Admin at Windsor Addictions RAAM Clinic posted:In discussing the effect of closing the LHINs and creating the 35 MY CARE AGENCIES we also need to consider the fact that in addictions especially, the funded model is contracting out many functions to NPOs that are registered charities. Should the government funding terminate to a registered charity because the decisions will be made by the local politicians under the new system, there will be a greater burden placed on those funding the private donations.
Sustainability of a registered charity will be determined by political alliances.
The formerly LHIN funded staff will loose seniority because they will be forced change employer under this new system.
Many years ago I was the auditor for both the regional and local municipal library. I wondered why the Real Estate was being sold off and checked to see who was on the board of directors. To my surprise there were 3 city counselors on the board and 3 appointed members. The legislation allowed this. We should assume that the same thing is going to happen with the MY CARE AGENCIES.
The intent or is it rhetoric of "local decision" in the context of closing the LHIN's is now framed as occurring with the care groups/organizations? This will cloud, fog accountability measures I think as when was the last time you were able to have an organization's Board shift beyond their own silo and organizational imperative of, "everything is going well?"
Its interesting if we can step out of the immediate push and pull going on to note that the former government with its new funding plan for the ministry was going to put $'s into researching and advancing health governance, recognizing that its important to address this. It would be useful to somehow get our hands on the policy papers of the ministry that were informing this direction. It could help us further with setting the context.
Anyone good at "access to information requests" though what would be more useful to dialogue on the topic would be to have someone from the ministry of health simply post/share it somehow. Ok, so much for my understanding of realpolitik and "open governments", which btw in my mind applies to governments of all stripes, at least at the moment. Still it is fun to aim for.