Skip to main content

There is no superbug panic -- but there are some reasonable demands

Commenting on a Niagara superbug rally Wednesday, the Ontario Hospital Association CEO complained that unions and politicians were being unhelpful, "basically turning  it into a panic situation".  

Hmm -- I don't get a sense of panic -- just a bona-fide concern in the community about the outbreak and the fact that the community wasn't informed about deaths of patients infected with C. Difficile at two sites until long after they occurred. I think the hospitals should accept that is a legitimate feeling in the community and encourage government to require standardized reports. 

Short of that, I think there is going to be more hard feelings in other communities.   Consider this:

  • Allison McGeer, director of infection control at Mount Sinai Hospital, says a new virulent strain of C. Difficile detected only in the past few years will kill 250 people in Ontario this year — about 10 times as many as a decade ago.
  • The Globe and Mail reports that there were C. Difficile outbreaks at one in fourteen hospitals  in May  -- that would be about 11 hospitals.  In some the outbreak may have ceased, the Globe reports, but other new outbreaks have started.  (Here's my count of where outbreaks are reported: Peterborough Regional, Guelph General, Osler, the Toronto East General,the Hotel Dieu Shaver, and, of course, Niagara Health System. The others remain unknown to me. Anyone else?)
Moreover, I think it might benefit the hospitals to work with the demands from local communities for better (or at least adequate) hospital services.

Especially now.

The hospitals face very troubling funding plans for the period after the election: according to the Auditor General even the Liberal plan (as opposed to the even more wretched PC plan) will mean they will have to get $1 billion in 'savings' in two years. (Something the AG rightly doubts they can do.)   

Rather than complain, it might be more useful to get on board and say what is surely the truth: with that sort of funding plan, the problems we are seeing now (with superbugs, with high bed occupancy, with inadequate resources for support services, with cancelled surgeries, with ambulance offload delay, with long term care wait lists, with insufficient rehabilitation and complex continuing care, etc.)  are going to get much worse.  


Comments

Popular posts from this blog

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

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. 

Paramedic Services in Canada: Structure, Privatization, Unionization and other issues

Governance and Funding :  While police and fire services are usually municipal services, Emergency Medical Services (EMS) are typically controlled by provincial governments.  In Ontario, regional municipal governments have responsibility for delivering and funding EMS.  But even in Ontario the province plays a key role, strictly regulating EMS, providing funding for 50% of the approved land ambulance costs, and paying 100% of the approved costs for air ambulance, dispatch, base hospitals, First Nation EMS, and for territories without municipal government. Delivery :  Like police and fire services, EMS is predominantly a publicly provided service in Canada.   But businesses have now made some significant in-roads into EMS, primarily  Medavie,  a private corporation based in the Maritimes that describes itself as not-for-profit.  Medavie goes back over 70 years, with its roots in health insurance.  It still operates Medavie Blue Cross with 1,900 employees.  It now a