HomeMy WebLinkAboutThe Wingham Advance-Times, 1964-02-20, Page 3R
4
MURRAY GAUNT, M,P.P.
Urges Broader Insurance coverage
(The following is partial text
of a speech by Murray Gaunt,
M.P.P. of Huron -Bruce, in re-
ply to the Speech from the
Throne),
I would like to break slightly
with tradition and embark im-
mediately into what I have to
say.
I want to deal with a subject
that I feel deserves serious at-
tention on the part of govern-
ment. My colleague from
Bruce pointed out to the govern-
ment in a very dramatic fash-
ion that it has no right to raise
taxes without first bringing some
economy and economic plan-
ning into the running of the pro-
vince's business,
With that I would heartily
agree.
On a number of occasions
the remark has been made from
rhe benches opposite that we in
the opposition certainly know
how to criticize but criticizing
for criticism's sake is a very
easy thing. The hard part, af-
ter having critieized, is propos-
ing a solution. Frankly, I
think our party has been rather
adept in both fields. The only
problem we have is in getting
the government to move in
implementing these suggestions
and proposals. They seem rath-
er reluctant to do so in most
cases.
However, if the government
genuinely wishes to save the
taxpayer's money by re -assess-
ing various aspects and oper-
ations of the various depart-
ments, I am sure that they
would welcome any suggestions
to those ends.
One matter which has been
brought to my attention repeat-
edly by a number of my con-
stituents is the fact that they
feel Ontario Hospital Services
Commission should be extended
to cover chronic patients in
nursing homes. That is a very
broad statement and demands
elaboration. However, after
further study, I find as far as I
am concerned, that contention
completely justified.
What is the situation now?
According to my information,
there are roughly 400 licensed
private nursing homes in the
province of Ontario. These
nursing homes come entirely
under the jurisdiction of the
municipality where they are lo-
cated. The municipality sets
its standards and the nursing
homes within that municipality
axe required to come up to
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these regulations. Having done
so, the nursing homes in that
municipality are granted a lic-
ense. These regulations are
very general in nature, setting
a standard, and sometimes a
rather low standard, for sani=
talion and fire protection. As a
result, every municipality has
different rules and regulations
governing nursing homes within
its jurisdiction.
In a few cases, counties
have had the foresight to estab-
lish basic standards and the
municipalities within the coun-
ties are free to impose addition-
al requirements if it is deemed
advisable.
Notwithstanding this, the
entire field of licensing nursing
homes is a dilemma second on-
ly to the hodgepodge situation
in the textbook field created by
the Department of Education.
There is absolutely no uniform-
ity, Uniformity is needed.
The province has roughly
400 licensed, privately -owned
nursing homes. Of these 43 are
approved temporarily by Ontar-
io Hospital Services Commis-
sion, usually for the duration of
a year, to help alleviate the
chronic bed situation in public
hospitals where the problem has
become acute. In these cases,
Ontario Hospital Services Com-
mission pays for the keep of the
chronic patient on being re-
moved from :he hospital to an
approved nursing home. How-
ever if the situation rectifies
itself and the hospital is able
once again to handle all the
chronic patients, the temporary
Ontario Hospital Services Com-
mission approval to the nursing
home is withdrawn.
Many times, members have
pleaded in this house that ad-
ditional capital is needed for
hospital construction and I am
entirely in sympathy with them,
but failing this, would it not be
good business on the part of the
government to extend O.H.S.C.
to private nursing homes in or-
der that the many chronic pa-
tients who require only caree and
supervision be removed from
the hospitals altogether and
placed in private nursing homes?
It is felt, and rightly so, that
the community through the
government, is morally respon-
sible for the maintenance of
our aged citizens due to their
inability through inadequate
means to provide this mainten-
ance at a proper level for them-
selves. This responsibility is
discharged by private nursing
homes, county homes for the
aged and charitable institu-
tions.
Indeed the growth of county
homes for the aged across the
province is indicative of the
concern the community places
on the proper care and treat-
ment or our elderly citizens.
However, I feel that the solicit-
ing
oliciting of and admission to county
homes of persons with adequate
and more than adequate means
to care for themselves, thereby
depriving some of our aged
people without these means of
care in the county homes for
the aged is in direct contradic-
tion of the principle behind the
establishment of such homes
for our needy older citizens, It
is apparent that after inany of
these homes for the aged were
built people with adequate
means were solicited to assure
that the county homes were fill-
ed_to capacity to justify their
very existence. Frankly 1 feel
that the admission to the county
homes of persons with adequate
means and the subsequent de-
privation of accommodation for
others less fortunate is one of
the contributing factors to the
alleged need for mote el this
type of accommodation, there-
by putting an added, unneces-
sary tax burden on the rax -pay-
ing public.
One recent illustration of
this was quoted in the Wingham
Advance -Times dated Thursday,
January 20. It says "The need
for a provincially approved
nursing home or a chronic wing
in this area was so nureh to the
fore in discussion last Thursday
that action in one form or an-
other may reasonably he ex-
pected. An early step will he
consultation with provincial of-
ficials on the problern.
"We are deeply concerned
for the future of man; a senior
citizen in Huron," said Reeve
Clifford Dunbar of Carey, pre-
senting the report of lluronview
Board. The home is running
practically at capacity and we
are not geared to take care of
chronic patients. We are await-
ing
waiting instructions as to our meet-
ing with officials of welfare and
health departments to study this
problem.
"At no time in the history of
Huronview since I have been
there, " said Superintendent Har-
vey Johnston, have there been
so many people enquiring and
waiting to get in." Chairman
Dunbar said, "As regards chron-
ic patients, we are nor geared
to take care of them, but when
there is no place else, we have
to tae them.
Mrs. Bernard Henderson of
Kincardine, who until a year
ago conducted a hospital ap-
proved nursing home there, told
council that no privately ad-
ministered home could compere
with the per diem cost of $3.75
mentioned by Mr. Johnston.
Confirming her understanding
that about half the Huronview
residents are self -paying, Mrs.
Henderson said, "Even if you
had a nursing home in Goderich.
nobody would go there when
the lluronview rate is 53.75."
Published the same day was
a report of a board meeting of
Alexandra Marine and General
Hospital in Goderich at which
chairman S. Prevett said there
was an obvious need for a nurs-
ing home in Goderich. Pro-
vincial authorities had asked
the board to reduce the num-
ber of beds for chronic patients.
Here we have a very interest-
ing situation. On one hand,
Goderich hospital board is be-
ing told by the government to
reduce the number of beds for
chronic patients; the chairman
of the county home board says
our problems continue to grow
as our resident total begins to
get beyond capacity and con-
cludes by saying that the coun-
ty home is not geared to take
care of chronic patients but
when there is no place else we
have to take them.
On the other hand, Mrs,
Bernard Henderson who recently
conducted a hospital approved
nursing home told the council
that no privately administered
home could compete with the
per diem cost of 53, 75, Mrs.
Henderson pinpointed the prob-
lem when she said, "Even if you,
had a nursing home in Goderich,
nobody would go there when the
Huronview rate is $3.75, The
reason the rate is 53.'15 is he -
cause county homes for the
aged are subsidized by the gov-
ernment and therefore do not
reflect the true actual cost of
this care. It is obvious that
private nursing homes or private
industry if you will, cannot
compete successfully against an
enterprise which is subsidized
by the taxpayer. Thus it is a
ludicrous situation where a sel-
ected few are having their tax
dollars used to put them our of
business. All this has develop-
ed and has nurtured despite the
fact that the government prides
itself in the image of grand-
father to private industry.
The Prime Minister speaks
in glowing terms about his gov-
ernment believing in the Phil-
osophy that people should not
be socialized to the extent that
whatever they have is taken
from them by the state and
handed bac, by a bureaucrat
whether, in fact, they want it
or not.
What I'm saying is wherever
true and actual costs are not
charged to residents of county
homes who have adequate
means for self support, the tax-
paying public is being called
upon to subsidize the daily care
of persons who, in many cases,
are in a superior financial po-
sition to the tax -payer.
The unfortunate thing about
this is that people with means
often unwittingly deprive our
needy citizens of care.
At the $3.'75 a day rate
charged at Huronview in Clin-
ton, municipalities would con-
sider it financially good busin-
ess to send a dependant of the
municipality to the county
home for the aged rather than
to a private nursing home where
they charge on the average
$5.00. The municipality is re-
imbursed 805o of the cost with
the remaining 20% being borne
by the municipality. Compar-
ing the 53.75 rate of county
homes and the 55.00 a day rate
of private nursing homes it
means a saving of 57.30 per
month to the municipality if
the person is admitted to the
county home rather than a pri-
vate nursing home.
In view of what I have said
I would like to make several
proposals to the government for
their consideration:
1. The government should
standardize the rules and regu-
lations governing nursing homes
across the province. Those who
meet the standards would he
licensed by the province and
those failing to do so would be
refused a license. This, of
course, would require inspec-
tion and perhaps this could be
clone by the county officer of
health.
2. Extend O.II.S.C. to the
provincially licensed private
nursing homes to cover indig-
ents and chronics who require
only care and supervision. This
particular point must he under-
lined because the greatest care
must be taken not to turn pri-
vate nursing homes into hospi-
Wingham Advance -Times, Thursday, Feb. 20, 1904 -- Page 3
LA !MET
Brian Schaefer
Earns Scholarship
Brian Schaefer, son of Mr,
and Mrs, Carl Schaefer of Tees -
water, received word last week
that he has been awarded a Uni-
versity of Waterloo Tuition
Scholarship consisting of free
tuition and fees for the coming
term, along with the title of
"University Scholar".
Brian is in Second Year En-
gineering, and the awardcomes
for final examination results in
Terni A, in which he totalled
mars of 80 percent.
Under the Second Year En-
gineering plan, a student studies
for four months, then works four..
Brian is presently in the latter
category and is employed in
Montreal -- Teeswater News.
tats, because nursing homes
have neither the equipment nor
the staff to do the work of a
hospital. This is a very real
problem and one which cannot
be treated lightly. However, if
care is taken to cover only
those who require care and sup-
ervision then the problem 1 am
sure will be overcome. This
would have the happy effect of
releasing some badly needed
hospital beds that are now occu-
pied by chronics and it would
also help to alleviate the over-
crowding and long waiting lists
at county Homes which event-
ually necessitate the building
Mr. and Mrs. Ervin Dickert
attended the celebration of the
fiftieth wedding anniversary of
Mr. and Mrs, George Klein of
Clifford on Sunday.
Mr, and Mrs, Redmond Mc-
Donald and family of Wingham
visited with Mr. and Mrs. Ar-
nold Gadke on Saturday.
Belgrave
Reeve Stewart Procter at-
tended the County Executive
Ploughmens Association meet-
ing held on Tuesday, at the
King Edward Hotel in Toronto.
of additions to these structures.
At the end of 190 there were
203 private and public hospi-
tals in Ontario with approxi-
mately 6, 3r;5 chronic beds.
This whole matter has econ-
omy overtones because really
what I am saying and perhaps
saying rather badly is -- let's
re -appraise the health and care
needs of the older and ailing
residents of this province with
the idea of =King the best
possible use of all existing fac-
ilities. Then and only then
can we consciously embark on
an expansion program of those
facilities which involves the
expenditure of huge sums of
public money. I feel this sub-
ject is of sufficient importance
to deserve due consideration by
the house,
Ordinarily your eyes transmit information to the brain
at the rate of 30 to 40 pictures a second.
In driving, the picture changes every split second.
Your eyes must shift positions every two seconds to
avoid a blank stare, a situation where the mind stops
receiving the picture you are looking at.
A RUNNING LIGHT, attached to the grill of the car,
which shines while the ignition is on, attracts the eye
and gives warning of clanger ahead. We stock and
install them at nominal cost.
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