Showing posts with label health care. Show all posts
Showing posts with label health care. Show all posts

2024-02-15

Is There a Conspiracy to Break and Then Fix Health Care ?

So how would this work. I suggest first you underfund public health care as well as simply not spending budgeted funds. As the public facilities fail to meet the needs you claim private facilities are needed. You then transfer funds from public to private facilities further reducing the public facilities capability. You then claim the private facilities are the answer to the crisis and start increasing funding diverting more to the private sector. As care improves you declare that privatization has solved the crisis and is the saviour of health care. You then claim to be spending more on health care than ever as the added profit expenditures make it appear that more funds are being spent on care.

The winners are the private heath care corporations and the political parties they support that made this all possible and we get a bunch of new multi-billionaires as a bonus.

2023-02-27

COVID-19 Pandemic Reflections and The Next Pandemic

Well the pandemic is over, at least according to most governments, science and medicine not so much. So now it is time to look back, and to look forward.

Perhaps my biggest reflection is that governments, at least in Canada, did not receive the rational criticism for their failures that they should have. The media was intent on concentrating on the irrational response of the anti-science, anti-public health, anti-vaxer crew who were co-opted by the far right white supremacist convoy types in Canada. The left, on the other hand, felt so strongly the need to defend the principle of governments acting to protect Canadians from this deadly pandemic that they failed to properly criticize governments failures in doing so. Not that there was no rational criticism, but what there was was overwhelmed by the Freedumb Convoy Shitshow.

The biggest failure was in not being prepared, even though scientists and public health officials had predicted that pandemics would be commonplace in the future, along with not following the precautionary principle and treating it as airborne until that could be completely ruled out.

But the most egregious, and I would say unforgivable decision, was to not utilize the front line of our health care system, but rather shutting down the vast majority of family physicians’ offices pushing an even greater workload onto the overwhelmed hospital system. This was either complete negligence on the part of the health care system or a clear indication we don’t actually have a health care system but just a bunch of disconnected parts.

As far as messaging goes, we had the use of the language “social distancing” rather than “physical distancing” at a time when maintaining social connections was critical to people’s mental health. Along with that error in messaging was the message to stay inside, rather than stay away from other people, at a time when getting outdoors (with appropriate precautions) could be critical people’s mental health.

However, in the long run, if only coincidental, there is some truth to the arguments for “no more lockdowns” and “we have to learn to live with the pandemic”.

If and when pandemics become a normal part of our reality we will indeed have to learn to live with them and it will not be sustainable to completely shut down our economy and society everytime they occur. Shutdowns or lockdowns, whatever you want to call them, will have to only occur rarely and for short periods when necessary to get an initial grasp of what is happening. And they will of necessity have to be political decisions.

But living with pandemics does not mean ignoring them. It means taking necessary precautions, such as physical distancing, masking with high quality masks, extensive vaccination programs, and, at times, restricting the highest risk activities such as large indoor gatherings of people packed closely together for long periods, methods that have been proven to work and reduce the incidence and seriousness of the outbreaks and most of all save lives.

But most importantly it means being prepared beforehand.

The first step in being prepared is having a primary care system where everyone has access to a primary care physician. In Ontario everyone does not have access to a primary care physician so we urgently need to drain more family doctors, fast track the approval of foreign trained doctors to work in Ontario and increase immigration and training of doctors from abroad, along with increasing the number of nurse practitioners available. And, of course, not shutting the primary care system down during a public health emergency.

We also need to have a hospital system that is not running at over 100% of capacity during the best of times. How do we build in excess capacity without it being inefficient. By using that excess capacity. As it is now so-called elective surgery is ridiculously backlogged. But this elective surgery is not elective at all. What we call elective surgery is surgery for non-life threatening conditions. Knee and hip replacements, eye surgery and many other so called elective surgeries may not be life saving but they certainly can be life changing for many patients for whom they make life worth living again. We can then, in the case of a public health emergency, divert that capacity to save more lives during a future pandemic. Purpose built publicly funded and operated specialty clinics can be part of that solution, and can be used to treat pandemic patients separate from hospitals, reducing the risk of infecting patients in the general hospital population.

And, though it need not be said, when the problem is the lack of doctors and nurses adding profit into the system is not going to solve the problem, only add unnecessary costs.

It also should not have to be said that the lives of vulnerable elderly persons should not be routinely sacrificed to ensure the profit margins of private long-term care facilities, creating a situation where those needless deaths increase exponentially during a pandemic. Being prepared for future pandemics requires that all health care should be publicly funded and operated. Private profit has no place in health care because that profit always has to come at the expense of patient care.

The other need for preparedness is economic. During the COVID pandemic the government scrambled to implement makeshift assistance programs for those economically impacted by the pandemic, and though it helped many it was a very messy solution. What we need is a permanent solution that will not only deal with public health emergencies but also with the economic disruptions of a transition from a fossil fuels based economy to a sustainable energy based economy. What we need is a guaranteed basic income along with a fair progressive taxation system.

There is no justification for not being prepared for the next pandemic.

2022-04-13

Now Comes The Necessary Part Ontario Edition

Nevertheless, and irrregardless of and notwithstanding that federal-provincial jurisdiction exists the actions that are necessary for the next Ontario government to take are the same as those the newly elected federal government needs to take. It’s the same electorate and the same Canadians and the same solutions that are required.

To that end I am simply annotating my recent blog post to establish its relevancy to the Ontario election.


Now Comes The Necessary Part

We can argue all we want over whether the election was necessary but what is definitely necessary is the government tackling the pressing issues of the day, issues that have been pressing for decades and in some cases since before Confederation.

Indigenous Reconciliation

This is clearly an area where the primary jurisdiction is federal but that does not change the fact that both the federal and provincial Crowns have been responsible for the encroachment on First Nation's Lands and the denial of their inherent rights. The Ontario government has a clear role to play in reconciliation, along with the people of the province.

The longest standing issue in Canadian political history is the plight (struggled over what language to use here) of the original inhabitants of North America and the effects of European “discovery” and colonization.

[Side note: I often think the dictionary should define “discover” as “stumble upon”.]

The recent discovery of 150 (latest count Canada wide 6,000 and growing) unmarked graves at an Indian Residential School in British Columbia has focused Canadians thoughts on the treatment of North America’s indigenous peoples from unfairly negotiated treaties to the lack of clean drinking water on reserves.

People are finally realizing that it was not simply a problem of a few bad people abusing a few children in a few schools but a systemic policy of cultural genocide (“take the Indian out of the Indian”) seen as, in the words of the Indian Affairs Department, the “final solution to the Indian problem”. The facilities included such high levels of neglect and abuse that the likelihood of dying in an Indian Residential School was slightly higher than the likelihood of dying as a soldier in World War II.

Of course the term school for these facilities is inappropriate. Schools have graduates, not survivors.

It is no wonder there are problems in indigenous communities when the destruction of indigenous families and culture was government policy for so long.

Governments have committed themselves to reconciliation but what will that be. From my euro-centric viewpoint I would see it as a new social contract between Indigenous Peoples and the rest of Canada, something that will have to be achieved by consensus. But it will be up to Indigenous communities to decide when reconciliation has been achieved as they are the only ones capable of judging that.

[Another side note: Until then the flags should stay down.]

Health Care

Health care is an area where the primary responsibility is provincial. Indeed the national health care program we have now was pioneered by Saskatchewan under provincial jurisdiction. There is nothing beyond political will preventing the new Ontario government from implementing the measures cited below as an example to the rest of Canada.

Public health care, or Medicare as we Canadians call it, was first implemented in Saskatchewan in the form of hospital coverage in 1947, followed by full health care coverage following the 1960 provincial election. Federally the Medical Care Act was passed in 1968, followed by the Canada Health Act in 1984 which affirmed and clarified five founding principles: public administration, comprehensiveness, universality, portability and accessibility.

However in the over 50 years since then the system has stagnated, indeed it has gone backwards with the federal level of funding decreasing over time. We need to finish building the system and we cannot wait another 50 years to do it incrementally. The government must act now to extend the system to include:

- at least 50% federal funding

- a family doctor for every Canadian

- full mental health care, including psychology services where medically necessary

- full long term care for those requiring residential care

- full prescription drug coverage

- full eye care coverage

- full dental care coverage

- full physiotherapy coverage where medically required

Climate Change

Combating climate change will require a myriad of policy decisions that involve both federal and provincial governments, The new Ontario government must move to address this in the areas under it's jurisdiction.

The first warnings of climate change and it’s effects were noted over 50 years ago and the warnings have become more dire year after year with governments responding with lots of promises but little real action. The irony of all this delay is that the longer we wait to act, the more drastic actions we have to take to respond to this crisis. Those against taking drastic measures should have been calling for us to take action sooner rather than arguing against taking action at all.

The idea of starting new fossil fuel projects at a time when we need to start phasing out fossil fuels is simply ridiculous yet it is treated as a serious option in industry and government circles. How drastic to we want the measures to have to be when we finally realize we have to take action before it is too late.

From an economic point of view there are a tremendous number of opportunities available in the renewable energy sector. Call it whatever you want but the concept of a Green New Deal may be the economic and environmental salvation of our future.

Inequality & Under-taxation

Inequality requires tackling the problem at both ends. At the bottom we need to bring workers income and wealth up. As most workers and jobs fall under provincial jurisdiction it is clearly the Ontario government’s responsibility to increase minimum wages and employment standards, the most important being to make it easier for all workers, especially those in the so-called “gig economy”, to unionize. Also it is well within the province’s jurisdiction to establish a guaranteed basic income to eliminate poverty.

At the other end of the scale, the overpaid and overwealthed, the province has all of the tax measures available to them that the federal government has to redistribute income. To the extent that the income tax system is harmonized with the federal system the province always has the option to do as Quebec has and separate it’s income tax system from the federal one.

Ever since the creation of capitalism there has been inequality because the system is designed to create and reward inequality.

However I have to say that during my lifetime (since the 1950s) it has become noticeably worse. One factor is that the wealthy capitalists have moved the means of production to low wage countries so that their portion of the rewards of labour has increased, while the jobs left behind in North America are lower wage jobs.

They have invented a whole new sector of the economy based on piece-work to avoid paying the existing minimum wages or providing employee benefits and they give it a snazzy sounding name, the gig economy, to try to convince people they are freeing them from wage drudgery and letting them be their own boss when in reality the corporation has more control over them than if they were unionized wage workers.

At the same time the taxation of corporations and the wealthy has declined, partly in response to corporate blackmail threatening to take more jobs elsewhere if they are forced to pay fair levels of taxation.

It is also because wealth equals political power and excessive wealth equals excessive political power and that power is used to enact polices that favour the wealthy.

Governments need to enact policies that are actually designed to serve working people and dedicated to their well being, policies that will counter inequality and under-taxation.

Let us start with decent minimum wages and labour laws designed to encourage and assist workers in organizing unions. Minimum wages should not be designed to keep workers just above the poverty line but designed to provide workers with a middle class income. Our economy has the money to do that it just requires a little redistribution from those with excessive wealth to the people that actually produce that wealth.

We also need a guaranteed basic income for those that for whatever reason are unable to be employed at any particular time.

We can increase employment by redistributing money from the private sector to the public sector via a tax on excessive income and wealth to provide jobs building public infrastructure and affordable housing for everyone.

As for taxation, we can start by raising the level at which people start paying income taxes and increase the amount of tax paid in the higher marginal tax brackets. We also need dedicated taxes on excessive levels of income and wealth. I would tax away all excessive income (above $1,000,000 annually and all excessive wealth (above $100,000,000) but I do not expect any government to go near that. However that leaves a huge amount of room for a wealth tax that will have little practical impact on the standard of living of the excessively wealth while providing great benefit to the common good.

This is not in any way proposed as a punishment but just a means for them to create a better country/world with no impact on their personal well being.

Electoral Reform

Ontario and the federal government currently share the same Single Member Plurality (SMP) electoral system. Both need to change. There is no reason Ontario cannot act first and set an example for the federal government and the other provinces.

Winston Churchill is often quoted as saying “democracy is the worst form of Government except for all those other forms”.

Ever since democracy (“rule of the people” in Greek) was invented by they Greeks we have been looking for ways to make it less worst.

[Yet another side note: My Eurocentric education tells me democracy was invented by the Greeks but I would not be surprised if forms of democracy were being used in non-European cultures before then.]

The key to any democracy is the electoral system, how the people actually select the people to represent them in government.

The system we use now is Single Member Plurality (SMP), more often referred to as First Past The Post (FPTP), an objectively silly name. In Single Member Plurality systems the country (or other jurisdiction) is broken into constituencies and each constituency chooses a representative to send to the legislature. Whichever candidate receives the most votes becomes that representative. We use the term plurality because the candidate does not have to receive a majority of votes cast, just more than any other candidate.

The main benefit of SMP is that voters elect local representatives.

The main drawback is the elected candidates could possibly be the last choice of more voters than they are the first choice. Also theoretically a party could elect 100% of MPs with less than 50% of the total votes, though in practice a typical result may be more like 60% of MPs with 40% of the votes.

There are two main proposals to replace this system: Ranked Ballots (preferred by the Liberals but not in their platform) and Mixed Member Proportional (proposed by the NDP in their platform).

Ranked Ballots solves one of the problems of SMP in that it avoids the last choice of a majority of voters being elected as MPs or forming a government. It however will likely create an even less representative House of Commons based on voters first choice party preferences.

Under Mixed Member Proportional (MMP) a majority of Members of Parliament are elected in the same manner as SMP to represent defined constituencies. Then an additional number are selected from party lists in order to balance the percentage of MPs from each party with the percentage of total votes received by each party (often referred to as the “popular vote”) to form a House of Commons representative of the views of the total population. Under MMP there is usually a threshold of percentage of total vote required to be allotted seats, often 5%, to avoid radical fringe groups having representation. However if that threshold is met a party receives representation. But is not representation of all voters what democracy is about.

One of the main criticisms of MMP is that it is unlikely to provide one party majority governments (unless a majority of voters support one party). But is that not what democracy is supposed to provide, a legislature that reflects the will of the people. Would we not be better off if parties learned to work together for the common good rather than simply engaging in political posturing. By reducing the power of a single party in government you reduce the power of a single person (the majority party leader), and perhaps get back to actual representative government rather than the trend of effectively electing (even if indirectly) a dictator to rule over Parliament.

Changing our electoral system to a more democratic one, MMP, is the most important thing the government can do.

Conclusion

These are not the only issues of importance but ones that have not been properly addressed over decades and more. We need the political will to address them all now without the excuse that the solutions need to be implemented incrementally.

Both the federal and the new Ontario government need to act urgently on these priorities.

2022-01-15

Intuitive Lessons from The Pandemic – A Fantasy

This post is not based on comprehensive research or particular expertise on my part. Rather it is more what we would have called “common sense” before Mike Harris completely destroyed the meaning of the phrase.

We start off with the most obvious. We need a public health care system that is not overloaded to begin with. We can solve two problems here, provide pandemic readiness and provide timely life enhancing health care. We currently provide timely care for life threatening situations like cancer, heart surgery and emergency trauma but have created an artificial class of so called “elective surgery” we consider to be of lesser importance. This includes things like hip and knee surgery and replacements and many other types of health care that are necessary to allow people to live fulfilling lives. Health care is much more than preventing premature deaths. If we provided the necessary resources to provide all necessary health care without unreasonable wait times we would have the capacity to deal with a pandemic without putting peoples lives at risk.

Equally obvious is the need to bring long term care into the public health care system. Before the pandemic the horror stories of private long term care were well known even if the body counts were not as inexcusable as they became with the pandemic meeting the profit motive.

And still looking at the health care system, why did doctors offices shut down or become virtual during the pandemic when they should have been part of the response to it. Family physicians provide the first source of diagnosis for many serious illnesses like heart disease and cancer where early detection can be a matter of life and death. The system may respond quickly when these diseases are diagnosed but it does not respond at all when they are not detected. And why was the network of family physicians not used for pandemic testing and vaccinations.

And what of government policies. The big thing we got right was vaccines. In comparison to some jurisdictions to the south of us, all jurisdictions understand the importance and effectiveness of vaccines. The federal government did an admirable job of making vaccines available to the provinces and the provinces did a decent job in administering them. The main things Ontario could have done better was utilizing doctors offices and the school system to more efficiently get vaccines to the public.

As to the timely and appropriate response to the threat that is where we could have done better. We knew it was coming but we didn’t know what it would be like so it was a learning process. There is lots to criticize in hindsight but more importantly is learning going forward.

The biggest lesson was that internationally jurisdictions that put public health first and took strong, even drastic, measures quickly were able to get out of it faster than those that took half measures being more concerned with protecting the so-called economy than the public’s health. Having a provincial leader that considered himself a “businessman first” and by implication a Premier second did not help. We are still stumbling through in Ontario.

What is saving us is our sense of community. This works on two levels. On the personal level, it means in our personal behaviour, such as distancing, mask wearing and getting vaccinated, we base our decisions not just on what will keep us safe but also on what will keep our neighbours safe. This has made the big difference on how Canada has fared, compared to the United States, who arguably had better resources available to fight the pandemic.

The other level is the collective level, our collective actions taken together through our governments.

Here we are talking about three levels of government, federal, provincial and local, sometimes with differing philosophies and priorities. We really need to find a way to make federalism work better in these sorts of, not just national but international emergencies, climate change being another example.

If the pandemic has shown us anything is that individual action cannot replace collective action, and some things are just done better by acting collectively rather than acting individually. This is where we need to do better, particularly by strengthening our health care system and providing social supports. We are not financially prepared for the next pandemic because the political parties in power have chosen to go down the populist road of under-taxation thinking that would buy them votes. This is perhaps the most disastrous public policy position of the last half century.

Fortunately, because of that trend, there is substantial room to increase taxes to fill the void, particularly on that portion of the population that are excessively wealthy and under-taxed. This is a group in society that actually stands to gain more from collective spending by government than they can from individual spending by themselves. There is only so much you can spend on a wealthy lifestyle and the benefits of a better society far outweigh the benefits of people who have everything buying more everything for themselves.

We can be better prepared next time, and there will be a next time, but only if we choose to.

And the fantasy part – the belief that those in power will actually choose to learn these lessons and implement the necessary measures.

2021-09-24

Now Comes The Necessary Part

 We can argue all we want over whether the election was necessary but what is definitely necessary is the government tackling the pressing issues of the day, issues that have been pressing for decades and in some cases since before Confederation.

Indigenous Reconciliation

The longest standing issue in Canadian political history is the plight (struggled over what language to use here) of the original inhabitants of North America and the effects of European “discovery” and colonization.

[Side note: I often think the dictionary should define “discover” as “stumble upon”.]

The recent discovery of 150 (latest count Canada wide 6,000 and growing) unmarked graves at an Indian Residential School in British Columbia has focused Canadians thoughts on the treatment of North America’s indigenous peoples from unfairly negotiated treaties to the lack of clean drinking water on reserves.

People are finally realizing that it was not simply a problem of a few bad people abusing a few children in a few schools but a systemic policy of cultural genocide (“take the Indian out of the Indian”) seen as, in the words of the Indian Affairs Department, the “final solution to the Indian problem”. The facilities included such high levels of neglect and abuse that the likelihood of dying in an Indian Residential School was slightly higher than the likelihood of dying as a soldier in World War II.

Of course the term school for these facilities is inappropriate. Schools have graduates, not survivors.

It is no wonder there are problems in indigenous communities when the destruction of indigenous families and culture was government policy for so long.

Governments have committed themselves to reconciliation but what will that be. From my euro-centric viewpoint I would see it as a new social contract between Indigenous Peoples and the rest of Canada, something that will have to be achieved by consensus. But it will be up to Indigenous communities to decide when reconciliation has been achieved as they are the only ones capable of judging that.

[Another side note: Until then the flags should stay down.]

Health Care

Public health care, or Medicare as we Canadians call it, was first implemented in Saskatchewan in the form of hospital coverage in 1947, followed by full health care coverage following the 1960 provincial election. Federally the Medical Care Act was passed in 1968, followed by the Canada Health Act in 1984 which affirmed and clarified five founding principles: public administration, comprehensiveness, universality, portability and accessibility.

However in the over 50 years since then the system has stagnated, indeed it has gone backwards with the federal level of funding decreasing over time. We need to finish building the system and we cannot wait another 50 years to do it incrementally. The government must act now to extend the system to include:

- at least 50% federal funding

- a family doctor for every Canadian

- full mental health care, including psychology services where medically necessary

- full long term care for those requiring residential care

- full prescription drug coverage

- full eye care coverage

- full dental care coverage

- full physiotherapy coverage where medically required

Climate Change

The first warnings of climate change and it’s effects were noted over 50 years ago and the warnings have become more dire year after year with governments responding with lots of promises but little real action. The irony of all this delay is that the longer we wait to act, the more drastic actions we have to take to respond to this crisis. Those against taking drastic measures should have been calling for us to take action sooner rather than arguing against taking action at all.

The idea of starting new fossil fuel projects at a time when we need to start phasing out fossil fuels is simply ridiculous yet it is treated as a serious option in industry and government circles. How drastic to we want the measures to have to be when we finally realize we have to take action before it is too late.

From an economic point of view there are a tremendous number of opportunities available in the renewable energy sector. Call it whatever you want but the concept of a Green New Deal may be the economic and environmental salvation of our future.

Inequality & Under-taxation

Ever since the creation of capitalism there has been inequality because the system is designed to create and reward inequality.

However I have to say that during my lifetime (since the 1950s) it has become noticeably worse. One factor is that the wealthy capitalists have moved the means of production to low wage countries so that their portion of the rewards of labour has increased, while the jobs left behind in North America are lower wage jobs.

They have invented a whole new sector of the economy based on piece-work to avoid paying the existing minimum wages or providing employee benefits and they give it a snazzy sounding name, the gig economy, to try to convince people they are freeing them from wage drudgery and letting them be their own boss when in reality the corporation has more control over them than if they were unionized wage workers.

At the same time the taxation of corporations and the wealthy has declined, partly in response to corporate blackmail threatening to take more jobs elsewhere if they are forced to pay fair levels of taxation.

It is also because wealth equals political power and excessive wealth equals excessive political power and that power is used to enact polices that favour the wealthy.

Governments need to enact policies that are actually designed to serve working people and dedicated to their well being, policies that will counter inequality and under-taxation.

Let us start with decent minimum wages and labour laws designed to encourage and assist workers in organizing unions. Minimum wages should not be designed to keep workers just above the poverty line but designed to provide workers with a middle class income. Our economy has the money to do that it just requires a little redistribution from those with excessive wealth to the people that actually produce that wealth.

We also need a guaranteed basic income for those that for whatever reason are unable to be employed at any particular time.

We can increase employment by redistributing money from the private sector to the public sector via a tax on excessive income and wealth to provide jobs building public infrastructure and affordable housing for everyone.

As for taxation, we can start by raising the level at which people start paying income taxes and increase the amount of tax paid in the higher marginal tax brackets. We also need dedicated taxes on excessive levels of income and wealth. I would tax away all excessive income (above $1,000,000 annually and all excessive wealth (above $100,000,000) but I do not expect any government to go near that. However that leaves a huge amount of room for a wealth tax that will have little practical impact on the standard of living of the excessively wealth while providing great benefit to the common good.

This is not in any way proposed as a punishment but just a means for them to create a better country/world with no impact on their personal well being.

Electoral Reform

Winston Churchill is often quoted as saying “democracy is the worst form of Government except for all those other forms”.

Ever since democracy (“rule of the people” in Greek) was invented by they Greeks we have been looking for ways to make it less worst.

[Yet another side note: My Eurocentric education tells me democracy was invented by the Greeks but I would not be surprised if forms of democracy were being used in non-European cultures before then.]

The key to any democracy is the electoral system, how the people actually select the people to represent them in government.

The system we use now is Single Member Plurality (SMP), more often referred to as First Past The Post (FPTP), an objectively silly name. In Single Member Plurality systems the country (or other jurisdiction) is broken into constituencies and each constituency chooses a representative to send to the legislature. Whichever candidate receives the most votes becomes that representative. We use the term plurality because the candidate does not have to receive a majority of votes cast, just more than any other candidate.

The main benefit of SMP is that voters elect local representatives.

The main drawback is the elected candidates could possibly be the last choice of more voters than they are the first choice. Also theoretically a party could elect 100% of MPs with less than 50% of the total votes, though in practice a typical result may be more like 60% of MPs with 40% of the votes.

There are two main proposals to replace this system: Ranked Ballots (preferred by the Liberals but not in their platform) and Mixed Member Proportional (proposed by the NDP in their platform).

Ranked Ballots solves one of the problems of SMP in that it avoids the last choice of a majority of voters being elected as MPs or forming a government. It however will likely create an even less representative House of Commons based on voters first choice party preferences.

Under Mixed Member Proportional (MMP) a majority of Members of Parliament are elected in the same manner as SMP to represent defined constituencies. Then an additional number are selected from party lists in order to balance the percentage of MPs from each party with the percentage of total votes received by each party (often referred to as the “popular vote”) to form a House of Commons representative of the views of the total population. Under MMP there is usually a threshold of percentage of total vote required to be allotted seats, often 5%, to avoid radical fringe groups having representation. However if that threshold is met a party receives representation. But is not representation of all voters what democracy is about.

One of the main criticisms of MMP is that it is unlikely to provide one party majority governments (unless a majority of voters support one party). But is that not what democracy is supposed to provide, a legislature that reflects the will of the people. Would we not be better off if parties learned to work together for the common good rather than simply engaging in political posturing. By reducing the power of a single party in government you reduce the power of a single person (the majority party leader), and perhaps get back to actual representative government rather than the trend of effectively electing (even if indirectly) a dictator to rule over Parliament.

Changing our electoral system to a more democratic one, MMP, is the most important thing the government can do.

Conclusion

These are not the only issues of importance but ones that have not been properly addressed over decades and more. We need the political will to address them all now without the excuse that the solutions need to be implemented incrementally.

2020-09-04

Is Charity Evil

We supposedly live in a major developed industrialized country which is one of the seven most advanced economies in the world, yet:

many people depend on charity to be fed and not starve,

many people depend on charity for a place to sleep so they do not freeze to death in winter,

many people depend on charity to have a place to stay to protect them from being killed by their domestic partners,

despite our so-called public health care system we depend on charity to fund major medical research and many of our public hospital are in permanent fund raising mode to provide the beds and equipment they need to provide that care,

even our public education system depends on charitable fund raising to provide such basic amenities as library books, as well as extra programs, leading to a class-based public education system depending on the wealth of the neighbourhoods schools are located,

and the list goes on and on.

Do we not have a social responsibility to provide these basic human rights to our citizens. Should we not be funding these basic human rights collectively through a progressive tax system.

Who really benefits from charity.

Certainly corporations use charitable donations not just for tax benefits but for brand image enhancement. The wealthy use it not just as a method of tax management but also personal promotion. But it no doubt also provides a way of easing one's guilt for one's greed.

What would it be like for society if instead of making tax deductible charitable donations corporations paid all their employees a living wage. What would it be like for society if instead of making tax deductible charitable donations the wealthy paid their fare share of taxes, including a wealth tax.

What would it be like if we did not need charity because we fully funded a complete public health care and education system from a progressive tax system where everybody paid their fair share.

What would it be like if we eliminated the need for charity by establishing a minimum wage and a guaranteed basic income that allowed everyone to have a decent standard of living.

What would it be like if we did not have charity because we didn't need charity because we recognized as a society that everyone had the right to a decent quality of life.

What is the role of government if not to ensure citizens have a decent quality of life.

Does charity enable government to shirk that responsibility.

Is charity evil.

2020-08-31

Lessons We Must Learn From COVID-19 to Build a Better Society

Community is the key to the future. Those societies that are fairing best in responding to COVID 19 are those with a strong sense of community. America's dismal response is not just because of Trump, but also due to the country's overemphasis on individualism over community.

Our public health care system, part of our collective sense of community, was key to our response. It made our ability to control the outbreak possible. But it is still flawed and could not respond was well as it should have because it is underfunded and incomplete. We saw that particularly in the for profit long term care sector, measured in body counts. We must complete the system by extending it to prescription drugs, vision and dental care and most importantly long term care of the elderly and home care. We must eliminate profit from the provision of health care so that patient care and profits are never competing for funds. Most importantly we must realize that health is the most important priority for everyone and under-funding health care in order to promise lower taxes is in nobody's best interest.

Our economic safety net was the next most important factor in our successful response. Unfortunately we did not have a proper system in place to respond and the government had to respond with a series of patchwork measures put together quickly which, while it managed to avoid the worst of our southern neighbours problems, it still left the most disadvantaged, well still disadvantaged. That series of measures, as necessary as they were, increased both the deficit and national debt because the government, that has been under-taxing the wealthy for decades, did not have the financial capability it should have.

What we needed and what we need is a basic guaranteed annual income, and not just one to keep people barely above the poverty line but one designed to provide a decent quality of life for everyone.

We say 'we are all in this together" but we clearly are not equally in this together and never will be as long as we live in a society of massive economic inequality.

We talk about groups such as seniors being more at risk but in reality the biggest risk factor with COVID 19 is economic status. Those placed at highest risk, our so-called front-line heroes, those responsible for producing and providing our food and goods, are working in cramped and unsafe conditions, along with those working in high risk long term care facilities, are the biggest group of COVID 19 victims. And these are the people most susceptible to the economic consequence of COVID 19, often living from paycheck to paycheck. A few extra dollars per hour for a few weeks is not the solution.

We must deal with the economic inequality in our society by raising incomes at the bottom and reducing them at the extreme top end. CEOs of corporations who make their profits and fortunes from minimum wage earners simply do not earn the millions of dollars per year they are paid. They are paid that because of an unequal economic and political system. We must reform our tax system so that those that can afford to pay more do and those at the bottom pay less at the same time as we reduce the gap between the bottom and the top.

We need to raise minimum wages to a level that provides a decent quality of live and use the tax system to redistribute the wealth of the excessively overpaid. We cannot build the type of community and society we need on a basis of extreme inequality.

We also cannot build the society we need without concern for the environment it lives within and without addressing the challenge of climate change.

We need to build a new society, based on community rather than individualism, if we want to meet the challenges of the future and this includes a move from more individual spending to more collective spending. Fundamental change is required if we are to survive the challenges of the future and thrive within it.

Also of Interest:



2020-02-13

On Being a “Boomer”


Generations

When I was growing up in the 1950s and onward there was not all this talk about generations that seems to have become a fascination of the last twenty years. Although I became aware of the baby boom and even the term baby boomers (now apparently just boomers), I instinctively assumed the baby boomers were the people that had the babies. It was only recently that I realized that it referred to the children and I was one of them.

Indeed the original ideas for this blog had nothing to do with boomers but was simply to recount how lucky I was to be born at this time and live through all these changes, particularly the technological ones. But since labelling us folks born during this time as boomers seems to be the in thing I thought I might as well go with the flow, thus the title of this post.

This meant at least some cursory research into generations which Wikipedia explains this way. But the first thing I learned is that these generations are simply time periods people talk about in their own ways. There are no officially defined generational periods, no consensus on what the names of these periods are and not even a consensus on how long a generation is, even within individual generational schemes. So it's a good thing I am not talking about generations but just my time on this planet.

Growing up in the 1950s and 1960s

The 1950s and 1960s, at least in northern Ontario, was a great time to grow up. It was a time when all elementary school kids could walk or bike to school because we had eight room neighbourhood schools. Yes, we didn't have proper gymnasiums or any sort of shop rooms, or even libraries, but we managed without that until high school. There were no computer rooms because there were no computers, It was a time when on weekends we could wander away wherever to play in the rocks and bush by the railroad tracks and creek and the slag dump. We could bike all over town and once I even biked all the way to our camp (cottage for you non-northerners).

Progressing into the high school period, school spirit was a big thing. Anyone from Sudbury remember the school lunch bag contests ? Music was the other big thing. School dances always featured live bands. When the bands took their breaks and records where put on everybody stopped dancing. The groups were often other high school kids. Anyone remember The Sound Expressway. Local Battle of the Bands contests were a regular affair usually emceed by one of the local DJs who were more than minor celebrities in their time. Radio was our main source of music, and calling in requests and dedications were what you did while doing your homework and listening to your favourite DJ on the radio. Remember G. Michael Cranston.

Unions and the Middle Class

One of the most important facts about this time was the role of the labour movement and the fact that the 1950s was a time when we still built things in North America. Unions enlarged the middle class from being just the professional and merchant class to include working people enabling me to have a middle class upbringing and life as the son of a hard rock miner.

Public Health Care

It was in 1947 that Medicare, as our public health care system is known, was first introduced in Saskatchewan, and it was adopted by the federal government and all provinces during the 1950s and 1960s.

Social Change

The period from 1950 until present day was a pretty good time to be a heterosexual white male Canadian of European descent. If you did not fit that category (or even if you did) it was a period of great opportunity to fight for social progress. This included the 1960s and 1970s, decades defined by battles for social change, particularly on university campuses. Laurentian University at the time was known as the Berkeley of the North, It included the civil rights movement, women's liberation movement, LGBTQ rights movement, and the adoption of multiculturalism in Canada.

From the 1950s to current day we saw a huge change in the role of women in the workforce and economy (and the role of men in the home and family) and we saw the LGBTQ community advance from being whispered about in the shadows to fully accepted members of society.

This is not to say that discrimination, bigotry, racism, misogynism, etc no longer exists but we have matured as a society to where inclusion and diversity are accepted Canadian values. We have come a long way.

The Peace Movement and The War Against The War

No discussion of the time of the baby boom generation would be complete without mentioning the struggle against the Vietnam War, the War Against The War waged during the 1960s, inspired by a long history of the Peace movement, and more particularly the late 1950s Campaign for Nuclear Disarmament. Canada played it's part as "Vietnam War resisters were welcomed as heroes in Canada" (Montreal Gazette).

It was perhaps the generation's most defining moment.

Technology

Indeed I could talk much more about social change during this period but these advances were not the original motivation for this post. Rather it was to talk about how we were so fortunate to live through this period of technological advances. Other periods of history have seen technological advances such as the printing press, industrialization, still and moving picture photography, the telegraph and radio, but never so much so fast as this era from television to the Internet, where we have in many cases surpassed science fiction.

Television

I was three years old in Sudbury when television was first available to the city. Although it was a few or several years before TV ownership became widespread enough that we had one I was old enough to remember first getting television. I guess one could call it our generation's “screen time” although we were not nearly as enamoured with it as people seem to be with “screens” these days. It was something that amused us when we were finished our homework and it was too dark to go out and play or early weekend mornings before we went to meet our friends.

But that was just the beginning. Those of us born in the 1950s would see television go through many evolutionary stages from the development of cable television with cable only channels to streaming services over the Internet. Cable and satellite television came to be dominant over broadcast TV and may soon be supplanted by Internet streaming. We may even see the complete end of traditional broadcast television in my lifetime.

And of course. the the quality of the picture has improved with the quality of the screens used to watch it. First with the introduction of colour and then flat screens replacing CRT tubes along with higher resolution images for much better picture quality.

As to content, that has evolved in two directions, while production values have improved and the amount of high quality content has increased, the multi-channel universe has created space for an increasing amount of crap (can you say reality TV) on our screens.

Computers and Personal Computers

While the history of computers can be traced back to Charles Babbage in the 1800s, the first commercial computer UNIVAC was put into service in 1951. The early commercial computers were first designed and produced to perform specific tasks for specific customers. General purpose computers came later. The programming language COBOL was develop in 1953 and Fortran in 1954. The IBM System/360 was first produced in 1964. These mainframe computers revolutionized business and industry. The revolutionizing of our personal lives would come later.

We got our first personal computer in 1981, an Osborne 1, the world's first portable computer. It was a powerful computer with a 4.0 mHz processer and 64K RAM and two 92K 5.25 inch disk drives. $2,500 Canadian with another $800 for an Epson 9 pin dot matrix printer. A huge 10 Mb hard drive was available for $10,000. But this was a powerful machine for it's time. It was usable out of the box with bundled software, including WordStar and SuperCalc, plus MBASIC and CBASIC, and the CP/M operating system, a suite of software worth the price of the computer by themselves. We also managed to acquire a cope of dBASE II.

Previous personal computers were aimed at computer hobbyists and nerds who wanted to learn about computers and programming. The Osborne 1 was one of a new group of computers designed as productivity tools. This was only the start of the personal computer revolution which soon saw ordinary people with computers more powerful than the ones that put a man on the moon sitting on their desks.

Indeed, Wordstar made writing so much easier and SuperCalc allowed for financial wizardry on the Osborne 1. But Dbase II was the most interesting and fun with it's own programming language. My first big Dbase II project was creating an Index to The Portable Companion, the magazine for users of Osborne portable computers. My most ambitious project was creating a prototype key word indexing system for Hansard, the House of Commons Debates, and a computerized voting record database, at least 10 years before the House of Commons developed their own much more powerful Publication Search system.

Our next personal computer was an IBM XT clone, that ran MS-DOS, and following that new machines about every three years till we purchased our current machine on April 12 2013, with Windows 7, now running Windows 10.

Indeed it was quite a surprise when I checked back to see when I purchased this current machine. This is a clear sign that personal computing has matured and the average user does not need any more computing power. Of course gaming is a different matter. Putting a man on the moon did not require fancy 4k video imaging and fast graphics. It just required number crunching. Which is why it required much less computing power than making a game about it. That is also why today it is home computers that need more power and capability than business machines – number crunching requires much less power than high definition video.

But yet we may be soon coming full circle to the pre-home computing days when computing involved dumb terminals connected to main frames. The tech industry seems to want to go that way with all your applications and even personal data storage in the amorphous “cloud“ (a network server somewhere), somewhere in the great unknown.

Computer Networks from BBSs to the Internet

But home computers were not just for nerds sitting at home looking at a screen and writing programs. The first home computers soon led to computing networks that were the forerunner of the internet, computer Bulletin Board Systems (BBSs) that allowed users to to share their knowledge via discussion forums and also share software via download capability. I used at least one BBS to share my index of The Portable Companion. Surprisingly, they still exist .

However they were replaced to a certain degree by larger proprietary online service providers like CompuServe, AOL and Prodigy. These systems provided information services, online forums, messaging services, downloadable files and programs, etc.. They were the forerunner to the Internet but they were proprietary corporate systems. They were very much like Facebook except it was very clear how you paid for access, with a monetary subscription fee. They died off, essentially by transforming themselves into Internet Service Providers (ISPs) as users embraced the open Internet, preferring that to getting all their online information from one commercial source (until Facebook).

Then came the The Internet but it was not accessible to the general public until Free-nets provided that access.

The word mark Free-Net was a registered trademark of the National Public Telecomputing Network (NPTN), founded in 1989 by Tom Grundner at Case Western Reserve University. NPTN was a non-profit organization dedicated to establishing and developing, free, public access, digital information and communication services for the general public.[4] It closed operations in 1996, filing for Chapter 7 bankruptcy.[5] However, prior use of the term created some conflicts.[6] NPTN distributed the software package FreePort, developed at Case Western Reserve, that was used and licensed by many of the free-net sites.

Any person with a personal computer, or through access from public terminal in libraries, could register for accounts on a free-net, and was assigned an email address. Other services often included Usenet newsgroups, chat rooms, IRC, telnet, and archives of community information, delivered either with text-based Gopher software or later the World-Wide Web. (Source: Free-net - Wikipedia )

In Ottawa it was the National Capital FreeNet (NCF) that provided the public with not only access to the Internet of the time but also access to e-mail, which started a communications revolution of it's own. The free-nets also provided a way for community organizations to reach the public, not only in their home communities but internationally as the free-nets were all inter-connected via the Internet. At this time the Internet was completely non-corporate and there was a huge debate, the conclusion of which was clearly predictable though not so obvious at the time, about whether corporations should have access to the Internet. It would certainly be different if that had gone the other way.

At the start of the free-nets the World Wide Web had not been developed so the FreePort menu system provided the accessibility that would later be provided by the web.

As an early member of the NCF, user ab190, I was also one of it's first “information providers” operating an information service for the Bridlewood Residents Hydro Line Committee on FreePort which later became the Bridlewood Electromagnetic Fields Information Service on the World Wide Web. It was one of and possibly the first NCF information services to move from Freeport to the Web. One of my proudest moments was when the World Health Organization (WHO) linked to the Bridlewood Electromagnetic Fields Information Service.

I took it offline when I stopped updating it but the Bridlewood Electromagnetic Fields (EMFs) Information Service is available on a mirror site provided by The Swedish Association for the Electro HyperSensitive - www.feb.se (FEB Sweden), in it's final state.

When the Internet became easily available via high speed broadband through DSL or Cable Internet the need for the free-nets disappeared, though many, like the National Capital Freenet became non-commercial Internet Service Providers (ISPs) aimed at making the Internet available to as many people as possible.

Communications Replaces Computing

With the Internet computers became as much a communications tool as a data, word and image processing tool and newer technologies to come would lead to a dominance of communications over computing in our electronic devices. Telephones (nobody calls them that anymore) would be marketed for their photographic capabilities and voice conversations would be their least important use.

And it all started with Agent 86 and his shoe phone. Once the purview of science fiction now it seems every ten year old has a compact portable videophone that is rarely used for making phone calls. Desktop computers are the rare purview of computer gamers and purists like me who prefer a larger screen and a desk to sit at to do my computing which still includes not just communication but a lot of writing and some photo processing. For most people laptop or notebook computers have replaced the standard desktop and some folks just rely on the new fangled tablets, for their entertainment, information and communications needs.

The smartphone has replaced the personal computer as the electronic device of choice and it may only be a matter of time until the smartwatch (which may even include a minor timekeeping function) will replace that.

Smart homes

Smart homes are the latest tech trend. Well actually not so new as the first article cited below points out: 'In 1975, the first general purpose home automation network technology, X10, was developed. It is a communication protocol for electronic devices.“

I certainly recall many years ago homes being built pre-wired with Ethernet (and sometimes also Coaxial) cable for home networking. The individual components like programmable home thermostats and video monitoring systems accessible from the Internet and of course remote controlled lighting systems just to mention a few have been available for quite awhile.

What is new is the use of voice commands yelled at tabletop orbs as the hub of smart home controls. In reality I doubt any serious smart home will be controlled that way. It will much more likely be via a dedicated control panel that is probably also accessible on a computer or tablet, perhaps even smartphone or watch via the Internet.

Smart home resources





Conclusion

This period since the birth of the baby boomers has certainly been one of technological change, though not all of it progress. While much of the world still lives in abject poverty another portion lives in relative wealth, some absurdly so. I have not mentioned all of the technological “wonders” the age has bestowed upon us, some of them just plain silly like electric plug in air fresheners and refrigerators that talk to your milk cartons so they can order new milk when you run out. My “favourite” misuse of technology are automobiles now being marketed, not for having the best engines or transmissions, but the best “infotainment system”.

Being a baby boomer is about living through change.

Postscript

I started talking about the gains made by the working class through the union movement during the baby boom years (1946-1964), gains we can actually thank the previous generations, including the so-called Silent Generation, for. They may have been silent but they were very active having been responsible for much of labour and civil rights movements and having built a more equal society.

That society has over the years become increasingly unequal, not only between the developed and third world but also within the so called developed world, with the latest generations, the so-called Millennials and Generation Z, becoming perhaps the first in recorded history to be worse off economically than the previous generations (except for a select few who control the economic system, what one might call the means of production). Their challenge is perhaps the greatest, to build a truly just and sustainable society, one that I discuss here: THE FIFTH COLUMN: Towards a Green Social Democratic Economy.