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Wednesday
Dec302020

Development Profile: UNDP in the Southern Gobi Desert | May-June 1998


By David South, Blue Sky Bulletin (Dalanzadgad, Mongolia), May-June 1998

Development Profile: UNDP in the Southern Gobi Desert

In late May UNDP visited its environment and poverty projects in Omnogobi or South Gobi on the border with China and in the heart of the Gobi Desert. The aimag (province) is home to 45,000 people spread over a territory of 165,000 kilometers. It is a harsh environment where temperatures can plummet to minus 40 degrees Celsius in winter and shoot up to plus 40 in summer. What is striking about the capital of Omnogobi, Dalanzadgad, is how well things are working. It is a garden capital - despite being in the desert the central boulevard is covered in trees - and trade with China has brought a prosperity for some herdsmen, many of whom buzz around the town on Planeta motorcycles. The offices of the Malchin television company are hidden by a bouquet of white satellite dishes - it is not an uncommon sight to see a ger with a satellite dish in South Gobi. 

In 1998 Der Spiegel's "Kommunikation total" issue profiled the global connectivity revolution underway and being accelerated by the Internet boom of the late 1990s. It chose my picture of a satellite dish and a ger in the Gobi Desert to symbolise this historic event.

Electricity in the air - 85 women discover the Women’s Development Fund

The Mongolian Human Development Report singled out South Gobi for having the highest poverty incidence in Mongolia (41.9 per cent). While this ranking is hotly debated by locals who say it is a statistical anomaly resulting from their low population, there is no question life is hard in the Gobi. 

In a crowded room in the Governor’s building, 85 of the poorest women in Dalanzadgad have gathered to hear about an innovative UNDP-initiated fund. The meeting, organised by the NGO the Liberal Women’s Brain Pool, is introducing the Women’s Development Fund. Many questions are asked as to why some of the women were passed over when the local government started distributing poverty alleviation funds. 

With the assistance of the British Government who donated Tg 12 million, these women are getting a chance. The Women’s Development Fund was founded in partnership with the Poverty Alleviation Programme Office to take account of the unique role women have in the prosperity of families. Support is key and the women will be assisted by community activists as they develop their project ideas and begin to implement them. In early June they started to receive funding for their projects. 

Note: This story was part of a series highlighting life and the state of human development in Mongolia’s Gobi Desert after the publishing of the country’s first human development report in 1997

ORCID iD: https://orcid.org/0000-0001-5311-1052.

© David South Consulting 2020

Thursday
Mar122020

Pavlov's Army | This Magazine August 1992


By David South

In August 1992 I wrote a feature for Canada's This Magazine. The country was in the depths of a severe recession and an austerity crisis but this also came with two emergencies requiring the Canadian Armed Forces: the first Gulf War from 1990 to 1991, and at home, the 1990 Oka Crisis. A few years prior (1988) changes were made to the War Measures Act (Canada invoked the War Measures Act in 1970 during the October FLQ Crisis, bringing troops to Canadian streets and mass arrests), replacing it with something called the Emergency Measures Act (EMA) (now Emergencies Act), which was given Royal Assent in 1988. I interviewed various legal experts on this new legislation and its implications and applications in future civil emergencies.

"The EMA WILL be used to suppress civil liberties in various parts of the country," says Rosenthal. "A thing to keep in mind is that although the War Measures Act was passed during the First World War, it wasn't used in a terrible way until 1970. The emergencies legislation is on the books. The Public Order Emergency could be used to suppress any kind of legitimate dissent."

Many critics fear there is potential for manipulation of the EMA in the heat of the moment in the hands of an unscrupulous government.

"Words are very malleable," says Rosenthal. "It was absurd for Trudeau to claim that there was an apprehended insurrection in Quebec in 1970. As he said the words he knew it was a lie."

Pavlov's Army appeared in Canada's This Magazine in August 1992.

Find in a library:

Now only available behind a paywall. Contact WorldCat.org.

Worldcat.org:

Pavlov’s army, This Magazine, 26, August 1992, 37

ISSN: 1491-2678

OCLC Number / Unique Identifier: 8248796243

Taking measure of the Emergency Act, This Magazine, 26, August 1992, 38

ISSN: 1491-2678

OCLC Number / Unique Identifier: 8248423587

Further reading:

Canada evolves from peacekeeper to war-fighter by A. Walter Dorn, The Toronto Star, Dec. 21, 2013

IS CANADA A NATION OF WARRIORS OR PEACEKEEPERS? HOW TO REFOCUS ON UNITED NATIONS PEACE OPERATIONS by Maj M.C.C. Lafortune, Canadian Forces College, 2016-2017

Manitoba Law Journal: The New Emergencies Act: Four Times the War Measures Act, 1991 CanLIIDocs 129

Doug Ford declared a state of emergency. Should Justin Trudeau do the same?

October 1970 by Louis Hamelin (Publisher: House of Anansi, 2013). "October 1970 is a thrilling fictional account of the events that shaped one of the most volatile moments in recent history."

Warrior Nation: Rebranding Canada in an Age of Anxiety by Ian McKayJamie Swift (2012)

Warriors Or Peacekeepers? Building Military Cultural Competence, Editors: Kjetil EnstadPaula Holmes-Eber (2020)

Creative Commons License

This work is licensed under a
Creative Commons Attribution-Noncommercial-No Derivative Works 3.0 License.

ORCID iD: https://orcid.org/0000-0001-5311-1052.

© David South Consulting 2023

Tuesday
Aug152017

UN Contest Winner in "State of Total Bliss"


 

In the autumn of 1997, a national contest - Let's Make Life Better! - was launched to inspire and mobilise Mongolian youth between the ages of 20 and 30. The idea was simple: for youth to come up with the best ideas to "design their own small and local development project."

Launched with a cross-country advertising campaign, the prize of US $1,000 to implement the winning project (a substantial sum of money at the time) drew 580 project proposals by the contest deadline of December 15, 1997.

So many of the ideas were excellent, they were later to receive support from either the government, NGOs or international organisations. Read the story in the Blue Sky Bulletin newsletter about the contest's winner below:

Editor: David South

Publisher: UNDP Mongolia Communications Office

Published: Blue Sky Bulletin, Issue Number Six, May/June 1998 

"When the phone operator told me it was a call from the UN in Ulaanbaatar, I didn't expect I would be the winner - my uncle was almost in tears."

The words of 27-year-old UN contest winner Mr. Ciezd Nygmed tells it all. Speaking to a group of journalists at UN headquarters in Ulaanbaatar, Mr. Ciezd confirmed his joy: "I'm in a state of total bliss!"

On Monday, May 4 the United Nations awarded US $1,000 to Mr. Ciezd - a teacher from Bayan-Ulgii aimag - for his project to start a ger school for herder children who have dropped out of school.

"Herders don't want to send children to school without school supplies," says Ciezd, who has been teaching for six years at the primary school in Delwnuu soum. This means poor children end up dropping out of the school system - or never going in the first place.

The ger school will be set up in June in the summering pastures of 33 Kazakh families. A teacher will be hired for the 40 children in need of basic literacy skills. The school will operate from June until September.

Ciezd says there are many benefits to bringing the school to the children. In the school where he currently teaches, many children stay in dormitories and parents must pay for their food. The children attending the ger school will be able to eat at home, saving parents precious togrogs.

The project is already receiving support from local governors. They have pledged to help buy the ger, leaving more funds for school supplies and the maintenance of the school.

During his six-day stay in Ulaanbaatar, Ciezd received one-on-one counselling from distance education advisers at UNESCO, the UN culture and education agency. UNESCO has pioneered distance education in Mongolia, particularly in the Gobi desert. Mr. Monxor, UNESCO coordinator for non-formal education, told Ciezd this was the first initiative of its kind in Bayan-Ulgii.

He also spent some time in the newly-established United Nations Information Shop, a one-stop, drop-in resource centre on development issues. Ciezd particularly found the advice from donors most helpful in planning the future of the project.

In October 1997, the UN "Let's Make Life Better!" contest asked Mongolian youth between 20 and 30 to tell us how they would make life better in their communities. We wanted small projects that could significantly change the lives of people in one community. By the deadline of December 15, the UN office was flooded with 580 project proposals from across Mongolia. To speed up the selection of the winner, the Mongolian Youth Federation formed a panel of judges and selected the five finalists. Keeping in the spirit of the contest, the four runners-up receive gardening kits complete with trowels, watering cans, seeds and spades.

Cover stories: UN contest winner and visit of Jean-Claude Juncker to UNDP Mongolia (pictured with UNDP Resident Representative Douglas Gardner).

© David South Consulting 2017 

Tuesday
Mar282017

Government urged to limit free drugs for seniors

By David South

Today’s Seniors (Canada), May 1993

Another blow may be coming to seniors on top of last August’s cuts to the Ontario Drug Benefit Plan (ODBP). Health minister Ruth Grier has been advised to terminate the policy offering free drugs for Ontario residents over 65. 

Assistant deputy health minister Mary Catherine Lindberg says the 13-page report from the Ontario Drug Reform Secretariat urges the government to replace universal coverage with a system based on income. 

The government argues that fiscal problems, a desire to make wealthy seniors pay, and a need to extend the program to the working poor has driven them to consider the move, while critics argue it will hurt modest-to-lower-income seniors. They say costs could be better contained by keeping universal coverage and attacking the source of escalating costs: pharmaceutical manufacturers and doctors who over-prescribe or misprescribe. 

Concession

If implemented, the cuts will represent a concession by the NDP on the once-sacred principle of universality. Just last year, former health minister Francis Lankin said, “I believe strongly in universality, and we’re not looking at ending it for drug coverage of seniors.”

The proposed plan calls for single people, regardless of age, who earn over $20,000 a year, and families earning over $40,000, to pay a premium of up to $300 for drug coverage. 

Those earning less than that amount will have to pay for their own drugs until they reach a limit tied to their income to become eligible for free drugs. 

The government says this changes qualifying for coverage from age to income-based. 

In a recent interview, health minister Ruth Grier wouldn’t be specific about what plan she would go for. But she agrees with the report’s authors that the drug plan needs reform. 

“While the drug plan makes drugs available in an open-ended way to everybody over 65,” says Grier. “In many cases it doesn’t help the low-income family with parents in minimum wage jobs and has a child needing constant drugs. And when we reform the system we aren’t just looking at how we can contain costs, but also how we can make it fairer. The underlying principle of all that we are doing is equity and fairness.”

The drug benefit plan, which also covers welfare recipients, hit $1.2 billion last year out of an almost $17 billion health budget. That was an increase of 13.8 per cent from 1991, but lower than the 18.1 per cent average for the last 10 years. 

David Kelly at Toronto’s multi-service agency Senior Link suggests the government go after the drug industry for wasting money promoting drugs and duplicating research projects. 

According to the industry advocate Pharmaceutical Manufacturers Association of Canada’s own statistics, drug companies spent $186 million on “marketing” in 1990 while $286 million actually went to research and development. 

The federal government’s own Patent Medicine Prices Review Board, in an internal study leaked to The Globe and Mail, found Canada to have some of the highest drug prices among the seven industrialized nations. 

Anger

Seniors organizations and agencies almost overwhelmingly expressed anger over the report, seeing it as another attack on universality of medicare. They feel the government isn’t being creative enough solving fiscal problems. 

“I strongly disapprove,” says Sara Wayman, chairperson of the Ontario board of Canadian Pensioners Concerned. “The concept of universality when it comes to services is a basic democratic principle we support strongly. People who earn $20,000 a year are still struggling to make ends meet. This would represent a real hardship. 

“We also feel strongly that the high medical costs that everybody is talking about aren’t really due to universality. They are really due to the high cost of drugs, and because there has been a restraint of generic drugs by our legislature.

“They are tip toeing around the medical profession. I hope people will speak out.”

Kelly feels savings could be reaped by taxing back any benefits given to wealthy seniors, while maintaining the universality of programs. 

“The group they are talking about is very tiny,” says Kelly. “And so the cost savings to the government are going to be really minimal. A whole process will have to be set up to decide who gets free drugs, and what you get is another layer of bureaucracy everyone has to go through. Studies have shown this adds to the net costs of government in the long run.”


 

Monday
Mar272017

Seniors falling through the health care cost cracks

 

By David South

Today’s Seniors (Canada), December 1993

When Orangeville senior Donald Potter was told he was too old to receive a bone marrow transplant, he paid $150,000 to get one in the United States. 

His case, recently made public by provincial Conservative leader Mike Harris, has raised the disturbing issue of health care rationing for seniors. 

Potter, who has Hodgkin’s lymphoma, says he was told the cut-off age is 55; since he was 64 at the time he needed a transplant, he was told last February it was too risky to obtain the procedure. Faced with a few months to live, he went to Rochester, New York, where bone marrow transplants were done on patients into their late 70s. 

Money

Potter believes the real issue is money. The government doesn’t have enough, so he couldn’t get the treatment that could save his life. 

Cost-cutting resulting from the provincial government’s social contract and expenditure control plans has left physicians with the quandary of serving more people with less money. This dilemma has led them to prioritize who gets services, though physicians maintain such decisions are based on many factors other than age, including lifestyle, prognosis and effectiveness of the therapy. 

Transplants

Bone marrow transplants are a particularly emotional issue for Premier Bob Rae, who in early October was driven to tears handling questions regarding rationing of this service. His brother died of lymphatic cancer in 1989 after a failed bone marrow transplant for which Premier Rae was the donor. 

“I can’t knock the system that hard, I just don’t feel the government spends the money properly,” says a calm and unresentful Potter.

Many seniors are frightened when they hear the government needs to make cuts, fearing they could be the first to go when it comes to allocating rationed services. 

“From the perspective of seniors it is a very scary time right now,” says David Kelly of Toronto’s Senior Link, a community social service agency. “Everything is being questioned, all our social services. Instead of looking at how to solve the problems, we’re just going to cut out things, and that’s going to be our solution. It doesn’t necessarily work.”

The issue of rationing services based on age is a dicey one. Ministry of Health spokesperson Layne Verbeek says the schedule of benefits makes no mention of age; and he’s right, because that would be unconstitutional. But when a doctor is presented with a fixed budget and a bulging sack of patients, the physician on the hospital ward has to decide who gets treated and with what. How a physician does this is theoretically based on a combination of factors, but doctors also have prejudices and misconceptions. 

Rationing

Many argue such queuing is a dangerous departure from the belief that the sick deserve to be treated. 

“Part of the problem is that few would admit to rationing on the basis of age alone,” says bioethicist Eric Meslin of Toronto’s Sunnybrook Health Science Centre. “Most clinicians I’ve spoken with and worked with recognize that age alone is not a relevant criterion. But most clinicians would agree age does play a role in thinking about limiting care.”

Meslin admits the idea of denying health services based upon age alone has been making the rounds among health care professionals. 

Ethics

“There has been a debate in the last seven years in North America over whether age-based rationing is ethically acceptable,” says Meslin. “There is of course a spectrum of views, including the very extreme that says after a certain number of years you have obtained your benefit from society and you should step aside and allow others to make use of those resources.”

Meslin doesn’t feel good about going through any kind of health care rationing without a public debate over society’s values and what to expect from the health care system. 

And he is adamant that anybody who focuses solely on attacking the high costs of high-tech medicine and an aging population is making a value judgement about how society should spend its money, not stating a fact.

“A clinician who chooses to discriminate based on age alone is not only unethical, but unconstitutional. Having said that, no clinician worth their salt would be telling the truth if they did not consider who the patient was in the fullest sense of the term, including their age. However, not giving treatment because they are 80 is a numbers game; there isn’t good enough data to support it.” 

Meslin suggests a public debate on rationing services needs to take place. 

Needs

“We need to ask the elderly population what they want. It may be that they don’t want the kind of things the researchers and clinicians believe they want.”

Kelly at Senior Link believes cuts to free drugs are already one example of rationing. 

“There are a lot of ways we can go about changing our social services without cutting income support or access to medication. The same goes for what procedures will be performed,” says Kelly. 

Potter’s case graphically shows the human cost of the heavy hand of bureaucrats in a public system trying to save money. But the high cost of U.S. health care also leaves a bad taste in Potter’s mouth. 

“In the States, the cost is horrendous. At least we have that protection. But I happen to be one of the unfortunate ones that fell into the wrong slot. And there’s a lot of people like me.”