Probe sought into LTC ‘discrimination’
Advocates say some residents are being denied hospital care
Seniors advocates across Ontario are calling on the province’s human rights watchdog to probe “systemic discrimination” at the heart of a healthcare system that has, during COVID, quietly and “coercively” denied hospital care to the elderly.
The Advocacy Centre for the Elderly, Ontario Health Coalition and Ontario Coalition for Hospital Unions have jointly appealed to Ena Chadha, Ontario’s human rights commissioner, to use her powers of inquiry to investigate the decades-old policies that have not only led to this discrimination, but have also made it so that only a fraction of the longterm-care residents with the virus get life-saving care.
“How fair is that?” asked Michael Hurley, president of the Ontario Council of Hospital Unions of CUPE. “You spend your whole life working, paying taxes, helping to build the country and then you get COVID and there is no bed for you. There is a policy in effect to deny you care.”
As of late February, just 13 per cent of LTC residents who had died of COVID were transferred to a hospital, the letter said. A recent Star investigation that analyzed COVID deaths from March to December 2020 found that nearly 80 per cent of those aged 80 to 89, who were still living in the community at large, were first hospitalized before succumbing to the virus. By comparison, the Star found, just 24 per cent of long-termcare residents had been sent to the hospital before they died.
The 39-page letter, sent to the Ontario Human Rights Commission on Tuesday, is a long time in coming. Collectively and separately, the advocacy organizations have spent more than two decades working to resolve these issues and to make the case that poor health care for the elderly is not just a one-off problem.
“It’s a systemic issue that has just gotten worse and worse,” said Jane Meadus, a lawyer at the Advocacy Centre, a legal clinic that provides specialty service to low-income seniors. “COVID has magnified.”
While COVID continues to shine a light on the inequities in Ontario’s health-care system, Meadus said problems that underlie the current crisis have been festering for a long time. At this point, she said, the advocate groups want an acknowledgment that what is facing older Ontarians is bigger than COVID and even the conditions within hospitals and each long-term-care facility.
Ontario’s Human Rights Commission has the capacity to determine whether cuts as far back as the 1990s have conspired to create a health-care system that harms the elderly disproportionately. Currently, the commission is similarly probing whether discriminatory policing practices have overwhelmingly hurt Black Ontarians. It’s also probing whether Ontario schoolchildren who have trouble reading are getting the literacy resources they need and deserve.
Since the pandemic began, more than 4,000 of Ontario’s roughly 7,000 COVID deaths were among elderly residents in long-term care. During COVID, this “dehospitalization” has been intended to “choke off the right of these long-termcare residents” to go to hospital, Hurley said.
“Provincial policies have created a culture of “hospital avoidance,” the letter said, leaving the elderly with “minimal care” while they were dying.