Showing posts with label health canada. Show all posts
Showing posts with label health canada. Show all posts

Wednesday, May 11, 2016

Wednesday Morning Links

Miscellaneous material for your mid-week reading.

- Caroline Plante reports on Quebec's scourge of medical extra-billing and user fees (as identified by its own Auditor General). And Aaron Derfel notes that the federal government has done nothing to apply the Canada Health Act to rein in the practice.

- Erika Shaker highlights how federal funding for post-secondary education serves mostly to provide further advantages for students who already have the most.

- The Star makes the case for the Communications Security Establishment to answer for breaches of Canadians' privacy. And Kaveh Waddell discusses how big data in the hands of the corporate sector can lead to systematic discrimination against poor communities, while Dennis Howlett challenges KPMG's claim that confidentiality entitles tax cheats to avoid exposure.

- Susan Delacourt offers a few suggestions as to how Justin Trudeau could usefully use some political capital - with a particular focus on reversing the Cons' attacks on the political system. And Kelly McParland notes that the Cons themselves may be continuing down the path of artificial barriers against experience and competence with internal leadership term limits.

- Finally, Trish Kahle discusses the shared interest of the labour and environmental movements in a sustainable economy.

Tuesday, September 30, 2014

Tuesday Morning Links

This and that for your Tuesday reading.

- Paul Verhaege discusses how unchecked capitalism is changing our personality traits for the worse:
There are certain ideal characteristics needed to make a career today. The first is articulateness, the aim being to win over as many people as possible. Contact can be superficial, but since this applies to most human interaction nowadays, this won’t really be noticed.

It’s important to be able to talk up your own capacities as much as you can – you know a lot of people, you’ve got plenty of experience under your belt and you recently completed a major project. Later, people will find out that this was mostly hot air, but the fact that they were initially fooled is down to another personality trait: you can lie convincingly and feel little guilt. That’s why you never take responsibility for your own behaviour.

On top of all this, you are flexible and impulsive, always on the lookout for new stimuli and challenges. In practice, this leads to risky behaviour, but never mind, it won’t be you who has to pick up the pieces. The source of inspiration for this list? The psychopathy checklist by Robert Hare, the best-known specialist on psychopathy today.

This description is, of course, a caricature taken to extremes. Nevertheless, the financial crisis illustrated at a macro-social level (for example, in the conflicts between eurozone countries) what a neoliberal meritocracy does to people. Solidarity becomes an expensive luxury and makes way for temporary alliances, the main preoccupation always being to extract more profit from the situation than your competition. Social ties with colleagues weaken, as does emotional commitment to the enterprise or organisation.
...
Our presumed freedom is tied to one central condition: we must be successful – that is, “make” something of ourselves. You don’t need to look far for examples. A highly skilled individual who puts parenting before their career comes in for criticism. A person with a good job who turns down a promotion to invest more time in other things is seen as crazy – unless those other things ensure success. A young woman who wants to become a primary school teacher is told by her parents that she should start off by getting a master’s degree in economics – a primary school teacher, whatever can she be thinking of?

There are constant laments about the so-called loss of norms and values in our culture. Yet our norms and values make up an integral and essential part of our identity. So they cannot be lost, only changed. And that is precisely what has happened: a changed economy reflects changed ethics and brings about changed identity. The current economic system is bringing out the worst in us.
- Meanwhile, Robert Reich discusses how the U.S. economy is serving only the interests of the wealthy few. And Alan Pyke exposes another egregious (and seemingly widespread) form of tax evasion, as U.S. banks skim off a billion dollars each year as their fee for systematically transferring stock ownership to avoid having the real owner pay taxes on dividends.

- Danielle Martin and Steve Morgan make the case for a national pharmacare plan. But Amir Attaran weighs in on Health Canada's abject failure to protect the public from dangerous drugs under a government which simply doesn't care whether needed medications are either available or effective:
Consider the case of Ranbaxy, a pharmaceutical company from India. Last year, the FDA successfully prosecuted Ranbaxy for manufacturing adulterated drugs and misleading it with false, fictitious and fraudulent drug testing data — crimes for which Ranbaxy paid $500 million (U.S.) in criminal and civil penalties. Fortune Magazine, among other sources, alleges that this fraud was not isolated, but that Ranbaxy managers were aware of data falsification affecting “more than 200 products in more than 40 countries.” No wonder the FDA, after failed inspections, banned several Ranbaxy factories from accessing the United States market.

But not in Canada. Even though former Ranbaxy executives say they are “confident there were problems” with drugs sold here, after the criminal conviction Health Canada refused to ban Ranbaxy’s factories, and instead negotiated with the company to voluntarily pull a few of its medicines off the market for testing; Health Canada won’t say which ones. Worse, Health Canada routinely lets drug importers like Ranbaxy choose who inspects their foreign factories. Private consultants hired by companies, and not arm’s length government inspectors, often do so.

That is the deplorable state of drug regulation in Canada today: rather than enforce the law with vigour as the FDA does, Health Canada negotiates with companies like Ranbaxy that have committed terrible crimes and lets them cherry-pick their inspectors. Ranbaxy medicines banned as unsafe in the United States are on the shelves of Canadian hospitals and pharmacies today.

...(O)ur bigger problem is not legal but cultural, namely the indolent, lapdog attitude of ministers like Ambrose and the public servants at Health Canada, who seem to lack any understanding of how governments should regulate. As we learned by the carnage of Lac-Mégantic and the deaths from the listeriosis outbreak, regulation does not mean bargaining or pleading with the industry that you are regulating. It means ordering them, with a big stick in hand.
(Though I will sound a note of caution about Attaran's desire to instead hand over responsibility for quality control to the FDA in light of the risk that the U.S.' own regulatory structure could be gutted at any time.)

- Chantal Hebert points out that the Cons' fixation on fossil fuel extraction is facing significant obstacles at home as well as abroad.

- Finally, Aaron Wherry discusses the Cons' war on relevancy as their basis for opposing a simple requirement that they actually answer the questions posed to them in Question Period, while Kady O'Malley offers a few alternatives to try to keep MPs on topic (though all seem both more complicated and less effective than the NDP's proposal). And Andrew Mitrovica argues that we need to keep our eye on the bigger political picture, rather than being too easily distracted by sideshows like Paul Calandra and Ezra Levant.

Friday, May 18, 2012

Parliament in Review - April 23, 2012

Monday, April 23 was the first day back in the House of Commons following the Easter break. And it featured some of the most lively and telling discussion we've seen yet on the Cons' anti-refugee legislation as the second-reading debate reached its end.

The Big Issue

As part of the refugee bill debate, Craig Scott made his first speech as the NDP's MP for Toronto-Danforth. And he wasted no time in showing what he'll add to the NDP's caucus:
One huge difference is that the Immigration and Refugee Protection Act requires that a person be a permanent resident before the person is able to sponsor family members, such as the person's spouse, children, or parents, to immigrate to Canada. Thus, under Bill C-31 irregular refugees would have no hope of reuniting with family in Canada for at least five years.

 
Currently, family class applications in this country are often processed at a snail's pace. It is not uncommon for it to take three years for a child or a spouse to be admitted and sometimes up to six years for parents. It is no stretch to say that a refugee who started out as a designated foreign national may have to wait 10 years for family members to join him or her.

 
If that is not enough, a designated foreign national refugee will not even be able to travel outside Canada to spend time with family, for example, in a country other than the country of origin which the refugee fears going back to. Why is that? Bill C-31 decrees that such a refugee will not be given travel documents until he or she becomes a permanent resident, that is, until at least five years have passed, despite the fact that the refugee convention requires that travel documents be issued to refugees once they are “lawfully staying” in the host country. Fortress Canada thus becomes prison Canada for the designated foreign national refugee. If he were still alive, Kafka could not have written Bill C-31 better if he tried.
Other speakers including Kevin Lamoureux also questioned why the Cons are so determined to keep families apart for a period of up to a decade. Kirsty Duncan pointed out how quickly patterns of human rights abuse can emerge and render obsolete the "safe country" designations the Cons want to use to attack refugees' rights. Guy Caron and Andrew Cash criticized the Cons' pattern of placing large amounts of power over individual rights in the hands of unaccountable ministers. Caron also lamented the politicization of refugee claims. Libby Davies highlighted the fact that organizations familiar with refugee issues were lining up against C-31, then observed that the bill would allow the Cons to retroactively attack refugee status if circumstances changed in a new immigrant's country of origin. Elizabeth May asked about the cost of locking up refugees rather than allowing them to contribute to Canadian society. Jinny Sims queried how refugees would take the Cons' admonition to play by the rules seriously when the 300,000 who did so in the current skilled worker program queue are being arbitrarily deleted. Anne Minh-Thu Quach and Massimo Pacetti pointed out that there's plenty of reason why refugees can't be expected to meet the ridiculous requirements placed on them by the Cons.

Meanwhile, for the Cons, Jason Kenney took umbrage at any suggestion that his party wanted to get tough on refugees - only to admit that part of the bill's purpose is deterrence to keep them from coming to Canada. And while Patrick Brown offered a boilerplate defence of a plan to require biometric information from new immigrants, Dan Harris rightly criticized the fact that the Cons were refusing to hear from a committee already assessing the use of biometrics.

But as tends to be the case, the Cons simply decided to ignore every valid criticism of their legislation, and voted down the NDP's proposed amendment before forcing the bill through.
 Pop Quiz

Caron received a response to his order paper question (#489) as to the criteria used to decide to close a processing centre in Rimouski and set one up for the primary benefit of Christian Paradis in Thetford Mines and the reason why the change was made. Your challenge: spot anything in the answer that amounts to an explanation of the decision beyond "because we damn well said so, that's why".

In Brief

Merv Tweed spoke to his bill to prevent Canada Post from hiking rates on books delivered between rural libraries. And the idea received multi-party support - though it's worth asking how Tweed's initial can be reconciled with the Cons' constant demand that Crowns be run as revenue-maximizing businesses or sold off to be turned into just that.

Meanwhile, Malcolm Allen offered a statement on cuts to food inspections through both the Canadian Food Inspection Agency and the Canada Border Services Agency, then followed up in question period. Francoise Boivin served notice that the NDP won't hesitate to defend a woman's right to choice. Megan Leslie wondered about the minders being sent to accompany civil servants to a conference and report on their activities. Irene Mathyssen's question about how much money was being cut out of OAS was met with Diane Finley's response that her government's attacks on seniors' standard of living have nothing to do with deficit reduction. Carolyn Bennett slammed Leona Aglukkaq for singling out aboriginal health for massive cuts. And Caron asked adjournment questions about the Cons' lack of a realistic plan to foster research and development in Canada, while Jack Harris wondered what exactly the Cons plan to do with the influx of prisoners created by their dumb-on-crime strategy (especially as they indicated they planned to close some facilities).

Saturday, May 12, 2012

Saturday Morning Links

Assorted content for your weekend reading.

- Dr. Dawg responds to Andrew Coyne's suggestion about cracking down on advocacy by charities with an entirely reasonable suggestion as to how to allocate our resources:
Given that charities do essential work that the government does not fund—feeding and clothing the poor, defending the environment, offering training to new immigrants, etc., etc.—let the government take over those functions directly rather than indirectly, as arguably it should.

Advocacy, which as already noted enhances the democratic process, could be moved onto the national stage by subsidizing representative advisory groups, such as the recently-disbanded National Council of Welfare and the National Roundtable on the Environment and the Economy.
There is only one taxpayer. How my money gets to those in need is not my concern. But the latter do require, and must have, the assistance of the more fortunate: that, too, is part of our social contract. Proposing measures that would in practice simply reduce charitable revenues is inimical to the Canada that most of us believe in.
- Susan Delacourt frames her latest column in terms of frustration with an outbreak of "going forward" as a substitute for meaningful political conversation. But the more important takeaway for anybody interested in actually influencing our ultimate direction looks to be a general principle rather than a single example:
Long ago, someone gave me a simple trick to understanding political rhetoric.

Listen to what a politician is promising to do, and then put a “not” in front of the words. If the opposite is preposterous — ridiculous, even — then you’re not hearing a promise, you’re hearing a platitude. It’s greeting-card politics.

“Focusing on the economy” is one such phrase, for instance, which is just as rampant as “going forward.” If there is anyone in elected office in Canada who is not focusing on the economy, the citizens might well be concerned. Isn’t it part of the job description for politicians?
...
A real focus on the economy would involve a discussion of choices: raising or cutting taxes, where to cut the budget, which kind of jobs are going to disappear, and which need to be created. Focusing on the economy isn’t a policy or a choice. It’s a platitude unless it’s accompanied by substantial talk of the options.
 - And once one digs past the bare facade of "focus on the economy" which has served as the Cons' leading set of talking points for ages, it's virtually impossible to defend any of their actual choices - such as endangering refugees' health (and potentially public health as well) for the sole purpose of being seen as less welcoming.

- Finally, Terry Milewski reports on the challenge to the 2011 election result in Eglinton Lawrence - where the Cons once again seem to have used their list of outrage-generating hobby horses (in this case voting without proper verification) as an operating manual.

Sunday, May 06, 2012

Parliament in Review - April 2, 2012

Monday, April 2 saw the second day of Peter Julian's extended budget speech. And perhaps the point most worth noting is how many Canadians outside of Parliament took the opportunity have their voices heard in the budget debate.

The Big Issue

So let's focus this review on some of the input Julian received from across the country about the Cons' budget, including this on the demolition of the National Council on Welfare:

Another, from Sault Ste. Marie, wrote, “Very sad, as a statement at home and in the world. They also shut down the National Council of Welfare because they do not want anyone reporting on how much poverty there really is. This is amazing, to think they will actually get away with this. First, the dissolution of Stats Canada, then an attack on organizations, both at home and internationally, that actually advocate on behalf of those at risk. Now substantial cuts to aid and the demise of the National Council on Welfare.”


Mr. Speaker, if you are wondering why we are spending hours criticizing the mean-spirited decisions by the government, I think that particular Facebook posting shows to what extent Canadians feel the same way. The decisions are ideologically based. They are not based on the character and values that Canadians share.
That commentary in turn led into Julian's own entirely justified criticism of the Cons' attacks on research organizations.

Another comment focused on the different standard being applied to the oil sector compared to most other parts of Canada's economy:
A person from Ontario says: “Why do believers in free market continue to feel that oil companies need subsidies from their own government? Somehow, I don't think that environmental assessments are going to stop the oil companies from taking their equipment and going home. Let them work on their own dimes and make sure that they are responsible to the environment and there are adequate environmental assessments”.
A couple of correspondents from the Cons' Alberta home base criticized the Harper government, one for its impending cuts to Old Age Security and the other for its poor economic management:
A constituent in Calgary said, “At its worst, this new policy really is a massive insult to seniors. A cynic might even say that the statisticians have crunched the numbers and realized that a few hundred, or even a thousand, people may die between 65 and 67 while waiting for their pension, and they like that idea. Then Canada would not have to pay them pensions at all. It's like saying 'cross my heart and hope you die'. Nobody knows how long they will live, but it is odd to have a government betting on you delaying reaping benefits for all those years of your earnings to the point that maybe you won't be able to reap any benefits at all”.


The actuarial tables show, tragically, the rate of passing on between the ages of 65 and 67 does go up. It is true that as a result of the government's decision for future seniors, seniors who have worked all their lives to retire at 65 will either live in poverty from ages 65 to 67 because they have no other source of funding and cannot get their pension, or they may pass on. That is just the sad reality.
A constituent in Lacombe, Alberta said, “The budget points to the Prime Minister's great fear of anything that looks like work. I can agree with the Prime Minister that Canada may be financially better off than Greece; however, I would temper that joy with the reminder of how far behind we are of countries like Finland, Norway and other involved Nordic countries. We have fallen far behind. Those who voted for the Prime Minister with expectations of the good fiscal management he suggested he possessed must be very disappointed when cutting spending rather than growing the Canadian economy is his answer for the Conservatives to continue to hold power”.
A paramedic expressed disbelief at the expectation that citizens engaged in difficult physical labour could be expected to keep working until age 67:
A paramedic in Ontario, wrote, “I am a paramedic. I serve the public. That's my life, for the good and the bad. I carry sick people down multiple flights of stairs. I get their respiratory illnesses. I put my life in harm's way for Canadians so they may live longer and with less pain and agony. Do you have any idea what I do in an average day of work? I've been in the business for 21 years now. At the present age of 45, I dream of retirement and hopefully may be able to do so with my health still intact. Prime Minister, you have just made that dream slip further into the future, raising the retirement age to 67. So at the ripe age of 66 and 11 months, I will carry many people younger than I down several flights of stairs. I will get ill from them, with less ability to recuperate at that age, and will still put myself in harm's way. Many other public-based occupations of the same nature and some with less adverse outcomes, the police and fire and even prison guards, are the workers who can retire, but I'll work 42 years in my occupation, thanks to you. Before this last budget it was only 40 years. How can I express my gratitude with you?”


He says that ironically. This paramedic knows now that as a result of the government's actions he will be forced to work two years longer. This is the point we have been making all along. The government is forcing those in manual occupations to work longer. Whether they are paramedics, carpenters or manual labourers, they have given for years and years and years. They have given all they can and they are looking to that date when they can finally put their body into retirement and heal from years of manual work.
A Conservative constituent in Nepean-Carlton expressed equal concern about the increased retirement age:
I would like to go to Nepean-Carleton since we are staying in the Ottawa region. A constituent in this Conservative-held riding say this: “OAS will leave me pretty much in the same boat. Not been working and contributing to CPP due to raising children and then due to a disability, I am a person that will need the OAS. My long-term disability through a private insurer will come to an end at age 65. I don't qualify for Ontario disability benefits. I just heard on CBC that I said to contact the nearest NDP MP. My MP is a Conservative. My question is about the delay of CPP. Currently I am receiving long-term disability benefits until I reach 65 but I didn't qualify for CPP disability. Now I won't be eligible for CPP until 67. How am I supposed to live two years with very little income? How many others will be in my situation? Thanks to the NDP for allowing me to reach out to someone other than my own MP”.
Another citizen noted that while the Cons point to increased retirement ages elsewhere, they conveniently omit the fact that Canada's retirement age is set to be pushed far higher than in comparable countries around the globe. Plenty wrote in with their own stories, experiences and discussions as to the impact of Katimavik (which the Cons of course plan to trash). And perhaps the most succinct question about the Cons' overall philosophy can be found here...
Another (person) writes, “Since when do we accommodate poverty as opposed to try to prevent it?”
So what was the point of Julian's extended address, featuring in particular plenty of concerns from constituents of Con MPs who may not see any hope that the government will listen to them? Well, here's his own explanation:
It is no secret that what we are trying to do is to make the case against this budget step by step, brick by brick, by raising constituents' concerns in ridings that are represented by Conservative MPs. I do not think anything could be clearer than to have all of these letters, tweets and Facebook comments flooding in, all of which address Conservative members of Parliament. In all cases, they are saying, “My Conservative MP is not representing me if he or she votes for this budget”. I think that is a very important thing to underscore, that what we are doing through the course of this debate is establishing the case that, effectively, Canadians living in Conservative ridings are making their voices known.

 
If I were a Conservative MP, with a bad budget like this that will guarantee fewer jobs, less growth, less prosperity, I would think twice and say, “Hold on. My constituents are reacting. They are reacting to all of the various components of this agenda. Maybe I have to think twice”. Perhaps we will see, over the course of the debate, Conservative MPs standing and saying, “I'm going to represent my constituents. I'm going to vote against this budget because this budget is not good for families in my riding and not good for the country”.

 
Maybe we will see that. As we read out these letters coming from across the country from Conservative-held ridings, maybe we will see Conservative MPs standing and saying, “We're going to vote for what's good for the country. We're voting against this budget. We're going to vote for a budget that actually creates jobs”.

 
One might say that is absurd and that a Conservative MP would never do that. However, when we think back, a few years ago no one would have said there would be 102 strong NDP MPs representing constituents right across this country from coast to coast to coast. It was not impossible because we believed that we could get things done and represent our constituents strongly.
In Brief

In the other main debate of the day, Elaine Michaud moved a motion on TCE groundwater contamination caused on the Valcartier military base and the municipality of Shannon. Chris Alexander agreed in principle as to the problem while claiming that talking about it made for sufficient action, while Francis Scarpaleggia tied the motion into wider water issues. And Alexandrine Latendresse discussed the history of TCE use - which should serve as a reminder as to why dumping chemicals into the environment without knowing about their potential effects is a dangerous path.

Meanwhile, Thomas Mulcair asked for a yes-or-no answer as to whether the Cons would use what they had said were sufficient tools to save jobs at Aveos; Peter Van Loan wasn't willing to admit that "no" is the Cons' response. Libby Davies criticized cuts to Health Canada, while Helene LeBlanc questioned why the National Research Canada was being turned into a Business Depot. Marc Garneau was incredulous at the Cons' attacks on Elections Canada. Megan Leslie asked the Cons to admit that they have no interest in a real hearing into the Gateway pipeline, while Romeo Saganash pointed out that the anticipated refusal to deal with concerns about development would only create years of litigation to come. Peggy Nash wondered why the Cons lost interest in a non-partisan Public Appointments Commission after having funded it for years, while Alexandre Boulerice noted that the move eases the way for yet more patronage from the Cons themselves. Glenn Thibeault and Pierre Dionne Labelle slammed an anticipated increase in pay phone rates at the behest of Bell. Carol Hughes followed up on Julian's budget speech by questioning why the Cons are determined to hide the findings of the National Council on Welfare showing that investment to reduce poverty would more than pay for itself.

Finally, in response to Peter Kent's claim that we don't need groups like the National Roundtable on the Environment and the Economy due to other groups providing similar services over the Internet, Kirsty Duncan helpfully queried whether Kent could name just one. Needless to say, Kent could not.

Saturday, February 05, 2011

Worth an answer

Not that we expect much more from Jane Taber. But her fluff piece on Jenni Byrne manages to break what should be a serious story while managing to completely miss its significance:
But it was her stint at the PMO as director of issues management that cemented her reputation as tough but effective.

The job involved daily damage control; she started at 6:30 a.m. with a conference call to ministerial staffers, gauging the issues, troubleshooting and helping to frame the government’s response.

“She turned issues management into a tiger operation,” says a former colleague.

A senior staffer recalls a conference call during the H1N1 crisis when Ms. Byrne, unhappy with how it was being handled, ordered a plane that was heading from Mexico be turned around after discovering there was no health officer to screen for the virus at the airport.

The whole time the staffer said he was thinking, “Can she do that?”
Now, if I'm missing something that would give political staff in the PMO the authority to make decisions about air traffic control, I'm curious to hear what it is.

But absent some indication to the contrary, the answer to the staffer's question would seem to be a glaring "no". And if Byrne's appointment serves as yet another example of the Cons rewarding Harper loyalists who couldn't care less what the law says where it interferes with their desire to exercise total control, then surely that signals a need to dig much deeper into what Byrne and others have done to usurp the role of those who actually have legal authority and responsibility.

Monday, August 18, 2008

Misdiagnosed

Shorter Tony Clement:
Canadian doctors have some nerve in failing to apply "first, do no harm to the Conservatives" as their core ethical principle.

Friday, August 08, 2008

Under review

Cam has already noted the Cons' latest exercise in information suppression, this time dealing with a report expected to confirm the dangers associated with chrysotile asbestos. But the newest excuse for hiding information from the public looks to deserve some comment:
The panel's findings were made final in March but have yet to be released.

A Health Canada spokesman said in an e-mail the department is reviewing the report to "help further its knowledge of chrysotile asbestos fibres in relation to human health... (and the report) will be made available to the public after the department has reviewed the findings."
Taken at face value, the statement simply doesn't explain anything. While one would expect Health Canada to incorporate the study into its knowledge on the subject, there's no reason at all why it would be any less able to do so based on the report also being available to the public.

And that has to raise some suspicions about just what kind of "review" the report may be undergoing. Are the Cons keeping the lid on the expert assessment until they've prepared a politically-oriented counterargument to muddy the waters? Or are they seeking to have the actual report "reviewed" and revised to better fit the answer which Tony Clement wanted from the beginning?

With those possibilities looming, it may be that Cam's concern that the Cons are simply trying to control the timing to avoid making the report public before an October conference may actually make for the least problematic scenario. But it should be obvious that none of the explanations serve as anything but a strong indictment of the Cons' fitness for power.