Health coalition vows to fight any privatization efforts by Ford government

A coalition of health experts isvowing Tuesday to defend Ontario's public health care system from further privatization, days after the provincial government confirmed "all options are on the table"to address an ongoing health-care staff shortage.

The Ontario Health Coalition (OHC), which represents more than 500 organizations, says it'sconsulting with lawyers and calling emergency meetings with union leaders and health care organizations in order to protect public hospitals from anyprivatization efforts ledby Premier Doug Ford's government.

The announcement also came as the Ontario Nursing Associationonce again spoke out against the wage-capping Bill 124 at Queen's Park, while new details emerged about how much busy hospitals are spending on nurses from private agencies.

"We will fight them with everything that we have," saidexecutive director Natalie Mehra at a morning news conference.

"Everything is on the table to defend our public, not-for-profit health care system. We will not allow without a major fightthe for-profit privatization of Ontario's hospitals."

Last week, the Ford government saidit's considering various ways to deal with health-care staff shortages that have led to emergency departments across the province closingfor hours or days at a time.

Sylvia Jones, the new health minister, has provided few specifics about what that could look like but said in question period recently thatOntarians will not have to pay out of pocket for health-care services.

Mehra says theOHCwants clarity and transparency about exactly what services might be privatized, and what companies the provincial government will useto provide these services.

WATCH:Natalie Mehraof the Ontario Health Coalition vows to battle any privatization in Ontario's health care system:

Ontario health advocate sees 'fight of our lives' against private health care

2 years ago

Duration 1:18

Ontario needs to improve the health care system it has and not engage in 'bold new experiments with for-profit privatization,' says Ontario Health Coalition executive director Natalie Mehra.

"We do not need bold new experiments with for-profit privatization," said Mehra.

"We need a government that is committed to governing, to actually improving the public health care system."

Use of agency nurses on the rise

Nursing is emerging as one place where private companies are already getting involved in hospital operations.

The University Health Network (UHN), which operates Toronto Western hospital, provided five years worth of data surrounding its use of nurses from 11 different private agencies to CBC Toronto.

In 2018, it spent just over $1 million to hire nurses from various agencies to support work in emergency departments and intensive care units.

It actually spent less per year over the next three years but the figure has spiked in 2022.

This year, UHN said it has spent just over $6.7 million on agency nurses. More than $4 million of that spending was tied to hiring private nurses to work in its ICU.

UHN also released data about its efforts to hire and retain full-time nurses. At the end of July, the hospital network said it had hired 604 nurses, but it had also lost 331 bylate June.

UHN said since the start of the year,the network recorded over 1,000 vacancies. CEO Kevin Smith said there's currentlyabout 600 active vacancies nearly triple what it normally has.

"University Health Network looks after some of Canada's sickest people and simply can't not be available for urgent care and emergencies," he said.

"The solutions at the moment have had to include agency nursing."

Sunnybrook Hospital released similar data around the use of agency nurses, which was also published in an investigation by the Toronto Star on Tuesday. That hospital has seen a steady increase in spending on private nursing, with the annual totals climbing from $4.5 million in 2018-2019 to $8.2 million in 2021-2022.

Cathryn Hoy, President of the Ontario Nurses Association, said private agencies pay nurses far more,often to do the exact same work they're leaving when they quit hospital jobs.

"If they're being paid $110 an hour to go work in my exact same hospital, in my exact same department, why would I not go work for an agency?" she said.

Hoy said the government should pass a bill limiting how much hospitals can spend on agency nurses.

Ford told reporters last Friday that while he can't dictate what private companies pay their employees, the government will take care of workers on the front line and continue "putting in billions of dollars" into the health-care sector.

Private clinics could make staff shortages worse, expert says

Dr. Dick Zoutman, the former chief of staff ofthe Scarborough Health Network and a professor at Queen's University and the University of Toronto, says private clinics threaten to siphon off skilled health care workers from the public systemand make staff shortages even worse, and could alsoerase an important part of Canada's identity.

"We should be very proud of our hospitals and our publicly-funded health care system," said Zoutman.

"To think that we would then throw that away for a for-profit money-making model just goes against the grain of what Canadians hold dear and our value system in this country."

Zoutman says instead of privatizing services, the province should expand them.

"We have worked very, very hard to make our hospitals as effective and efficient as possible," said Zoutman, noting that Ontario has the lowest cost per inpatient stayand the shortest length of hospital staysin the country.

"I worry we may have gone too far."