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Catholic Medicine
Posted
2/19/2010 6:19:00 PM
Let me be perfectly clear -- this is not an attack on religion. This is an observation on what I perceive to be a horrible waste of tax payer dollars based on faulty logic.
The decision by the LHSC and St.Joeseph's to hire two CEOs to replace one has become the subject of increased debate following word last week the hospitals would be laying off staff in order to balance their budgets.
Most estimate the decision to hire what amounts to an extra CEO will wind up costing the hospitals -- and by extension us -- an additional $200,000 per year. That doesn't even include the extra staff this new executive would need to hire, along with additional costs.
It's worth noting the LHSC was in support of continuing with the existing arrangement (one CEO for both hospitals) while St.Joseph's was not.
Why?
Because, according to the Chair of the Board at St.Joseph's, they're a "catholic health care centre".
What does that mean?
Well, again -- according to the Chair -- as a catholic health care centre, they advocate for those "forgotten, disadvantaged and the marginalized." They also express concern for the "poor, the elderly, the chronically sick and dying".
... and the LHSC, or any other "non-catholic health care centre" for that matter, doesn't?
St.Joseph's Chair assures us they don't exclude anyone, regardless of their religious background -- and I agree, they don't. The doctors, nurses and other staff help people of all faiths and religions which is why I'm still unclear as to how and why a "catholic health care centre" differs from any other health care centre.
I'm also unclear as to why St.Joseph's cites concern about losing its "catholic identity" (which still has not been clearly defined nor distinguished) as one of the reasons for choosing to hire its own CEO.
Why was this not a concern over the past 4 years while Cliff Nordal was the CEO at both St.Joe's and the LHSC? This is the first we've heard about a sudden onset of identity crisis.
While I'm asking all these questions, I think there's at least one more worth asking. Why should we -- as taxpayers -- spend an extra $200,000 to allow this?
The reasons given thus far are, frankly, quite weak. If you want to argue the hospitals can be managed more efficiently with two sets of eyes keeping watch over such a massive operation -- perhaps to avoid future Dianne Beattie scandals -- I can understand. If you want to argue both hospitals can somehow save money by hiring two CEOs instead of one, as hard as it would be to believe, I'd at least be willing to listen.
What I'm not willing to accept is what we're being told at the moment -- that an organization funded by public dollars generated by people of all beliefs, religions and backgrounds feels its in danger of losing a "catholic identity" which -- by their own definition -- is essentially the same as that of any reputable health care institution, "catholic" or otherwise.
What makes this especially hard to swallow is the fact such a decision, and the added expenses that would come with it, is being made at a time when multiple nurses have been issued layoff notices.
How many jobs could be saved by keeping the current arrangement of one CEO instead of two?
It may only be a handful, but still -- there's a much bigger difference between saving several jobs and saving none at all, especially when compared to the difference between a catholic health care centre and a "non-Catholic" health care centre.
If St.Joeseph's is truly interested in maintaining its catholic identity, perhaps the board should revisit Proverbs 11:1 in the Bible which reads "a false balance is an abomination to the Lord, but a just weight is his delight."
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Nathan Smith
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I want to see the nurses remain at the Ontario breast screening program...letting go of those ecential nurses is irrisponsible and more costly. What happen to preventive medicine....would it not cost more money to treat cancer than to catch it in time.....but we are considering paying yet another high priced executive.... when that is a blaten waste of our tax dollars....We need the nurses inthe hospital taking care of the patients that pay the billls....the nurses are over worked and majorly under staffed.. and the patients are the ones to suffer... that is so wrong...
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Posted By
Eileen Parker
On
3/22/2010 12:23:56 PM
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It is a great thing to be able to help people when they are in need, to be able to offer comfort when they are hurting and vulnerable, to make difficult situations easier. I am a nurse and it seems that it is becoming more and more difficult to fulfill this role. Balancing a hospital budget is very important, and I'm sure a very difficult task, but with all of the cutbacks as of late and rumors of the ones to come circulating one has to wonder if patient care is being considered as the top priority. I wonder how some of the hospital board members, or even Cliff Nordal for that matter, would feel if they themselves or their family members became a patient in this current climate. How would they feel when the nursing staff were unable to answer their call bell in a timely manner, not able to bring them food after a test because there just isn't any food in the nutrition room and the kitchen is unable to send food any other time besides meal times, or when there just isn't enough linen in the cupboard to change their bed? How would they feel when their nurse is crying because she or he hasn't been able to meet all of their patient assignments' needs, despite not taking a break through their entire shift and staying late after shift? All I can say is that this is a scary time in health care. It is frightening to think of some of the possible consequences of these cutbacks and I hope that myself, my family and my friends can stay healthy enough to stay clear away from staying in the hospital. If I could suggest one thing to those who are making the decisions about the budget I would suggest that you consider what it might be like if you had to stay in the hospital, because universal health care means everyone gets the same care. Just think about that....
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Posted By
Tina
On
2/22/2010 12:20:26 PM
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Simple solution: let the St. Joseph's CEO run both hospitals.
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Posted By
Jamie
On
2/22/2010 6:55:35 AM
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nathan, , well written blog,
i can't understand why the health minister has NOT intervened and said NO to more administration , Unless it can be arranged that the 2 CEO's combined salaries and benifits are costing less than the out going Cliff Nordel package, Maybe ? but I doubt it , the RC hospital can find a volenteer CEO, or LHSC can find a CEO to work for a reasonable amount , much less than the scandelous amount C Nordel has been taking out of the health care system.
only then might i feel a dual CEO arrangement could be considered,
BUT I dont think that creativity or willingness to be fiscally responsible exists at that level of management, instead its take as much as the market can bear
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Posted By
robt webb
On
2/21/2010 11:00:30 AM
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This is a bloody outrage! >:( LHSC and St. Joes are part of a hospital network' in the London area and who the hell cares about a "catholic identity' when your life is on the line!! I'm a Young Adult cancer survivor and I'd be dead if it weren't for the nurses (who are overworked as it is!) We need FRONT LINE health care workers, NOT another bloody CEO!! >:(
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Posted By
Tara
On
2/20/2010 10:43:28 PM
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As usual in today's health-care system, problems perceived or real, are "fixed" by hiring more managers. Money needs to be put where the rubber meets the road - or in this case, the nursing helps the patient.
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Posted By
Steve M.
On
2/20/2010 9:31:17 PM
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If it's really that important for St. Joseph's Hospital to retain its 'Catholic identity' as it integrates more fully into the LHSC framework, then why haven't the Catholic Diocese of London (and maybe the Vatican) stepped in to fund the second CEO's salary, so that the nurses who are so badly needed can keep their jobs?
I agree, the justification given for hiring two CEO's while layoff notices are issued is weak. So weak, in fact, that it insults my intelligence - and I suspect a lot of London residents feel the same way.
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Posted By
Steve
On
2/20/2010 3:26:45 PM
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Jackie Dix's comment makes me wonder if Catholicism is in any danger at St.Joe's at all. Has its board done any research to back up its claim that it needs a CEO to preserve the prominence of the religion (and by the way there is a difference between the word catholic and Catholic and it would be helpful if they clarified what they are talking about).
Let's have the hospital substantiate the need first. Put that up against patients' needs for front line nursing care and the impact of the cuts, which I'm sure the nursing union and patients themselves can easily provide. Just $0.02 from a former Londoner.
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Posted By
Janet Money
On
2/20/2010 2:58:00 PM
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Why is everyone so upset about taxpayer-funded Catholic health care, but no one raises the issue of taxpayer-funded Catholic education? People need to take a chill pill. Besides, the real issue is the provincial government's failure to sufficiently increase funding for health care. It is totally reasonable for two organizations of this magnitude to have their own CEOs, in addition to the religious/philosophical matter.
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Posted By
Dan Brubacher
On
2/20/2010 2:08:57 PM
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I am not a lawyer or a great debater but I do have some observations I’d like to put forth for your consideration.
Both my parents were recently in need of health care, one at LHSC for surgery and one at Marian Villa for long term placement. Their faith is RC but due to ill health, my parents were not able to actively practice their religion prior to their hospital visits. My parent was offered the Holy Eucharist at LHSC campus after answering the question regarding faith at admission. This is a wonderful service provided to patients and this has been in place for as long as I remember at all hospitals (volunteer lay Eucharistic ministers perform this task). There are chaplain services available at LHSC as well and ecumenical services are offered in the chapel there.
My other parent who currently resides at Marian Villa, a division of St. Joseph's hospital, also receives the Holy Eucharist brought by a volunteer minister, (a Sister or lay minister). This service by the Eucharistic ministers is the same in both hospital communities. However, the difference in the physical presence of the RC religion and philosophy is considerable between the two hospitals. My parent has attended mass which is offered several times a week at the chapel located at Marian Villa/St. Mary's hospital. There are volunteers who go up to the floors to gather up the folks in wheelchairs and bring them downstairs for the services. Each day there are spiritual events posted, from prayer groups to readings to mass. Celebrating the RC faith is just a part of every day’s activities. One of my biggest surprises occurred while taking my parent through the tunnel from Marian Villa to St. Joseph's hospital for a diagnostic test- I noticed the religious icons along the way in the form of crucifixes and statues. Having worked in healthcare at LHSC in the past and knowing that the hospitals were "all one big happy family", I wondered about the fact that other cultures might be offended at having these religious icons displayed throughout St. Joe's and Mount Hope. Cultural diversity and sensitivity is a hot topic in health care!
I have spent many days with my parent at Marian Villa and must confess to the peace and comfort that sitting with them at mass has brought to us and I appreciate the gift of celebrating our faith right there at the Villa.
If St. Joseph hospital wants to nurture and protect this environment and philosophy and feels that having their own President will provide the needed leadership, so be it. As I mentioned at the outset, I'm not an economist or lawyer or historian but this story reminds me of the whole separate school funding issue, a complicated issue about which people have very strong feelings, both pros and cons.
My point is that there is a difference in the environment of the Catholic hospital as far as spiritual support for someone of the RC religion is concerned. The health care at both hospitals is exemplary and London is indeed fortunate to have such top notch health care providers in our community. The timing of the announcement of layoffs in nursing staff and the hiring of another top level President’s job which will take a salary that might equal approximately 6 nursing jobs makes it easy to come to a quick conclusion and decry hiring a St. Joe's president for their board.
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Posted By
Jackie Dix
On
2/20/2010 12:59:18 PM
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Catholics are out to lunch and completely out of touch with reality...a Catholic Hospital? lol...priceless
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Posted By
Dave
On
2/20/2010 12:12:47 PM
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Whatever happened to Common Sense?
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Posted By
Nancy
On
2/20/2010 11:55:14 AM
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It was okay for Cliff Nordale to be CEO over the past 4 years as he was originally from St Joe's. So he would have upheld "the religious values"
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Posted By
Pat Beyea
On
2/20/2010 10:56:30 AM
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Well said Nathan!! Thank you so much for this well written, common sense blog which reflects accurately what we are saying.
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Posted By
marita DeVries
On
2/20/2010 10:30:12 AM
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We need less management and more frontline nurses.They are the backbone of the Health Care system and why should cuts rest on their shoulders.
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Posted By
Nora Christensen
On
2/20/2010 9:49:10 AM
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Thanks for the feedback. Christine and Patricia, I suggest you visit Janice's Facebook page at http://www.facebook.com/group.php?gid=339767975168
She's got a lot of supporters who feel the same as both of you and this type of online, grass root effort *does* lead to change. It was a similar Facebook group and online petition that forced hospital officials to reconsider planned layoffs at the London Regional Cancer Program.
Janice -- keep up the great work! Feel free to use my comments on this blog in any way you see fit.
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Posted By
Nathan
On
2/20/2010 9:48:40 AM
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This is proof that "faith"-funded health care is discriminatory and a money grab. I'm Roman Catholic and I've sworn off my "faith" for many reasons. This article has added yet another reason for my refusing to go back to Church. I'm a Personal Support Worker by profession and I couldn't care less about whether or not my residents are Catholic. When you boil it all down, the only things I care about when dealing with a resident are their condition and how they treat me when I help them. It takes people of many different beliefs to make the world turn, and having L. H. S. C. add another C. E. O. to St. Joseph's to "preserve the 'catholic' health care centre" is completely ridiculous
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Posted By
Christine Heynen
On
2/20/2010 9:41:56 AM
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Wow, Nathan, well said. That is exactly what I am trying to say on my Facebook page: "Stop the hiring....." Now, the next step is to get this to the LHIN, or whoever can put a stop to this decision before it is too late. Welcome aboard!
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Posted By
Janice Naylor
On
2/20/2010 9:28:23 AM
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Totoally insane. And total disrepect for the people working for them and the people who need there services.
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Posted By
Patricia Buchanan
On
2/20/2010 8:41:52 AM
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