Ontario's Caplan Resigns Before Release of e-Health Report
This just in. Let the cheers - and jeers - begin! Let's get to work figuring out what Ontario's Ministry of Health and Long-Term Care is doing with a budget of $40 Billion a year.
Ontario health minister resigns ahead of report on eHealth spending abuses
Module body
Tue Oct 6, 7:17 PM
By Keith Leslie, The Canadian Press
TORONTO - Ontario's health minister bowed to months of opposition pressure and tendered his resignation Tuesday on the eve of a report into how the province spent $1 billion over 10 years to create electronic health records.
Sources told The Canadian Press that David Caplan notified Premier Dalton McGuinty that he would step down in advance of the auditor general's special report into eHealth Ontario, which also included the awarding of millions of dollars in untendered contracts to consultants.
A health ministry spokesman confirmed late Tuesday that Caplan would officially step down as health minister Wednesday morning.
Auditor General Jim McCarter will release a 50-page special report, which was commissioned last June as the Liberal government tried to defend itself against growing reports about sole-sourced contracts and expense claims by high paid consultants at eHealth.
Those questionable expenses included allowing consultants who were paid up to $2,700 a day to bill taxpayers extra for minor purchases like tea and snacks.
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http://ca.news.yahoo.com/s/capress/091006/national/ehealth_caplan_resign...
Coming soon to a consulting firm near you.
Maybe Navigator?
He's got the smarm.
Caplan may not be the last to walk the plank. The upcoming auditor general's report will reveal that the most egregious e-health spending offences happened during the ministerial tenure of one George Smitherman. Be interesting to see how that affects furious George's position in cabinet as well as his Toronto mayoral hopes. John Tory will likely be reading the auditor's report with great interest and a large blue highlighter.
http://www.thestar.com/news/ontario/article/705995--health-ministry-skir...
Can someone explain to me how this isn't some kind of fraud, or other criminal act?
And, it can't be legal for consultants to conspire to drive up prices, can it?
A billion and little to show for it.
And no criminal charges.
Amazing. Simply Amazing.
That's billion with a "b", folks.
IMAGE: Ontario Ministry of Health Budget 1998.
One billion dollars is only the missing money we know about. The Ministry of Health had a 2009 budget of $40 BILLION. That is equivalent to or greater than the entire personal fortune of Bill Gates - or those of the top 15 bilionaires of Canada combined - Weston, Laliberte, Lazaridis et al.
Every citizen - and especially every doctor - in Ontario should be asking why actual patient care in Ontario receives only approximately 1/3 of the money allocated to the Ministry of Health and Long Term Care.
http://www.fin.gov.on.ca/english/budget/estimates/2009-10/volume1/mohltc...
To get an idea of how much money this is, look at the L Curve:
Video: http://www.youtube.com/watch?v=woIkIph5xcU
Site: http://www.lcurve.org/
With that much money, Ontario should be able to send Andrea Horvath to the Moon.
Why are hospitals asking for charity, why are hospital workers in danger of losing their jobs and why is Ontario closing hospital beds? Why isn't the NDP, the party of Tommy Douglas and Medicare, up in arms over this?
It's your money - ask away!
Infuriating.
What about the Sunshine List? Maybe this robbery can be prosecuted.
http://www.fin.gov.on.ca/english/publications/salarydisclosure/2008/
Coming soon to a consulting firm near you.
Either that, or Caplan could follow John Tory's steps and more as a media commentator
This just in from NDP HQ:
McGuinty to blame for $1-billion eHealth debacle
Today’s Auditor General report on electronic health spending is a damning indictment of an arrogant McGuinty government that has squandered $1-billion precious healthcare dollars with little to show for it, says NDP Leader Andrea Horwath.
During this morning’s Question Period, Horwath set her sights squarely on Premier Dalton McGuinty and his role in the scandal that has consumed Ontario politics for the past six months. The report pinned the blame for the eHealth debacle on McGuinty’s government.
“The Premier’s fingerprints are all over this mess,” said Horwath.
“The Auditor General found that the money went out the door with little to show for it. How could Dalton McGuinty have allowed this to happen? He was either wilfully negligent on this file or incredibly incompetent.”
http://andreahorwath.ca/node/787First do a search for andrea horwath mcguinty hospital
Here's one recent release by Andrea Horvath on naughty McGuinty hospital cuts:
http://ontariondp.com/node/2378
As you read, remember that the Ministry of Health budget has gone from $18.6 B to $40 B in a decade.
Ten years, and every year twenty, thirty, forty billion of your dollars went out to the biggest, most expensive ministry in Ontario. This information has been public for a long time; you don't need an Ombudsman to find it.
Ontario allocated about $500 M of your tax money for a "free" vaccine - which has been associated with disability and death. The virus that the government claims they must urgently protect us against can be transmitted by sharing clothes or by touch, and most people get it and get over without ever knowing they had it.
http://www.cbc.ca/health/story/2007/08/02/ontario-hpv.html
http://www.pharmalot.com/2007/03/merck_lobbyist_worked_for_cana/
http://www.naturalnews.com/027196_cancer_cervical_cancer_cancer_vaccine....
How many fatal cases of cervical cancer are there in Canada annually? About 400.
http://www.phac-aspc.gc.ca/cd-mc/cancer/cervical_cancer_figures-cancer_d...
Though good nutrition is the basis of good health, good learning, good behavior, and healthy aging, Ontario has raised welfare and pension rates only by pennies in a decade, and blocks a food allowance of $200 a month for the poor, disabled, elderly, moms and kids. http://www.ocap.ca/rtr Ontario report card on poverty - 2006 http://tinyurl.com/yazj62oYes, this is very bad.
http://www.thecanadiancharger.com/page.php?id=5&a=123
Let's re-frame this.
"The money went out the door with little to show for it. How could the NDP have allowed this to happen? The NDP was either wilfully negligent on this file or incredibly incompetent."Tommy Douglas's party....
(edited and updated)
"Bill Gates, America's richest man with a net worth of $50 billion, has a personal balance sheet larger than the gross domestic product (GDP) of 140 countries, including Costa Rica, El Salvador, Bolivia and Uruguay. The Microsoft (MSFT - news - people ) visionary's nest egg is just short of the GDP of Tanzania and Burma."
http://www.forbes.com/2009/09/29/forbes-400-gates-dell-walton-charney-ri...
And the Ministry of Health has had nearly that much money every year for the last ten years.
Lot's of people apparently got very, very rich, off of this, and this goes well beyond the sponsorship scandal amounts even.
It is mind boggling how much tax payer's money went into the pockets of a select few.
On the main point (now a blog post), Ontario has always been addicted to consultants - particularly IT consultants. We've seen it for more than 20 years under the NDP, the conservatives (remember Andersen anyone) and the liberals. Whether tendered or un-tendered, contracting out of IT services has often been a waste of taxpayer money with favoritism, cost overruns, blown timelines, shoddy work that costs more money to fix, lack of accountability, lack of knowledge transfer to permanent staff leading to ongoing dependency on consultants, risk to privacy of personal information and potential of corruption.
This is not primarily about the tendering process as (wannabe mayor co-incidentally talk show host) John Tory, the conservatives and media would have us believe. I hope the ONDP can distinguish itself from the conservatives on this issue. Let's not let them change the channel on the central issue - public services, contracting out and the unwillingness of the provincial government to develop its own capacity to deliver in-house projects of various sizes. Relying on consultants gets the FTE (full-time, permanent job) costs down while contract spending continues to soar. It's the old "two-pocket" trick.
Critics on the right who are squawking about E-health consultant fees who don't deliver were also squawking about overpaid trash collectors and other municipal workers who do deliver. They want to have their cake and eat it too. Maybe they can try sending the work to India or China next and see how quickly that moves the project ahead.
We can't have accountability with a contingent labour force. The only realistic long-term solution is to rebuild the civil service and to develop internal IT capacity.
p.s. - It's not just the Ministry of Health but also Ministry of Government Services, Ministry of Finance and ultimately the Premier's office which share responsibility for this latest debacle.
This is exactly correct.
As what is happening, was predicted to happen when the whole pushing for privatization of government services was started. it has ended up costing the tax payers billions more than if it would have been kept in house.
That is money that should have been spent directly upon services, and service building, not making private firms rich.
This is what happens when voters hand Pinocchio's party a phony-baloney 22 percent dictatorship. Liberals and their private enterprise friends think it's a free for all.
This is exactly correct.
As what is happening, was predicted to happen when the whole pushing for privatization of government services was started. it has ended up costing the tax payers billions more than if it would have been kept in house.
That is money that should have been spent directly upon services, and service building, not making private firms rich.
I couldn't agree more, I work in the public service (privatized), no matter how busy we are we are never busy in the eyes of management, so we are continually downsized reducing our capacity to provide essential services and in turn reducing the number of customers we have through long wait times or lesser trained personel. It's a self fullfilling cycle.
p.s. - It's not just the Ministry of Health but also Ministry of Government Services, Ministry of Finance and ultimately the Premier's office which share responsibility for this latest debacle.
Thank you, Polunatic2.
To make the size of the theft more clear, I have used different examples of wealth. If you have something better for comparison purposes, please give us your examples.
I think that ALL Ontario's politicians are responsible for this. The NDP failed to respond when I delivered this information to their HQ months ago.
(Update: Calls to NDP HQ, Horvath's offices, Kormos's offices and to LHIN offices were blown off. I've been mining this thread for months.).
Fabulous post, Polunatic2. Thanks for tying the threads together between all this contracting out and the waste that happens because of it.
The only reason Conservatives are upset about this is because now that they're not in power, they can't pay off their OWN big business and "consultant" friends with public money.
Nonsense on all the the provinces politicians being at fault.
Nonsense on all the the provinces politicians being at fault.
Remind, it is certainly OUR fault for trusting them. Tommy Douglas told us to stop voting for cats.
Some politicians and public servants were in a position to know - and they or their staff chose to turn a blind eye to the information. I know, because I told them. However, the figures were available to everyone.
I am not sure the ONDP is faultless in all this-- unless Harris or McGinty abolished ONDP legislation under the Rae government that would have had this come to light sooner.
Which is a distinct possibility.
However, there's only one way for this to come out right in the end, and that's for it to be seen as the LEGISLATURE being derelect in it's duty.
The Conservatives will spin this as "government can't do anything right", and push for privatization as an alternative-- even if you and I see the glaring stupidity in the argument, in that it is very much the business world that has acted to steal this money.
Selling it as "Liberal Corruption" is tempting, particularly to Conservatives, and it's fun potential for us is obvious.
However, this is every reason to hold the Legislature responsible for this, and not turn it into a partizan debate.
When the ONDP came to power in 1990, they inherited a culture of using consultants from the liberals and conservatives that preceded them. The NDP did agree to a joint study on consultants with the union in which about $180,000,000 worth of contracts were identified (my memory's a bit hazy on the exact number). I don't recall much changing after that although I would agree with Tommy's supposition that had the NDP reduced the dependency on consultants, Harris would have wiped that out just like he did with labour law reform, employment equity and countless other moves in the right direction made by Bob Rae.
To say, "there's always been consultants, this is nothing new" is a bit like telling a drowning woman "there's always been water, this is nothing new."
Of course government's have used consultants before - sometimes it makes sense to use consultants - but it's become a serious problem. Has anyone actually read the Auditor's report? The government's eHealth program logged a 4000 per cent increase in consulting contracts since 2003. To say, "It's always happened" ignores the real problem by a million miles.Caplan is unfairly allowed to take the responsibility.
Not that I want Smitherman banned from politics. He's much better than the average Liberal.
The Board of e-Health were powerless because the Premier had appointed the two top staffers. There's the responsibility.
Caplan is being hung out to dry for no reason.
Thank you for the link, Sunday Hat.
Tommy Paine has started a thread on what to do about corrupton in the Ontario Legislature here:
http://www.rabble.ca/babble/central-canada/corruption-ontario-legislatur...
Tell us what you think should be done.
What would Tommy Douglas do?
I think all of our public services are being gutted for the profit of the few so although I would like to see consequences for misusing funds I do not think it will happen. I think the corruption is rooted deeply and that when nothing changes it will be as Fidel has said, people will fall into further hopelessness and the abuse will continue.
As for fighting for the continuance of our current health care system, I see little point in it. I think it is completely controlled by pharmaceutical companies that are only interested in profit and that in many cases it does far more harm than good.
I do agree with you Tigana, something needs to be done but I can't see that something happening without doctors and nurses being involved and as long as they are convinced that their system just needs "more" how can it change?
I believe a large part of rising costs to Canadian health care is from the the price of pharmaceutical drugs. Ralph Nader warned Canadians in the 1980's not to hand drug companies the rights to 20 and 30 year-long drug patents. Nader warned us that preventing generic drug companies from producing and offering cheaper pills and potions would only encourage big drug companies to divert R&D money into the pockets of CEO's and shareholders of those companies. And Ralph Nader was right all along. Big pharma's investment of money from our drug purchases has been paltry compared to the whopping profits theyve realized since then.
What Canada's feds need is the ability to negotiate lower prices for drug purchases from big pharma, like European governments are able to in keeping health care costs lower in those countries. It's a free market mechanism which Brian Mulroney's conservatives handed off to big pharmaceutical monopolies in the 1980's during that government's drive toward powerlessness and impotence for federal government in Ottawa and as practiced by Liberals after them.
I agree it would be a mistake to say "this is just some bad apples" but it's also a mistake to say "this happened while the NDP was in power" (or for that matter while Harris was in power). If anything like this happened while Rae was in power we'd have heard of it.
There is a trend towards increasing reliance on "outside experts" and a trend towards greater wage disparity with "experts" and "professionals" drawing increasingly huge salaries while others make less and less (talk a personal support worker sometime).
That's right, it's Pinnochio's fault, and the fault of this Liberal government in general. This is what happens when 22 percent of regitered voters in Ontario hand dictatorial powers to one of the two old line parties. Phony-baloney majorities are not good for democracy period.
Healthcare consultants cash-in while patients languish
NDP Leader Andrea Horwath says it is completely unacceptable that high-flying healthcare consultants cashed in on some of the $1-billion squandered by the McGuinty government's eHealth initiative while Christine Wines languished, waiting for back surgery that will improve her quality of life.
"When it comes to health care there are two different worlds in Dalton McGuinty's Ontario: In one world, healthcare consultants make $2,700-a-day to record voice mail messages; in the other, patients like Christine wait, local hospitals close and services are cut. It's callous," Horwath said.
Four years ago, Wines, a Grimsby resident, was struck by a car while using a pedestrian crossing. Since then, she has been repeatedly denied the OHIP-approved, doctor-recommended back surgery to relieve her of constant, chronic pain. Her local hospital blames a lack of government funding...
"The Premier tells Ontarians like Christine to accept health care cuts in these very tough times, but he refuses to take steps to end the health care consultant gravy train," Horwath said.
"Can the Premier explain to Christine why this government is keeping well-connected insiders in the lap of luxury when it can't find the funding to provide the surgery that she so desperately needs?" she asked.
ONDP leader Andrea Horwath on the neoliberalorama in Ontariariario's health ministry.