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Hospitals

 

REPORT Private Clinics & the Threat to Public Medicare in Canada: Results of Surveys with Private Clinics and Patients

From the autumn of 2016 to the spring of 2017, researchers at the Ontario Health Coalition called all the private clinics we could reach across Canada. Included in the survey are private surgical clinics including cataract surgery clinics, MRI/CT, colonoscopy/endoscopy clinics and “boutique” physician clinics. In total, we surveyed a sample of 136 private clinics […]

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Public Consultation on Public Hospital Reform

PUBLIC HEARINGS ACROSS ONTARIO Invitation to give your input at public hearings into reforming & revitalizing our public hospital services Organizations and individuals are invited to attend and submit oral or written submissions on reforming Ontario’s hospitals in the public interest. We are holding public hearings across Ontario to gather input which will be used […]

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We Can’t “Bear” to Lose Medicare Tour

The giant teddy bear is 7-feet tall and 4 1/2 foot-wide: a much-loved and friendly prop to help educate our communities about the threat of health care privatization. Private for-profit clinics are trying to take over services from our local public non-profit hospitals. They charge user fees amounting to hundreds or even thousands of dollars for […]

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Ontario Budget Health Care Investments Do Not Meet Expectations: Hospital Funding Inadequate to Stop Cuts & Meet Community’s Needs

Despite the hype, the Ontario Budget did not provide the relief from a decade of hospital cuts that was hoped. Overall health funding will increase by 3 percent, less than the rest of the public sector. Home and community care funding increases are positive and appear to remain at the same rate as in recent […]

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Pre-Budget Briefing Note

April 26, 2017 — In a speech April 13 to the Empire Club, Ontario Finance Minister Charles Sousa reported that in every corner of Ontario he heard from residents, civic leaders and businesses that health care and public hospitals are top priority issues, and he promised significant investments in this year’s budget. These increases will […]

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Our Hospitals, Our Communities: Report on Hospital Care Surveys in Chatham-Kent

In 2016 Ontario Minister of Health, Dr. Eric Hoskins appointed a Supervisor under the Public Hospitals Act to take over the leadership of the Chatham-Kent Health Alliance, which includes the two Chatham hospitals on one site (Public General and St. Joseph’s) and the Sydenham District Hospital in Wallaceburg. Since his appointment, Supervisor Rob DeVitt has […]

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RELEASE & BACKGROUNDER Ontario Government Responsible for Overwhelmed Hospital Emergency Departments: Critical Bed Shortages “Systemic and Pervasive”

  Reports of critical and pervasive hospital bed shortages are streaming in from across Ontario. In Brantford, hospital officials recently reported the “emergency department is overwhelmed”. At Lakeridge Health, all four hospitals across Durham are so full that hospital managers set up an emergency “command centre”. In Ottawa and London health coalition members who work […]

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UPDATE 100 Patients, families and concerned residents traveled to the Ontario Legislature

UPDATE POSTED NOV. 28: 100 Patients, families and concerned residents traveled to the Ontario Legislature as Wynne government forces through the mega-mergers of their local hospitals   Toronto/Durham This week, the Wynne government used extraordinary powers to order the forced merger of the hospitals in Durham and Scarborough. The merger will cost almost $50 million […]

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UPDATE & BRIEFING NOTES Durham/Scarborough Hospital Merger Mania

UPDATE POSTED NOV. 24:  Minister of Health Orders Mega-Hospital Merger “By Fiat”: Health Coalition Outraged, Vows to take its Fight to the Legislature Durham/Scarborough – The Ontario Health Coalition expressed outrage in reaction to news that the Minister of Health is forcing through massive hospital mergers in Scarborough and Durham affecting more than a million residents […]

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Release Coalition Applauds MPP Gates’ Call for Premier to Answer on Status of Niagara Falls Hospital

On Thursday, in advance of Premier Kathleen Wynne’s visit to Niagara Falls today, MPP Wayne Gates questioned the Health Minister in the Ontario Legislature on the slow pace of approval for a new hospital in Niagara Falls. He advocated that local contractors be used in the construction. All this is good. There is no question that the Niagara Falls hospital is old and a new one is required. Two years ago, the Niagara Health System submitted to the Ministry of Health a Phase I proposal to build a new hospital in Niagara Falls that has not yet been approved. Unfortunately, here in Niagara, as is the case in Scarborough, Durham, Picton and other areas, the government has used a vague and distant promise of a new hospital in what appears to be an attempt to stifle dissent about closure of needed health care services and a dismantling of local governance.

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Release More than 94,000 Ontarians Join in Grassroots Referendum to Stop Devastating Hospital Cuts

(May 31, 2016) Massive Piles of Votes delivered to Opposition Party Leaders Outside Ontario Legislature   Toronto – From across Ontario representatives from dozens of communities facing devastating cuts to their community hospitals carted thousands of ballots to the Ontario Legislature. The votes – 93,840 of them as of last night – were cast in […]

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Release Volunteer-Led Referendum Launched Across Ontario to Save Local Hospitals: Ontarians to Vote Saturday May 28

(April 25, 2016) Volunteer-Led Referendum Launched Across Ontario to Save Local Hospitals: Ontarians to Vote Saturday May 28                                                                       (Toronto, ON) […]

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Advisory Corrected: Volunteers in Communities Across Ontario are Mounting Referendum to Save Local Hospitals

(April 22, 2016)  *PLEASE NOTE: The Sudbury media launch has been postponed until further notice.    Ontario is currently in the ninth consecutive year of real-dollar cuts to global hospital budgets, the longest stretch in Ontario’s history. These cuts mean that hospitals across the province, cannot keep up even with basic inflation. Hospitals have been […]

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Report “Beyond Limits”: Ontario’s community hospital cuts worst in Canada

(April 13, 2016)                                                                                                         […]

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Release Welland Hospital Awareness Day at Ontario Legislature: Patients, Residents Demand Plan to Close Welland Hospital Be Stopped

(March 21, 2016)   Toronto – At a press conference today at Queen’s Park, patients and concerned citizens from Welland issued an urgent plea to Ontario’s Minister of Health to overturn the decision to close the Welland Hospital, telling him that more than 100,000 people served by the Welland Hospital will suffer worse access to […]

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Release Welland Hospital Plan Unveiled: Precarious Services are No Replacement for Hospital Closure, Coalition Warns

(March 18, 2016) Welland/Niagara/Toronto: The Niagara Health System (NHS) revealed a sliver of its hospital plans today. In its email to the media, the hospital outlined its new proposal for an ambulatory care centre (outpatient clinics), an “urgent care” centre (walk-in clinic) and long-term care beds to be located in Welland.   The timing of […]

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Release Devastating Hospital Cuts & Flawed Process for Health Reform Consultation: Key Issues for this Session of the Ontario Legislature

(February 16, 2016) Toronto – Ontario’s premier stated that jobs and the economy are her priorities for this session of Ontario’s Legislature, which opened today. Impacting both jobs and local economies but not part of the Premier’s media messages, two key health care issues impacting Ontario’s communities will also be on the front-burner, including: Devastating […]

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Release Patients, Concerned Citizens and Workers Rally Outside Pre-Budget Hearings to Stop Devastating Hospital Cuts, Privatization

(February 1, 2016)                                                                                 (Toronto, ON) – As MPPs from all three political parties from the […]

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Members of Provincial Parliament Traveling Across Ontario for Pre-Budget Hearings

(January 11, 2016) The Ontario Provincial Parliament’s Standing Committee on Finance and Economic Affairs has chosen Hamilton, Windsor, Thunder Bay, Sault Ste. Marie, Ottawa and Toronto to hold pre-budget consultations. We are now entering the 9th consecutive year of hospital cuts – the longest stretch of hospital cuts in Ontario’s history. Every service cut is […]

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In the News: Health Care Wait Times – What is the Real Story?

(December 8, 2015) By: Natalie Mehra, Executive Director, Ontario Health Coalition Today, a high-profile report tracking health care wait times was released from the Wait Times Alliance. Eliminating Code Gridlock in Canada’s Health Care System, is a credible summary and a useful addition to public policy decisions about health care planning. It is written by an alliance of physician […]

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Release Giant Protest Sends Message to Wynne Government: “We Can’t Take Any More Cuts”

(November 13, 2015) Giant Protest Sends Message to Wynne Government: “We Can’t Take Any More Cuts” (Trenton, Ontario) – At a major regional rally today in Trenton, hundreds gathered to deliver a strong message to Lou Rinaldi, the senior Liberal MPP for the region. The Take Back Our Hospitals Rally, organized by the Ontario Health Coalition […]

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Release Giant Protest Sends Message to Wynne Government: “We Can’t Take Any More Cuts”

(November 13, 2015) Giant Protest Sends Message to Wynne Government: “We Can’t Take Any More Cuts”     (Trenton, Ontario) – At a major regional rally today in Trenton, more than hundreds to deliver a strong message to Lou Rinaldi, the senior Liberal MPP for the region. The Take Back Our Hospitals Rally, organized by the […]

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Take Back Our Hospitals: Fall Days of Action in S/E Ont, N/E Ont, and Scarborough/Durham

(October 23, 2015) Take Back Our Hospitals Days of Action in S/E Ontario, N/E Ontario and Scarborough/Durham Southeastern Ontario Rally Friday November 13, 12 p.m. Centennial Park, Trenton Buses will be traveling in from the whole region. For more info on buses email us at ohc@sympatico.ca Active citizens have succeeded in stopping cuts all across Ontario. Let’s […]

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It’s Time to Take a Stand! Regional Days of Action to Stop Hospital Cuts and Hospital /Home Care Privatization

(May 11, 2015) Days of Action Rallies at senior government Ministers’ offices Hamilton/Niagara 10 a.m. Rally @ Cabinet Minister Ted McMeekin’s office, 299 Dundas St. E., Waterdown *For ride/carpool from Hamilton, meet by 9 a.m. at the Steelworkers’ Hall, 350 Kenilworth Ave. N., Hamilton. For more information contact Rolf Gerstenberger 289-260-9547 Hamilton residents will then […]

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Release Hundreds Rally to Stop Health Care Cuts and Privatization in First Day of Action — Protests Planned Across Ontario

(April 17, 2015) (Sudbury, Ottawa, Hamilton, Niagara, London) – In response to severe hospital cuts and the threat of privatization of home care and hospital services, organizations representing hundreds of thousands of seniors, patients, health care workers, nurses, health professionals and concerned citizens have joined forces to call for mass protests in each region of […]

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Advisory Leaders of Organizations Representing More than Half-A-Million Ontarians Join Forces to Stop the Hospital Cuts & Hospital/Home Care Privatization

(April 15, 2015) Advisory: Leaders of Organizations Representing More than Half-A Million Ontarians Join Forces to Stop the Hospital Cuts & Hospital/Home Care Privatization   (Toronto) – Hospital wards, emergency departments, even entire hospitals are being closed down. Hundreds of nurses have received lay-off notices in recent months. Health professionals’ services are being systematically cut […]

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Full Report Planned Closure of Five Hospital in Niagara Puts Patients At Risk, Warns International Health Expert

(April 2, 2015) Planned Closure of Five Hospitals in Niagara Puts Patients At Risk, Warns International Health Expert Coalition is Concerned that Niagara Closures Pave the Way for Hospital Closures Across Ontario   (Toronto) An international health policy expert warned that the plan to close five hospitals in Niagara risks patient safety, “lacks any rational justification” and […]

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Advisory Media Conference with International Expert Condemning Niagara Hospital Closures

(April 1, 2015) MEDIA ADVISORY  Media Conference with International Expert Condemning Niagara Hospital Closures (Toronto, ON) – The Ontario Health Coalition will be hosting a media conference with an international health policy expert with decades of experience analyzing global health policy reform who has conducted a full review of the plans to close five community […]

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Release/Report International Health Policy Expert Finds Plan to Close Five Hospitals in Niagara Threatens Patient Safety and Contains “Glaring Omissions”

(March 30, 2015) International Health Policy Expert Finds Plan to Close Five Hospitals in Niagara Threatens Patient Safety and Contains “Glaring Omissions” (Welland/Niagara Falls) An international health policy expert warned that the plan to close five hospitals in Niagara risks patient safety, “lacks any rational justification” and contains “glaring omissions”. In two press conferences today […]

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Photos from Rally at Queen’s Park

(November 21, 2014) Many thanks to the thousands of people who came out to the November 21 Rally at Queen’s Park. Thanks to your support and hard work, the event was a huge success! The sun was shining as more than 3000 participants from across Ontario gathered to call on Ontario’s government to Stop the […]

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Advisory Thousands Rally at Ontario Legislature to Stop Unprecedented Cuts and Privatization that Threaten Community Hospitals All Across Ontario

(November 18, 2014) Thousands Rally at Ontario Legislature to Stop Unprecedented Cuts and Privatization that Threaten Community Hospitals All Across Ontario Where: In front of main doors (South doors) of Main Legislative Building, Queen’s Park When: Friday November 21 at 12 noon What: A massive rally at Queen’s Park with more than 3000 people in […]

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Get on the bus to join the November 21 Giant Rally at Queen’s Park!

(November 10, 2014) STOP private clinics SAVE our local public hospitals 12 p.m. Friday November 21 Giant Rally @ Ontario Legislature, Queen’s Park Toronto  www.ontariohealthcoalition.ca Buses will be coming from all over Ontario! Please see below for a list of buses and who to contact to get on the bus in your community + more information on […]

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Urgent: Save Our Community Hospitals Upcoming Meetings and Events across Ontario

(November 4, 2014) The government of Ontario is undertaking an aggressive plan to dismantle community hospitals and contract-out hospital surgeries and diagnostics to private clinics. In the most aggressive cuts plan that we have ever seen, after more than five years of budget slashing, they plan to close all of the outpatient services that they can and hive them off […]

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November 21 Giant Rally at Queen’s Park to STOP the private clinics

(October 24, 2014) STOP private clinics SAVE our local public hospitals 12 p.m. Friday November 21 Giant Rally @ Ontario Legislature, Queen’s Park Toronto

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Release More than 80,000 Ontarians Vote to Stop Wynne Government Plan to Cut Local Community Hospitals and Contract Out Care to Private Clinics: Health Care Advocates Call On the Premier and New Health Minister to Stop the Privatization Plan

(July 8, 2014) One of the first major controversial issues faced by Ontario’s new Health Minister is the government’s plan to cut clinical services from local public hospitals and contract them out to regional private clinics. Today at the Ontario Legislature, hundreds of health care advocates representing every region of Ontario gathered to deliver more […]

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Report A Rural Nurse Speaks Out: New Report Appeals for Devastating Cuts to Small Community Hospitals to Stop

(June 5, 2014) The OHC has released a new report by Shirley Roebuck, RN, and a number of rural active or retired rural physicians, administrators and community members on the devastating cuts to small rural community hospitals across Ontario. The report includes a list sampling of devastating cuts to small and rural hospitals across Ontario.

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Release Ontario Budget: Austerity Continues For Community Hospitals Plus Some Good News on Minimum Wage, Pensions

(May 1, 2014) In today’s Budget Speech, the Minister of Finance pledged “what we will not do is sacrifice important public services”. But for the fifth year in a row, community hospitals will see their funding levels set below the rate of inflation which will result in further cuts to needed care services, movement of […]

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Release More than 56,000 Ontarians vote to stop the dismantling of community hospitals in volunteer-led referendum: Health Coalition

(April 7, 2014) Over the last two and a half weeks, hundreds of volunteers with the Ontario Health Coalition have opened public voting stations to collect opinions about the government’s plan to cut services from local community hospitals and contract them out to high-volume private clinics. Balloting at over 100 voting stations and over 200 […]

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Release VOTE SATURDAY APRIL 5th TO SAVE OUR LOCAL HOSPITALS!

(April 4, 2014) Vote to stop the Ontario government’s plan to cut local public hospitals and contract clinical services out to private clinics. Ontarians are asked to vote for one of the following statements in voting booths across Ontario: I support our local public hospitals. I do not want the government to cut their services or contract […]

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Report Private Health Clinics Using Manipulative Tactics to Over-Bill Patients: Ontario Health Coalition Report

(March 25, 2014) Ontario Government’s Plan to Cut Medical Services from Local Public Hospital and Contract Them Out to Private Clinics Called a Significant Threat to Single-Tier Medicare.

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Report Proposed Scarborough-West Durham Hospital Merger: New report highlights $30 million cost and exposes plans to close hospital sites

(February 20, 2014) The Ontario Health Coalition in conjunction with the Scarborough Health Coalition released a new report today entitled “Look Before You Leap” highlighting concerns surrounding the proposed hospital merger in Scarborough-West Durham.

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Release Scarborough-Ajax Facing Among the Worst Hospital Cuts in Ontario: Campaign Launched to Protect Services

(October 15, 2013) Today the Scarborough Health Coalition launched a campaign in Scarborough to protect hospital services. According to hospital documents, $28 million in “savings” must be found next year, meaning millions of dollars in hospital service cuts are underway and even more are being planned. The campaign will include town hall meetings, mass leafleting […]

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Release Ontario’s Wynne Government Plans to Bring In Private Clinics: Threatens Non-Profit Community Hospital Care

(October 8, 2013) The Ontario government plans to introduce private specialty clinics to take the place of local community hospitals’ services. The government’s proposal would bring in legal regulations under the Independent Health Facilities Act and the Local Health System Integration Act to usher in private clinics and shut down services in community hospitals.

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Release “OHC Austerity Index Part II” details how Hospital Cuts and Privatization Reach New Levels: Coalition Announces “S.O.S.” – Save Our Services – Day of Action

(January 25, 2013) At a Queen’s Park press conference this morning, the Ontario Health Coalition, representing more than 400 organizations dedicated to protecting public health care, warned that the Ontario government’s austerity budget is causing unprecedented cuts to and privatization of hospital services.

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Report The Austerity Index Part I: Health Care cuts and deficits across Ontario

(December 5, 2012) Ontario’s health care funding, already nearly the lowest per person in the country, is being curtailed by $3 billion, resulting in unprecedented hospital and home care service cuts across the province. The Ontario Health Coalition has produced a tally of the cuts by region and community.

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Release Health Minister’s Veiled Threat Likened to Bullying: Health Coalition Livid over Health Minister’s Tactics

(November 9, 2012) Response by the Ontario and Niagara Health Coalitions to threats by Ontario Health Minister Deb Matthews’ to cancel the proposed hospital of Niagara. According to Matthews, if Niagara municipal leaders criticize her appointee’s choice of location for a still-fictional new hospital, the project – which has never been approved anyway – may […]

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Release Response to Niagara Hospital Consolidation Proposal

(May 3, 2012) Niagara Health System’s government-appointed Supervisor Kevin Smith has released an interim report recommending hospital restructuring in Niagara, including the closure of all the local hospitals outside of St. Catharines and the eventual construction of a new “mega hospital”. The OHC released response to this proposal.

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Report No Vacancy: Hospital Overcrowding in Ontario, Impact on Patient Safety and Access to Care

(July 21, 2011) The OHC’s new report finds that Ontario has the fewest hospital beds per person of all provinces in Canada. The result is serious hospital overcrowding that puts patients at risk.

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Correspondence between Tom Closson and Natalie Mehra

(May 2011) This is correspondence between Tom Closson, President and CEO of the Ontario Hospital Association and Natalie Mehra, Director of the Ontario Health Coalition, regarding the hospital secrecy clause in Budget Measures Bill (173).

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Newsletter “The Pulse” OHC Newsletter and Action Alert

(May/June 2011) The May 2011 issue of The Pulse includes news about ta new OHC report that finds 10,000 people are waiting for home care, the hospital secrecy law, how the Canada-Europe Free Trade deal (CETA) could negatively impact the health care system, a review of Colin Leys’ new book “The Plot Against the NHS” […]

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Release McGuinty Government Fails to Take Hospital Secrecy off the Table – Amendment to Budget Bill Gives Hospitals Wide Berth to Hide Information

(April/May 2011) Public interest and patient advocates are calling on Premier McGuinty to withdraw a controversial clause slipped into the Budget Bill that will enable hospitals to hide information from the public. Earlier this month, the McGuinty government included a clause – Schedule 15 – in the Budget Measures Bill (173) that would enable hospital […]

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Report Rural and Northern Framework/Plan

(March 8, 2011) The Ontario Government has released its “Stage 1” report from the Health Minister’s panel on Rural and Northern Health Care. The Ontario Health Coalition has filed its written submission to the panel.

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Analysis Ontario Health Coalition Analysis of the Peterborough Hospital peer Review and Hospital Improvement Plan (HIP)

(June 21, 2010) According to a detailed analysis conducted by the OHC, the Peterborough Regional Health Centre (PRHC) Hospital Improvement Plan (HIP) recommends draconian cuts to staffing levels and proposes significant cuts to hospital beds and services.

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Report Toward Equality and Access: Realigning Ontario’s Approach to Small and Rural Hospitals to Serve Public Values

(May 17, 2010) This report appeals for equity and improved access to hospital services in rural Ontario and is based on input received from more than 1,150 people who attended 12 hearings in regions across Ontario in March 2010. The coalition organized its own public hearings after the government’s own rural and northern health panel, […]

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Report Putting Patients at Risk: Interviews with Ontario Paramedics on the Consequences of Closing Local Emergency Departments

(June 18, 2009) A new report, based on interviews with 50 paramedics across Ontario, on what the provincial government’s planned emergency room closures would mean for patient care in communities across the province.

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Release Ontario Budget Will Not Help Save Hospitals from Closures, Cuts, Mass Layoffs

(March 26, 2009) In hard economic times, McGuinty’s failure to sustain local hospitals is out of line with the values and priorities of Ontarians.

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Release Briefing Notes on Ontario’s Hospital Cuts and Restructuring 2008/2009

(December 2, 2008) A major round of hospital cuts and restructuring is underway in every health region in the province causing major layoffs, privatization and threatening local Emergency Rooms, birthing facilities and hospital beds. This new briefing note by the Ontario Health Coalition examines the cuts region by region.

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Petition ACTION: Save Community Health Services – Midland and Penetanguishene

(July 18, 2007) Fight the undemocratic merger of the Huronia District Hospital with the Penetanguishene General Hospital.

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Petition ACTION: Help Save Uxbridge Hospital

(July 18, 2007) Fight the loss of ER Services at the Uxbridge Hospital.

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Briefing Note on the Ontario Hospital Association/Ministry of Health and Long-Term Care Report on Core Services in Small, Rural and Remote Hospitals

(June 29, 2007) Review and analysis of the report by a Joint Policy and Planning Committee (JPPC) of the MOHLTC and the OHA.

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Fact Sheet Hospital Cuts and Restructuring: A Closer Look

(January 31, 2006)   FACT SHEET

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Submission OHC’s Submission to the SARS Commission

(November 18, 2003) Contains the OHC’s analysis of the Ontario SARS outbreak, the impact of cuts on the crisis and series of recommendations.

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Release Ontario Health Coalition Vows to Continue Legal Action to Keep Hospitals Public

(October 1, 2003) The OHC and partners will file legal action to stop the Ministry of Health from signing off on any private (P3) hospital deals before the election or before the new government takes power. The OHC will continue with its original case to nullify the signing of any deals that may have occurred.

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Release Clement Plays with the Facts – Misrepresents Brampton Hospital Privatization

(September 26, 2003) MEDIA RELEASE

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Release $1.3 billion in private hospital deals since kick-off of election outrageous: Ontario Health Coalition

(September 26, 2003) MEDIA RELEASE

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Release For-Profit Hospitals & Clinics threaten the Future of Medicare

(March 31, 2003) MEDIA RELEASE

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Fact Sheet Women and Medicare: Health Care Restructuring and Women’s Access to Medicare

(February 2003) FACT SHEET

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Fact Sheet Women and Medicare: Privatization of Medicare and Women

(February 2003) FACT SHEET

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Fact Sheet Women and Medicare: Women as Workers in the Health Care System

(Februrary 2003) FACT SHEET

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Release Coalition Urges Government to Stop the Cover-Up in Hospital Emergency Services

(March 19, 2001) The OHC responds to the re-announcement of reorganized ambulance to hospital communications systems by lambasting the Minister for engaging in a propaganda strategy instead of taking serious steps to deal with critical issues affecting the province’s emergency rooms.

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Letter Fleuelling Letters

(January 18, 2001) Correspondence by the Ontario Health Coalition to successive Ontario Ministers of Health regarding the inquest into the death of Joshua Fleuelling.

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Summary Public Pain, Private Gain: The Privatization of Health Care in Ontario

(Summer 2000) SUMMARY

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Article Hamilton Organizing Saves Hospitals

(May 2000) Pressure from the community forces the government to commit to keeping Henderson, McMaster University Medical Centre, Hamilton General and St. Joseph’s open with increased funding.

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Fact Sheet Hospital Funding

(January 2000) FACT SHEET

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Fact Sheet Hospital Fact Sheet # 2

(May 1999) FACT SHEET

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Fact Sheet Hospital Fact Sheet # 1

(February 1999) FACT SHEET

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Submission Response to the Metropolitan Toronto Health Services Restructuring Commission Report

(April 21, 1997) The Ontario Health Coalition opposes recommendations for cuts, downloading and two-tier health.

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