An abuse of privilege?

Police say the wealthy and eccentric owner of a Bedford Road museum and rooming house sexually assaulted young men over a period of 17 years. Others say he is a victim of unfair persecution. Norman Elder isn’t saying anything.

By David South

Annex Gleaner (Toronto, Canada), May 1997

The tattered sign on the door is barely noticeable, and its message gives little away: “Dr Elder has moved to Fort Torrance, Ontario. Sorry no tours.”

I peek in the window of the Norman Elder Museum on Bedford Road and see the eyes of a zebra staring back at me. To the left are formaldehyde jars filled with oddly shaped objects.

While Norman Elder, amateur anthropologist and full-time Annex eccentric, may be hiding at his Muskoka cottage, he has left behind a community stunned by police allegations that he sexually abused young men. His story is one of a man born into wealth who cultivated an image of eccentricity as carefully as he surrounded himself with the things he loved.

According to police, the assaults took place at Elder’s 140 Bedford home – a brooding Victorian mansion that’s one part rooming house, another part museum holding his large collection of artifacts plucked from the world’s tribes.

Detective Robert Mann of Metro’s 32 Division Youth Bureau says Elder has been charged with 12 counts of indecent assault/male, spanning 1972 to 1989.

“Some were minors, some were adults over the age of 16. Most were adolescent and teenage males between the ages of 15 and 19.” While the charges laid were at the end of February, police have still not disclosed the details. Without that information, Elder hasn’t entered a plea.

Last Wednesday, I walked past the gravestone that marks the front yard and approached three young men having a cigarette outside the house. Two of them said they lived in the house. One man with a skinhead hairstyle who looked to be in his mid-20s nervously said, “I don’t want to talk about it.” He admitted he was taking messages for Elder from the answering machine and had passed on my numerous calls. Calls to his cottage weren’t answered, and none of Elder’s friends and acquaintances contacted by The Gleaner wished to comment on the charges.

Mann alleges that Elder’s modus operandi was to offer homeless youths a place to stay in return for sexual favours. The multiple charges stem from men contacting police after reading articles in Toronto’s two dailies about the first charge, which was laid in February.

Elder’s trip to the cottage isn’t a case of spring fever; he is out on bail and has been court-ordered to not return to his house.

Off the record, several sources suspected that some of the young men living at the house were involved in the sex trade and weren’t innocent of trading sexual favours for a place to stay. In the language of the street, they say, Elder was a sugar daddy. Some acquaintances of Elder felt he was being unfairly persecuted by police for sexual acts that took place between consenting adults (though, legally, the homosexual age of consent is 18, while for heterosexuals it’s 16). They also questioned the validity of charges that are in some cases 25 years old and only ferreted out by police during the Maple Leaf Gardens scandal.

Elder may be an eccentric, but he is not a loner; nor did he keep a low profile. Elder was born into wealth and attended Upper Canada College with the likes of Conrad Black, whom he once called a friend. He is listed in the Who’s Who in the World and Who’s Who in Canada. He financed his globe-trotting expeditions by selling artifacts collected in the Amazon, Africa and Borneo to museums, including Ripley’s Believe It or Not. He filled his house with exotic animals, including a 20-foot, 400-pound python called Peter.

As a one-man National Geographic magazine, Elder has self-published several books on his travels and made documentaries. His house served as location for David Cronenberg’s The Naked Lunch. He once told a journalist. “What bothers me most about going to zoos is that I’ve tasted most of the animals in there.”

In 1979, an article in The Toronto Star weekend magazine described Elder as a “slightly balding, surprisingly genial guy, who looks a bit like Jack Nicholson … and speaks a bit mezzo forte for a 20th-century Victorian.”

The former Olympic equestrian rider has had a long association with running rooming houses for youth that dates back to the 60s. When he was a social worker in Yorkville’s hippie days, Elder boasted of having 6,000 kids crash at his place in 1969.

In the 70s, he had political aspirations, running for city council and for the provincial NDP. He was friends with late New Brunswick premier Richard Hatfield, who was also dogged by rumours about his relationships with young men.

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Will the megacity mean mega-privatization?

By David South

Annex Gleaner (Toronto, Canada), March 1997

As the provincial government tries to shoehorn six municipalities into one megacity, opponents of the plan worry that one of the results of amalgamation will be widespread privatization of public services.

References to contracting out and tendering municipal services in order to achieve savings run through the provincial government’s much-maligned report supporting a megacity, produced by consultants KPMG.

Many observers feel the new city will have no choice, while others argue privatization won’t be nearly as extensive as some fear. Still others think it is far from a foregone conclusion that a future amalgamated council will push privatization.

“Who knows if the council will have an interest in privatization?” says a senior bureaucrat at the City of Toronto, who did not want to go on record. “People are running around saying they will privatize everything, but who knows what the political make-up will be of the new council? They are assuming there will always be savings to be had from privatization – that doesn’t automatically follow. The financial pressures on the megacity can’t be avoided by privatization.”

Among the six current Metro municipalities, it is Etobicoke that has most fully embraced contracting out. The City of Etobicoke’s experiments with contracting out – 60 per cent of public works contracts are performed by private-sector companies – calls into question the estimates of substantial savings being bandied about by the provincial government.

According to the senior bureaucrat in charge of running that city, acting city manager and commissioner of public works Tom Denes. contracting out isn’t the tax-saving nirvana some believe.

“I think we are finding in contracting out,” says Denes, “that the higher the skills of the workforce, the less sense it makes to contract out. For example, it would be very expensive to contract out water treatment.”

Denes says the city’s pride and joy is its privatized garbage collection handled by Waste Management Inc. and BFI. The WMI contract is worth $6 million a year, down from the $7.5 million a year it was costing to publicly run garbage collection. The price is fixed for five years, when it must be negotiated again. While the city made $1.9 million selling its old trucks, councillors set up a $4 million fund so Etobicoke could go back to collecting garbage itself if private companies tried to gouge the city.

Denes, who has been meeting with counterparts at other cities and the provincial government, believes the new Toronto will be divided up into several districts which private garbage collectors will have to compete for.

“Based on what I know, if you were to divide the city up into waste contracts, it would be at least four areas,” claims Denes. “No company can handle the whole city. You just can’t find a company that could handle a megacity. It would become a monopoly.”

Denes thinks the likely suspects for contracting out would be any manual labour work and the TTC. He thinks a megacity would be mistaken to contract out skilled work like surveying, arguing that skilled workers would use their desirability to their advantage and charge high consulting fees.

“The US cities have all gone through these exercises. They are in fact contracting services back in,” says Denes.

While the Tories have been slipperier than a scoop of ice cream about their specific privatization plans, one thing is clear: An essential element of the Tory economic vision is a greater role for the private sector in delivering public services. The $100,000 KPMG report plays to this, making it clear contracting out is a key means to saving money in the new megacity. The report claims between $28 million and $43 million per year could be saved from contracting out computer operations and some management; between $38.5 million and $68 million by contracting out fraud investigations; between $29.6 million and $54.5 million by contracting out road and electrical maintenance, snow removal and data collection; between $21 million and $39.4 million by contracting out garbage pick-up and processing.

The report also offers this proviso: “There is no such thing as automatic, cost-free savings from organizational change. The implementation process must be tightly managed to produce the savings suggested here.”

Ron Moreau is the administrator for Local 43 of the Metro Toronto Civic Employees Union, which represents over 3,000 public works workers and ambulance drivers at Metro.

“How will the megacity and municipalities cope with pressure from the public to hold the line on taxes? Where will councils find the difference between spending and revenues?” asks Moreau. “The level of service will suffer. When you contract out, public policy is held hostage by private enterpise.”

Moreau threatens that labour will play hardball with the new city. Most of the contracts for Moreau’s members run out on Dec. 31 of this year.

“Assuming the government doesn’t tamper with the labour legislation on our books, the unions can be organized into two large locals, one clerical/technical, the other outside workers. They would have effective bargaining clout.”

One major player looking for government contracts in a megacity will be Laidlaw Inc. While the company recently sold its garbage collection operations to an American firm, USA Waste, it still has interests in operating school buses and ambulances. Laidlaw is a heavy contributor to the Ontario Progressive Conservative Party, according to records kept by the Commission on Election Financing. Laidlaw has also made an influential new friend: in January, it hired former Metro chief administrative officer Bob Richards as its vice-president.

Ward 13 city councillor John Adams is definitely in the privatization-if-necessary-but-not-necessarily-privatization camp. “I don’t see everything being contracted out, but more stuff being put out for competitive bids.”

Adams thinks contracting out could be a good tactic to help modernize garbage collection, for example. He points to the City of Toronto’s deal with WMI to collect garbage at apartment buildings. In that deal, costs were reduced by $2.5 million over a five-year contract, and the crews on trucks were reduced from two to one. Instead of an extra crew member, closed-circuit television cameras were installed on trucks to speed up pick-up. Adams points out the crews are still unionized, but instead of CUPE it is the Teamsters.

“The way we pick up garbage from households is back-breakingly stupid. I think we need to rethink how we do it, to use machines more than people’s backs.”

But Adams doesn’t believe a megacity is a money-saver. “There will be a leveling up of wages. How long will two firefighters work side-by-side for different salaries? You can bet the union will negotiate an increase at the first opportunity.”

Adams thinks a megacity will be more prone to the slick lobbying efforts of companies like Laidlaw because councillors will be dependent on political parties to get elected. “The provincial government will contract out municipal government to Laidlaw,” he says sarcastically.

"Will the megacity mean mega-privatization?": March 1997.

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Artists fear indifference from megacity

   

By David South

The Annex Gleaner (Toronto, Canada), February 1997

The Harris government’s proposed megacity is stirring up fear, rumour and speculation in many quarters, and no group is more worried than Toronto’s artists.

The merger of Toronto into a new megacity will place arts funding in jeopardy. Toronto’s generous contributions to the arts far exceed those of any other municipality in the region, meaning the city’s artists could be devastated if Toronto receives only a sixth of a new mega arts budget.

Currently, Annex-based artists and arts groups can turn to two levels of municipal funding: the City of Toronto and Metro Toronto.

Even at the Metro level, Toronto artists receive the bulk of arts funding, and a healthy share of that money goes to individuals and groups based in the Annex.

Alas, the Annex’s vibrant milieu of resident artists, festivals and respected institutions is small comfort to many arts supporters who fear the indifference of politicians from the satellite cities and the cost-cutting measures of the Tories.

They worry because the budget of the Toronto Arts Council, which will be eliminated under amalgamation, far exceeds the contributions to the arts made by the surrounding cities. In 1996, Toronto’s arts budget was $4.7 million, compared to $325,905 for the five other Metro municipalities combined.

Many fear Toronto’s superior cultural activities will simply be overlooked by philistine councillors from Metro’s satellite cities.

Tarragon Theatre general manager Mallory Gilbert, a former resident of Detroit who witnessed first-hand that city’s decline, worries Toronto could go the same way.

“Once you get a population that doesn’t work or entertain downtown, they will just want an expressway through the city.”

As Gilbert sees it, those voters who never patronize the arts in downtown Toronto are going to pressure politicians not to fund them. Gilbert also worries that suburban councillors will demand quotas to ensure arts funding is redirected away from downtown Toronto.

Anne Bermonte, associate director for the Toronto Arts Council, also fears downtown artists will be lost in the megacity abyss.

“The political make-up will resemble Metro rather than Toronto – the councillors who realize the arts accrue benefits will be out-voted.”

Not surprisingly, officials at Metro don’t think downtown will be neglected. John Elvidge, cultural affairs officer at Metro Parks and Culture, doesn’t believe suburban politicians will pull money out of the core of the city. He says this never happened in the past and sees no reason why it would in the future.

“The 28 councillors from the geographic area understand the core of arts is in the downtown. Look at our almost 40-year-funding history: 90 per cent is based in Toronto organizations. If you are a councillor in Etobicoke, you know people go downtown. (North York councillor) Howard Moscoe is the biggest supporter of the arts.”

Statistics show the Annex has a strong competitive advantage over other areas when it comes to receiving arts grants. Bermonte estimates the Annex area currently receives close to $400,000 in grants in the course of a year, from both Metro and Toronto. While half of the Metro culture budget goes to the “big four” (the Toronto Symphony, the Art Gallery of Ontario, the National Ballet and the Canadian Opera Company), the Annex receives 10 per cent of the remaining $3 million, estimates Elvidge. Out of the combined Metro and Toronto budgets of $10.7 million, the Annex receives just under five per cent. All for a population of 36,000.

“There are a lot of artists who live in the Annex area,” says Bermonte. “And the Annex enjoys the economic impact of the presence of those activities. If the Fringe disappeared, there wouldn’t be the animation in the area.”

Unfortunately for artists, the past five years have seen shrinking arts budgets at all levels of government.

While TAC has held on to its current funding level since 1994, Bermonte is worried this could change. TAC’s highest funding level was in 1991, when the board received $5.5 million. Metro has seen its budget drop from $7.5 million in 1993 to today’s $6 million. Both budgets are up for review, with Metro’s expected to drop by a further five per cent.

If the megacity goes through, Bermonte hopes the new municipality will commit to arts funding levels appropriate for a modern, cultured city. She points out that London, England spends $30 million, while Berlin, Germany spends $930 million on culture.

As Gilbert says, if the arts aren’t funded, the Annex will become less interesting to the many notables living here, such as writers Margaret Atwood, Rick Salutin, Judith Thompson, Stuart Ross and MT Kelly.

Deputations will take place at City Hall on Feb. 17 to defend the Toronto Arts Council’s 1997 budget.

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Health Care in Danger

Worrying breakdown in Ontario reforms

By David South

This Magazine (Canada), October-November, 1992

The Senior Citizens’ Consumer Alliance for Long-Term Care’s report on the Ontario New Democratic government’s health care reforms, released in July, documents what many people suspected: the much-needed reforms are mismanaged and dangerously close to chaos.

The report compares the present crisis to the failed attempt in the seventies to move psychiatric care out of institutions and into communities by closing 1,000 beds. Patients were left with inadequate community services, resulting in many homeless and jailed former patients. The alliance fears seniors – the biggest users of health services – could fall victim to reforms in the same way.

According to many health care reformers, Bob Rae’s government seems to have lost control of the issue, resulting in massive job losses and a worrying breakdown in services.

The NDP’s health care document “Goals and Strategic Priorities” reads like a wish list for progressive health care reformers, ranging from disease prevention programmes to improved access to health care for minorities, natives and women. To many, the debate isn’t over these goals but how they are achieved and what the government’s true motives are. Under pressure from big business and its lobby groups, the NDP is desperate to save money where it can, and as Ontario Health Minister Francis Lankin says, “not disrupt or destroy business confidence.”

Emily Phillips, president of the Registered Nurses’ Association of Ontario, is blunt: “The NDP’s plans sound good on paper, but they can’t give a budget or direct plan on how they hope to carry out reforms. They are going about things backward. They cut hospital beds and lay off staff without having community health care services ready.”

The national trend in health care is to deinstitutionalize and bring services to homes and communities. It is hoped that emphasizing prevention and healthy living will significantly reduce the need for hospitals, expensive drugs, surgery and high-tech equipment. The NDP has pledged to spend $647 million to reform long-term care services by 1997 – creating services that will allow seniors to stay in their own homes.

Problem is, the NDP has embarked on radical down-sizing of hospitals – closing beds and laying off thousands of health care workers – right now. Lankin claims that in the worst-case scenario, layoffs this year wouldn’t exceed 2,000, but the Ontario Hospital Association claims 14,000 jobs are in jeopardy. Phillips believes it will be hard to estimate job loss: “It is hard to even record the number of nursing jobs lost, because for every full-time job cut many part-time and relief positions go with it.”

Chaos will result when people who depend on hospitals have nowhere to turn but the inadequate community health care services, which are uneven and narrowly focussed. To make things worse, the same funding restrictions placed on hospitals have also hit the services that are supposed to save the day.

“I haven’t heard of any change in the quality of care. It is just too early,” says Phillips about the effect of layoffs on hospitals. “Right now the nurses are picking up the slack, but soon they will burn out. I don’t feel confident this government has the management skills to do this. I’d like to see a plan in place before moving people into the community.”

Training for laid-off hospital workers will have to come from the $160-million allocated for retraining workers laid off by cities, universities and school boards – all of whom are coping with record-low budget increases.

In February, Lankin appealed to hospitals to do everything in their power to make layoffs painless and to trim doctors and administrators first. But the NDP has yet to pass legislation that would bind hospital boards to make the right cuts. The boards operate at arm’s length from government and continue to make unnecessary decisions, ignoring the NDP’s moral pleas.

Rosanna Pellizzari, a member of the Medical Reform Group and chair of the Ontario Association of Health Centres, wants better community accountability for hospitals before they lay off staff and cut services: “Sometimes it makes sense to bring people to hospitals. Planning must be at the community level and open and democratic. Health care workers, who are mostly women, should not be scapegoated for financial problems. Doctors and management should go first. Physicians experience very little unemployment.”

Carol Kushner, co-author of the book Second Opinion, which evaluates the country’s medical system, sees chaos resulting from the conflicting agendas of governments and health care reformers: “Will the tremendous contradictions of institutions be transferred to the community? The federal government is rapidly draining money from medicare while provincial governments are having a hard time. This hasn’t produced extra funds for re-allocating services to the community – which was recommended by reformers. You have to ask: who is going to fall through the cracks?”

This Magazine (Canada), October-November, 1992.

Psychiatric care lacking for institutionalised seniors

By David South

Today’s Seniors (Canada), November 1992

“Don Weitz wears a T-shirt bluntly saying, “Fry rice - not brains.”

Seniors who live in nursing homes and homes for the aged are receiving an inadequate amount of psychiatric care, according to a study conducted by Toronto’s Baycrest Centre for Geriatric Care.

Dr. David Conn, director of psychiatry at Baycrest and an author of the report, says action must be taken to remedy this situation, since at least 80 per cent of elderly long-term care residents suffer from some form of mental disorder.

The issue of psychiatric care for seniors is complex. There are many, often strongly-held, opinions about the nature of this care and what measures will genuinely improve the mental well-being of seniors in institutions.

According to The Senior Citizens’ Consumer Alliance for Long-Care Reform, Ontario has the highest rate of institutionalisation of seniors in the world, with 7.5 per cent of seniors over the age of 65 and 15 per cent over 75 in institutions. The Alliance demanded in its reforms in Ontario that seniors’ mental health problems be taken more seriously and be included in any assessment for care.

Baycrest’s report surveyed 1,148 medical directors and nursing directors in over 500 nursing homes and homes for the aged across Ontario. The 601 who responded reported that 37 per cent of their residents received no psychiatric care, while only 12 per cent received more than five hours per month. The most common psychiatric problems under treatment were depression, agitation, wandering and physical aggression.

“Recognition of significant mental disorders in nursing homes is a recent phenomenon because geriatric psychiatry is a relatively new field,” says Dr. Conn. “The usual approach has been to reach for the prescription pad. We know now that antidepressants have been underused and tranquillizers overused.

“To deliver effective psychiatric care requires more than just psychiatrists - teams of psychiatric nurses can also be involved. Hopefully the staff of these institutions will become better educated as a result of this report.”

Dr. Kenneth Shulman, head of psychiatry at the Sunnybrook Health Sciences Centre, feels the worst neglect occurs in private rest homes.

“There is general lack of accountability when it comes to geriatric psychiatric services.” Schulman advocates a coordinated, comprehensive regional network of services.

Dr. Conn is sensitive to reports of sexual, physical and mental abuse of residents in some institutions. He says staff as well as residents of institutions can benefit from psychiatric consultations. “If more psychiatric consultants were available, the staff could also receive help in working out their problems,” he says. “Unfortunately the fee-for-service system doesn’t include paying for visiting staff.

“Being in an institution is not easy for anyone. It often means being apart from family, living with strangers, loss of freedom and having to live by the institution’s timetable.”

One of the most controversial of psychiatric treatments is electroconvulsive therapy (ECT). ECT involves placing electrodes on the sedated patient’s head and passing 100 to 175 volts of electricity into one of the lobes of the brain to induce grand mal seizure and coma.

Opponents of ECT say the procedure can cause memory loss and confusion, and in some cases proves fatal. A 1985 Ontario government task force report recommended against using ECT in certain cases: “For patients whose work requires a clear and precise memory, ECT is probably contraindicated.”

But many other sources say that while ECT has been abused in the past and, like many other medical procedures, may not be a pretty sight, it is sometimes effective in combating depression.

Dr. Conn confirms that the controversial procedure is still being used on seniors. “ECT is used on very depressed people,” he says. “It is a hospital-based service. The patient is admitted to a psychiatric unit of the hospital. We do it at Baycrest. It is only a last resort and has often been life-saving.”

Don Weitz, a senior citizen and spokesperson for Resistance Against Psychiatry, doesn’t mince words about what he says is the adverse effects of electroshock therapy and psychiatric practice in general. He wears a T-shirt bluntly saying, “Fry rice - not brains.”

“We have known about the adverse effects of shock for years,” says Weitz. “Research from the ‘40s and ‘50s was very clear that there was brain damage.

“What doctors mean by improvement is in fact post-injury euphoria - the brain will overcompensate with giddiness, and this only lasts for two to four weeks. Doctors seldom test people for more than two or three months afterwards.”

“What we know for sure is that within the institutions, they would rather give drugs or shock than talk to seniors. I think this should be called elder abuse - what else could it be? Is it such a mystery why people are depressed in institutions where they are abused? Psychiatrists have a vested interest in billing OHIP for pushing the button.”

But Dr. Shulman disagrees with blaming the atmosphere of institutions. “It is simplistic to think that the environment is responsible for aggressiveness or other problems,” he says. “These people are cognitively impaired - it could be medication-related or something else. These are complicated issues.”

For any nursing home workers who want further advice about psychiatry, Baycrest has produced a “Jargon-free” guide called Practical Psychiatry in the Nursing Home.

"Psychiatric care lacking for institutionalized seniors": Today's Seniors, November 1992

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