• ImplyingImplications
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    2 months ago

    The law allows hospital placement coordinators to choose a nursing home for a patient who has been deemed by a doctor as requiring an “alternate level of care,” or ALC, without consent. They can also share the patient’s health information to such homes without consent. Patients can also be sent to nursing homes up to 70 kilometres from their preferred spot in southern Ontario and up to 150 kilometres away in northern Ontario. The law sparked outrage among seniors.

    So seniors go to the hospital with a chronic health issue and get institutionalized instead?

    • wise_pancake
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      2 months ago

      Seniors who can’t independently care for themselves and who don’t actually need acute care anymore.

      And aren’t they getting institutionalized either way? They can’t live independently anymore, so do they live in the hospital forever?

      It doesn’t feel nice but I don’t think it’s fair to live in the hospital when there are homes designed for the specific care levels instead. I think the LTC system needs reform, but this feels lesser of two evils.

      • Arkouda
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        2 months ago

        You can no longer care for yourself.

        Do you agree that because you can no longer care for yourself that it is okay for you to be shipped off to wherever the Government chooses and strip your of your rights?

        • wise_pancake
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          2 months ago

          It’s complicated.

          Not medically able to care for yourself is not the same as not mentally competent to make decisions.

          The government is saying find a place or we’ll find I’ve for you, their not saying you can’t choose or taking away any rights. They’re just saying you can’t live in the hospital and occupy hospital rooms which are in shortage right now.

          • Arkouda
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            2 months ago

            Do you agree that because you can no longer care for yourself that it is okay for you to be shipped off to wherever the Government chooses and strip your of your rights?

            • wise_pancake
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              2 months ago

              I did address that though. This isn’t stripping and removing rights.

              If they can find accommodation then they can use it, but if they can’t then they simply don’t get to live in the hospital indefinitely.

      • njm1314@lemmy.world
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        2 months ago

        Are they designed for that specific care level though? Or are they designed to squeeze as much money out of the system while providing the lowest level of care possible?

        • wise_pancake
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          2 months ago

          My wife’s grandmother is in LTC and her family visits every day, and they constantly have to raise issues to the home, and to their credit they have been improving based on that. Not everyone has an advocate like that, so I’m not going to say the LTC system is great, it needs work and oversight, and I really would like to see where the money goes because the staff are exhausted.

          But yes, they are designed for that. wife’s grandma has issues which have evolved from needing occasional nurse check-ins to make sure she had her meds to needing help getting up and using the washroom, needing to be rotated in bed, pretty much full time care. The home shes in suggested it was time to move her up a floor with the next level of care because the staff on her current floor weren’t equipped for it. It’s much better there now where the system is set up for her needs.

          I know that’s just an example of one in a home that it took a couple years to get her into.

  • nyan@lemmy.cafe
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    2 months ago

    One of the problems with this law is that it can strip people of their advocates. If someone is placed in a care facility 150km away from home, that means a three-hour round trip for anyone who wants to visit . . . assuming that person has a car and a driver’s license and the weather and roads are good.

    Let’s say you live in Cochrane, don’t drive, and your loved one has been placed in a home in Kapuskasing, which should be ~130km. If you want to travel to see them, your only public transit option at the moment is an Ontario Northland bus that runs three times a week. Incidentally, you’ll arrive in Kap just after 1:30AM and will be stuck there until the bus back comes through just before 6:00AM the next day (assuming it is the next day and not the day after—the schedule’s difficult to interpret). Kind of difficult to advocate for someone when visiting them is a two-day expedition, and they may no longer be in any condition to explain what’s wrong over the phone.

    I understand wanting to clear the hospital beds, but this is something that needed a lot more thought, especially when dealing with conditions in the north.

      • nyan@lemmy.cafe
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        2 months ago

        I’m pretty sure that Ford would be overjoyed if everyone north of Parry Sound vanished spontaneously so that he no longer had to pretend to take us into account. He doesn’t understand the North (or anything much outside of Toronto), and doesn’t want to.

        • ILikeBoobies
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          2 months ago

          He governs like he think he’s mayor of Toronto

          I just find his support baffling

  • smallpatatas@lemm.ee
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    2 months ago

    This is horrible.

    It would be reasonable to assume that the lack of LTC supply is at least partly because it’s not profitable to have extra spaces you’re not using.

    That lack of supply makes it more likely that seniors would have to look at places further away.

    Plus, the people profiting off LTC are folks like former Conservative Premier Mike Harris, who not only used to be chair of the board of Chartwell Retirement Residences, but has also owned millions of dollars in company shares (as of 2022, Harris no longer controls >10% of the company, so he doesn’t have to file public disclosures of his holdings).

    https://burlingtongazette.ca/its-time-that-we-take-the-words-private-and-profit-out-of-how-we-care-for-our-seniors/

    While premier, Harris also pushed hard to privatize the industry that he would later benefit from.

    This looks like another case of Ford making sure his buddies rake in as much money as possible, even if it causes human misery.