Skip to main content

Time limit placed on privatization of surgeries and diagnostic tests in Regina

An arbitrator has ruled that the Regina Health Region cannot contract-out surgeries and diagnostic tests past 2013.  As reported earlier, the Saskatchewan government has joined the privatization craze, encouraging health regions in Saskatoon and Regina to contract out surgeries and diagnostic tests. 

At the expedited arbitration hearing, CUPE and its expert witnesses – Dr. Michael Rachlis and Dr. Robert Evans – showed the employer’s costing methodology was flawed.

Although the arbitrator accepted the employer’s assertion it had to contract-out surgeries and diagnostic tests to meet the government’s wait time targets by 2013, the arbitrator agreed with CUPE that the work could be done more cost-effectively in the public sector. He also agreed there is "sufficient evidence" to show the health region could improve the capacity of the public system to deal with wait times. Arbitrator Daniel Ish wrote:

Even if additional capital expenditures have to be made, in the long term there is little doubt that the internal costs of carrying out both surgical and CT procedures would be less than the costs associated with the provision of those services by a third party if the costs are similar to those contained in the OMNI contract and the proposed CT contracts as reflected in the vendor responses. (For the full award see here.) 

CUPE's Suzanne Posyniak concludes:  "We’re pleased the arbitrator has restricted the use of profit-making clinics in the health region." (For more, see here.)

Saskatchewan Health Minister Don McMorris was not giving much ground, refusing to speculate about what might happen beyond the 2013 deadline. ``We'll have to look at that. I hope that we've reduced the wait times down to our target."


The arbitrator's decision came the same day that McMorris signed an agreement that allows the Saskatoon Health Region to book patients for selected orthopedic procedures at Saskatoon Surgicentre Inc., another private facility.



dallan@cupe.ca

 

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