Image of fisherman's wharf, Victoria BC
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Let all residents vote in Canada

BC has municipal elections in October this year and I will be voting for the candidates whose policies, values and voting records on housing affordability, harm reduction, and walk/bike/transit friendliness match mine the closest. I might even have an endorsement or three up my sleeve. This year, I will also be asking Victoria’s municipal election candidates where they stand on letting permanent residents vote in our elections.

In the 2016 census, nearly 2.5 million people identified as non-citizen residents, out of which two million were permanent residents. The permanent residents live here, work here, play here, pay taxes, grow pensions, volunteer, commit crimes (yes, they’re like any other Canadian) and more, just like those with Canadian citizenship. However, they have no say in who represents them municipally, provincially or federally. I find this unfair, so do many people, including the Vancouver city council, who passed a resolution in 2018 (PDF) calling for the province to approve voting by permanent residents. This globe news article provides a good backgrounder.

In short, municipalities have run into the conservative buzzsaw that is the state of our (mostly) conservative or liberal provincial governments. This won’t change unless more people speak up.

The opposition is mainly that non-citizens are not sufficiently “invested” in the country, they’re too “new”. The more paranoid ones talk about divided loyalties, and bring up stories of foreigners being flown in to vote. Perhaps they should try getting a visitor visa to Canada (spoiler alert, difficult).  People who judge other people’s belonging or membership, however, usually have other items on their agenda. Let’s just leave it at that.

From my perspective, extending the vote is common sense, fair and just, and that’s that.

Permanent residents? The case is simple. They’re like citizens in all ways, except for voting, and having to renew every five years. If you want to make life difficult, you could ask them to renew voter registration every five years too, but really, you shouldn’t. Are you concerned about “loyalties”? If you are, then you should not be letting the thousands of dual British-Canadian passport holders vote.

How about residents without the permanent residency paperwork? Don’t see why not? If you’re concerned about timing of residency, put a time limit on the voting registration. There are very few non-permanent residents in Canada, half a million at last count, so, impact is small.

Undocumented? May be difficult, especially with visibility and its consequences. But, I would support it if we can find a solution that protects people while allowing for verifying identity for voting.

Of course, giving people a vote does not solve most problems, but that’s not the point. We see conservatives south of the boarder ceaselessly chipping away at the right of non-white people to vote. We need to be be going in the opposite direction on representation.

So, here are the questions on this issue I intend to ask Victoria’s municipal candidates in 2018:

  1. Do you support efforts to extend voting rights to all residents in Victoria?
  2. If you do, what are you willing/able to do to make this happen at the municipal level at least, then at the provincial level and federal levels?

A “no” on #1 is going to make it difficult to vote for you. A “yes” on #1 without some coherent plan on #2 means that you need to think about it some more.

Are you with me? Would you be willing to ask prospective candidates the same questions? Should there be additional questions? Do these questions make sense, or should they be reworked?

Cross-posted from interrobang

 

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    Murray Langdon and the Role of Government

    Murray Langdon of Victoria area radio and news outfit CFAX talks about municipal golf courses and tries to connect the Municipality of Saanich’s role in running a golf course with a much larger question around government, and “money”.

    I’ve already been inundated with a ream of people who have stated that rec centres, garbage pick-up, landscaping, etc, has always been done by the municipality. That may be true. What I’m asking is should cities and towns be doing that. For example, we know that rec centres lose money each and every year…

    via Murray Langdons Comment

    The role of government, whatever level it might be, is to maximise the welfare of the people it serves, not some of its people, but most of them. So, looking at government “costs” alone in deciding the role of government is dangerously incomplete. What you actually have to do is to total up the costs for government and the people being served by the government, and judge whether there is an overall benefit to a municipality providing a service. Trying to be pragmatic about it, here are some of the things I look at:

    1. Is the good/service provided discretionary? Meaning, would I be able to live a reasonably satisfactory life without the service?
    2. If the good/service is non-discretionary ( I need it for a satisfactory life), then does it show characteristics of moral hazard (if some people don’t participate, it affects everyone), and would the provision of the service benefit from risk pooling (it works better if we’re all in it together) and mitigate issues of adverse selection (people who need services most are least able to afford them)?
    3. Is the good/service market amenable? (despite what free market fundamentalists may have you believe, Adam Smith did not think that every good/service could fit into a free market paradigm). If market worthy, is there any additional benefit to having a “public option”?
    4. What parts of a good/service are a natural monopoly, and what parts are amenable to market based competition (highways vs. cars)?
    5. When looking at costs and benefits, it’s not enough just look at direct costs like construction, salaries, etc, but also at more intangible measures like decision fatigue,(after a certain threshold, every decision you take degrades the next one) social capital (community relations, cooperation and confidence), creative capital (the ability to attract people to your community), environmental capital and so much more.

    Immediately, dumping golf, recreation, and water and sewage services into the same pot makes no sense.

    Let’s look at golf, it’s discretionary, and given the proliferation of golf courses in the area, a reasonably competitive good/service (disclaimer: I don’t golf). If Saanich stopped providing golf services, some people would end up paying more, but this would not affect a vast majority of people in the area. So, I wouldn’t shed a tear if Saanich’s golf course was privatised (I would be happier if it became a park, but that’s a different argument!).

    Let’s look at recreation centres – Murray Langdon says this:

    For example, we know that rec centres lose money each and every year. But we have examples of private recreation facilities, (in Langford for example) that are not only affordable but actually make money. For some reason, people assume that if it’s not run by a municipality, it will be expensive. Well, I have news for you. It is expensive and it may be because it’s run by a municipality.

    I am confused, what Langford recreation centre is he talking about? (I don’t live in Langford, or hardly ever visit) The Westshore Parks and Rec Society runs the recreation centres, and it appears to be a joint effort by Westshore communities.

    West Shore Park & Recreation is governed by the West Shore Parks & Recreation Society’s Board of Directors  Each municipalities contribution, through tax requisition, assists in the operation of the parks and recreation facilities.

    Putting Langford aside, clearly, the public health benefits of increased physical activity make exercise a non-discretionary item (some may disagree!) Community based (whether run by the municipality or not) recreation centres have many benefits that are not measured just by their profit-loss statements. They are often the only option for family-centric, community centric (as opposed to individual centric) recreation. I can’t go to a private gym with my partner (real) and kids (hypothetical), and have all of us participate in  activities at the same time. My partner and I would have to schedule different workouts, then enrol the progeny in a separate swimming or soccer class, find/take turns in baby sitting, etc. So, not having community based recreation increases costs to society + government, while possibly (and not always) reducing government “costs”. The social capital of having community recreation centres, the public health benefits of encouraging exercise, I could go on, the intangible benefits are high. The YMCA, which I am a member of, is a non-profit community run recreation centre, and this model works as well.

    Water and Sewer – These are non-discretionary, monopoly driven services not really market based. Construction, some maintenance, value added services, may be amenable to competition, but not the management, oversight and long-term stewardship. While the BC provincial government and various Federal governments have been trying to privatise various commons resources, third-party evidence points to no cost savings.

    Here’s a test: Talk about BC Liquor!

    The job of a public policy analyst is to consider the costs/benefits of the society as a whole. One does not read government balance sheets the same way one would read a corporation’s balance sheet.

    Photo from GibsonGolfer Flickr photostream used under a Creative Commons License.

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    Break the link between employment and healthcare!

    Cross-posted from Interrobang:

    The US Supreme Court ruled along political lines on the 30th of June, 2014 that “closely held corporations”, over 90% of all US businesses, are now free to discriminate against women (and it was specifically women and birth control) if their religion leads them to believe birth control kills babies, or that women who use birth control are Satan’s spawn (the belief does not have to be factual).

    The Supreme Court says corporations can hold religious objections that allow them to opt out of the new health law requirement that they cover contraceptives for women.

    The justices’ 5-4 decision Monday is the first time that the high court has ruled that profit-seeking businesses can hold religious views under federal law. And it means the Obama administration must search for a different way of providing free contraception to women who are covered under objecting companies’ health insurance plans.

    Salon AP coverage

    I am not going to debate the wrongness of this decision, the notion that businesses can have religious beliefs, and can use them to discriminate against certain types of people is not up for debate. And, the discrimination is very specific and targeted…

    The other, more ubiquitous discrimination is in the notion that the health care you get has anything to do with the work-for-pay arrangement you have with the organization you work for. I am probably the millionth person to mention this, and whole books have been written on the subject, but, the link between healthcare and your employer is wrong because it anchors discrimination. This particular egregious case goes one step further and discriminates based on gender as well, not just work status.

    The US had a chance to sever health benefits from employment when they had a three-year debate on expanding health insurance coverage. Thanks to the ability of small political minorities to filibuster and block action, and a corporate-funded reluctance for change, the US kept their employer-based health insurance system in place, and with it, all the discrimination that entails. Uwe Reinhardt reiterated a number of these points recently in the New York Times.

    Back Home

    Is BC any better? Yes and no. Thanks to Canada’s Medicare, parts of our health care system are universal and not subject to employment ties. But, there are several exceptions making us a two-tier health care system:

    1. The health insurance tax or MSP (what our government cutely calls a “fee” in order to not call the yearly increase in this fee a tax increase): Many employers will pick up part/all of this tax for their employees, whereas one that doesn’t can pay more than 1000 dollars a year for a family. While there is an element of progressiveness to the pricing with very low-income people paying less/nothing, it is weak, families making > 30K per year pay full price.
    2. Drugs: For some reason, drugs are not covered by our “universal” healthcare system and are provided by workplace “supplemental benefits”, as if taking a thyroid pill every day is a “supplement”. The CCPA makes an excellent case for universal pharmacare, if you need more convincing. 10% of Canadians cannot fill prescriptions for financial reasons.
    3. Our public health insurance system assumes people don’t have eyes or teeth. So, if you want your cavities filled, a root canal, or want to see clearly, you need “supplemental benefits”, and these are mostly employer-provided. Oral health is a clear marker of health inequality.
    4. Mental health is not covered, this is inexcusable, as Andre Picard notes.
    5. Treatments that improve overall health, like massages, are not really covered. Once again, your employment status determines whether you have the “luxury” of holistic preventative measures to reduce stress, pain, and many other issues.
    6. Historically and currently oppressed groups, Canada’s indigenous people for example, get a short shrift on the benefits like massage, nutrition, counselling and holistic treatment they need because of disparity in employment availability.

    This quote from the Andre Picard article I mentioned summarizes the discrimination.

    The well-to-do pay. The middle-class scrape together the money the best they can, sacrificing so their child can get care. And those without the means wait, or do without care.

    There are other side-effects. Because “benefits” are expensive, companies have a vested interest in only having certain “valuable” employees benefit. The rest get treated as contractors, have their hours strategically reduced, and much more.

    It’s almost as if there’s an unspoken moral argument here, you don’t deserve good teeth or a massage if you don’t work for a living.

    Yes, you can buy individual supplemental insurance, or pay per use, but neither of these are cheap because you as an individual have no bargaining power.

    We in BC also have a long way to go to break the link between healthcare and employment. Will it cost the average BC resident more money? Let’s consider:

    1. A simpler system with one buyer is administratively efficient. It takes the thousands of decision points every HR administrator or group in every company/union has to make and transfers that to a single entity. Public universal plans are about four to ten times more efficient (pdf) than fragmented private plans.
    2. A bigger entity can negotiate much better rates for you, whether it is for drugs, or for dentistry, or for anything else (a bigger risk pool). If all of Canada administered one simple pharmacare system, we would negotiate much lower prices with pharmaceutical companies. We would also have better funding to run and evaluate effectiveness studies.
    3. Funding preventative, holistic healthcare means fewer hospital visits. In a universal system, there are no artificial barriers between a massage, drug treatment, surgery, stress reduction counselling, or ergonomic counseling for back pain. You don’t have to prove your work injured you in order to get the right treatment, your first point of contact with a medical professional (not necessarily a doctor) decides which path works best. You do not have to get sick enough to go to the hospital before you get treatment covered by insurance.

    Pitfalls

    There are concerns with a universal single-payer system:

    1. As Vox points out, if a government administering the single-payer system decides not to pay for contraception, then no one gets it. So, getting good universal healthcare is about constantly winning political battles. The good thing about universal healthcare in Canada is that it is incredibly popular, polling near 90% approval (pdf). So once quality is improved, governments will find it hard to cut back.
    2. Like any other public system, the quality of the institutions drafting policy and administering the system is vitally important. Well run public systems are efficient. But conservative movements in the last 30+ years have worked hard to dismantle the quality of public institutions and trust in such institutions. In this reality of shrinking budgets and staff levels where bureaucrat is a term of insult, ensuring that public system expansion is handled efficiently is no given. There is an entire industry of political parties, think tanks and media devoted to tearing down the concept of a publicly administered good, and ready to pounce on every little misstep (Remember the Obamacare roll out anyone?)
    3. Will employers raise wages from all the savings they get from not providing health benefits, and will these raises cover the increase in taxes we will pay for universal healthcare? Probably not right away, but it will happen eventually.

    Transitions

    Clearly, we can’t transition tomorrow. A public system would need to be in place and functioning before our employers get out of the health insurance business. I would phase universality in the following order:

    1. Drugs
    2. Teeth and eyes
    3. Preventative and palliative care.

    We would also need to rethink the”fee for service”, where healthcare providers are paid per widget, and think about a different system closer to a salaried model, more on that in future blog posts.

  • N&O: Stop Using the word "illegal"

    Colleges await more advice on illegals

    newsobserver.com | Colleges await more advice on illegals

    The N&O does a global search on every “undocumented” in official statements about immigrants and replaces with “ilegals”. Presumably, they are intelligent enough to know what they are doing and are doing this deliberately. Please write to the author of this particular piece, Kristin Collins at kristin.collins@newsobserver.com to let her know that this is disgusting and has to stop. Here’s some typical text…

    I read with increasing dismay, the use of the word “illegals” in your articles to describe people who lack the necessary documentation to live in the United States. A small percentage of their actions can be termed illegal, but they are not “illegal” people. This is the same as saying that every one who drives 36 mph in a 35 mph zone is an illegal. A person may be guilty or charged of illegal acts, that does not make them “illegals”. Note that in the course of a day, an undocumented immigrant may perform  many many legal acts and a so called “legal” American may be breaking the law a dozen times. If the definition of illegal is knowingly breaking a law (whether you get caught or not), all of us are “illegal” in one way or the other.

    I fear that your temptation to use one charged word to describe whole groups of real law abiding, tax paying people is lazy at best, and fear mongering and sensationalistic at worst. The N&O does good investigative work and need not sully its good name by stooping to such demagoguery. Please stop. If you want to use one word, use “undocumenteds”. It is more specific and conveys to readers exactly what illegal act these people are charged with.

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    FDA Issues Dietary Supplements Final Rule

    The FDA issues rules that will finally make dietary supplement manufacturers conform to some rules in the manufacturing of the products.

    Which ones?

    1. Accurate potency and labeling – 30 mg glucosamine will now contain something close to 30mg
    2. Impurities Testing – All the raw materials will now be tested for impurities/contaminants. They will probably follow USP guidelines.
    3. Adverse event reporting – Manufacturers/sellers will need to report adverse events. This is after the fact safety testing, wholly inadequate, but better than what we had previously.

    See something missing? Efficacy!! You do not have to prove that your product actually works! Basic safety? What is the overdose level? Interactions with other medicines/supplements? Is your dosing form actually bioavailable? Meaning, if you swallow a pill, will it actually get into your bloodstream and reach the intended target?

    Who knows, but standardizing, cataloging and auditing manufacturing processes is a start, I guess. 1.5 cheers for the FDA!

    I would be curious to find out how these companies are going to get audited by the FDA to prove that they’re following the quality control measures they’re supposed to implement. Guess I have to read the 815 pg bundle of joy that is the actual rule to find out more. A cursory word search on audits suggests that the manufacturers do audits on their suppliers, that the quality control unit of manufacturer perform audits on their manufacturing process, but nothing about the FDA conducting audits. Of course, calling yourself a GMP (good manufacturing processes) manufacturer is usually enough to trigger an FDA audit if you’re in pharma. I wonder how the FDA will deal with this one.

    FDA Issues Dietary Supplements Final Rule

    The U.S. Food and Drug Administration today announced a final rule establishing regulations to require current good manufacturing practices (cGMP) for dietary supplements. The rule ensures that dietary supplements are produced in a quality manner, do not contain contaminants or impurities, and are accurately labeled.

    “This rule helps to ensure the quality of dietary supplements so that consumers can be confident that the products they purchase contain what is on the label,” said Commissioner of Food and Drugs Andrew C. von Eschenbach, M.D. “In addition, as a result of recent amendments to the Federal Food, Drug, and Cosmetic Act, by the end of the year, industry will be required to report all serious dietary supplement related adverse events to FDA.”

    The regulations establish the cGMP needed to ensure quality throughout the manufacturing, packaging, labeling, and storing of dietary supplements. The final rule includes requirements for establishing quality control procedures, designing and constructing manufacturing plants, and testing ingredients and the finished product. It also includes requirements for recordkeeping and handling consumer product complaints.

    “The final rule will help ensure that dietary supplements are manufactured with controls that result in a consistent product free of contamination, with accurate labeling,” said Robert E. Brackett, Ph.D., director of FDA’s Center for Food Safety and Applied Nutrition.

    Under the final rule, manufacturers are required to evaluate the identity, purity, strength, and composition of their dietary supplements. If dietary supplements contain contaminants or do not contain the dietary ingredient they are represented to contain, FDA would consider those products to be adulterated or misbranded.

    The aim of the final rule is to prevent inclusion of the wrong ingredients, too much or too little of a dietary ingredient, contamination by substances such as natural toxins, bacteria, pesticides, glass, lead and other heavy metals, as well as improper packaging and labeling.

  • Help Cleanup Invasive Plants in Victoria This Saturday


    View Larger Map

    Are you interested in helping the Lekwungen and WSANEC Nation remove invasive plants? Here’s a press release about the event.

    You and your family are welcome to join us for an orientation to removing invasive plants in Chekonein family territories, facilitated by Cheryl Bryce, this Saturday January 22nd. We’re meeting at 1pm at Camas Point (Cattle Point — at the higher side, on Scenic Drive where there’s a few parking spots by the entrance, just in from Beach Drive).

    Please bring a water bottle and wear sturdy shoes and weather-appropriate clothing.

    If you have some extra tools handy (like clippers, gloves, shovels), please bring them with some sort of label so you get the correct ones back. Many thanks!

    Bus tickets available; the 2A bus goes fairly close:

    For the past 150 years Lekwungen and WSANEC families have been responding to the impacts of colonization in their homelands. This project creates more spaces for local and visiting peoples to collaborate on long-term decolonizing of the land. Through the community tool shed project, local Indigenous families are providing guidance on priorities and the where, when, and how for visitors to join in this work collectively and respectfully.

    The Community Tool Shed & Mapping Project is associated with the Xaxe Tenew Sacred Land Society. Currently we are fundraising so that we can buy tools for invasive species removal and reinstating native plants, including GPS equipment for mapping invasive plants in local “parks” to help plan removal and track effectiveness of different methods over time.

    To get involved, or to donate tools or funds to the tool shed, please contact Cheryl <chers_canoe@shaw.ca> or Joanne <joanne.cuffe@gmail.com>.

    Thank-you!

    Invasive plants are a big problem in BC, and one that requires labours of love to remove, no carpet bombing with herbicides, no industrial solution here, just lots of hands needed!

  • Income Inequality = Super VIllains

    From the very awesome Saturday Morning Breakfast Cereal Website, a reminder that income inequality causes more super villains than science, and mashing DNA 🙂  Canada’s Conference Board, which no one would accuse of being socialist, came up with a report yesterday flagging growing inequality in Canada. They flagged inequality as “raising questions of fairness”, and declared it of “moral concern”.

    They are late to the party. The Canadian Centre for Policy Alternatives has been on this beat for years, and has an ongoing project called The Growing Gap about income inequality. Go read The Spirit level by Richard Wilkinson and Kate Pickett of the Inequality Trust in the UK for an epidemiological look at inequality and various social conditions.

    Just wanted to share the awesome cartoon, that’s all 🙂

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