Skip to main content

Liberals poised to bring market disaster back to Ontario home care. Will this model be exported to hospitals?

Competitive bidding is coming back. Or so it seems. 

As of yesterday, the Ontario Association of CCACs had on their web site a link to a letter reporting that competitive bidding for home care services will come to four communities between October and December of 2010.

As of today, however, the link to the letter is no longer to be found.  But while the link has disappeared, the web page still works. The letter, dated August 13, indicates these plans only reflect "the current planning  among CCACs and is dependent on the issue of MOHLTC Directives for CCAC procurement." 

The Conservative Harris government introduced this model to home care in 1996: it requires Community Care Access Centres to contract out all home care services. 

As a result, for profit corporations have taken over many of the home care services provided by nurses and personal support workers in the province. 

There has been major problems with the quality of of care as longstanding not for-profit provider organizations  lost contracts and workers fled bad working conditions.

The McGuinty government was forced to suspend the system in 2004 due to community protests and, despite sporadic attempts to bring it back, that is how it has remained ever since.

Price based funding (called by the Liberal government "Patient based funding") is a pretty similar model and the Ontario government has begun to introduce it to Ontario hospitals -- but so far only for a relatively small portion of hospital funding.  There are serious concerns this will expand and bring with it more privatization and more commercialization to hospital care. 

The Ontario Health Coalition is holding a series of summits in towns across the province on this model (also called 'fee for service' funding) as it threatens to wreak major damage on Ontario hospitals.  See here for more information on these very important OHC events. 


dallan@cupe.ca

Comments

Popular posts from this blog

Too many public sector workers in Ontario?

Opponents of public services often try to portray the public sector as having grown disproportionately.  In fact, since 1976, the number of public sector employees has not quite kept pace with the population. In 1976, the number of public sector employees in Ontario  as reported by Statistics Canada averaged 830,800.  By 2012, the number had increased to 1,330,700 -- a 60.2% increase.  That sounds like significant growth -- true. But the population has increased  from 8,413,779 in 1976 to 13,505,900 in 2012, a 60.5% increase.   In other words, population growth has run slightly ahead of the growth in public sector employment.     In 1976, close to 10% of the population worked in the public sector.  It stayed pretty much this way until the Mike Harris government came to power when it dipped below 9%.  It returned close to the historical range in the last six years or so, declining in 2012 to below the 1976 averag...

Huge cuts in public sector wages predicted

The Ontario Financial Accountability Office (FAO)   says  that, with inflation, real wages in the public sector will decline 11.3% over the three year period  2021/2 - 2023/4 .  This would radically deepen the trend towards lower wages during the last ten years.   The FAO reports that since 2011, the average annual salary for the Ontario public sector employees (defined here as employees of schools, colleges, provincial government, provincial agencies, and hospitals) has increased by $10,385   -- or 1.6 per cent on average annually.  This is the lowest increase of all the sectors and lower than inflation, which averaged 1.8 per cent per year. Over the ten years that would be about a 2% pay cut.   The FAO reports that wage settlements were the lowest in the provincial public sector over the last decade:   Hospital Wages Especially Challenged: The FAO predicts hospital wages will increase even less than in the public sector  -- just ...

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...