Cleaning house and putting public funds back to work
Transcription
Cleaning house and putting public funds back to work
Bulletin FEBRUARY 2013 Cleaning house and putting public funds back to work serving the public by Guy Laurion Photo: Normand Blouin vice-president, category 2, and political leader for the VPP campaign * To read a report on this study, go to www.canadianlabour.ca/ issues/stop-corporate-taxgiveaways. F VALUING PROMOTING PRESERVING PUBLIC SERVICES | No. 5 or the past several months, Quebecers have been struck by a shocking paradox: while governments keep arguing that we have to tighten our belts, while the bosses keep calling on taxpayers to do their “fair share”, the media report endless cases of collusion and corruption in our society. Cost overruns, kickbacks to political parties and the Mob, business cartels sharing contracts in secret—the list is long, and the Charbonneau Commission continues to make new revelations about the scope of this fraudulent charade. How can anyone claim that we don’t have the resources to fund public services, when we have knowingly accepted cost overruns in government contracts for decades? Let’s not mince words: this collusion directly serves the interest of the proponents of privatization! Because shrinking public services means opening the door wide for patronage, and for businesses to do whatever they like. In these hard economic times, we can no longer afford to pay too much for private contracts that illegally fund political parties and organized crime! We need to take back control over our public finances, and the only way to do that is by expanding our public services. As Josée Boileau stated in an editorial in the newspaper Le Devoir on January 30, 2013, it is disturbing to see businesses fighting against any increase in their taxes when we learn that at the same time, many of them don’t hesitate to pay thousands of dollars in illegal bribes to secure contracts. And these are the same businesses that are telling us to do our fair share! In reality, as a study by the Canadian Labour Congress has shown, far from stimulating investment in the economy, tax cuts to businesses are sitting idle in their cash reserves!* These reserves now exceed $575 billion, most of which comes from public funds (because the government has stopped trying to raise revenues), and none of which goes to build society. We need to remember this the next time the Conseil du patronat (Quebec Employers Council) starts lecturing us about how businesses in Quebec and Canada are taxed too heavily. What current events are showing us, between all the collusion, corruption, and squandering of public funds for the benefit of big business, is that the idea that privatization is the solution to all our problems is nothing but an ugly lie! Privatization is not a way of enhancing the services delivered to the public—it’s a way of letting businesses fill their pockets. It lets the private sector feed like a parasite off our public services, and we absolutely must continue our battle against it. Toward this end, the Federation has just established a new working committee whose tasks will include examining the foundations of Quebec’s institutions. This committee’s research will give us a closer look at Quebec’s health and social services system and the various forms of privatization that are taking place within it. Armed with good information, we can continue our determined struggle to promote and preserve our public services. By doing so, we will also be fighting back against collusion, reducing social inequality, and improving public health! MYTHS TO BE DEBUNKED The public debt is now so large that we must cut government spending and make paying back this debt a government priority. THE MYTH: THE REALITY: As reported in a post in the IRIS blog (Les dettes souveraines : légitimes ou illégitimes ?) public debt has in fact grown substantially in recent decades, all because of “[translation] speculation, higher interest rates paid by governments when agencies lower their credit ratings, costs incurred by governments to bail out banks and other large corporations, lax government attitudes toward tax evasion, and tax cuts to corporations and society’s wealthiest individuals”. The public debt of the richest countries rose from 40% of GDP in 1980 to 72% in 2000 and 111% in 2012. THE MYTH: There are not enough rich people in Quebec to tax them more heavily. THE REALITY: According to another IRIS blog post (Les riches sont-ils en danger ?), “[translation] The richest 1.5% in our society receive 12.7% of its income and pay 21% of its taxes, which represents 15.1% of their income. Can these taxpayers afford to pay more? Probably, because their disposable income is still very high, even after taxes. This is the question that matters, not how many rich people there are.” In the next issue, some more myths about the health-care system. Independent living insurance: we have to be on the alert We all know that Québec’s population is aging. du A growing ofplus elderly Ce n’est un secret pour personne, la population Québec number vieillit. De en people physical or mental disabilities and need long-term care servplus de have personnes âgées présenteront des incapacités physiques ou and mentales ices. Our health system wasservices originally to handle efficiently the et requerront des soins et des dedesigned longue durée (SLD). Notre système episodes care required in cases acute and contagious aux diseases. It isde in de santé aofd’abord été conçu pourofrépondre efficacement épisodes serious needdans of adjustments in order to deal with the growingIl amount care soins requis le cas de maladies aigües et infectieuses. a grand of besoin and services increase in chronic diseases. d’être adaptérequired de façonbyàthe pouvoir pallier au nombre grandissant de soins et This isrequis the background for the government’s recent announcement about services par l’essor des maladies chroniques. establishing (or “autonomy Health C’est dansindependent ce contexte living que leinsurance gouvernement a annoncéinsurance”). récemment la mise Minister Hébert will release the this insurance plan in en place Réjean d’une assurance autonomie. Ledetails ministreofde la new Santé, Réjean Hébert, an paper.de Hecette has for a longassurance time been àarguing that de thelacurrent feraupcoming connaîtrewhite les détails nouvelle l’occasion publisystem revolves too around andqu’il thatfait people’s needs should cation prochaine d’unmuch livre blanc. Il yhospitals a longtemps valoir que le système be metest bytrop re-centring the systemetonqu’il where live. autour To optimize actuel hospitalocentrique faut people le recentrer du lieupeople’s de résiautonomy and minimize stemming the dence des personnes pourdisabilities répondre aux besoins.from Pour chronic optimiserdisease, l’autonomie minister wantsles to incapacités develop home support services (SAD,chroniques, for soutien àledomicile), et minimiser découlant des maladies ministre notably a majorles $500 million investment to create annotamment autonomy souhaite through ainsi développer services de soutien à domicile (SAD), insurance fund. investissement, estimé à 500 M$, qui permettra la création via un important What should we think of this announcement? Before answering the quesd’une caisse d’assurance autonomie. tion, there are some worth noting.? First, and Québec very Que faut-il penserpoints de cette annonc AvantCanada de répondre à cetteinvest question, little long-term While our investment care was only il est in utile de faire care. quelques constats. D’abord,here tant in aulong-term Canada qu’au Québec, 1.3% of GDP 2009les (compared an average 1.4%qu’au for OECD on investit peuinpour soins de to longue durée.ofAlors pays, countries), seulement countries withétait moreinvesti productive health-care systems invested 2.2% 1,3 % du PIB pour les SLD en 2009 (1,4than % enours moyenne pour les (Finland and Norway), (Denmark) and even as much as 3.7% (Sweden) pays de l’OCDE), des 2.5% pays dont le système de santé est plus performant que of their GDP in long-term only doetallNorvège) these countries more le nôtre investissaient de care. 2,2 %Not (Finlande à 2,5 %provide (Danemark) long-term care3,7 than do, they soPIB largely home care. voire jusqu’à % we (Suède) dedo leur en through SLD. Dans tous ces pays, on In Québec, only 17%àofdispenser public funding for long-term care qu’ici, goes to home parvient non seulement beaucoup plus de SLD mais on care and services ($466 million in 2009),àcompared dispense en grande partie ces services domicile. to 41% in Sweden, 52% in Finland and 73% in Denmark. Au Québec, seulement 17 % des fonds publics investis en soins de longue Yet vont despite substantial investments homeM$ care support services enand 2009) comparati vedurée auxthe soins et services à domicilein(466 in these countries, health-care systems do a good job% ofpour controlling costs. ment à 41 % pour latheir Suède, à 52 % pour la Finlande et à 73 le Danemark. In fact, if Québec were to follow Finland’s example, it en would $7 billion; Pourtant, malgré l’importance des investissements SADsave consentis par the be $3.5debillion Sweden’s and En $2effet, billionsifor ces figure pays, would les systèmes santéfollowing maîtrisent très bienexample leurs coûts. le Denmark’s. Québec dépensait, en santé, comme la Finlande, 7 milliards de dollars seraient In other words, is no 3,5 question that long-term2care and économisés, commethere la Suède, milliards et investing comme lein Danemark, milliards. developing services off. It encourages andForce esthome-care donc d’admettre qu’ilpays est rentable d’investir enpreventive SLD et de care dévelop relieves pressureà domicile. on hospitals emergency departments. From this angle, per les services Celaand favorise la prévention et enlève de la pression the establishment of independent insurance is very good news, since sur les hôpitaux et les urgences. La living mise en place d’une assurance autonomie the projected investments in long-term care and the resulting development représente à ce titre une très bonne nouvelle puisque les investissements of home support services seem to be steps the qui right pressentis en SLD et le développement des in SAD endirection. résulteront semblent vigilance necessary, however, since the development of this êtreOn-going des éléments allantisdans la bonne direction. insurance could encourage privatization of home careleand services, espeToutefois, il y aura lieu dethe demeurer vigilants puisque développement de cially the government for an la insurance plandes allowing cash cette ifassurance pourraitopts favoriser privatisation soinsfor et payment services àofdomiallowances, would the emergence oflea versement “grey market”. Furtherd’allocations cile, surtout siwhich on opte pourpromote une assurance permettant more, home care andfavoriserait support services shouldn’t en espèces, ce qui l’émergence d’unbe« developed marché grisat».the Deexpense plus, le of institutional residential Since is already a shortage of spaces in développement des SAD care. ne devra pasthere se faire au détriment de l’hébergement CHSLDs andPuisqu’on the need manque is growing, residential careau beds to fund the institutionnel. déjàclosing de places en CHSLD Québec et que development of home care and services wouldpas be opportun a bad move. Hébert les besoins sont en croissance, il ne serait de Minister fermer des lits has himself agreed this stance in a number of SAD. his public comments. It d’hébergement pourwith financer le développement des Le ministre Hébert is thatàCSSSs be plusieurs tempted tointerventions fund home care and services seclear, ralliaitthough, d’ailleurs cet aviswill dans publiques qu’il a by closing residential careque beds, is now being down the CSSS du faites. Toutefois, il est clair desas CSSS seront tentés deby financer les SAD Kamouraska. short, we have tocomme make sure theactuellement minister honours his en fermant desInlits d’hébergement, c’estthat le cas au CSSS commitments and Peter s’assurer to pay Paul. du Kamouraska. Endoesn’t somme,rob il faudra que le ministre respectera ses engagements et qu’on ne déshabille pas Paul pour habiller Jean. 1. OECD, Health at glance 2011, 2012. 2. Réjean Hébert, Financer les services autrement, 2011. 3. Stéphane Paquin and Alain Desjourdy, Réforme de la santé pour faire face au vieillissement : la Suède en exemple, 2012. The FSSS has reaffirmed its presence in the Coalition solidarité santé (health solidarity coalition). This coalition includes union organizations and community groups as well. It gives us the opportunity not only to exchange information about the health and social services system, but also to join forces with other organizations and fight our battles together. The Coalition is leading the struggle to abolish Quebec’s health tax and campaigning for entirely public prescription drug insurance. For more details: www.cssante.com. The organization Médecins québécois pour le régime public (MQRP – Quebec physicians for the public system) is supporting Quebec Health Minister Réjean Hébert’s initiative to abolish extra fees charged by physicians. In taking this stance, the MQRP says that they are fighting so that “nobody has to pay such charges to receive medically necessary care, which is covered by our public health system”. To see the press release: www.mqrp.qc.ca. The negotiations between Canada and Europe to establish a free-trade agreement continue. The CSN has publicly denounced the secrecy in which these negotiations are being conducted, when there is every reason to believe that this agreement will increase the power of foreign investors at the expense of our democratic institutions and our sovereign ability to govern in the public interest. To learn more: www.csn.qc.ca/web/csn/communique//ap/Comm29-01-2013?p_p_state=maximized. Researcher Alain Deneault has just published a book about governance, entitled Gouvernance : Le management totalitaire (Montreal, Lux Éditeur, 2013, 200 pages). In this book, he traces the origins of the use of this term by government officials and shows how it has come to misrepresent the basic mission of government. Since this usage has become more widespread, there has been more and more pressure to manage government by the methods of private business, whereas in reality our public institutions must be fundamentally political and democratic. committed to opting for the creation of a regional service, not service contracts (which could in the long run pave the way for privatization of the services). Furthermore, the steering committee has confirmed the creation of a labour-management partnership to carry out the project. VPP PROJECTS IN THE REGIONS Bas Saint-Laurent % The CSSS du Kamouraska’s closing of the CHSLD ThérèseMartin still looms on the horizon in the region, even though the December 4 meeting of the board of directors was told that residents could stay as long as they wanted. But it now seems clear that management lied to the meeting, since its objective is still to close the institution by September 2013, with the support of Pascal Bérubé, the PQ minister responsible for the Bas Saint-Laurent. Furthermore, at the January 22 board of directors meeting, it was impossible for anyone to ask questions about the closing of the CHSLD. The inter-union coalition intends to speak out more and step up its work to ensure that the population can have access to the public service to which it is entitled. % A battle waged by the FSSS union had forced management to keep beds in the public sector at Villa Dubé, in the CSSS des Basques. Liberal MNA Jean D’Amour is now trying to revisit the issue and have public funds used to renovate the institution and reopen it as a private operation. The union will be on the alert for anything management tries to do along these lines. As you may remember, the CSSS, with the participation of MNA Jean D’Amour – a government member at the time – had announced that the building would be sold for the symbolic amount of one dollar. Estrie % Institutions in the region are currently examining the possibility of grouping together services for storing and distributing health-care supplies. As for all the other projects now being examined as part of the optimization of resources in the Estrie, the public alternative is the only one being considered. The project is still being examined, but it would generate potential savings and improve the quality of services, without any loss of jobs. As well, if the institutions decided to go ahead with the project, the steering committee of the Estrie regional table of executive directors has already Laurentides–Lanaudière % As part of the VPP campaign, the regional assembly decided last fall to analyse the AS 471 forms for each institution to highlight “yellow” and “red” signals for each and see whether there were common regional trends. We decided to analyse and use the employer’s data to demonstrate the aberrations that can exist and help each union make legitimate demands. A regional committee was set up for this work. The committee analyses the data for each institution, with one of the objectives being to give all the unions in the public sector a status report on their institution. With the status report in hand, the union can decide what it wants to focus on in a local battle – for example, supervisory ratios in a department, or staff shortages in an activity centre, and so on. The second objective is to analyse each of the reports to identify what they have in common and put together a regional file. All the results will be presented to a regional assembly in early April, when a regional action plan will be discussed. Saguenay–Lac-Saint-Jean % Unions in this region have been fighting for several years to oppose plans for privatization and to safeguard the public nature of services. So far, though, struggles had been piecemeal, within the institution concerned, and more often than now without the framework of a long-term vision. To overcome this isolation, exchange information, make regional life more dynamic and build real bargaining power, the Saguenay–LacSaint-Jean regional assembly set up a regional VPP committee, with a three-year mandate. As well as putting together a regional portrait, the committee will be responsible for seeing that the VPP campaign achieves its objectives at the regional level. The regional committee is composed of the regional vice-president or secretary/treasurer, the union staff representative assigned to the work and four representatives of unions with an interest in VPP issues. % As well, as a result of the VPP training, all the unions in the region are in the process of developing their VPP work plan. In fact, virtually all the unions have VPP work in progress in recent months. .ca sss.qc f . w w w tab % VPP Produced by: FSSS–CSN Written by: Hubert Forcier, Philippe Crevier Illustration by: Boris Design by: France Tardif