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The Ethics Of Soup: Grading Supermarket Shelves – For Profit

By David South

This Magazine (Canada), March-April, 1993

Where social activists have tried and failed to get Canadian corporations to change their behaviour towards the environment, labour, women and minorities, EthicScan Canada – a for-profit consulting and research firm – steps in.

Toronto-based EthicScan acts as a consultant on ethical issues to both government and private businesses and produces a guide for investors. Its latest project hit the bookstores last fall. The Ethical Shopper’s Guide to Supermarket Products rates products according to companies’ ethical performance. “EthicScan is the only company in Canada doing this,” says senior writer Joan Helsen. “Companies respond to us differently because we are – like them – a business. We have a very good reputation for doing strong research and presenting the facts.”

Non-profit groups have produced similar guides. In the US, perhaps the best known is the American Council on Economic Priorities’ Shopping for a Better World. Here in Canada, both Pollution Probe’s Green Consumer Guide and the Ontario Public Interest Research Group’s The Supermarket Tour offer educational information.

But The Ethical Shopper’s Guide is the first guide in Canada to give a product-by-product breakdown, and to detail the web of corporate ownership. It lists more than 1,200 brand-name products from baby food to soft drinks, with the manufacturer’s “grade” for each ethical category. The guide also profiles 87 companies, with an “honour roll” of 37 corporations.

All of this can be confusing. Oxo gets an F for “women’s issues” and F+ for “environmental management,” but scores A+ on “progressive staff policies” and “environmental performance.” (Apparently. “environmental management” has to do with company structures for dealing with environmental issues while “environmental performance” measures how much it actually pollutes.) What aspect of Oxo’s ethical behaviour do you reward or punish?

EthicScan’s approach fits current advertising trends. Nissan tells us it is just trying to build cars we can live with. Loblaws puts “Green” on everything from plastic garbage bags to tubes of shampoo. But once idea-starved ad copywriters move on to the next gimmick, EthicScan may find that the relationship between ethics and profit isn’t as straightforward as its grading system suggests.

Find in a library:

Worldcat.org: Ethics of soup: grading supermarket shelves — for profit (EthicScan), This Magazine, 26, March-April 1993, 6

ISSN: 1491-2678

OCLC Number / Unique Identifier: 8247756182

Available to subscribers to Gale In Context: College database.

“Goods on Groceries” was published in Now Magazine, July 2-8, 1992 (Toronto, Canada).

https://davidsouthconsulting.org/2022/11/02/african-online-supermarket-set-to-boost-trade/

https://davidsouthconsulting.org/2022/10/20/bangladesh-coffin-maker-offers-an-ethical-ending/

https://davidsouthconsulting.org/2022/04/28/health-care-in-danger/

https://davidsouthconsulting.org/2022/10/24/kenyan-products-a-global-success-story/

https://davidsouthconsulting.org/2022/11/16/palestinian-olive-oils-peaceful-prosperity/

https://davidsouthconsulting.org/2021/07/28/pavlovs-army-this-magazine-august-1992/

https://davidsouthconsulting.org/2022/11/17/sos-shops-keep-food-affordable-for-poor-unemployed/

https://davidsouthconsulting.org/2022/11/16/thai-organic-supermarkets-seek-to-improve-health/

https://davidsouthconsulting.org/2022/10/20/trade-to-benefit-the-poor-up-in-2006-and-to-grow-in-2007/

https://davidsouthconsulting.org/2020/04/17/virtual-supermarket-shopping-takes-off-in-china/

https://davidsouthconsulting.org/2022/10/17/west-african-chocolate-success-story/

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This work is licensed under a
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ORCID iD: https://orcid.org/0000-0001-5311-1052.

© David South Consulting 2023

Categories
Blogroll data digital ID

What is the UN doing with your data?

If you allow another country to gain access to really critical data about your society, over time that will erode your sovereignty, you no longer have control over that data.

MI6 chief Richard Moore to BBC News (30 November 2021).

“China has made economic espionage and stealing others’ work and ideas a central component of its national strategy and that espionage is at the expense of innovators in all five of our countries,”

FBI Director Chris Wray to BBC News (18 October 2023).

Are the Chinese secret services now the most powerful in the world?

Roger Faligot, Chinese Spies: From Chairman Mao to Xi Jinping (2019).
In 2015 the Federal Bureau of Investigation (FBI) busted UN-based South-South News for being a “conduit” for bribery and money laundering at the United Nations. It participated in an audacious scheme to build a new UN centre in Macau, China for the United Nations Office for South-South Cooperation’s (UNOSSC) GSSD Expo.

Introduction

Data. The United Nations (UN) has always gathered data and published it. But since the advent of the digital revolution, data collection has taken on new forms. It is now gathered 24/7 and sits in databases – or on somebody’s smartphone. It flows in, and flows out. Some call it a ‘data deluge’. Since 2000, despite various initiatives (irritating ‘cookies’ warnings before you can interact with a web page, or the more legalistic General Data Protection Regulation (GDPR) – a regulation in EU law on data protection and privacy in the European Union and the European Economic Area) data has become incontinent: it leaks out everywhere.

An orgy of cross-border data collection and harvesting has only increased in its intensity in the past 20 years. And the UN and other international organisations have played their part.

But what most of us do not want to think about is this: that data is power and when it is parsed and sifted by algorithms and AI (artificial intelligence), it allows the entity doing this to engage in event-shaping. How much of our lives is being shaped by digital ‘voodoo dolls’ in a cyber centre somewhere?

And, as the head of the UK’s MI6 intelligence service says, “over time that will erode your sovereignty, you no longer have control over that data.” In short, you’ve been hacked.

2011

France24: UN among victims of massive cyber-spying campaign

“Cyber-security experts have unveiled one of the biggest computer hacking campaigns to date, releasing a list of 72 organisations whose networks were attacked over a five-year period. Victims include the UN and several governments.

REUTERS – Security experts have discovered the biggest series of cyber attacks to date, involving the infiltration of the networks of 72 organizations including the United Nations, governments and companies around the world. … 

In the case of the United Nations, the hackers broke into the computer system of its secretariat in Geneva in 2008, hid there for nearly two years, and quietly combed through reams of secret data, according to McAfee.”

2017

June

BBC: Accenture and Microsoft plan digital IDs for millions of refugees

Guardian: Secret aid worker: we don’t take data protection of vulnerable people seriously

“Personal information leaked in sensitive contexts can spark violence, discrimination, exclusionary policies. Yet my NGO shares confidential data freely.”

December

UNHCR: ID2020 and UNHCR Host Joint Workshop on Digital Identity

2019

June

Xinhua: China, UN to build big data research institute in Hangzhou

2020

January

The New Humanitarian: EXCLUSIVE: The cyber attack the UN tried to keep under wraps

“If there are no consequences for the [UN] agencies for failures like these … there will be more breaches.”

About this investigation:
While researching cybersecurity last November, we came across a confidential report about the UN. Networks and databases had been severely compromised – and almost no one we spoke to had heard about it. This article about that attack adds to The New Humanitarian’s previous coverage on humanitarian data. We look at how the UN got hacked and how it handled this breach, raising questions about the UN’s responsibilities in data protection and its diplomatic privileges.

https://www.forbes.com/sites/daveywinder/2020/01/30/united-nations-confirms-serious-cyberattack-with-42-core-servers-compromised/?sh=4cb9c05d633d

UN confirms it suffered a ‘serious’ hack, but didn’t inform employees

Approximately 4,000 employees may have had their data compromised.

XDR Report: UN hacked: Attackers got in via SharePoint vulnerability

“In summer 2019, hackers broke into over 40 (and possibly more) UN servers in offices in Geneva and Vienna and downloaded “sensitive data that could have far-reaching repercussions for staff, individuals, and organizations communicating with and doing business with the UN,” The New Humanitarian reported on Wednesday.”

Oz Alashe, CEO of CybSafe, says that the unintentional disclosure of this cyber attack on such an important institution last year is concerning.

“This delay, and the fact that the UN did not report this attack to any governing authority – or even their own staff – may have put victims at unnecessary risk. Not only were staff passwords stolen, system controls and security firewalls were compromised too which could have led to the critical confidential reports falling into criminal hands,” he pointed out.

This attack could end up undermining trust in the UN – trust that they are able to keep sensitive information safe and trust that they will notify affected individuals when they fail.”

April

Quartz: The UN is partnering with China’s biggest surveillance software company

Foreign Policy: EXCLUSIVE U.N.: Backs Down on Partnership With Chinese Firm for 75th Anniversary: The decision comes after U.S. officials and human rights advocates complained that Tencent aids Beijing in surveillance.

October

WSJ Opinion: China Uses the U.N. to Expand Its Surveillance Reach | In the name of ‘sustainable development,’ Beijing takes the lead in data collection efforts.

December

United Nations: Inauguration Ceremony Regional Hub for Big Data in China in support of the United Nations Global Platform

“I am very honoured to join you today in this inauguration ceremony of the Regional Hub for Big Data in China, in support of the United Nations Global Platform. The inauguration of this Regional Hub is most important, and timely. 

The demand for data, especially during the COVID-19 pandemic, is greater than ever.  Governments are in need of detailed data on the spread of the virus and its impacts on society. Under these challenging circumstances, statistical institutes have had to respond urgently to the demand for data, and to present innovative solutions. Consequently, in these times of need, the statistical community is now able to effectively use Big Data and advanced technologies. 

For example, census data – together with detailed geospatial information – can help identify the most vulnerable populations during the pandemic. And, real-time data on the position and movement of ships, for example, can estimate the volume of cargo being transported, and thus help produce estimates on the state of the economy. These real-time shipping data are available as a global data set on the United Nations Global Platform, and can be accessed by the whole statistical community.”

Foreign Policy: CHINA USED STOLEN DATA TO EXPOSE CIA OPERATIVES IN AFRICA AND EUROPE: The discovery of U.S. spy networks in China fueled a decadelong global war over data between Beijing and Washington.

“Around 2013, U.S. intelligence began noticing an alarming pattern: Undercover CIA personnel, flying into countries in Africa and Europe for sensitive work, were being rapidly and successfully identified by Chinese intelligence, according to three former U.S. officials. The surveillance by Chinese operatives began in some cases as soon as the CIA officers had cleared passport control. Sometimes, the surveillance was so overt that U.S. intelligence officials speculated that the Chinese wanted the U.S. side to know they had identified the CIA operatives, disrupting their missions; other times, however, it was much more subtle and only detected through U.S. spy agencies’ own sophisticated technical countersurveillance capabilities.”

2021

January

ITPro: United Nations suffers potential data breach: Hackers could have breached the database long before the UN applied a patch

Japan Forward: China Strengthens Influence on the U.N. Through Big Data Collection

A United Nations research institute is being set up in China that will amass and analyze huge amounts of data from around the world on sustainable development goals. Chinese researchers are expressing the need for data in order to analyze human behavior.

“China’s influence is undoubtedly growing in the United Nations, with four of the 15 specialized agencies of the intergovernmental organization being led by Chinese nationals. Beijing seized the “absence” of the United States, accelerated by the Trump administration’s disdain for the U.N., to extend its tentacles to unexpected places.

A plan to set up the first U.N. big data research institute is underway in Hangzhou, Zhejiang Province, China. Officially, it would facilitate U.N. operations by amassing and analyzing huge amounts of data from around the world on sustainable development goals (SDGs) to tackle global issues such as starvation and climate change.

One cause for concern is that Chinese researchers are expressing the need for data in order to analyze human behavior. The United States, which is wary of any data leaks to China, is raising alarms against the plan. In an October 7, 2020, article in The Wall Street Journal,Hudson Institute fellow Claudia Rosett warned that the plan would enable China to collect data from U.N. member states and set the standards for data collection.” 

March

Financial Times: Opinion Technology sector: As digital trade grows, so does western distrust of Beijing: China is moving to the forefront of global innovation but governments fear privacy breaches

April

Nikkei Asia: Comment: Data suspicions threaten to tear China and west apart: Applications by Chinese companies see 200-fold increase since 1999

May

UNHCR: Government of Pakistan delivers first new biometric identity smartcards to Afghan refugees

July

ODI: Although shocking, the Rohingya biometrics scandal is not surprising and could have been prevented

“The data privacy and security of Rohingya refugees in Bangladesh has reportedly been jeopardised by the UN Refugee Agency. In an exposé published on 15 June by Human Rights Watch (HRW), UNHCR stands accused of improperly collecting the Rohingya’s biometric information and later sharing it with the Myanmar government without the Rohingya’s consent. Refugees said they had been told to register to receive aid, but the risks of sharing their biometrics had not been discussed, and the possibility this information would be shared with Myanmar was not mentioned.

The potential harm of sharing information with a regime that has a long history of manipulating registration systems to exclude and marginalise Rohingya populations is obvious. That biometrics are involved makes it worse. Unlike names or other personal information, biometrics are sticky – it’s not something you can change or escape.”

August

Reuters: ANALYSIS-Afghan panic over digital footprints spurs call for data collection rethink

Biometric Update: Concerns over Taliban accessing aid agency biometric data

“People in Afghanistan are fearful of the Taliban accessing personal information captured and stored by aid agencies including biometric data which could be used to identify individuals. Experts have raised concern that approaches used by security firms and United Nations development agencies could prove problematic for refugees and vulnerable groups, reports the Thomson Reuters Foundation, the charitable trust of Thomson Reuters.

The Intercept reported that equipment used by the U.S. army for biometric collection has already been seized by the Taliban. Biometric data on Afghans who assisted the U.S. were widely collected, making anybody identified vulnerable to persecution from the Taliban.

Sources told the Intercept that there was little planning for such an event, while the U.S. Army plans to continue to spend another $11 million on biometrics capture equipment including 95 more devices.

The UNHCR has been using biometrics in the region since 2002 when it tested iris recognition technology on Afghan refugees in the Pakistani city of Peshawar. Aid agencies praise biometric technology’s anti fraud and contactless capabilities.”

September

Bloomberg: Cybersecurity

UN Computer Networks Breached by Hackers Earlier This Year

“Hackers breached the United Nations’ computer networks earlier this year and made off with a trove of data that could be used to target agencies within the intergovernmental organization. 

The hackers’ method for gaining access to the UN network appears to be unsophisticated: They likely got in using the stolen username and password of a UN employee purchased off the dark web.”

“Organizations like the UN are a high-value target for cyber-espionage activity,” Resecurity Chief Executive Officer Gene Yoo said. “The actor conducted the intrusion with the goal of compromising large numbers of users within the UN network for further long-term intelligence gathering.”

CPO Magazine: United Nations Data Breach: Hackers Obtained Employee Login From Dark Web, Are Executing Ongoing Attacks on UN Agencies

“A spokesperson for the United Nations has confirmed that the organization was breached by hackers in early 2021, and that attacks tied to that breach on various branches of the UN are ongoing. The data breach appears to stem from an employee login that was sold on the dark web. The attackers used this entry point to move farther into the UN’s networks and conducted reconnaissance between April and August. Information gleaned from this activity appears to have been put to use in further attacks, with attempts made on at least 53 accounts.”

UN data breach creates long-term havoc for organization

“The UN has a unique need for cutting-edge cybersecurity given that it is one of the world’s prime targets for hackers, and that it fields regular attacks from advanced operators. Many of these go unrecorded, but the organization has weathered some high-profile attacks in recent years.”

2022

January

The Hub: China’s influence at the UN is growing—how, why, and what it means with Rosemary Foot

ABC News: Security scanners across Europe tied to China govt, military

At some of the world’s most sensitive spots, authorities have installed security screening devices made by a single Chinese company with deep ties to China’s military and the highest levels of the ruling Communist Party

The Diplomat:

China’s Espionage Plans for the 2022 Winter Olympics: What Athletes Should Expect

Yes, China is going to spy on the Olympic athletes. Its mandatory app is just the tip of the iceberg.

Why the US Must Take China’s Disinformation Operations Seriously

China has barely scratched the surface of its potential to carry out a “people’s war” on global public opinion.

“China’s propaganda machine also has over 1 million journalists and reporters tasked with the mission to “tell China’s story well.” Armed with AI and bots, China’s huge internet army could hobble global social media platforms with a large-scale flooding attack to win the CCP’s public opinion war.”

February

FBI Director Wray says scale of Chinese spying in the U.S. ‘blew me away’

The FBI opens a new China-related counterintelligence investigation every 12 hours on average, and it now has over 2,000 such cases.

2024

April

UNDP Investigates Cyber-Security Incident

APRIL 16, 2024

New York – The United Nations Development Programme (UNDP) recently experienced a cyber-attack, in which local IT infrastructure in UN City, Copenhagen was targeted. 

On March 27, UNDP received a threat intelligence notification that a data-extortion actor had stolen data which included certain human resources and procurement information.

Actions were immediately taken to identify a potential source and contain the affected server as well as to determine the specifics of the exposed data and who was impacted. 

UNDP is currently conducting a thorough assessment of the nature and scope of the cyber-attack, and we have maintained ongoing communication with those affected by the breach so they can take steps to protect their personal information from misuse. Additionally, we are continuing efforts to contact other stakeholders, including informing our partners across the UN system.

UNDP takes this incident extremely seriously and we reiterate our dedication to data security. We are committed to continue working to detect and minimize the risk of cyber-attacks.

Foreign states targeting UK universities, MI5 warns

Foreign states are targeting British universities in order to undermine national security, MI5 has warned.

Vice-chancellors from 24 leading universities were briefed on the threat by the security services and the government on Thursday.

They were warned cutting-edge research could be targeted by states to boost their own militaries and economies.

The deputy prime minister has announced a consultation on measures to protect UK universities.

There has been no direct reference to any one state, but Parliament’s intelligence and security committee warned last year that China could be gaining undue influence in British academic research.

 
“Unique Identity for All”: Biometric identity is being rolled out across the planet. HSB is one of the many players in this fast-growing data collection sector. Companies such as HSB collect data on behalf of international organisations.

Facial recognition AI software triangulates facial features to produce a recognition match.

This story is from 1992 and is a rare glimpse into Canada’s data sharing agreements with the US and other countries.

Data integrity and cross-border data sharing have been concerns for a very long time. False Data Makes Border Screening Corruptible

Further Reading:

There’s a War Going On But No One Can See It by Huib Modderkolk, Bloomsbury, 02 Sept. 2021

“Based on the cases he investigated over a period of six years, award-winning Dutch journalist Huib Modderkolk takes the reader on a tour of the corridors and back doors of the globalised digital world. He reconstructs British-American espionage operations and reveals how the power relationships between countries enable intelligence services to share and withhold data from each other.”  

The Age of Surveillance Capitalism: The Fight for a Human Future at the New Frontier of Power by Shoshana Zuboff, Profile Books, 2019

“Surveillance Capitalism: A new phase in economic history in which private companies and governments track your every move with the goal of predicting and controlling your behaviour. Under surveillance capitalism you are not the customer or even the product: you are the raw material.”

BBC News: MI6 boss warns of China ‘debt traps and data traps’

“In a wide-ranging interview ahead of his first major public speech since taking on the role as head of MI6, Mr Moore:

  • warned China has the capability to “harvest data from around the world” and uses money to “get people on the hook” …

“Speaking about the threat posed by China, Mr Moore described its use of “debt traps and data traps”.

He said Beijing is “trying to use influence through its economic policies to try and sometimes, I think, get people on the hook”.

Explaining the “data trap”, he said: “If you allow another country to gain access to really critical data about your society, over time that will erode your sovereignty, you no longer have control over that data.

“That’s something which, I think, in the UK we are very alive to and we’ve taken measures to defend against.”

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ORCID iD: https://orcid.org/0000-0001-5311-1052.

© David South Consulting 2024

Categories
Archive Blogroll Hospital News

Changing Health Care Careers A Sign Of The Times

By David South

Hospital News (Canada), June 1992

Ontario’s health care system is in the midst of a big change. But where are the new jobs going to be and how can health care workers prepare for the coming crunch?

“Anybody who thought they could progress through the health care system until retirement is in for a shock,” said Ruth Robinson, a national health care consultant for Peat Marwick Stevenson and Kellogg management consultants. 

Radical changes are taking place in the health care system and it looks like traditionally safe occupations are in for a shake-up. 

“Hospitals are being pressured to change fundamentally,” said Ms. Robinson. “The net effect is fewer jobs. A lot of people will have to think about new careers.”

In the Ministry of Health working document entitled Goals and Strategic Priorities, released in January, the fundamental shift from treatment to disease prevention and health promotion is laid out in generalities. 

The goals range from health equity for aboriginals, women, children and AIDS patients to better management of costs to development of a stronger health care industry that will jump start the economy. And they range from the reorganization of professional responsibilities to promotion of services outside institutions with the goal of keeping people out of hospitals. 

One thing is clear, the talk is about big changes. But talk is cheap to laid-off health care workers looking for new jobs. 

The provincial government’s recently passed, but yet to be proclaimed, Regulated Health Professions Act will have serious repercusions for all health care providers. 

“Traditionally, doctors have an exclusive domain over a wide area,” said Charlie Bigenwald, executive director of health human resources planning at the Ministry of Health. “Even though other people could do things, they had to be delegated by a doctor. With the legislation, we have pushed back what doctors can do. This means there will be more opportunity for a wider variety of health care workers to get into those areas.”

Midwifery is one of the benefactors of changes in regulations. The Ministry of Health is looking into having a university-based program for midwives. 

Ms. Robinson predicted nurses and middle management will suffer the most in the change to community-based health care. 

“Nurses will need to get a bachelor degree if they hope to compete for jobs,” she said. 

As for middle managers, who often have clinical skills, they will have to reconsider staying in health care, she said. “They will disappear significantly. They can advance themselves by getting back to clinical skills or consider management positions in non-health care areas.

“There is nothing to be ashamed of about career changes these days,” she added. 

In the shift towards community-based care, opportunities will arise for health care workers who can offer creative solutions to improve service delivery. 

“For nurses, we currently have something called the Nursing Innovation Fund where individuals can apply for a wide variety of developmental things like attending workshops, conferences and training programs. We process 2,500 applications a year,” said Mr. Bigenwald. 

The Ministry of Health hopes the future sees a health care system that adds to the province’s economy rather than drains it. 

“We spend $17 billion a year on health care. We never looked at the health care system as an economic motor in the past. The question we are asking right now is ‘why can’t an Ontario firm make the carpets, beds, sutures etc?’, said Mr. Bigenwald. 

Ms. Robinson said “Governments are running out of money and can’t increase funding. They will be looking for more partnerships in the private sector. In this climate, creative solutions to health care delivery have a great opportunity.” 

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Categories
Archive Blogroll Today's Seniors

Critics Blast Government Long-Term Care Reforms

“They cut hospital beds and lay off staff without having community health care services ready…”

“When the elderly… decide that facility-based care is the best option, they can’t get it…”

By David South

Today’s Seniors (Canada), October 1992

Seniors should keep a close eye on the Ontario government’s proposed long-term care reforms. According to critics, the plan has more than a few bugs. 

The term long-term care encompasses an often confusing web of services, from home-provided community services like meals on wheels to institutional care including homes for the aged, seniors’ apartments and chronic care hospitals. 

Like other provincial governments, the Rae government is trying to rein in escalating health care costs – and long-term care services aren’t immune. They hope that emphasizing prevention and healthy lifestyles, plus providing more services in the home and community, will reduce reliance and expensive health care services like high-cost drugs, surgery and high-tech equipment. According to health minister Frances Lankin, this will preserve medicare in the age of fiscal restraint. 

The government has outlined seven goals for its long-term care reforms: prepare for the coming surge in the over-65 population; cater services to better reflect the cultural, racial and linguistic make-up of Ontario; eliminate confusion over what services are available; involve the community in planning so that services reflect community needs; lessen reliance on institutions; provide support to family caregivers; tighten regulations governing government-run and private facilities; and improve working conditions for the largely female caregiving workforce. 

But many people are wary of the proposed reforms and worry that if they aren’t managed properly, some seniors will fall through the cracks. 

A report released in July by the Senior Citizens’ Consumer Alliance for Long-Term Care Reform blasts the government for being simplistic in its plans. The report compares the present reforms to the failed attempt in the 1970s to move psychiatric care out of the institutions and into communities by closing 1,000 beds. The tragic result in that case was homelessness for many psychiatric patients who found community services unable to help, or, more often than not, non-existent. The Alliance fears seniors – the biggest users of health services – could fall victim to reforms in a similar way. 

Emily Phillips, president of the Registered Nurses’ Association of Ontario, is blunt: “The NDP’s plans sound good on paper, but they can’t give a budget or direct plan on how they hope to carry out reforms. They are going about things backwards. They cut hospital beds and lay off staff without having community health care services ready.”

The Ontario Association of Non-Profit Homes and Services for Seniors (OANHSS) – which operates charitable and municipal homes for the aged, non-profit seniors’ apartments. chronic care hospitals and community services serving over 100,000 seniors – says 4,300 seniors are on waiting lists for their member facilities right now, and things won’t improve if the government continues to reduce the number of long-term care beds. 

But Lankin insists that beds are available in homes and hospitals and it is funding formulas that prevent them from being filled. 

To help carry out its reforms, the NDP will reallocate $647 million by 1996-97. In bureaucratese, this funding is said to be “back-end loaded”, or mostly spent close to 1996-97. 

The problem with this, according to the Alliance, is that the government has already embarked on a radical “downsizing” of hospitals, closing beds and laying off health care workers. Lankin claims the worst case scenario for layoffs this year won’t exceed 2,000, but the Ontario Hospital Association claims 14,000 jobs are in jeopardy. Because of this, the Alliance wants money to be spent earlier to avoid gaps in services. 

Phillips believes it will be hard to pin down the extent of job losses. “For every full-time job cut many part-time and relief positions go with it,” she says. 

Dr. Rosana Pellizzari, a member of the Medical Reform Group and chair of the Ontario Association of Health Centres, wants better community accountability for hospitals before they lay off staff and cut services. “Sometimes it makes sense to bring people to hospitals,” she says. “Planning must be at the community level, open and democractic. Health care workers, who are mostly women, should not be scapegoated for financial problems. Doctors and management should go first. Physicians experience very little unemployment.” 

Many nursing and charitable homes for the aged are facing financial crisis. According to OANHSS, six charitable homes for the aged have closed since 1987 due to deficits. In 30 homes, the total annual deficit has increased 125 per cent since 1987. The Ministry of Health recently allocated special funds of $8.1 million to ensure these facilities survive until January, when a new, needs-based funding formula will be introduced. It is intended to better match the actual care requirements of the 59,000 consumers living in long-term care facilities. 

Michael Klejman, executive director of OANHSS, agrees with helping seniors to stay in their homes. “But when the elderly and their care-givers in Ontario decide that facility-based care is the best option, they simply can’t get it,” he notes. “We know from experience that many of them remain in acute care hospital beds with a cost to the province of about four times what it would cost them to fund a long-term care bed. And many, unfortunately, remain in their own flats or apartments at considerable risk to themselves, isolated and dependent on a patchwork of services.” 

Beatrix Robinow, who worked on the Alliance’s report, was not impressed with the government’s initial plans, especially the proposed creation of 40 service coordination agencies whose mandate would be to control the delivery of home care services to seniors. Robinow thinks this would add to the confusion and just be another layer of bureaucracy. Many people who appeared at the Alliance’s public hearings expressed confusion over how the long-term care system worked. 

Robinow says that the government could save money by trimming the bureaucracy and using present organizations like the little-known District Health Councils. 

“District Health Councils have nothing to do with social services,” says Robinow. “But we want them to be expanded to include long-term care and general supervision of community services. We are waiting to hear if they are interested. I would urge the government to make sure that services are in place before pushing people out of institutions.” 

The health minister is cautious about the government’s next steps. “The Alliance’s report has been very helpful,” she says. “We are in the process of developing options. Two other ministers are involved and we also need to take this through Cabinet.

“Ontario is much larger and more complex (than other provinces). The range of services is more developed. We also have a mess in jurisdictions between municipalities and the province. And in Ontario there isn’t a concensus that this is the way to go. 

“We have been doing a lot of rationalization and streamlining for longer than other provinces. Most thinking people looking at the situation agree that doing nothing would hurt the system. It is not sustainable at present. You hear a lot of things about user fees. That would be the slippery slope for medicare. That would make people think they could buy better services.”

Ironically, user fees were recently endorsed by the Canadian Medical Association, suggesting the minister will have a fight on her hands with angry doctors. 

Amidst all the confusion, Dr. Perry Kendall was appointed on Aug. 24 as the provincial government’s special advisor on long-term care and population health. This veteran of both the City of Toronto as Medical Officer of Health – and the groundbreaking Victoria Health Project in British Columbia (often seen as the model for community services to seniors) seems well qualified. “One problem in the past has been the creation of smaller and smaller organizations every time somebody felt the system was not responsive to their needs,” he says. “This created organizational chaos. The challenge  now is to get all the organizations back together to share their expertise.”

Lankin says she hopes to have a conference on the reforms in the fall. 

ORCID iD: https://orcid.org/0000-0001-5311-1052.

© David South Consulting 2021