Skip to main content

Why not public reports on all contracting out by hospitals? Why stop at consultants?

Bill 122, the Broader Public Sector Accountability Act, would require LHINs and hospitals to report annually on their use of consultants. The Act however does not require any reports on other forms of contracting-out by the hospitals or LHINs .  Despite the fact that these other contracts often dwarf consultant contracts. 

So it is good to see at least some effort in this direction coming from the Progressive Conservatives. Here is Lisa McLeod, in her comments on the legislation yesterday at Queen's Park:

We also suggested all contracts over $10,000 at all public sector bodies be posted online. This is happening in other places across the country. It costs nothing to do. It would allow for people across the province, whether they’re members of the opposition, members of the media or they’re taxpaying citizens to go online and see what companies are making over $10,000 in taxpayer money at various places across the province, but they chose not to do that. This is an easy, affordable and efficient way of communicating to the government.

Of course, if this is simply a report of which corporations hold a contract, we are not too much further ahead.  The devil is in the detail --and that's why the public need access to the details. 

Unfortunately, corporations, concerned about giving away secrets to their competitors, are allergic to public transparency.

That's one reason why  privatization isn't really appropriate when it comes to spending public dollars.


Popular posts from this blog

Six more problems with Public Private Partnerships (P3s)

The Auditor General (AG) has again identified issues in her annual reportwhich reflect problems with Ontario health care capacity and privatization.   First, here are six key problems with the maintenance of the 16 privatized P3 ("public private partnership") hospitals in Ontario:
There are long-term ongoing disputes with privatized P3 contractors over the P3 agreements, including about what is covered by the P3  (or “AFP” as the government likes to call them) contract.The hospitals are required to pay higher than reasonable rates tothe P3 contractor for  maintenance work the contractor has deemed to be outside of the P3 contract. Hospitals are almost forced to use P3 contractors to do maintenance work the contractors deem outside of the P3 contract or face the prospect of transferring the risk associated with maintaining the related hospital assets from the private-sector company back to the hospitalP3 companies with poor perf…

Health care funding falls, again

Real provincial government health care funding per-person has fallen again this year in Ontario, the third year in a row.  Since 2009 real funding per-person has fallen 2.6% -- $63 per person. 

Across Canada real per person funding is in its fourth consecutive year of increase. Since 2009, real provincial funding across Canada is up $89 -- 3.6%.
In fact the funding gap between Ontario and Canada as a whole has gown consistently for years (as set out below in current dollars).

Ontario funds health care less than any other province -- indeed, the province that funds health care the second least (B.C.) provides $185 more per person per year, 4.7% more.  
Provincial health care spending in the rest of Canada (excluding Ontario) is now  $574 higher per person annually than in Ontario. 

 Ontario has not always provided lower than average health care funding increases-- but that has been the general pattern since 2005.
Private expenditures on health care have exceeded Ontario government increases …

Ontario long-term care staffing falls far short of other provinces

CUPE and others are campaigning for a legislated minimum average of four worked hours of nursing and personal care per resident per day in long-term care (LTC) facilities.  New research indicates that not only is LTC underfunded in Ontario, it is also understaffed compared to the other provinces. 
LTC staffing falls short:  The latest data published by the Canadian Institute for Health Information (and based on a mandatory survey undertaken by Statistics Canada) indicates that staffing at long-term care (LTC) facilities falls far short of other provinces. 
Part of this is driven by a low level of provincial funding for LTC.

Ontario has 0.575 health care full-time equivalent employees (FTEs) per bed staffed and in operation.[1]  The rest of Canada reports 0.665 health care FTEs.[2] The rest of Canada has 15.7% more health care staff per bed staffed and in operation than Ontario.[3] 

No other province reports fewer LTC health care staff per resident (or per bed) than Ontario.[4]

Occupancy r…