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The Goderich Signal Star, 1976-04-08, Page 12• .••••••••••• 'PAPE 4,—,qop,Exiicki sIONAL-STAR, Ti-IVRSPA, APRIL 8,1976 aupipaopumulossmammammommood,, EDITORIAL COMMENT It's a crazy World, 'a world qUite- unlike -the world of 10 years.p ago; (*1 years ago, 50 years ago. !VS &world in ' which people of all ages need to. make Many adjustments in a lifetime: Bjt it's a world W,orth changing for, a world • .1 • worth working for. , Sometimes it is difficult to un- derstand the need for all the , "red tape"- which is constantly necessary in everything. Sometimes ° it is 'ev.en a little disconcerting far people who fear • that)igning in triplicate for. even the most minor things is just stuff—and nonsense. • There are times, ;though, when it takes a little action to get action. One of thOse times is now while the Gdderich committee •appointed to look into housing: for senior citizens is seeking signatures of persons in the area who are one day hoping to get inexpensive centrally located living ac p commodation in town. • In order to qua"! Ts, for money to build living quarters Suited to senior •-Clitze-n,:' •ri necessary: to prove need. That need may not be tor, today, It Might be for next year or the year after, but it is all need. If 'enough senior citizens indicate -• that they either dorequire noW Or will . require in the future, accommodation • in Goderich, the town planners can convince government authoritieslhat Money should` be. earmarked for a senior citizens housing development here. • At the present time;about 40 persons from the area have filled, in the prepared questionnaires ,vilhich are • provided at the town office, from the building •-inspector or from John • Lyndon of the housing authority. But planners know that at least 70 or 80 more people are eligible for and Probably will require, some kind.. of. senior •citizen housingin the years ahead. They also know that ,apart- • rnents for senior citizens, located close „ to the shopping district, the churches, • the parks, the entertainment centres, -rnust be planned now,. . . while land is available and before the facilities are 'actually needed.. It only maket. sense; first you prove the need, then you build the facility, then yOu, fill it. For this reason, all senior citizens • .. are urged to fill in one of the question • sheets necessary to 'prove a need for:— housing.. you may never need it but at least you will have done your part to make it possible for ' the •arc- commodatian to be provided for someone else at somefuture date: Sign • up senior. It's a necessary . pracedure in- a changing world.-SJK • Good egtslation. The. Ministry •of °Corranunity :and Social Services has come out • with • Sarrie,neW, legislation at the first of April which promises to put an -end to - • Some. of the misuse of welfare payments across the province. In fact, there are indications that in teeming • Toronto there was already a drop in welfare recipients during February and the chairfria'n ofthe Metropolitan.. Toronto Social Servfcei Committee attributed it to • the Ministry an-. nouncement that it intended fo tighten- . up on the standards of public assistance Contrary to the belief of some Huron CoUnty citizens; there is. a Minimal • number of people in this county who are actually on welfare. There may be some misuse even so, but it appears • :that Social Services Director John' McKinnon and his -staff _here -are • holding the reign fairly taut on welfare recipients without being unduly harsh • tn situatiOns where real need , is • demonstrated anol proven. Adm ittedlY, this may be more easily accomplished in Huron than in some places. The natural instinct of Huron • citizens is to abhor welfare payments. Very self-sufficient proud people in Huron are reluctantto seek welfare - assistance except in ;the most dire cirdumstances.- There are some pockets of heavy Welfare payments as• well as some perennial welfare • problems, throughout the county, but • the general attitude toward welfare here is healthy halt welfare abuse, •make adequate payments to -those who • genuinely require help., • New legislation makes if necessary for welfare officers to- encourage • recipients to take part-time orseasona I • .employment.Previously, a welfare recipient had the option to turn down a job if it was not full time. • The term "capable" has been redefined., Previously, it had been - • translated to mean that a person was' trained for a' particular jab. NOW,- capable will mean sirnply that a person' is physically able to do the job. lfa person who is capable of working refuses to accept a job, ' the new regulations make it possible to cut off •that . individual's public assistance , • entirely or reduce it significantly. New legitlatiOn also provides that the spouse of a recipient - of a child .oyer the age of 16 Wholis not in sthoOl - „ - bi d to k• rk e requ re see wo . . lon-ger-be-iay for welfare.recipients to club together in a commune -type accOmModation, with ach person collecting the maximum :benefits allowable to a single person on - welfare. Now, combined benefits for two or more persons living together can be reduced as much as 20 percent. Arid finally, the new legislation • • permits greater discretion in cases of • unmarried persons under 18, years of age who have left home to seek Welfare. assistance. Young folks who leave home for flimsy reasons, can now find themselves on their own and -. minus comfortable welfare benefits to see them through, thanks to the new rules set out by the Ministry. • .„ . •• All of these regulations are just common sense decisions,. probably • prompted in part by citizen disap- • - proval of reported welfare waste. But. • much, Of the new legislation was un- doubtedly formulated on; the advice of welfare administrators who have been dealing with people at the grassroots 7 for years, • defining problems and working toward solutions. • The Ministry of Community and '• Social Services has put -a-5;5 percent ceiling on the growth of its share of municipal public assistance in 1976. • Fortunately, -the new legislation will assist welfare administrators to cut their budgeit sufficiently to. meet the government's requir,ements while also Curbing much of the public reaction to • mounting welfare assistance bills.— tiCht eobtritb SIGNAL—STAR The Co•Unty Town Newspaper of Huron — C — ° • • . • • Founded in 11346 and published every Thursday at Giniericb, Ontario. Member of the CWNA and OWNA. Advertising rates on request. Subscriptions paliible in advance 611.00in Canada, 112.50 in MI countries Other than Canada, single copies 25 cents. Display advertising rates available on I • • request. Please asic for Rite Card No. 6 effective Oct. 1; 4975. Second class 'mail Registration Number 02111. Advertising is accepted on the condition that, in the event of typographical error, thradVertising space occupied by the erroneous Rem, together with reasonable allowance for signatUre, will not be charged ler but the balance of the advertisement, will be pitid for at the applicable tate, iitthe event of a typographical error advertising goods or services at a wrong priee,,gitodSorservice may not be sold. Advertising is merely an offer to self, and may be with- drawn at any time. The Signal -Star is not responsible for the loss or damage of unsolicited • manuticripttior photos. • Etuffitted liana ditorfai Office TELEPHONE 5244331 ateit Ode 519 published by. Signal -Star Publishing Ltd. ROBERT *O. 'SHP! ER—pt;esident and publisher • SHIRLEY J. KELL,ER--editor JEFF SEDDoN—editorial staff • Maiffita DAVE SYKES—editorial staff li..0313.0X221$40,dVadsoltich EDWARD J. BYRSKI—advertising nianager leilitestiOn• number -016 • s • , ••• • DEAR Continuing on with the seemingly ,endless saga of hospitals and erideavouring to present all points of view to • provcke, . thought •arnong Huron County residents, Dear Readers this week will be the reniarks thad.e byR. Alan Hay, Executive Director Of the Ontario Hospital Association who. was a panel member at a mid:March Outlook and Isdues '76 Con- ference of the ,Ontario Economic Council. • • The remarks are a critique on the • Ontario Economic Council's paper on Health, I found 'Mr. Hay's comments' provocative and informative. I trust for those who read it and digest it, it will provide still Imre ideas to consider • when forming a responsible opinion about: the delivery of health care servieds in Ontario and HureintCOUnty.. Health serv-ices and health costs are currently matters of • much public debate in the 'legislature; in the media, and 'everywhere else, and I congratulate the Council on the fortuitous timing of this Conference. I welcome every . initiative that -4111 bring the bright light of reason to shine: Upon matter's that otherwise may • become fogged by ernotion. • For that reason, Council can be heartened by the contribution to clear thinking 'made by much, but not all, of. its paper on health. In preparing my remarks, f have assumed it would be helpful if 1 focussed on par- ticular points that seem tune. , to cry out for emphasis or • correction as a warm up for the general discussion that is going to take place later. • The opening paragraph of the introduction to the paper • includes the statement, and quote, "The health- care sector has absorbed .a growing share of the gross produet". End of. quote. I 'regret &at, it isnot true, and repeating a version pf what the Economic CounaT of canada said in .1970, and since,, won't make it so'. At: that time the ECC gained a lot Of publicity 'by making a dire prediction that 11"We didn't watch out, health care would consume the countrjes entire GNP by the year 2000. It was roneated in Ottawa last fall iby someone Who..stierde it in A970 at the 1;'••-',......Tf.'•,...,..",",..3.."'",;"1".••••••••'"•"' • • Shirley 1 Keller • , . DEAR [011.1111 • • Grateful • • DearEditor: The Goderich and District Pro Life GrOup is deeply and hurnbly grateful to all those •" ., who gave their time and talents ip many ways to make • the Varity Nite a success. Apprdxirnately 300,• people . pr mt yti eed n- the-t4ne mv• ee nn ti ni ng sot! • Mary's School Auclitdriurn on Friday,' April 2. „. 'The attentiveness of the • young people and children, as . well as the adults, was . evidence that thistype of high ' calibre entertainment was.. • welcomed by all. Funds obtained ' will be , • ' sedby the Pro Life Group in -• their .continuing efforts; to •. „ • protect the dignity of all life,,- echspiledcia: lly that of the pre -born • • • Sincerely,. ' 1 Mrs. John Austin - _ Goderich and District Pro Life Group" UFO committee Dear Editor, . We would like to inform -you • and your „readers that • a — Centre to investigate" and • - -study the phendmenpn of • Unidentified Flying Objects • (UFOs) has recently been . established in Toronto. An independent private - Canadian group; the. UFO • Research Centre; • Ontario' wilV seriously • and scien-. • tifically study.' the complex ' arid• controversial .1.3F0 enigma. The Centre •• will operate ' as a standing corn- thittee of the Toronto Society for Psychical Research, set up in 1970 as a -ffiderally • - registered not-for-profit • institution. ' • 1 The Centre aims to be a place :to which . Can report UFO sightings or experiences without fear of • ridicule, and with assUrarice that their reports will receive - 'serious attention •and be treated in strict confidence. We • aim - pursue a scientific study of such • • -reports, tobecome a"source Of • -information .and undertake very sae'meetinvhe Je pi-ec.iiin ably, the:. be scow, in group_p_CactiO for pErb-1-ieedueation—programs Federal Health and Welfare MiniSter wastaying the facts showedthat health costs over - the years • have' stayed at about :seven Percent of the ctiuritry's GNP. • In Ontario* at -the Ontario Hospital Association coil:: vention last fall'we heard the Hon. Darcy McKeough, the Treasurer, say • such a prediction is of course silly. We in OHA know:that hospital costs.. for the. 'last , six years have been virtually steady at either ' 2.4 percent or 2.5 percent :of the 'Gross Provincial Product. Therefore, we don't need to be alarmed that costs are somehow out of control They are not. They are; however, rising in total ,quite predic- tably as the result of inflation on a labour intense industry; and because of the volume of care beingt.provided._ With health cost§' virtnally ,a.constant percentage of the GPP, the bill in dollars per head of ,the population is not, and Cpuncil is quite correct to mention this in the opening paragraph of -the in- troduction'. • Anntra4y, the . per capita cost i risffig, and the obvious question,„_ and one •Council might . fairly ask, is whether Ontario is'paying too much. Is les § areasonable ex- pectation? • • Looking at • hospital operating statistics available quarterly we know this province lies in the middle between the highest and the lowest cost .provinces, and well ,below the United States,' and it is worth noting that the -Health Minister of Quebec recently stated that average hospital costs in his province must come down because, as he said, no longer could his province pax 20 pertent more than. Ontario. If the reverse was true, tt would mean that last year's hospitalbill in this province would, ,have been • $320 millions higher than it was. Both-vve and our political masters can be thankful that it was not._ After IdOkin"g at the cost picture' broadly as a per- centage of GPP, and on a per capita basis, I would now like to turn to some.other points in the Council paper. On Page 3, it is said that smolt hospitals are not very efficient units of production and, by, inference, that 150 beds is as small as they . • • Ministry. • of Health people agree, because all except one of those singled out for closure recently are in that category. I do not share this yiew. • The thin distribution -of people across the vastness of much. of Our provinee makes - a nonsense ,of any ideas of eliininating -- all small hospitals. They are many places to provide necessary health services, and before Council condemns them as inefficient, I. -suggest we need to know more about , the definition of what it calls an .efficient hodpital Unit Of• production. • - Perhaps Couneil" should additionally consider • the value of a hospital as a social and economic force within sthall communities, and the • value :of thern to the provincial mosaic: I ask myself how Council ap- proaches that human • economic 4uestion -in its bid for province -wide rationalization of - health spending. • Does it feel that special consideration is warranted • for the preservation of small. • communities, or is that' something for the politicians alone tOworry about? something different; after all the members of the group divide the money according to a predetermined formula, and the working of the fee schedule is just one way •to obtain the. , money to be divided. , • OHA has proposed both to the Ontario " Medical Association's Study Com- mittee under Mr. Pickering, and in our response to the Mustard Report, • that physicians Whose , work is virtually all hospital-based should not be reimbursed on an open ended fee-for-service basis. We have suggested instead" a negotiated salary, because it could eliminate th4,„ Ontario • • • • The OHA 'agrees with the_. general propositiOns • favouring • forrhs of group practice advanced on Page 4, but they pose their -own i-.. • problems too. Pothe patient," • solo practice ' means seeing the doctor of choice each visit. With a group, it can be different. He must trade off the _greater assurance of the availability of a :doctor against the fact that it- will not • necessarily be his choice. . There is no doubt that a balanced group -practice can offer the prospect of readily accessible specialist knowledge on'a wide range of conditions, hut theimpact: upon cost of trotting patients in front of every specialist down a corridor could be heavy. We look forward to the results of the experiments currently being conducted by the Ministry into different approaches to rewarding the members of • grout; practice • clinics. That raises the' question of, payment to physicians. • Softie people can become' emotional about the sanctity of the fee-for-service prin- ciple. There would appear to • • about • UFOs, and to 'co- 'operate' • with other serious • groups and individualS in the • •field. Also, -We would like' to secure the vOluotary services of • _people such • as • astronomers., „teeehers, journalists and psychologists " who have' special technical knowledge/ skills or , -relevant to 1.1F6 • research. ' ' • • If you would like further information about the Centre •'please_ contact us* at the address below. Thank you. Yours sincerely, Iris Owen (Mrs.) Honorary Secretary. • UFO Research Centre: dilemma • of the physician, P.O. Box 427, Station F, whose personal income gains ' , Toronto M4Y 2L8 from increasing, ratherThirin • limiting, the volume of ser.- , Phone 416-964-0244 vices.the'hospital prOvides. ' • ,We have alsoproposed , ed that ' ill future negotiations bet- -„'' Great effort ' ween the government arid the Ontario Medical Association, " , the potential of the schedule . AN OPEN LETTER ho services , . • TOTHE services are provided be ' for influencing where and More fully exploited, and that more TRADE hospital representatives Dear Editor, , • . I would like to,, on behalf of. . 4.ishsoctialdsiobne .., apfresmenatttefor;, t-ife.. ... 'Hydrd in Western Ontario, • fecting them. ,jet me cite an example. Ontario Hydro and the Toddy the tariff fOr a family Municipal Utilities' staff, for practitioner's hospital visit is the co-operation received ma jhgohnnt efaviri jsyit a$s1k2.0i0f. tCheoruenc:ls di from mantifacturers, distributors, and Contractors an office visit $7.00 and during the recent ice storm. enough spread in those figures to discourag,e up -While •HYdro people were busy repairing damage to necessary hospital • ad- their systems, contractors , missions. were simultaneously On Page'6, ihe paper turns rePairfng ' customers' to alternatives to in-hospital darriaged equipment: active treatment. OHA has no - As a result of eVerybody's. tqhuatrreln wiinthtegtrhaetesdmcv ugsgyesstteion. efforts, °the duraticih of. • aa stonier tutages, while needs to beprovided with a extreme in many cases, were wide range of alterriativeS. kept to a minimum. We are The impact of them uponcost all sincerely appreciative, of needs watching. • the.customers' understanding • I say that because OHA -°situ ourtrespective agrees with the Ministry's during . this emergency a.probleins contention that up to this ion point the additional facilitie-s, Contractors worked long 1, such as nursing homes •and hours in difficult conditions, home care, have tended to - suppliers, kept their ,add to the hospital bill and not Operations open at all hours, reduce it. They become add. ariA„,..wmanufacturers ;ran ons, not alternagves.. ' special prdduction runs, all Significantly, aimed at getting • thetly, the -Minister. customer back on the line. i is doing •ribthing at, all . to expand nursing hOrrie.heds at It wa'S a tremendous effort., a time when hospital betl.tre Thank you. , , being reduced ClearlY his • Yours truly, .philosophy appears to be that • ' E.G. $ainbridge • a ' reduction of the most Regional Manager popular and. expensive 'VVAtern Region. • H .(continued on page 5) ' - ' Ontario ydro • express the appreiation of ....• •