{"id":12324,"date":"2020-05-10T16:53:33","date_gmt":"2020-05-10T20:53:33","guid":{"rendered":"https:\/\/www.ontariohealthcoalition.ca\/?p=12324"},"modified":"2020-05-16T16:55:43","modified_gmt":"2020-05-16T20:55:43","slug":"editorial-a-long-term-care-review-is-badly-needed-lets-do-it-right","status":"publish","type":"post","link":"https:\/\/www.ontariohealthcoalition.ca\/index.php\/editorial-a-long-term-care-review-is-badly-needed-lets-do-it-right\/","title":{"rendered":"Editorial: A long-term care review is badly needed. Let&#8217;s do it right"},"content":{"rendered":"<p>(May 9, 2020)<\/p>\n<p>By: Donald Macdonald, Sudbury Star<\/p>\n<p>Long-term Care Minister Merrilee Fullerton says Ontario will \u201creview\u201d its system of looking after the frail and elderly. This is overdue, given the staggering proportion of COVID-19 deaths among nursing home residents. It should not have taken courageous families and front-line workers talking to media about conditions at Ottawa\u2019s Madonna Care Community, or the high number of people lost at the Pinecrest Nursing Home in Bobcaygeon, or the tragedy of Almonte Country Haven long-term care, to prompt fresh scrutiny.<\/p>\n<p>The review, when it comes, must be a thorough, public exercise. But it must also go beyond the tiresome ideological battle lines of \u201cprivate bad, public good\u201d (and non-profit presumably somewhere in between), which seem to constantly paralyze discussion of health care. All are part of the problem, and all will be part of the solution.<\/p>\n<p>We\u2019ve witnessed myriad examples of a public health system ill-prepared for COVID-19. Government \u201cstockpiles\u201d of protective equipment lapsed, or were insufficient in number, endangering front-line workers. Borders were closed late. Testing has still not risen to needed levels.<\/p>\n<p>Meanwhile, management of long-term care \u2013 private, public and non-profit \u2013 has revealed devastating lapses too, for instance around staffing and salaries. A recent <span style=\"color: #3366ff;\"><a style=\"color: #3366ff;\" href=\"https:\/\/www.ontariohealthcoalition.ca\/index.php\/death-rates-in-long-term-care-by-ownership-release\/\">Ontario Health Coalition study<\/a><\/span> found that 700 of the 1,057 deaths in care homes \u2013 or two-thirds \u2013 were in for-profit facilities (such institutions account for 58 per cent of long-term care homes in the province). Tough scrutiny is warranted.<\/p>\n<p>Is the problem, as <span style=\"color: #3366ff;\"><a style=\"color: #3366ff;\" href=\"https:\/\/ottawacitizen.com\/opinion\/adam-covid-19-and-private-care-homes-the-logic-of-profit-is-not-the-same-as-the-logic-of-care\/wcm\/942a0bc4-e667-41c9-885e-53e8277f8787\/\">one academic gently suggests<\/a><\/span> , that \u201cthe logic of profit is not the logic of care\u201d? No; profit is not inherently bad. Privately run grocery companies have adapted quickly to minimize disruption to our food supply chain, an essential service. Profit-seeking internet service providers are one of the reasons many people can work from home. Your doctor\u2019s office is also a private business, delivering an essential public service. It would be too easy to argue that the profit motive is the underlying problem in long-term care, already one of the most highly regulated parts of the health system.<\/p>\n<p>Last year, when the Wettlaufer Inquiry findings were released (Elizabeth Wettlaufer was the nurse who murdered eight seniors in care), commissioner Eileen E. Gillese noted that \u201cwhile the long-term care system is strained, it is not broken.\u201d Rather, she concluded its problems were system-wide, and that fixes would require \u201ccollaboration, co-operation, and communication\u201d across that entire system.<\/p>\n<p>It\u2019s going to be a tall order to improve long-term care. Let\u2019s get started, with a sense of urgency and an open mind.<\/p>\n<p><span style=\"color: #3366ff;\"><a style=\"color: #3366ff;\" href=\"https:\/\/app.meltwater.com\/newsletters\/analytics\/view\/58b49213f97502b1c5ecb214\/distribution\/5eb930cbfbccb8324a2ce9a2\/document\/wtyz6DahjLqJnsdp11z9lxfdsE4\">Click here for original article<\/a><\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>(May 9, 2020) By: Donald Macdonald, Sudbury Star Long-term Care Minister Merrilee Fullerton says Ontario will \u201creview\u201d its system of looking after the frail and elderly. This is overdue, given the staggering proportion of COVID-19 deaths among nursing home residents. It should not have taken courageous families and front-line workers talking to media about conditions [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[21],"tags":[],"class_list":["post-12324","post","type-post","status-publish","format-standard","hentry","category-ohc-in-the-news"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Editorial: A long-term care review is badly needed. 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