My Questions for the Canadian Immigration Minister

November 5, 2022

The Minister announced yesterday that Canada will welcome 500,000 immigrants annually. He said the country needs to move up immigration targets because of the low fertility rate and a million vacant jobs in Canada. But, Mr. Minister, have you fully considered the costs of a sudden surge in immigration, and the impacts on healthcare and housing in Canada?

Canada used to welcome a quarter million immigrants annually, ramping up to 300,000 recently. The number jumped to over 400,000 in 2001 and is likely to approach 500,000 this year.

Immigration policy in Canada has evolved. Initially, immigrants were invited in the 18th century to colonize the west, coming mostly from the British Isles. Central Europeans came early in the 20th century. People coming to work in Canada created the “economic class” of immigrants, and their families followed them (called the “family reunification” class of people). The “refugee” class of people was created under Prime Minister Diefenbaker, who welcomed 37,500 Hungarian refugees escaping their country after the 1956 Hungarian revolution. Sixty percent of immigrants today fall into the “economic” class. India is the source of 32% of today’s immigrants, followed by China at 8%.

Besides economic development, demographics have become a new policy issue for Canada because of our low fertility rate of 1.5%, the replacement rate is 2.1%. So, the question comes to mind: have we tried to influence fertility rates? Many countries have tried it with limited success (Russia, and France, for example). Changing behavior is difficult, so let’s bring more people into the country to boost our population.

But the devil is in the details. Of the two major sources of immigrants to Canada today, India’s fertility rate was 2.1% in 2021 and China’s 1.7%. If immigrants from these two countries continue to follow their culture, they may not help with Canadian fertility rates. But would this flow of immigrants help with the economy?

A target group for the Minister is the science, technology, engineering, and math people (STEM). Yes, we have a million vacant jobs, but most are in the service industries, the hospitality and retail industries, and not in STEM. So this group of immigrants may not help fill the vacant jobs we have in Canada, especially when technology people are being laid off these days (Amazon, Apple, Facebook, Twitter).

A related question I have for the Minister is: what do we do with the one million unemployed people in Canada and another half million people who stopped looking for work? We have one and one-half million people who could be employed. Retraining may make them employable. It may not be in the Immigration Minister’s mandate to solve labor shortages via retraining, but it begs the question: should we look at the unemployed and the stay-at-home people for filling vacant positions in Canada before filling these jobs with immigrants?

And the Minister has not talked about the cost of immigration, except for the benefits to the GDP and the income taxes immigrants will pay. But clearly, immigrants need services like healthcare and housing, provided by lower levels of government. We, the taxpayers, pay all government taxes – federal, provincial and local – so perhaps it is time to reflect on the costs of immigration.

At a time when healthcare is already breaking at the seams with doctors’ shortages and nurses retiring, an increase in immigration will put an additional load on the system. (Six million people in Canada do not have a family doctor. Some emergency rooms have closed due to a lack of nursing staff). You say that, of course, we should target doctors and nurses in the immigration program. Makes sense. But do you realize that both professions require certification by relevant authorities and the reality in Canada is that foreign doctors and nurses must qualify before they can practice?

For example, I had a technician perform an ”ultrasound” procedure on me and I found out that she was a medical doctor from Belarus and took all the Canadian exams to become a doctor but failed to get residency in a hospital required for certification and was forced to take a technician’s job.

Yes, Mr. Minister, we have a supply problem: we need more doctors and nurses and immigration will not provide a quick fix because of certification barriers.

And immigrants need housing. On average, 200,000 housing units are built in Canada annually. The half million immigrants coming to Canada each year could use a few hundred thousand units and drive-up housing prices, especially given the present housing shortage (for example, the Premier of Ontario recently announced a sweeping housing plan to ease the shortage of housing).

Preserving and increasing the value of current homeowners’ units may be good for the homeowners, but difficult for young Canadians who would like to get into the housing market. Has the Minister thought through how the half million immigrants coming into the country each year impact housing markets?

And my questions to the Minister would not be complete without asking about “absorption rates” for immigrants in Canada. Absorption refers to the ease with which immigrants assimilate or integrate into Canadian society: get a job, acquire housing, have their children in school, and become a part of their local community.

Ethnic groups like to settle near each other for comfort. When a large group of immigrants settles in an area – that often happens – ghettos may result and integration into Canadian society may take the back seat. Has the Minister studied how many immigrants can Canada absorb annually?

There are costly impacts on education and social services at the local level when immigrants arrive. Teaching the official languages of Canada to immigrants is a significant cost for school boards. For example, Quebec has 23% of Canada’s population and could take up to 117,000 of the 500,000 immigrants, but the Premier said their capacity to teach the French language is limited to 50,000 people annually. Has the Minister discussed how many immigrants each province would take?

I am for immigration; I was an immigrant myself and found my journey to assimilate into Canadian society has been challenging but tremendously satisfying (it never stops). But I ask the Minister whether he has thought about the impact immigrants will have on our healthcare system, our housing situation today, and our experience with integrating immigrants successfully into our society when suddenly we’ll receive a half million newcomers each year.

Democracy in Action

October 23, 2022

On August 24, municipal election signs sprouted in Ottawa faster than flowers in the spring. Like overnight. They set the election for October 24. The candidates heavily sprinkled all major street intersections with signs in assorted colors. And there were a few humongous signs, noticeable from a distance; the candidate probably thought a few large signs are as good as numerous small ones.

I have followed the candidate debates in the media and in person, and I attended a meeting with the local ward candidates organized by my community association. My local candidates avoided arguing with each other at the request of the moderator, making it less of an interesting meeting except for a few eruptions when one candidate threw mud on another one.

Then I attended a larger, ward-wide meeting with all the local candidates, which attracted up to a hundred interested, and polite residents. I could almost read the attendee’s priorities from their comments – they were homeowners wishing for no property tax increases. As well, they expressed concern over densification via high-rise development and attendant construction with all the mess that comes with it. So the key issue to these attendees was to conserve the single-family residential character of our ward by preserving the R1 zone.

Although lip service was paid to affordable housing, the attendees had only a passing interest in the subject. They were homeowners.

Judging by the age of the participants many retired, with a car at home – better bus service, or the construction of the light-rail transit (LRT), serving downtown were of mild concern. Especially considering that direct access to the LRT will be very limited for most residents of Ward 9.

Most candidates seemed to echo the attendees’ sentiments, hoping to garner support.

But these local objectives within wardscreate hard choices for the mayoral candidates who must deal with housing and transportation issues. For example, ridership pays for only forty-five percent of the city’s transportation budget. Should fees be raised? One candidate proposes to provide free transport for all people under seventeen years of age; that would create additional costs for the city’s transportation budget.

The two leading candidates have published detailed plans for housing, transportation, the environment, the economy, and the growth of Ottawa. With few exceptions, I found a large overlap between the two candidates’ proposals. For example, there is talk about net-zero buildings, electric buses, and the LRT in the campaign literature of both candidates. The differences are in the way the proposals would be implemented.  

The leading mayoral candidate in this very close race is a two-time councilor who calls herself “they”, and proposes to increase the city’s budget by ten percent, which includes a plan for a 250-million dollar build-out of a bicycle system for Ottawa. Considering that Ottawa is not a bicycling town for six months of the year, this is a questionable proposal at best.

The other leading candidate has never been a publicly elected official, comes from a business and media background, and promises to keep the property tax to the two to two and a half percent annual increase. And he proposes a “balanced” transportation budget, improving streets and addressing the inadequate bus system.

I believe the choice between the two leading candidates comes down to additional spending versus fiscal discipline. And I think your voting preference most likely wouldfollow your stage in life. If you are young and live in an apartment with limited resources and starting a family, then you would be interested in affordable housing and bicycle paths, and good urban transportation. If you already have a house and a backyard for your children, or are an empty-nester and maybe retired, then you would be interested in keeping property taxes at current levels.   

And again, there are the candidates ’personalities and backgrounds that may be important to voters. One is a Centretown activist whose platform reflects the values of downtown residents (either single, childless, and most likely apartment dwellers), who have also declared that they (she) would accept no donations from developers. The other leading candidateis a family man and marathon runner with a long history in the volunteer sector who has yet to disclose his donation list.

There is a real choice for Ottawans between two candidates in this election. One is a “progressive” leaning towards additional expenditures for city services while the other one is more to the middle, leaning towards fiscal discipline. I believe demographics and voter turnout may be decisive factors in who will win.  

Experience with Doctors and Pharmacists

September 10, 2022

In late August at the cottage, I had a few cups of black coffee before breakfast. Soon after finishing my coffee, I felt queasy and dizzy. I had to lie down to get my mojo back; it took a few hours to get rid of the dizziness.

The next unpleasant experience occurred during the drive home from the cottage, when I suddenly felt like blacking out, with my vision blurring and experiencing weakness. It took a few deep yoga breaths to get my composure back. Fortunately, I was on the passenger side.

These scary experiences led me to an urgent visit to my medical clinic. There, the nurse practitioner gave me requisitions for blood testing, a Holter monitor (heart monitor) for seventy-two hours, a stress test and an ECG.

The next morning, I still felt dizzy and that made me go to an emergency room (ER) where they put me thru a thorough blood test, urine test and an ECG. After six hours the emergency doctor gave me a clean bill of health and suggested that I follow up with my family doctor should I continue to experience dizziness.

If my heart is all right, what might cause the morning dizziness (by the afternoons the dizziness subsided)? I became suspicious of one new pill I take, prescribed for me a few months ago, and I stopped at my pharmacist to check if some of the meds I take may work against this new pill. The pharmacist found this pill contradicts in its effect with another one I take and recommended a change to one of them. The next day I saw the prescribing doctor, who immediately agreed with the pharmacist’s  advice and gave me a substitution, another pill.

In some ways I was stunned the doctor did not question the advice from the pharmacist at all: but it made me think, do doctors know and understand what they prescribe? What damage could wrong prescriptions cause to patients?

My appreciation for pharmacists went up a few notches; they are knowledgeable of pharmaceuticals and decided that they know more about meds than doctors.

Based on the results of my visit to the ER, we decided to follow up on our vacation plan to go to Myrtle Beach, SC, and meet with family for a few days. It was a two-day trip, and we enjoyed the vacation until I received an email to phone my medical office immediately. When I contacted them, they told me to go to an emergency department ASAP. It was a terrible downer for me, and I asked what the cause or the reason was for going to ER, ASAP. I explained that I was in South Carolina and despite my Canadian medical insurance, it could be an expensive affair. I talked with a nurse at the clinic who did not know why I should go to ER immediately but promised to email the doctor to find out the reason: what was I going to say to the local ER, what was wrong with me which brought me to ER?

The nurse responded by email in an hour, and repeated that I should go to ER and attached two reports and told me to print them out to take with me – the results of the ECG and the results of the Holter report. We consulted with two acquaintances, both doctors, one is an ER doctor, and sent them the Holter report and the ECG, which they found not super urgent to attend to.

Confused by all these views, we decided to see how I felt the next day and still feeling bad in the morning we decided to drive home.

The next phase of my adventure was even more strange; we went to a different hospital ER in Ottawa, where I went thru all the testing again only to be told the Holter and ECG reports did not justify leaving our vacation early. This ER doc consulted with a cardiologist, so the news I received was very comforting to me.

So, what do I make of all of this when my family doctor says I am in dire need to visit an ER and two other docs and a second ER visit give me a clean bill of health? One must conclude that the medical advice from my clinic was misguided or plain wrong. Perhaps the attending doctor on duty at my family clinic was not fully knowledgeable how to interpret Holter monitoring results?  But why did he/she not call me to explain why my situation was bad? Is this expecting too much?

But, if I had gone to a local ER in the U.S. and if they had found my visit unnecessary, my insurance would not have paid for the visit, potentially costing me thousands of US dollars. And it may have given me a black mark in my record for future travel insurance, having a heart issue identified, even if it was wrong.

I think it was wrong of the attending doctor at my clinic not to check with other doctors or a cardiologist before ordering me to visit an ER, ASAP.   But, perhaps more importantly, he should have communicated in person, by phone, to tell me the “dire” news.

Although I felt much better being at home, I still felt a bit weak the next few days in the mornings, and now I was beginning to suspect that it must be my meds that are the problem, since I was fully examined and tested in two ERs over a two week period. So, what do I do? I looked at my meds again and talked to two pharmacists to check out how my meds may interfere with each other and what side effects they may have.

Both pharmacists immediately identified that I should not take two of my pills at the same time and suggested that I take one in the morning and the other in the evening. Not rocket science if you know your pharmaceuticals.

Lessons learned: do not immediately believe what your doctors tell you; ask for explanations. And check with your pharmacist regarding your pills. My appreciation for pharmacists had jumped astronomically after these recent experiences with them.

Mixing of the Races?

August 17, 2022

Viktor Orban, the far-right Hungarian Prime Minister, said “We, Hungarians, are not a mixed race…and we do not want to become a mixed race”, in a speech in Romania, in July 2022. I thought his idea was pathetic nonsense. But wait. Let’s examine what his consequential statement means.

The Huns occupied Hungary over a thousand years ago. Since that time, and also because Hungary is the crossroads between Asia and the west, hordes from the east have invaded and trampled on its land many times. As well, the Germans and Russians occupied it recently. No question that intermarriage has happened, witnessed by the names in Hungary and words borrowed from the Turkish, French, German people, and others. Hungarian people today have a rich ancestry of people from many countries. There are Polish, German, and Hun names in my ancestry, among others, but we called ourselves Hungarian. So what does Orban talk about when he says that Hungarians are not a mixed race?

In the same speech, Orban also said “countries where European and non-Europeans mingle were no longer nations”. Aha! Now you say that Orban is OK with the mixing of European people but not others. Who could these others be? He meant African migrants who came to Europe over the past ten years. And, of course, Africans are Arabs and Blacks and many are Moslems. They have different skin colors and religions. He is against these people coming into Europe: there can be no other interpretation of his comments.

The reaction to his comments was swift both in Hungary and in Europe: he was called racist and his statement was out of the Nazi playbook on racial purity.

We can identify race as humans with similar and distinctive physical characteristics, such as skin color or hair texture. But race has no specific identifiers in the human genome. There is only one race: “homo sapiens”. Altho race is a social construct, it has developed connotations for social exclusion, discrimination, and violence towards certain social groups. We often express it in a social hierarchy with white-skinned people with privilege over darker-skinned people.

Unfortunately for Orban, the trend does not support his thesis: the trend is toward increasing interracial marriages. Partially, it is because of migration patterns, people move from Africa to northern locations. It is also because of increased educational levels; with higher education, there is less prejudice. Sometimes it results from the lack of available partners. For example, many men perish in wars, and the incarceration rate among blacks in the US is high.

In Canada, five percent of marriages were interracial, according to the 2011 census. The rate was ten percent in the city of Vancouver. In the US, over eight percent of marriages are interracial, while ten percent of marriages were interracial in 2015. In Honolulu, forty-two percent of marriages are interracial, while in Las Vegas it is thirty percent and in Santa Barbara, CA, it is thirty percent.

There are many people with mixed-race parentage. Just think of President Obama or our own Governor General Mary Simon. My older brother married a Chinese woman from Hong Kong. Peter and Angela had lived in Hong Kong and Toronto. The family accepted and got along well with Peter’s wife. I enjoyed the diversity Peter brought into the family. You may know some people, in your family or outside, who married someone of another race. So what the hell is Orban talking about? The future is already here; interracial marriage is now.

Interactions with the City of Ottawa

July 17, 2022

I witnessed a bylaw officer exercising his power by writing a ticket for a car pulling away from the curb, occupied by a hurried mother dropping off her child at day camp. On the same day, I also experienced an unbelievably friendly outreach by OC Transpo. Let me describe my day.

Although bylaws are necessary, and I support them, sometimes I find them heavy-handed when enforced to the letter of the law. A case in point is a situation I witnessed yesterday dropping off my granddaughter at a soccer camp by the University of Ottawa, which upset me to such an extent that I wrote to the Mayor of the City, Jum Watson, about it.

“Jim, I witnessed an outrageous incident this morning. Dropped off my granddaughter for soccer camp at the University of Ottawa Minto field on Templeton this morning when one of your meanest and nastiest bylaw officers wrote down the license plate of an unfortunate parent, going to work after dropping off her child. Yes, she was in a no-stopping zone and yes, the officer did what they pay him for. But…

Parents have to walk onto Minto field with the child to register, so one has to park and walk the child to the field, which takes a few minutes. Now I have the time to park a block away and walk back to register my granddaughter, but many parents work and try to drop off the child by putting on the flashers. This poor woman I saw running back to her car and getting in while the bylaw officer wrote the ticket. She drove away, and the officer was still writing the ticket. What a mean-spirited attitude!

I wrote this in the heat of my anger but received the following reply:

Thank you for your correspondence. Your feedback and concerns are always appreciated. I have shared your feedback with the Mayor and his staff for their review and consideration.

There you have it. Courteous and brief but will go nowhere. Perhaps they will copy their human resources group to train bylaw officers to use their power judiciously, considering the individual situation.

The same day, my granddaughter discovered double-decker buses in the city when we drove to her soccer camp. She wanted to ride one. Not knowing which routes these buses run and at what time, my wife contacted our local councilor, who referred our request to OC Transpo, the agency running the bus service. In a couple of hours, we received an email:

 “Hello, Katherine. Thanks for reaching out. We have an idea that might be the most flexible in your needs to get your granddaughter on a double-decker bus. I understand why she likes them. They are very different and fun to ride. It would be much easier to talk a plan through by phone. Please give me a call at your nearest convenience and we can discuss it. “

The upshot of the phone conversation was that a transit supervisor met us at 5 pm at Baseline station and flagged a double-decker bus for us, shepherded us into the bus, and recommended that we take the bus to the end station and wait and come back on the same bus, which took a different route to where we parked our car. The supervisor suggested we sit on the top deck, on the left, so that we can enjoy the view of the Ottawa River. We had a scenic ride that the supervisor recommended, almost a tour of a part of the city. My granddaughter was beside herself.

This was much more than we expected; all we wanted to know was where and when the double-decker buses run so we could take a ride on one. OC Transpo went beyond our expectations to assist us.

Lessons learned? The city provides numerous services; do not judge its performance by any individual activity. In one case, the city was client-oriented, while in the other, it was not.