SUN NEWS COLUMN: Many unionized workers will like proposed Alberta bill

Protesting young man shouting into megaphone against metal fence

When I was a young kid growing up in Winnipeg, I used to watch my dad, a public school teacher at the time, pound a political campaign sign into our front lawn each election.

While he supported one political party, the union he belonged to routinely endorsed a different party. And each election the union would take some of the union dues my dad paid, as well as funds from thousands of other teachers, and give them to a political party that my dad, and likely many other teachers, opposed.

Years later, the unfairness of the situation really struck me.

Why should unions be able to force their members to pay union dues only to turn around and donate some of those funds to political parties and causes that many members did not support? Why not leave the money in each worker’s pocket and let each worker decide for themselves which causes to support?

A bill before the Alberta legislature proposes to put workers back in charge. In fact, public opinion research commissioned by SecondStreet.org shows Canadians support such a change.

Bill 32, the Restoring Balance in Alberta’s Workplaces Act, would let each union member decide if they want to fund their union’s political campaigns and other initiatives that are unrelated to the workplace.

If a union member supports their union’s plan to, say, run political attack ads, he or she would pay their regular union dues plus a top up charge to pay for the attack ads.

And if a union member opposed their union’s attack ads, he or she would only pay the portion of union dues that cover activities that are related to the workplace (bargaining with the employer, settling grievances, etc.)

A recent poll commissioned by SecondStreet.org (conducted by Leger) found that 70 per cent of Canadians do not think union dues should be used for political activities and non-work initiatives. In fact, a slightly higher percentage of unionized workers and former unionized workers oppose such expenditures by unions (72 per cent).

One can see how the Alberta bill could be a hit with many unionized workers right across Canada.

Consider that CUPE Ontario signed on to supporting the Leap Manifesto – a radical environmental agenda that seeks to, among other things, create a society where public transit replaces the need for “more cars.” It’s not hard to imagine a member of CUPE Ontario being married to an autoworker in that province who might take exception to that idea.

Similarly, the union that represents Canada Post employees has supported “peace” flotillas to Gaza in the past. It’s certainly a headscratcher to understand why postal workers in Canada should be forced to fund advocacy activities related to the agelong conflict in the Middle East.

Back in Alberta, the province’s teachers’ union flew in anti-oil speakers David Suzuki and Tzeporah Berman to speak at their events in 2018. Spending union dues on such speakers probably wasn’t too popular a move in households where an Alberta teacher had family members whose livelihood is dependent on a prosperous oil and gas sector.

It should be clear why union leaders are calling the change an “attack” – some of the immense power enjoyed by union leaders will now shift to their members. So what exactly is the problem?

 

Colin Craig is a former UFCW member and is the President of SecondStreet.org, a new Canadian think tank.

This column was published by Sun newspapers on July 12, 2020.

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Prevention – reduce demand in the first place

If Canadians lived healthier lives, we could reduce demand for emergency services, orthopaedic surgeries, primary care and more. 

For instance, if you visit the Canadian Cancer Society’s website, you’ll read that “about four in ten” cancer cases are preventable. The Heart and Stroke Foundation notes that “almost 80 percent of premature heart disease and stroke can be prevented through healthy behaviours.” A similar number of Diabetes cases are also preventable. 

Many joint replacements and visits to ERs and walk-in clinics could also be avoided through healthy living. 

To be sure, not all health problems can be avoided through healthy living – everyday the system treats Canadians with genetic conditions, helps those injured in unavoidable accidents and more.  

But there is an opportunity to reduce pressure on the health care system through Canadians shifting to healthier lifestyles – better diets, more exercise, etc. 

To learn more, watch our Health Reform Now documentary (scroll up) or see this column. 

Partner with non-profits and for-profit clinics

European countries will partner with anyone who can help patients. 

It doesn’t matter if it’s a non-profit, a government entity or a private clinic. What matters is that patients receive quality treatment, in a timely manner and for a competitive price.  

In Canada, governments often delivery services using government-run hospitals instead of seeing if non-profit or private clinics could deliver the services more effectively. 

When governments have partnered with non-profit and private clinics, the results have often been quite good – Saskatchewan, Ontario and British Columbia are just a few examples of where partnerships have worked well. 

Canada should pursue more of these partnerships to reduce wait times and increase the volume of services provided to patients.  

To learn more, watch our Health Reform Now documentary (scroll up) or see the links above. 

Make cross border care more accessible

In Canada, citizens pay high taxes each year and we’re promised universal health care services in return. The problem is, wait times are often extremely long in our health system – sometimes patients have to wait years to see a specialist or receive surgery. 

If patients don’t want to wait long periods, they often have to reach into their own pocket and pay for treatment outside the province or country. 

Throughout the European Union, we also find universal health care systems. But a key difference is that EU patients have the right to go to other EU countries, pay for surgery and then be reimbursed by their home government. Reimbursements cover up to what the patient’s home government would have spent to provide the treatment locally. 

If Canada copied this approach, a patient waiting a year to get their hip operation could instead receive treatment next week in one of thousands of surgical clinics throughout the developed world. 

Governments benefit too as the patient is now back on their feet and avoiding complications that sometimes come with long wait times – meaning the government doesn’t have to treat those complications on top of the initial health problem. 

To learn more, watch our Health Reform Now documentary (scroll up) or this shorter video. 

Legalize access to non-government providers

Canada is the only country in the world that puts up barriers, or outright bans patients from paying for health services locally. 

For instance, a patient in Toronto cannot pay for a hip operation at a private clinic in Toronto. Their only option is to wait for the government to eventually provide treatment or leave the province and pay elsewhere. 

Countries with better-performing universal health care systems do not have such bans. They allow patients a choice – use the public system or pay privately for treatment. Sweden, France, Australia and more – they all allow choice. 

Why? One reason is that allowing choice means some patients will decide to pay privately. This takes pressure off the public system. For instance, in Sweden, 87% of patients use the public system, but 13% purchase private health insurance. 

Ultimately, more choice improves access for patients. 

To learn more, watch our Health Reform Now documentary (scroll up) or watch this short clip on this topic. 

Shift to funding services for patients, not bureaucracies

In Canada, most hospitals receive a cheque from the government each year and are then asked to do their best to help patients. This approach is known as “block funding”. 

Under this model, a patient walking in the door represents a drain on the hospital’s budget. Over the course of a year, hospital administrators have to make sure the budget stretches out so services are rationed. This is why you might have to wait until next year or the year after for a hip operation, knee operation, etc. 

In better-performing universal health systems, they take the opposite approach – hospitals receive money from the government each time they help a patient. If a hospital completes a knee operation, it might receive, say, $10,000. If it completes a knee operation on another patient, it receives another $10,000. 

This model incentivizes hospitals to help more patients – to help more patients with knee operations, cataract surgery, etc. This approach also incentivizes hospitals to spend money on expenses that help patients (e.g. more doctors, nurses, equipment, etc.) rather than using the money on expenses that don’t help patients (e.g. more admin staff). 

To learn more about this policy option, please watch our Health Reform Now documentary (scroll up) or see this post by MEI.