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Health

Opening independent non-profit hospitals would improve access to care and efficiency in Canada’s healthcare system

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From the Montreal Economic Institute

Autonomous non-profit hospitals tend to perform better than government-run hospitals, shows a study published this morning by the Montreal Economic Institute.

“Interminable waits in Canadian hospitals show that our healthcare systems are struggling to deliver basic services to the population,” says Emmanuelle B. Faubert, economist at MEI and author of the study. “By allowing independent non-profit hospitals to open, our governments would help increase treatment capacity, to the benefit of patients.”

In 2023, the median wait time in Quebec ERs was 5 hours and 13 minutes, up 42 minutes from five years earlier.

It is estimated that as a result of chronic overcrowding in Canadian ERs, there are between 8,000 and 15,000 avoidable deaths each year.

The Canadian health care system ranks 10th out of 11 comparable industrialized countries, just ahead of the United States, in the Commonwealth Fund’s ranking of healthcare systems. The French, German, and Dutch systems are 8th, 5th, and 2nd respectively in the same ranking.

While the Canadian system has no independent non-profit hospitals according to the OECD’s definition, such facilities account for 14 per cent of French hospital beds, 28 per cent of German hospital beds, and 100 per cent of Dutch hospital beds.

The researcher attributes a portion of the success of these facilities to their greater managerial autonomy and to a funding method that encourages the treatment of more patients.

“One of the strengths of these hospitals is how quickly they can adapt, contrary to facilities micromanaged by government ministries, as is the case in Canada,” explains Ms. Faubert. “Since their financing depends on the type and the quantity of ailments treated, administrators see the sustainability of their facilities as being directly linked to their capacity to treat patients.”

Although Canadian hospitals generally have their own boards of directors, the management of their daily activities and their funding are subject to strict government control.

Aside from certain limited experiments, notably in Quebec, Canadian hospitals still depend largely on a global budgeting model, in which funding depends entirely on the level of activity in the previous year.

Since the annual budgetary envelope is fixed, each additional patient is seen as a cost, says the researcher.

In Europe, in contrast, hospitals are largely financed according to an activity-based funding model, whereby a hospital receives a set amount of money for each treatment carried out within its walls. With this system, each additional patient treated represents an immediate source of revenue for the facility, says the researcher.

“It’s clear that our healthcare system can and must do better, and that means changing the incentives of those who manage it,” says Ms. Faubert. “By introducing non-profit hospitals, with a better funding model, and by granting health professionals more flexibility, we will be able to provide better care to more patients, as they do in Europe.”

The MEI study is available here.

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The MEI is an independent public policy think tank with offices in Montreal and Calgary. Through its publications, media appearances, and advisory services to policymakers, the MEI stimulates public policy debate and reforms based on sound economics and entrepreneurship.

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Health

Hospital wants to pull the plug on inhumanely neglected 23-year-old woman who is not brain dead

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From LifeSiteNews

By Heidi Klessig, M.D.

Montefiore Hospital in Brooklyn is neglecting Amber Ebanks, but experts who have seen the student say her body is functioning and that she could improve with proper treatment.

Amber Ebanks, a 23-year-old Jamaican business student, drove herself to Montefiore Hospital in the Bronx for elective surgery on July 30. But her procedure went awry, leading to an intraoperative stroke and brain swelling that worsened over time. Now, her family is fighting for Amber’s life while the hospital wants to pull the plug.

In February, Amber was found to have a ruptured arteriovenous malformation (AVM), a tangle of abnormal arteries and veins in her brain. Thankfully, after the rupture she was able to return to life as normal. Her doctors recommended that she undergo an embolization procedure to clot off the abnormal blood vessels in her brain in hopes of preventing further rupturing and brain damage. Unfortunately, during the embolization procedure, one of the major arteries supplying blood to Amber’s brain was unintentionally occluded, and her procedure was also complicated by a type of bleeding around the brain called a subarachnoid hemorrhage. Thus, she was taken to the ICU, placed in a medically induced coma, and treated for brain swelling.

Just 10 days later, on August 9, her doctors declared her to be “brain dead.” But there were problems with this diagnosis. The Determination of Death statute in New York and the Uniform Determination of Death Act (UDDA) both state:

“An individual who has sustained either:

  1. irreversible cessation of circulatory and respiratory functions; or
  2. irreversible cessation of all functions of the entire brain, including the brain stem, is dead.”

Amber Ebanks meets neither the first nor the second of these criteria. Her circulatory and respiratory functions continue: her heart is still beating, and her lungs are absorbing oxygen and releasing carbon dioxide. And she does not have the irreversible cessation of all functions of her brain, since she is maintaining her own body temperature, which is a brain function.

Moreover, the new 2023 American Academy of Neurology brain death guideline indicates that metabolic derangements such as high serum sodium levels may confound a brain death evaluation. According to Dr. Paul Byrne, Amber’s sodium levels were very high prior to her brain death determination, with readings over 160meq/L (normal sodium levels range from 135-145 meq/L). Not only can high sodium levels cause abnormal brain functioning, but they can also cause blood vessels in the brain to rupture, causing more brain bleeding – the very problems that Amber’s doctors should be interested in preventing. Also, even though high levels of carbon dioxide are known to exacerbate brain swelling, her doctors have not been checking these levels or adjusting her ventilator settings to prevent such derangements.

In addition to her ongoing heart, lung, and brain functions, Amber has continuing liver and kidney function. And presumably she still has digestive function, even though the hospital has been refusing to feed her since she came in for her surgery on July 30th. A patient cannot be expected to improve neurologically without nutrition.

Not only is Montefiore Hospital refusing to feed Amber, it’s refusing to provide her with basic wound care and hygiene. When Dr. Byrne, a board-certified pediatrician and neonatologist and brain death expert, flew to New York to see Amber this past week, Amber’s sister Kay showed him a maggot she had removed from her sister’s hair. Referring to hospital personnel, Kay Ebanks said in an ABC News article, “They are some of the cruelest people I have ever known.” Most of Amber’s family lives in Jamaica, and her father has been struggling to get a visa in order to come and see his daughter. Meanwhile, the hospital actually suggested that family members say goodbye to her over the phone.

Dr. Byrne and Dr. Thomas M. Zabiega, a board-certified psychiatrist and neurologist, have both evaluated Amber’s case. They have submitted sworn affidavits that Amber Ebanks is alive, and believe that she has decreased blood flow to her brain causing a quietness of the brain known as Global Ischemic Penumbra (GIP). During GIP, the brain shuts down its function to save energy, but the brain tissue itself remains viable. Drs. Byrne and Zabiega recommend additional time and treatment such as adjusting Amber’s sodium and carbon dioxide levels and treating hormonal deficiencies. They have testified that with proper medical treatments she is likely to continue to live and may obtain limited to full recovery of brain functions, even possibly recovering consciousness.

Nevertheless, doctors at Montefiore Hospital are adamant that Amber is “brain dead” and want to disconnect her from her ventilator over the objections of her family. Despite the testimony of qualified doctors and experts, the judge assigned to her case is requiring that a New York-licensed physician be found to evaluate Amber and give testimony about her condition. Until then, Amber remains unfed, uncared for, and neglected in an American hospital, to the point of her sister having to remove vermin from her hair.

Amber Ebanks is very much alive despite receiving little to no ongoing treatment to assist with the healing of her brain. She does not meet the medical or legal criteria for death. All she needs are proper ventilator therapy, a balancing of her fluids and electrolytes, nutrition via a feeding tube, and hormonal replacement: treatments that are commonplace in medicine today. It is shameful that her family has had to beg for these treatments and even go to court to try to force the hospital to provide them.

Heidi Klessig, MD is a retired anesthesiologist and pain management specialist who writes and speaks on the ethics of organ harvesting and transplantation. She is the author of “The Brain Death Fallacy” and her work may be found at respectforhumanlife.com.

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Censorship Industrial Complex

Canada wants to add DEI measures to globalist WHO pandemic treaty

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From LifeSiteNews

By Clare Marie Merkowsky

Canada is suggesting measures to counteract ‘misinformation’ and promote ‘marginalized’ groups are included in the WHO pandemic treaty, an initiative which experts have warned will undermine national sovereignty.

Canada wants to add misinformation and diversity, equity, and inclusion (DEI) measures to the World Health Organization’s controversial global pandemic treaty. 

According to a July summary report from the Public Health Agency of Canada (PHAC), Canada is suggesting measures to counteract “misinformation” and promote “marginalized” groups be added to the WHO global pandemic treaty.  

“Comprehensive prevention strategies, inclusive surveillance practices, and addressing challenges for marginalized communities are essential for effective pandemic prevention,” it said.  

“Data ownership, privacy, inclusivity, race-based data and cultural sensitivity are important issues which could be given greater consideration,” the report continued.  

“Data collection can be a challenge, compounded by strained relationships between Indigenous people and the health system, marked by trust deficits and ingrained power differentials,” it claimed.  

The report discussed Canada’s participation in the WHO global pandemic treaty. Formally known as the Pandemic Accord, the agreement would give the WHO increased power over Canada and other countries in the event of another “pandemic” or other so-called emergencies.   

The PHAC report further discussed the importance of countering so-called “misinformation” in the event of another pandemic.

“Countering misinformation and disinformation is critical to pandemic response efforts, as seen by its impact on vaccination and immunization rates around the world,” the report said.   

However, it seems unlikely that those “countering misinformation” would work to safeguard opinions that differ from the globalist narrative, considering Prime Minister Justin Trudeau’s response to the 2022 Freedom Convoy which protested COVID regulations.  

In addition to using violent police force to drive the protestors out of Ottawa, the Trudeau government froze the bank accounts of Canadians who donated to the protest.  

In addition to potentially suppressing legitimate opinion, Conservative MP Colin Carrie has warned that the treaty could “institutionalize” freedom-throttling COVID “pandemic mistakes.”  

Similarly, Conservative MP Leslyn Lewis has repeatedly warned that the new International Health Regulations (IHR) contained in the treaty will compromise Canada’s sovereignty by giving the international organization increased power over Canadians.    

Lewis also gave her endorsement of a petition demanding the Liberal government under Trudeau “urgently” withdraw from the United Nations and its WHO subgroup, due to the organizations’ undermining of national “sovereignty” and the “personal autonomy” of citizens.     

The petition warned that the “secretly negotiated” amendments could “impose unacceptable, intrusive universal surveillance, violating the rights and freedoms guaranteed in the Canadian Bill of Rights and the Charter of Rights and Freedoms.”

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