Sunday, October 30, 2016

swing baby swing

I am curious what the NDP folks are standing by-what promises? Are they referring to the failed promises in continuing care? These promises certainly haven't happened. You only have to read the report by the Parkland Institute here to see the baloney revealed.

Losing Ground

Alberta's Residential Elder Care Crisis

Losing Ground
The state of health care for Alberta’s seniors has long been a serious concern, with a decade-long shift from long-term care beds to less-resourced, less-expensive, and less-regulated “supportive living” spaces leaving the frailest seniors at greater risk of not receiving the proper level of care. At the same time, government policy has allowed a significant, front-line presence of private for-profit companies in delivering long-term care to seniors.
Residential Care in Alberta
As of March 31, 2016 there were 14,768 long-term care (LTC) beds in Alberta and 9,936 designated supportive living (DSL) beds. Including an additional 243 palliative care or hospice beds gives a total of 24,947 continuing care beds in 2016.
The trend in Alberta since 2010 has been a relatively stagnant number of LTC beds coupled with significant growth of DSL beds. In 2016, Alberta had 377 more LTC beds than it did in 2010, or an increase of 2.6%. The number of DSL beds, on the other hand, increased by 4,770, or an increase of 92.3%. Accordingly, the percentage of Alberta’s continuing care beds that were classified as DSL as opposed to LTC grew from 26% in 2010 to 40% in 2016. This means that nearly half of the beds available in the province for elderly Albertans in need of 24-hour health care do not have a registered nurse on-site and are not subject to minimum staffing requirements.
Of the 24,947 continuing care beds that existed in 2016, 5,258 (21%) were operated by AHS or a regional health authority, 10,808 (43%) were run by for-profit corporations, and 8,881 (36%) were run by non-profits. Since 2010, the number of continuing care beds in government-run facilities has decreased, while the number of privately owned beds, and to a lesser degree non-profit-owned beds, has increased significantly. In the last seven years, Alberta has lost 333 beds in public facilities while private, for-profit facilities have added 3,255 beds.
Since 2013, there has been little to no movement by either the previous Progressive Conservative government or the current NDP government to address the shortage of long-term care beds. The current government has fallen far short of its election commitment to open 2,000 public long-term care beds by the end of 2019, including 500 new beds in 2015. It has also continued the previous government’s approach of deregulating and privatizing residential senior care: of the 951 continuing care beds added after the NDP formed government, 75% have been supportive living and 55% have been in for-profit facilities.
The dearth of LTC beds has been a problem that has grown over many years and will become even more acute in the future, as the senior population in Alberta is growing both absolutely and as a proportion of the overall population. The growth in the older senior population (85 years and over) coupled with a stagnant number of long-term care beds has meant that the bed availability rate (the number of LTC beds per 1,000 aged 85 and over) has fallen almost in half since 2001.
Comparing Levels of Care
The level of care provided in long-term care facilities varies significantly by ownership type. Publicly run LTC facilities provide more health care to residents than do privately run and non-profit-run facilities. On average between 2011 and 2013, registered nurses (RNs), licenced practical nurses (LPNs), and health care aides in public facilities provided 4 hours of direct health care to each resident each day, compared to 3 and 3.1 hours per day in non-profit facilities and private, respectively. Critically, over the three years of data no type of facility met the level identified by a landmark US study as the minimum required to limit preventable decline in the health of residents.
Each type of facility failed to provide the minimum recommended level of care from RNs and health care aides, and each type of facility surpassed the minimum recommendation for LPNs. Public facilities on average provided residents with the highest level of staff time from RNs and health care aides, while non-profit facilities provided residents significantly more time with LPNs. Private facilities, however, provided residents below-average levels of care from each type of staff.
The data shows little divergence in hours of care provided by recreational staff and therapists (mostly physiotherapists) among the three types of facility ownership. There were significant divergences in some of the service staff categories, with a much larger administrative staff presence per resident in non-profit facilities and far less staff responsible for meeting the food requirements of their residents in private facilities.
According to Statistics Canada’s Long-Term Care Facilities survey, public facilities are the only ones that on average over the three years examined spend most of their revenue on nursing staff. On average between 2011 and 2013 public LTC facilities spent 59% of their total revenue on employing registered nurses, licensed practical nurses, and health care aides. In comparison, private facilities spent 48% of their revenue on nursing staff over that same period, and non-profit facilities just 44%.
Long-term care in Alberta continues to be defined by three troubling realities:
  1. The availability rate of long-term care beds, measured in relation to seniors at and over the age of 85, has plummeted over the last 15 years.
  2. For each ownership type, the average facility is understaffed. Between 2011 and 2013, none of the facility ownership types – public, private, and non-profit – provided the required 4.1 hours of care to residents per day.
  3. The provincial government continues to fund for-profit long-term care facilities despite the fact that they provide an inferior level of care compared to publicly run facilities.
With these three major issues, it is clear that elder care in Alberta remains in a state of crisis.
ISBN: 978-1-894949-55-2

This report indicates the total fail of the NDP folks in the area of long term care beds. It's pretty clear to me that the NDP are the new Tories in Alberta.  Worse than this, they aren't even very responsive Tories.  At least with the good old guys and good old gals we got to chat and yap.  With this group it's all image management and nothing done without the top verifying stuff. So dumb.

The change the NDP folks have bought to Alberta has been odd, haphazard and very much of the PC error. I don't know if other Albertans are as inured to the problems as I am and are now in waiting it out mode but certainly I am just waiting for this mess to be put out to the curb.
We dilly dallied too long with the PCs.  We don't have good performance by the NDP folks and we won't sit around waiting for them to find their hands and their feet. I can't say that I have a great deal of confidence in the Wildrose folks who seem nice but need to have more rigour in terms of their policies and public chatter. It's not good to simply bash, you need to explain the reasons for the bashing.

The swing voters like me don't do much in elections but I am hoping there will be more swing voters to end the junk in government. It's ridiculous that the PCs had no sort of ability to put away the oil revenues for this rainy day. It a farce that we are going into debt without cuts to salaries, benefits, expenses of staff in government. Why can't we get a political party with the ability to see that we can't go on in this way?  We can't keep paying for an elite in government and have the private sector folks carry the burdens of paying for the elite as well as run their own businesses to take care of their own families. Eventually all of this junk will end. If voters don't end it the economy will tank and put all these silly policies to rest.
I'm of the opinion voters will end the junk.  Albertans like Ms. Notley but so far her team has been performing erratically and in some cases not delivered on essential promises such as the repair or gutting of the failing house of continuing care in Alberta.

Only two more years to go.  I encourage voters to swing and swing. Be loyal to no political party. They aren't loyal to us so why should we keep the faith with them? Be the independent voter that goes from party to party. Each time the promises aren't kept, swing your vote. Get enough of us swing voters and we will end every single political party's tenure in office. Just watch us.  Swing baby swing.  Unkept promises are radioactive issues for voters.

Notley stands by NDP promises, unafraid of opposition

'Let's take the fight to our opponents,' Alberta premier tells NDP supporters in Edmonton

By Zoe Todd, CBC News Posted: Oct 29, 2016 8:01 PM MT Last Updated: Oct 29, 2016 8:01 PM MT
Rachel Notley stood by her party's election promises at an Oct. 29 meeting with the Provincial Council of Alberta's New Democrats.
Rachel Notley stood by her party's election promises at an Oct. 29 meeting with the Provincial Council of Alberta's New Democrats. (Zoe Todd/CBC)







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Two years, seven months, and one day to go.
Nearly halfway through her term as Alberta's premier, Rachel Notley says she's counting down to the 2019 provincial election.
"Let's take the fight to our opponents. We're right, they're wrong. Let's be proud of it."- Rachel Notley
"The next election is less than one thousand days away and that's going to go by in the blink of an eye, I promise you," she told NDP supporters in Edmonton on Saturday.
"Let us be proud of the change that we are bringing to Alberta ... Let's take the fight to our opponents. We're right, they're wrong. Let's be proud of it."
Notley renewed NDP promises in a speech to the Provincial Council of Alberta's New Democrats.
Despite push-back from opposition parties, she said the province will move forward on issues such as the carbon tax, raising Alberta's minimum wage to $15 an hour, and affordable housing.
"We won't make things worse by imposing knee-jerk cutbacks," she said.
"The government of Alberta can't make the price of oil go up, but we can act within our means to promote diversification and resilience."
Rachel Notley
NDP supporters cheer on Rachel Notley at an Oct. 29 meeting with the Provincial Council of Alberta's New Democrats in Edmonton. (Zoe Todd/CBC)
While Notley rallied her supporters in Edmonton, Wildrose leader Brian Jean did the same in Red Deer at his party's annual general meeting.
Jean took aim at the NDP, claiming its economic policies hurt Albertans. He also described a province spiraling into social disorder.
"We see crime sky-rocketing and poverty increasing, we see a growing number of young people being trafficked into sex trade against their will, we see dangerous drugs like fentanyl and other opioids killing Albertans and ripping families apart. This must stop."
The Wildrose, he added, is the only party he believes can help bring Alberta back to greatness. He dismissed the idea of uniting with Alberta's Progressive Conservative party to do so.
United or not, Notley said she's unafraid of her opposition.
"I'm just going to let them do their thing," she said.
"It doesn't matter what you name the party, I don't believe Albertans want to go back to the failed policies of the past where we pretend climate change isn't real, where we think austerity is the answer to an economic slow-down, where we don't value the importance of our public services, including education and healthcare.
"That's the vision of the past. We're promoting the vision of the future."
Alberta's NDP has more than two years left to promote that vision. The next provincial election is planned for May 2019.

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