Skip to main content

ORNGE: no signs of learning

Health Minister Deb Matthews sticks to her guns alright, spinning a tale at yesterday's legislative committee  hearing suggesting she was unable to control ORNGE.  The ORNGE boss stonewalled and manipulated the numbers, she claimed.

The shenanigans at ORNGE are shocking, but it takes some believing that the government could not have reined them in if they had wanted to.  The government was funding the outfit after all.  And in fact, when the stench got real bad, the government pulled them up pronto: getting rid of the CEO, the board, and all the private businesses they had set up.

A letter  (unveiled yesterday by Frank Klees) from Emergency Health Services at the Ministry of Health and LTC in 2011 suggests government officials knew something was up, reportedly flagging some of the issues that later became headlines, including a lack of transparency.

But there is no sign anybody did anything much about it within government.

Moreover,even while the Minister suggests she was not able to control how ORNGE spent public money, there is no sign of any learning.  ORNGE used private businesses to obscure public accountability. In the end, they only got caught out over the public reporting and accountability they could not subvert.

Despite this, the government is more determined than ever to turn public sector work over to private business -- to corporations that won't even try to pretend to be even a little bit open to public scrutiny and accountability.

So the government continues to commit billions of public dollars to corporations under the guise of alternate financing and procurement (aka, public private partnerships).  And now they are going for even more of the same, turning hospital surgeries over to private clinics, and selling Service Ontario services off to the corporate sector.

So it's hard to believe that the government wasn't on board with ORNGE's own attempts to privatize its business.  It fits the pattern.  It's also hard to expect any different results as the government moves more public services into private hands.

The Minister claimed to the media yesterday that with the benefit of hindsight they would have done things differently.  But there is little sign of it.

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...

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...

The long series of failures of private clinics in Ontario

For many years, OCHU/CUPE has been concerned the Ontario government would transfer public hospital surgeries, procedures and diagnostic tests to private clinics. CUPE began campaigning in earnest against this possibility in the spring of 2007 with a tour of the province by former British Health Secretary, Frank Dobson, who talked about the disastrous British experience with private surgical clinics. The door opened years ago with the introduction of fee-for-service hospital funding (sometimes called Quality Based Funding). Then in the fall of 2013 the government announced regulatory changes to facilitate this privatization. The government announced Request for Proposals for the summer of 2014 to expand the role of "Independent Health Facilities" (IHFs).  With mass campaigns to stop the private clinic expansion by the Ontario Health Coalition the process slowed.   But it seems the provincial Liberal government continues to push the idea.  Following a recent second...