For Covid: are governments going nuts in Canada?

January 2, 2022

Do you remember when two vaccine shots solved the current Covid epidemic? That was early in 2021. Well, that became, in late 2021, the three-shot solution. So now we all have to have three shots to avoid Covid. But lo-and-behold, there is talk about a fourth dose of the vaccine, starting with vulnerable people. OK. Why not just say that we’ll need an annual shot?

Another government recommendation is to get tested. And the government distributed free test kits in December. They were available; I understood, at the local liquor stores. But when I tried to get some, first it was not available at all the LCBO’s, and second, by the time I discovered where it was available, I was told all the kits were gone in one-half hour. I asked myself, why should I have a test kit? The government suggested that if we get together with friends, we may check ourselves to discover if we are virus-free. If not, then we should not socialize with our friends. Sounded like a good idea but the supply of test kits was insufficient. Again, why suggest testing when the product is not available in quantities to satisfy public demand?

And last week, the Chief Public Health Officer mused that the masks we have been wearing are not good enough and we should wear medical or surgical masks, the N95s. So of course, I looked up where I could buy some of the N95s only to find out that they are sold out at pharmacies and even at Amazon. Again, a government policy is promulgated that cannot be implemented because the product is not available? Do these government policy wizards live on our planet? Should they not test-drive their policies before implementation?

Triggered by Covid

December 13, 2021

I was walking along the street towards some people when they suddenly crossed to the other side. Surprised, I wondered if I looked unwholesome or unshaven or what. Why would people avoid me by crossing to the other side? Were they afraid of me? No, I decided it was Covid. They wanted to avoid me. And they wore masks. Aha! That was the key. Now, my understanding was that outdoors was reasonably safe, and just walking by people a few feet apart would suffice. At any rate, I had read you had to spend fifteen minutes talking to someone close to get infected by airborne particles. But the experience of meeting people who avoided me on the streets has become common and was triggered by covid fear.

Coming home, I met a neighbor, working in his yard instead of being at work. He explained he worked at home now but he was waiting for his secure computer set up in his house, required for his work. He said working at home seemed great at first. But by now, waiting for his secure computer, he was getting extremely bored. Later on, I learned that the installation of the secure software took over three months.

I discovered the neighbor across from me also worked at home. He found this arrangement convenient and more efficient than working in the office, he said. He confided in me he would never want to go back to the office, having his secure computer installation at home. I noticed he was busy fixing up his house, with contractors coming daily. I wondered if he found more free time during work hours at home. During a subsequent discussion, I asked him how staff meetings were held. He explained that there were many “team” meetings on the computer and the system worked well; people sometimes did not show themselves on the computer; they were in their pajamas, but that was alright with him. I asked if he had some turnover in staff. Yes, he affirmed, and he proudly described that he hired some people remotely whom he had never met in person. To me, this was quite astounding; I always thought that one would hire people by personal interviews. But the world has changed. Hopefully, the performance of these people in such an organization can be judged by the quality and amount of work completed remotely.

There is no question working at home is popular with many who advocate this new working model. But I think there may be limits to remote work. First, not all work can be performed remotely. Consider dentistry. Second, there is something to be said for teamwork, for getting to know your fellow workers, for exchanging ideas with, and learning from, them as well as getting to know what else is going on in the office outside your tasks. And teamwork inspires loyalty that can lead to cooperation. I could write about the benefits of teamwork, cooperation, and the exchange of ideas at the cooling fountain. But working at home is a popular practice for many companies; it saves on office space.

But covid went beyond isolation, resulting from the fear of infection. When it became possible to see friends with the loosening of the rules between surges, in our backyard and properly distanced, one friend came clothed close to a hazmat suit. Fully covered, including gloves, he sat down and refused to touch the food offered, explaining that he had just eaten. It was early afternoon. It was obvious he was stressed. At another time, we sat out in our very open backyard and he brought his drink and a bottle opener so that he would avoid touching our equipment or bottle. And of course, he did not touch our food offered. He also proudly explained that he does not go to the grocery stores anymore; he orders all items online and the delivery cost is minimal. The purpose, he said, was to avoid people and touching objects. This is what covid did to us: isolation by desire, that grew into the norm.

We do not order food from grocery stores; we have kept going to stores with our masks, use hand sanitizer, and distance. We have not found these requirements onerous except during the cold winter months when with capacity limits in stores; we had to line up outside. The line-ups have allowed us to socialize with people and share our misery verbally. And the stores created graphic footprints on the floor, inside the stores, to show distancing, leading up to the cashiers. I found the footprints pleasing for the eyes and relaxing to know we were following safe practices.

Arguably, the most important in the fight to tame Covid was vaccination. With huge fanfare, when the vaccine finally arrived in Canada, governments announced a schedule, according to age and health condition. With military precision, governments established locations and provided time-slots for appointments. We all jumped on our computers to sign up for a jab. When opened, the government computer system was so overwhelmed that it broke down in the first half-hour. But in time, we all got our vaccines.

I found it interesting that in contrast; the US had the pharmacies and stores deliver the vaccinations with no appointments. People just lined up at Walmarts in the US; sometimes loudspeakers in Walmarts advertised vaccines were available. Not in Canada. We had a huge government infrastructure of people directing traffic at vaccination sites, and we all had to have appointments. And the government still follows the appointment model, although I just went to a pharmacy in Ottawa and received my booster shot with no waiting at all; I made an appointment at a community center for the booster on the government system, but discovered that I could get my booster sooner and with no waiting at a local pharmacy.

I found the elaborate delivery system matched in complexity the continuously changing policies opening up, and constraining, people’s mobility. With surges, government agencies locked us down. With better infection figures, the opposite happened. It was frustrating to find restaurants and my gym open up and close in a matter of days. Was this constant change useful? Could the governments not take a more nuanced approach and gear policies towards specific regions? Where the virus was virulent, closures would have been relevant and where the numbers did not warrant closures, facilities could have stayed open. I suspect the governments did not want to publish where the virus was spreading, making people avoid those areas. I also suspect that the troublesome areas had a high density of people with lower educational levels and those who could not speak English. It would have been politically incorrect to identify these people.

And there are the anti-vaxxers. I cannot understand them. I heard all of their theories: the vaccine is yet to be proven; the government can not mandate what I can to my body. And some think they are invulnerable and never get sick, like the roofer who put a new roof on my house a month ago; he said that he works outside and never gets sick. I do not buy any of that. I am outraged that those who do not get vaccinated and spread the virus dictate to the rest of us to stay home because they did not get vaccinated and the virus keeps spreading by them. It is time for government-mandated vaccination. This is a public health issue and not a political or philosophical matter. We do not question seat belt laws. We follow smoking regulations. So why not make covid vaccination mandatory?

But Covid triggered some positive effects: I learned to use the QR code system. We went to “Local Heroes”, a popular restaurant chain in Ottawa, and instead of a menu, they had a note on the table to download the menu via the QR code provided. New technology for me. Luckily, I have a cell phone and downloaded a QR code reader, but doing the actual download of the menu overtaxed my mind and the waitress came to help us. Clearly, this is an attempt to avoid touching a menu. The waitress explained if we use a menu, she has to clean off all the surfaces for the next customer.

Another positive effect: we have had no colds in a year. Isolation certainly helps with avoiding viruses. And staying home helped with cleaning up the house and improving some furnishings. While the Covid rules were restrictive and isolating, there were some positives: becoming more computer literate, learning about screenshots (proof of vaccinations needed to visit restaurants were required and I took a screenshot of the government issued certificate to show entering premises where needed) using QR codes, and socializing via zoom. meetings.

border crossing, coming home

December 5, 2021

Border Crossing, Coming Home

The Canadian Border Services Agency (CBSA) officer yelled at us to put our masks on; we had just driven up to the port of entry from the United States to Canada at Prescott, Ontario. Having driven eight hours from Pennsylvania, we were tired. As well, we thought that the crossing would be pleasant and quick since we had seen no one on the highway leading to, and on, the international bridge to Canada, and our “ArriveCan” forms were completed and submitted. But, when we arrived down the slope from the bridge to the gates, we noticed two lines of cars, maybe ten in each line. And the lines were going through the border very slowly, ten minutes for each traveler. I was getting impatient with the wait since we had our two vaccinations each plus negative covid test results from a couple of days previously: all the requirements for a quick crossing.

When we pulled up to the window, the officer yelled at us and said if a health inspector were present he/she would give us an $850 fine for not wearing masks and he said he was doing us a favor by explaining the requirements at the border; his brusqueness took us aback and we retorted no signs were saying to wear masks driving up to the kiosk where he sat behind glass. Well, that triggered another out-pour from the officer lecturing us that the law is clear and is on the travel website and it was approved by Order-in-Council! There you have it. I tried to digest all this info while putting my mask on. Kathy was driving, and I sat on the passenger seat, I was clearly over the required distancing from the officer, but he said that all of us in the car should be masked. Fortunately for us, he said a health inspector was not present to give us a fine. But I wondered if the CBSA officer had the authority to write a ticket and if not, why bother blasting us. The point could have been more politely expressed. And he would not even acknowledge that a sign could be useful for people ignorant of this requirement.

The officer wanted to see proof of Kathy’s vaccination papers from the Ontario government. He said he could not decipher the writing on the picture of Kathy’s vaccination certificate she took the night before in a hotel. Then, after responding to the standard questions whether we bought cannabis, tobacco products, had firearms, and/or carried $10,000 in cash on us (we said we wish we had the money), he bade us goodby. He was doing his job. Right? Although the experience did not generate a warm feeling in us crossing the border, we were through in a few minutes.

Driving away from the gate,  I realized that he never asked for proof of having a negative covid test done during the last seventy-two hours. The “ArriveCan” form asks if one has had a test, but it does not ask for the results to be uploaded to the form. And the officer at the border never asked about it. So why do we have to have a negative test when its proof is not needed to enter Canada? I guess it is an honor system.

I remember a few years ago, the border agents used to say “welcome back to Canada”. Not this time. This time, it felt like a humiliating experience being told off and lectured to. On the way home and the next day, I searched the internet for hours for the policy on masking at border crossings with no success. Now I do a lot of research on the internet so I was not new in uncovering information. But I could find nothing; I went back to the “ArriveCan” form and the principal item upfront is a warning not to pay anybody for helping with filling out the ArriveCan document. The text states forcefully that there are fraudulent websites and that we should only look for the canada.ca website which provides the form free and also provides help if needed. I wish the CBSA would go after the fraudulent websites and have better communication skills with average Canadians who may not even understand or know what an “Order-in-Council” is and put up a simple sign at the border that a mask should be worn when approaching the kiosk. How difficult would that be?

The Illusion of a Bilingual Canada

November 13, 2021

The Illusion of a Bilingual Canada

The Montreal Forum was rocking with the Canadiens’ followers, hollering with every goal the team scored. My French teacher accompanied me so that I could get a better understanding of Quebec culture, not least of which was the buzz at the game. Not that I had not seen a hockey game before, it was to learn hockey expressions in French. My presence at the game was courtesy of the Canadian federal government. They sent me to Montreal for a three-week intensive course to learn French one on one with the teacher. Thank you, government.

The official bilingual policy mandated all federal government managers, where I worked, to communicate with a subordinate in his/her chosen language (the Official Languages Act was enacted in 1969). So, from a simple supervisory level up to managing hundreds of people, you had to learn French. It was part of the job description.

I am not convinced that the cost of my French education was an excellent investment by the government. They hired me based on my skills. And even when I tried to speak French, employees responded in English. To fully communicate on technical issues, conversational French was not sufficient. I often felt guilty when on language training, thinking that I was not performing my job but enjoying myself learning and socializing in French.  

I had lived in Canada for many years before I experienced the French fact: the political sensitivity in dealing with the two official languages of Canada. In Vancouver, where I had lived for several years, if I heard a language other than English, it was likely Chinese. French simply was not an issue.

After studying and working in the U.S., I came back to Canada in 1971 and applied for a job in Montreal. I thought Montreal would be a great city to live in, having visited Expo ’66. It was disappointing to find out the lack of French language knowledge was a barrier to employment with the City of Montreal. With its large English population, I thought a knowledge of English was a useful skill in Montreal. Not so if you wanted employment with the City. They did not even ask if I was willing to learn French!

My next experience looking for a job in Canada provided additional insight into dealing with official bilingualism. When Central Mortgage and Housing Corporation (CMHC) offered me employment in Ottawa, they invited me to meet staff and asked me to give a brief talk on myself. When I stood up to speak, someone whispered to me to be sure I say a few words in French. That stopped me cold but had the presence to ask what was this about. I was told that it is a courtesy to say a few words in French before I give a talk in English.

Surprised, my mind worked overtime to discover what words I knew in French. I ended up with a “bonjour, tout le monde” and followed in English. Later I inquired about this custom and learned it is important to recognize the linguistic duality of Canada even if there are no francophones in the audience. If there were any French-speaking people at my presentation, they were bilingual, because bilingualism works both ways. I thought it was a gratuitous gesture and, had I been a francophone, this shallow and artificial pretense of recognition would have insulted me. But that was the accepted and expected behavior, and it still is in government circles.

When I realized the importance of knowing French in my governmental career, I signed up for all the French courses offered by the government. Some of these courses were fun, taught by well-qualified teachers, while others were boring focusing on grammar. I remember one ex-nun who could not speak a word of English and spent all the time on conjugations and memory work. By the end of all my courses, my French improved substantially. These courses improved my French reading skills, but I still needed practice in speaking. That is how I ended up in Montreal for three weeks with a private teacher.

Although the government program was aimed at creating a bilingual environment, the language of work remained English. Only twenty percent of Canada’s population is French-speaking; most of them live in the Province of Quebec. So providing service in French outside Quebec has limited usefulness.

I found the whole language program more of a cultural enrichment than a necessity for my work. Others considered the language program a benefit to the francophones in the Ottawa area, where I worked. Promotions favored bilingual people. People living outside the province of Quebec faced an enormous challenge in obtaining positions and promotions with the federal government.

My memory awakened last week when the CEO of Air Canada gave a talk in English only in Montreal and was nastily attacked by the media. The attack was followed up by local and federal politicians calling his speech an insult to French-speaking people. The Prime Minister commented on the inappropriateness of the speech. Yet, a few months ago, the Prime Minister appointed a Governor-General with no French knowledge. Oops, sorry, the GG gave a bilingual talk at her acceptance speech: it was in English and Inuktitut. She is considered a native person and a woman. She checked out two boxes on the virtue-signaling scale.

The Governor-General represents all the people of Canada while the CEO of Air Canada manages an international private company. The CEO’s talk gave a boost to the company’s stock price, showing his mettle in managing Air Canada; the reason they hired him for the job. What incredible hypocrisy by the politicians!

I still think that the federal bilingual policy is expensive, creates divisions among the employees with limited usefulness. What do you think?

Reduced Access to Our Healthcare

November 7, 2021

Reduced Access to Our Healthcare System

On the last day in Myrtle Beach, my wrist started swelling and became painful. What made it more painful was changing a flat tire on the road trip home on Interstate 40 going towards Raleigh. I heard a pulsating noise from the back tire: I thought it was a rock caught in the tire grooves. But the noise increased and came closer and closer until I told Kathy it sounds like a helicopter that was about to land on the roof of the car. I stopped and exchanged the flat tire mostly without using my left hand, which has become quite weak from the pain in the wrist. I suspected it was a spider bite and considered going to an urgent care clinic in North Carolina but delayed it, knowing that we’ll be at home in a couple of days and then I would see my family doctor.

We arrived back home on Friday night. Early Saturday, when I called, I discovered our clinic was closed on the weekends. The mission statement of the clinic claims the provision of a: “patient-centered approach that ensures access promptly”. This must be creative writing, since there was no service on the weekends. In response to my subsequent inquiry, they advised I should go to a walk-in clinic or the emergency ward of a hospital when they are closed. OK. My recently retired family doctor always had a backup.

Since by then my hand was extremely painful, my next task was finding an open clinic. So I went on the internet and searched for area walk-in clinics. I found out that some required appointments altho they were called walk-in clinics. Doctors were on duty at different times, but not on this Saturday.

Carlingwood shopping center had a clinic that I visited previously and drove over there. They told me they deal with only “their” patients, the clinic had capped their clientele and they would not see me. At the next walk-in clinic, I saw no receptionist. One other patient was waiting for consultation; he told me he saw no one when he came in but there was a doctor behind the walls. I was not sure how he knew that, but I waited, so together we waited and waited. Other people came and left after seeing no one at the reception desk. After an hour, I left as well for the next walk-in clinic at College Square where I was told they were fully booked for the day, but they took my contact info to have a doctor call me after 4 pm. He did and prescribed an anti-inflammatory. It took the entire day to get healthcare.

With the swelling gradually going down but still concerned, and afraid a walk-in clinic would not alert my family doctor about my treatment, I contacted my family doctor on Monday. They informed me she was fully booked that week but offered a virtual initial appointment with a substitute. The virtual consultation was very difficult: trying to describe a swelling verbally. I could not understand why they would not see me in person, but the remote consultation was the best they offered that week. It resulted in a requisition for an x-ray for arthritis and a prescription for an anti-inflammatory. The anti-inflammatory worked its magic in over a week, but I never heard back on the results of the x-ray! Some healthcare.

My access to general healthcare has changed substantially over the last few years, starting with the retirement of my family doctor and my switch to a group practice. The retiring doctor had a paper file on me over an inch thick and he had known me for decades and could just about to see what was wrong with me when I walked in to see him. My new doctor at the group practice had an introductory meeting with me when we met. I was surprised to learn that she was not interested in my files; No, she said, she does not need my previous history. She sat behind a computer and was typing on it more than looking at me sideways.

This new relationship with my family doctor is via the receptionist at the group practice: I write a note to the reception desk that I need an appointment and specify what my problem is such as pain. Reception transmits the email to my doctor, who responds sometimes a week later. The response could be to arrange for a virtual or physical meeting or I receive a requisition for tests or an x-ray. It may be a week or weeks before the results of the tests are in and I receive an email from reception telling me how the doctor wants to follow up.

If the follow-up is a physical meeting, a fifteen-minute consultation is arranged. I found these meetings are too short; by the time the doctor logs into my file on the computer and catches up on my situation, the useful time is less than ten minutes.. There is no time to discuss lifestyles or bring up other medical issues. The tone of these meetings is transactional and specific: I should follow this or that diet, monitor my blood pressure, and report back to her. Until a few years ago, the government paid for an annual check-up which provided the opportunity to have a wide-ranging discussion about my health. I find these new consultations limiting, leaving no opportunity to discuss issues that I have. When I brought up some other potential problems at one of these meetings, she advised me to set up another meeting. The fifteen-minute consult is to review and solve one problem. This way of working may result from how doctors get paid by the government. But is this “patient-oriented” care? When do we get an overall view of my health?

I mentioned to a hematologist friend my belief that the quality of healthcare in Canada is going down. She said that may be true for the general practitioners since Covid appeared a couple of years ago: family doctors have had to develop safe systems to deal with infected patients that limited access to them. The same theme was echoed by friends who all expressed frustration with accessing medical care in recent months. Access to healthcare has been reduced over the last couple of years. Just my opinion. What do you think?