Safety at stake

By David South

Annex Gleaner (Toronto, Canada), February 1997

Toronto’s innovative crime-fighting and crime-prevention experiments face elimination if and when the city is swallowed up by the monolithic megacity. And the Annex’s status as one of Toronto’s safest neighbourhoods could be destroyed by the resulting tax increases.

Since the late 1980s, thinking about crime in Toronto has focused on public safety rather than just cops in cars. Taking what can be called a holistic approach, the city has poured millions into public health programs, street lighting, safety audits and social services, and it has led the region in putting cops back on foot patrol.

Carolyn Whitzman, coordinator of the Safe City Committee – founded in 1989 and a symbol of that attitude change – worries many of the services will find their funds cut or their street-level approach altered.

“I don’t know if people in Toronto realize how privileged they are,” she says. “All these programs have led us to be one of the safest cities in the world. There is nothing like the Safe City Committee in surrounding municipalities. There is nothing like it at Metro – though they do fund safety initiatives.”

The Safe City Committee was the first of its kind in North America and subsequently has been copied by other cities. Initiatives funded by the committee include pamphlets on ending sibling violence, self-defense tips for volunteer workers, a youth drop-in centre at Dufferin Mall and community safety audits.

Whitzman also worries the new meagcity will follow the advice of government consultants KPMG, who recommended replacing some police duties with volunteer labour.

“They recommended store fronts (community police booths) and reporting of accidents be run by volunteers. What if you want a police officer?”

Whitzman also doesn’t like plans to encourage police to spend more time in their cars filing reports on laptop computers. She would rather see them out on the beat.

She also fears school safety programs, like extra lighting, will be jettisoned as school boards chase savings. This also applies to the TTC and public housing. (Whitzman says some housing projects have already cut security due to provincial funding reductions.)

Another factor could jeopardize the Annex’s status as one of the safest neighbourhoods in the city. Higher taxes may chase out homeowners, and the Annex many once again become a haven for transient populations living in rooming houses, as it was in the 1960s and 1970s.

According to Joe Page, a crime analyst at 52 Division for the past quarter century, the Annex had the dubious reputation in the late 1970s of being the busiest neighbourhood in Toronto for police.

It’s a different story today. For example, in the portion of the Annex between Avenue Road and Spadina Road from Dupont south to Bloor, there was one murder in 1995 and none in 1996, and major assaults were down from nine in 1995 to five in 1996. There was one murder in the Little Italy area west of Bathurst in 1996.

If there is a good side to rising crime rates in the surrounding municipalities, it’s that councillors there can no longer ignore public safety issues. This could mean greater sympathy for Toronto’s plight from once-smug suburban councillors.

Whitzman sees hypocrisy in the attitudes of many of the satellite cities. “Scarborough has a bad reputation and other municipalities are not immune to safety issues.”

Other stories from the Annex Gleaner: 

An Abuse of Privilege?

Artists Fear Indifference from Megacity 

Will the Megacity Mean Mega-Privatization? 

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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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Taking Medicine to the People: Four Innovators in Community Health

Preventing and treating illness at home or in small local clinics makes financial sense. It also makes patients a whole lot happier.

By David South

Canadian Living (Canada), January 1993

Your health is your wealth, my grandmother used to say. It certainly is our most valuable resource – and when its caretaker, universal health care, is under attack, people take notice

Provincial health ministries across Canada are scrambling to find new cost-efficient ways to deliver health care, and community health care is an increasingly talked-about option.

“Every royal commission has suggested we need to shift resources to community care and stop focusing on institutions,” says Carol Kushner, co-author, with Dr. Michael Rachlis, of Second Opinion (HarperCollins, 1990), a blockbuster book that challenges the way we approach health care in Canada. According to Rachlis, health care nationally cost more than $60 billion in 1992 and is primarily delivered through hospitals and doctors’ private practices. Yet 20 per cent of all patients in acute care hospitals don’t belong there, and about five per cent of hospital admissions for people over age 65 are the result of improper use of prescription drugs.

One study of the Toronto Health Unit found that as many as 50 per cent of seniors residing in nursing homes who were admitted to hospitals with pneumonia had contracted it through mouth infections. If they had received regular dental check-ups in the community or at institutions, these unnecessary and costly admissions could have been avoided.

Increasing numbers of people see community health care as the way of the future. In this model, health care providers – doctors, nurses and support staff – work as a team, and users of health care are involved in making important decisions. Community-based care supplements a medical approach to illness, with emphasis on social and environmental factors like work-related stress. Its advocates say community care can wean us off our addication to expensive hospitals (where one bed costs at least $100,000 a year), drugs and surgery – and make us all healthier.

“Fee for service” encourages doctors to see as many people as possible, emphasizing quantity over quality. In community health centres, doctors are put on a salary and encouraged to give as much attention as necessary to each patient. By simply spending more time with each patient, and by taking into account factors such as illiteracy and cultural differences, community clinics can cut down on misuse of medication.

Jane Underwood, director of public health nursing for the regional municipality of Hamilton-Wentworth in Ontario, says we have reached the limit of what hospitals can do to improve health. “Other factors are now more important than a strictly medical approach, which was the foundation of the old health care system. In 1974, a Health and Welfare paper urged a behavioral approach – stop smoking, get more exercise. Now we are moving to a socio-environmental approach, looking at poverty, social isolation, and unemployment, and their effects on health.”

“Community health care is inevitable because we can now do many procedures on an outpatient basis. With the new technology, all kinds of things can be done outside institutions,” says University of Toronto professor Raisa Deber, co-editor of the recently released book Restructuring Canada’s Health Services System (University of Toronto Press, 1992).

“Just as people can work out of their homes because of computers and faxes, technology can take medical care to the home.” This trend can already be seen in the treatment of cancer. Many patients now receive their chemotherapy at home, with the help of computerized IV pumps.”

If the debate over community health care often seems confusing, it may be because of the haphazard patchwork of programs across Canada. Quebec is the only province that took community health care seriously enough to set up clinics across the province in the 1970s and make those clinics an integral part of the provincial system. Elsewhere in Canada, programs sprang up in the ’60s and ’70s at the initiative of community activists but were met with indifference or hostility from government.

The challenge for community care advocates is to educate both the public and governments. Jane Underwood admits it will be a tough struggle. “Governments are beginning to understand, but the public still has reservations. They panic when there are fewer surgeries and feel that lots of high tech will provide a safety net for health. In fact, it is more scientific to probe for the true causes of illness and not think that just taking a pill will make us better.”

Four Innovators in Community Health

South Riverdale Community Health Centre, Toronto

This fully functioning health centre opened in 1976 in Riverdale, a multicultural and economically diverse neighborhood. The staff consists of doctors, nurses, chiropodists, social workers, health promoters and a nutritionist. Innovative in taking on economic concerns of the community, the centre has set up a community food market to provide cheap and healthful food and recently started workshops with business and community members to come up with strategies to recover jobs lost during the recession. "We consider ourselves part of a movement," says executive director Liz Feltes. And this is played out in projects with local groups and citizens on a variety of issues - from wife assault, drug abuse and sexually transmitted diseases, to medication literacy for seniors. 

Victoria Health Project, Victoria

Originally started in 1988 to tackle the problem of poor communication between hospitals and community health providers, the project first targeted Victoria's large senior citizen population. Twelve programs were launched, including Wellness Centres, palliative support teams for patients dying at home and elderly outreach service focused on mental health. The project has been successful at getting local services to cooperate and eliminate duplication. "There are 500 different agencies for seniors in Victoria, so we linked up with them and increased cooperation," says Susan Lles, excutive coordinator of the project.

It was such a great success that the minister of health created the Capital Health Council to expand the program to the rest of the community. Now, for example, in hospital emergency rooms, quick response teams of nurses assess whether a patient would be better served by other services in the community or by being admitted to hospital. 

Centres locaux de services communautaires (CLSC), across Quebec

Started in 1972 as part of province-wide health reforms, these comprehensive health centres now number 158, with more than 500 satellite offices all over Quebec. Every citizen is guaranteed access to a CLSC, even in remote areas. With five per cent of the provincial health budget, they are able to serve 41 pr cent of the population. They also involve the community through elected boards. "We think it is a unique model in that it integrates health and social services in the same place - both prevention and cure," says Maurice Payette, president of the federation of CLSCs. Because CLSCs are close to the community, governments, schools, community groups and other organizations have turned to them for advice during the last five years. In rural areas, CLSCs have been crucial in reducing the number of farm accidents. 

Canadian Healthy Communities Project (CHCP), across Canada

Started in 1989, the program is aimed at municipalities and gets them to pledge that they will review all their actions with community health (including impact on the environment and economy) in mind. CHCP is part of an international movement linked with the World Health Organization's Healthy Cities movement. With more than 150 participating programs, it is an innovative attempt at getting the powers that be to plan for overall health. "We bring together community leaders to make a list of top 10 health problems and then decide what can be done with the existing budgets and staffing," says David Sherwood, project director. The city of Sherbrooke, Que., is a classic example. Facing reduced funds for road and sidewalk repairs, the city concentrated on repairs in neighborhoods with hig numbers of the disabled and elderly, thereby reducing the number of accidents. Unfortunately, funding was recently reduced dramatically by Health and Welfare Canada, but programs in Ontario, British Columbia and Quebec continue with the help of their own provincial government. 

"Taking Medicine to the People" was published by Canadian Living in 1993.

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Starting from Scratch: The Challenge of Transition

By David South (Canada), UNV Information Officer, UNDP, Mongolia

UNV News #78 November 97

After seven years of transition to a market economy, Mongolia – a former satellite of the Soviet Union that has had a democratic government since 1992 – has been profoundly changed. Where it once had a rigid communist government and few contacts with the west, Mongolia has pursued rapid economic, political and social liberalisation. Mongolia has a small population – 2.3 million – spread out over a vast territory wedged between Russia and China.

Communication has in many ways deteriorated over the past seven years as the old communication networks from the communist era have not been fully replaced by the private sector. More and more it became apparent that government and the private sector were almost working in the dark in understanding how transition has affected Mongolians.

In partnership with the Mongolian government, UNDP initiated the researching of Mongolia’s first human development report back in the middle of 1996. It was launched on September 5 of this year, with UNVs playing a key role. To lead the team in producing the report, British poverty specialist and UNV Shahin Yaqub was brought in. Only 29-years-old – one of the youngest UNVs in Mongolia – Yaqub joined a rapidly expanding UNV presence in the country. There are now 24 international UNVs and 26 Mongolian UNVs deployed throughout the country in UNDP’s projects.

The thirst for expertise in Mongolia – a country undergoing the growing pains of transition to a market economy – has placed high demand on UNVs. UNVs occupy senior roles in all of UNDP’s projects.

The 1997 Mongolian Human Development Report is a prime example of the important goal of capacity building conducted by the UNDP. For Yaqub, the report’s principal author, it was like starting from scratch. A poverty research office had to be set up before the work could begin. A team of Mongolia’s top statistical researchers had to be trained in the latest methodologies for social research.

Yaqub was excited by the project. He said: ”There was no office when I first came. We had to organise the office to understand who does what and basically create the focal point for poverty analysis in Mongolia”.

Yaqub also had some of his basic assumptions tested. The small population of this country – only 2.3 million – had meant the previous communist regime was able to build up a large archive of statistics on the population. A good portion of the information was not up to international standards, but it potentially represented a wellspring of data to start from. “Mongolia is number-rich. To even have that kind of data is very rare for a developing country. But unfortunately we found all this information was stored on Russian mainframe computers that didn’t work anymore!”

During the actual production of the report, Yaqub was joined by three more UNVs: Mustafa Eric, a Turkish journalist working with the Press Institute of Mongolia, Jerry van Mourik, a Dutch journalist now working as the Support Officer to the United Nations Resident Co-ordinator, and UNDP Information Officer David South, a former journalist with the Financial Times in London, England.

The high-profile role played by media UNVs was crucial if the report was to not end up collecting dust on a government shelf. The report is a repository of essential and new information on the state of human development in Mongolia, including data showing rising poverty rates and serious threats to food security. Like all human development reports produced by UNDP, it was not meant to be a prescriptive tract, but a lubricant for a national debate on sustainable development in Mongolia. This altered the design and presentation of the report.

Instead of looking academic, the report took on the appearance of a magazine, from its cover to colourful children’s paintings inside. UNV Mustafa not only assisted with the report’s design and production, he also used his contacts in the Mongolian media to ensure the report was distributed across the country. UNV van Mourik assisted with publicity, including producing an emotionally-charged television commercial weaving together vignettes from Mongolia’s recent history to tell the story of human development.

Already in its second print run in both English and Mongolian, the report has been adopted as their study guide by Mongolians wanting to learn English.

“Mongolia is a rewarding place to work,” said Yaqub. “As a technical specialist and UNV, what you bring to the job is valued. I researched poverty for five years before coming to Mongolia and I felt I had something to contribute. But I also realised I had something to learn as well. You always have to keep in mind you are bringing your own baggage to the job – be it cultural, emotional or intellectual. Coming from an academic background, I was not afraid to be told I was wrong.”

Yaqub, who had worked in poverty analysis in the Philippines and Bangladesh before coming to Mongolia, will never forget the country that sparked his new passion: horses.

“You give up things as a volunteer – your time, your income, all the things you took for granted back home. But what you give up is compensated by rewarding work and good friends. When I learned to ride a horse, I can place it directly and clearly to Mongolia – that memory will always be with me.”

Just before Yaqub left Mongolia for work with UNDP in New York, he participated in a series of public debates in one of Mongolia’s poorest provinces, Khuvsgul aimag. The public debates are used to introduce the report to the grassroots while sparking discussion on sustainable human development.

"Starting from scratch: The challenge of transition": UNV News, November 1997

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Update on Saturday, October 17, 2020 at 3:05PM by David South

Buyng into capitalism: Mongolians' changing perceptions of capitalism in the transition years by Paula L. W. Sabloff (12 Oct 2020).

It was a pleasure to have the opportunity to comment on a draft of Buying into capitalism: Mongolians' changing perceptions of capitalism in the transition years by External Professor Emeritus Paula L. W. Sabloff from the Santa Fe Institute (12 Oct 2020: Central Asian Survey). 

"A political anthropologist, she uses complex-systems tools to analyze three different databases: Mongolians’ changing ideas on democracy and capitalism, the emergence of early states all over the world, and 19-20th century Cozumel."

The Santa Fe Institute "is the world's leading research center for complex systems science."

Innovation from the Global South

A major study has documented a rising tide of scientific innovation coming from Asia’s fast-developing countries, especially India and China. Conducted over 18 months by UK-based think tank Demos, it challenges the conventional wisdom that scientific ideas come from the top universities and research laboratories of large companies based in Europe or the US. It found ideas emerging in unexpected places, flowing around the world conveyed by a mobile diaspora of knowledge workers from the South.

China has seen its spending on research and development jump by 20 percent each year since 1999. India is now producing 260,000 engineers a year and its number of engineering colleges is due to double to 1,000 by 2010. Research and development in India has grown by threefold over the past decade. There is now a global flow of research and development money to the new knowledge centres of Shanghai, Beijing, Hyderabad and Bangalore.

The study found the greater political and economic emphasis being placed on science and technology was paying dividends. These emerging science powers are now investing heavily in research to become world leaders in information technology, biotechnology and nanotechnology within the next ten to fifteen years. This is also producing a flood of scientific papers from China and India to the world’s prestigious scientific journals.

For India, its knowledge-based industries by the end of this year will be a US $57 billion export industry, accounting for 4 million jobs and 7 percent of Indian GDP. Interestingly, the study also found a new wave of change is underway. Where once it was mostly low-wage manufacturing and call centre jobs that were going to China and India, a new wave of research and development jobs is now moving there. Drawn in by technology clusters in Shanghai and Bangalore, “Microsoft began to realize we can’t find all the talented people in the US. Nowhere in this universe has a higher concentration of IQ power (than India),” said Harry Shun, head of Microsoft’s research in Asia.

By David South, Development Challenges, South-South Solutions

Published: April 2007

Development Challenges, South-South Solutions was launched as an e-newsletter in 2006 by UNDP's South-South Cooperation Unit (now the United Nations Office for South-South Cooperation) based in New York, USA. It led on profiling the rise of the global South as an economic powerhouse and was one of the first regular publications to champion the global South's innovators, entrepreneurs, and pioneers. It tracked the key trends that are now so profoundly reshaping how development is seen and done. This includes the rapid take-up of mobile phones and information technology in the global South (as profiled in the first issue of magazine Southern Innovator), the move to becoming a majority urban world, a growing global innovator culture, and the plethora of solutions being developed in the global South to tackle its problems and improve living conditions and boost human development. The success of the e-newsletter led to the launch of the magazine Southern Innovator.  

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