from teaching sexual education and gender identity.
Teachers who violate the law face being suspended or losing their teaching licences.
The David was completed by Michelangelo between 1501 and 1504. It was instantly hailed as a masterpiece, with Renaissance artist Giorgio Vasari saying the David “surpassed” any statue that had ever existed before.
Queen Victoria gifted a copy of the David to the South Kensington museum – later the V&A – in 1857. When she first saw the cast, she was apparently so shocked by the nudity that a fig leaf was commissioned to cover up the genitalia.
The V&A’s website says that the leaf was kept “in readiness for any royal visits, when it was hung on the figure using two strategically placed hooks.”
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