From the brilliant Bill Turpin, via Facebook:
The life of a PI isn’t supposed to be easy. Still, late on a Friday afternoon it’s nice to go across the street for drink.
No such luck. I was reaching across my desk for my fedora when she sashayed in. Mother Canada. The famous MoCan herself. I gave her the once-over but couldn’t see what all the excitement was about. She was a cross between the Virgin Mary and a plastic Jesus.
“What can I do for you, doll-face?” I asked.
“I want to set up shop on your land. You know, to support the troops. Green Cove, I think you call it.”
“Sorry, MoCan. No sale.”
She looked me straight in the eye. Her voice was even, full of menace.
“How would you like me to send you to war and then ignore you when you come home wounded?”
“I can handle that, sweet-chops.”
“What if I grabbed your children and put them in my residential schools? You wouldn’t recognize them when you got them back.”
She had me there. Being a neglected vet was one thing. Losing my kids to an indoctrination camp was another.
“You win, sweetheart,” I said. “Whatever you want.”
And then she was gone.
But that’s MoCan for you. Soft and sexy on the outside, but not so much on the inside. Inside, she’s mean as an angry grizzly and hard as the Canadian Shield.
Bill Turpin is a former editor of the late, lamented Halifax Daily News, and one of the architects of the Environmental Goals and Sustainable Prosperity Act, the high water mark in legislative action to protect the Nova Scotia’s environment.
The only daily in Cape Breton and the largest daily in Nova Scotia devoted half their front pages Wednesday to error-riddled stories alleging steel plant slag spread on abandoned Devco Railway beds may be causing cancer.
The stories are wrong.
There is no evidence slag causes cancer. There is abundant evidence—right here in Cape Breton—that intensive processing of steel plant slag and its widespread application in the construction of gravel roads does not cause air pollution or give rise to health concerns.
None of those incontrovertible facts stayed the Cape Breton Post or the Halifax Chronicle Herald from recklessly fanning false fears of cancer in our community.
The stories don’t quote a single scientist, oncologist, toxicologist, public health specialist, or risk assessor. They rely entirely on the unsupported claims of a single, distraught 66-year-old Glace Bay man, recently diagnosed with stage 4 lung cancer, whose home lies roughly 100 feet from a rail bed where four to six inches of slag was applied two years ago, in March 2013.
Steel plant slag is the inert, stony, greyish material left over when molten iron is extracted from iron ore, or mixed with limestone in steel production. It consists of various oxides—mainly calcium, silicon, and iron—with lesser amounts of magnesium and manganese. It may have trace amounts—trace amounts—of chromium or vanadium.
One hundred years of steelmaking produced a small mountain of slag on the steel plant. It’s the hill bordering the north section of Open Hearth Park. Over the last 15 years, the slag heap has been shrinking as a private company mined and processed it for use in concrete production and road construction.
Except for the last year or two, this period of intense slag extraction and processing in the middle of Sydney coincided with the Tar Ponds cleanup, which also made extensive use of slag for temporary worksite roads. Throughout the same period, Sydney’s air was subject to one of the most intensive air monitoring campaigns ever conducted in Canada. Half a dozen monitoring stations, scattered throughout the community and equipped with advanced detection devices, probed for upwards of 100 contaminants at levels as low as a few parts per billion. (The Tar Ponds cleanup was subjected to special, site-specific air quality standards more stringent than normal Canadian environmental guidelines.)
How many times were any of the elements found in slag detected at levels exceeding these ultra-cautious standards?
As a health concern, slag is a non-starter.
To be diagnosed with advanced lung cancer at any age is a terrible blow, and we can only feel sympathy for the gentleman who raised the alarm in Wednesday’s papers. We can even sympathize with his desire to find some external factor he can blame for his terrible misfortune.
As I understand it, however, lung cancer is a long time in the making. Absent some horrific exposure akin to Chernobyl, it doesn’t appear and rise to the level of stage four in less than two years, the period of time since slag was applied to the rail bed near this gentleman’s home.
As to other, more plausible factors—smoking, diet, stress, occupational exposures—the Herald and Post are silent.
How about checking for reports of health problems among workers who’ve been processing slag at the steel plant for the last 15 years? Again, the papers are silent.
There is no question Cape Breton coal miners and coke oven workers suffered serious occupational health effects throughout the 20th Century. It is equally true that, more recently, Sydney suffered years of paralyzing anxiety over broader environmental health fears—such as lead and arsenic contamination—that stringent testing by public health authorities, toxicologists, and risk assessors eventually showed to be groundless.
Unreasoning fear is itself a public health risk.
Given this history, any journalist reporting claims of environmental health risks in industrial Cape Breton owes the public a special duty of care. The slipshod reporting of a false association between slag and cancer, in an already troubled community, without the slightest attempt at fact checking, amounts to journalistic malpractice.
I think I’ll mow the lawn tomorrow, because who wants to live with an untidy mess like this…
…when you could have unbroken ranks of equally sized, monochrome spikes?
(Each of these pictures, except the last, was snapped today, within 20 feet of my back door.)
What is this strange compulsion (from which I am by no means immune) to tame the wildness and colour that would otherwise enliven our yards?
The writer and gardener Katherine S. White described the lawn as, “a soft mattress for a creeping baby” that adds, “restful green perspectives” to the land, but she was being generous to a fault. None of the grasses in a typical lawn is native to North America. The cost, waste, and environmental destruction caused by the fertilizers, pesticides, gasoline, and water consumed in their cultivation are well documented.
Something deeper in the brainstem is afoot with our love of lawns. Is it a psychological vestige of the moat?
Lawn historian (!) Virginia Scott Jenkins does indeed trace the lawn’s origins to aristocratic mansions of Old Europe. Before the industrial revolution, maintaining vast expanses of uniform grassy carpets required conspicuous expenditure of money and labour. The invention of the lawnmower, combined with US Department of Agriculture research and arduous promotion by the US Golf Association, brought this symbol of conspicuous consumption to the post-war North America suburb, where it flourished to the point of compulsion.
But enough social history. I got an able new Husqvarna mower last year. It’s a humdinger—just the thing to make short work of those unsightly weeds.
From our South Shore bureau:
Hah, that’s nothing. I found three candy corns hidden inside a pack of Mach III blades.
After months of quietude, our curmudgeonly friend has emerged from winter hibernation with a few tart observations about health care management in Nova Scotia:
For 40 years, health care has floated on revenue generated by the biggest demographic bubble in Canadian history. Now, just as those same people need more medical services, the system responds with stealth rationing.
Take hip and knee replacements, routine procedures that offer much-improved quality of life for many years. Joint replacement is so effective, the Canadian Institute for Health Information (CIHI) ranks its as a priority procedure.
CIHI set a national waittime benchmark for both hips and knees of 182 days. Ninety percent of patients should be operated on within that time. In Nova Scotia last year, we hit that benchmark only 58 percent of the time for hips; 44 percent for knees. Ten percent waited more than 700 days.
The numbers put Nova Scotia dead last among Canadian provinces. Newfoundland manages to hit CIHI’s benchmark numbers 96 percent of the time for hips, 92 percent for knees.
Nova Scotia health ministers can get away with this because, unlike bypasses, a delayed joint replacement doesn’t produce deaths. Only pain. Nova Scotians waiting for joint replacement are in severe pain around the clock—whether sitting, walking, or trying to sleep.
(The government shows far more interest in controlling pain medication than controlling pain. If you’ve received a physician’s prescription for a narcotic pain reliever, the NS Prescription Monitoring Board is monitoring you and your doctor.)
Imagine if Nova Scotia managed gasoline sales the way it manages joint replacements.
“Fill her up with regular, please.”
“Ah, I can put you on the waiting list.”
“The waiting list? Is gasoline rationed?”
“Absolutely not. But there is a waiting list for a fill-up.”
“How long a wait?”
“It depends, sir. It can be up to 700 days.”
“Depends on what? How is my waittime determined?”
“I can’t say, sir. They don’t tell us that.”
Just how bad is Nova Scotia’s performance on joint replacement? The worst in Canada. The chart below compares Nova Scotia’s CIHI data with the other provinces. The red field represents Nova Scotia’s bush-league performance last year. Green cells denote the top performers. Check out the dismal discrepancies.
Source: Canadian Institute for Health Information, 2014 Waittimes, http://waittimes.cihi.ca
The 50th percentile means half of all patients had to wait longer than the number shown. The 90th percentile means 10% had to wait longer than the number shown. CIHI defines waittime as “the number of days a patient waited, from the booking date to the date the patient received a planned total (joint) replacement. Booking date is when the patient and the appropriate physician agree to a service, and the patient is ready to receive it.” But that’s not the only wait. It can take months to reach that doctor-patient agreement—the average for Halifax is 140 days.
CIHI created benchmarks to improve performance, but Nova Scotia has had a death grip on last place since at least 2008. In the intervening seven years, we ranked dead last in 35 of 42 performance data points. In other words, we’ve had 42 opportunities to be the worst in the country, and accomplished that distinction 35 times. [I’ll include a detailed chart after the jump.]
The Nova Scotia Government website lists 22 surgeons who did joint replacements last year, along with their average waittimes. The numbers show they performed a total of 1,446 joint replacements of both types in 2014. That breaks down to an average 1.4 per week, assuming a minimum of four weeks’ vacation. They also did 388 emergencies, which brings the number to 1.7 per week.
You have to wonder what they’re doing the rest of the week.
OK, obviously, surgeons assess patients before surgery, and follow up with patients afterwards. They may be doing other procedures. No one expects them to operate four times a day, five days a week, but given their extraordinary skill set and our cruel waittimes, surely orthopedic surgeons ought to be performing more than 1.7 joint replacements per week.
Health Department flacks will surely have an explanation. “The issue is complex… We’re working hard to acquire more resources… We are developing a strategy…” etc. But here’s a curious excerpt from an outfit called Timely Medical Alternatives, which books operations for Canadians in the U.S. (hip replacement = circa $20k CAD).
By the way, many Canadian surgeons have told us how they envy their colleagues in the U.S. who are able to operate several days per week rather than only one day, as in Canada. The more a surgeon operates, the better able the surgeon is to hone his/her skills.
Call the statement self-serving if you will, but it’s odd how the claim lines up with my back-of-the-envelope calculation.
Last year, Health Minister Leo Glavine promised $4.2 million to begin addressing the problem. But that year’s Auditor-General’s report [pdf] says:
Recent estimates note approximately $35 million is needed to start completing 90% of hip and knee replacements within the six-month benchmark reported by [CIHI]. Once this benchmark is achieved, an estimated $7.7 million is needed annually to maintain a six-month wait moving forward.
So Glavine is providing barely 10 percent of the funds needed to achieve the 90 percent benchmark.
There are a lot of bright people in NS. We should be able to manage this. If we can’t, then it’s time to start firing managers and forcing unions to re-certify. And don’t blame the rank and file; these things always come down to the people who get the big bucks.
Newfoundland has had a strategy [pdf] in place since 2012. Maybe that’s the key. But read this related excerpt from the A-G’s report and then estimate the odds of Nova Scotia pulling off something similar:
Operating room coordination: Historically, operating room utilization was considered the responsibility of the district health authorities. In 2012, the Department recognized it has a Provincial role in trying to coordinate clinical services planning (including surgery) and the Provincial Clinical Services Planning Steering Committee was formed. Clinical services planning involves designing a Provincial approach to care including where people can access services, such as surgical procedures. Management decided to focus on orthopaedic surgeries initially since the Orthopaedic Working Group had been formed and was developing a five-year plan. However, there is still no overall framework for surgical clinical services planning. Clinical services planning will be fundamental for ensuring operating room resources are optimized with a focus on surgical priorities Province-wide.
Recommendation 4.9: The Department of Health and Wellness should develop a clinical services planning framework for surgery that determines which services will be offered in each location.
Department of Health and Wellness Response: The Department of Health and Wellness agrees with this recommendation. The Perioperative Advisory Committee will assist in providing leadership and will work with the new provincial health authority structure to determine a clinical plan for surgical services. [Source: Nova Scotia Office of the Auditor General: December 2014 Report, Chapter 4: Health and Wellness — Surgical Waitlist and Operating Room Utilization [pdf]; Weasel word emphasis: mine.]
Once again, the system is protecting the status quo. Don’t believe me? Have a look below at the “progress” the department made in knee replacement over the last two years:
Hip replacements can be obtained in the U.S. for between $10k and $20k. Why doesn’t Nova Scotia negotiate with nearby U.S. states to take our overflow? Why doesn’t the province allow Dartmouth’s famously efficient Scotia Surgery Inc. to expand its services? Medicare is about having a single-payer, not who receives the payment.
I expect many retired Nova Scotians are already borrowing or dipping into savings to pay for surgery in the U.S, which can take as little as two weeks.
Not much of a reward for a lifetime of paying taxes.
Data-lovers, see more after the jump.
In a June 5 op-ed piece in the Halifax Chronicle Herald, four Mount Saint Vincent University history profs, David Campbell, Jonathan Roberts, Corey Slumkoski and Martha Walls, offered a critique of the Never Forgotten colossus that differs from others I have read.
They faulted the 10-storey statue proposed for Green Bay in the Cape Breton Highlands National Park for homogenizing history under a guise of blind patriotism—”lauding only the sacrifices made by our soldiers, sailors, aircrew, nurses, and auxiliary service personnel during the war.”
Such a memorial distills history into simplistic ‘heritage’ that reduces the men and women who served… into a homogenous group….
[T]he story of the First World War is more than just those who served abroad — it is also the tale of thousands of volunteers who were rejected for military service, of conscientious and religious objectors protesting the senselessness of the conflict, of sacrifice and scarcity on the home front, of a colour bar that limited the wartime participation of minorities, of divisions between English and French Canadians.
As much as the First World War instilled a heightened sense of national unity in the hearts of some Canadians, it brought a terrible sense of discord and division for others….
We believe that the construction of a colossa, as a private initiative on public land, is the worst sort of heritage project—the drive-by variety that projects an image of a country without complexity, free of the divisions of ethnicity, language, class, and gender. That does little to help people understand the gravity of global military conflict.
Last month, data visualization artist Neil Halloran produced a meticulous video account of the military and civilian deaths during World War II—contrasting it with the much lower death tolls from the smaller wars that have characterized “The Long Peace” since 1945. Halloran’s visualization doesn’t parse the individual distinctions advocated by the Mount historians, but does illuminate the experience of World War II on a country-by-county* basis that may surprise you.
[Video link.] In short, Halloran has produced a real memorial, not a feel-good exercise in sentimentality and blind nationalism.
[H/T: Gus Reed]
By the way, today, Sunday, June 7, is the last day for public comments on the environmental assessment of the proposed colossus. Go here, and scroll down to “How to Provide Comments.”
* Halloran is a Yank, so not surprisingly, he pays little notice to the Canadian contribution, although details of Canada war deaths can be found in the Google fusion table that forms part of his presentation, and on Wikipedia’s excellent World War II casualties article, which is the source for much of Halloran’s data. Canada suffered 45,500 military deaths in WWII, constituting about 0.4 percent of the country’s 1939 population. This compares with 420,000 US military deaths, about 0.32 percent of its 1939 population.
A year ago, Mayor Cecil Clarke pledged to resign if he did not achieve significant progress on port development within a year – or words to that effect.
In a speech this morning, the mayor is expected to announce the fruits of his behind-the-scenes efforts on port development. For his sake and ours, I hope he has some worthwhile, tangible projects to announce.
Cecil could also use this occasion to perform a great public service: Put an end to the officially promoted delusion that Sydney will ever have a container pier.
Nova Scotia already has two container piers, both operating at less than half capacity. The business model conjectured for a third* container pier here — save a day of cheap ocean shipment and replace it with 1500 miles of expensive rail transport — defies logic. It will never happen.
Among other things, it would require hundreds of millions of investment in a decrepit railway that is defunct for lack of business. And for what? So international shippers could land their wares further from market than they could by sailing past Sydney to New York, New Jersey, Baltimore, or Montreal?
Successive politicians and development officers have spent the better part of two decades engaging flim-flam artists to keep this cruel hoax alive. Please stop.
The mayor could show desperately needed leadership by levelling with the people of Cape Breton, as no politician in a generation has had the courage or honesty to do: Acknowledge, once and for all, there will never, ever be a container pier in Sydney Harbour.
Basing economic development work on reality is hard in Nova Scotia; basing it on fantasy is cruel and destructive. We are long past time for the Emperor to put some clothes on.
* A fourth if you count the proposed pier at Melford, on the Strait of Canso, long promoted by one- time cabinet minister Richie Mann. That proposal also defies logic, but it’s closer to fruition than Sydney’s will ever be.
- Number of marbles total: around 13.000
- Number of paths: 4
- Number of tipping containers: 4 (10, 120, 1070 and 10.600 marbles)
- Construction started: 20 april 2015
- Construction completed: Expected begin june 2015 (only need some finetuning)
- Dimensions: L= 10 m (33 feet) W= 1,2 m (4 feet) H=1,8 m (6 feet)
- Location: Monkey Town (indoor playground), Gouda (NL)
I can’t help thinking a gigantic version, using round beach stones in place of marbles, would make an outstanding monument to Canada’s war dead at Green Cove.
Thanks to Ellen Enns for the nudge.
Wondering when the first hummingbird showed up in your neighbourhood? Hummingbirds.net has the answer in map format:
Five hummingbird species summer in Canada, but the map tracks only the Ruby-throated, the most widespread, and the only species that regularly appears in Nova Scotia. Click here to expand the map to whole continent. H/T: Peter Barss.
Citizen gadfly Madeline Yakimchuk has turned up a memo from CBRM solicitor Demitri Kachafanas advising the mayor and council that continuing include prayers at council meetings would defy the recent Supreme Court of Canada ruling and potentially expose the municipality to expensive litigation it would likely lose.
The memo is dated April 17, before the April council meeting, at which Mayor Cecil Clarke made a public display of his attempts to evade the ban, and this week’s meeting, which featured the text of a prayer in the agenda and a moment of “silent prayer.” Both displays provoked public protests from the gallery.
Here is the text of Kachafanas’s memo:
TO: Mayor and Council
FROM: Demetri Kachafanas. Regional Solicitor
CC: Michael Merritt, CAO
DATE: April 17,2015
RE: Prayer at Council Meetings
Dear Mayor and Council:
1 was asked to provide a memo on the recent Supreme Court of Canada decision regarding the opening prayer in the City of Saguenay, Quebec.
While the particulars of the decision must be carefully dissected I offer the following preliminary points:
The Court ruled that opening prayers at Council meetings contravene a municipal government’s duly of neutrality on matters of religious belief.
The Court said Canadian society has evolved and given rise to a “concept of neutrality according to which the state must not interfere in religion and beliefs. The state must instead remain neutral in this regard.
“This neutrality requires that the state neither favour nor hinder any particular belief, and the same holds true for non-belief. It requires that the state abstain from taking any position and thus avoid adhering to a particular belief.
The Supreme Court is imposing a duty of religious neutrality. Even a non-denominational prayer it would still offend the duty to be religiously neutral Being neutral is not simply not favouring one religion over another, it would extend to a duty not to favour religion over non-religion and the rights of non-believers. A prayer is in and of itself a religious act.
While Council has the democratic right to make resolutions. If a prayer is introduced at each meeting, in my opinion it would still offend the municipality’s duty to remain religiously neutral and would fly in the face of the Court’s ruling.
Simply defying the ruling and continuing the prayer may expose the Municipality to a legal challenge and quite likely damages (The original award of damages against Saguenay by the Human Rights Tribunal on the case was $30,000.00)
While the judgment applied to the Quebec Charter of Rights and Freedoms, the Canadian Charter is almost identical in wording. Therefore a successful legal challenge by a community in another province is unlikely and would be an uphill battle. Many Cities
across Canada have stopped reciting prayers since the ruling by the Supreme Court of Canada.
That will be quite enough cheap grandstanding, Your Worship.