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Category "Politics"

9Aug

Committee recommends money for HandyDART, affordable transit fares in 2020 B.C. budget

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The HandyDART service made 1.3 million trips last year.


RICHARD LAM / PNG

Public transit could receive a boost in the next B.C. budget, if the provincial government heeds the advice of an all-party finance committee.

The select standing committee on finance and government, which conducted public consultations across B.C., released a report this week with more than 100 recommendations for the 2020 budget, including six for transit and transportation.

In the interest of making transit more accessible for people with disabilities, the committee said the province should increase funding to expand HandyDART, a door-to-door shared ride service.

“(The committee) acknowledged the importance of HandyDART for increasing accessibility and supporting inclusion,” the report said.

Beth McKellar, co-chair of the HandyDART Riders’ Alliance, said the recommendation is important because the service is in high demand and desperately needs more funding, despite Metro Vancouver’s regional transit authority having added more service.

HandyDART’s ridership has been on the rise for the past five years, and delivered 1.3 million trips in 2018.

“We’re just a wee tiny blip on the radar, but I’m pleased this all came out and I’m hoping that they do the right thing. I always have that little bit of hope,” McKellar said.

The committee made a similar recommendation for the 2019 budget, calling for “increased and sustained” funding for HandyDART services.

Although funding was allocated in the last budget to B.C. Transit to expand bus and HandyDART services in four communities over three years, Metro Vancouver was left out, to the dismay of advocates and the region’s mayors.

“It was good that the Island got it, that B.C. Transit got it, but we need it a lot more over here,” said McKellar.

In recent years, TransLink’s Mayors’ Council has argued that the province should help pay for HandyDART because the majority of trips are related to health services, such as dialysis, and said there should be a long-term, sustainable funding model for the service.

The committee also recommended that the province work with local governments and transit authorities “to explore new pricing mechanisms to help make public transit more accessible for youth and low-income families.”

“We think this is an excellent recommendation and we urge the government to follow through on it,” said Viveca Ellis, a community organizer for #AllOnBoard.

#AllOnBoard has advocated for free transit for all children and youth up to and including 18 years old, and a sliding-scale monthly pass system based on income for all transit systems in B.C.

“We know that affordability is an important part of our current government’s mandate, and as communities and many, many community members have brought forward to us transit is not affordable for many British Columbians,”

The Mayors’ Council has also discussed free transit for youths, but believes the province needs to be involved on the funding side to offset fare revenue losses. Victoria will offer free transit to all youths who live in the city in a pilot project starting in September.

On the transit side the committee also recommended working with public and private operators to address gaps in regional transportation services — particularly in rural and remote areas — and prioritizing faster deployment of electric buses in cities, including expensive charging infrastructure.

In the area of active transportation, the committee said the province should invest in walking and biking infrastructure, education and promotion, as well as eliminate provincial sales tax on electric bicycles.

In a statement the Ministry of Finance said it is “in the process of reviewing the report in detail and considers all proposals, including recommendations brought forward by this committee, during the yearly budget process.”

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26Jul

Daphne Bramham: Recovery homes’ dilemma: Trying to comply with regulations that have yet to be written

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After three years of operating two registered recovery houses, in January 2016 Cole Izsak found what he believed — and still believes — is the perfect place.

But before taking possession, the owner and executive-director of Back on Track Recovery applied to the provincial health ministry to essentially grandfather his operation and transfer the registration of one of his houses to the new site.

Because Back on Track has never had any substantiated complaints, he didn’t expect any problems and, a month later, shut the registered house and opened a four-plex now called The Fortress.

The next month, Izsak closed one of the two houses that were registered by the provincial government and moved to the new compound with internal, off-street parking at 9889-140th Street in Surrey.

He still wasn’t concerned when in May, the ministry said it was putting a hold on his application while both the province and Surrey were formulating new regulations.

Since then, it is rare that any of the 40 beds — two per bedroom in each of the five-bedroom houses — are empty.

While Back on Track continues to operate the one registered house, The Fortress remains unregistered, with only two of four business licenses that it needs.

For the last 2½ years, Surrey’s bylaw inspectors have been telling Izsak that unless all four houses at The Fortress get their provincial registry, the city can’t license the houses until the registration from the health ministry comes through, certifying that services offered meet its standards of care.

In mid-May, Back on Track and its residents were told that the licenses were being revoked and the four houses would have to close at the end of July. It has since been given a reprieve, pending a decision from the provincial registrar.

“If Mr. Izsak’s registration comes through, we’ll be prepared to do our own inspections for renewal or issuance of the licenses,” bylaw services manager Kim Marosevich said this week.

In late May, after Maggie Plett first spoke publicly about her son Zachary’s death at another Surrey recovery house called Step by Step, Addictions Minister Judy Darcy told News 1130, “We’re trying to make up for lost time over the past many, many years since the scandal started to break.

“But I would expect that we will have new, stronger regulations and enforcement in place by the end of the year.”

Throughout all of this, the government has paid Back on Track the $30.90 per diem that covers the cost of room, board and recovery services for each welfare recipient living there — a rate that has remained unchanged for 16 years.

Izsak doesn’t know why the ministry has yet to make a decision on his application. The mental health and addictions ministry has not yet responded to my questions about it.

On Tuesday, Izsak gave me a tour of the four neatly kept houses. He showed me the well-supplied pantry where residents are free to take whatever food they want and as much as they want. There is also an open-air gym and smoking lounge. Every room has a naloxone kit in case of an opioid overdose, and every few weeks, residents are given training on how to use them.

The half-dozen residents that I spoke to privately — including one who said he had been in at least 20 such facilities — said The Fortress is the best. They talked about feeling safe, well-cared for, and even loved.

Izsak makes no apology for not having more set programming in the houses.

“People who are coming off the street or out of prison are not going to surrender to eight hours of programs per day,” he said. “But what they will surrender to is coming to a place like this where they are fed well, have a clean bed, a TV, and programming from 9 a.m. until noon.”

He acknowledged that there are no certified counsellors or therapists working there. He devised a recovery program called MECCA based on his own experiences in recovery that is delivered by others who are in recovery.

Izsak also said he cannot afford to hire certified addictions counsellors and specialized therapists, as they do at recovery houses where monthly rates are anywhere from $3,000 to $9,000 a month.

Right now, registered facilities don’t require that, according to the registry’s website.

What’s required is that all staff and volunteers “must have the necessary knowledge, skills, abilities and training to perform their tasks and meet the health and safety of residents.”

Far from bridling at more regulations, Izsak has a long list of his own that he would like the province to enact to weed out bad operators.

It includes random site inspections, manager-on-duty logbooks documenting what happens every two hours from 10 a.m. until 10 p.m., and a requirement that all operators provide their expense receipts.

After three recent deaths in recovery houses, Izsak is now a man on a mission.

“I want to close operations that are bad so that I’m not treated almost like a criminal because they acted unscrupulously.”

Of course, he first needs to save his own.

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Twitter: @bramham_daphne


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19Jul

Daphne Bramham: Failure to enforce recovery house standards cost two men their lives

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Nearly a year before two young man died of fentanyl overdoses in houses operated by the Step by Step Recovery Home Society, the B.C. Health Ministry had investigated and substantiated complaints that it was failing to meet the most basic standards.

Within nine days of each other in December 2018, 21-one-year-old Zachary Plett and an unnamed, 35-year-old died in different houses operated by the non-profit society that has a total of five houses in Surrey.

A month earlier, inspectors had substantiated complaints at all five houses. According to the ministry’s assisted living registry website, none met the most basic standard of providing residents with safe and nutritious food.

None had staff and volunteers with the skills or qualifications needed to do their jobs. There was no counselling support for residents at any of the houses or any transitional help for those who were leaving.

Late last week, Step by Step closed its house at 132nd Street where Zach died. In a brief conversation Thursday, director Deborah Johnson said it was done “voluntarily.” She promised to call back after speaking to the other directors and staff. But that call didn’t come.

Late Thursday, a spokesperson for the Addictions Ministry said the assisted living registrar was aware that two Step by Step houses had been voluntarily closed, but was still attempting to confirm the closures.

Up until May, Step by Step had taken action on only one of the 65 substantiated complaints. It got rid of the mice at its house at 8058-138A Street in November. But it took 18 days from the time the inspectors were there before the exterminators arrived.

Despite all that, all five houses have maintained their spots on the government’s registry.

What that means is that the social development ministry has continued paying $30.90 a day for each of the 45 residents who are on welfare.

It also means that anyone ordered by the court to go to an addictions recovery house as part of their probation can be sent there.

In late May, Plett’s mother and others filed more complaints about Step by Step that have yet to be posted. But a spokesperson for the mental health and addictions ministry confirmed that they are being investigated.

Plett is incredulous. “My son died there and nothing’s been done,” she said this week.

In an email, the ministry spokesperson confirmed that no enforcement action has been taken and that there is no specific timeline for the investigation to be completed.

“The review of complaints is a complex issue that can often involve a number of agencies conducting their own investigations (which can also require a staged process),” she wrote.

“Each case is different and requires appropriate due diligence. Throughout the process of addressing non-compliance, as operators shift and improve the way they provide service, new assessments are conducted and status is updated online within 30 days.”


Step by Step recovery house at 9310 132nd Street in Surrey where Zach Plett overdosed in December.

Jason Payne /

PNG

A senseless death

Two days after Zach Plett arrived at 9310-132nd Street in Surrey, he was dead. According to the coroner, he died between 9 a.m. and noon on Dec. 15, 2018. But his body wasn’t discovered until 4 p.m.

Plett described what she saw when went to collect Zach’s belongings.

“The house was horrible. The walls were dirty. The ceiling was stained. My son’s bed sheets were mouldy.

“His body was already taken. But the bed was soaking wet with his bodily fluids. There was graffiti on the furniture. The drape was just a hanging blanket. It was filthy.”

To add insult to grief and despair, Plett noticed that his roommate was wearing Zach’s shoes.

Worse than the state of house is the fact that Zach died in the daytime and it was at least four hours before anybody noticed.

Plett wants to know why nobody had checked on Zach? Were there no structured programs where his absence would have been noticed? Didn’t anyone wonder why he missed breakfast and lunch?

“I had no idea what it was like or I would never have sent him,” said Plett.

After battling addiction for seven years, Zach had spent the previous three months in Gimli, Man. and what Plett describes as an excellent facility that cost $40,000.

But Zach wanted to come home, despite Plett’s concerns about omnipresent fentanyl in Metro Vancouver. They agreed that he couldn’t live with her.

A trusted friend gave Plett the name of a recovery house and within a week of returning to British Columbia, Zach went to Into Action’s house in Surrey. It is a government-registered facility that has never had a substantiated complaint against it.

Because he wasn’t on welfare, his mother E-transferred $950 to Into Action to cover his first month’s stay. She was told that the staff would help Zach do the paperwork to get him on the welfare roll.

Later that day, Zach called his mother, asking her to bring him a clean blanket and pillow because the house was dirty.

Because family members aren’t allowed into the house, Plett met him at the end of the driveway to hand over the bedding. It was the last time she saw Zach.

The next day, Dec. 13, he called to say that he had been “kicked out” for “causing problems.” He told Plett that it was because he’d complained about the house and asked to see the consent form that he’d signed.

Later that day, someone from Into Action drove Zach to Step by Step’s house on 132nd Street. Two days later, he was dead.

Because of the confidentiality clause in the informed consent forms signed by all residents, Into Action executive director Chris Burwash would not even confirm that Zach had been a resident.

But he said before signing those forms, residents are given “a clear outline of the expectations of them” and “a clear description of what the rules are.”

They are told that there are no second chances if they break the rules.

“If they outright refuse to participate or outright breach our zero tolerance policies — violence or threats of violence, using illicit substances, intentional damage to facility, etc. — we are put in a position where it is impossible for us to allow them to stay. We have to ask them to leave,” he said.

Staff provide them with a list of other government-registered recovery houses and sit with them while they make their choice without any advice or interference, Burwash said. Once a place is found, Into Action staff will take them there.

Burwash emphasized that only registered recovery houses are on the list, which speaks to the importance of the governments registry. But he said it’s frustrating that operators don’t comply with registry standards since their failures reflects badly on all recovery houses.

“We absolutely support the media shining a light on the facilities that are operating below the standards that they agreed to abide by,” he said. “We are certainly not one of them.”

He invited me to visit any time.


Zach Plett.

PNG

Low tolerance

On Dec. 14, Zach and his roommate went to an evening Narcotics Anonymous meeting. Plett found the sign-in sheet from the meeting when she collecting his belongings the following day.

“What he and Billy (his roommate) did between then and early morning, I don’t know,” she said. But another resident told her that she thought they were “using” until around 5 a.m.

The toxicology report from the coroner indicated that the amount of fentanyl found in his system was no more than what is given cancer patients for pain control. But because Zach hadn’t taken opioids for six months, his tolerance for fentanyl was minimal.

“Had he died in the middle of the night, I would never have gone public with his story. But he died in the daytime. If they’d woken him up for breakfast or tried … ” said Plett, leaving the rest unspoken.

“He wasn’t monitored. He wasn’t watched … If I had known I would never have sent him there.”

Last week, Plett had an hour-long meeting with Addictions Minister Judy Darcy and the mother of the other young man who overdosed. He died Christmas Eve at another Step by Step. His body was only discovered on Dec. 26 after other residents kicked in the door of the bathroom where he was locked inside.

“She (Darcy) was very genuine and sympathetic,” Plett said. “I don’t think she realized how bad the situation is.”


Zach Plett with his sister Cassie Plett and Maggie Plett in Manitoba.

PNG

Problems left unresolved

Step by Step’s first non-compliance reports date back to an inspection done Jan. 23, 2018 at its house at 11854-97A Street in Surrey.

Inspectors found that meals were neither safely prepared nor nutritious. Staffing didn’t meet the residents’ needs. Staff and volunteers weren’t qualified, capable or knowledgeable.

On Nov. 2, they returned. Nothing had changed and more problems were found.

The house didn’t safely accommodate the needs of residents and staff. Site management wasn’t adequate. There was no support for people transitioning out of the residence.

Critically, there were no psychosocial supports to assist individuals to work toward long-term recovery, maximized self-sufficiency, enhanced quality of life and reintegration into the community. Those supports include things like counselling, education, group therapy and individual sessions with psychologists, social workers, peer-support counsellors or others with specialized training.

On Feb. 4 and March 27, inspectors went back again because of a fresh set of complaints. As of May 8, none of the substantiated complaints had been addressed.

On the same day in November that inspectors were at the 97A Street house, they also went to Step by Step’s other four houses in Surrey — 132nd Street where Zach Plett died, 78A Avenue where the other man died, 13210-89th Avenue and 8058 138A Street. Step by Step doesn’t own any of the houses, but one of it directors, Deborah Johnson, is listed as the owner of 138A Street.

Not every house had the same complaints. But all of the complaints were substantiated and there were commonalities.

None had provided properly prepared nutritious food. None had adequate, knowledgeable or capable staff. Not one house was suitable for its use.

None supported residents’ transition to other accommodation or provided psychosocial support.

Since then, there have been repeated inspectors’ visits but the last posted reports indicate that nothing has change.

The first of five guiding principles for the province’s assisted living registry is protecting the health and safety of residents. Promoting client-centred services is also on the list. But then it gets a bit fuzzy.

Others are to “investigate complaints using an incremental, remedial approach” and to “value the perspectives of stakeholders — i.e. residents and their families/caregivers, community advocates for seniors and people with mental health and substance use problems, residents, operators, health authorities and other agencies.”

But as a result of this incremental, remedial approach and seeking of stakeholders’ perspectives, there were two preventable deaths.

What more do inspectors need before the registration for these five houses is cancelled? How much more time will the province give Step by Step to bring them into compliance?

And, how much longer will the ministry of social development continue writing cheques of close to $42,000 each month to an organization that can’t even comply with the most basic standards?

British Columbia is four years into a public health emergencies that has cost 4,483 lives since a public health emergency was declared in 2016.

More than a year ago, a coroner’s death review urged better regulation, evaluation and monitoring of both public and private treatment facilities following the 2016 overdose death of a 20-year-old in a Powell River recovery house.

It’s unconscionable that the government continues to waste precious resources on substandard recovery houses, while doing so little to force bad operators into compliance. At a time when good quality services are more desperately needed than ever, the registry ought to be the place that vulnerable addicts and their loved ones can find those.

Until this is fixed, Maggie Plett is likely right to believe that Zach would have been better off homeless. At least on the street, someone might have noticed him and done something to help.

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Twitter: @bramham_daphne


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18Jul

Ian Mulgrew: Medicare expert, lawyer spar to end landmark trial

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The B.C. Government’s defence in the landmark three-year-old Medicare constitutional trial in B. C. Supreme Court is ending not with a bang but a testy, two-day courtroom sparring match involving one of its experts.

Dr. Gordon Guyatt gave as good as he got, repulsing a prolonged assault on his objectivity and left the stand Thursday having provided some last-minute fireworks but seemingly little insight on the key issue — wait-lists and the effects of constraints on access to private care in the provincial Medicare Protection Act.

“My perception is that there’s been a fluctuation of concerns with waiting lists and that governments have, to an extent, addressed things,” he said.

“Things can always get better … you have tensions — constant tensions — in every health care system in the world, and problems will never be solved.”

A specialist in internal medicine and, for almost 35 years, a health researcher at McMaster University, the argumentative Guyatt was assailed as more of an ideological warrior than a disinterested expert.

Robert Grant, lawyer for the two clinics and handful of patients behind the legal challenge over barriers to access to private care, portrayed Guyatt as a virulent opponent of the private clinics and Dr. Brian Day, the driving force behind the decade-old litigation.

Noting he had a duty to be impartial, Guyatt bristled at the broadsides aimed at impeaching his credibility.

“Given my, given that commitment, I do not see personally as relevant further pursuit of my opinions about issues beyond the issues that I’ve been asked to comment on in my deposition,” he complained.

“Thank you for that,” Justice John Steeves said. “In the meantime, just answer his questions.”

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Government lawyers vainly tried to halt the brutal cross-examination that battered Guyatt’s neutrality.

A self-described left winger who ran repeatedly as an NDP candidate, Guyatt has been a social activist for 40 years.

In 1979 he co-founded the Ontario-based Medical Reform Group, which disbanded in 2014 and was replaced by the Canadian Doctors for Medicare, which he joined.

He was also a director of the Ontario Health Coalition, an activist network, that along with its sister group the B.C. Health Coalition, is a member of the Canadian Health Coalition.

Doctors for Medicare and the B.C. coalition, under the banner of B.C. Friends of Medicare Society, have intervened in the challenge to support the government case.

Grant accused the groups of wrongly asserting Day seeks “U.S.-style health care for Canada, where people go bankrupt, lose their homes and life savings, or worse, because they can’t afford treatment when they need it.”

The B.C. coalition, he said, incorrectly claimed Day wanted a system where “international private insurance corporations run the show and patients foot the bill.”

Grant said the groups were fearmongering.

“It is an overstatement that this case could bring down single-tier Medicare,” Guyatt agreed, adding he also did not endorse the portrayal of Day and his supporters as “greedy, awful people.”

He maintained he was too busy to keep up with everything the groups did,  and distanced himself from the inflammatory rhetoric.

“The way I would put it is that we were advocates for equitable high-quality health care accessible to people without financial obstacles,” he said.

“So, specifically, as I have said previously, I believe that it is more appropriate to base care on the need — the medical need than on ability to pay — and I would like to work, continue to work, in a system where the patients I treat are treated on the basis of need rather than ability to pay.
”

“I understand,” Grant replied.

“But the point (of the trial) isn’t about what you want to do in your own practice; it’s whether or not increased private health care, and specifically private-pay surgeries, will be permitted or not. And you are opposed to increased private-pay surgeries. Isn’t that right?
”

“Yes,” Guyatt confirmed.

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Grant insisted Guyatt was a vocal opponent of Day within the Canadian Medical Association, seeing him as a “tragic choice” and “a complete disaster” as the organization’s president.

“I don’t recall active involvement in that matter,” Guyatt said, but again added such comments would be “hyperbolic.”

The Ontario specialist attacked the concept of using “benchmarks” to measure surgical waiting times — saying “not much” research has been conducted to establish what is acceptable and he suggested they were undependable tools set by “good old boys sitting around the table.”

But Guyatt has long minimized waiting lists and their ill effects — calling them “a problem that may be much smaller than we imagine” in 2004.

And he acknowledged he was not familiar with the circumstances in B.C.

“Certainly not in detail …. I do not know the details of the extent of waiting lists currently. I am sure that waiting lists remain a problem. … and that they’re not optimal … I do not know well enough to know whether it would be appropriate to characterize them as a serious problem or not.
”

The final witness John Frank, an expert on social determinants of health, took the stand later on July 18 and was to finish July 19 — day 179 of the proceedings.

“When this trial began I thought it would last up to 18 weeks (three times longer than the similar Chaoulli case in Que.),” said Day, founder of the private Cambie Surgery Centre.

“I am happy that — almost 3 years later — the witness phase is over. I am confident that the justice system will eventually grant all Canadians the same rights to protect their health that the Supreme Court of Canada granted to citizens of Que., and that the citizens of every other country in the world enjoy.”

Justice Steeves plans to hear final arguments this fall and begin deliberations in December.

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9Jul

Taxi borders won’t change under B.C.’s new ride-hailing regulations

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Taxi cabs will keep their municipal boundaries even when ride-hailing is introduced in B.C. later this year.


Gerry Kahrmann / PNG

VICTORIA — Existing boundaries for taxis in most of B.C. won’t change with the introduction of ride-hailing later this year, according to the independent tribunal charged with making the decision.

The Passenger Transportation Board, which will set boundaries and fares for ride-hailing and taxis by next month, is not considering any large-scale changes to current taxi areas that are often based on regional or municipal borders.

“As an administrative tribunal we’d have to discuss changes of boundaries and that would be very contentious and time-consuming and yet another delay in implementing ride-hailing,” board chair Catharine Reid said Tuesday. “And we don’t want a delay in implementing ride-hailing.

“The second reason is we don’t have good origin destination information. So if we try to change taxi boundaries, we don’t know if we’ll make things better or worse.”

Ride-hailing companies like Uber and Lyft can begin applying for licences in B.C. on Sept. 3, after the B.C. government announced Monday it has set the licensing and insurance regulations. Premier John Horgan has said ride-hailing could be in operation by the end of the year.

Drivers must have a class four commercial licence, and companies will be required to pay a $5,000 fee as well as a 30-cent-per-trip levy to improve accessibility services, under the government rules.

But the exact details on fares and boundaries are to be set by the Passenger Transportation Board, which is an independent tribunal.


The Uber app is displayed on an iPhone as taxi drivers wait for passengers at Vancouver International Airport, in Richmond, B.C., on Tuesday, March 7, 2017.

THE CANADIAN PRESS/Darryl Dyck

Reid and the board began public discussions on those issues with taxi companies in Prince Rupert on Tuesday. She said the rest of the taxi sector, as well as ride-hailing companies like Uber and Lyft will be consulted by the end of next week.

“The policy will be up sometime in August that will provide policy on boundaries, fleet size and rates,” she said.

Uber and Lyft have said they want to operate free of borders, to give their drivers flexibility on responding to demand for a ride anywhere.

The taxi sector is divided on the issue. Eliminating borders could solve problems like “deadheading” — where taxis from Vancouver, for example, take a passenger to Surrey but can’t pick up anyone on the return trip due to licensing restrictions. But removing borders could also devalue taxi licenses that hold value based on their scarcity in a certain area, causing significant financial losses for companies, drivers and those who’ve borrowed money to purchase or lease part shares in vehicle licenses.

The board has released two public discussion papers that lay out its options.

For the rest of the province outside of Metro Vancouver, it offers no options to change taxi boundaries. The report says ride-hailing companies could either follow the same borders, or be given larger regional or provincial areas in which to operate, depending on industry feedback.

In Metro Vancouver, three of the four options proposed would keep the existing municipal taxi boundaries for Vancouver, Surrey and elsewhere.

However, one option does propose opening up the Metro Vancouver region as a single area in which both ride-hailing vehicles and the traditional taxi sector could operate equally.

“It is not clear that taxis would want this approach as they are free to launch their own (ride-hailing) service and could also maintain the advantages of taxis that each has within their current operating area,” read the board report.

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An open metro region would give the public “faster and more reliable service, including at peak times,” reduce the numbers of trips refused and tackle the problem of deadheading, according to the report.

However, it would also result in “taxi service likely reduced for suburban areas,” wrote the board.

Taxi licenses would see a “large reduction” in value if ride-hailing was region-wide or provincewide, especially in the City of Vancouver, according to the report.

The B.C. Taxi Association, which attended consultations in Prince Rupert on Tuesday, said all boundaries should be removed for everyone.

“There’s no need for boundaries,” said president Mohan Kang. “If they have the ability to move around Metro Vancouver, so should we.”

The Vancouver Taxi Association, where taxi licenses hold the most value and its operators face the largest risk, could not be reached for comment.

The Passenger Transportation Board is also considering whether to limit the size of ride-hailing fleets, but its discussion papers note that no other governments do so and it would be impossible to set a defensible limit.

Fares are also up for consideration. The board notes no other governments impose maximum price limits on ride-hailing, despite concerns about surge pricing during peak demand. One option up for consideration is setting the minimum fare for an Uber or Lyft ride at the same rate as a taxi, or setting no minimum rate at all.

Uber and Lyft declined to comment. Both oppose B.C.’s class four commercial licence requirement and neither company so far has committed to opening in the province later this year.

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6Jun

Vaughn Palmer: ‘Illogical’ suicide pact allegation lies behind B.C. legislature resignations

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VICTORIA — On the final day of the spring legislature session, Premier John Horgan paid tribute to Randy Ennis, who was retiring early from the upper echelons of the security staff.

It’s standard procedure for the premier to thank a departing public servant. Ennis had long served as deputy sergeant-at-arms and lately as acting sergeant-at-arms, with Gary Lenz placed on suspension.

But for Horgan, this one was personal because Ennis was a friend.

“Randy and I first met at the hockey rink over a cup of Tim Horton’s,” the premier told the house. “Our boys played hockey together, so we spent a lot of time complaining about the Canucks. We spent a lot of time talking about how we could make the world a better place.

“Randy is an outstanding individual,” Horgan continued. “I’m going to miss him terribly.”

There followed a display of applause from all sides of the house, albeit tinged with regret among those in the know.

Horgan claimed not to know why Ennis, who just turned 59, was leaving early.  But around the legislature, it was an open secret that Ennis was fed up with the regime of Speaker Darryl Plecas and his chief of staff, Alan Mullen.

Ennis had good reason to be incensed. Plecas had accused him of being party to a suicide pact involving an ailing member of the security staff.

The alleged suicide pact was one of 11 Plecas-authored allegations of misconduct that were examined and rejected by retired chief justice Beverley McLachlin. (She upheld four accusations against clerk of the legislature Craig James, leading to his forced retirement.)

Plecas claimed to have uncovered a plan by sergeant-at-arms Lenz and deputy Ennis to create a sheltered posting for an unnamed constable on the security staff who had a degenerative health condition.

“The Speaker also alleges that they created a plan whereby (the staffer) would commit suicide while he was still on staff so that his beneficiaries would receive insurance proceeds,” wrote McLachlin.

The former chief justice of the Supreme Court of Canada examined the documentation associated with the alleged plan and further evidence from the accusers, Plecas and Mullen, and the accused, Lenz and Ennis.

She concluded that “clearly Mr. Lenz and Mr. Ennis were deeply concerned over the future of the constable and wanted to find a way to help him.”

But she did not fault them for considering ways to allow the constable to work at home were his condition to deteriorate to the point where he could not carry a firearm as required by his position.

“Discussion of creating a new position so an employee can work from home does not appear on its face to be unreasonable, provided the proposed work would contribute to the business of the legislative assembly,” wrote McLachlin. “The discussions, according to Mr. Lenz and Mr. Ennis, related to whether (the staffer) could continue to do useful work without being able to carry a firearm. I accept this evidence.”

Nor did she accept the Plecas-Mullen version of events regarding the supposed suicide pact.

“The ‘plan’ that the Speaker says was being hatched proposed that (the staffer) would commit suicide while he was still employed and before his condition had deteriorated too far, in order to preserve his life insurance,” wrote McLachlin.

Plecas thereby insinuated that the new job was “false” — concocted for the purpose of preserving the staffer’s employment status long enough for him to kill himself.

“No one was able to explain the logic of this to me. The evidence I received was that if he was forced to go on disability status, his life insurance would have remained in place as long as he qualified for that status,” wrote McLachlin.

She instead preferred “the straightforward explanation of the incident” from Lenz and Ennis.

“They denied any talk of suicide and explained that the discussions were aimed at finding reasonable accommodation for (the staffer) by finding alternate duties when he reached the point that he could no longer use a firearm.”

She speculated, and not in a flattering way, why Plecas had gone as far as he did.

“The Speaker was deeply distrustful of Mr. Lenz, which may explain how he transformed fragments of an exploratory proposal from Mr. Lenz and Mr. Ennis into a bizarre go-forward plan involving (the staffer) committing suicide.”

She then cleared Lenz of the allegation of misconduct. She also cleared him of all the other Plecas accusations against him.

Lenz remains on suspension, pending the outcome of a police investigation.

So, Ennis was collateral damage to one of the more reckless and unproven allegations from Plecas.

Rough treatment for someone who deserved much better. Before coming to work at the legislature, Ennis served as a member of the Canadian Airborne Regiment, seeing duty as a peacekeeper in Bosnia, Cyprus and Haiti, and earning the military Order of Merit.

The supposed target of the non-existent suicide pact was collateral damage as well. He retired from his post on the security staff at the same time as Ennis.

Not that Plecas could be bothered to express regret over the damage done to reputations. Instead he’s been citing the shortcomings in the McLachlin report in public and bad mouthing it privately.

As for the premier, he could deliver a more sincere tribute to his departed friend by recognizing where Plecas has gone too far and by attempting to curb his excesses.

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4Jun

B.C. Ferries’ new ship a nightmare reno of surprises and expenses

by admin

VICTORIA — When B.C. Ferries’ newest ship, the Northern Sea Wolf, left the dock at Bella Coola for the first time Monday, there was little sign amid the bright new paint and spaciously redecorated interior that the public was sailing on one of the most problem-plagued renovation projects in the ferry corporation’s history.

But the 35-car, 150-passenger, vessel was a renovation nightmare for B.C. Ferries.

The Northern Sea Wolf was purchased used in 2017 from a Greek shipyard. It’s retrofit finished a year late and with a $76 million price tag that was more than 36 per cent over budget.

In short, the little Greek boat turned out to be a big fat Greek lemon for B.C. taxpayers.

“I think it’s fair to say that we were, at various times, shocked and surprised at the issues we were running in to,” B.C. Ferries CEO Mark Collins told Postmedia Tuesday.

“I liken it to a house reno. You survey a house and inspect it and all the rest. It looks pretty good for a reno, and then when you start taking off the drywall and you get a few surprises. That’s exactly what happened to us.”

B.C. Ferries had retained a broker and the ship was certified “in class” under marine standards by a third party independent group. There were only three or four ships in the world that met the size, ocean-readiness, and closed deck specifications B.C. Ferries wanted for the Port Hardy-Bella Coola route, and the Greek vessel was “not perfect, but as close as we are going to get,” said Collins.

B.C. Ferries sent staff to survey the ship — originally called the Aqua Spirit — in addition to the third-party inspection. “She needs work, but she’s good enough,” was the opinion at the time, Collins said.

But when the Aqua Spirit arrived in Victoria in December 2017, B.C. Ferries engineers were aghast. There was no fire protection insulation, a key safety measure. “We’d take off the panelling and find no insulation there, I mean literally just missing,” said Collins. “There’s no way a ship should have been approved with that missing.”


The Northern Sea Wolf. Photo: B.C. Ferries

B.C. FERRIES /

PNG

Under the ceiling tiles were sprinklers that didn’t work. “We found some of the sprinklers were not even connected,” he said.

The propeller shafts were “worn beyond allowable specifications.” Some metal was corroded below acceptable minimum steel thickness.

The heating, venting and air conditioning system didn’t work. The elevator didn’t meet code. And the stern door was a problem.

B.C. Ferries had budgeted to overhaul the main engines, install new generators, upgrade the navigational equipment and improve overall safety — but the scope of problems far exceeded the original plan.

“This is what started to put pressure on the budget,” said Collins. The original price tag of $55.7 million grew to $63.4 million in early 2018, and finally $76 million in 2019.

“We were very disappointed in some of the condition of the ship that shouldn’t have been there because a ship being in class should not have had these faults,” said Collins.

“We continue to make claims against the class society for compensation for the things that should not have been there but in fact were.”

B.C. Ferries also had a tight timeline. The direct Port Hardy-Bella Coola route had been cancelled by the Liberal government in 2013 due to financial losses at BC Ferries. Then Transportation Minister Todd Stone said the route was losing $7 million a year, with a taxpayer subsidy of $2,500 per vehicle.

B.C. Ferries sold the ship on the route, the Queen of Chilliwack, which had just undergone a $15 million upgrade. A former B.C. Ferries engineer in Fiji bought it for $2 million for his private ferry operation.

Tourism operators on the coast, Cariboo Chilcotin and Interior were outraged at the lack of consultation and said they’d lose millions in business and international tourism.


Mark Collins, president and CEO of B.C. Ferries, discusses operations in the control tower at the corporation’s Swartz Bay terminal.

Adrian Lam /

Victoria Times Colonist

Then Premier Christy Clark relented on the eve of the 2017 provincial election, announcing the route would be restored by spring 2018. B.C. Ferries was not consulted.

“We informed the government of the day that it was a very ambitious time frame and could only be met with a used vessel,” said Collins.

As problems mounted, B,C, Ferries missed the spring 2018 deadline, and then the fall window as well.

“It was very frustrating for the tourism industry,” said Amy Thacker, chief executive of the Cariboo Chilcotin Coast Tourism Association. “Our international visitors who very much enjoy that route are making plans and booking 12 to 18 months in advance.”

Collins apologized directly to the communities and businesses for the lack of communication.

The final version of the Northern Sea Wolf is basically a totally renovated ship, said Collins. There’s a new galley, dining area, lounge seating, outdoor viewing areas, paint, washrooms, chair lifts, elevators and First Nations art. It’s twice as fast as the Queen of Chilliwack.

It was money well spent, said Collins, even if it was far more than budgeted.

“Instead of being 30 per cent renovated for $55 million, we got a ship that’s 95 per cent renovated for $76 million. So, in that sense, the value is not lost.”

In the future, B.C. Ferries will demand a second independent inspection of ships, beyond whether the international maritime certification says a vessel is “in class,” said Collins. Had there been more time, B.C. Ferries would also have considered building new in B.C., but that likely would have cost as much as $110 to $140 million, he said.

The purchase of the Northern Sea Wolf in 2017 straddled the end of the Liberal government and beginning of the NDP.

Transportation Minister Claire Trevena blamed the Liberals for “making terrible financial decisions.”

“They backed B.C. Ferries into a corner with an incredibly tight timeline, leading to the purchase of a used ship which was well below Transport Canada safety standards,” she said. “The upgrades ran well over budget and cost people $76 million that shouldn’t have been spent in the first place.”

Former minister Stone said the cuts only occurred because B.C. Ferries was losing money and facing fare hikes.

“The cancellation was a very difficult decision,” he said. “It was always our intention to put back a direct link between Bella Coola and Port Hardy.”

Stone said “it’s a really good day” to see the link, though the cost overruns and delays are “very disappointing.”

Meanwhile, actual users appear pleased it’s all finally over.

“We’re just incredibly happy to actually have her out there and sailing,” said Thacker. “Now that service is here, I think there’s a lot of consumer confidence restored.”

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The history of the Northern Sea Wolf

2013: The B.C. Liberal government announces cutbacks to ferry routes, including direct service between Port Hardy to Bella Coola, due to B.C. Ferries financial losses. It says the route lost $7.35 million. Tourism operators are outraged at the lack of consultation.

2014: B.C. Ferries sells the Queen of Chilliwack (which had just undergone a $15 million retrofit) for a reported $1.8 million to a private Fiji ferry company.

2015: The new two-vessel journey from Port Hardy to Bella Bella to Bella Coola includes a nine-hour trip on the MV Nimpkish, a small 16-vehicle ferry with one washroom that government touts as having “potable water” and snacks. Tourist reviews are negative.

2016: Premier Christy Clark announces a plan to restore direct ferry service from Port Hardy to Bella Coola by the summer of 2018. B.C. Ferries is not consulted about the timeline, and scrambles.

2017: B.C. Ferries hires brokers to try to find a “rare” small ferry that can deal with ocean conditions, fit 35 cars and has a closed deck. Only three or four candidates exist. A Denmark ship looks promising by the buyer withdraws. The corporation pays $12.6 million for the 246-foot-long Aqua Spirit from Greek firm Seajet. It was built in 2000 and is certified by third-party maritime groups as being “in class” for sea use.

December 2017: The Aqua Spirit arrives in Victoria after a 10,097 nautical mile journey from Greece.

2018: B.C. Ferries starts stripping the ship down and discovers technical problems, sprinklers that do not work, missing insulation, corroded metal, elevator errors, heat and air conditioning that is non-functional, unusable propeller shafts, and more.

Spring 2018: B.C. Ferries misses its government deadline to be back in service. The budget rises from $55.7 million to $63.4 million.

Summer 2018: Technical problems continue to grow. The budget increases to $76 million.

September 2018: The Northern Sea Wolf, as it is now called, still isn’t ready. B.C. Ferries puts the Northern Adventure on the Port Hardy-Bella Coola run for one month.

May 2019: The ship starts trials. Operates the final two weeks of winter connector service.

June 3, 2019: The Northern Sea Wolf takes its first run from Bella Coola to Port Hardy. It is more than 36 per cent over budget and almost a year late.




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28May

Daphne Bramham: More needed to redress the tragic fact that Indigenous people are disproportionately victims of opioid crisis

by admin

Overdose deaths linked to illicit fentanyl-laced drugs rose 21 per cent last year among First Nations people in B.C. even as there was a glimmer of hope that the crisis may have peaked among the general population.

Since the crisis began four years ago, B.C. Indigenous people have been overrepresented in the deadly count. Last year, they accounted for 13 per cent of the deaths, while making up 3.4 per cent of the provincial population.

Put another way, First Nations people were 4.2 times more likely to suffer a fatal overdose and six times more likely to suffer a non-fatal overdose than other British Columbians.

No one is suffering more than First Nations women and girls, who already have the worst health outcomes in Canada because of violence, exploitation and poverty.

They are unique in this epidemic where 80 per cent of the victims in the general population are men. Women, by contrast, account for 39 per cent of First Nations’ overdose fatalities last year and 46 per cent of the non-fatal ones.

They are bearing the brunt of marginalization, says Dr. Evan Adams, chief medical health officer at the First Nations Health Authority. Another measure of that is expected to come next week in the report of the murdered and missing women’s inquiry.

Among the reasons that he suggests for the widening gap between First Nations’ and the general population’s statistics are the effects of colonization including residential schools, the lack of social supports, childhood experiences and limited access to safe spaces and services.

The litany of dreadful statistics compiled by the provincial coroner’s office was read out Monday against the backdrop of a quilt with the names of some of the hundreds who have died. Among those names was Max, the son of the health authority’s knowledge keeper, Syexwaliya. Max died 12 days before his 41st birthday in March 2018.

“My son was just too lost,” she said. “I couldn’t do anything for him. I had to love and accept him as he was.”

Still, Syexwaliya takes heart from the statistics.

“The statistics make me feel that Indigenous people aren’t invisible and what’s brought out in the statistics and in the reports means that work is being done,” she said.

Addiction is a disease of pain — physical, emotional, mental and spiritual. Addiction piles tragedy on tragedy.

“It’s a journey of pain, a journey of suffering and a journey of seeking health services that couldn’t be found,” said the chair of the health authority, Grand Chief Doug Kelly.

Too many Canadians, too many British Columbians and too many First Nations people have already died, but Kelly said that for Indigenous people, things are not getting better. They’re getting worse, especially for those living in cities and most especially for women.

Overdose hot spots include the usual ones: Vancouver’s Downtown Eastside, the Fraser Valley, Chilliwack, Nanaimo, Victoria and Prince George. But for First Nations people, there’s also Campbell River and Kamloops.

Those stark differences mean distinct and targeted solutions are required. As Canada’s first Indigenous health authority, the First Nations authority (with its unofficial motto of “no decisions about us, without us”) is well positioned to do that.

With a goal of addressing causes of addiction, it has its own four pillars approach: preventing people from dying, reducing the harm of those who are using, creating a range of accessible treatments and supporting people on their healing journey.

The authority also strongly supports the call from B.C.’s chief medical health officer to decriminalize possession of all drugs for personal use as has been done in Portugal. (The suggestion was quickly shot down by the B.C. government, which says that could only be accomplished with federal legislation.)

Among the reasons Kelly cites are yet more terrible statistics.

Of Canada’s female offenders in federal prisons, Public Safety Canada reported last summer that 43 per cent are Indigenous. In youth detention, Indigenous kids account for 46 per cent of all admissions — a jump of 25 per cent in a decade.

Addiction is often contributing factor in the crimes committed, as is fetal alcohol spectrum disorder (although the report said there is no evidence that FASD is more prevalent among First Nations than other populations).

Because so many First Nations women are incarcerated, it means their children often end up in government care or with relatives, which only exacerbates the cycle of childhood trauma, loss and addiction.

So far, the First Nations Health Authority has spent $2.4 million on harm-reduction programs. It’s trained more than 2,430 people in 180 communities how to use naloxone to reverse fentanyl overdoses, has 180 “harm-reduction champions” and peer coordinators in all five regions.

But the biggest barrier is the one that led to Max’s death — lack of accessible treatment.

Last week, FNHA and the B.C. government committed $20 million each to  build treatment centres in Vancouver and Surrey and promised to upgrade six existing ones. Kelly says that’s great. But it’s not enough. They’re still waiting for another $20 million from the federal government for construction.

Still, where will the operating money come from? That’s the next multi-million-dollar question. But it must be found.

Now that there is evidence that First Nations communities — and women in particularly — are suffering so disproportionately, ignoring them is unconscionable.

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Twitter: @bramham_daphne


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27May

B.C. Greens introduce bill to restrict conversion therapy

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B.C. Green leader Andrew Weaver announces a bill to ban so-called conversion therapies that seek to change gay sexual orientations in minors.


Rob Shaw / Postmedia

VICTORIA — B.C.’s Green party has introduced a bill in the legislature to ban so-called conversion therapies that seek to change gay sexual orientations in minors.

Green Leader Andrew Weaver said the legislation, if passed, would ban any medical professional from using conversion therapy techniques on anyone under age 19.

For adults, it would forbid any counselling, behaviour modification techniques or prescription medication designed to change a person’s sexual identity or gender identity from being billed to the government for MSP or other reimbursement.

The legislation doesn’t seek an outright ban on conversion therapy for adults, with Weaver noting that it becomes a more complicated matter of consent and free choice among adults.

“This bill will bring an end to the abhorrent practice of so-called conversion therapy,” said Weaver.

Banning the practice among minors and restricting its use on adults will “protect the health and safety of LGBTQ rights,” said Weaver.

Conversion therapy is the practice of trying to change a person’s sexual orientation or gender identity using counselling, psychiatry, psychology, behaviour modification or medication. It’s widely discredited, though not explicitly illegal in Canada.

In B.C., the government doesn’t fund or permit the practice of conversion therapy, said NDP MLA Spencer Chandra-Herbert.

“This legislation would put our current practice into law,” he said.

Chandra-Herbert described it as a “symbol” of not just LGBTQ2S+ rights, but also basic human rights.

Nova Scotia, Manitoba and Ontario already have legislation that restricts the practice.

Alberta had a working group tasked with banning gay conversion therapy, but it was cancelled by the new United Conservative Government.

“The direction Alberta is going in is the wrong direction for Canadian society,” said Weaver. “It’s so regressive.”

Peter Gajdics, a Vancouver gay rights activist who was subject to conversion therapy from a licensed psychiatrist in Victoria almost 30 years ago, said he believes conversion therapy is still occurring in some B.C. offices under the guise of treatment for depression and other disorders.

Gajdics pointed to religious websites that also promote and advocate for such therapies.

Weaver said he hopes to gain the support of the governing NDP and Opposition Liberals to pass the legislation unanimously this fall.

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26May

Daphne Bramham: Tougher new regulations promise more agony for chronic pain-sufferers

by admin

One in five Canadians lives with chronic pain, but the cries of an estimated 800,000 British Columbians are not only being ignored, their suffering is being exacerbated by regulators limiting their access to both drugs and treatment.

First, in a move unprecedented in North America, the B.C. College of Physicians and Surgeons imposed mandatory opioid and narcotic prescription limits on doctors in 2016 in an attempt to avoid creating additional addicts and having more prescription drugs sold on the street.

Physicians who don’t comply can be fined up to $100,000 or have their licences revoked.

Now, the college is setting tough regulations for physicians administering pain-management injections.

“I’m enraged,” says Kate Mills, a 33-year-old, palliative care nurse who has been on disability leave for the past 18 months. “People like me are living in chronic, intractable pain and being ignored by doctors who are either too scared or too callous to care.”

She has an uncommon, congenital condition that causes chronic inflammation near her sacroiliac joint and in her lower back, which pushes down on her nerves causing “exquisite pain” down her leg.

Her first doctor essentially fired her, refusing to treat the pain. The next one prescribed Oxycodone to help Mills through until she was able to receive a steroid injection at a clinic, which kept the pain in check for several months.

But by the time the injection’s effects were wearing off, her GP went on extended medical leave. The locum assigned to Mills refused to prescribe her any medication and told her to go to an emergency room where she was given a prescription.

After numerous ER visits, Mills finally found a doctor two weeks ago who is willing to provide medication for her between injections. But he agreed only after Mills signed a contract agreeing that she won’t sell the drugs, will only go to one pharmacy and take the drugs only as prescribed.

She is lucky, though. Her pain management clinic will likely meet the college’s new standards that were developed by an advisory panel over the past three years out of concern about patient safety.

“Increasingly,” the college says on its website, “Procedural pain management is being provided in private clinics and physician offices, but without much guidance on appropriate credentials, settings, techniques and equipment.”

The new regulations would require physicians’ offices or clinics to become accredited facilities with standards on par with ambulatory surgery centres.

That means having tens of thousands of dollars’ worth of equipment including resuscitation carts, high-resolution ultrasound, automated external defibrillators and electronic cardiograms with printout capability.

The college acknowledges that “patients do not require continuous ECG monitoring. However, the cardiac monitoring equipment must be available in the event a patient has an unintended reaction to the procedure.”

The disruption for patients will be huge, according to Dr. Helene Bertrand, a general practitioner, pain researcher and clinical instructor at UBC’s medical school.

She estimates that up to 80 per cent of the offices and clinics where the injections are currently being done won’t measure up and already wait times are up to 18 months.

When the new requirements come into force, Bertrand predicts patients will be waiting anywhere from four to seven years for treatment.

Bertrand herself will have to quit doing prolotherapy, which she has done for the past 18 years on everything from shoulders to necks to spine to ankles. That’s despite the fact she’s never been sued, never had a complaint filed with the college and has published, peer-reviewed research that revealed an 89 per cent success rate among 211 patients in her study group.

(Prolotherapy involves injecting a sugar solution close to injured or painful joints causing inflammation. That inflammation increases the blood supply and deposits collagen on tendons and ligaments helping to repair them.)

The college will not grandfather general practitioners already doing injection therapies. Instead it will restrict general practitioners to knees, ankles and shoulders. All other joint injections must be done by anesthetists or pain specialists.

For Joan Bellamy, that’s a huge step backward.

She’s suffered from chronic pain since 1983 and “undergone the gamut of medical approaches, often with excessive waits: hospital OP (outpatient), pharmacology, neurology, orthopedics, spinal, physiatry and private.”

Since 2000, she’s had multiple injections that have made a difference. But her doctor doesn’t meet the new qualifications.

“I am afraid that without her expertise … that pain will become an intolerable burden, and any search for treatment will result in inconceivable wait times and will debilitate me,” Bellamy wrote in a letter to the college and copied to me.

The near future for pain-sufferers looks grim with most physicians able to offer them little more than over-the-counter painkillers.

Ironically at a time when the provincial medical health officer and others are lobbying hard to have all drugs legalized so that addicts have access to a safe supply, chronic pain-sufferers are being marginalized. For them, it’s more difficult than ever to get what they need.

It’s forcing many of them facing a lifetime of exquisite and unbearable pain to at least contemplate one of two deadly choices: Buy potentially fentanyl-laced street drugs; or worse, ask for medically assisted dying.

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Twitter.com/Bramham_daphne

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