Sunday, April 26, 2020

Observations From Just Outside the Pandemic #12



I sometimes (actually most of the time) get irritated at various politicians who put their party's or their personal needs ahead of Canada's. I should know better than to take it personally. Being self-centred is, I suppose, part of a politician's job description. But there are times when I see something that is so outrageous that I fume about it all day.

Yesterday morning I saw a bit of Andrew Sheer's press conference where he was denying any responsibility for what one of his party's members (and someone who is running for the leadership of the Conservative party) had said about Dr. Theresa Tam. Sheer who lost the last federal election and then resigned as the leader has continued to act as the leader until a new one can be elected. Sloan, an MP from Ontario has stated on Twitter " “Dr. Tam must go! Canada must remain sovereign over decisions. The UN, the WHO, and Chinese Communist propaganda must never again have a say over Canada’s public health!”  While it is entirely appropriate that at some point when all of the information is available and if one is qualified to understand the data, that all officials need to reflect and discuss their decisions, this may not be the time.

Sheer, in his role as an interim leader, has refused to comment on Sloan's statement. He has absolved himself of responsibility for what a member by suggesting that it is not his role to discuss what any leadership candidate says. By refusing to condemn the comments it appears as if he is supporting them. Hiding behind someone else's comments is, at best, cowardly. At worst it is a national leader demonstrating his bigotry, his ignorance and his determination to find fault with anyone and everyone who does share his political values.

Quite frankly, Mr. Sheer needs to develop some male body parts, and have either the courage to come out and support the words and attitude of Mr. Sloan or to stand up and condemn them. There cannot be a middle path.

Dr. Tam may not have given the best advice all of the time. She and her team may have, in hindsight, needed to recommend more aggressive action earlier. Or it may be that Dr. Tam should have recommended that we follow the example of Sweden and Norway and therefore not mandated an almost total closure of the country. Perhaps the federal government should have taken control of all extended care facilities for seniors so that the death rate in those places would have been significantly reduced. Maybe we should have done more sooner or maybe we should have done a lot less. Hindsight is a wonderful tool to learn from our past mistakes, but using it in the middle of a crisis may not be wise. People who are not accountable to anyone such as Mr. Sheer or Mr. Sloan, people who believe it is their right to take "pot shots" at those who are doing their best, people who have no accountability should sit down until they have some useful suggestions.

I would hope that in the next few years a number of the possible scenarios will be investigated. Clearly we, and the rest of the world need to know how to manage these sorts of crises. While we will never know, many people including myself, would have been resistive if the Government of Canada had locked down the borders immediately. There was not the time to have a national debate as to how to deal with a medical crisis, someone needed to make a decision. Someone needed to decide on how to make that decision.

The Canadian public decided that that person would not be Mr. Sheer

Addendum:
It is interesting to note that Sweden has had a relatively low COVID-10 death rate and it traditionally has one of the lowest rates of senior institutionalization in the world (1).

(1) Age and Ageing 1997; 26-S2: 3-12
Nursing homes in 10 nations:
a comparison between countries
and settings
MIELW. RIBBE, GUNNAR LJUNGGREN1, KNIGHT STEEL2, EVA TOPINKOVA3, CATHERINE HAWES4,
NAOKI IKEGAMI5, JEAN-CLAUDE HENRARD6, PALMI V. JONNSON7

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