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We need culturally appropriate health care for Black Canadians – CBC.ca

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This column is an opinion by Sharon Davis-Murdoch and Charisma Grace, who are Black health-care advocates, and Jalana Lewis, a community consultant with Diabetes Canada. For more information about CBC’s Opinion section, please see the FAQ.

As Black health advocates with a range of experience in health policy, health coaching and meaningful engagement with African-Canadian communities, we know all too well that anti-Black racism impacts all areas of life for people of African descent living in Canada. 

The common theme is that there’s little representation of Black Canadians in health settings, and it’s important for patients to see themselves reflected in the health system.

Recently a Black female client shared that she felt much more comfortable having a Black health coach because there wasn’t a need to explain her mistrust of the health-care system. The microaggressions and racist attitudes she had faced in the past when accessing health care weren’t something she had to relive with a coach who looked like her. 

Recent events in the Black Lives Matter movement have highlighted the impact of systemic racism in ways that many non-Black Canadians are now just waking up to. Self-reported data is available that suggests Black adults are 6.6 times more likely to develop diabetes compared with white adults in this country, but due to a lack of race-based data collection, we know these numbers are likely grossly underestimated.

Sharon Davis-Murdoch is the founding member and co-president of the Health Association of African Canadians. (Sharon Davis-Murdoch)

Yes, people of African descent are genetically predisposed to diabetes, but the challenges go beyond ethnicity. They are related to social determinants of health, including lived experience of systemic racism, distrust of the health system, higher rates of poverty and rural isolation.

That’s why we need to implement large-scale support for culturally specific approaches to address the growing issue. It could be as simple as identifying Black patients for early screening. 

We’ve all heard from people of African descent who have experienced racism while navigating the Canadian health-care system and are unable to access proper, culturally appropriate health resources. For many Black communities in Canada, health professionals often aren’t in roles long enough to really understand the needs of those communities.

There is a lack of trust in the health-care system stemming from decades of institutional racism, microaggressions and overt forms of discrimination, which has led to many Black community members feeling like their voices or concerns are not heard in the health-care system.

Even today in 2020, we rarely see ourselves reflected in health messaging, sitting on provincial health boards, working within health professions or leading health research

Charisma Grace is a former health coach with the Matter of Black Health Project. (Charisma Grace)

The “one-size-fits-all” approach to the implementation of health-related services assumes everyone has the same access and experiences while navigating those services. 

The Matter of Black Health (MBH) pilot project, which launched in May 2017, took a different approach and provided an excellent blueprint for culturally specific programming aimed at preventing chronic disease while supporting Black Nova Scotians.

It was initiated by the Health Association of African Canadians in Nova Scotia in collaboration with Diabetes Canada, with funding through Medavie Blue Cross and the Nova Scotia Department of Health and Wellness. Collaboration between participants and coaches built trust and connected African Nova Scotians, including community leaders, to the health-care system.

Participants worked with Black coaches who understood the systemic barriers they faced and the lived experience of Black people in the region.

Following the pilot initiative, most people experienced lowered blood pressure and blood-glucose levels, as well as improved weight and stress management. Of the 165 participants who were paired with health coaches, 92 per cent said they were more physically active, and 75 per cent felt more confident navigating the health-care system.

Everyone living in Canada should have confidence in their health-care system and in culturally competent providers. We know that it’s crucial for all Canadians accessing health care to see themselves reflected and represented in services. Despite the project’s success, funding was discontinued.

Jalana Lewis is a non-practising policy lawyer. (Jalana Lewis )

As Black health advocates, we know that we’re running a relay race. Those who have gone before us worked tirelessly to move the needle. It is now time for us to accept the passing of the baton.

The necessary policy, research, training and programming required to reduce rates of diabetes among Black Canadians should include Black leadership. It must also be prioritized by governments, academics, researchers and health professionals.

Funding from the federal government to re-establish the MBH project in Nova Scotia and expand it across Canada needs to happen now. 


This story is part of a CBC project entitled Being Black in Canada, which highlights the stories and experiences of Black Canadians, from anti-Black racism to success stories Black communities can be proud of. You can read more stories here.

(CBC)

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AtkinsRéalis signs deal to help modernize U.K. rail signalling system

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MONTREAL – AtkinsRéalis Group Inc. says it has signed a deal with U.K. rail infrastructure owner Network Rail to help upgrade and digitize its signalling over the next 10 years.

Network Rail has launched a four-billlion pound program to upgrade signalling across its network over the coming decade.

The company says the modernization will bring greater reliability across the country through a mixture of traditional signalling and digital control.

AtkinsRéalis says it has secured two of the eight contracts awarded.

The Canadian company formerly known as SNC-Lavalin will work independently on conventional signalling contract.

AtkinsRéalis will also partner with Construcciones y Auxiliar de Ferrocarriles, S.A.(CAF) in a new joint venture on a digital signalling contract.

This report by The Canadian Press was first published Sept. 16, 2024.

Companies in this story: (TSX:ATRL)

The Canadian Press. All rights reserved.



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Fed intervention in labour disputes could set dangerous precedent: labour experts

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In an era of increased strike activity and union power, labour experts say it’s not surprising to see more calls for government intervention in certain sectors like transportation.

What’s new, experts say, is the fact that the government isn’t jumping to enact back-to-work legislation.

Instead, the federal labour minister has recently directed the Canada Industrial Labour Board to intervene in major disputes — though the government was spared the choice of stepping in over a potential strike at Air Canada after a tentative deal was reached on Sunday.

Brock University labour professor Larry Savage says that for decades, companies in federally regulated sectors such as airlines, railways and ports essentially relied on government intervention through back-to-work legislation to end or avoid work stoppages.

“While this helped to avert protracted strikes, it also undermined free and fair collective bargaining. It eroded trust between management and the union over the long term, and it created deep-seated resentment in the workplace,” he argued.

Barry Eidlin calls such intervention a “Canadian tradition.”

“Canadian governments, both federal and provincial, have been amongst the most trigger-happy governments … when it comes to back-to-work legislation,” said Eidlin, an associate professor of sociology at McGill University.

Savage said the use of back-to-work legislation peaked in the 1980s, but its decline since then had less to do with government policy than the fact strikes became less common as unions’ bargaining power softened.

But since the Supreme Court upheld the right to strike in 2015, Savage says the government appears more reluctant to use back-to-work legislation.

Eidlin agrees.

“The bar for infringing on the right to strike by adopting back-to-work legislation got a lot higher,” he said.

However, the experts say the federal government appears to have found a workaround.

In August, Canadian National Railway Co. and Canadian Pacific Kansas City Ltd. locked out more than 9,000 workers — but federal labour minister Steve MacKinnon soon stepped in, asking the Canada Industrial Relations Board to order them to return and order binding arbitration, which it did.

The move by the government — using Section 107 of the Canada Labour Code — is “highly controversial,” said Savage.

Section 107 of the code says the minister “may do such things as to the minister seem likely to maintain or secure industrial peace and to promote conditions favourable to the settlement of industrial disputes or differences and to those ends the minister may refer any question to the board or direct the board to do such things as the minister deems necessary.”

“The reason why it’s a concerning workaround is because there’s no Parliamentary debate. There’s no vote in the House of Commons,” Savage said.

Not long after the rail work stoppage, the government was called upon to intervene in the looming strike by Air Canada pilots. The airline said that a government directive for binding arbitration would be needed if it couldn’t reach a deal ahead of the strike.

However, Prime Minister Justin Trudeau said the government would only intervene if it became clear a negotiated agreement wasn’t possible.

“I know every time there’s a strike, people say, ‘Oh, you’ll get the government to come in and fix it.’ We’re not going to do that,” said Trudeau on Friday.

The airline and the union representing its pilots reached a tentative deal on Sunday.

Though Air Canada was asking for the same treatment as the rail companies, Eidlin said the Liberals appeared to recognize that would have been an unpopular move politically.

Since the rail dispute, the NDP ripped up its agreement to support the minority Liberals, and Eidlin thinks the government’s intervention was one of the reasons for the decision.

“That really left them with this minority government that’s much more fragile. And so I think they have a much more delicate balancing act politically,” he said.

Section 107 was never intended as a way for governments to bypass Parliament and end strikes “simply by sending an email” to the labour board, said David J. Doorey, an associate professor of labour and employment law at York University, in an email.

For the Liberals today, Doorey said using Section 107 to end the rail work stoppage was much simpler than back-to-work legislation — in part because Parliament was not in session, but also because the Liberals hold a minority government and support for back-to-work legislation from the Conservatives and the NDP would be far from guaranteed.

Eidlin is concerned that the government’s use of binding arbitration to end the rail work stoppage could set a precedent similar to what decades of back-to-work legislation did: removing the employer’s incentive to reach a deal in bargaining.

“This has a corrosive effect on collective bargaining,” he said.

The Teamsters union representing railworkers is challenging the government’s move.

The breadth of the government’s power under Section 107 is “something that the courts are going to have to decide,” Eidlin said.

If the courts rule in the government’s favour, the status quo could essentially return to the way it was before 2015, he said.

But Doorey believes the labour minister’s directive to the board to end the rail stoppage will be found to have violated the Charter of Rights and Freedoms.

The rail stoppage wasn’t the first time the federal government used these powers during a recent labour dispute.

When workers at B.C. ports went on strike last summer, then-federal labour minister Seamus O’Regan used the section to direct the board to determine whether a negotiated resolution was possible, and if not, to either impose a new agreement or impose final binding arbitration.

The last few years have really been a litmus test for that 2015 change, Eidlin said, as workers are increasingly unwilling to settle for sub-par collective agreements and employers “still have that back-to-work reflex.”

With an uptick in strike activity, “of course, there will be more interest in government intervention in labour disputes as a result,” said Savage.

This report by The Canadian Press was first published Sept. 16, 2024.

Companies in this story: (TSX:AC, TSX:CNR, TSX:CP)



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Federal $500M bailout for Muskrat Falls power delays to keep N.S. rate hikes in check

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HALIFAX – Ottawa is negotiating a $500-million bailout for Nova Scotia’s privately owned electric utility, saying the money will be used to prevent a big spike in electricity rates.

Federal Natural Resources Minister Jonathan Wilkinson made the announcement today in Halifax, saying Nova Scotia Power Inc. needs the money to cover higher costs resulting from the delayed delivery of electricity from the Muskrat Falls hydroelectric plant in Labrador.

Wilkinson says that without the money, the subsidiary of Emera Inc. would have had to increase rates by 19 per cent over “the short term.”

Nova Scotia Power CEO Peter Gregg says the deal, once approved by the province’s energy regulator, will keep rate increases limited “to be around the rate of inflation,” as costs are spread over a number of years.

The utility helped pay for construction of an underwater transmission link between Newfoundland and Nova Scotia, but the Muskrat Falls project has not been consistent in delivering electricity over the past five years.

Those delays forced Nova Scotia Power to spend more on generating its own electricity.

This report by The Canadian Press was first published Sept. 16, 2024.

The Canadian Press. All rights reserved.

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