Connect with us

Community News

Not so free Health – Advocates of Canadian-style health care present limited, misleading information about the true state of Canada’s health care system

Published

on

BY SIMONE J. SMITH

“We have free healthcare; it is one of the reasons why I live in Canada.” Hearing statements like this used to set off a sense of pride in me, because I thought this is the one thing that set our country apart from other countries.

Actually, this is one of the reasons that I have always said that I would never live in the United States of America, because there you have to pay for your healthcare, which means that if you don’t have money, you could lay there dying on the street, and no one would help you, unless…

I received a report a few days ago that made me realize how silly my thoughts actually are. Here I thought we were at an advantage, only to realize that honestly, we are not better off than our American neighbours.

The Canadian healthcare system (aka, Canadian Medicare) is more than a set of public insurance plans: more than 90% of Canadians view it as an important source of collective pride. What is now coming to surface is that Canadians are deeply concerned that the health care system is no longer meeting their needs.  With the system under significant strain — patients struggling to access care, intermittent emergency department closures, growing surgical backlogs— there have been increasing calls to re-examine how the Canadian government funds and delivers health care services in Canada.

Too often advocates of Canadian-style health care present limited, or even misleading information about the true state of Canada’s health care system and worse, oftentimes present the ideal of Canadian health care rather than its reality.

Medicare was born in 1947. It spread across the country through federal cost sharing, and eventually was harmonized through standards in a federal law, the Canada Health Act of 1984. The health-care system is less a true national system than a decentralized collection of provincial and territorial insurance plans covering a narrow basket of services, which are free at the point of care.

It is funded primarily through taxes at the federal and provincial/territorial levels. This funding helps cover the cost of essential medical services, such as doctor visits, hospital stays, and some preventive care. Our healthcare system is supposed to provide universal coverage, meaning that all Canadian citizens and permanent residents are eligible for the same basic healthcare services. This ensures that everyone has access to necessary medical care regardless of their financial status.

While the Canadian healthcare system is generally well-regarded for its commitment to providing access to medical care for all residents, it is not without challenges, as you are soon going to learn more about in this article. Canada is renowned across the world for its universal healthcare. However, despite this, there is still a cost for certain types of treatment – and this cost can be a barrier for some people in need of care. There are profound health inequities experienced by Indigenous populations, and some vulnerable groups also require coordinated action on the social determinants of health if these inequities are to be effectively addressed.

A survey conducted by the Angus Reid Institute in partnership with the Canadian Medical Association (CMA), found that 68% of respondents said they believe health care has worsened over the past decade, up from 42% who said the same in 2015. Nearly 70% of respondents doubted that things would change for the better in the next two years.

In another study, Canadians showed relatively high satisfaction in their healthcare system, as revealed in 2021 Ipsos conducted a survey on behalf of the Montreal Economic Institute. Among the 1,168 adult Canadians surveyed, two-thirds (66%) report being satisfied (55% somewhat/12% very) with their province’s healthcare system. However, Canadians remain critical of several aspects of the health system, with seven in ten (71%) agreeing (29% completely/43% somewhat) that the system is too bureaucratic to respond quickly or adequately to the needs of the population and over half saying that recent investments in healthcare have either worsened (19%) or had no effect (35%) on the system.

It appears that the most visible manifestation of Canada’s failing health care system is wait times for health care services. In an article titled, “Canada not a good example of universal health care,” in 2013, Canadians, on average, faced a four and a half month wait for medically necessary treatment after referral by a general practitioner. This wait time is almost twice as long as it was in 1993 when national wait times were first measured.

In 2010, 41% of Canadian patients waited for two or more months for a specialist appointment compared to only five percent in Switzerland. Further, 25% of Canadians waited for four months, or more for elective surgery compared to just five percent in the Netherlands. There is also evidence from the OECD showing that some nations with universal access health care systems—Belgium, France, Germany, Japan, Luxembourg, Korea, the Netherlands, and Switzerland—report no problems with wait times.

During my research, I also came across an article titled, Explainer: What ails Canada’s healthcare system?  In the article they stated that total health spending in Canada was expected to reach C$331 billion in 2022, or C$8,563 per Canadian, according to the Canadian Institute for Health Information. Total health expenditure in 2022 was expected to rise by 0.8%, following a high growth rate of 13.2% in 2020 and 7.6% in 2021. From 2015 to 2019 health spending growth averaged 4% per year.

In 2022, total health spending was 12.2% of GDP, down from 13.8% in 2020. According to the Organization for Economic Co-operation and Development, Canada’s per-capita health spending was below that of the United States, Germany, Switzerland and other rich countries in 2021.

Is this the reason for the results of a recent survey by Compare the Market Australia that found that a significant number of Canadians have delayed important and necessary healthcare treatment and surgery due to the cost. The survey asked how many had delayed necessary surgeries, or other medical appointments and treatment because they were unable to afford it.

In fact, almost one in five had delayed a medically necessary surgery because of cost (17.0%). Just over a quarter of respondents hadn’t required surgery (27.2%), meaning that a bit over half of Canadians had required surgery and were able to get it when they needed (55.8%). Of this group:

  • 9% had always paid for their surgeries
  • 5% had received surgeries for free
  • 4% had the cost mostly, or completely covered by health insurance

When asked what types of surgeries they had delayed, the most common response was major dental surgery at 49.4%, followed by optical surgeries (excluding cataracts) at 14.1%, and cataract surgery (12.9%). Other types of surgeries delayed due to costs include:

  • Major dental surgery – 49.4%
  • Other optical surgery – 14.1%
  • Cataract surgery – 12.9%
  • Other – 12.4%
  • Surgical skin lesion treatment – 9.4%
  • Medically necessary plastic or cosmetic surgery – 8.2%
  • Joint reconstruction – 7.1%
  • Endoscopy – 4.7%
  • Joint replacement – 3.5%

Dental was the most likely non-surgical treatment to be delayed because of cost. When asked if they had delayed any healthcare appointments and treatment from a provided list, 45% of Canadians said dental. The next most common was optical at 22.3%, and psychology at 14.3%. Only 36.0% of Canadians said they had never delayed a health appointment due to cost.

Let’s’ take a look at medical treatments and appointments that were delayed due to costs:

  • Dental – 45.0%
  • Optical – 22.3%
  • Psychological – 14.3%
  • Physiotherapy – 13.8%
  • Chiropractic – 11.8%
  • Regular doctor’s visit – 11.0%
  • Skin health appointment- 5.7%
  • Scan/X-ray/Ultrasound – 3.6%
  • Podiatry – 3.1%
  • Gynecology – 1.5%
  • Other – 1.5%

Is our healthcare system at a crisis point? Is there a need for our governmental officials to listen to and incorporate the voices of patients and the providers who deliver care? There is consensus that access to care on many levels must be fixed and that the solution is not just throwing more money at a dysfunctional system. We need actual structural change. What this means for our public health system — long a source of pride for Canadians — remains to be seen.

We, as humans are guaranteed certain things in life: stressors, taxes, bills and death are the first thoughts that pop to mind. It is not uncommon that many people find a hard time dealing with these daily life stressors, and at times will find themselves losing control over their lives. Simone Jennifer Smith’s great passion is using the gifts that have been given to her, to help educate her clients on how to live meaningful lives. The Hear to Help Team consists of powerfully motivated individuals, who like Simone, see that there is a need in this world; a need for real connection. As the founder and Director of Hear 2 Help, Simone leads a team that goes out into the community day to day, servicing families with their educational, legal and mental health needs.Her dedication shows in her Toronto Caribbean newspaper articles, and in her role as a host on the TCN TV Network.

Community News

Timeless music brought to life on stage; Welcome to the Soul Nostalgic Experience

Published

on

Photo Credit: Jose Maria Elizalde

BY SIMONE J. SMITH

“Ladies and gentlemen, welcome to the Soul Nostalgic Experience! Tonight, we’re taking a journey back in time to relive the magic of an era that continues to inspire and captivate audiences worldwide. Are you ready to feel the groove?”

The audience erupts into cheers and applause as the band launches into a classic soul tune. People start swaying in their seats, unable to resist the infectious beat. A few brave souls even start dancing in the aisles.

Imagine being transported back in time to the golden era of R&B and Soul music, where smooth melodies and infectious rhythms ruled the airwaves. Now, envision this timeless music brought to life on stage with the energy and spectacle of a Las Vegas residency.

That’s precisely what the Soul Nostalgic Experience is all about. As I stepped through the doors, I was greeted by the smooth ambiance of classic R&B tunes mingling with the clinking of glasses and the tantalizing aromas wafting from our kitchen. The atmosphere was electric, alive with the anticipation of what the night had in store.

In the heart of Toronto’s vibrant music scene, there exists a figure who orchestrates brilliance from the shadows. Steve Hollywood, a name whispered among those in the know, is the unseen force behind many of the city’s musical endeavors. Despite his significant contributions, he stays removed from the spotlight, preferring the quiet hum of behind-the-scenes influence. Regardless, his presence remains enigmatic, known only to those privileged enough to collaborate with him. It’s a rare invitation to glimpse into his world, an offer extended to a select few, beckoning them to join the symphony of creativity he meticulously curates.

On Thursday, April 25th, 2024, the Toronto Caribbean Newspaper was welcome to the Acqua Supper Club, where the heartbeat of Toronto’s R&B and Soul scene will pulsate throughout the summer. Nestled in the heart of the city, the venue is a sanctuary where men and women will be able to gather for unforgettable evenings of soulful music and culinary delights.

At the helm of this musical journey is none other than DRU, a Juno Award-winning and gold record artist with a visionary passion for bringing back the magic of the 90s and 2000s R&B/Soul era. From timeless classics to contemporary hits, his performance was a journey through the soul, evoking nostalgia and stirring the spirit. Inspired to create something truly special, DRU collaborated with the immensely talented The Recipee Band to craft a show unlike any other. The Recipee Band, comprised of musical virtuosos: Jason Larmond, Otis Williams, Juwayon Clarke, and Jonathan Kerr, bringing over two decades of collective experience to the stage.

Drawing from a diverse range of genres and generations spanning from the 50s to the present, The Recipee Band serves as the backbone of Soul Nostalgic, infusing each performance with their unmatched musicality and passion. Soul Nostalgic isn’t just a concert; it’s a collective of exceptional talent coming together to create an immersive experience that will transport you back in time.

The night brought me through a ray of emotions, from high-energy dancing to electrifying live music, every moment of the show was designed to make you groove and feel good.

As the night unfolded, I found myself immersed in a world where time seemed to stand still, where the troubles of the outside world faded away, and all that mattered was the connection between music, food, and community.

I completely co-sign on this unforgettable journey. On May 30th, 2024, they are sharing this experience with the city again, so get ready to dance, sing along, and relive the magic of an era that continues to inspire and captivate audiences worldwide. This is more than just a concert; it’s the Soul Nostalgic Experience.

Continue Reading

Community News

Generational survival: Can our young people survive our generation?

Published

on

Photo Credit: Dr Obotdean

BY STEVEN KASZAB

The young people of the day are often criticized for not voting or participating in our electoral and public service efforts. Called bubble wrapped by some, those who attend schools of higher learning face challenges presented to them such as: professors who are not objective but espouse various ideologies of the left or right. Professorial prejudices often place the young student in academic limbo, encouraged to choose their professors preferred political outlook.

Raised to be democratically inclined, our youth often witness the actions of our establishments, which can appear to be very undemocratic. Terms like “Do as we say, not as we do,” hypocritical actions by the administration and police often lead our youth an openness towards misguided ideologies and movements of purported social change.

Our youth are encouraged to insert themselves into local, national and international politics, only to be witness to the horrible events, misinformation and the manipulative nature of global media who present their own interpretation of said events. Media is in fact a business manipulated by corporate and politically friendly owners. So, how can our youth truly believe what is in fact real, truthful, honest and objectively presented?

Our youth will often develop a sense of “Stockholm Syndrome” like attitudes, actions and desires. Desire to change a society that is obviously unacceptable but have an attitude to accept no other message except that which is given by their governments and institutions.

Our youth find the idea of voting in a system that remains the same, changes nothing and has players who all look and act alike to be a waste of time and effort. There will always be bad guys, taxes, raising prices, and diminishing opportunities. One’s outlook can be deflated, filled with nervous tension and even fatalism. War, addiction, premature deaths, abortion, women rights, democracy while supporting and doing business with dictatorships.

To be young, means to create, grow and aspire to positive things. Our national and global experience is seen as the opposite of that approach. There is simply: too much going on, too many people being harmed, too little opportunity, too much misinformation, too much greed to allow our young to develop in a well-balanced, mentally positive manner.

Mental health concerns for not only the youth, but our own as adults challenge us to change our ways, assist each other with an: empathetic, charitable manner, open minds and hearts.

Our young people are our treasure and future hope. If they are screwed up, so too are our future expectations and future goals. We have to continue to work on getting it right.

Continue Reading

Community News

The Black Business and Professional Association (BBPA) scandal: Is there room for corrections and restoration?

Published

on

BY MICHAEL THOMAS

After over 40 years of upholding a legacy of integrity and excellence, accusations and allegations of mismanagement of public funds and conflict of interest have raised its ugly head at the Black Business and Professional Association (BBPA).

As I investigated the meat of information surrounding this case it is easy to see why many buzzards are circling this prey. One of the main allegations I have noticed is that BBPA management awarded contracts to companies controlled by the former President and CEO, Nadine Spencer, without appropriate due diligence. Again, if this turns out to be true, an organization that has been in business for four decades must have seen this coming.

If the rules of receiving the funds, or government grants say that you must put out tenders to hire workers, then by all means do so. We have to remember that bad news travels twice the speed of good news.

There is more; on November 5th, 2021, the BBPA’s President at the time, Nadine Spencer became the CEO where she was allegedly paid in the range of $250,000. This was used to make the comparison that a bigger organization was thriftier with their money than BBPA, here is how. As an example, the Executive Director of Tropicana Community Services, a much larger non-profit organization, earned a salary of $163,671 in 2023.

My job in this article is not to throw BBPA under the morality bus, but to shed a bit of light on how as a people we must realize that all eyes are on us. Something I quickly spot is how many mainstream media took the opportunity to jump at this alleged scandal in BBPA, yet, for over four years now Canada has been led off the cliff, and because these same mainstream media folks were paid and funded, they looked the other way.

Do I condone the misuse of public funds? Hell no! If these allegations are proven to be true, should BBPA be held accountable? Hell yes!

That said, I went to BBPA’s website to have a bird’s eye view of what this organization is all about, and after reading I must say I was impressed.

I am hoping that BBPA realizes that to whom much is given, much is required.  An organization that has kept such a sterling reputation over the last four decades need not look only in its rearview mirror, but in blind spots as well.

Misappropriation of funds is no laughing matter regardless of how big or small an organization is, nor is conflict of interest. These are tantamount to having blood stains on white garments. If proven there needs to be public apologies, and most importantly “a complete cleaning of the house.”

The Boards of Directors of the BBPA released a statement on Friday, April 26th, 2024, in response to the call for their resignation in the midst of the allegations of financial mismanagement. The statement was addressed to BBPA members/supporters. It states, “We want you to know that we have been listening to the concerns that have recently been raised. The BBPA has hired independent professionals to undertake the appropriate reviews. The current BBPA Board has and continues to proactively take steps to strengthen governance and compliance practices. We are all dedicated to learning, improving, and continuing to work together through this process. We, as Directors, also want you to know that you can reach out to us any time for a conversation.”

Now in the case of Mr. Harry Jerome’s daughter, when one engages in asking an organization that has upheld her father’s name for four decades to quit using the name. I would like to think that this individual has solid proof of wrongdoing, or if proven wrong is ready to apologize as well, but with all these wolves circling the wagon. I understand her plight.

Starting from a small gathering that honored just six Black Canadian athletes who excelled at that year’s Commonwealth Games in 1983, to an organization that built an endowment fund of close to $600,000, and in the last 24 years the fund has granted over 650 scholarships totaling close to 2.5 million dollars, BBPA has a lot to be proud of.

However, if these allegations are found to be false, I am hoping that the accusing parties will do the right thing and apologize. On the other hand, if BBPA is found to be in the wrong, then the organization should be wise enough to rock the boat and throw those found guilty of tarnishing BBPA’s and Mr. Harry Jerome’s good reputation completely overboard.

According to news sources, BBPA has categorically denied all allegations. Whichever way this cookie crumbles, BBPA, your decision should and must make your people, and the late sprinter Mr. Harry Jerome’s name and family proud.

Continue Reading

Trending