Just A Short Note

                                
Few would disagree that having suffered a severe vaccine reaction would justify caution about subsequent injections. Fortunately, that exemption, in the case of Covid-19 vaccines, has only very, very limited application, one that, if the doctors are doing their jobs, will see the success of newly-announced mandates and certificates. 

In an email sent to members Wednesday, the head of the College of Physicians and Surgeons of Ontario (CPSO), Nancy Whitmore, said doctors are receiving “unfounded” requests for medical exemption notes to vaccines that would allow them to continue working in settings where COVID-19 vaccination is mandatory or, soon, get around Ontario’s newly announced vaccine certificate requirements.

Only children and those with a doctor’s note will be exempt from the rules.

“We need to ensure we are only allowing COVID-19 vaccine exemptions in the few situations where they are warranted,” Whitmore wrote.

Those situations are very few, the email goes on to say. Two valid reasons are if a person had a severe reaction to a previous dose of mRNA vaccine, or if a person had a case of myocarditis following a vaccine. Both are extremely rare.

Whitmore wrote that all doctors’ exemption notes need to clearly state the reason for the exemption, and the time period of the exemption, as it may not be permanent.

In additional guidance posted on the college’s website, the CPSO wrote that doctors, who are typically required to fill out third-party medical forms for patients, are not required to write exemption notes for illegitimate reasons — and should not.

The College's final advice is earnest and clear:

 “If you find yourself in this situation, clearly and sensitively explain to your patient that you cannot provide them with a note or form, along with the reasons why.”

The advice proffered by the Ontario College of Physicians and Surgeons rests upon the assumption that doctors will remember and act upon the most sacred injunction of their Hippocratic Oath: Do No Harm.

We live in hope.

Even Dogs Have More Self-Control

Today, I was going to post about the rabble stalking Justin Trudeau on the campaign trail. However, I became depressed at the prospect of writing about humanity's dregs. Therefore, because words fail me, I leave you with this story about equally appalling 'human' behaviour and a caution that you use your discretion in watching the accompanying video.

A disgruntled customer at a Dairy Queen in Port Alberni, B.C., took out his frustration over being told to wear a mask by relieving himself in front of staff at the counter.

The incident was captured on camera and appears to show the man urinating on the counter following an altercation with restaurant employees.

In the video, the man can be heard arguing with staff and refusing to wear a mask before he unzips his pants.

Staff can be heard shrieking as the man begins to relieve himself.

The video was recorded by a customer and was shared with CTV News by his friend.

The RCMP say the incident happened around 9 p.m. Saturday. 

Pondering The Imponderables

 

H/t Greg Perry

I am one of those people capable of holding two opposing notions in my head. I think the federal election is an unnecessary expense and risk during this pandemic, and blame Trudeau for it. I also, however, sympathize with his having to contend with the rabble intent on following him around to disrupt his campaign and threaten him.

In this post I shall only deal with the first notion.

My immediate thought when the election was called was that Trudeau would be facing a cranky electorate, and the polls are bearing that out. Although I probably follow politics more than the average person, I'm sure I'm not alone in seeing this early election as a reassertion of traditional Liberal arrogance. As Canada's 'natural governing party', it was time to right the wrong of 2019 by returning with a majority government was the likely thinking.

My objections to this mentality are many, but here are just two:

That Trudeau would call an election in the midst of a fourth Covid wave suggests prioritizing political power over people's health and lives, surely a perception that undermines his claim that he "has our backs."

All of the spending and new-program announcements preceding the election call were pretty transparent attempts at manipulating the electorate. That we as citizens are reduced to an impersonal group to be messaged and massaged offends me deeply. To be so deeply disrespected is not consistent with a healthy democracy.

What do others think? Rosie DiManno offers some observations:

… there was nothing of urgency on the Liberal agenda they couldn’t have achieved anyway with the support of the NDP in a minority government... we are in the midst of a pandemic fourth wave that is expected to worsen when students go back to school next week. 

There was only a craven grasp for power, majority muscle, mounted on a global plague that the Liberals clearly expected to exploit on their vaccine distribution record, benevolent billions dispersed to those who lost their jobs, their businesses, and Trudeau’s bracing steadiness at the helm. 

Perhaps Trudeau's greatest liability, according to DiManno,  is the same perceived by many.

… I don’t need pollsters to tell me that Trudeau hasn’t made a cogent case for himself and his party’s apparent God-given right to govern with majority chops. 

It didn't have to be this way. Had he not dissolved Parliament, Trudeau could have continued with his agenda, supported by willing opposition members.  And if he had fallen on a non-confidence motion? Then an election would have ensued, of course, but the miasma of negativity and cynicism permeating today's march to the ballot box would likely have been minimized.

September 20 is barely three weeks away. The die has been cast, and we await the results.

 

 

When Are Mandatory Vaccinations Not Mandatory?

When large loopholes are allowed.

As I wrote recently, almost all mandatory vaccine orders allow for both medical and religious exemptions. The only problem is that no religions forbid vaccinations, and the grounds for medical exemptions are very limited. Despite the latter, unscrupulous doctors in the United States, as I wrote, are issuing baseless notes. 

Will the same happen in Canada? In the earlier post, I expressed the concern that some physicians might issue exemptions for those with needle phobias. However, the signs thus far suggest a cautious optimism that won't happen.

It turns out the list of conditions valid for a medical exemption from vaccines in Canada is extremely limited, and even narrower than for masks. The only valid exemptions are for people allergic to ingredients in the vaccine, or those who experienced severe allergic reactions or heart inflammation after their first dose.

This has implications for health-care providers and citizens nationwide, as provinces including Quebec and B.C. introduce or plan to introduce vaccine passports, and organizations such as the Toronto Police Service and Air Canada announce mandatory policies for employees.

“The whole discussion of medical exemptions to COVID vaccine is a pretty straightforward one because the bottom line is there aren’t many,” said Dr. Barry Pakes, a physician and program director of the Public Health and Preventive Medicine residency program at the University of Toronto’s Dalla Lana School of Public Health.

“And we’re encouraging physicians to not give medical exemptions for invalid reasons, and despite the fact that their patients are pleading with them … it is really important to just help them understand that those aren’t genuine reasons not to get the vaccine,” he added.

There will, of course, always be those who try to pressure their doctor or offer cash inducements. Pakes says,

“The real challenge is when you have some doctors writing letters of exemption charging $50, $100, whatever they might do. And that undermines the stand of the 99 per cent of doctors or health-care practitioners who are not doing that.”

Regulatory bodies have high expectations of their doctors: 

The College of Physicians and Surgeons of Ontario’s website says health-care providers must be “comprehensive, accurate and objective” when providing notes, and if a patient does not have a valid reason for a medical exemption, they must still write a note and “state the accurate clinical information (e.g., patient doesn’t have any medical conditions/risks to their health).”

Pakes said mental health challenges such as anxiety or needle phobia are a worthy consideration but “not a reason to get a medical exemption,” noting there are clinics that cater to people with needle phobia.

The list of valid exemptions is short (acute illness -wait until it resolves, bleeding disorders - wait until under control, and myocarditis or pericarditis). Essentially, very, very few qualify for an exemption.

Today's conditions require decisive action for the public good. Let's hope that all medical professionals are onboard with that imperative.

 

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The Fairy Tale Factory

 

As children, we very much enjoyed fairy tales. Stories filled with wolves and innocent damsels, children led astray by heartless witches, princes and plotters, giants and giant-slayers, all combined to fill us with both fear and ultimately hope, as good prevailed over evil and the world was once more set aright.

It occurs to me that the summer of 2021 sees us in the midst of a fairy tale, only this one is entitled the federal election of 2021.

The identities of the heroes and villains depend largely upon where you are on the political spectrum. If a Liberal and swayed by manipulated media, you will see Erin O'Toole as the big bad wolf huffing and puffing at the house built by public healthcare, to name but one of his 'targets'. And while that wolf promises a tax credit for child-care, the Liberals are signing deals to bring about $10-a-day daycare, within five years. Writ large: Justin as middle-class hero.

If you are a Conservative, Mr. Trudeau and his gang are wanton spendthrifts heedlessly saddling Canadians and their descendants with unsustainable debt that ultimately spells ruin for old age security and health care, to name but two. The hero of this narrative? Erin O'Toole, who promises to balance the budget over a 10-year period and not raise taxes. Indeed, all the pressing problems of today, ranging from the opioid crisis to the cost of housing, will be met with swift and decisive action.

If you veer to the left, Jagmeet Singh is your man as he battles the neoliberal forces within our midst. One of his promises entails ending all subsidies for fossil fuels. Other goodies include universal prescription drug coverage, dental care and up to $5000 for families to cover their rent. Clearly he is the hero of the tale if exploitative and extractive capitalism, inadequate or unaffordable housing and runaway climate change rattle and rankle you.

We all know that fairy tales are unreal, and those who treat campaign promises as anything other than thinly-disguised fiction are either being naïve or have their ideological blinders firmly in place. One needs to take but a quick look at one aspect of the campaign to see the fictions being perpetuated.

Taxation. We have gone through an extremely difficult time this past year-and-a-half that has required extraordinary expenditures. Few would argue that they were unnecessary. The deficit has grown tremendously, but that isn't a part of the parties' narratives, for the most part.

Mr. Trudeau promises to hike taxes on the big banks and insurance companies, raising by three percentage points (from 15% to 18%) on all bank and insurance earnings over $1 billion to "support middle-class Canadians in their goal of home ownership." He has also announced something called the Canada Recovery dividend which, combined with the other measure, is supposed to generate $2.5 billion per year for the next four years. In my view, this timid measure is mere camouflage of neoliberal truths.

The Conservatives, on the other hand, are offering tax breaks and tax credits:

To help ailing retailers, a government led by O'Toole would implement a "GST holiday" — a month-long break on federal sales tax — sometime this fall. All purchases at a retail store would be tax-free for a month.

The Conservative government would scrap the $30-billion Liberal child care program...and instead convert the existing child care expense deduction into a refundable tax credit to cover up to 75 per cent of the cost of child care for lower income families.

Nary a word from either party of a sustained, realistic approach to taxation that would address either new program spending or the bourgeoning debt, but O'Toole has promised balanced budgets within 10 years. The roadmap, however, is non-existent.

Jagmeet Singh's NDP is the only party that seems more forthright about taxation, at least acknowledging the need for more revenue through a number of measures, including a wealth tax of 1% for those worth more than $10 million, raising the marginal tax rate for those making over $210,000, and restoring corporate tax rates to $18 from the 15% it had been reduced to by the Harper government.

Some, of course, might argue that he is playing to his base, but that base is rather large, given that 90% favour a wealth tax. But even here, the tax is a timid, given that a 3% rate would raise much, much more.

To give an order of magnitude of the amount that could be raised, the Parliamentary Budget Office published a report in July, estimating that a one-time wealth tax of three per cent on net wealth of more than $10 million and five per cent on net wealth over $20 million, could raise between $44 billion and $61 billion.

Kim Campbell once famously said that an election is no time to discuss serious issues. Judging by the willing suspension of disbelief  embraced by so many, she may indeed have been right.

Boy, Are These People Ever Dim

My disdain grows deeper daily.

"I'm Done"

                                          

Like many of us, Peter McMartin has had enough. He's had enough with the anti-vaxxers, the anti-maskers, those who place their faith in what they read on the internet rather than science, those who, ultimately, don't give a damn about anyone but themselves. 

If you will indulge me, I shall reproduce much of his denunciation below:

I’m done with those whose fear of vaccinations arises from studies that were long ago peer-disproved and retracted.

I’m done with those whose ignorance of science is so profound and intractable that, rather than heeding the advice of scientists, doctors and virologists, they put their trust in celebrities, politicians and quacks …

I’m done with those who are so mentally lazy that they refuse to trust in anything beyond hearsay, urban legend, apocrypha, conservative wing-nut provocateurs and the whole digital witch-doctor network of chat rooms, Facebook forums and the first hit that pops up on their Google searches that are designed to reaffirm their ignorance rather than challenge it.

I’m done with those who believe we all have our version of reality, because no, we don’t all have our own version of reality. Singular undeniable realities exist. The earth is round. COVID-19 has killed millions. There are no microchips in vaccines. Vaccines are not designed by governments, Bill Gates or the Illuminati …

I’m done with those whose fear of vaccinations is so rigid and unthinking that, as an unintended consequence of their ignorance, they would drag us back into the Third World by helping to resuscitate polio and whooping cough and mumps and measles …

I’m done with any person, government or business that would coddle anti-vaxxers, or who, like desperate parents trying to entice a spoiled child to eat his vegetables, would offer them tax breaks, lottery tickets or beer as rewards for getting vaccinated.

I’m done with anti-vaxxers and anti-maskers who, while literally weaponizing themselves by refusing to get vaccinated and putting other lives in danger as surely as if they were carrying a loaded gun, see themselves as brave freedom fighters protecting their constitutional freedoms, not because they believe in equality, but because they believe exactly the opposite, that their rights are preeminent over all others.

I’m done with those who complain about wearing masks, as if having to wear a piece of fabric designed to stop the inhalation of a deadly virus was akin to torture. 

I’m done with those who, after a visit to the intensive care unit and death’s door, experience their moment of revelation that, yes, they are so sorry that they didn’t get vaccinated because — with the usual egocentricity and selfishness that characterizes anti-vaxxer sentiment — they could have died rather than, you know, the untold number of people their stupidity put at risk.

Other than those with legitimate health concerns or compromised immune systems, I’m done with trying to understand, accommodate or politely tolerate anti-vaxxers, or those who are just too stupid, tuned out or unconcerned with the health and safety of others to get vaccinated.

My late father-in-law had a succinct way of dismissing things that to him were patently absurd. I leave you with his words:

"I don't have time for such foolishness." 

In that, he is far from alone.