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Premier Doug Ford's Ontario

I think this one was just an English program. I'm all for studying abroad to pick up a second language, but these students were pure gravy for Seneca College.
 
I think this one was just an English program. I'm all for studying abroad to pick up a second language, but these students were pure gravy for Seneca College.
If you remove the work permit and pathway to citizenship the enrollment would drop to near zero, which tells you all you need to know.
 
Back when we still had to drive around receding glaciers, I started at Seneca at Yonge and Sheppard then moved to Newnham (Finch). Phase 1 only. No DVP - still Woodbine Ave.

Had the glacier receded north of Steeles yet?
 
Had the glacier receded north of Steeles yet?
Just barely, but I do recall that if you stood just north of Steeles on Yonge - about where the CN crosses, you could see the church spires in Richmond Hill, and mostly just green in between. I hung around with guys who lived in Markham and it was a small town centred on Hwys 7 and 48, running north for a few blocks. One guy's parents moved to Mount Albert and that was a serious road trip.
 
It's rage farming! I don't mind the tuition rebate/waiver for those that choose to practice family medicine.

In respect of medical schools and tuition, it would be my preference to:

a) re-regulate all graduate/professional tuitions in the province and set them as the same rate at the regulated under-graduate rate. (~$6,125) or so.

b) On top of the above number students are generally hit with a raft of ancillary costs that include fees for libraries, recreation, student unions, assorted capital project and other levies as well as mandatory transit passes and supplementary health insurance. I strongly favour the province increasing post-secondary grants for library and recreation services being included in existing tuition numbers. I would like to see universal health insurance for prescription drugs and dental, ultimately for everyone, but lets start with those 24 and under, and then, generally, supplementary coverage would not be necessary though university (for a domestic student).

c) For students from a low income background (we could pick w/e cut-off, but lets go with the bottom 2 income quintiles) tuition would be waived for the bottom group and discounted 50% for the second.
There are other ways I would prefer to address universal access to post-secondary education but I see the above as the most pragmatic scheme for the times.

***

Getting doctors/nurses to practice in under-served areas seems to work best when:

a) They go to school an in an under-served area and have their residency in same. Now, we can't go offer medical school at every small, rural uni-campus.
But what we could do is beef up those offers at Lakehead/Laurentian in Thunder Bay and Sudbury respectively, funding more spots, more residence placements and ensuring a greater range of healthcare experiences on offer by extending more specialty equipment and services out side the GTA/Ottawa and London.

b) We know that having a basic suite of capabilities is key to attracting/retaining doctors in small/remote hospitals. One of biggest indicators is availability of a CT scanner as this is a critical device in assessing stroke, and how to treat it, and small town hospitals tends to be 'emergency intervention', 'simple injuries/prescriptions', low-risk births and some rehab/ and palliative care.

If you don't have the technical capability to do your job, you're more likely to avoid working at hospital 'x'.

c) We know that in family medicine, group practices that generally shift away from the fee-for-service model work much better in such settings. A key driver is that remote/rural doctors often feel unable to ever take a vacation as they require another doctor to cover them, or they may leave their community with no doctor. Additionally, in the traditional fee-for-service model, there is no vacation pay as such. Group practices allow for scheduled vacations, for coverage when you need time off as a doctor, for not being on call 24/7, and some stability in pay.

I'd rather look at the above as opposed to rebates or one-time payoffs.

However, there needs to be a large overhaul of how physicians are compensated. So much time, energy, and expense goes to paperwork and administration.

See above for most of my commentary, but I would say, in an urban-setting I think there's a bit more room for blending fee-for-service in, in part, in order to incent doctors to take on difficult/complex patients or to carry out procedures that may be unpleasant to perform or to push on a patient, but medically necessary.
 
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I come from a small town and attracting doctors and keeping them is a continuous source of discussion.
A big issue is that small towns often are not investing in the types of things that appeal to people starting out their careers, and some have no intention of doing so due to the retiree voter base not wanting change.
Changes to funding for smaller towns would help, but at least where I'm from, there is a cycle of young people coming in, trying to bring positive change, and being run out.
 
The Fall Economic Statement is out.

I think pretty much everything of significance was leaked by the government over the last week or two.

But if anyone would like to check if I missed something, here's all 197 pages for you; Enjoy!:


* I did make a couple of small notes; the deficit for the current year is lower than projected, even after the 3.2B rebate cheques.

But based on projected revenues/expenses, were it not for the rebate, we would be very close to balance next year, instead of in 2026

* LCBO revenues are actually up thus far this year, but are expected to fall slightly in each of the next two years.

In general, the LCBO will recover a lot of lost retail profit in the form of wholesale profit; but there is some injury at the margins.
 
The Globe and Mail Editorial Board out with a scathing take on the Economic Statement and the Ford Government's choices as to how to spend some unexpected revenues.........


From the above:

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While I would not endorse options b or c above, I do agree they'd still be more sensible than option f (what the government has chosen)
 
Eglinton—Lawrence PC MPP Robin Martin announced she's not running for re-election. The Liberals finished a close second in the riding in 2022, and have nominated ex-Paul Martin/John Tory staffer Vince Gasparro as their candidate for the next election.
 
While I would not endorse options b or c above, I do agree they'd still be more sensible than option f (what the government has chosen)

Building shelters and supportive housing, repairing schools, expediting transit construction, properly funding post-secondary institutions, etc. etc.
 
Though I am not sure that giving rebates on all residential hydro usage is a good practice, it does clearly benefit consumers. This change in the rebate just came to my attention:

Ontario Electricity Rebate (OER)​

The provincial government announced a change to the OER from 19.3% to 13.1%, effective November 1, 2024. The Ontario government introduced the OER as an expanded rebate providing bill relief that is applied to customer bills, largely offsetting price changes on the electricity line. The rebate is applied to bills for most residential consumers, long-term care homes, farms and many small businesses.

Yet another better way to spend the $200 that he is sending everyone would probably have been to freeze the rebate or target it in some way to benefit lower users of hydro (who, I think, are more likely to be poor.)
 
In respect of medical schools and tuition, it would be my preference to:

The only reason we have so many debates about who to let in is because we train too few doctors. Ramp up admissions. It was always ridiculous that a bunch of politicians decided in the 90s that the way to control healthcare costs was to graduate fewer doctors. And this has led to hallway healthcare. Given that we're beside the US with an insatiable appetite for healthcare and high pay for medical professionals, we need to train a lot more. And the less we train, the much more we'll have to pay.
 
Justice issues:

Most criminal cases in Ontario now ending before charges are tested at trial​

More judges, staff, prosecutors and courtrooms needed, says Crown attorneys’ association​

Nicole Brockbank, Sarah MacMillan · CBC News · Posted: Nov 12, 2024 4:00 AM EST
Emily Quint says she would never have pursued the prosecution of the man she alleges sexually assaulted her nearly three years ago if she'd known what she'd go through.

"The whole process was horrific," said Quint. "The way that it ended, my whole world went up in flames."

A year ago, the sexual assault charge was stayed for an unreasonable delay after the trial failed to wrap before the time limit set in the 2016 Supreme Court decision R. v. Jordan.

A three-day trial was originally set for July 2023 (within the 18-month time limit for provincial court) but no courtrooms were available until the third day, so while Quint testified, the trial wasn't completed. Quint says she was blindsided by the news of the stay days before the trial was set to resume that November.

"This was the first time in my entire life that I had ever heard about charges being stayed at all, let alone for this reason," she said.

"There was so much anger, so much sadness. It was like, 'Who can I contact? What can I do? This can't be the end.'"

Quint's case is one of a growing number of criminal cases for which the merits of the charge are never tested at trial. Statistics Canada data reviewed by CBC Toronto shows a dramatic shift in criminal outcomes in Ontario over the last decade.
The majority of criminal cases in the province have ended with charges being withdrawn, stayed, dismissed or discharged before a decision at trial since 2020. In 2022-23, the latest fiscal year of data available, 56 per cent of criminal cases ended that way — a 14 per cent increase since 2013-14 when guilty decisions still made up most outcomes.

Justice system stakeholders say many factors go into decisions to stay, withdraw, or discharge criminal charges, including whether there's a reasonable prospect of conviction. But when it comes to stays or withdrawals for Jordan delay reasons, they told CBC Toronto a perfect storm of pandemic backlogs, increases in digital evidence, and a court system-wide shortage of resources are to blame.

"It's leaving my front-line Crowns in a really difficult position," said Donna Kellway, president of the Ontario Crown Attorneys' Association.

"You have people who are prepared to put their heart and souls into this job, but they need the proper resources in order to do that job properly."
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