Archive for the ‘PROVINCIAL POLITICS’ Category

The Decade’s Top Labour Stories In BC

Ten key ways working in this province changed in the Campbell era.

By Tom Sandborn,  TheTyee.ca

Labour Day? At The Tyee this will be Labour Week, with labour-related special features running today through Friday. And that’s just a start for increased labour coverage in the coming months, building as we go an occasional series we’re calling Working Ahead: Labour in a New Era of Challenges.

The first, growing out of weeks spent interviewing union officers and staff, heads of local labour councils, rank-and-file members, union-side labour lawyers, employer spokespeople and academic experts. They were asked to help us identify the decade’s 10 most significant B.C. labour stories.

1. The Changing Face of B.C. Labour

In 1983, the percentage of B.C.’s work force in a union (a measure called union density) was at 45.3 per cent while by 2007 it had fallen to around 31 per cent, according to StatsCanada.

Nationally, in 1983 the density figure was 35.7 per cent and in 2007, 30.03 per cent. In 2009, union density fell slightly in B.C. Union density has grown in the public sector and fallen in the private sector in Canada and in B.C., but not so dramatically as in the U.S.

In 2009, the Canadian public sector was 71.3 per cent unionized, while the private sector was only 16.1 per cent. In the U.S., the comparative figures were 7.6 per cent in the private sector and 36.8 per cent in the public sector. While the prototypical unionized worker in B.C. in the 1960s was a white, male logger or mill worker, now the face of labour is much more likely to be a visible minority woman who works in a hospital or government office.

Think of it as the Revenge of Rosie the Riveter. (Rosie was the iconic WW II figure who embodied women’s entry into the factory work force during the war, and their being driven back out afterwards. Now she’s back and often serving as a union president or shop steward.)

2. I’ll See You in Court

It’s nearly unanimous. Almost every source The Tyee consulted agreed that Bill 29, the notorious union-busting legislation passed in 2002, was among the decade’s top stories, especially when taken together with the precedent-setting judgment by the Supreme Court of Canada in 2007 that struck down some of its key provisions and established free collective bargaining as a charter-protected right.

Despite this huge win for organized labour, sources tell The Tyee, the unions representing B.C. health-care workers face almost weekly challenges as government and employers in the sector take advantage of the provisions of Bill 29 that survived Supreme Court review to privatize and contract out services.

3. Health, Safety and Lethal Workplaces

A list of tragedies prompting criticism of government policies begins with the Sullivan Mine disaster. Between May 15 and 17, 2006, two workers, Doug Erickson and Bob Newcombe, and two B.C. Ambulance paramedics, Kim Weitzel and Shawn Currier, died at Teck Cominco’s decommissioned Sullivan Mine site near Cranbrook. They were felled by oxygen-depleted atmosphere inside the tiny water-monitoring structure built over a tailings dump. The tragedy posed serious questions about whether the province adequately regulates mine safety and situations in which workers are isolated on the job site. (Find extensive Tyee coverage here.)

In 2005, Grant De Patie was killed by a drunken teenager driving a stolen car. Grant was dragged to his death in an attempt to stop a “gas and dash” theft at the station where he worked. In 2007, with much fanfare, the provincial government unveiled a new piece of legislation, “Grant’s Law,” which required pre-payment for nighttime gas purchases, but has, to date, reportedly because of retail-industry lobbying, failed to move on more significant reforms that were also called for, including safety barriers for night workers or mandatory double staffing over the night shift.

Grant’s father Doug told The Tyee last year that: “The government is just catering to businessmen. Employers weren’t doing anything to prevent gas-and-dash crime, or the dangers it posed to people like Grant working alone overnight. We need even stronger laws, not weaker.”

Deaths associated with farm work were big news this decade, with three men killed and another two severely disabled working in an enclosed space on a Langley mushroom farm in 2007 and three women killed while another 13 were injured when an overloaded and under-equipped van belonging to a farm labour contractor flipped over on a rainy highway outside Chilliwack in 2007.

Finally, on Aug. 31, 29 charges were laid under worker-safety legislation against two companies and several company owners and directors for offenses connected wih the mushroom farm deaths. In contrast this April, the provincial government declined to implement almost all the 18 safety-for-farm-worker policies recommended by a coroner’s jury investigating the 2007 highway deaths.)

Additionally, calls for inquests to mounting logging-industry deaths in the early part of the decade went unheeded by the provincial government. Critics argued that deregulation under the BC Liberal government had created conditions for more risky practices, leading to a string of deadly tragedies in the forests and on logging roads.

4. Changing the Rules, Moving the Goal Posts

Perhaps the biggest and most consequential labour story of the decade in B.C., many of our sources agreed, was transformation by the Campbell Liberals of the basic regulatory bodies that govern labour and labour relations in the province. Rules embodied in the Labour Relations Code and administered through the Labour Relations Board have been revised to make it much harder for new union certifications to be won, with the numbers of new workers organized into unions plummeting from an annual average of more than 8,000 during the 1990s to less than 2,000 a year in the first three full years under the new business-friendly LRB of the 2000s.

Employment Standards Act changes brought in early in the Campbell years excluded many workers from the act’s protection altogether, closed offices, almost totally deregulated work by children between 12 and 15, cut the minimum shift from four to two hours, made it harder for workers to get vacation and overtime pay from their employers and obligated workers who experience employer abuse of ESA protections to conduct their own cumbersome and daunting “do-it-yourself” complaint procedures.

And if you are injured at work in B.C., changes brought in during this decade mean that you are likely to qualify for much less compensation than you would have in the 1990s, only one element in a series of changes that critics say make Worksafe BC a much less effective support for injured workers than in times past. (Later this week in another of our Labour Week features, The Tyee will examine in detail the changes made at Worksafe BC and what those changes mean for injured workers. The news on this front is increasingly grim.)

The decade also saw a major revamping of trades training and apprenticeship programs, changes that mean far fewer young B.C. workers are getting the training they need to qualify as journeymen/women in their trades. A source within the building trades referred to this phenomenon as the “de-skilling” of the construction sector.

5. Chump Change

B.C. now has the lowest minimum wage standard in Canada, which allows employers to pay $8 an hour for many low wage workers and provides permission to pay an even lower $6 an hour training wage. These extremely low standards have been the target for ongoing campaigns by the labour movement, including the “Six Bucks Sucks” initiative.

One of the good news stories for B.C. labour this decade has been advances made in the campaign to get the province’s employers to commit to paying at least the “living wage.” The campaign got a boost in April of 2010 when the City of New Westminster took steps to guarantee that all city employees and all hired by city contractors were paid at least $18.17 an hour, the living wage figure computed by the campaign, which has been actively promoted by unions across the province and the Canadian Centre for Policy Alternatives, a progressive think tank.

Partly as a result of policies linked to the persistence of relatively low wages, child poverty continues to be a major labour story, with B.C. ranking as the province with the highest levels in Canada each year since 2002, and more than half of the children living in poverty experiencing that deprivation despite the fact that one or more of their parents have full time work.

6. The Stranger at the Door: Temporary Foreign Workers

One of the stories that just kept coming all decade had to do with the controversial increases in the number of non-Canadian workers brought here as temporary workers, with critical comment focused both on the exploitation these workers were exposed to by their vulnerable status and the impact these labour imports had on the ordinary workings of supply and demand, making it easier for employers to keep wages down and unions weak.

In 2006, controversy swirled around a group of European ironworkers brought in to work on the Golden Ears Bridge project. That same year, a group of Latin American tunnel workers hired on Vancouver’s Canada Line project joined the Construction and Specialized Workers Local 1611 after telling union organizers they were being paid substandard wages and provided with housing and other benefits inferior to those the company provided European workmates.

This dispute, which has dragged on through numerous Labour Relations Board hearings, led to a BC Human Rights Tribunal ruling that held the Latin American workers had experienced wage and benefit discrimination while working on the Vancouver project.

While construction workers made a lot of temporary foreign worker headlines in B.C., the majority of the over 250,000 temporary workers who were in Canada in 2008 worked in Canadian fields. One of the ongoing and important labour stories of the decade has been about attempts to unionize agricultural workers, an effort led by the United Food and Commercial Workers through their Agricultural Workers Alliance, which operates 10 store-front organizing centres across the country, including one in the Fraser Valley, where several successful organizing drives have been conducted this decade. The most recent example of ways offshore workers can face exploitation in Canada (and what unions can do to counter it) was the revelation this summer by the B.C. Federation of Labour that a group of African workers (in this case recent immigrants) employed by a contractor to do silviculture work for the provincial government were being housed in filthy conditions, subjected to death threats, worked 15-hour days and paid erratically and at a lower rate than promised.

7. The Big Get Together in the Woods

In 2004, the Industrial Wood and Allied Workers union, the industry giant that had represented B.C. loggers and millworkers for decades, voted to merge with the United Steelworkers, forming what was described then as Canada’s largest private sector union. The merger represented the end of an era, retiring the IWA identity after a tumultuous history that began in 1937, and came as a combination of difficulties created by trade agreements, struggles with environmentalists, climate-change-induced pine beetle infestations and profligate raw log exports shrank the B.C. work force in the province’s woods and mills.

8. Showdowns at the Public Service Corral

Some of our sources saw a trio of public sector strikes, taken together, as one of the decade’s big labour stories. The Ferry Workers strike in 2003, the HEU strike in 2004 and the BCTF strike in 2005 all followed a similar pattern. The strikes were defined as “illegal” and elicited strident media coverage about “holding the public to ransom,” while other unions (most notably CUPE) and community groups organized mass pickets and other solidarity actions, with some militants hoping the specific strikes could be kicked up into a general strike of all organized workers against a government seen as profoundly anti-labour.

In all three cases, union leadership climbed down (typically at the urging of the B.C. Fed) from any visions of a general strike and cut deals with the employer that were met with accusations of “sell out” from the most militant members and observers, while more centrist commentators said union leadership had settled for the best deals possible with a hostile government.

9. Family Feuds

Organized labour is like a family in some ways, and the B.C. labour movement was not without its moments of internecine conflict. In 2003 and 2004, the soon to be defunct IWA came under fire for what some observers saw as illicit attempts to sign voluntary agreements with private contractors like Compass and Sodexho that were eager to take advantage of the business opportunities created by Bill 29 and its mandate for health-care sector privatization. These “partnership” deals were viewed as collusion with the government in its attacks on the Hospital Employees Union, which had signed valid contracts with public employers to represent the workers.

In 2009, an attempt by the B.C. Nurses Union to raid the licensed practical nurses represented by the Hospital Employees Union brought down disciplinary action by the B.C. Federation of Labour and the Canadian Labour Congress, while the raid was unpopular with some of the BCNU’s own membership as well.

Several other B.C. unions found themselves in the uncomfortable role of employers enmeshed in labour disputes with their own unionized employees this decade.

In 2007, the B.C. Teachers’ Federation lived through a bitter dispute with its research and professional staff represented by local 464 of the Communications, Energy and Paperworkers.

In 2009, the Telecommunication Workers Union, which represents workers at Telus, faced alabour dispute with 13 office workers represented by the Canadian Office and Professional Workers.

10. Employers Weigh in: Agenda Unfinished

In addition to conversations with union officers, members and staff, as well as union-side lawyers and academic experts, The Tyee spoke with some prominent spokespeople from the other side of the bargaining table, including Jock Finlayson at the B.C. Business Council and Phil Hochstein, of the non-union construction employers’ umbrella organization the Independent Contractors and Businesses Association of BC. Both Finlayson and Hochstein agree that the decade has been remarkable for relative labour peace.

For Finlayson, among the decade’s key stories are the reductions in union density and the increased role of public sector unions in the movement.

Hochstein highlighted what he saw as the need for expanded immigration and use of temporary foreign workers to meet employers’ hiring needs. He also said restrictive labour practices enforced by B.C. union contracts were responsible for what he said were B.C.’s lower-than-Canadian-average productivity figures.

‘Biggest rollback of worker rights in Canadian history’

So, what conclusions can we draw from these stories and from the reflections of many seasoned labour observers? Here are a few.

The decade has seen the Campbell Liberals radically re-structure the legal and administrative bodies that govern labour relations in B.C., mainly in ways that tilt the regulatory playing field to give employers the home-team advantage on wage rates, employment standards, compensation for injured workers and the creation of new unions and union contracts.

“The removal of union members from Employment Standards protections, the exclusion of farm workers and the other changes in Employment Standards mean that at least a third of the workforce has been removed from ESA protection,” noted SFU women’s studies, economics and political science Prof. Marjorie Griffin Cohen.

“We are losing union density and that will continue,” commented CUPE B.C. President Barry O’Neill. “Limits on union growth have been created by changes in the Labour Relations Code.”

“One of the big stories this decade has been the destruction of employment standards in B.C.,” HEU media spokeswoman Margi Blamey said.

Bill Saunders, head of the Vancouver and District Labour Council agrees. “The new rules the Liberals have brought in favor the corporations. They want to create a desperate workforce.”

Lucy Luna, who organizes farmworkers in the Fraser Valley for the Agricultural Workers Alliance, says that one ruling by the newly employer-friendly Labour Relations Board in 2008, which made temporary workers fear that employers can now get away with punishing them for joining a union by sending them home as soon as they unionize “has made my work almost impossible.”

Sauder School of Business professor emeritus Mark Thompson calls the changes to the Employment Standards Act “the biggest roll back of worker rights in Canadian history.”

Kim Pollack of the United Steelworkers told The Tyee that changes made to the Forestry Act in 2004 created a much more dangerous workplace, with safety de-regulated, increased subcontracting and a race to the bottom on safety procedures, resulting in 43 deaths in the woods the next year.

As evidenced by testimony from Forest Workers, worker safety continues to be an ongoing and sometimes heartbreaking story, as B.C. workers continue to die or come home crippled while trying to earn a living.

And more and more temporary foreign workers are being brought into B.C. under federally sponsored programs that critics say are consciously designed to drive down local wages and insulate employers both from the law of supply and demand and from collective bargaining.

Seth Klein, of the Canadian Centre for Policy Alternatives, said that the explosive growth in temporary foreign worker programs was breaking a long established social contract, which offered new workers a pathway to citizenship and full rights.

“That contract has been broken, and the quid pro quo is no longer on offer, all in the name of worker discipline,” he said.

Several of the experts who spoke with The Tyee noted that the response of organized labour in B.C. to temporary foreign worker issues has been remarkably free of the racism that has blemished union response to off-shore workers in times past. This time round, instead of lobbying to keep foreign workers out, B.C.’s labour movement has enlisted the new workers into existing unions, set up store-front service centres to meet their needs and called on the government to allow guest workers a pathway to citizenship.

Meanwhile, the face of the labour movement is changing, with more and more of its membership concentrated in public-sector bodies, many with predominantly female and visible minority memberships. In another significant change, the IWA, the logger and mill workers’ union that was for many years an iconic presence in B.C. labour relations, was absorbed by the United Steel Workers this decade, while union density continued to fall.

Bill 29 and after

Some of the province’s key labour stories started in the legislative assembly or the courtrooms of the nation. At the beginning of the tumultuous decade, the provincial government passed Bill 29, a questionable piece of legislation that allowed the biggest mass layoffs of women workers (over 8000) in Canadian history, only to see the Supreme Court of Canada strike down key provisions of the controversial law. In a landmark ruling that almost everyone The Tyee contacted included in their top 10 story list, the court disallowed as unconstitutional legislative language that allegedly gave the government power to unilaterally abandon settled contracts with health-care workers and outsource their jobs to lower paying private contractors.

From a union perspective, a second good news story related to Bill 29 and its partial invalidation is that the HEU has been successful in re-organizing almost all the jobs that were privatized and contracted out under the bill’s flawed mandate. So, while health-care workers continue to face challenges, including government supported de-accreditation and contract flipping in the long-term care sector, whatever dreams the Liberals may have had of creating a system free of unions have not been realized.

“Not a week goes by that we aren’t still dealing with the consequences of Bill 29,” said HEU secretary/business manager Judy Darcy told the Tyee. “The Supreme Court decision, while a huge win, didn’t give successorship rights when work is contracted out to private sector employers and still allowed contract flipping and pressure on workers to grant concessions to prevent contracting out. Public sector bargaining in B.C. is now the most restrictive I have seen, and I have bargained in jurisdictions right across Canada.”

Changes to laws, regs hurt organizing

Other key Liberal legislative and regulatory initiatives which are still in effect revamped Employment Standards legislation, the functioning of Worksafe BC (the agency formerly known as the WCB) and the Labour Relations Board, all in ways that critics say privilege the agendas of management and employers over workers’ rights.

These changes, say the critics, have created a province in which it is shamefully possible to work full time and still not be able to house and feed yourself adequately, where the government has given up on any serious attempts to regulate child labour and worker safety, where child poverty is higher than anywhere else in Canada, where foreign workers are brought in by the thousands to flip burgers and harvest crops but denied a right to settle and make a life in Canada, and where it is harder and harder for workers to organize for better conditions via trade unions.

Within those unions, some rank and file activists are expressing impatience with a leadership they see as insufficiently militant, a story that has been a hardy perennial all through the history of the movement.

Gene McGuckin, for example, a retired CEP member, shop steward, local executive member and contract negotiator, was one of the founders of the Prepare the General Strike organization. He is critical of B.C. Fed leadership during the decade, and identifies as one of the province’s key labour stories this decade the “linked defeats and union-brass sell-outs of the ferry workers’ strike in 2003, the HEU strike in 2004 and the BCTF strike in 2005.

“In each case the defiant workers had significant-to-huge public support,” asserted McGuckin, but the eventual settlements were in his view “capitulations” that cost union members wages and benefits and hurt B.C. citizens by resulting in higher ferry charges and poorer levels of health care and education.

B.C. Fed president Jim Sinclair says he has a different view of history than McGuckin and other critics of his leadership. “The disputes he mentions showed real increases in solidarity.”

CUPE B.C.’s Barry O’Neill, while not endorsing McGuckin’s criticisms of Fed leadership, did point out that his union had organized the largest solidarity walkouts since the 1980s during the HEU and BCTF strikes McGuckin cites.

“We’re in time of transition, with some weakening of militancy,” he said. “Times are different but we should be moving toward more militancy. We have been too dependent on friendly governments.”

Living wage breakthrough in New West

Darryl Walker, president of the B.C. Government and Service Employees Union, while, like O’Neill, declining to endorse McGuckin’s critique of union leadership, said that critical views like those expressed by the veteran rank and file member were “not necessarily unhealthy. We need to hold on to views like this. Sometimes we don’t go far enough. However, in 2003-2005, I think each struggle was pushed to the right level. You can be damned in hindsight, and maybe mistakes were made, but I think most members were happy with the decisions made by officers and leadership.”

If B.C.’s labour movement took a beating from BC Liberal government policies in the past decade, it gained a victory this year within the council chambers of New Westminster. The campaign for a living wage in B.C., which has been actively supported by organized labour, got a big boost when New Westminster became the first municipality to make a commitment that all its direct employees and all those who work for significant city contractors must receive a living wage of over $18 an hour.

“New Westminister was a win, and a good one,” said the B.C. Fed’s Sinclair. “It is only one of the many pieces of evidence that the labour movement is still alive and kicking, and fighting on many fronts, from strikes to regulatory reform to municipal byelaws.

“The Fed has moved more to seeing that we represent all working people, not just our members, although they are, of course, very important,” said Sinclair. “We are there for working people in general. Just look at our campaigns to increase the minimum wage and protect public services.”

Tom Sandborn is a Tyee contributing editor focusing on health policy and labour. He welcomes feedback and story tips here.

Fighting for the right to the city

BY Am Johal JULY 23, 2010

In Vancouver, young families and seniors on fixed incomes put their groceries on their credit card.  Underemployed recent university graduates, overloaded with debt, are barely making ends meet.  You don’t have to look very far to know that there’s an affordability crisis in Vancouver.  This is one of the public policy challenges of our times.

The increasing social divide in the city is an outcome of inadequate public policies over three decades that have placed developers’ interests before those of citizens.  City policies have accelerated and amplified development paths and exacerbated social impacts on middle and lower income communities while senior levels of government have downloaded costs and hamstrung local governments with limited revenue streams.  The democratic deficit that functions at City Hall is also at the heart of the problem in articulating a workable solution.

Urban economics is not the work of magicians and alchemists. Economics is a shapeable, understandable social science – except when its regulation is left in the hands of the free market as the recent economic collapse has so vividly showcased.

As in other times in history, governments should intervene in the free market for the public good.  There is no other way to ensure affordability in the city – whether it is building affordable housing directly, implementing market incentives or setting policies that keep rents affordable.

They largely used to in contemporary times until the politics of Ronald Reagan and Margaret Thatcher became fashionable in the Western world.  The ‘third way’ post-politics of the following two decades blurred the lines between left and right and simply accelerated the neo-liberal project.  Political communications has been given a higher value than policy substance over that time frame.  In what was promised as a post-ideological politics, has, in effect, been extremely ideological in practice.

The lessons of the thirty year project are clear.  We now have stagnant incomes with rising living costs in an increasingly unaffordable city.  The unraveling of the social safety net has also led to innumerable social impacts.  The most recent social indicators report at the city shows that the divides are not just between west and east side – they exist within neighbourhoods across the city and are increasing across the board.  30% of children are considered ‘vulnerable’ by the time they reach kindergarten.  Over 35% of children in the inner-city have visible signs of tooth decay by age 5 in the inner-city.

From the late 19th century to the 1970’s, liberal societies around the world were becoming uniformly less unequal according to historian Tony Judt.  In his recent book, Ill Fares the Land, he writes about the social impacts of these trends, “Something is profoundly wrong with the way we live today. For thirty years we have made a virtue out of the pursuit of material self-interest: indeed, this very pursuit now constitutes whatever remains of our sense of collective purpose…We no longer ask of a judicial ruling or a legislative act: Is it good? Is it fair? Is it just? Is it right? Will it help bring about a better society or a better world? Those used to be the political questions, even if they invited no easy answers. We must learn once again to pose them.”

Vancouver’s Am Johal is an independent writer whose work has appeared in Seven Oaks Magazine, Znet, Georgia Straight, Electronic Intifada, Arena Magazine, rabble.ca and many others Am Johal’s blog

Fossil fuel peddling impedes BC’s progress toward a green future

by Marc Lee July 20, 2010

Based primarily on the creation of a carbon tax two years ago, the BC government has been propelled into the position of North American climate action leader. While there was much to applaud as first steps on climate action in BC’s 2008 “green” budget, two years later there remain some glaring contradictions between climate action and BC’s transportation and industrial policies.

In particular, British Columbians need to have a frank conversation about the province’s fossil fuel industries. We are all addicted to the energy provided by cheap and abundant fossil fuels, and so have reshaped our economy and society in fundamentally unsustainable ways.

But BC is more than just another addict; it is also a dealer. When it comes to law and order, we have learned not to crack down on the users of drugs, but instead focus our efforts on the dealers. So what if it turns out that beautiful BC is running the resource economics equivalent of a meth lab?

The extraction and processing of fossil fuels (oil, natural gas and coal) was responsible for one-fifth of BC’s emissions in 2007. But the footprint of BC’s fossil fuel production is actually much larger because official inventories only count emissions released within the borders of a jurisdiction. The combustion of coal, oil and gas outside BC in export markets is not counted. As a result, the emissions attributable to BC’s fossil fuel industries in the province’s official inventory are vastly understated.

In 2008, natural gas and coal together hit a record $8.5 billion in BC exports (with the recession, this fell to $6 billion in 2009). While BC has become a more diversified and service-oriented economy, resource extraction remains a major part of the provincial economy and a large source of export revenues, and as a result continues to dominate thinking in Victoria.

Converted to tonnes of carbon dioxide exported, BC natural gas and coal exports combined for 104 million tonnes of carbon dioxide elsewhere – more than double the emissions from fossil fuel combustion within BC, and 7.6 times BC’s own emissions from the extraction and processing of those fossil fuels.

More troubling are plans for expansion. The BC government is putting oil and gas at the top of its industrial policy priority list, highlighted by a recent $404 million auction of land for exploration of shale gas in the Northeast. BC has extensive stockpiles of CO2awaiting release into the atmosphere – if extracted. In fact, BC’s fossil fuel reserves represent more than three years of global CO2 emissions.

A reality check comes from estimates of the world’s carbon budget – the total stock of emissions that can be emitted between now and 2050 by everyone worldwide, consistent with a reasonable probability of keeping global temperature increase under 2 degrees Celsius above pre-industrial levels. Above 2 degrees Celsius, it is widely believed that humans lose the ability to stop climate change, and runaway global warming could be the result. This global carbon budget is estimated to be just over 1 trillion tonnes of CO2.

BC’s fossil fuel reserves are equivalent to nearly one-tenth of the world’s remaining carbon budget. It seems clear that the status quo of extracting and exporting fossil fuels cannot continue. BC’s fossil fuel resources are not going anywhere, and will only be worth more as time goes on. Given the sheer urgency of getting over our addiction to fossil fuels, this inevitably means a moratorium on new oil and gas development is needed – unless 100% of the emissions can be captured and stored underground. Forever.

An important social justice concern in taking an aggressive approach to fossil fuel extraction is the negative impact on many workers in those industries, and the communities they live in. While there is a strong case to be made for new green jobs in renewable energy, the promise of green jobs in the future is not the same as a good job today. The BC should therefore make serious commitments to a “green social contract” for affected workers, including income supports, retraining provisions and mobility allowances.

Confronting GHG emissions from the oil and gas sector, and emissions from fossil fuel exports that are combusted in other jurisdictions, is perhaps the biggest challenge BC faces, and the most glaring contradiction when it comes to climate policy. This challenge, and its social justice transitional issues, must be acknowledged if BC is to be a real climate action leader.

Marc Lee is Senior Economist with the BC Office of the Canadian Centre for Policy Alternatives and the Co-Director of the Climate Justice Project, a five-year partnership with the University of British Columbia looking at the social justice aspects of climate action policies. His recently released brief, Peddling GHGs: What is the Carbon Footprint of BC’s Fossil Fuel Exports? is available for download at www.policyalternatives.ca.

Clean Energy Act will cost billions for BC

by Marvin Shaffer

June 22, 2010

While the HST has captured all the attention, the province’s passage of the Clean Energy Act in the recent legislative session is a far more serious matter.

The Act will impose billions of dollars of unnecessary costs on British Columbians. It is, simply put, bad legislation.

The Clean Energy Act imposes a legal requirement for energy “self-sufficiency” for BC Hydro. Self-sufficiency sounds positive. But in fact “self-sufficiency,” as defined by the BC government, will simply force BC Hydro to buy a large amount of high cost power from private producers that is not needed to ensure a reliable supply of electricity.

In a hydroelectric system like BC Hydro’s, the main reliability question is how to guard against the impact of drought, when low water conditions limit electricity production.

With “self-sufficiency,” BC Hydro will have to manage this low water risk by entering into long term contracts with private power producers for new supply — supply that in most years will be surplus to BC Hydro’s requirements.

The Act does not put any limits on the price BC Hydro has to pay for electricity. Nor is there any room to consider the alternatives that BC Hydro could have pursued to ensure a reliable supply. The legislation dictates that BC Hydro must ignore the back-up capability of the Burrard Thermal plant, even in drought years. It must assume that the province will not let BC Hydro use any of the Columbia River treaty power it receives each year. It must pretend there is no “spot market” (one-off sales or purchases) for power, even though such markets exist in the US and Alberta, and BC Hydro in fact regularly buys and sells electricity in those markets for trading purposes.

BC Hydro itself has estimated that “self-sufficiency” will add in excess of a billion dollars to its costs. Environmentalists are concerned that the generation and transmission line development it will cause will have significant adverse environmental effects. Despite all these concerns, the government has yet to release any analysis in support of this measure. There is no evidence that it is in the broader public interest.

In addition to “self-sufficiency,” the Clean Energy Act accelerates a requirement for “insurance,” increasing the amount of surplus BC Hydro is being forced to buy. It is not at all clear what contingency this insurance is intended to address or what benefit it will offer. All that is clear is that it will add hundreds of millions of dollars more in costs that ratepayers will ultimately have to pay. BC Hydro’s own forecasts suggest that all of this surplus will be sold at a loss.

Then there are the export provisions. In addition to buying privately-produced power for dubious self-sufficiency and insurance reasons, BC Hydro will have to buy even more privately produced power, in this case explicitly for export. The Act requires BC Hydro to pursue export opportunities that private power producers will not pursue on their own.

There is nothing inherently wrong with the export of power — after all, we export pretty well everything else. The issue here is forcing BC Hydro to be the export agent for private developers.

BC Hydro will be responsible for providing all of the transmission, backup and other services needed to create a reliable, marketable product. However, it is not at all clear that BC Hydro will be able to earn an appropriate return on the services it provides and risks it assumes. Under the Act, Cabinet can order BC Hydro to buy power for export even if its management and Board do not consider the market prices sufficient to justify the costs it must incur. There is the obvious potential for political interference and abuse, particularly with the legislation’s elimination of any independent oversight and transparency of the implications of these export (and other BC Hydro) activities.

The Clean Energy Act is not really about clean energy. Requiring an unnecessary amount of generation and transmission development, with all of the environmental impacts that causes, is not particularly clean or green. Nor is it about developing BC’s hydroelectric resources in the general public interest. The Act is designed, first and foremost, to expand private power development throughout the province by forcing BC Hydro to buy power it does not need for its own purposes, and to buy power for export regardless of the adequacy of the return.

The power development the Act is designed to encourage is hugely expensive in economic and environmental terms. The Act does not in any way recognize these costs, and the government has not provided any analysis or made any effort to demonstrate that the benefits justify the costs. Worst in many ways, the Act does not provide for any judgment by the BC Hydro management and Board of the trade-offs these measures entail, nor is there to be any independent oversight by the BC Utilities Commission or anyone else.

The Clean Energy Act is bad legislation. It’s far worse than the HST. This is the legislation that British Columbians should be fighting to repeal.

The Truth about BC Health Spending, Made Easy

It’s static and under control. So why do so many, like The Globe’s Jeffrey Simpson, spout the opposite? By Will McMartin, 7 Jun 2010, TheTyee.ca

COMBINED REVENUE FUND SPENDING

Is it possible to explain B.C.’s health-care spending in a way that any one — even, say, a political columnist in distant Ontario — would understand? Let’s try to do so with a simple allegory.

A father sits at the dinner table with his family. He looks around the table with pride at his wife, teenage son and teenage daughter. He loves his family, but there is this one nagging thought… Until recently, the evening repast had five participants. But a few weeks ago the eldest daughter left to attend university in another city. Rather than five people seated at the dinner table, there now are just four. The meal starts to get underway when the father suddenly puts down his knife and fork, and exclaims: “Stop! We’re all eating too much!” His wife and progeny coolly look at him and keep eating. The daughter manages a one word reply between bites: “Explain.” “Well,” says the father, “when there were five of us, each of us ate one-fifth of the total. But now, with just four, our individual consumption has soared to one-fourth, or one-quarter, apiece.” He continued, excitedly: “We’ve gone from each of us eating 20 per cent of the total food budget, to each consuming 25 per cent. This clearly is an unsustainable increase. We must be eating too much!”

Okay, the above scenario is farfetched and silly. But it also is the argument made by those — such as B.C. Liberal politicians, certain members of the legislative press gallery and a prominent eastern journalist — who argue that B.C.’s health-care spending is out of control.

Most Tyee readers — sensible folk, that is — would calculate that the family’s food consumption, based on four people rather than five, probably has declined in total. Fewer people consuming less food at a lower total cost. That there has been a percentage increase in one individual’s consumption is an irrelevant consideration in comparison to that of the total meal size; that is, everybody’s consumption, combined, and the total cost.

Debt, pass the potatoes to Transportation

Let us try the family dinner table again, but with a slight variation: the names of the family members correspond to those of provincial-government expenditures.

The father’s name is Finance, and his wife is Social Services. Their eldest daughter (who actually hasn’t gone to university, but is attending a nearby college and wants to become a mechanic) is called Interest on the Debt and their son is Transportation. The youngest daughter is Health.
Finance is convinced that all five family members are eating too much and ought to go on a diet. (In fact, he needs to cut the food budget because he wants to divert a sizeable part of the family income to an uncle, called Business. But that’s a different story.) After much discussion, he convinces Social Services, Interest on the Debt and Transportation to join him in reducing their caloric intake by one-quarter apiece. So, where each used to eat 20 per cent of the total dinner — one-fifth for each of five people — they now consume just 15 per cent per person. Health, however, has refused Finance’s entreaties — she’s playing girls’ rugby at school and wants to keep her weight up (and, besides, she’s a teenager and pretty much refuses to do anything her parents ask her to do) — and continues to eat her typical, average dinner: no more, and no less. This angers Finance. According to his calculations, the four family members who have cut back their consumption now eat just 60 per cent of the total dinner (four people multiplied by 15 per cent each), whereas previously it was 80 per cent (four times 20 per cent). But Health, who used to consume 20 per cent — one-fifth — of the total (the same as her parents and siblings), now, because of their dieting, has seen her portion of the family meal climb to 40 per cent.

Health, of course, hasn’t changed her dietary consumption at all; she’s consuming no more, and no less, of the evening dinner than before. Yet, as the others’ share of the meal decreased, Health’s portion of the meal doubled. It’s simple. Because Finance, Social Services, Interest on the Debt and Transportation are consuming less, Health’s consumption — which is unchanged — appears to have skyrocketed out of control, when really it hasn’t changed at all.

Cutting indiscriminately

What does any of this have to do with B.C. politics and government spending on Health?

Well, consider that way back in 2002, Gordon Campbell’s BC Liberals found themselves facing a gargantuan deficit. (Something to do with massive tax cuts, perhaps?) In response (or, perhaps it was their plan all along), the Campbell Liberals decided to cut government spending in all departments — save Health and Education. Here is what the Campbell government said in its Throne Speech on Feb. 12, 2002: “Over the next three years all ministries, not including Health and Education, will experience an average reduction of 25 per cent in their budgets.”
And, this is what Gary Collins, then-finance minister, said one week later in his 2002/03 budget speech: “Total spending in ministries, except for health and education, is being reduced by an average of 25 per cent. That’s a total of $1.9 billion over three years.”

In other words, Health and Education were allowed to keep on consuming — tax dollars, in this case — at a similar rate as previously, but all other departments were to see their eating trimmed by one-quarter. Golly, do you think that the portion of the budget allocated to Health and Education might have increased as a result of that policy decision? Of course you do. If you’ve got as far as Grade 10 in math and don’t work in the news media, that is.

As a consequence of the Campbell Liberals’ deliberate decision to cut or freeze spending in all government departments save Health and Education, the portion of the budget allocated to those two specific areas increased as a percentage of the total! Moreover, the Campbell Liberals have continued since 2002 to dampen spending in all areas of government, including Health and Education. As the chart at the top of this column illustrates, the proportion of B.C.’s annual gross domestic product (GDP) allocated to the provincial government’s Consolidated Revenue Fund (CRF), actually has been in free-fall for the past two decades. In 1991/92, CRF spending peaked at 20.9 per cent of GDP, and in 2001/02 (when Gordon Campbell and the BC Liberals were elected to government) CRF expenditures were down to 18.3 per cent. In 2008/09, the comparable figure was a mere 15.7 per cent. (See Table A3.6 on p. 107 here.) Over the last two decades, in other words, Victoria’s spending as a proportion of the provincial economy has fallen by about one quarter.

Rising inflation, more people

The issue of Health’s proportion of provincial expenditures is somewhat complicated by a pair of factors: inflation and population growth.

From 2002 to 2008, for example, the B.C. Consumer Price Index rose by an annual average of about two per cent. That is, with B.C.’s base CPI calculated at 100 for 2002, it was at 112.3 by 2008. (See p. 11, here.)
Also consider that in 2001, when Gordon Campbell became premier, British Columbia’s population was 4,076,264. Last year, according to BC Stats, it was 4,455,207. That’s an increase of nearly 379,000 — or 9.3 per cent. Is it surprising that government expenditures also have grown over time? So, where CRF spending was $22.4 billion in 2001/02 (the year before the BC Liberals won power), this year’s budget saw CRF outlays hit $33.8 billion. But, again, as a proportion of the provincial economy, CRF spending actually has declined over that same time period.

Health expenditures, too, have increased in concert with inflation and population growth. In 2001/02, Health outlays from the consolidated revenue fund totaled $9.7 billion; in the latest budget, the comparable number is about $14.8 billion. As a proportion of GDP, however, they’re virtually static.

Back to the table, everyone

Let’s look briefly at the table above, which shows provincial-government expenditures (CRF) as a proportion of B.C.’s GDP over the last quarter-century. (The data are from Table A3.5 on p. 106 here.) The top line represents CRF expenditures. As mentioned earlier, they’ve been falling for the better part of the last two decades. (In fact, Victoria’s spending as a proportion of the provincial economy today is almost as low as it was when W.A.C. Bennett left office in 1972.) The second or middle line is Health spending from the CRF. It is amazing — even more so given the near-hysterical proclamations by B.C. Liberal politicians and various members of the news media — how static it has been over the last quarter-century.

When Gordon Campbell became premier in 2001/02, Health outlays were 7.3 per cent of GDP. They had fallen by 2006/07 to just 6.7 per cent — even as the Campbell government vowed to protect Health — and in 2008/09 were recorded at an even 7.0 per cent of GDP.
The third line combines three areas of spending from the CRF: Social Services, Transportation and Interest on the province’s debt.
In 1984/85, when Bill Bennett’s Social Credit party was in government, Social Services expenditures totaled 2.5 per cent of GDP, Transportation also was 2.5 per cent, and Interest, 0.9 per cent. Combined, these outlays represented 5.9 per cent of GDP. Interestingly, that is exactly the proportion of GDP that Health spending represented that same year. Indeed, the chart above shows that Health outlays in 1984/85 were identical to the combined expenditures on Social Sevices, Transportation and Interest.

All in relation to GDP

But look at what has happened over the last quarter-century. While Health has shown little change as a proportion of GDP — the lowest level was 5.7 per cent in 1988/89, and the highest 7.4 per cent in 2002/03 — the other three areas of government spending have fallen dramatically. Social Services outlays were 2.5 per cent in both 1984/85 and 2001/02. Under the BC Liberals, however, Social Services expenditures dropped to just 1.6 per cent of GDP in 2008/09. The provincial government, of course, does not directly control the interest rate that it pays on its debt. But governments around the world have benefited over the last three decades from declining low interest rates — see here for a look at the yield on U.S. treasuries — and the B.C. government is no different. In 1984/85, CRF spending on the provincial debt represented 0.9 per cent of GDP. It peaked in the mid-1990s at 1.6 per cent, but by 2008/09 was down to 0.6 per cent. Combined, these three areas of expenditure have fallen from 5.9 per cent of GDP a quarter-century ago, to an even 5.0 per cent when Gordon Campbell and the BC Liberals won election to government in 2001/02. Since then, they’ve collapsed even further to just 2.6 per cent in 2008/09.

Remember, Health and these three combined areas of expenditures were an identical 5.9 per cent of GDP a quarter-century ago. Today, however, Health outlays are about two-and-a-half times as great as the other three. Is that because Health spending has exploded, or because expenditures on the other three have swooned?

The big cutback

Two points to note in the chart above. First, it is evident that the dramatic decline in outlays in Social Services, Transportation and Interest on the Debt mirrors the on-going drop in overall government expenditures.

It’s simple: as Victoria has cut back its total spending (as a percentage of GDP), certain areas of expenditure, perforce, have experienced significant declines. Second, because every other area of government spending has fallen in recent years, Health — where spending has been virtually unchanged over the past several decades — has increased in comparison. Between 1984/85 and 2001/02, Health’s share of CRF spending grew from 30.2 to 39.5 per cent. By 2008/09, it was up to 44.8 per cent.

Think again of our fictitious family eating dinner: all of the people seated around the table have gone on a diet, and the family’s food bill has declined as a proportion of their total income. But one family member, Health, continues to consume an amount not dissimilar to that which she ate before the diet was adopted. Compared to the others her consumption has grown as a proportion of the total, when, in fact, it is virtually unchanged.

It should be obvious — even to an eastern journalist — that Health spending in B.C. is not out of control.

Did Jeffrey Simpson miss math class?

Okay, let’s name names. Jeffrey Simpson, political columnist with Toronto’s Globe and Mail newspaper, seems in recent years to have been on a personal crusade against health-care spending. That’s okay, except when he manufactures a false picture of British Columbia’s fiscal situation and disseminates that nonsense to the rest of Canada.

Here’s what Simpson wrote three months ago, on March 13. “B.C., like other provinces, is desperately raiding every piggy bank to pour revenue into health care.” He went on to call Gordon Campbell “brave” for attempting to slash health outlays, but also admitted that “even he [Campbell] can’t rein in the costs inherent in the existing system.”
Simpson continued in a similar, nonsensical vein two weeks ago, on May 29. “While B.C.’s health-care budget jumps by over $2-billion over three years, what about other spending?” He then listed other areas of government expenditure that are in decline — because, he says, Health spending, in real terms, is rising. In Simpson’s world, Health is a voracious monster that eats the budgets of every other area of government administration.

In fact, in B.C. reductions in spending on non-Health areas are the result of deliberate policy decisions made by the government in power. It wasn’t Health that made Victoria cut CRF spending from 20.9 per cent of GDP to just 15.7 per cent; it was successive administrations that wanted a smaller government. As a proportion of B.C.’s economy, health-care expenditures in the last several decades have been virtually static. Only in comparison to the falling budgets of other areas of spending do Health costs appear to be rising.

So, far from being out of control, Health in B.C. merely has refused to go on the same diet imposed on the rest of Victoria’s annual outlays. It is a concept that a teenage, rugby-playing girl could understand, but one that evidently eludes an Eastern political columnist.

Tyee contributing editor Will McMartin is a veteran political advisor and analyst. Read his previous columns here.

B.C. Should Press Ahead with Pension Plan for Working Poor

By Don Cayo, Vancouver Sun

May 25, 2010

What if all the provinces agreed to set up a supplementary pension plan for the millions of Canadians — a third of the workforce — who have neither RRSPs nor any retirement nest egg beyond the CPP?

Or what if they didn’t?

Either way, B.C. Finance Minister Colin Hansen and his cabinet colleagues should be encouraged to press ahead with their proposal for such a plan. If this idea wins nationwide support, it will be a big step in the quest to make retirement something for all Canadians to look forward to. And if it fails to garner support from all the other governments, it could still give B. C. — plus any other province that signs on — a significant edge in what’s sure to become an evermore challenging contest among the regions of Canada to recruit and retain workers.

Research done by the Canadian Association of Retired People — a big promoter of this kind of supplementary pension — shows that most of to-day’s retirees consider themselves to be reasonably comfortable. But there are serious concerns for the future. The percentage of retirees will grow dramatically, and fewer and fewer will have workplace pensions to draw on. And governments will be less and less able to support those who have no extra income. The fact so many workers have no retirement savings is, I think, a result of both human failure and policy failure. True, RRSPs are available to every worker, but many don’t have the discipline to set aside money for contributions. Some argue that, for the working poor, they simply don’t have the money to set aside. And the truth is that, even if they did, RRSPs don’t serve low income wage earners very well. For one thing, unlike a workplace pension plan (even one based on individual RRSPs), there’s no employer contribution, so the worker has to fund the whole thing alone. And it may in the end be a losing proposition if those savings never add up to more than a modest nest egg. Certainly any accumulation under $ 100,000 is unlikely to be cost-effective for the saver.

The problem is that the tax savings when the money is set aside will be small if the income is small and therefore taxed at a low rate. And a very small supplementary income in retirement is just enough to erode a retiree’s entitlements like the Guaranteed Income Supplement or provincially assisted drug plans, but not enough to give them more money to live on. This is a problem that the new Tax Free Savings Plans are intended to overcome. And the designers of a new supplementary pension plan will have to keep it in mind, as well. The bottom line is that workers who participate, especially those who are stuck in lower-wage jobs for all of their careers, must end up measurably better off in retirement thanks to their savings.

There are other complicated questions to consider. Portability is a key. I think B.C. could go it alone if has to, but it would be folly to not coordinate its supplementary pension plan with any and all that other provinces undertake. The Medicare model could work here. This now-iconic Canadian program was started by Saskatchewan all by itself, and grew to become a national program with full portability from province to province. There’s also the question of whether enrolment in a new supplementary plan should be mandatory, voluntary or automatic unless you opt out.

Hansen favours the third of these options, and cites international experience that shows few workers or employers opt out when such a plan is offered. The minister was quoted a few months ago as down-playing the pension proposal in the face of tough economic times, but he told me last week that he has never considered it to be off the table. It would be more realistic to expect a high level of participation, he said, if it can be implemented when the economy is strong. But, like any form of pension savings, the key is to start as early as possible. This means the big question for B.C., he said, is how long to wait to see if the other provinces will come on board.

My advice would be, not too long. Show strong leadership by setting a timetable and inviting the rest to join — or not. Because waiting too long will be, in the long run, far more costly than going it alone.

dcayo@vancouversun.com

Visit Don Cayo’s blogs, one on taxation issues and one on globalization, at www.vancouversun.com/blogs

2010 living wage shows the real costs of raising a family in Metro Vancouver

(Vancouver) $18.17 is the 2010 family living wage, according to a report released today that calculates an hourly wage based on the real costs of raising a family in Vancouver.

Working for a Living Wage 2010: Making Paid Work Meet Basic Family Needs in Metro Vancouver updates the first Metro Vancouver calculation published in 2008, and was released by the Canadian Centre for Policy Alternatives (CCPA), First Call: BC Child and Youth Advocacy Coalition, and the Metro Vancouver Living Wage for Families Campaign.

The announcement follows last week’s news that New Westminster’s city council voted unanimously to adopt a living family wage for city and contract employees, making it the first municipality in Canada to do so.

The living wage calculation includes basic expenses (such as housing, child care, food and transportation) for a two-earner family with two young children, as well as government taxes, credits, deductions and subsidies. It finds that each parent would need to work full-time at an hourly wage of $18.17 in Metro Vancouver in order to pay for necessities, support the healthy development of their children and participate in the social and civil life of their communities.

“For six years running, BC has had the highest level of child poverty in the country, which is very much a story about low wages. More than half of poor children in BC have at least one parent working full-time, full-year,” says Adrienne Montani of First Call. “A living wage would also enhance the well-being of immigrant families, which are more likely to be in the low-wage work force.”

“The living wage is not the same as the minimum wage, which is the legislated minimum set by the provincial government,” explains co-author Seth Klein of the CCPA. “The living wage calls directly on employers to meet a higher standard for their direct staff and major contractors. It allows lower-income families to avoid having to make impossible choices, such as whether to buy clothes or heat the house, feed the children or pay the rent.”

Co-author Tim Richards points out, however, “The living wage is based on a very modest budget. While it allows families to escape severe financial stress it doesn’t allow for home ownership, serious family emergencies, debt payments, saving for retirement or children’s post-secondary education.”

The 2010 living wage of $18.17 is an increase of $1.43 over the 2008 calculation. What’s driving the increase? One factor is the rising cost of food. “Since the initial calculation of the living wage, the cost of nutritious food for a family of four in Metro Vancouver has gone up considerably,” says Janice Macdonald of the Dietitians of Canada. “If people cannot afford to buy healthy food then their health suffers and that means we all pay with higher health care costs.”

Rent increases are another big driver. According to CMHC, the median rent for a three-bedroom apartment in Vancouver went up about 7.8 per cent over the two years.

“The costs of these essential items that low-income families cannot avoid have increased by more than the general rate of inflation (CPI),” notes Seth Klein.

Child care costs also took a big jump of $113/month over the two years. “In the wake of federal and provincial cuts, child care fees have seen a steep increase, effectively cancelling out what families receive in the federal Universal Child Care Benefit each month,” says Susan Harney, chair of the Coalition of Child Care Advocates of BC.

“Child care is the second most expensive item in the living wage family budget calculation (after shelter),” notes Harney. “If we had a publicly-funded universal child care plan, it would be a huge burden lifted off the shoulders of young families struggling to make ends meet.”

“Child care is an excellent example of how governments can reduce wage pressures on employers by enhancing public programs,” says Klein. “Employers who would find the living wage challenging should urge governments to strengthen the public services and supports that enhance our economic security.”

The Living Wage for Families Campaign has designed a Living Wage recognition process, which formally recognizes employers that pay the current living wage to all their staff and main contractors, providing consumers with the first certification process of its kind in BC. A number of organizations have signed up already and many more are considering applying.

One of these is Atira Women’s Resources Society (with 150 employees). According to executive director Janice Abbott, “We believe it’s just good business practice. Our staff turnover and training costs are low and morale is high. In the end, we are a women’s organization – many of our staff are single moms and we know we need to pay them a wage that supports their health and dignity and allows them to provide their children with an environment that promotes healthy childhood development. It is the right thing to do.”

A living wage calculation guide for other communities will be available soon at www.policyalternatives.ca. Employers wanting to apply for living wage certification should visit www.livingwageforfamilies.ca.

Working for a Living Wage 2010: Making Paid Work Meet Basic Family Needs in Metro Vancouver may be downloaded at www.policyalternatives.ca.

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Call Terra Poirier at 604-801-5121 x229 to arrange an interview with report authors and community spokespeople.

Falconcare- Why it Won’t Help Public Health Care

Dear Friends:


Recently, the BC Liberal government announced a new scheme to allocate hospital spending. Health Minister Kevin Falcon’s plan will increase administrative costs, force hospitals to compete for scarce public dollars and pave the way for further privatization of health care. Below you will find a response to the government’s proposal.


Sincerely,


Adrian Dix, MLA

Vancouver-Kingsway

Official Opposition Health Services Critic


Health Minister Kevin Falcon unveiled plans on Monday for a new system of funding hospitals called Performance-based funding or, as it is now to be called, “Patient Focused Funding”. The scheme will expand the role of for-profit hospitals, replacing a cost-effective system based on co-operation with one based on market competition. In effect, the minister is using the costliest, least efficient and least accessible parts of the health care system as a model for the province’s hospitals.


Patient focused funding works by reimbursing hospitals at a fixed fee-for-service rate for each procedure, regardless of what their actual costs might be. If the hospital’s cost is lower than the fee, a profit is made, but if it’s higher, the hospital suffers a loss. This is intended to supplant a component of “block funding”, an amount negotiated by hospitals based on previous experience and anticipated cost increases in the coming year. The Organization for Economic Cooperation & Development has described fee-for-service as an inefficient method that undermines cost controls.


Under the new scheme, 20% of the acute care budget in each of BC’s health authorities will be diverted to a whole new bureaucracy called the BC Health Services Purchasing Organization directed by Les Vertesi, the Premier’s brother-in-law. In 2011/12 alone, $1.2 billion will be transferred from acute care budgets to yet another health care agency that doesn’t deliver health care. The new agency takes its place in a top-heavy bureaucracy that includes five health authorities, the treasury board and the health ministry.


The job of the new bureaucracy will be to disburse money to public hospitals or for-profit surgical facilities that successfully compete for lucrative contracts for specified surgeries. Its job will be to pit one hospital against the other as they compete for contracts. This is bad news for patients: the last thing they need is hospitals fighting each other over scarce resources. The huge cost of administering the new scheme – in Britain, it has increased administrative costs from about 10% to over 20% of spending – will impose an added burden on a hospital system already stretched to the limit.


PFF is a threat to the long term stability of our hospital system. Patients whose local hospital loses the competition for a contract could well find they are travelling longer and longer distances to obtain needed care from the winner. The biggest losers will be the people who live in smaller towns and cities around the province, and patients with higher levels of need.


That’s because PFF is not so much performance-based as volume-based. Like all fee-for-service systems, it depends on foot traffic to generate revenue, and not just any traffic. The less costly the patient the more money the hospital, public or for-profit, will make – and in the PFF system the incentive is making money.

That’s why the British Medical Association, which endorsed PbR when it was first introduced, now cautions Canadian doctors that a PFF/PbR model of hospital funding “creates profitable and unprofitable patients and services. The result,” they warned, “is over diagnosis and overtreatment of some patients, and neglect and under treatment of others. Particularly vulnerable are people who have chronic care or physical and/or learning disabilities.”


PFF is a costly form of fee-for-service for hospitals, with winners – likely the larger hospitals and the for-profit facilities – and losers – patients with more complex conditions, smaller hospitals and pretty much everyone outside the main population centres in BC.


Falcon claims he’s going to tackle escalating, unsustainable health care costs. But if that’s the case he’s barking up the wrong tree. During the last 20 years public funding for hospitals has dropped from 40% of the total health budget to 28%. Where we are seeing unsustainable cost increases are in the private sector, beginning with the cost of prescription drugs which, unlike hospital costs, have increased from $4 billion a year in 1985 to $30 billion in 2008 – an increase of 650%. The cost of delisted outpatient rehab services has increased as well, with more and more people struggling to obtain therapy they need but can’t afford. The cost of long term care, residential care and home support are all escalating, placing an unfair burden on the elderly, those with chronic conditions, people with physical disabilities and those suffering with mental illness.


These priorities are crying out for leadership from the Minister of Health. We need an aggressive strategy to reduce overall costs related to prescription drugs, including a renewed mandate for UBC’s Therapeutics Initiative. The hospital system needs increased capacity and British Columbians need improvements in long term care, home care and community-based care. And we need an arms-length quality council similar to what Alberta and Saskatchewan have put in place to ensure we are getting cost effective, evidence-based, high quality care.


Instead of applying the lessons of hospital care to other areas that are escalating in cost, the minister is using those more costly areas as the model for hospitals. The minister and this government are embracing what they claim is a European system while ignoring the message they are getting from the people right here in BC.


That message, delivered during the Conversation on Health, was: protect our basic values regarding universality and fairness and expand medicare to include more cost-efficient and community-based services. Pay-for-performance, regardless of what it’s called, is this government’s cynical response, a system that will cost more while replacing the principles of medicare with the principles of the marketplace.

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