Skip to main content

So the private sector assumes the P3 risk, eh?

Advocates of public private partnerships (P3s) often claim the private sector partner will assume the risk. In fact, it's the major way they justify the additional costs of P3s.  


Well, take a look at what is in effect a P3 long term care project in Windsor.  


A project to redevelop the Grace hospital site as a LTC facility is now well behind schedule.  According to the Windsor Star, the developer owes millions of dollars to creditors, there are liens on the property and he is in arrears on his taxes to the tune of more than $1 million.


The developer won the rights to develop the project in 2007 and was supposed to have it completed by March 2010, a little over a year ago.  Now the Star reports the landmark building grows more dilapidated with each passing day. Overgrown weeds, broken windows, busted concrete, mountains of gravel and a punctured building laced with graffiti are what remain of the former Salvation Army hospital.  "I don't have to go to Detroit -I have this to look at," said an exasperated neighbor.


The developer is "probably the only one who has faith he is going to get it done," said city Councillor Ron Jones who represents the ward were Grace is located. "As far as I'm concerned, it's not going to get done in this structure. I believe we need to look at other alternatives."


Earlier this year, Windsor hospitals fell into crisis largely because they are constantly forced to deal with so many long term care patients.  The problem is especially dire in Windsor as another private sector contractor backed out of another P3 deal tendered at the same time as the Grace project. 



A Grace neighbor adds, "I've been in nursing homes and I've seen what it's like. We have people on waiting lists ... people waiting in hospitals....I think it's rude what (the developer) is doing. There is such a need and he's not getting this done." 



Pressed by the Star the province has only now given the developer a June 10 deadline to begin the project.  For his part, the developer says, if he doesn't get to finish the project, the lot will be undeveloped for another three years:



"It will sit there for another three years vacant if I can't develop Grace...There will be legal battles between mortgage holders, lien holders and back taxes will continue to grow and grow. The neighbourhood will further deteriorate."

  

Comments

Popular posts from this blog

Ford government fails to respond to 72% increase in COVID inpatient days, deepening the capacity crisis

COVID infections continue to drive up hospital costs and inpatient hospitalizations in Ontario. For the most recent fiscal year (April 1, 2022- March 31, 2023) hospital stays related to COVID cost $1.221 billion, according to new CIHI data.   This is about 4% of total hospital spending, creating a very significant new cost pressure beyond the usual pressures of population growth, aging, inflation, and rising utilization.   Costs for COVID related hospitalizations increased 22.2% in Ontario in 2022/23 from the previous fiscal year, rising from $999 million to $1.221 billion.  That rise is particularly notable as the OMICRON spike of late 2021 and early 2022 had passed by the the 2022/23 fiscal year.   The $222 million increase in COVID hospitalization costs came in the same year as the Ford government cut special COVID funding and, in fact, cut total hospital funding by $156 million.     In total, there were 60,653 COVID hospitalizations in Ontario in 2022/3, up from 47,543 in 2021/2. 

More spending on new hospitals and new beds? Nope

Hospital funding:  There is something off about the provincial government's Budget claims on hospital capital funding (funding to build and renovate hospital beds and facilities).    For what it is worth (which is not that much, given the long time frame the government cites), the province claims it will increase hospital capital spending over the next 10 years from $11 billion to $20 billion – or on average to about $2 billion per year.   But, this is just a notional increase from the previous announcement of future hospital capital spending.  Moreover, even if we did take this as a serious promise and not just a wisp of smoke, the government's own reports shows they have actually funded hospital infrastructure about $3 billion a year over the 2011/12-2015/16 period. So this “increase” is really a decrease from past actual spending. Even last year's (2016-17) hospital capital funding increase was reported in this Budget at $2.3 billion - i.e. about 15% more th

The hospital crisis: No capacity, no plan, no end

While Canada has achieved universal public healthcare coverage, that does not mean conservative forces have given up trying to erode that coverage and expand corporate care where it does not currently exist. The battle has become particularly intense in Ontario under the Ford Progressive Conservative government, which is implementing serious cuts to the level of care and moving to bring in for-profit mini-hospitals. Inadequate Staffing.   Less and less of hospital spending is on staff.   Employee compensation as a share of hospital expenditures has consistently shrunk in Ontario. This is not some immutable law of hospital development.  It is in stark contrast with the rest of Canada, where compensation has become a larger share and now accounts for 67.1%. Hospitals in provinces other than Ontario now have 18 percent more staff per capita than hospitals in Ontario. Overall, if Ontario had the same staffing capacity as the other provinces and territories, there would be another 33,778 full t