Latest news with #publicPolicy
Yahoo
2 days ago
- Business
- Yahoo
Lt. Gov. Delgado pitches fundamental change as he challenges his boss for governor
Jun. 7—SCHENECTADY — Lt. Gov. Antonio Delgado is pitching himself as a transformative leader who will make fundamental changes to how New York operates and will prioritize issues, blaming "current leaders" — his boss Gov. Kathleen C. Hochul — for failing to effectively respond to the core issues of our time. On Saturday, in a humid half-court YMCA gymnasium to a crowd of about 150 people in his hometown, Delgado spoke of family, of loyalty, of his commitment to representing the people of New York above all, and batted away criticism that he's proven a disloyal No. 2 to Hochul. "Some folks will talk about this idea of loyalty, since I announced my run for governor, loyalty," he said. "But I have to ask, loyal to who? Loyal to what?" "Loyalty to a broken system is why we're in this mess to begin with," he continued. "Don't talk to me about loyalty unless it's loyalty to the people." Delgado didn't name Hochul outright in his speech, but derided many of the policies the Hochul administration has overseen as fundamentally out of touch with good governance. "All New Yorkers, every single New Yorker, deserves better leadership," he said. He criticized programs that funnel public, taxpayer money into private enterprises, both to achieve economic growth and to deliver public benefits like healthcare and public housing. He questioned the financial viability of such programs, which he said have not done much to improve quality of life or boost economic performance. He said New York is the nation's third-largest economy, and would be eighth in the world if identified as its own nation — and with a $254 billion public state budget for the coming year. "Where is the money going?" he asked his supporters on Saturday. Delgado laid out a number of broad policy proposals — just a first look, he said. He called for efforts to address poverty, taking back public housing programs and increasing the income cap to qualify for New York's "Essential Plan" publicly-subsidized health insurance plan. He called for universal pre-school across the state and an increase in the statewide minimum wage "for everyone." He said the state should stand up it's own rental assistance programs, and make efforts to reach the estimated seven out of 10 eligible people who don't take advantage of that and other public benefit programs. He also called for universal childcare beyond universal pre-school as well, and said the state should establish a taxpayer-funded account to pay extra money to childcare workers as well. But when asked if he supported the extra spending that would come with those programs, Delgado said he wasn't backing the bills that currently exist in the state legislature that would enact many of these programs. "What I'm laying out is a vision," he said to gathered reporters after the campaign event. "Then you work with the legislative body to effectuate the vision and figure out what the best way forward is to get there. Delgado's message is one of change, of a departure from the way Hochul and recent governors before her have done things — and he said he has not been a significant part of that governance despite being the No. 2 most senior elected official in the state since 2022, when Hochul appointed him to replace then-Lt. Gov. Brian Benjamin. "I've tried very hard to communicate all these things within the administration, I've tried to push to make sure that we take bolder steps," he said. "Now listen, to do that you have to be part of the decision-making process, right. To do that, you have to be included." He said he was not included in that process, despite promises from Hochul before he was appointed that she would take a different approach to governing and would include the lieutenant in more decisions. That's not historically how the job works — for years, the lieutenant governor position has been varying degrees of thankless and responsibility-free. The lieutenant is no longer even regularly handed control of state government when the governor leaves the state, thanks to modern communications technology and the governor's private planes and helicopters. Delgado broke with Hochul nearly a year ago — first by calling for President Joseph R. Biden to step aside from his reelection campaign after his poor debate performance in June of 2024, then on further and further issues. After telling reporters in a rare Capitol news conference that he was working toward a better relationship with the governor, Delgado announced he would step aside and not run for reelection with Hochul. She responded by stripping him of everything but the most basic essentials for his office — taking back his downstate and Capitol second floor office space, a significant amount of his staff, digital devices, executive email and vehicles. Delgado has been left with a skeleton crew for official staff and a rarely-used office off of the state Senate chambers mostly used for ceremonial purposes in typical times. She also took all the duties and initiatives she's assigned to him and his team — a program to boost civic engagement and any assignments to represent the Governor's office at events across the state. All that remains is his constitutional duty to preside over the Senate — another rarely used ceremonial role almost always delegated to the Senate Majority Leader by assigning them as President Pro Tempore. Delgado hasn't done that since the first day of session in January. Delgado has maintained for months, since he started to break with the governor, that his real job is to "get out there and connect with people," a phrase he's repeated often including on Saturday. He, in his capacity as Lieutenant, has held quasi-campaign rallies across the state framed as town hall events, meeting with those in the community who care to show up. Many of those events were filmed and cut together for his campaign announcement video. "As lieutenant governor, I can't control when somebody decides to take a look at my staff, I can't control someone taking my phone, I can't control that," he said. "What I can control is my connection to New Yorkers, and I'm going to continue to lean in on my connection to New Yorkers. New Yorkers, who, by the way, who independently elected me to serve in this capacity." Delgado went on to say that he didn't see that same approach from Hochul — and that's what made him decide to run against her. "I wasn't seeing the plan, on top of that you don't have visibility to where we're going, you don't know exactly what the plan is, what the vision is, this feels more reactive, that's the piece I want to make sure that I change," he said. Delgado's path to victory is far from simple — Hochul has the incumbency advantage, years of fundraising, the support of the state Democratic party and polls better than Delgado in statewide rankings. Shortly after Delgado dropped his announcement video on June 2, a coordinated effort by the state party to shore up local Democratic support resulted with over 40 out of 64 local county Democratic chairs endorsing Hochul. On Friday, three leading Schenectady County Democrats announced they're backing Hochul. Hochul's campaign declined to comment on the lieutenant governor's criticism, or his candidacy in general, but pointed to a handful of news reports detailing those county and local endorsements of her, plus a New York Post article from Saturday with the headline "'No Show' Delgado: NY's lieutenant governor does little to earn $220k paycheck, records show." But Delgado isn't without his support — a handful of Democratic chairs, including from Greene and Otsego counties were at his event on Saturday. They appeared in their personal capacities — many county committees don't endorse before a primary, and others haven't had meetings to decide if they want to endorse, and who to endorse, yet. Greene County Chair Lori Torgerson said her county committee hasn't met yet, but said that for her personally, Delgado represents a good leader with a clear vision. "Antonio has integrity, everything he said today I believe he delivers on, and in my experience he has never been a leader who says one thing and does another," she said. Otsego County chair Caitlin Ogden said her committee generally doesn't endorse a candidate if there's a primary, but said that since Delgado's time in Congress he's demonstrated an ability to flip Republican and Trump-loyal voters and could be the best pick to stop the shift to the right the electorate has demonstrated in recent elections "I feel that he's the one whose got a proven track record doing that, and he has a really good shot," she said.
CBC
6 days ago
- Health
- CBC
Patients in N.B. face even longer waits in emergency rooms, report says
New Brunswick emergency room patients faced a typical wait of about four and a half hours in 2024-25, according to a new report by an independent public-policy think-tank. That median wait — the length of stay from arrival in the ER to discharge or admission to hospital — increased by nearly half an hour over the previous fiscal year and by nearly an hour over 2020-21, the report by the Montreal Economic Institute, known as MEI, says. "The situation is getting worse," said MEI economist Emmanuelle Faubert, who wrote the report, titled Canadians Are Waiting Too Long in the Emergency Room. "And that is a trend that we see all across Canada." Although the report indicates median waits last year ranged from two hours and 45 minutes in Newfoundland and Labrador to five hours and 23 minutes in Quebec, comparisons between provinces should be taken with a grain of salt, Faubert said, because of potential differences in the way they each collect and measure their data. Nova Scotia and Saskatchewan aren't included in the report because they did not provide the requested data, she said. WATCH | 'All across Canada, the situation is getting worse,' says report's author: Stuck in the ER? Wait times are up across N.B., report says 3 hours ago Duration 2:37 A report from the Montreal Economic Institute, a think tank in Quebec, found New Brunswick emergency room patients faced a typical wait of about four and a half hours in 2024-25. That's nearly an hour over 2020-21 wait times. The New Brunswick median wait is based on about 490,000 patient visits to Horizon and Vitalité emergency rooms and represents the middle value of the lengths of stay of all patients, meaning half waited longer, and half less, Faubert said. The median is considered a better statistical measure than the average, she said, because it's less affected by extreme cases and more likely to represent a typical visit. Faubert attributes the increase in waits to a shortage of primary-care providers and a lack of options to deal with minor emergencies. France model could help address 'missing middle' She encourages the New Brunswick government and other provinces to adopt a new model being used in France — immediate medical care centres. These independent clinics, which are generally privately owned by the health-care providers who operate them, specialize in handling non-life-threatening emergencies, such as bone fractures, wounds that require stitches, and infections, Faubert said. This helps reduce the pressure on ERs and fill the "missing middle" when it comes to urgent care. "They fall into a sphere where there's less bureaucracy, there's more place for innovation and less having to ask the government for anything anytime they want to implement a new strategy," she said. "That is what is currently happening in the public sector." Privatization 'a terrible recommendation' Dr. Fraser Mackay, an emergency physician in Saint John and chair of the rural, remote and small urban section of the Canadian Association of Emergency Physicians, calls that "a terrible recommendation." "It's an ideological approach that promotes privatization of health care, siloing of health care, lack of accountability and basically taking us in the wrong direction." Mackay said there's no denying wait times are getting worse across New Brunswick and across the country, and are "terrible almost everywhere you go," particularly in bigger centres. He supports making that data public and making citizens aware. But the MEI report is "impressively off the mark" in terms of its conclusions and advice, he said. Mackay contends the main driver of emergency department waits "has nothing to do with" access to primary care or the acuity of the patients in the waiting room. "People with low acuity problems, I can see them really fast, but I need a place to see them … and available nursing staff," he said. The problem is ER patients who have been admitted but can't be moved to a hospital unit because no beds are available, so they're tying up ER space and resources, said Mackay. "It is an outflow problem … not an inflow problem." While the French model might sound good on paper, it doesn't recognize our finite pool of doctors and nurses either, Mackay said. "If you're staffing that clinic, where are you getting that staff from? Because we have trouble staffing our emergency departments as it is." Hybrid system best, author says Faubert could not immediately say what would be required to set up such centres in New Brunswick or how much it might cost, but did say patient services should still be covered by provincial health insurance. "Of course if we plan to turn this into a reality, we need to dig deeper into how it would work," she said. "But as a concept it has shown that it does work in France, and we think that if it can be adapted to the Canadian environment then it could be beneficial." Asked if she and MEI are pro-privatization, Faubert did not answer directly. "The thing is, we've been putting more money into health care, more and more every year, and what we're seeing is that it's not working," she said. "When we look elsewhere in the world, in some of the most efficient countries with the best health-care systems, essentially all of them are hybrid. "They do have a public system, but they also have private, independent providers, and they work together to make sure that the population gets access to the care that they need." Health department works to expand collaborative teams The Department of Health is still reviewing the report but does "recognize that some New Brunswickers have struggled to access services in a timely fashion at hospital emergency departments," said spokesperson Sean Hatchard. It's working with Horizon and Vitalité, who are responsible for day-to-day operations, to make improvements, including filling health-care positions as quickly as possible, he said in an emailed statement. It's also working to expand family health teams across the province to improve access to primary care and ease pressure on the ERs, Hatchard said. While Premier Susan Holt pledged in last year's election campaign to open 30 collaborative care clinics over four years, existing community care clinics that adopt the family health team model are now being counted among them. So far this year, teams have been announced in Fredericton, Lamèque, Tantramar, and Carleton North. Some other initiatives that divert patients away from ERs include NB Health Link, eVisitNB, and expanded roles for pharmacists, who can now prescribe for 12 common ailments, Hatchard said. Vitalité works on patient flow Improving access to primary health care and optimizing patient flow are two of Vitalité's strategic priorities, according to an unsigned emailed statement. Since 2022, Vitalité has established 26 local family health teams, enabling the regional health authority to care for nearly 32,000 additional patients and divert some non-urgent demand away from hospitals, the unidentified spokesperson said. Vitalité has also implemented a number of initiatives to expedite discharges and reduce occupancy rates, which in turn shorten emergency department stays by increasing access to acute care beds, according to the email. These include discharge planning upon admission and the integration of tracking tools. Horizon did not provide comments Tuesday. More New Brunswick numbers Horizon hospital patients faced the longest ER waits, with a median length of stay of four hours and 51 minutes, compared to three hours and 21 minutes at Vitalité hospitals, the MEI report says. Horizon's Moncton Hospital had the longest median ER visits in the province at seven hours and 22 minutes, followed by the Saint John Regional Hospital at six hours and 37 minutes, and the Dr. Everett Chalmers Regional Hospital at six hours and 25 minutes. The Sussex Health Centre, which lost its overnight ER services in 2022, was a clear outlier, with a median wait of only 18 minutes, according to the report. Among Vitalité hospitals, Hôtel-Dieu Saint-Joseph de Saint-Quentin patients had the shortest median wait, at one hour and thirty-five minutes, while patients at the Dr. Georges-L.-Dumont University Hospital Centre in Moncton had the longest at five hours and 54 minutes.
