Cape Breton Post

Privatizat­ion by any other name

When you put health care up for sale, the buyers will always be for-profit companies

- James Hutt James Hutt is the provincial co-ordinator for the Nova Scotia Citizen’s Health Care Network. He can be contacted at james@nshealthco­alition.ca.

In my meetings with the Health Minister Leo Glavine and various other MLAs, it has become clear to me that the Liberals plan to plan to privatize home care.

Recently, Premier Stephen McNeil and other Liberal MLAs have tried to assure voters that this is not the case. They might not intend to privatize home care, but that’s exactly what will happen if they go ahead with a ‘competitiv­e bidding’ model.

It doesn’t matter what you call it, whether it’s ‘competitiv­e bidding,’ ‘tendering services,’ or a ‘request for proposal’ – the result will mean contractin­g out home care and home nursing to private, for-profit companies. When that happens, patients will receive less care at a greater cost.

Last December, Glavine announced plans to contract out home care and home nursing services. The government has hired a consultant to examine a ‘competitiv­e bidding’ model, which would force home care providers to bid on the contracts. The government would then award the contracts according to the lowest bidder, among several other factors.

This move will privatize home care and home nursing services in Nova Scotia. It will allow for for-profit corporatio­ns to enter Nova Scotia and push out community-based charities. That is exactly what happened in Ontario, which is now plagued with chronic health worker shortages and high turnover rates. Home care delivery has become so expensive that there is now a cap on the number of patients who can receive it. In fact, the situation has become so dire in Ontario that the government has suspended the competitiv­e bidding model twice.

Nova Scotians are right to be concerned when the government proposes this flawed model here. I am very disappoint­ed to hear the premier dismiss the concerns as “fear-mongering by unions.” I would suggest that his government should take more time to listen to those who depend on and work in the health-care system.

To date, the Liberal government has refused to hold any public consultati­ons on the proposed changes to home care. Several Liberal MLAs, including Pam Eyking in Victoria-the Lakes, have refused to meet with constituen­ts to talk about it.

Instead, the small non-profit organizati­on I represent, the Nova Scotia Health Network, has held seven town halls meetings around the province to raise awareness. We organized a provincewi­de day of action, and it is only thanks to thousands of concerned citizens speaking out around the province that competitiv­e bidding is currently on hold.

The plan to privatize home care though is still on the table. According to an internal memo from the Department of Health and Wellness on May 28, “Home care services may still need to be tendered for some, or all, regions in the province.”

The Liberals seem to be content to refer to the process while ignoring the end result. But let’s be clear, the result of their pro- posed changes will be privatizat­ion. When you put health care up for sale, the buyers will always be for-profit companies. Tendering and contractin­g out inevitably means privatizin­g.

Until the premier and Liberal MLAs fully and publicly reject competitiv­e bidding for home care, patients, family members and home-care workers are at risk.

If the Liberals want voters to trust their words, then they must follow through with actions.

Please write to your local MLA and call on them to reject privatize in any name. Sign the petition online at www.votepublic­healthcare.ca and help protect care and caregivers.

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