Showing posts with label failed policy. Show all posts
Showing posts with label failed policy. Show all posts

Tuesday, September 02, 2008

VIHA's problems go much deeper than communications department
Aug. 29, 2008

It’s a poor workman who blames his tools, so let’s hope the Vancouver Island Health Authority rethinks its decision to lay the blame for bad communications on its long-suffering public relations staff.
That VIHA pays $1 million a year to communicate badly is certainly a problem. But if the health authority genuinely believes the root cause of that is due to the communication department not doing its job - well, that goes a long way to explaining why these kind of problems continue to dog VIHA.
I’ve been an observer of the local health scene for many years, having started my work at the Times Colonist in 1989 as the paper’s health reporter. I’ve never lost interest in the subject, or the ongoing communication problems that have plagued whatever entity was running regional health services at a particular point in time.
When I arrived here, the Greater Victoria Hospital Society was running things, under the tightly controlled direction of a former deputy health minister from Saskatchewan, Ken Fyke. Then came Capital Health (subsequently renamed Capital Health Region) to swallow GVHS and other community-based health services in the region, and finally VIHA to engulf everything health-related on the Island.
The GVHS was born from conflict, as local hospitals and their medical staff didn’t go willingly into a top-down amalgamation of regional hospital services. Lots of leaks and brown envelopes from disgruntled hospital staff came my way in those years, evidence of much mistrust in the system.
Is that bad beginning partly to blame for the “communication problems” that have stuck like burrs to every version of the health authority ever since? Tough to say, but I do know that bad communication by the local health authority dates back at least 19 years, and that no overhaul of the communications department is going to touch it.
What I know of health-authority communications staff from my dealings with them over the years is that they’re by and large skilled, professional people doing their best in trying circumstance.
I suspect the current batch know all about good communications. I bet there are times when they’re watching in quiet horror as VIHA walks head-on into yet another populist community uprising led by whatever vulnerable, underdog group is losing services. (Frail seniors, people with severe mental illness, children with disabilities, the sickest addicts - oh, it’s quite a list.)
But what’s a department to do if the bosses have a completely different take on what it means to communicate effectively? With a few notable exceptions (the Victoria Health Project, for instance), the standard communications strategy employed by local health authorities over the years boils down to this: “We dictate, you accept.” I’d like to meet the communications department that could do a bang-up job with a message like that.
A story by Cindy Harnett in this week’s TC gave me new insight into why VIHA so often misses the mark in its communications. In an interview about the pending audit of the communications department, VIHA president Howard Waldner described the closure of Cowichan Lodge as a “good news” story that went bad only because the issue was hijacked by special interest groups and political agendas.
Wow. Does he really believe that? Anyone with their head even partially out of the rabbit hole would have seen that one coming, especially when the lodge’s aging residents were initially given just two months’ notice instead of the one year required under B.C. law.
In VIHA’s defence, there’s no way to come out looking like the good guy when you’re the one ordering old, sick Grandpa to pack up for another move just when he’d finally settled in. But the health authority has a knack for making bad news just a little bit worse as a “communications event” - first by never telling communities what’s up until it’s too late, and then by being completely unprepared for the negative fallout.
There are better ways to do it. The first option, and the one I’d root for: Mitigate disaster from the outset by genuinely consulting with people before making major changes that will affect their lives forever. Adjust plans accordingly.
Option two: At least have the common sense to understand that autocratic, secretive decision-making is a recipe for communications problems. Have a plan for dealing with the backlash that goes beyond blaming special interest groups for raining on your parade. Thin-skinned, defensive responses that deflect blame elsewhere are just so yesterday.
As for your communications department, let ‘em live. You know what they say about shooting the messenger.

Monday, February 26, 2007

Hard to stay positive when faced with our inability to act
Feb. 23, 2007

Life on the front lines of a load of social issues these past three years has underlined for me the problems of a community that can’t come to grips with what’s going on in its streets.
It’s been something of a grim awakening.
Not the issues so much - 23 years in journalism had already introduced me to things like drug addiction, the sex trade and people living on the streets before I started working in the not-for-profit sector in 2004.
No, it’s my newfound knowledge - that we’re paralyzed with indecision about what to do about any of it - that has proved the most unsettling.
I sometimes fear I’m drifting into cynicism, which was certainly a risk even in my previous job as a journalist. On that front, I remain haunted by the ghost of the Victoria Health Project of the late 1980s.
I was a relatively new reporter in those days, and loved the strategy for its common sense. Tasked with finding a way to keep aging people out of hospital when they didn’t need to be there, the project figured it out with a variety of strategies ranging from helping seniors with their household chores to developing mobile psychiatric care.
Yet less than a decade later, I checked back into the story and found the whole concept behind the project had been erased from the collective memory, to the point that the original problems had returned and the identical strategies were being talked about as if they’d never been tried.
I eventually lost count of the number of good initiatives that suffered a similar fate. It turns out we have a discouraging habit of identifying a problem, attempting a solution, cutting the funding before change can really take root, then reidentifying the same problem a few years on and doing it all over again.
Nothing positive comes from cynicism, that’s the truth. But boy, it’s waiting for you once you start paying attention to how little actually gets done about our most pressing problems.
It’s probably been close to a decade since I walked through Vancouver’s Downtown Eastside and realized it had reached the point where reclamation seemed an impossible dream.
Vacant and boarded-up buildings lined the streets. The handful of businesses still struggling to stay open couldn’t lure customers into the area. Sick and desperate people manouevered the sidewalks like drugged-out, heartbreaking zombies.
I was struck at the time by how fortunate Victoria was to have escaped a similar fate. To see a wonderful city like Vancouver with such devastation at its core is tragic.
But that visit of mine was a long time ago, and Victoria has lost considerable ground in the intervening years. We are not yet the Downtown Eastside, but neither are we even close to the healthy city we used to be.
We have real problems. If we can’t fix them, they will grow into profound ones. That’s the unassailable lesson of the Downtown Eastside, and one that we ignore at our peril.
Like the Downtown Eastside, the reasons for Victoria’s urban problems start with the closing of B.C.’s big institutions in the 1980s, and carry on through global economic shifts, the virtual end of social housing, cheap and readily available street drugs, relentless cuts to all social supports, and an equally relentless refusal to believe any of this is happening.
Add in the tendency of one troubled family to beget many, and you get the picture.
But homelessness need not be a condition of our times. Drug addiction and mental illness can be dealt with. Yes, we’ve left things a little late, but a better world for all is still within our reach.
How will the work be done? As always, one person at a time.
Were we to just get on with it, there could be a happy ending for everybody. We already know what it takes, and in some cases are already doing it. We just need to do much, much more, for as long as it takes to reach the point where we can see the difference in our healthy, happy downtowns.
Research typically shows that setting people up with the help they need costs virtually the same - and sometimes much less - as leaving them to rattle around in their personal disasters. But even if it cost more, it’s surely worth our while to fix our urban malaise regardless.
Why can’t we act? Perhaps it has to do with a culture that holds people responsible for getting out from under their own messes. I get the importance of the principle, but what we’re seeing in our downtown is how life turns out for the folks who just can’t make that happen. How long are we prepared to stand on principle?
Once upon a time, I would have thought that a wealthy, privileged city would stop at nothing to save its beautiful core from becoming just another disturbing example of failed social policy and inaction.
On my good days, I still do.

Monday, February 19, 2007

If exotic dancers' money not good enough, don't count on mine
Feb . 17, 2007

When I first heard about a national breast cancer charity turning down a donation from exotic dancers in Vancouver, I got mad. I fired off a furious e-mail to the Breast Cancer Society of Canada, and suspect a lot of other people did too.
Being an exotic dancer is, after all, a legal profession. Up until 2004, Canada even had a special fast-track immigration category for exotic dancers to ensure the country never ran short of them.
Do we want our charities getting sniffy about taking donations from hard-working, fully legal dancers just because somebody disapproves of how they make a living? That’s what happened in this instance, when the cancer society rejected the proceeds of a fundraiser being put on by Vancouver’s Exotic Dancers For Canada next month.
But while I was poking around on the Web in search of insight into what could have possibly possessed the society to refuse the donation, what became obvious was that the same kind of thing happens all the time. Exotic dancers in particular have had a hard time of it.
The Windsor Star had a story about exotic dancers back in 1984 who tried to donate half of a night’s wages to charity. The local United Way wouldn’t take it, and the dancers finally ended up giving the $3,000 to a Windsor hospice.
Two years later, dancers at the same club raised $20,000 for two local hospitals. Both refused to take the money. It went to five other less-discriminating Windsor organizations instead.
Here in B.C., the interesting thing is that the very same charity that’s refusing the money this time out was being praised a year ago for bucking the trend and accepting money from the same group of dancers.
Up to that point, none of the main cancer organizations wanted to touch a donation from Exotic Dancers for Canada, unless they agreed to remain anonymous. Understandably, the dancers found that just a little demeaning.
The group launched its fundraiser in 2004 as a benefit for a colleague dying of breast cancer.
The following year, after the woman’s death, the fundraiser was staged again to benefit breast-cancer research. But organizer Annie Temple couldn’t find anyone willing to take the donation. As had happened in Windsor back in 1984, the dancers gave the money to an appreciative hospice instead.
The year after, Temple wrote such a compelling letter to the Breast Cancer Society of Canada that they agreed to accept the money from the 2006 event.
“Our bottom line is that any women can get breast cancer. It doesn’t matter what they do, what their profession is,” said cancer society executive director Rany Xanothopoulo a scant year ago.
Since then, however, “certain major donors” have made their displeasure clear. When the exotic dancers called Xanothopoulo this winter about donating the proceeds from their upcoming fundraiser next month, they got the news. Donations from “controversial sources” are no longer being accepted.
In this case, it’s especially outrageous because the dancers are legally employed. They ought to be applauded for their social-mindedness, not spurned for their offers of dirty money. Breast cancer kills more than 5,000 Canadian women a year, so good on them for trying to do their part for that ongoing battle.
The on-line debate around the Breast Cancer Society’s rejection of the donation reveals an overwhelming majority against the decision, although not without a number of people pointing out what a difficult position the society had been put in.
A “major donor” - someone able to provide a great deal of money for the cause, presumably - had made a fuss after the society had taken money from the exotic dancers last year.
The society could either stand on its principle of a year ago and risk losing a lot of money, or reject the donation from the dancers and give up a mere $3,000 or so. The decision makes sense when viewed as a financial dilemma.
I respect the right of the Breast Cancer Society of Canada to do what it has to do. While the Web site of the Sarnia, Ont., non-profit doesn’t breathe a word about the current debate, I have to presume that it did what it thought was necessary in choosing to pass judgment on its donors.
But an organization that does that also has to accept that it’s going to lose a donor like me when it all comes out, because I don’t want to go along with anything like that. If nothing else, this aggravating news of a charity turning away a donation will at least give me an additional thing to ascertain when deciding where to put my own charitable contributions.
Hooray for exotic dancers who care enough to raise money every year for breast cancer. May their money no longer go unwanted.

Saturday, January 20, 2007

Going nowhere fast, and spending a fortune to do it
Jan. 19, 2007

If you’re the type to worry about where we’re headed in this world, these are bleak times.
We’re at one of those points in history where things on any number of fronts are either going to get much better or a whole lot worse based on whatever we do next. Unfortunately, we’re showing few signs of being up for the challenge.
I’ve often wondered at what point a community ignites. How did the small, brave acts of people in the U.S. finally explode into the civil rights movement? What finally elevated gay rights to being a legitimate issue that mattered?
To know that would perhaps be the secret to unlocking this national stupor of ours, one that seems to render us incapable of addressing an array of really serious problems unfolding around us.
We would not for a moment be so cavalier in our personal lives. We wouldn’t continue to do things that clearly weren’t working, or spend vast sums of money without ever questioning the benefit.
Yet we tolerate it for our country. We see the error of our ways, yet continue down the same path anyway. It turns out the road to hell really is paved with good intentions.
I can only hope for revolution.
No violence, of course - nothing truly good ever comes from that. But we’re way overdue for a peaceful uprising, something much bigger than just another election. Either that or go mad from all the senseless, short-sighted decision making that has accumulated to a point of crisis.
The issue of the moment is our national drug “strategy,” which has once more been revealed as being both tremendously expensive and completely ineffective at the same time.
This time it’s B.C.’s Centre for Excellence in HIV/AIDS pointing the finger, noting that the federal government’s promises three years ago to do better have yet to materialize. Meanwhile, the country’s drug problems set us back $2.5 billion and we didn’t even make a dent in them.
I suppose it comes down to a battle between those who believe we just need to crack down a little harder on drugs, and those who think that living through several miserable decades of that tired old strategy ought to be proof enough that it doesn’t work.
The most damning evidence that it doesn’t is the relentless climb in drug use. Ten years ago, 28.5 per cent of Canadians had consumed illicit drugs in their lifetime. Now, 45 per cent have. A survey two years ago found that almost 270,000 Canadians were currently injecting drugs.
The worst of the impact can be seen in the heart of our communities, where the homeless and the addicted pile up in disturbingly larger numbers. But the true toll of our adherence to flawed drug policy is much greater than that.
It encompasses lost income and family disaster. Rising infection rates. A growing health burden. A truly staggering annual bill for policing: $1.4 billion.
All that money spent, and not a damn thing accomplished.
How can that not be the stuff of revolution? Instead, we tolerate more of the same. We curse the waste, but do nothing more than to mark an “X” every four or five years beside the name of whatever local candidate tickled our fancy in the runup to the election.
Like so many issues that paralyze our nation, the drug debate comes down to strong differences in opinion among us. Nothing wrong with a difference in opinion. But when you’ve tried it one way and have all the stats to prove that it didn’t work, it’s time to put opinion in its place and get down to the business of fixing things.
In terms of drug policy, we are torn between those who still think we can “stamp out” drug use, and those who know we can’t. Once upon a time, we probably didn’t know which was the right course to take.
But decades on, we can’t say that anymore. We’ve given far more years and money than we should have to flawed strategies based on the criminalization of drug use.
I don’t have an Ipsos-Reid survey in my pocket to back me up, but I suspect a majority of Canadians would agree with that. I think they’re tired of everything to do with our failed drug strategies - from having their cars broken into, to seeing their income taxes frittered away on ineffective programs even while people howl for more services.
But will we revolt? That doesn’t seem to be the Canadian way.
Tremendous changes are occurring around us, from urban decay to climate change, from a rise in drug use to a drop in health and fitness. Still, our concern and indignation rarely develop past the level of mildly testy water-cooler conversation.
Surely the moment has to come soon - the one that finally sets a fire under us. Here’s hoping for an inferno.