Health Homes and Climate

The relationships between health services, housing needs, and the climate crisis are many. The tension between market based action and government control in these areas compels us to carefully analyze trends and progress.

Health and Housing in Climate Crisis

The Ottawa Citizen reports on privatization of orthopedic surgery that may be impacting staffing for hospital health care. Elizabeth Payne reports:

“We are not able to provide the service we want for oncology patients because nurses are working in a higher paid environment,” said the unnamed source. “My view is that this is confirming the concerns that we are limited in terms of the service we can provide in the public system because nurses are obviously being poached by this private clinic.” (Payne, 2023)

Nicole Munro, at Saltwire, contributes an article on West End Mall redevelopment in Halifax.

By the time the master plan is finished, Coun. Shawn Cleary (Halifax West Armdale) said, the inclusionary zoning bylaw should be in place at about the same time, giving HRM the power to ensure there is a percentage of affordable units included.

While Cleary suspects most of the units will be market-based rents, he said the inclusionary zoning bylaw would allow some affordable units.

“We’ll have the power to actually say, ‘No, no, you don’t have a choice. You’re going to have this per cent of those units that have to be affordable.’” (Halifax's West End Mall Redevelopment Will Go on Despite Pushback, Councillor Says, 2023)

Matt McGrath, environment correspondent for BBC News, contributes an article about fossil fuel emissions falling in worldwide electricity generation.

One significant player impacting the overall trend is China. Around 50% of the global addition of wind power came from China and about 40% of the world's new solar came from from the country that's also the world's biggest use of coal power.

"There is a chance that at the rate that China is building wind and solar and all types of clean generation, that they achieve that peak in coal generation earlier than 2025, which would be significant," said Mr Jones.

Energy experts acknowledge that curbing fossil fuels in power generation could well be a "turning point", but much more remains to be done. (McGrath, 2023)

We monitor important trends as we ponder the best economic approach to address these serious concerns that impact the common good.

References

Halifax's West End Mall redevelopment will go on despite pushback, councillor says. (2023, April 12). SaltWire. Retrieved April 14, 2023, from https://www.saltwire.com/nova-scotia/business/halifaxs-west-end-mall-redevelopment-will-go-on-despite-pushback-councillor-says-100843479/ 

McGrath, M. (2023, April 11). Climate change: Fossil fuel emissions from electricity set to fall - report. BBC. Retrieved April 14, 2023, from https://www.bbc.com/news/science-environment-65240094 

Payne, E. (2023, March 21). Surgeries at for-profit orthopedic clinic already impacting hospital staffing, some insiders say. Ottawa Citizen. Retrieved April 14, 2023, from https://ottawacitizen.com/news/surgeries-at-for-profit-orthopedic-clinic-already-impacting-hospital-staffing-some-insiders-say 

Trend to Reduce Help with Affordable Housing

Supporters of action to build more non-market homes, end fixed-term leases, and initiate real rent control gathered at the NS Legislature to advocate for housing justice.

Rally to Advocate for Housing Justice for all

In July of 2022, the Government of Nova Scotia issued a press release about a new lending program to support affordable housing. The challenge to reduce the suffering of the homeless in our community requires action that creates homes for people in the most expeditious way. The market is not likely to be able to provide units quickly enough that are deeply affordable.

 

“We heard about some of the challenges non-profits face when they see an opportunity to invest in affordable housing, and this new lending program will help preserve and increase affordable housing stock for people and families in need,” said Minister Lohr. “We have seen rental properties purchased by investors and heard the stories of rents being increased out of reach for existing tenants. This program not only prevents further gentrification and loss of affordable housing but also ensures tenants can continue to live in their homes.” (New Lending Program Supports Affordable Housing, 2022)

Unfortunately media reports since July 2022 point to a decreasing response by government to the need to reduce the suffering of the homeless.

Timeline of Media Reports

Date	Media Report
2022, July 13	New Lending Program Supports Affordable Housing. Government of Nova Scotia.
2022, November 15	Correspondence from Councillor Mason to Minister Lohr Regarding Housing
2022, November 30	Dalhousie Legal Aid Sees Caseload Balloon As Halifax's Housing Crisis Deepens
2023, January 25	N.S. government to consider proposal that includes new public housing.
2023, April 5	N.S. government says it's not planning to build new public housing, but will upgrade existing buildings.

Halifax Councillor Waye Mason has expressed that in this time of likely global housing price collapse, high interest rates, and recession we are in need of the government to help preserve our labour force by funding affordable housing construction. His concerns have been expressed in a letter to Nova Scotia Municipal Affairs and Housing Minister, John Lohr.

Finally and most importantly, you are responsible for affordable housing construction in Nova Scotia.  In the election, Premier Houston promised to deliver the Affordable Housing Commission report.  That report talks extensively about the need for social or below-market housing.   I say again to you Minister, the market will not produce below-market housing.

You need to have a massive plan to build affordable housing, and you needed it a year ago.  With the coming global housing price collapse, high-interest rates and recession, there has never been a better time for the government to help preserve our labour force by funding affordable housing construction. (Mason, 2022)

Dalhousie Legal Aid believes three major things must happen to protect renters in Nova Scotia.

investment in more public and non-profit housing, active enforcement of the law regarding residential tenancies, and some form of permanent rent cap. (Montague, 2022)

Deputy housing minister Paul Lafleche told members of the legislature's public accounts committee  that the level of need for market rate housing and affordable units is such that all options must be considered.

That could mean the provincial government building new affordable housing stock for the first time in years.

"We probably need some new public housing," Lafleche told the MLAs.

For years, the housing file has suffered from a lack of consistent people in leadership roles and being shuffled between government departments, Lafleche said.

Making housing the responsibility of a single provincewide agency, which recently happened, should help address long-standing needs that have gone unaddressed by previous governments, he said.

More than 6,500 N.S. households are waiting for public housing. Why are so many units still empty?

Non-profits have 'a lot of hope' after N.S. government puts more money into affordable housing

But the deputy minister also cautioned that no single approach is going to solve the issue and fixes will not come quickly.

Other options the cabinet will be asked to consider include further partnerships with the private sector, buying new buildings to be repurposed, and assessing what existing provincial stock can get by with renovations and what situations would require new builds. (Gorman, 2023)

Need for affordable public housing

The Nova Scotia government has no plans to add to its public housing stock, Municipal Affairs and Housing Minister John Lohr confirmed to members of the legislature.

Municipal Affairs and Housing Minister John Lohr made the comment during debate on his department's budget.

"We feel that, as government, we need to do a much better job managing what we have," he said later in an interview at Province House in Halifax.

Lohr's deputy minister speculated earlier this year that the age of existing stock and cost and difficulty of upgrading it could lead the government to build new public housing for the first time in close to 30 years.

But Lohr said the government will instead spend $50 million in the next four years to upgrade existing stock, a plan that will affect about 75 per cent of the province's 11,000 public housing units.

The government is also using the spring budget to add 1,000 rent supplements and funding for programs that help people remain in their homes, said Lohr.

"We've made very significant investments in those."

Even with those initiatives, however, there are 4,790 people waiting for a spot in public housing and the average wait time is a little more than two years. (Gorman, 2023)

With thousands of Nova Scotia people waiting for justice in housing through access to public deeply affordable accommodation, the trend for action by the Nova Scotia government seems to be ensuring the suffering continues for the least advantaged in our community.

References

Gorman, M. (2023, January 25). N.S. government to consider proposal that includes new public housing. CBC. Retrieved April 6, 2023, from https://www.cbc.ca/news/canada/nova-scotia/affordable-housing-government-private-sector-development-1.6726190 

Gorman, M. (2023, April 5). N.S. government says it's not planning to build new public housing, but will upgrade existing buildings. CBC. Retrieved April 6, 2023, from https://www.cbc.ca/news/canada/nova-scotia/public-housing-john-lohr-affordable-1.6801864 

Mason, W. (2022, November 15). Correspondence from Councillor Mason to Minister Lohr Regarding Housing. Waye Mason, Councillor. Retrieved November 15, 2022, from https://wayemason.ca/2022/11/15/correspondence-from-councillor-mason-to-minister-lohr-regarding-housing/ 

Montague, D. (2022, November 30). Dalhousie Legal Aid Sees Caseload Balloon As Halifax's Housing Crisis Deepens. Huddle.Today. Retrieved November 30, 2022, from https://huddle.today/2022/11/29/dalhousie-legal-aid-sees-caseload-balloon-as-halifaxs-housing-crisis-deepens/ 

New Lending Program Supports Affordable Housing. (2022, July 13). Government of Nova Scotia. Retrieved November 16, 2022, from https://novascotia.ca/news/release/?id=20220713002 

Help for Health Housing Here

Government budgets have recently provided some attention to the crisis in health and housing that we are experiencing across Canada.

Housing Options in HRM

The challenge of providing primary health care to Nova Scotians is evidenced by over 100,000 people who have no family physician.

Doctor Parking Empty

Some Governments have promised bonus payments to health care professionals to retain them in positions that are becoming increasingly challenging as workload increases.

Bonus for long hours with short staff

The path to timely resolution of these challenges to our assumption that Canada is a wealthy progressive society that can take care of the needs of it’s residents may require us to decide in which ballpark we can expect to find help.

Consider Health and Housing as Human Right

In healthcare, jurisdictions across Canada have sought the help of entrepreneurial enterprises who have provided resources for virtual access to primary care and supplemental diagnostic testing and surgery services. The principals of these organizations use the language of “target market” and “customer” in describing their operations. 

Health and Housing is a Right Here

A nation of 11 Million that is a very popular sun destination for Canadians, the Republic of Cuba, has defined health care and housing as rights for it’s citizens in its constitution. During the Obama administration, the loosening of the US Embargo on Cuba saw the flourishing of a small market economy and increased tourist and economic involvement with the United States. The Trump administration reversed the Obama policy and took aggressive action to severely inhibit economic activity between the US and Cuba.

Canada has a much better relationship with Cuba and many Canadian visitors have encountered well educated Cubans working in the resort industry. Surprisingly, the largest source of government income in Cuba is not from tourism but from export of medical services to countries in the Global South.

Canadians encounter well educated Cubans

The government's responsibility to maintain health and housing as a right for residents in Cuba has necessitated maintaining a high quality education system that supports health and economic development in the country.

On the road to Havana

Health and housing are too essential to the success of a society to be left to the market that best serves profit and short term gain for shareholders rather than community needs that are long term. Healthy, educated people with housing are essential to maintain our health, education, and business infrastructure. 

Canadians can learn from Cuba that government support to create health care and housing as a right for people is a wise investment in creating the healthy educated community that is required to build the infrastructure that is now required in Canada as we prepare to address the transitions required to respond to the climate crisis and the worldwide migration emergency.

Pope Francis 10 years on

An editorial in the National Catholic Reporter comments that looking back from 2023, it is hard even to conjure up the shape of the church at the eve of that conclave in 2013 that elected Cardinal Jorge Bergoglio as “Pope Francis”.

Ten Years Ago

It was a church of secret investigations of theologians. Of unjustified crackdowns on the work of U.S. women religious. Of the atrophy of the vision of the Second Vatican Council, and the comeback of the pre-conciliar Latin Mass. Of bishop after bishop being found to have covered up sexual abuse or misconduct, and being allowed to stay in office.  

It was a church before the call to create a "culture of encounter." Before the vision of a community that is "bruised, hurting and dirty because it has been out on the streets." Before the declaration of "no concession" to those who would walk back Vatican II reforms. Before prioritizing the "ecological commitments which stem from our convictions." Before mandatory reporting of suspicion of abuse or cover-up, worldwide. (Editorial: Over 10 Years, Pope Francis Has Opened the Church Reform Door. Time to Step Through., 2023)

And Today

After ten years, it is important to reflect on the changes and our response.

References

Editorial: Over 10 years, Pope Francis has opened the church reform door. Time to step through. (2023, March 13). National Catholic Reporter. Retrieved March 13, 2023, from https://www.ncronline.org/opinion/editorial/editorial-over-10-years-pope-francis-has-opened-church-reform-door-time-step 

Life Cycle Emissions ICE or EV

Gasoline car emissions have been reduced in the UK and Norway. Barry Saxifrage reports that their most effective single policy has been a "polluter pays" tax added to new cars. Specifically, they calculate the purchase tax for new cars based on car weight, CO2 emissions and NOx emissions.

Barry Saxifrage's first chart shows the relative climate emissions from fuelling our cars with gasoline and electricity.

Research shows that making a gasoline car is currently a bit less climate-polluting than making an electric car. Around 2 tCO2 less. But this small advantage gets wiped out many times over by the extra emissions from fuelling the car.

A chart showing the latest vehicle registration numbers from Statistics Canada shows that electric cars are a thin green frosting on top of an ever-expanding fleet of burnermobiles. For every new electric car added to our roads over the last five years, we've added 10 more gasoline cars.

The trend in Canada is an increase in purchases of gasoline cars, SUV’s, and trucks as contrasted by decreases in these purchases in Norway, UK, France, Germany, Sweden, and Japan. Barry Saxifrage notes that the most effective single policy in Norway has been a "polluter pays" tax added to new cars. Specifically, they calculate the purchase tax for new cars based on car weight, CO2 emissions and NOx emissions. This can nearly double the cost of buying a polluting gas guzzler. Imagine Canada bringing in an 80 per cent sales tax on big, new gas-guzzling SUVs and you've got the basic idea.

As Canadians switch to electric vehicles in response to the increasing cost of gasoline and concern for the effect of greenhouse gas emission on the increasing frequency and severity of climate events in our country, we may find “polluter pay” taxation to be an effective strategy

References

Saxifrage, B., & Woodside, J. (2023, February 24). Gasoline versus electric cars? Here's how their life cycle emissions compare in Canada. National Observer. Retrieved February 24, 2023, from https://www.nationalobserver.com/2023/02/24/analysis/gasoline-versus-electric-cars-life-cycle-emissions-compared-canada

CST and Papal Positions

Tony Annett's book Cathonomics explores how Catholic tradition can create a more just economy. The encyclicals published during the papacies of recent decades offer a view of economic activity in relation with the pursuit of the common good.

Better world

The rise of neo-liberal attitudes to economic development in recent decades has created a paradigm that threatens the priority of striving for the common good.

John Paul II incorrect as neo-liberal

John Paul II was concerned about some aspects of market ideology.

JPII concern about markets

Profit seeking, self interest and accumulation in the market were concerns of Pope Benedict.

Benedict's concern about profit seeking

Pope Francis identifies a technocratic paradigm that cannibalizes economic and political life.

Pope Francis identifies a technocratic paradigm

From 1978 to 2023, encyclical publications from the Vatican have presented the case for concern about the effect on the common good of the dominant economic policies of our time.

References

Annett, A. M. (2022). Cathonomics: How Catholic Tradition Can Create a More Just Economy. Georgetown University Press.