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Looking for Solutions in Health Care for 2006 and Beyond

Our health care system needs to change to accommodate new demographics, new technologies and new pharmacologic advancement.

The roots of compassion and caring in health care should not change however, and it is with this in mind that the dialogue of change should be had surrounding health care.

How can we adapt to different needs that emerge as our population ages?

How can we  find sustainability in the midst of so many new advancements?

How can individuals become more empowered in serving their own health care needs?

What role does the individual have in enabling the  health care of others  beyond paying taxes?

Many questions like these need to be answered and if we are willing to look with open minds at the problems within our health care system, and beyond political posturing, then we can find new  solutions to take us further into this century. 

 

 

 

 

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Main | Ontarians Should Be Very Wary of Bill 41- "The Patients First Act" »
Tuesday
Feb072017

Resignation of the OMA Executive-What Now?

So, the Executive of the Ontario Medical Association has resigned...sort of. The Executive is resigning to sit on the Board of Directors and then will go through an electoral process. At least that is what we are told currently.

This follows after a 55% non-confidence vote in the OMA Executive at a special meeting of the OMA Council but at which other motions failed to win the required two thirds majority to pass. These other motions if they had been successful would have led to the resignations at the individual executive level.

In the face of the quasi-win by the groups challenging the OMA's representative performance, there had been murmurings of requiring the OMA to hold another General Meeting of Council to address the non-confidence vote which had initially been arrogantly passed off by the OMA as a demonstration of support. Another General Meeting of Council would have been disastrous for the OMA. It managed to avoid that through this resignation process.

However, the OMA should know that this result was not the end of this non-confidence wrangling. It is just the beginning.

The Ontario Liberal government should also understand that the advocacy efforts of front-line physicians are not going away. These physicians are not dissidents as they have been labelled by some reporters. They are simply aware that the Liberal government's cuts to front line health care and patient care in Ontario will cause more and more hardship for patients as time goes on. It's not the 1990s anymore.

Fact is that we are up against the demographic wall made even more challenging due to a sluggish economy affected by the shift in aging--a double whammy. Instead of cuts to care, government ought to be planning how to allow more care for more people. Cuts do the exact opposite of what is needed. Even if the deficit is eliminated for 2018, growing health care need will not be eliminated. The pent-up demand for care will be even greater after 2018 due to the current Liberal cuts.

Physicians are becoming more vocal. Despite government-created positions for paid "Physician Leaders" to push through the government's self-serving and short-sighted version of transformation, many physicians see the negative impact of government's efforts to balance its budget on the backs of patient services.

Physicians I know and have known care deeply about their patients. They see that health care access is becoming more and more difficult. They want to continue to provide much needed services but they may differ on how those services can best be provided. We should be able to differ on the "How" and value different perspectives and approaches and still be united in providing quality patient care.

We must ask the "What if" questions.

What if the government is not forthcoming with more and more funding for care to adequately serve citizens who are dependent on it?

What if government providing  more funding leads to higher debt and greater interest payments resulting ultimately in fewer services?

Billions of dollars going to interest payments every month are one reason why Canada has fewer physicians and hospital beds per population than most developed countries and which results in lack of timely care, delayed diagnoses, and patient hardship--even death.

A couple years ago a fellow physician told me not to worry--all that was needed was a Liberal federal government and the money would flow. They were surprised to discover that the Trudeau Liberals are no health care saviours.

So what now?

I have no doubt that some of the former OMA Executive members will be re-elected to a new Executive. That will change nothing. Some new MDs may find themselves elected and in a position to create change from within the OMA but it is external factors beyond the OMA that have brought us to this point of upheaval. It is only by addressing external  structural health care system issues BEYOND the OMA that substantive, sustainable change can occur.

I'm hoping that a new OMA Executive will understand that their most important role is not to align with the government transformation flavour of the day. Instead, it is to give critical input on how more care for more patients can be realistically achieved while supporting our human providers who deliver that very necessary care.

We need to be asking the hard questions.

As always, thank you for your continued insights and thoughtful comments.

 

Reader Comments (724)

Music to my ears.

"Will she or won’t she?

But with public and private polling showing the Liberals languishing in third place well behind the Progressive Conservatives and the New Democrats — even after Wynne’s 25 per cent cut in residential electricity rates — there is mounting uncertainty she will remain at the helm."

https://www.thestar.com/news/queenspark/2017/04/18/speculation-swirls-over-wynnes-future.html
April 18, 2017 | Unregistered CommenterCanary in a Coal Mine
It is not Wynne, it is the policies.

The opposition are not showing viable alternatives to policy. What is the policy resolution to the OMA contract that any party provides?
April 19, 2017 | Unregistered CommenterMovingforwardOntario
It is not Wynne, it is the policies.

The opposition are not showing viable alternatives to policy. What is the policy resolution to the OMA contract that any party provides?
April 19, 2017 | Unregistered CommenterMovingforwardOntario
Queue jumping never happened? Pull my other leg.

"There’s no evidence that persons of influence demanded expedited access," Ricard said, but that doesn’t mean an intake clerk or a scheduling clerk didn’t recognize them and "perhaps gave them quicker access to the system than they should."

The Winnipeg Regional Health Authority is adamant that never happened.

http://www.winnipegfreepress.com/local/possible-mri-queue-jumping-product-of-mismanagement-auditor-419781423.html
April 19, 2017 | Unregistered Commentereklimek
" ....it never happened...", how do they know?


In Ontario the Commitment to the Future of Medicare Act of 2004 prohibits queue jumping and preferential access , also health care providers are supposed to report such activities with the guilty practitioners fined and penalized in other ways.

What is the fine?

$50,000 comes to mind.

The penalties for a physician or surgeon to behave in such a manner are tremendous--- however behind the scenes administrators do so undetected with a wink and a nod--- watch them grovel when high profile patients enter their part of the system, they navigate the highly profiled VIPs to the front of any line with impunity---they might even get themselves promoted.

An Alberta public inquiry , the 2013 queue jumping inquiry, the Health Services Preferential Access Inquiry, looked under the lumpy carpet ( but they were not allowed to look at past incidents ) .

To believe that such activity does not occur in Manitoba or in Ontario's hospitals is absurd--- if Wynn or Hoskins get a hangnail the doors , otherwise closed to ordinary citizens, fly open before them.
April 19, 2017 | Unregistered CommenterAndris
There is the quite well known incident of an ex-Ontario health minister bringing in a child to the emergency in cottage country with a broken arm. The local general/ortho surgeon determined a sling was appropriate and surgery in Toronto later that day.

The child was deemed safe to be transported by car, but the health minister demanded the ER doc call Ornge (or whatever it was called prior ot Ornge) and tried to intimate this was an order. The surgeon stood his ground and suggested the story of a health minister using a chopper inappropriately might not look so good on the front page of the Toronto Sun. That ended the conversation and the child was driven to Toronto.
April 19, 2017 | Unregistered CommenterCanary in a Coal Mine
don't try to embarrass central. There will be an extra "bonus" to central to be budgeted with the budget. Just not to the OMA.
April 19, 2017 | Unregistered CommenterMovingforwardOntario
So "housing" get fixed today, but the OMA is into year 4, with no fix. Widgets don't need action.
April 20, 2017 | Unregistered CommenterMovingforwardOntario
<<don't try to embarrass central>> - MfO

No external help is required.
April 20, 2017 | Unregistered CommenterExecutive Lead Blogger
No problem, the Ontario government promised a primary care provider for all of Ontario's citizenry...the providers being whom ever the government authorizes to diagnose and treat its citizens...it recently waved its magic wand over nurse practitioners ...why bother with medical schools when one has a magic wand that confers the ability to diagnose and treat.

It will keep on waving that wand conferring such skills until every Ontarioan has his/ her/ ze/ zir very own primary care widge rises medical doctor wannabe.
April 20, 2017 | Unregistered CommenterAndris
Ipaditis...widget was autocorrected to ' widge rises'.
April 20, 2017 | Unregistered CommenterAndris
MFO,

Keep on delaying a new contract relativity adjustment and we will continue to avoid the difficult work and gravitate to 9-5/ weekend-off work.

I wonder how many ER's will need HFO coverage for the summer.


ERDoc -cp/t
April 20, 2017 | Unregistered Commentererdoc
I am a little puzzled. Is this true?

Hon. Eric Hoskins: It’s important that Ontarians know that the vast majority of hospitals in this province operate at significantly less than 100% capacity routinely. We have increased the number of acute beds in Ontario, since 2013 alone, by 600 new additional beds.

http://www.ontla.on.ca/web/house-proceedings/house_detail.do?Date=2017-04-13&Parl=41&Sess=2&locale=en#P570_115023
April 20, 2017 | Unregistered Commentereklimek
"The Ontario Hospital Association (OHA) maintains in their 2017 pre-budget submission to government, that hospitals have made $4.5 billion in budget cuts on behalf of the province. The OHA says the average occupancy has grown to more than 92 per cent at Ontario’s hospitals."

https://cupe.ca/open-45-permanent-beds-kgh-deal-critical-bed-shortage-province-ontario-urged

"patient capacity at about half of Ontario’s 145 hospital corporations during the annual winter surge exceeded 100 per cent and reached as high as 130 per cent, according to the Ontario Hospital Association (OHA)."

https://www.thestar.com/opinion/editorials/2017/04/17/ontario-must-increase-funding-for-hospitals-editorial.html
April 20, 2017 | Unregistered Commentereklimek
As we drift:

Comes back to the contract. The budget will have no commitment for extraordinary increases for the OMA. 4 years with reductions has saved central more than 3 billion dollars. It is not coming back in. Only the voiceless margins, and the MDs providing that care are affected.
April 20, 2017 | Unregistered CommenterMovingforwardOntario
Was it CICM or mfO who said it first here:

http://m.ottawasun.com/2017/04/19/ontario-scrambles-to-fix-health-housing-and-hydro-all-at-once

Wynne squeezes hospitals and health care to offset the waste that started with McGuinty and which extended under Wynne then she claims she is coming to the rescue.

Believable?
No.
April 20, 2017 | Unregistered CommenterMerrilee Fullerton
The most terrifying words in the English language are : " I'm from the government and I'm here to help".
( President Reagan)

Imagine our horror when Wynne utters those words.
April 20, 2017 | Unregistered CommenterAndris
I think it was a bit of both but the Mfo gets credit for the 3 H's line.
April 21, 2017 | Unregistered CommenterCanary in a Coal Mine
Next, when will the OMA launch its class action lawsuit regarding 4 years without a contract, and the PTSD (post traumatic stress disorder) caused by no contract?

That would be seen as a "positive"by its randed members.
April 21, 2017 | Unregistered CommenterMovingforwardOntario
Mfo--- if the OMA had gonads it would---perhaps it will grow some after the next Annual Council meeting , but one suspects that the government's hidden hand within the organization will nip any such initiative in the bud.

As for the Ontario government coming to the aid of housing as it did to health care and hydro Robson has a nice article ' why it is time to hit the roof'' on the matter in today's NP( I particularly liked his comment that Hydro charged him $113.61 for the non delivery of hydro to his non electrified cottage).
April 21, 2017 | Unregistered CommenterAndris
Introducing FridayFunnies:

http://www.healthscape.ca/Pages/news-0420207-newpeelmemorialhospitalgrandopening.aspx

How many politicians does it take to cut a ribbon?

Seven.

Hilarious.
April 21, 2017 | Unregistered CommenterExecutive Lead Blogger
Over these next months, Ontario’s family medicine trainees are graduating and facing the difficult question of whether to remain in this province or start their practices in other jurisdictions that better support the quality and kind of patient care they trained to deliver.

It is a bittersweet moment for both these new family doctors as well as their more seasoned colleagues. On the one hand, they hope to bring the kind of compassion and care that is the shared goal of our community of family physicians; then there is the reality of how Ontario’s government’s repeated unilateral cuts have made it increasingly unsustainable for our health system and family physicians to provide the quality care we believe our patients deserve. More recently, this same government has continued to create an environment that is increasingly hostile to the delivery of primary care with Bills 41 and 87.

The reality is that both new graduates and their practicing colleagues are aware that expanding government bureaucracy is siphoning away resources and funding from frontline care, leaving Ontarians and their family doctors unable to access and deliver the care that is needed in our communities. Growing intrusions and restrictions of government’s own priorities into health decisions that patients make with their family doctors is undermining the trust in these relationships that are the bedrock of our health system and of patient-centered care.

Faced with this unfortunate reality, it is not surprising that many new graduates as well as existing family doctors are forced to consider their options to set up practices in other jurisdictions where the quality of primary care for patients is valued and supported equitably. As family doctors, our goal is to be able to provide our patients with compassionate and high quality care throughout the stages of their lives, with the sad recognition that not all environments are equally supportive of that goal.

While we await the outcome of binding interest arbitration discussions between Ontario’s government and the OMA, new family medicine graduates are reminded of the principal importance of ensuring they are able to provide patients with the care they deserve, and that the evaluation of different provincial governments' supports for primary care is a core criterion in deciding where to set up family practices. At this present time, the inhospitable environment for family practice in Ontario means that new family doctors will be carefully considering out of province locations as part of their due diligence and commitment to providing care in the ways they were trained to do.

We hope a time will come when government will return to a respectful and supportive relationship with Ontarians and their doctors, and that the resultant mutual cooperation will create an environment that is encouraging of the kind of care that family doctors strive to bring to our communities. We hope it will not be too late to undo the harm done to our province and communities by recent years of successive government unilateral actions and cuts to primary care.

Sincerely,

Dr. David Schieck
Chair, Section on General and Family Practice
April 21, 2017 | Unregistered CommenterCanary in a Coal Mine
ELB: I recall at the opening of Brampton Civic Hospital that those who were instrumental in holding the land for decades and who managed to get the hospital built were nowhere to be seen at both the first shovel ceremony and the hospital opening ---the political class and bureaucrats who had blocked us, impeded us, broken promises galore were front and foremost before the cameras taking all the accolades---not one photo was taken of those who had fought for years to get it done.

One wonders if the same thing occurred in this photo of the opening of the new Peel Memorial site, that the real movers and shakers had been pushed to the side( I recall plans for it in the early '90's at the old DHC...likely long lost).
April 21, 2017 | Unregistered CommenterAndris
As for Dr. Schieck's letter to graduating med students, good for him and the OMA section on General and Family Practice, good for them all.

The section is often at odds with the OMA Borad and I doubt that a similar letter would have been issued in the past.

I tell all my med students to make certain to keep their options open, that " no mouse trusts its fate to only one hole", and that they should look after themselves and their loved ones and look to work in a juristriction where they are valued and appreciated in every sense of the term.
April 21, 2017 | Unregistered CommenterAndris
Andris, you are probably more accurate than you care to believe!
April 21, 2017 | Unregistered CommenterExecutive Lead Blogger
A consequence of "rent control" is going affect the upcoming seniors boom. For those in subsidized housing,with an assured increase of 2.5%, that will have to come out of government coffers. Thus growth will need to exceed 2.5% for the economy.

It seems we are just making things worse.
April 21, 2017 | Unregistered CommenterMovingforwardOntario
"The main cause of crises are governmental solutions to previous crises that were the result of previous solutions to..."
April 21, 2017 | Unregistered CommenterAndris
Dependency ratios:

That is accelerating rapidly, it is amazing all those whom think they can retire early, and all will be fine. The 30 years old have to pay for all these retirements.
April 21, 2017 | Unregistered CommenterMovingforwardOntario
Those in their 30's will pay twice---now and when the inheritances they were banking on bailing them out don't materialize having been depleted by home care, nursing home costs and anticipated wealth taxes.
April 21, 2017 | Unregistered CommenterAndris
The 3Hs:

Hydro (energy). Despite centrals good intention to save the environment, it is not going well. Until it becomes a uniform consumption price, it struggles. The subsiding the "hard" areas of the province,goes against the needs to the individual to consume less.
Housing: Rent control isn't going to work. You'll juts need to move further away from the GTA. The elderly will really feel this.
Health: So the attitude will turn to the old must not get care, they are consuming to much.The elderly volume presenting to the system is overwhelming.

Just waiting for for someone to touch the third rail.
April 22, 2017 | Unregistered CommenterMovingforwardOntario
Our own Medicare's mothership, the British National Health Service seems to be inching towards privatization.

Privatization is no longer unthinkable.

To increase the British NHS's budget by 8% , the NHS has approached hedge funds to borrow 10 Billion pounds ( C$ 17.299 Billion).

An article in today's Daily Mail on how British millennial are shunning the NHS in favour of private FP appointments....75 % of private clinic appointments are aged 20-39, around 40% of millennial feel rushed during NHS appointments.

" it is clear that the existing NHS GP model is outdated and is unable to service the new millennial generation who want convenience".

It is only a matter of time before Canadian millennials rebel against their own 14 dysfunctional statist health care systems.
April 22, 2017 | Unregistered CommenterAndris
Andris that news about Millennials going private is music to our ears. The same phenom will arrive here at some point in the future when people become tired of being assigned to which primary care provider and specialist they can see. The free care will become so poor in quality that people will demand a new option.

http://www.dailymail.co.uk/health/article-4433208/Millennials-favour-private-GP-appointments.html
April 22, 2017 | Unregistered CommenterCanary in a Coal Mine
You can purchase medical services in the UK, legally. You cannot pay OHIP listed services.
April 22, 2017 | Unregistered CommenterMovingforwardOntario
For now.
April 22, 2017 | Unregistered CommenterCanary in a Coal Mine
Some very good advice here for those who venture onto social media. Fortunately here the trolls have been kept to a minimum.

http://shawnwhatley.com/survive-online/
April 22, 2017 | Unregistered CommenterCanary in a Coal Mine
CICM

The legislation process would take over a decade to reverse, even if supported. It won't be supported because too many want their free unrestricted health care, regardless of quality.

There is natural system dynamic that prevents any change. We have all bought into two of the three,on a population basis (not individual) - cheap, good,and fast. We've selected cheap and good. If you want good and fast, go across the border.

Interestingly, it is driven out of the USA models, an entirely different system,but many of the MOHLTC are US trained.
April 22, 2017 | Unregistered CommenterMovingforwardOntario
Imagine the health care system if the MOHLTC 's US MBA trained had been replaced by graduates of the Ecole Normale Superieure and the Scuola Normale Superiore di Pisa.
April 22, 2017 | Unregistered CommenterAndris
Mfo I'm not talking about dismantling the public system but simply at some point allowing a private system to operate alongside the public system. I'm sure there is an 'easy' way to make the necessary legislative changes with the right politician and public behind him or her.
April 22, 2017 | Unregistered CommenterCanary in a Coal Mine
Palming cities.

https://forio.com/simulate/mbean/urban-dynamics/run/#p=page1

Numerous models out them Most are pessimistic on Toronto's housing and subway planning.

We'll get national pharmacare,at a hefty price.

It will be the taxing off source revenues that will get the new taxes.That will draw resources and investments out of those countrie,driving up econmic refugees.
April 23, 2017 | Unregistered CommenterMovingforwardOntario
I still believe that we are facing a generational war, the older generation of politicians won election and reelection by piling on debt to satisfy the wants of the older generation with a Keynesian attitude " after all, in the long run we are all dead"--Wynne , our modern day Madame de Pompadour spends money Ontario doesn't have in a similar manner , with an " apres nous, le deluge" approach.

As mentioned previously, the millennials have their own wants and are resentful of the criticisms of the " olds" that the millennials are "too coddled, too sensitive and thin skinned" .

Many of the millennials perceive the olds as trying to rob them of their money, their future, their jobs as the elderly hang onto their own jobs past retirement age...in 1940 there were 159 workers in the USA to support one Social Security recipient, today there are fewer than 3 and even they are older ( what are the numbers for Canada/ Ontario?).

The population is ageing and more and more of the tax payer's $s is being spent on the elderly and the supposed safety net is getting increasingly frayed and friable.

Importing unemployable unskilled immigrants and unskilled economic migrants from the third world in an era of artificial intelligence, increased automation and robots will not solve the Canadian problem despite looking good on the spread sheets of government MBA's.

Increasing global protectionism won't help either.

The big surprise , for me, is that the war has not erupted as yet, perhaps distributing marijuana and turning a blind eye to recreational drugs and offering free circuses via the media / internet/ iPhones , will mollify and conciliate the potential revolutionaries.

One can't help noting the lack of human interaction on streets, subways etc., the younger generation walking about wearing their ear plugs and staring at their computers/ iPads/ iPhones ....not the stuff revolutionaries are made of....on the other hand they are capable of generating vicious flash mobs such as the black clothed Fascisti that prevent free speech in universities as in Berkeley...Voltaireism with its " I don't agree with what you say but I will fight to the death your right to say it" does not seem to be acceptable in North American universities these days.
April 23, 2017 | Unregistered CommenterAndris
Andris nice Sunday synopsis.

I agree with your suggestion that an inter-generational war is brewing, however what I see is the the most connected generation on social media is actually the least connected socially in the real world. There seems to be a real sense of ennui amongst the Millennials almost like they are waiting for someone else (possibly government) to do something rather than finding their voice to raise some hell.

I guess when 50% of Canadians under the age of 30 still live in their parent's homes with mom cooking the meals and doing your laundry that sense of urgency is just not there.

You wonder if it will be generation Z that will finally channel their Che against the Boomers and their massive wealth build up?
April 23, 2017 | Unregistered CommenterCanary in a Coal Mine
Andris
You are just not seeing it as a generational war. Strip away the religion and see the conflict. A belt of dissatisfaction with the west called Outremer 1,000 years ago. The truly dissatisfied and disgusted first generation have found an orthodoxy so attractive they leave to fight. They may stay "self radicalized" by the social media and internet that they see in moms basement. A pivotal event and the journey to extremism is suported by a global network of like minded fighters for justice certain that the end times are coming. Fatalism and righteous intolerance requiring a devotion to a cause these ndividuals seem to need and miss until conversion to an ideology elevates their lives with purpose.
April 23, 2017 | Unregistered Commentereklimek
Canary you verbalized it much better " the most connected generation on social media is the least connected socially in the real world".

They don't even go to the malls and stores to buy whatever, being able to get what they want via Amazon etc.,---talking to the female youngster assistants at the clinics I work in ( as I glide towards and hope to soft land in retirement) state that they might go to the store, try clothing for fit but then having the sizes walk out and order it and other clothing online--- Canada is seeing retailers closing their stores with increased incidence of bankruptcies , 3,000 stores closed in the last 12 months---Bebe closed all of its 180 locations ; Rue 21 closing 400 stores; JC Penney -138 stores; Macy's -68 stores; Sears and K Mart -150 stores; Abercrombie & Finch -60 stores; Guess - 60 stores; Crocs -160 stores; The Limited -250 stores; Wet Seal -171 stores; American Apparel - 110 stores; BCBG -120 stores; Payles ShoeSource -400; hhgregg -220 stores; GameStop -150 stores; RadioShack- 552 stores; Staples -70 stores, CVS -70 stores ; Gander Mountain -32 stores; Family Christian -240 stores.

Forbes had an article on the loneliness of millennials

Loneliness is contagious , the 2009 Framingham study found that 52 % are more likely to be lonely if someone they're directly connected to such as a friend, neighbour, coworker or family member is lonely.

People who aren't lonely tend to become lonelier if they are around people who are...lonely people are less able to pick up on positive social stimuli, like others' attention and commitment signals, so they tend to withdraw prematurely-- in many cases before they're actually socially isolated. Their inexplicable withdrawal may, in turn, make their close connections feel lonely too.

Lonely people tend to act in a less trusting and more hostile fashion , which further severs social ties and impart loneliness in others.

We know that social isolation in the elderly increases the risk of mortality, that the feelings of loneliness negatively affects both physical and mental health , contributing to cognitive decline and a higher risk of dementia.

Perhaps at this point we should put up on the forum Roy Orbinson's " Only the lonely".
April 23, 2017 | Unregistered CommenterAndris
On the other hand, those young one whom are connected, and employed, whom I see, are eager and trying to positively change things. Those whom are/can are quite impressive. The problem I see the bottom is falling further behind, with social programs that enable stripping away self-esteem by dependancy.
April 23, 2017 | Unregistered CommenterMovingforwardOntario
Ed I didn't read your piece until I posted mine, making me even more pessimistic.

Outremer: A general French term for the regions in the Middle East -- Edessa, Antioch, Tripoli and Jerusalem , essentially the Levant.

In a medieval book the Chanson de Roland , Outremer is the name of a fictional Muslim country participating in the general mobilization of the Muslim world against Christianity.

As I'm typing this I'm watching the BBC reacting to Le Pen's victory in today's election setting up a second round battle for the French Presidency.

Le Pen sees the Outremer invading France a second time--- the first Outremer invasion in 711 culminated with defeat In 732 , at the Battle of Tours, Charles Martel , the leader of the Carolingian Franks, defeated the invading Muslim army eventually driving them out of France with the Moors eventually being driven out of Europe ( losing Granada in Spain) in 1492.

If Le Pen wins, it will be " game on".
April 23, 2017 | Unregistered CommenterAndris
The problem I see the bottom is falling further behind, with social programs that enable stripping away self-esteem by dependancy. Mfo

You mean like this one?

http://www.theglobeandmail.com/news/national/three-ontario-cities-to-test-basic-income-in-three-year-pilot-project/article34795127/
April 24, 2017 | Unregistered CommenterCanary in a Coal Mine
The problem I see the bottom is falling further behind, with social programs that enable stripping away self-esteem by dependancy. Mfo

You mean like this one?

http://www.theglobeandmail.com/news/national/three-ontario-cities-to-test-basic-income-in-three-year-pilot-project/article34795127/
April 24, 2017 | Unregistered CommenterCanary in a Coal Mine
Well Richard Florida at least gets one thing correct and that is the unaffordibility of housing in the GTA and GVA. Now if one actually compares the ratio of mean housing price to mean family income by city one will see that this ratio remains very high geographically away from the downtown cores in Canada whereas in NYC the ratios drop back into historical ranges very quickly once one leaves the core.

The other elephant in the room that Florida is willfully blind to given where he works is the huge influx of foreign money rushing into Canada looking for safe haven. One only need ask the school boards in the GTA and GVA where the buik of this money is coming from which is grossly distorting our already overheated housing market.

We see it with catch up immunizations for these families which only consist of mother and children. The father remains back in China and therefore the income of the family here is close to zero yet they are living in homes well about the million dollar mark. Guess who is paying for their OHIP care when one's reported income is close to nil.

"And while an apartment or townhouse in Manhattan or central London will cost more in dollars or pounds than one in Vancouver or Toronto, both suffer from serious unaffordability based on the actual incomes people make. On a housing-cost-to-income basis, Vancouver is the world’s third-least-affordable city, and Toronto is ninth. But this crisis extends beyond just these two superstar cities. According to a Demographia housing-affordability survey, seven of Canada’s largest 40 metro areas are severely unaffordable, 10 are seriously unaffordable, 13 are moderately unaffordable and 10 are unaffordable."

http://www.theglobeandmail.com/opinion/lost-in-housing-hysteria-middle-class-neighbourhoods-have-gone-extinct/article34793060/
April 24, 2017 | Unregistered CommenterCanary in a Coal Mine
Never fully trust wikipedia:

https://en.wikipedia.org/wiki/Critical_race_theory

But as R. begins her political try, there is a new philosophy coming into politics - the politics of "splintering". Isolate groups, and place all blame on them, despite evidence or facts. Doctors are evil, because they control to much power because they are doctors, not because they provide an "essential wanted" service.

Just a little insight into the backrooms at central. Nothing new, just repeating the the 1930s, find the splinter group, and isolate them with "charges" until enough people buy your story,and attack.

Notice at the end of this, that CRT should become part of the education system.

http://www.cbc.ca/news/canada/toronto/study-black-students-toronto-york-university-1.4082463

Going to be like the anti-vaccination movement. Fight evidence, rational thinking, and reasonable compromise.

Sorry to negative ,has been a bad day dealing with people demanding their entitlements.
April 24, 2017 | Unregistered CommenterMovingforwardOntario

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