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  #281  
Old Posted Oct 22, 2019, 2:56 PM
NB_ExistsToo NB_ExistsToo is offline
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All I see throughout social media is discussion of electoral reform. If we were to step back and look, regardless of which system helps which parties:

I understand how ranked choice ballets would work, and if I remember correctly, this is how party leaders a decided from all levels in the system. this system makes sense to me and allows people to vote for their local people how represent the people in their riding.

But can someone explain how proportional representation works and would actually help within Canada. If we look at the results out West essentially every riding was a +80% margin of victory. So in order to give them proportional reps, they would just transplant conservative reps throughout the Country they see fit?

How would even ballets work? Would Long, Atwin, Williamson even appear on ballots, or would you have just party leaders listed (American style)

Additionally, if Liberals won 70% of the popular vote (something crazy!) but nobody in Alberta voted for any Liberals... Would there just be zero MP's from Alberta in Parliament. Or just same logic could be inversely applied to Newfoundland if CPC got a significant popular vote throughout Canada.

In the end, I think proportional representation is a silly idea, and just don't understand how to apply it logically... maybe that's because I'm from the Maritimes where we would be hurt the most by this idea
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  #282  
Old Posted Oct 22, 2019, 3:01 PM
Taeolas Taeolas is offline
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Well with these results, I hope the City of Fredericton isn't hoping to get much out of the governments for the next few years.

Provincially we are Red and Green against a Blue government. And now Federally we are Green against a Red government. At least Green and Red tend to have enough overlap, and the Reds are in a minority government that we'll probably get something to try and lure us back and/or get Green support.

But now that we do know the results of the Federal election, how will things go Provincially? Will Higgs minority stand much longer or do we have a decent chance of a provincial election next year?
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  #283  
Old Posted Nov 14, 2019, 11:08 PM
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Bishop2047 Bishop2047 is offline
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The Government is giving up on pot.

https://www.cbc.ca/news/canada/new-b...ctor-1.5359106

I don't like the sound of private retail "er" over retail "ers", but will be interesting to see what comes of this. What a colossal screw up this whole debacle has been.
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  #284  
Old Posted Nov 15, 2019, 1:18 AM
L'homard L'homard is offline
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Maybe the Bacchus Club bikers will put in a bid on the RFP? LOL
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  #285  
Old Posted Jan 28, 2020, 3:23 PM
lirette lirette is offline
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A couple folks have officially put their name into the hat for Moncton Mayor

Erik Gingles - founder of buzzlocal.tv

Chad Peters - can't find much information on him other than he's worked with Moncton Headstart

There's a rumor Charlie Burrell (Humanity Project) is going to run based on a FB post he made but nothing official on that yet

Dawn Arnold is expected to announce soon if shes re-running.

Could be quite the interesting campaigns with a few of these characters involved.
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  #286  
Old Posted Jan 28, 2020, 3:32 PM
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Indeed. None of the announced candidates though have much of a profile, and Dawn Arnold would be tough to unseat. She is a popular mayor, and has done generally a good job. This probably explains why none of the crop of current city councillors seems to be interested in tossing their hat in the ring.

I think the greatest threat to her (if he were at all interested in running for mayor) would be Councillor Greg Turner.
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  #287  
Old Posted Feb 11, 2020, 3:07 AM
lirette lirette is offline
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@MonctonRad

As someone who is in the medical field curious on your take on the expected health care announcement for NB that would involve closure of 5 rural hospitals for overnight hours. It seems the expectation will be that folks will need to head to the city hospitals 30-45 minutes away during these times

I am particularly I am seeing a ton of backlash out of Sackville.
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  #288  
Old Posted Feb 11, 2020, 3:47 AM
L'homard L'homard is offline
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Originally Posted by lirette View Post

I am particularly I am seeing a ton of backlash out of Sackville.

Bouctouche and the north shore are mobilizing and, if history is any indication, the brown sticky stuff is about to hit the proverbial fan.
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  #289  
Old Posted Feb 11, 2020, 4:08 AM
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Quote:
Originally Posted by lirette View Post
@MonctonRad

As someone who is in the medical field curious on your take on the expected health care announcement for NB that would involve closure of 5 rural hospitals for overnight hours. It seems the expectation will be that folks will need to head to the city hospitals 30-45 minutes away during these times

I am particularly I am seeing a ton of backlash out of Sackville.
One issue with Sackville is that it is not a full service hospital for emergency medical care in any event. Imaging wise, they can't do anything beyond basic x-rays. If a patient is really ill, and an ultrasound or CT scan is felt necessary for diagnosis, the patient will get hustled into an ambulance and come up to the Moncton Hospital anyway. Same thing for any medical or surgical emergencies. The ER down there is staffed only with family physicians (albeit well trained and capable), but if a patient is unstable or requires urgent surgery, again ambulance transport to the Moncton Hospital is necessary.

If emergency services are scaled back in Sackville, I'm sure there will be a backlash, but I am uncertain there will be any downgrading of medical care to the community as a result.

The hospital in Sackville should be maintained, but it's mission should be altered. I don't have a problem (personally) with scaling back ER services overnight. Maybe the OR down there should also be closed as well. There are no resident surgeons in Sackville. All surgeries are performed by Moncton physicians going down there because of the availability of OR time. As far as inpatient services are concerned, they probably should be maintained, but perhaps the emphasis of the hospital should be more along the lines of long term and palliative care rather than acute care. They could combine the ER with a well staffed Community Health Care Centre, staffed with GPs, nurse practitioners, other health care professionals and social workers. The town of Sackville might even be better off with these changes.

The proviso in all this however is that any services removed from Sackville should be replaced with enhanced services at the Moncton Hospital to make up the difference. If they close the OR down there, then they should open one up here at our hospital. If overnight ER services are terminated down there, then additional funding for our ER should follow, as these patients will be coming up here for service instead.

There would still be savings to the health care system under such a scenario (efficiencies of scale), and there would be fewer ambulance transfers between the two facilities.

In my ideal scenario for health care delivery in the province, there should be:

1) - three advanced tertiary care hospitals (SJRH, GDH, TMH - the Moncton & Dumont Hospitals combined would equal the SJRH in size and scope of responsibilities)
2) - five standard tertiary care hospitals in Fredericton, Edmundston, Campbellton, Bathurst & Miramichi.
3) - a scattering of secondary care hospitals in places like Caraquet, Sussex and Waterville (no more than five total).
4) - all other hospitals should become Community Health Care Centres, with limited inpatient beds for observation and treatment of moderately ill patients, and attached palliative and long term care facilities.
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Last edited by MonctonRad; Feb 11, 2020 at 4:33 AM.
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  #290  
Old Posted Feb 11, 2020, 12:02 PM
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I would like to see us utilize a collaborative emergency center model pioneered by our neighbors in NS. Paramedics and nurses staff the ER over night in these smaller centers and utilize standing orders (that all paramedics practice with) and online medical control. I worked in a similar site in SK and it was wonderful. Kept the doctors in the smaller towns from burning out and kept the ER services. It would mean expanding the paramedic scope here and that is long overdue.
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  #291  
Old Posted Feb 11, 2020, 1:42 PM
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One problem is that they have trouble staffing the ambulances in some of those communities so finding more to staff the emergencies will be a challenge.

We have to-review our healthcare delivery model and utilize the max of our healthcare workers, meaning intelligently, not burning them out.

This is my idea and by all means I am no specialist, this would be my armchair minister of health version.

Nurse practitioners are a good start, my idea of this would be that they team up with family doctors to provide care. Nurse practitioner could be some kind of screening/monitoring of patients. You have high blood pressure and require follow up and prescription renewal, you see the nurse, you have a cold, you see the nurse, you have a minor ailment that requires a referral, you see a nurse, you have a more complex medical condition, you see the doctor. To me, that would give the doctors more time to review serious cases and possibly take on more patients and have better availability thus maybe taking patients away from the ER. This would also alleviate work loads on them.

Pharmacists are able to diagnose a handful of minor ailments. This should be put out there in a better way and maybe they can do more?

Paramedics need to have better work conditions, maybe this way they will have better retention/recruiting and les staffing issues.

PEOPLE have to change! Use health services wisely and effectively. How many times have you sat in a ER and seen and hear THAT person who say they are really sick, then as the time go by blame the wait on the doctor by name and tell everyone how incompetent they are and eventually they leave all though they are “really really sick”

PEOPLE have to show up for appointments, you can’t make it for XYZ reason, call! There are people out there who need services urgently and would be there in a whim to take your place if you can’t make it and call ahead. MonctonRad will probably agree, one of the reason it takes so long to get to MRI’s and other services are missed appointments that have to be re-scheduled.

PEOPLE also have to realize that if you want the “cadillac service” everywhere and in every aspect of government services, it has a cost. You want 75 hospitals in the province? Here is how much your property taxes will go up, Its too much? Well this is what we can afford and can offer, use it wisely and efficiently. You can’t pay for peanuts and expect to get cashews.

The government, beside what everyone will say, is trying to provide the best care they can to the population, but it also has to realize one thing. They have to increase the property taxes in the LSD’s. This is what I call the “rural sprawl”. Go on the property assessment website of the province, go in LSD’s. Look at the total of taxes paid by streets and I'm pretty sure some will wonder if it even covers the cost of snow clearing.

So again, I am no expert, its does suck to see services erased or downgraded from some regions but people have to be realist. Medical professionals do not grow on trees, staffing issues will become worst and I can put all the incentives in the world but if no medical professionals wants to move to your community to provide the services, well I cannot make them appear.

I could go on and on but I figure thats enough lol.
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  #292  
Old Posted Feb 11, 2020, 2:12 PM
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Very good post.

The era of "full service" hospitals in every town and village in the province is over. Modern health care is just too sophisticated and integrated to justify such a model.

There should be no more than 12-14 traditional hospitals in the province, and only 7-8 of these should be tertiary level. All other hospitals should become multidisciplinary community health centres, with attached long term and palliative care centres.
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Last edited by MonctonRad; Feb 11, 2020 at 3:07 PM.
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  #293  
Old Posted Feb 11, 2020, 5:19 PM
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Press release is now out. It sounds as if the changes planned for the Sackville Memorial Hospital are pretty much exactly as I envisioned.

- close ER from midnight to 8 AM
- close OR
- transitioning hospital from acute care to long term care
- hiring of an inpatient nurse practitioner
- expansion of mental health and recreational services (in support of long term care).

A rare example of sanity in the health care system...........
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  #294  
Old Posted Feb 12, 2020, 12:12 AM
Taeolas Taeolas is offline
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It's beginning to look a lot like Elections.... Soon, the polls will close....

This healthcare plan seems to be the straw that will break the government's back, since it sounds like some of the Conservatives are doubtful of the plan as well.

Vickers would probably have preferred to wait and see what the byelection results will eventually be; but this feels like too big a thing to let slide.
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  #295  
Old Posted Feb 12, 2020, 1:54 AM
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Originally Posted by Taeolas View Post
It's beginning to look a lot like Elections.... Soon, the polls will close....

This healthcare plan seems to be the straw that will break the government's back, since it sounds like some of the Conservatives are doubtful of the plan as well.

Vickers would probably have preferred to wait and see what the byelection results will eventually be; but this feels like too big a thing to let slide.
These talks have been happening for years, thus if this does cause an election I am sure the cons will want to be sure the Libs are shown to be equally at fault. I applaud the Cons for ripping off the the bandage as it was inevitable. I recently moved from SK where this happened in many rural hospitals years ago, during their time as a "have not province". The transition to non acute beds means less acutely trained staff needed and surely will help with some of the staff shortages (though not going to be a dramatic difference). People get up in arms about ambulances transporting trauma and acutely ill patients but the fact is they frequently bypass these hospitals anyway.

I was surprised to see both Grand Falls and Perth as that does make for a large area with no services at night.
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  #296  
Old Posted Feb 12, 2020, 2:13 PM
Taeolas Taeolas is offline
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The Waterville to Edmundston stretch is a bit concerning to go without coverage. That's 160km, so someone in the middle would be 80km away from a hospital. Either hospital is about 60km from the open ones so picking which to keep open would be a bit of a coin flip. I'd probably suggest Grand Falls should be kept open, both for language reasons and because it is the bigger community.

I'm not familiar enough with the overall situation to say if the cuts are a good thing or not; but politically speaking, this isn't really something you want to do in a minority government situation. This is something you would want to do early in a majority mandate so the changes have time to be implemented and to sink in before the next election.

The next month or so should be interesting to see how this falls out.
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  #297  
Old Posted Feb 12, 2020, 2:44 PM
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The main concern I have with the changes at the hospital in Sackville is what sort of impact this will have on Mount Allison University.

It might make a difference to some parents knowing that there is not a 24 hour emergency department in the town to support the 2,500 students going to the university. Will they encourage their children to go to MTA or not, with things like drug (and alcohol) ODs, sexual assaults and suicide attempts dancing in the back of their minds.

It might behoove the university to consider an on campus infirmary of some kind, with on call nurses and family physicians for emergency 24 hour coverage, and also to help liase with the ER in Moncton.
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  #298  
Old Posted Feb 13, 2020, 4:57 PM
Taeolas Taeolas is offline
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Looking more and more like we're in the last weeks of the current Higgs government.He's got opposition in his own party against the emergency room closures.

March is going to be interesting; guess we'll want to be ready for a spring election.
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  #299  
Old Posted Feb 13, 2020, 7:02 PM
L'homard L'homard is offline
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Looking more and more like we're in the last weeks of the current Higgs government.He's got opposition in his own party against the emergency room closures.

March is going to be interesting; guess we'll want to be ready for a spring election.
MLA Robert Gauvin, PC, is likely to resign tomorrow morning. So I'm told.
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  #300  
Old Posted Feb 13, 2020, 7:40 PM
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MLA Robert Gauvin, PC, is likely to resign tomorrow morning. So I'm told.
Not a bad idea. I am all for helping out your riding and being able to speak one's mind is somthing politics lacks in this partisan age, but big picture this is somthing the health regions have wanted to do (non partisan issue) and government need only give the stamp of approval. Locally some would hate their MLA as they do not entirely grasp the situation, but these tough decisions must be made (and should have been made some time ago).
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