Saturday, March 11, 2017

“We have, of course, legislation in place when any residential-care or assisted-living [facility] is transferred it has to be approved either by the medical health officer for the regional health authorities or, in the case of assisted living, by the registrar of assisted living,” Mr. Lake said.--------Long-Term Care has been relegated to the bottom of the list of those in need of funding by yourself and Alberta Health Services (AHS). Our vulnerable, voiceless souls resident in these facilities are being cared for by overworked, overwhelmed care workers. These empathetic care workers are trying to maintain a quality of care under very difficult conditions imposed by a funding system favourable to you and AHS but totally inadequate for Long-Term Care. Long-Term Care residents are not a disposable liability. I can only hope that somehow the blinders will be lifted from your eyes and you will rectify this situation.------


In BC and in Alberta--families have to stand by while the provincial governments fail at continuing care.
The lack of government regulations about staff:resident ratios, the lack of training of some staff at these facilities, and the lack of cash for residents (for we don't know how much money goes to our families) is problematic.
When we ask for example about the money trail we are told that this information is "proprietary". When we ask about more staff for those residents with higher needs, we are told to go hire our own staff. What the heck? Where is the GOA in all of this?
Missing In Action.
We have government only for one thing--to make regulations.
We have regulations up to the nth degree but what we do not have is leadership, oversight, auditing of any effective sort and penalties. What we do not have is money dedicated to residents and not to profits alone
What we do not have is the Auditor General of Alberta telling us where the money goes and if the money is insufficient for our loved ones.
What we have in BC is baloney and what we have in Alberta is silence.
Of course we have our solution. We fire the non-performers and hire new folks to government.

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Here is Dr. Redshaw plugging away below in a letter directed at the health minister who is oblivious to the situation of the citizens in the continuing care system.

Why would any of these hires care about the most vulnerable citizens in the continuing care system?

Government at the provincial and federal levels have already decided on the future of continuing care in Canada.  Both the federal and provincial governments have decided that they will act as banks while seniors and their families are left to work it out with the private sector for services.

At the federal level we have Team Trudeau joyfully welcome globalization in the form of dubious investors of Anbang.

http://www.theglobeandmail.com/news/politics/chinese-conglomerate-anbang-defends-takeover-of-bc-retirement-home-chain/article34126274/


Chinese conglomerate Anbang defends takeover of B.C. retirement-home chain

OTTAWA and VICTORIA — The Globe and Mail
Published Thursday, Feb. 23, 2017 9:25PM EST
Last updated Friday, Feb. 24, 2017 4:39AM EST
Anbang, the massive Chinese conglomerate that has purchased a foothold in Canada’s health-care system, finally broke its silence Thursday to defend its takeover of one of B.C.’s largest retirement-home chains, arguing the deal was approved after great scrutiny at multiple levels of government.
Anbang, which had not responded to media requests for months about its bid for family-owned Retirement Concepts of Vancouver, released a statement that sought to emphasize the degree of approval it had received in Canada, saying the transaction had been “rigorously reviewed and fully approved by health authorities in British Columbia, Alberta and Quebec with primary jurisdiction over seniors care facilities in those provinces.”
B.C.’s Health Minister Terry Lake contradicted Anbang’s claim, however, saying the federal government of Justin Trudeau may have approved the foreign takeover this week but the various regional health authorities in his province have yet to complete their reviews and decide whether they will issue operating licences to the new owners.
B.C. Conservative MP Cathy McLeod told the House of Commons she has received phones calls from seniors worried about Beijing-based Anbang’s purchase of family-owned Retirement Concepts, which has about 24 retirement-nursing homes, mostly in British Columbia and with a handful in Alberta and Quebec. It is British Columbia’s highest-billing provider of assisted-living and residential-care services to seniors.
“Our seniors are concerned about the quality of care, of food and the credentials of the people caring for them,” Ms. McLeod said. “This transaction is clearly not about charity, it is about profit. Why would the Prime Minister put the care of our parents and grandparents at the mercy of profiteers pulling strings from Beijing?”
Industry Minister Navdeep Bains disagreed, saying Retirement Concepts will now have financial resources to expand. The firm is now owned by Cedar Tree, a subsidiary of Anbang.
“The additional financial resources will allow Cedar Tree the ability to expand, provide better service and create more jobs,” Mr. Bains said.
Anbang’s commitments given to Ottawa, however, do not include a pledge to create new jobs for Canadians, despite the fact that Retirement Concepts is part of the booming senior-care sector. Anbang only promised to “maintain at least the current levels of full-time and part-time employees” at the retirement-nursing homes.
Conservative MP Diane Finley asked how the Liberals can “justify selling a Canadian medical-facilities company to [Mr. Trudeau’s] friends in Beijing with no guarantee of benefits to Canadians?”
Anbang said on Thursday that it’s undergone rigorous scrutiny already in Canada, suggesting it had been subjected to “one of the most comprehensive regulatory review processes under federal and provincial law in Canada.”
Mr. Lake, the health minister, said the B.C. government had not finalized the licensing process.
In an interview Thursday, he said that none of the four regional health authorities involved in funding elder care services through Retirement Concepts have issued a licence to the new owners.
“We have, of course, legislation in place when any residential-care or assisted-living [facility] is transferred it has to be approved either by the medical health officer for the regional health authorities or, in the case of assisted living, by the registrar of assisted living,” Mr. Lake said.

*****

We have to listen to the junk being preached by the health minister of BC that they have regulations to ensure that residents in care in BC are taken care of.

 Well of course they have regulations. But they don't have oversight, they don't have interest and they don't have autopsies.

We have the situation of the AER in the continuing care industry. The foxes in charge of the aging hens and roosters. And no one in charge of any of the foxes despite the baloney chatter from provincial governments of this sort:

http://www.theglobeandmail.com/news/politics/chinese-conglomerate-anbang-defends-takeover-of-bc-retirement-home-chain/article34126274/

“We have, of course, legislation in place when any residential-care or assisted-living [facility] is transferred it has to be approved either by the medical health officer for the regional health authorities or, in the case of assisted living, by the registrar of assisted living,” Mr. Lake said.

***********************
He is indicating that the provincial government will approve this deal and yet will there be any refusal? Nope. This is all politicking for the citizens to ensure that the election opportunities of the BC Liberal party are not impacted by qualms of citizens about a human rights abuser consortium taking over the care of their aging mums and dads in care.

Of course the BC  minister is right about regulations. Sure we have regulations. This is one thing government is fully able to do. Regulations up the nth degree. We have regulations in place in Alberta like there are in BC. What we don't have is any sort of auditing that works to ensure that non-compliances are detected promptly or dealt with effectively. What we don't have is any sort of interest in how private sector businesses in the continuing care system manage the health and safety of our families in care.

What we have is government indifference and incompetence all over .

So what happens when families can't get the services required to keep family members safe?  When I asked this question at the Grey Nuns Hospital the doctor there just told us to hire staff to augment the SL4 facility staff. What the heck?

When we ask what about the shortfalls in funding and the inability of facilities to provide adequate services and supports we are told to hire our own staff. Wow. What kind of solution is this?  Why do we have to hire staff to augment the workers at these facilities that we are already paying big bucks for from our public bank? 

It's confusing and problematic to expect families to pony up cash to fix the problems of poor staff:resident ratios and the other problems of substandard training of some workers. It won't be government that solves these problems. It will be the families.  And we need to go public with our stories of what happens in both public and private continuing care facilities when the money and training is absent. We need to inform an innocent public of horror, abuse, neglect and deaths that could end if there was money to ensure adequate staff: resident ratios and if the staff are trained appropriately. It is really a matter of choice by government. And government at the provincial and federal level have decided to cheap out on the most vulnerable and leave them to the private sector businesses that are going to work for profit before appropriate care.

The Trudeau government's decision to make continuing care a private venture capital area is very problematic and will result in further degradation of services to our most vulnerable citizens. I mean this junk was begun by the Liberal Party of Canada so should not surprise us. But to have the Team Trudeau rush this approval through as if welcoming the next big spenders to the party of continuing care--well this is major disappointing.

Meanwhile we have the provincial government of BC in the midst of an election feebly waving antennae to assure their public that they are on the ball and taking care of the issues of handing over care of their aging mums and dads to a human rights abuser investment capital group. Right.

This is the future folks. And it is also coming to Alberta. We already have a stressed continuing care system and it will get worse. What is present in Alberta will go down the drain even further with the introduction of global players with human rights abuses as their backbone of work.

What can we do about this sort of commercialisation of the care of our seniors?  What we need to do is to mobilise to ensure that the services and supports our family members get are present --and in my opinion, having dubious venture capital enterprises from China being let into the already privatised Canadian market for continuing care just adds more stresses to an overburdened system.

What is going to happen next?  We have already have profession creep with RNs doing the work of RTs and LPNs doing more RN work. We have Personal Care attendants doing everything else. We have untrained staff in place. Staff; resident ratios are decided by the private companies. In Alberta there are no mandated staff: resident ratios. The free market --which by the way is not really a free market since the customers are all captive--but is actually a subsidised propped up profit making unfree market --will ensure profits for all but what will citizens get? Good question. We should be asking this of the government of Alberta as Dr. Redshaw is asking here. But will there be any answers? Nope.

This should not stop us from asking. And asking.
And then voting out the non-performers.




From: Edward Redshaw <
Date: Sat, Mar 11, 2017 at 12:12 PM
Subject: Health Care Funding
To: "Health.minister@gov.ab.ca" <health.minister@gov.ab.ca>
Cc: Office of the Premier <premier@gov.ab.ca>, Edmonton Rutherford <edmonton.rutherford@assembly.ab.ca>, , Tammy Leach <tammy.leach@ab-cca.ca>, Elder Advocates Of Alberta Society <elderadv@shaw.ca>, ,  Julie Ali <>, verna.yiu@albertahealthservices.ca, ahs.board@albertahealthservices.ca, gthomson@postmedia.com


Dear Health Minister:

There are two interesting articles in today's (March 11, 2017) Edmonton Journal.

(1)  $1.3B health funding deal falls short:Hoffman
(2)  Red Deer Hospital Pain Felt Across Alberta.

Reference (1) " While welcoming a nearly $1.3-billion health care funding infusion from Ottawa, the provinces health minister said Friday it fell short of what they'd sought". It would appear that the main problem associated with this funding is not the amount of funding but the fact that it has now been identified as specifically for Health Care. Previously the annual funding increase was not identified as specifically for Health Care but could be spent any which way. So, who knows where it actually went? What is troubling is that the article states "$703.2 million in funding for home care". Is this a mistake? I was under the impression that this funding was for Continuing Care which encompasses Long-Term Care. Long-Term Care has been relegated to the bottom of the list of those in need of funding by yourself and Alberta Health Services (AHS). Our vulnerable, voiceless souls resident in these facilities are being cared for by overworked, overwhelmed care workers. These empathetic care workers are trying to maintain a quality of care under very difficult conditions imposed by a funding system favourable to you and AHS but totally inadequate for Long-Term Care. Long-Term Care residents are not a disposable liability. I can only hope that somehow the blinders will be lifted from your eyes and you will rectify this situation.

Reference (2) "Albertans deserve health care delivery close to home when it is safe and reasonable to do so". "Be aware that, if Red Deer Regional Hospital expansion does not occur in a timely manner, central Albertans will be increasingly receiving their health care in the larger cities, even though their medical conditions can be treated closer to home". So, here in Edmonton, where wait times are already a disgrace, we have to wait for a hip or knee replacement or other procedures there can be central Albertans ahead of us in the wait line compounding the problem even further. 
While we are on the topic of wait times perhaps you might like to explain why in some clinics such as Century Park all MRI's have been pulled from public service and now totally dedicated to serving only those able to pay the hundreds of dollars for this procedure.

One does not expect a response from you. Those in positions of being responsible for those in the Long-Term Facilities and those in facilities such as the Red Deer hospital and those physicians who have to stand by and watch their patients suffer because of the wait times probably have just thrown up their hands in frustration of trying, without success, to communicate with you and AHS. Perhaps all of us may have more success with the government which will replace you in two years.

The statement  (Refer: "Hyper-partisan exchanges sign of election campaign to come" Edmonton Journal, March 11, 2017) says it all.  " Hoffman's "answer" didn't even acknowledge the questions topic. It was a laughable non-answer" This is how it has been for the last two years and there is no chance of improvement is sight.


Dr. Edward S. Redshaw.



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