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Tuesday
Jun052018

Mongolia Prepares for a Magazine Explosion | 1998

Publication: UB Post

Date: 08/09/1998

Ulaanbaatar (Mongolia) - Mongolian newsstands are bursting at the seams. But while the content of the country's publications is varied, their form is not. Newsprint rules this country's publishing industry. The few glossy magazines for sale are imports from Russia.

When the democratic revolution unleashed the tide of free expression in the early 1990s, a flood of newspapers poured forth. It made sense. The cheap-and-cheerful technology of newsprint is low-tech, accessible and inexpensive. Suddenly everyone could be a publisher. 

But Mongolia's increasingly sophisticated media landscape is about to go "glossy". Tomorrow (September 9) sees the launch of Ger (Home), Mongolia's first on-line magazine. A bilingual quarterly funded by the United Nations, it combines entertainment - articles on the changing sexual attitudes of young Mongolians and the country's vibrant pop scene - with information on the work of the UN and other NGOs in Mongolia.

"We want something that will tell the stories of Mongolians and their experiences over the last eight years - both to Mongolians and to the rest of the world," says David South, communications coordinator at the United Nations Development Programme.

This month also brings the premiere issue of Tusgal (Strike), billed as the first full-colour, general-interest magazine in the new Mongolia. Published by Mongol News Company - the privately owned media group whose stable of publications includes the daily newspaper Onoodor and The UB Post - it offers a lively mix of sport, culture and celebrity articles, also aimed primarily at the young.

These two publications are just the top of the stack. Mongolia's two best-known printing houses, Admon and Interpress, are said to be working on titles of their own.

Mongolia's quick-to-learn capitalists see a gap - and they want to fill it. 

"In Mongolia there are many newspapers, but no world-class magazines," says Tusgal's editor-in-chief, Do. Tsendjav. "On the streets you can see a lot of publications that aren't exactly magazines but you can't call newspapers, either - newspapers that appear every 10 days or two weeks.

"We want to fill this space. We want to produce the first colour magazine that will reach world standards, something close to Time or Newsweek." 

"There's an enormous thirst for quality journalism, quality publications that are interesting to look at, top photojournalism - all the things newspapers don't cover," adds South. 

"We've seen newspapers moving to more colour, more photographs, and that shows a desire for quality."

That quality comes at a price. Tusgal, with 70 colour pages, will sell for between Tg 1500 and Tg 2000 - not much cheaper than an American publication like Time, and too expensive for many Mongolians. 

With only 1000 Internet subscribers in Mongolia, Ger has an even smaller market within the country - though South is quick to point out, the UN has established public-access Internet centres in Ulaanbaatar and several aimags. 

And he says a print version is planned to follow. 

"Distribution is the big problem right now," he says. 

"We have to see how we can organize distribution to reach the whole country. I know more magazines will be launched soon in Mongolia, and hope a distribution network may grow out of that."

The editors know Mongolia's magazine market and magazine technology are in their infancy. Although companies like Admon and Interpress get more sophisticated equipment by the month, the capacity to produce quality publications is still limited - the first issue of Tusgal has been printed outside Mongolia. 

Human resources need to develop as well, Tsendjav admits. 

"To produce a monthly magazine you need highly qualified journalists. We don't have that right now. We're still seeking them out."

But he is confident this will change - and quickly, too, if the pace of development in the past eight years is anything to go by. 

"During socialism, Mongolia had many magazines, but it all stopped after 1990," notes Tsendjav. "It was a question of economics.

"At first we don't think we can earn money from this. If you want to make money you have to wait two or three years. So what we are aiming for at first is to build a readership.

"I think in two or three years, living standards will improve. People will have more money to spend on things like magazines. But we don't want to wait for people to get enough money. We want to be the first, so people will develop an interest.

"There will be competition. Nowadays a lot of business-people understand the importance of the media. I welcome competition. It'll make us work harder. It's good for everybody."

From In Their Own Words: Selected Writings by Journalists on Mongolia, 1997-1999

Read a story by Jill in The Guardian (9 June 1999): Letter from Mongolia | Herding instinct 

Jill's story for the Far Eastern Economic Review is cited in the WHO Global Status Report on Alcohol 2004.

Wild East: Travels in the New Mongolia by Jill Lawless offers a vibrant account of what it was like to be a journalist in Mongolia in the late 1990s.

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

© David South Consulting 2018

Tuesday
Aug222017

State Of Decay: Haiti Turns To Free-Market Economics And The UN To Save Itself | 1996


Publisher: Id Magazine

Date: July 11 to July 25 1996

Features Editor: David South

Cover: Phillip Smith

Photos: Phillip Smith

Inside Haiti: Can the U.N. Help Remake a Country? from Id Magazine 1996.

UNMIH press card 1996.

By David South

Id Magazine (Canada), July 11-25, 1996

Port-au-Prince – Brand-new four-by-four jeeps in various shapes and sizes bounce over the moon-like craters of Port-au-Prince’s roads. The presence of so many expensive vehicles in a country unable to feed all its citizens is hard to take, but it is not one of the worst paradoxes of Haiti.

The appalling state of the roads – more like occassional stretches of asphalt to break up the monotony of potholes – is an apt symbol of Haiti, a reminder with every jar of the tailbone of the public squalor of the many and the private wealth of the few. The shiny new jeeps are not a sign of recent good times, but reveal who has all the money in this nation of almost seven million: the tiny Haitian elite, thieves, the United Nations and the multitude of non-governmental aid agencies.

When democratically-elected president Jean-Bertrand Artistide, deposed in a 1991 coup, returned to complete his term in office in 1994, many Haitians hoped that this country would at last begin to shake off centuries of exploitation at the hands of a selfish elite backed by American corporate masters and begin to build a democratic future.

The United Nations mission in Haiti, which includes 700 Canadian troops, is intended to support the country’s fledgling democracy. But Haiti’s future remains uncertain – as does the role the UN will play in shaping it.

Despite negotiating a peaceful and democratic transition last February 7 from Aristide – a firebrand former priest and passionate advocate of Haiti’s poor – to successor Rene Garcia Preval, Haiti hasn’t stopped its economic freefall. Economists predict the country won’t match 1991 earning levels until the next century. Political unrest resulting from opposition to the government’s privatization plans could also spell trouble ahead.

The United Nations presence, due to end June 30, has been extended another five months at the request of the Haitian government. The newly-minted UN Support Mission in Haiti, a military force of 600 UN troops supported by 700 soldiers paid through voluntary contributions, is being assembled. It will replace the current force of 1900.

Lousy loans

Meanwhile, the government of Rene Preval is negotiating with the International Monetary Fund (IMF), the World Bank and the United States to get much-needed loans to help balance the budget. Critics say the world’s banks are trying to lock the poorest country in the Western hemisphere further into crippling debt. The Haitian budget is US $750 million, 60 per cent of which the government hopes to raise from loans.

But there is a condition. Haiti must embark on a structural adjustment programme: widespread firings of the public service, privatization of most of the public sector, loosening of controls over foreign capital, adherance to the ethos of global trading blocks espoused by the North American Free Trade Agreement (NAFTA). Some call this neo-liberalism, others neo-conservatism. Either way, it forces this impoverished country to limit how it can address rebuilding a crumbling infrastructure.

The government’s hands are tied, though, as the conditions were part of the deal to return Aristide to power.

A Canadian public relations company, Gervais-Gagnon-Covington Associates, has been paid US $800,000 by the American government to sell the idea of privatization of Haiti’s handful of idle and near-bankrupt state enterprises.

In order to plunge deep into this Haitian qaugmire, I pitch up at the legendary Hotel Olofsson -made famous by novelist Graham Greene in the Comedians – and begin interviewing in the languid atmosphere by the pool.

“Aristide has put Haitians in a giant trap with the IMF plan,” says Jane Regan, who runs an independent news service based in Port-au-Prince. “The US $1 billion in loans will double the national debt.

“Haiti used to be self-sufficient in rice – last year they bought US $56 billion in US rice. The roads are worse now than a year ago. Right now the UN mission is of questionable worth and Canadians are getting taken advantage of.  They have been sent to clean up after the Americans. These are the same neo-liberal economic policies that hurt Canadian workers – just imagine what Haitians are feeling!”

Regan thinks that, so far, the only people to make any money out of this arrangement are businesses and the more than 800 NGOs operating in Haiti. And on that note, the feisty Regan disrobes and plunges into the Hotel’s pool.

According to Kim Ives, a reporter with the Haitian newspaper Haiti Progres, there are a few cracks in the solidarity between Preval and Aristide: “Aristide is hitting out against privatizations. In a two-hour TV interview, he drew a line between himself and Preval.”

One of the few visible signs of change in Haiti is the dusty Octobre 15 road leading from the airport past former president Aristide’s palatial home on its way to the wealthy suburb of Petionville. It is bordered on one side by Camp Maple Leaf, and on the other by dilapidated shanty towns and desperate street vendors.

Cynics point out the road conveniently serves the interests of the elite once again. It offers a direct and more or less pothole-free route from the secluded mansions of Petionville to the airport – a crucial escape route in a politically volatile developing country. In fact, a development of monster homes that would make a Canadian suburbanite blush is going up near the airport to capitalise on this.

Canadian troops

Caught between the Haitian government and its people is the United Nations, including Canada’s troops. Canadian troops form the first line of defence – along with Preval’s personal secuity guards – to defend the National Palace. They accompany the president wherever he goes, 24 hours a day.

Some fear growing resentment among Haitians for government policies will pitch the population against the soldiers.

At Camp Maple Leaf, the home base of Canada’s military contingent in Haiti, the troops are scrambling to adjust to a new mission sanctioned by the United Nations. As of June 30, they must take a back seat to the troubled Haitian police force as it tries to prove that the intensive training provided by police from around the world has paid off.

In the first week of July, the Canadian soldiers of the Royal 22nd Regiment – the famous Vandoos  – receive confusing news about a change in their firing orders or Rules of Engagement. ROEs dictate the tone and behaviour of peacekeepers on a UN mission and, as the experience of Somalia demonstrates, they can be the difference between success and disaster.

As the new mandate starts, the Canadians are first told they will be only able to use deadly force to defend themselves and not Haitians. If a member of the government is assassinated, they must stand by. If a Haitian is clubbed to death before their eyes, they must stand back. It is a qualitative change from their ROEs prior to June 30.

Ottawa military spokesman Captain Conrad Bellehumour says the change is indicative of an evolving mandate. But a military spokesman in Haiti says the old ROEs are now back in force, and Canadians can intervene to save a Haitian’s life.

“Maybe somebody’s been listening to Jean-Luc Picard too much,” quips retired Brigadier-General Jim Hanson, in a reference to TV show Star Trek’s prime directive of non-interference in a culture.

Preval’s police

A large banner hangs over a Port-au-Prince street: “Police + Population = Securite + Paix”. The UN has placed its greatest emphasis on reforming Haiti’s policing and justice system. The Police Nationale d’Haiti (PNH) was formed, and the RCMP and the American Federal Bureau of Investigation (FBI) were asked to provide training. The idea is to break from the past – when the military used policing as an opportunity to terrorize the population – and establish a police force to serve and protect.

But the efforts of the Haitians and their international police advisers have had a mixed success. According to Canadian soldiers, the Haitian police need to be coaxed into conducting routine patrols and have not given up patrolling in large numbers in the back of a pick up truck with rifles at the ready. To be fair, seven police officers have been killed since January, in what many believe is an organized campaign of terror orchestrated by sympathizers of the old dictatorship and drug gangs.

According to Sergeant Serge Martin of the Vandoos, “The PNH use 15 police officers to patrol and don’t talk to anybody.”

“You don’t depend on police to protect you,” claims Regan. “The Haitian government has no control over them. You don’t know if there is going to be a coup tomorrow.”

Jean-Yves Urfie, editor of the pro-democracy Libete newspaper in Port-au-Prince, believes the campaign to kill police goes back to the United States. “I am convinced the coup d’etat was financed by the Republican administration. I believe the Republicans want to destroy things here to show (President) Clinton wasted his time bringing Aristide back.

“The government was forced to incorporate former members of the military into the police force. And it would be terrible if the population develops the impression all cops are bad.”

“They are 10 years away from a viable police force,” concludes Hanson.

A stop at the fourth precinct police station shows just how far things still need to go. At the counter is a lone police officer, sharply turned out in his beige shirt and yellow-striped navy pants, courtesy of the Royal Canadian Mounted Police. But this proves to be a veneer of change. Canadian soldiers ask if everything is alright. They then ask to see tonight’s prisoners. The officer sheepishly leads the troops down a narrow corridor to 9 ‘ by 12 ‘ foot cell stuffed with nine prisoners. It is very hot and the stench from an open drain overflowing with sewage is nauseating.

Outside the Penitencier National in downtown Port-au-Prince, a yellow concrete structure with peeling pain, Haitians lined up to feed the inmates, talk about their frustrations with a justice system that has collapsed. Many complain that only the rich, who can hire lawyers, can enjoy the fruits of democracy. While state-directed beatings and killings have been dramatically reduced, most prisoners rot on remand until they are charged with a crime. Heiner Rosentdahl, the UN representative in Haiti in charge of prison reform, tries to be upbeat. “There have been no changes in conditions in Haiti’s prisons. Treatment of the prisoners is better, though there have been some abuses. We have developed a nation-wide register book of prisoners to help keep track of who is in prison.”

Another mixed blessing, according to Rosendahl, is the new requirement that all prisoners be fed two meal a day. The food is so poor, prisoners have been getting sick.

He is frustrated with the pace of penal reform. “The Haitian prison system hasn’t had a budget since October 1995, because of battles within the parliament,” he says. “The Haitian government didn’t ask for a plan to change this situation despite the minister of justice visiting the prison for the first time.”

According to Rosendahl, it is not the routine killing of thieves by mobs that worries the elite. Nor is it the assassination of police officers, or the untold thousands dying of disease and hunger. The only thing that is beginning to rock their world is a new phenomenon for Haiti: kidnapping and extortion.

Voodoo economics

For such a seriously depressed economy, there is an astonishingly large number of lottery booths – or Borlettes – on Haitian streets. They are so plentiful, they join gas stations as the main landmarks of the streets.

The industrial park which is now home to the remaining American troops stationed in Port-au-Prince, is a good monument to Haiti’s economic problems. Dilapidated and only barely functioning, this facility once supported, directly and indirectly, a large portion of the city’s population. As crummy as the sweatshop jobs were, they provided valuable income for the capital’s poor.

The Haitian economy under Francois Duvalier and his son, Jean-Claude, before the chaos of the late 1980s and 1990s, was based on assembling manufactured goods for the US market. Haiti was the world’s largest producer of baseballs, and ranked as “top three in the assembly of such diverse products as stuffed toys, dolls and apparel, especially brassieres. All told, the impact of international subcontracting was considerable,” according to author Paul Farmer in his book, The Uses of Haiti.

Today, Pierre Joseph, a Haitian-American from New York City, has a new job: he screens the ID cards of Haitian workers as they enter the park. He says there were once over 50 factories operating here; now there are 30.

Evidence of Haiti’s economic collapse is everywhere. On the walls outside the National Palace is scrawled Aba Preval Granhanje – Preval is a liar. Across the wide boulevard in a square are around 75 homeless children. They joke with the Canadian soldiers, especially boyish 2nd Lt. Marc Verret, who looks like a baby in soldiers clothes. The kids beg him for water and money.

In the market area, the piles of garbage, rotting meat and excrement make a muddy devil’s stew. Homeless children sleep on top of the abandoned crates. One small child is curled up in an American flag, asleep.

Desecrating dead

The dead also suffer the indignities of economic ruin. Outside the gates of the Hopital Generale, a man lies dead on a broken trolley in the yard. Others still alive, with limbs missing, are sprawled out on the ground. Chickens and goats roam the grounds. In the back is the main morgue for Port-au-Prince. The odour just 25 feet from the entrance to the morgue is normal for this city strewn with rotting garbage and stewed by a hot sun.

Inside, an overpowering odour like rotten chicken meat is the product of 450 human cadavers. Like rag dolls laid out in a ghoulish toy store, row upon row of children dead from starvation and disease – Haiti’s infant mortality rate is 127 per 1,000 babies born – are stacked almost to the ceiling. There are also adults. Old women, young men badly mutilated for stealing, are strewn out on the dirty concrete floor and on shelves.

There is no refrigeration, and according to military doctor Major Tim Cook, “something really nasty is going to come out of there if they don’t do something.”

Proving peacekeeping

More is at stake in Haiti than the re-building of a politically and economically devastated nation. For Canada’s armed forces, shaken and little stirred by the Somalia scandal, it is an opportunity to make amends. This time around, the peacekeepers are keeping the needs of the local population foremost in their gun sights. When the Vandoos head out on another one of their 24-hour patrols, the atmosphere is friendly and filled with gentle ribbing with the locals. They have the advantage of being able to speak French, a language understood to varying degrees by most of the population.

The approach of the individual soldiers varies widely. On a routine patrol, Alpha Company engaged in good-natured kidding around, with splashing the locals the worst offence. But a day out with Charlie Company, led by Sergeant Serge Martin, proved another story. The two privates assigned to accompany a group of journalists were a couple of operators. The day included a visit to a perfume shop, a trip through the wharf area looking for prostitutes and constant propositioning of the local women.

One Canadian corporal with the Vandoos, Eric Charbonneau, has been trying to make a small difference to the lives of the 400 people living in the community of Cazeau, a shanty town near the international airport. He has started literacy and hygiene lessons and raised money to help the residents build concrete houses to replace the mud dwellings they currently inhabit.

“I was walking along the fence and started to build a relationship with the kids,” he explains. “Some guy approached me and needed some help. It took three weeks to build a relationship. They are too used to white people giving away things for doing nothing. They were surprised when they had to work for it.”

At the gates to Camp Maple Leaf is a spray-painted sign. In Creole, French and English beside a Canadian flag, it says “No More Jobs.” While it could look at home back in Canada, it illustrates how important the presence of soldiers, the United Nations and charities are right now to the economy.

Some observers see the UN presence as part of a slide back into dependency on foreign money, restricting Haiti’s ability to assert itself. But others believe the turn to the international community is Haiti’s last hope of breaking with a past littered with dictatorships and poverty.

According to Captain Roberto Blizzard – an erudite and wise observer of the situation – the base has been stampeded with desperate Haitians looking for work. Blizzard has tried to find work for as many Haitians as he can, even helping them to form a laundry co-operative he hopes will survive long past the Canadians’ stay.

“There is a danger of the Haitian people turning into full-time beggars,” he says with sadness.

© David South Consulting 2024
Monday
Aug212017

Pulling the Plug on Hate Rock | 1996

 

Publisher: Id Magazine

Date: June 13 to June 26 1996

Features Editor: David South

Investigative Reporter: Jayson MacLean

Cover: Gareth Lind

Illustrations: Charles George

White Noise: Musical Hatemongers Target the Mainstream

© David South Consulting 2017 

Tuesday
Mar282017

New seniors’ group boosts ‘grey power’: Grey Panthers chapter opens with a Canadian touch

 

By David South

Today’s Seniors (Canada), April 1993

Check your prejudices at the door, look beyond your self-interest, and open your mind, because the Grey Panthers are here in Canada.

Joe Moniz, the 26-year-old founder of the Canadian Grey Panthers, is confident that his ambitious plans for a new national seniors’ organization are just what Canadian seniors need. 

That’s right: 26-years-old. Modelled on the U.S. Gray Panthers, the Canadian Grey Panthers believe in harnessing the power of all age groups, making the connection that everybody will eventually be a senior and that seniors benefit from a better society for everyone. 

“The major difference between us and any other organization is our slogan, “Age and Youth Working Together,” he says. “Look at our pension fund. It’s depleting. I’m concerned about my future as a senior citizen - will there be a pension fund? We want to act now, to bring youth and age together to improve the situation of seniors today and improve our situation in the future. 

“Membership is open to all age groups. We want to bring seniors into day care to interact with children. We want to deal with the universities, give people the opportunity to discuss and unite. It’s a different approach, but it can make a huge difference.”

Moniz has already organized the group’s first chapter, in Hamilton, complete with a board of retired university professors and doctors. The group has put together insurance packages that will “blow the others out of the water.”

“All seniors’ attempts at lobbying in the past have been short term,” says a blunt Moniz. “We are the organization that will make the difference. We will lobby provincially, federally, and municipally, and we are non-partisan.

“The reason I’m introducing the Grey Panthers is to keep grey power alive in Canada, and to provide the necessary channels to do so through lobbying efforts. If anyone has problems with local politicians, they can call us, and we in turn let them know the channels they should use. There are a lot of seniors out there being cheated, and it is up to us to help them.”

The Canadian Grey Panthers (which uses the British spelling, as opposed to its American counterpart) will initially concentrate on four issues: pensions, drug plans, affordable housing and long-term care, and will communicate information through newsletters, surveys and meetings. 

Moniz promises to make the Panthers accessible to all, no matter what their income. He plans to hit the streets and visit institutions to inform seniors of the group’s presence. As if to prove the group’s potential for excitement, an enthusiastic gentleman from a local retirement home interrupts Moniz during a coffee shop interview. “That’s the best thing I’ve heard from a young person in Toronto,” he says. 

The U.S. Panthers were formed by political activist Maggie Kuhn and five friends in 1970. Back then, their name wasn’t as exciting. It was the convoluted and unsexy “Consultation of Older and Younger Adults for Social Change.” In 1972, they adopted the media’s pet name - a grey twist on radical African-American rights organization the Black Panthers. 

The radical milieu of political activism was contagious - and the Panthers symbolized its jump from the youth of America to other generations. 

“When we formed, we were an intergenerational group,” says Panthers’ U.S. national chair, Charlotte Flynn. “The first issue the group addressed was mandatory retirement. We combat the stigma of ageism, which is making decisions about people based on chronological age. Ageism isn’t just confined to the elderly - ageism exists for young people as well.”

The agenda of the Panthers is just as radical today. Flynn, who is candid about the group’s failures as well as its successes, admits that it isn’t the easiest route to popularity. With membership at about 45,000, the U.S. Panthers have spoken out on now-popular issues like health care, the environment, affordable housing - and taken brave stands against mainstream opinion when it came to the Gulf War and the invasion of Panama. 

And they think big. Not content with just influencing the American political scene, the Panthers have taken on the world, gaining official advisor status at the United Nations. 

Although involved in a broad range of issues, Flynn says the Panthers are primarily seen as a strong voice for the rights of American seniors. 

“We have tried very hard to let people know we are not a special interest group for the elderly,” says Flynn. “But we are always getting called upon to highlight what any legislation is doing to older people.” 

With Panther groups sprouting in Europe and now in Canada, the important issue of maintaining the integrity of the Panther name has arisen, says Flynn. She points to the flip side of having a reputation for action: people want to start branches without being interested in the full agenda of the Panthers, using the name for shock value. At the last convention in November 1992, the Panthers formed a committee to act as quality control monitors for the name. 

One thing is clear from the ambitious agenda of the Grey Panthers - they aren’t for everyone. 

But Moniz’s pragmatic approach seems distinct from the American Panthers. He shies away from some of the American group’s positions, emphasizing a balance between insurance policies and political policies. 

“If you read the American Panthers’ position sheet, it’s anti-this and anti-that,” he says. “We aren’t going to take that approach. It would be suicide.”

But he is quick in his praise of the group and its founder Maggie Kuhn. “People may consider her actions to be radical, but they’re not. Look at the achievements. She is one of the top 25 active women in the U.S.

“The Gray Panthers are achievers. They have proven the effectiveness of intergenerational attempts at social justice.”

A quick call to seniors’ groups drew many surpised faces. 

“I can’t say anything about them - I don’t know who they are,” responded Murray Morgenthau, executive director of the Canadian Association of Retired Persons (CARP). 

Jane Leitch at the United Senior Citizens of Ontario had heard something was happening but wonders why a new group is forming “with so many groups out there.”

One Voice spokesperson Andrew Aitkens says his group is closer to the American Association of Retired Persons than the Panthers in their approach, and that they “have found that there are much more effective ways for advocacy. We don’t march on the Hill at the drop of the hat.”

But Flynn says the Panthers embody a philosophy distinct from all other seniors’ groups. “As Maggie Kuhn said, ‘those of us who are older are the elders of the tribe and should be concerned about survival.’ We look at all issues that deny people the ability to realize their full potential, whether young or old. We are really interested in empowering people rather than being a special interest for the elderly.” 

Note: In the early 1990s, I was an Investigative Medical and Health Correspondent for Today's Seniors. This involved contributing the lead story for each issue of the paper. Concerns around the state of the health system during a time of austerity and government cuts (Ontario was experiencing what has been later called an economic crisis akin to a depresssion) and re-organizations, meant the stories always had a high profile with readers. I regularly covered Health Ministry announcements from the Ontario Legislature, interviewed ministers, and travelled to the US to cover developments down there. I drew on my experience working in the health system, my knowledge of medical history from my degree studies at the University of Toronto, my communications work at the Hannah Institute for the History of Medicine, and my routine trawling through journals at the University of Toronto (this was before easy access to the Internet!) to break news stories on medical and scientific developments. This experience proved extremely useful when I later had to respond to the unfolding crises (austerity, economic crash, Asian Financial Crisis, HIV/AIDS/STDs etc.) in Mongolia while working for the United Nations (1997-1999). I also learned about many innovations that were being deployed in Ontario to respond to the crisis in the health system, something I also found very useful for my work with the UK's NHS in the early 2000s.   

Read more stories from Today's Seniors here: 

Critics Blast Government Long-Term Care Reforms

Cut Services to Elderly, Says Doctors' Survey ... But Leave Our Salaries Alone! 

Feds Call for AIDS, Blood System Inquiry: Some Seniors Infected

Government Urged to Limit Free Drugs for Seniors

Health Care on the Cutting Block: Ministry Hopes for Efficiency with Search and Destroy Tactics

Private Firms Thrive as NDP 'Reinvents' Medicare 

Psychiatric Care Lacking for Institutionalized Seniors

Seniors Falling Though the Health Care Cost Cracks

Specialists Want Cancer Treatments Universally Available 

Monday
Mar272017

Specialists want cancer treatments universally available

 

By David South

Today’s Seniors (Canada), December 1993

A newly-formed group representing cancer doctors says it is fed up with the inhumane and bureaucratic approach to cancer care in Ontario. 

Dr. Shailendra Verma of Access to Equal Cancer Care in Ontario (AECCO) says he’s had enough. 

“My group has served the government notice that we’re fighting on our patients’ behalf,” says Verma, who faces gut-wrenching quandaries every day in his growing Ottawa practice. “In a public health system, I’m damned if I’m going to be divided into giving one set of patients a Cadillac treatment and the other Hyundai-type treatment; I don’t think that’s why we have a public health system.”

Verma says cutbacks to health care funding have meant that doctors must leap increasingly high hurdles to get the drugs their patients need. 

In jeopardy

While chemotherapy drugs administered in hospitals are still free, he says the important drugs necessary for patient comfort and treatment effectiveness are in jeopardy. 

These drugs were once free under the Ontario Drug Benefit Plan (ODBP), but now their status is tenuous. One drug, GCSF - which is crucial in helping patients between treatments of chemotherapy - is now listed under Section 8 of the ODBP and requires doctors to plead with the government each time for coverage. Often the bureaucracy moves so slowly that the course of chemotherapy is seriously disrupted, Verma says. 

“As an oncologist I’m particularly interested in ensuring everyone has access to all treatment. I think we are at a very sensitive crossroads. Over the last three or four decades we’ve developed certain treatments for diseases that more often kill than cure. And now we are at a point where we’ve got new treatments that can make the older treatments more effective. Or we’ve got brand new treatments that we are hoping to apply, and the one thing that is holding us back is cost.”

Cost

“The decisions are not based on science, they’re based on cost. It would not be an issue if treatments cost a penny a shot.”

Verma says colleagues can’t introduce some new drugs because the costs would be too high to offer it to everyone. So no one gets it.

“We have patients who walk in and say they would like to pay for it,” continues Verma. “Ethically, as a physician do you allow a patient to pay for it while sitting next to a similar patient who can’t afford it?”