HomeMy WebLinkAboutClinton News-Record, 1986-02-12, Page 1L
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• NO. 7 121 YEARS
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WEDNESDAY, FEBRUARY 12, 1986
50 CENTS
Doctors willing to opt out
By Alan Rivett
CLINTON - In response to the Ontario
government's proposed ban on extra -billing,
80 per cent of the Huron County chapter of
the Ontario Medical Association are set to
opt out of the Ontario Health Insurance Plan
(OHIP), according to Dr. Art Steed,
president of the county chapter.
Dr. Steed, a physician in Clinton for the
past 4.5. years, says the opting out by the
majority of county members is in support of
the Ontario Medical Association's (OMA)
proposal for an Ontario -wide exodus from
OHIP to fight the Health Care Accessibility
Act.
The bill, introduced by Health Minister
Murray Elston in December, would ban
extra -billing in the province. The legislation
would allow doctors to opt out of OHIP, but
doctors would only be allowed to charge the
OHIP rates. Doctors charging over OHIP
rates would be subject to a fine of up to
$10,000.
The 80 per cent of opted out doctors who
indicated they would opt out of OHIP would
represents a steep increase for the 45
member Huron County OMA chapter, says
Dr. Steed. Currently, only four per cent of
the doctors in Huron County have opted out
of the insurance plan. By opting out, the
doctors would bill the patient directly who
would then file the claim with OHIP for
reimbursement.
Dr. Steed says after meeting with.MPP
Jack Riddell on January 31, he is still
hopeful that modifications can be made to
the bill before it is passed into legislation.
"Last Friday I met with Jack Riddell and,
as.a member of the caucus, he fully supports
the bill. But, he says there's an opportunity
for submissions at the committee level. He
says there is a chance some changes could
be made, but I don't know if it's politics.
talking or if that's what he really felt," says
Dr. Steed in an interview at his office on
February 7.
At an upcoming OMA meeting in
Kitchener on February 12, the membership
will also be asked to sign a consent form,
stating they will engage in "civil
disobedience" if the bill is passed. The
doctors would extra -bill a small amount and
direct the money towards a charity. Dr.
Steed says he will extra -bill and give the
money to the Clinton Public Hospital in the
event the legislation is passed.
"It's an excellent facility but it's suffering
from a chronic shortage of funds. We would
bill patients a token amount above the legal
amount. The money would go towards the
hospital building fund. I'm quite willing to
go to jail for that," said Dr. Steed.
In assessing the impact of the opting out
movement among doctors, Dr. Steed says it
will not only show the Ontario government
the solidarity of the doctors in opposing
DR. T.A. STEED
what they feel is a infringement of their
rights, but will also give citizens a better
idea of what health care actually costs.
"It's important to realize there is a
professional relationship between the doctor
and patient with the patient ultimately
responsible for payment. This (opting out)
will. emphasize there is a
responsibility...Patients don't realize what
expenses are incurred on their behalf," said
Dr. Steed.
By making the patients directly
responsible for payment, he feels it will give
them some insight into the kind of
government bureaucracy the doctors have
endured over the years.
"Patients will discover there's a long
delay between the time you perform the
service to the time you get paid. It could be
months. It will 1et" Ahern discover what
dealing with the government is like.
"Then, they'll direct their anger to where
it should be directed - the government," said
Dr. Steed.
As for the .Health Care Accessibility Act
alleviating the problems of accessibility to
health care, Dr. Steed is skeptical. He says
the bill will decrease access to hospitals and
physicians. Currently, health care in the
province is "perceived as free" which has
created greater utilization of the health care
system. The end result is decreased
accessibility to hospitals and doctors. "The
conceptof free medicine (no payment)
eliminates deterrance." he said.
•
From the outset of the bill, the
government has claimed extra -billing has
made the health care system inaccessible to
patients, especially senior citizens, of
limited finances. Dr. Steed says he agrees
there are stories of .doctors extra -billing
patients who can't afford it, But, of the 12
per cent of doctors in Ontario who have
opted out of OHIP, almost all these doctors
have two billing numbers - one for OHIP and
another for opted out claims. Senior citizens
with senior citizens' cards and people on
premium assistance are billed under the
OHIP number, he says.
"The senior citizens card is an obvious
way to tell people wio can't afford to pay
more. Most doctors are quite prepared to
not bill them as a matter of principle," he
said.
The Ontario government, claims Dr.
Steed, is also "scapegoating" doctors for
the $50 -million per year it is losing in
transfer payments to the province because
of extra -billing or "balance billing." He
says the $50 -million per year represents a
relatively small amount when compared
with the $8.4 -billion annual budget of the
Ministry of Health.
When placing the extra -billing issue in
historical perspective, Dr. Steed says when
OHIP was first introduced, doctors were to
receive 90 per cent of the OMA rates with the
remaining 10 per cent for administration
costs. Today, the gap between the OMA
rates and OHIP rates has widened to 30 per
cent. When doctors are opting -out of OHIP
they're billing to OMA rates.
However, Dr. Steed says the extra -billing
issue is a non-financial for the vast majority
of doctors. He says the legislation would
give the government control of the system,
enabling it to set the OHIP rates for doctors.
"Nobody would really trust the government
to be fair, but we won't have any choice," he
said...
He further describes the proposed
legislation banning extra -billing as "the
state of other things4oaoine."
If the bill is passed, he predicts patients
can expect reduced access to physicians and
waiting lists for hospital beds. It might also
limit the number of lab tests a 'doctor can
order.'For doctors, it may mean "capping",
a system currently used in Quebec which
places a limit on how much a doctor can
earn on a quarterly basis. "Nobody is going
to work over this limit," he said.
Dr. Steed says the OMA is willing to work
with the government to find a better solution
in the area of billing by doctors. In the latest
letter to Premier David Peterson by OMA
President Dr. Earl Myers, it stated the OMA
would be willing to participate in a study of
physicians' billing practices.
HERITAGE WEEK
LACAC preserves heritage
By Anne Narejko
CLINTON - Heritage is an important part
of society. It tells the style of living our
ancestors experienced, the tastes of the time
and the quality of life in years gone by. In.
order to preserve this heritage, steps must
be taken to see the work is done properly.
When advice on properties of historical
and architectural significance is needed, the
best source of information is the Local
Architectural Conservation Advisory
Committee (LACAC). The Clinton LACAC
consists of chairperson Nancy Fisher-
Vossen , secretary Reg Thompson, council
representative Ken Holmes and members
Doris Batkin, Faye Fear, Marilyn Tyndall
and Isabel Theedom.
According to Ms. Fisher- Vossen, LACAC,
which is a sub -committee of town council, is
not the same as a historical society.
However, Clinton does not have a historical
society, therefore LACAC gathers historical
information as well as informs and advises
the public of properties which should be
designated and reserved.
LACAC was formed in 1978 after—there was
talk of demolishing the town hall. Founding
members included Ron McKay, who was
instrumental in the formation of the •
committee, Reg Thompson, Clarence
Denomme, Kelvin Jervis, Heather Hunter,
Bess Fingland, Betty MacDonald, Helen
Tench, Gerry Fremlin, Bryan Williams,
Muriel Trott, and Doris Batkin who is the
only founding member to remain on the
committee each consecutive year. During
the first year, Nick Hill was the consulting
architect.
First Desi riati ni
The main objective in the designation of
property is to protect the original character
and to receive LACAC advice when
architecturally altering changes are:,heir g
considered.
Clinton's first and largest designation was
the town hall, library and library ..k in
1978. Although LACAC was not ° i
involved with the restorations, they did have
a representative, Jo Winter, on the building
committee. 'They were also responsible for
bringing Lynne DiStefano of the Ontario
Heritage Foundation Board to town for
consultations.
Over the years, 13 properties have
udergone a detailed study and each has been
The Clinton LACAC volunteers numerous hours to preserving property in the Clinton
area. The committee is made up of council -representative Ken Holmes, Marilyn Tyndall,
,n seer ry Reg Thompson, charter member Doris Batkin and chairperson Nancy Fisher-
'V'osse i. (Anne Narejko photo)
dete incd,to have special historical and -or
archil tural qualities that deserve special
prese ation.
Builds designated in 1982 were:
- The Victoria Block at 15-17 Victoria Street.
This its the only three storey business block
in Clinton and provides an impressive
anchor to the south end of the commercial
district. It is the only commercial building
in Clinton constructed in. the Second Ernpire
style.
- McGarva-Fingland House at 154 Ontario
Street. This house is an example of a
moderate mid-Victorian home, built around
1865, and occupied by onlytwo families, both
of whom have contribditr greatly to the
development of both Clinton, and Huron
County.
- The Cooper House at62 Orange Street. This
Urn topage 2/.
Larry Walsh couldn't believe it when he won $10,000 in a Scratch and Win Lottery on
February 6 after buying the ticket at the Blyth Mini -Mart. Mr. Walsh and his family plan
to spend the money on home repairs. ( Arnie Narejko photo)
Blyth man wins big
BLYTH - Everyone dreams of winning a
lottery but very few actually do. Some may
win $10, $25 or even $100, but not many of us
are as fortunate as Larry Walsh was on
February 6.
While on his coffee break, Mr. Walsh
decided to leave the municipal office where
he holds the position as clerk, and stroll
across the street to the Blyth Mini -Mart. He
had no idea he would return $10,000 richer
after playing Scratch and Win.
Mr. Walsh buys a few tickets every week
and has previously won small amounts
ranging from $25 to $100 in various lotteries,
but never anything close to $10,000.
When asked if he was surprised, Mr.
Walsh said, "You bet."
He had initially gone to the Mini -Mart to
purchase three tickets but was talked into
buying five. The other four tickets were not
winners.
Mr. Walsh travelled to 'Toronto last
weekend to collect the money, and although
he jokingly claims he doesn't have any plans
for the money he says, "My wife and
daughter do."
The Walsh's plan to do some general
house repairs with the winnings.
How does Mr. Walsh explain his good for-
tune? "I just got lucky, that's all."
Town .is in secondphase of ONIP
CLINTON - The town is now in the second
year of the Ontario Neighborhood Improve-
ment Program (ONIP) with a total of
$119,100 in subsidized projects scheduled.
Duripg council's February 3 meeting,
`Richart Anderson of B.M. Ross Associates,
former councillor John Deeves and Clinton
Public Utilities Commission (PUC)
Manager Gus Boussey were on hand to ex-
plain the program to the new council.
The ONIP grant allocated $175,000 to the
Town of Clinton to be used over three years,
starting in 1985 and ending in 1987. Under
,.the terms off the grant, the municipality is to
match the dollar figure by spliting costs at
50 per cent.
While explaining the grant's regulations,
Mr. Anderson told council, "you are leder
no obligation to do everything in the plan but
you cannot do anything that is not there."
In 1985, 12 'projects were completed, using
approximately $58,450 of the ONIP grant.
While carrying out jobs on watermains
and streetlights which fall under the ONIP
grant, jobs such as reconstruction and pav-
ing of streets which are not under the ONIP
grant, were also done: These may be sub-
sidized by the Ministry of Transportation
and Communications (MTC) .
"While we were doing one, it makes sense
to do the other at the same time," said clerk
Cam Proctor.
Projects done in 1985 under the ONIP
grant included the watermain, sidewalks
and street lights on Frederick Street; water -
main and sidewalks on Wellington Street;
watermain on North Street; ice plant
upgrading at the community centre and the
building of Optimist Park.
The total cost of these projects is
estimated at $116,900 with the municipality
and the ONIP grant paying $58,450 each.
Work that was.done and not covered under
the grant was the reconstruction of
Frederick and Wellington Streets and the
paving of Mary arid Matilda Streets.
Estimated costs came to $102,000.
Scheduled for 1986 are:
Project
North St. - Street Lights •
North St. - Sidewalks
Wellington St. - Street Lights
Princess St. - Street Lights
Princess St. - Sidewalks
Percival St. - Street Lights
Rattenbury St. - Street Lights
William St., Gibbings St.,
DinsleySt., Raglan St., -
Street Lights
Dunlop St. - Street Lights
Erie St. - Street Lights
Orange St. - Sidewalk
Also scheduled for 1986 is the
reconstruction of North Street but it does not
fall under the ONIP grant.
Mr. Boussey commented on the street
lights to be upgraded, saying that 85 units
will be ordered costing approximately
$35,000.
The majority of work will be done on
lights in the east end of town in an attempt to
update the lighting.
Council attempts
to improve town
with the help
of ONIP grant
"The lights which are there now are the
ones taken from main street in 1970. They
don't give out the proper amount of light for
the energy they use," said Mr. Boussey, also
adding, "The new ones will be almost
maintenance free and throw off five times
the amount of light using less wattage."
Another reason for updating the lights in
the east end is the use which the area gets.
"There's a lot of activity with the chur-
ches and schools in that part of town," said
Mr. Boussey.
Mayor John Balfour reiterated the PUC
manager's view on the need for updated
lighting, saying, "Rattenbury and Princess
Streets are the worst lit streets in town."
Commenting on the completion of the 1985
project, Mr. Boussey said the watermain
work "went as planned" with the PUC
financing half of it.
1986 ONIP Schedule
Estimated Costs
Municipal
Share
$2,250.
$4,500
$ 800
$3,500
$8,750
$1,250
$3,500
$2,750
$1,000
$2,750
$3,500
ONIP
Grant
$2,250
$4,500
$ 80C
$3,500
$8,750
$1,250
$3,500
$2,750
$1,000
$2,750
$3,500
Council approves budget
A $6.06 million budget for Huronview
home for the aged was approved at the
February session of county council, but
budget estimates will get a second look
when the entire county budget is considered.
What is of most importance in the Huron -
view budget is capital expenses of $486,000,
of which the county would pay $243,000, The
money is to be spent on $400,000 of renova-
tions in the,hmerhiil and Eastdale wings
. of the home and $86,000 for paving the park-
ing lots and driveways.
Huronview administrator Wayne Lester
said the county has until Mar. 15 to decide
whether it will go ahead with the project or
not. The project includes providing private
washroom facilities and • expanding the
rooms.
"Weall knew this day was corning," said
Huronview's past chairman Marie Hicknell.
"I'm for the Huronview project. I hope
everyone listens to both sides and takes the
time to go to fluronview."
The three"P�ear.$1.4 million project was
approved by last year's county council, but
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