Monday 20 December 2021

Nurse practitioners fear for patients amid clinic closures, redeployment to COVID test sites

https://twitter.com/DavidRaymondAm1/status/1473031490007097351 


Replying to@ShiftNB

 

 

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Date: Mon, 20 Dec 2021 16:45:48 +0000
Subject: RE: Your buddy Higgy must have figured out by now that I have
had enough of Cardy's nonsense and am as serious as a heart attack
about my right to Heath Care N'esy Pas Rob Mooe a Doug Ford???
To: David Amos <david.raymond.amos333@gmail.com>

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Date: Mon, 20 Dec 2021 16:45:48 +0000
Subject: Automatic reply: Your buddy Higgy must have figured out by
now that I have had enough of Cardy's nonsense and am as serious as a
heart attack about my right to Heath Care N'esy Pas Rob Mooe a Doug
Ford???
To: David Amos <david.raymond.amos333@gmail.com>

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 https://www.cbc.ca/news/canada/new-brunswick/covid-testing-nps-redeployed-1.6290513

 

Nurse practitioners fear for patients amid clinic closures, redeployment to COVID test sites

Horizon to close clinics in Saint John for two weeks starting today, NPNB president says

Staff at several clinics were told Thursday that their clinics would be closed starting today and that staff will instead report to work at COVID vaccination and assessment centres, the president of Nurse Practitioners of New Brunswick says.

Thousands of patients and at least five clinics – including the Saint John Uptown Health Centre, North End Wellness Centre, Market Place Wellness Centre, H.O.P.E. Wellness Centre and the Saint John Sexual Health Centre – are affected by the temporary closures, Raelyn Lagacé said in an interview Sunday.

"This means that these patients no longer have access to their primary care provider for the next two weeks. So their only access to care will be walk-ins and ERs," Lagacé said. 

CBC has reached out to Horizon Health Network for comment on the increased need for staff at COVID vaccination centres and on the clinic closures, which are expected to be publicly announced Monday.

In the meantime, Lagacé said she is hearing from many upset nurse practitioners at the affected clinics.

"They're worried about their patients," she said. "You're looking at thousands of patients without access to care now ... a lot of vulnerable patients, a lot of sick patients. A lot of things are going to go unanswered for the next two weeks."

Nurse practitioners at Saint John clinics will be redeployed to the assessment and vaccine centres in the area, including 84 Ropewalk Rd. (Horizon Health Network)

Lagacé stressed that the nurse practitioners understand the challenge facing the province in the weeks ahead, with rising COVID case numbers and predicted surges of the highly transmissible Omicron variant.

It's not a matter of not wanting to help out, she said.

But with health-care staffing resources already stretched thin, they wonder if there might be better ways to manage the problem.

Lagacé held up Nova Scotia as an example, where she said volunteers are heavily leaned on to assist at COVID assessment centres. 

"I know we do that here, but to what extent?" she said.

Lagacé said she isn't sure whether that was already discussed and ruled out, noting there was no consultation with the clinics or with Nurse Practitioners of New Brunswick.

"Horizon is going to do whatever they deem necessary," she said, but consultation "would have been greatly appreciated."

"There's got to be other ways than completely closing down these clinics ... a lot of these patients would continue to have some access to care if there was some consulting done, some planning done."

ABOUT THE AUTHOR

Marie Sutherland is a web writer with CBC News based in Saint John. You can reach her at marie.sutherland@cbc.ca.

CBC's Journalistic Standards and Practices

 

 

  89 Comments
.Commenting is now closed for this story.
 
 
 
David Amos
Hmmm  
 
 
David Amos
Reply to @David Amos: Nurse practitioners shocked by Higgs government decision to charge for medical tests


Nurse practitioners say new rule that charges 'private' providers will hurt orphan patients the most
Vanessa Blanch · CBC News · Posted: Apr 09, 2021 6:00 AM AT

 
David Amos
Reply to @David Amos: "Former health minister Ted Flemming said in June 2020 letter that changes to the policy for diagnostic tests and laboratory tests were being made to 'ensure publicly funded health resources are both utilized appropriately and applied equitably.

Lagace said new clinics, staffed by nurse practitioners, are set to open in Moncton, Saint John and Fredericton. Each nurse practitioner will eventually be able to take between 800 and 1,000 patients and will operate within the Medicare system.

While that is good news, she still questioned the direction the government is heading and pointed out the new policy doesn't fit with other goals.

"We want to increase the population of New Brunswick." she said. "But if we can't provide health care, then that's not an option. People are not going to stay if they cannot get access to care.

"People in New Brunswick in the Fredericton region have been on these wait lists for five, seven, 10 years and are not able to get access to care."
 

 
 
 
 
 
 
 
 
 
Laurie Savage
Uptown Health Clinic in Saint John is the absolute best care my father has ever received. They are amazing, brilliant, and genuinely care. I am forever grateful for these people and I know for certain that are worried about their patients.
 
 
David Amos
Content deactivated
Reply to @Laurie Savage: I wonder if they a refill my prescriptions because my Family Doctor retired again.
 
 
 
 
 
 
 
 
 
 
 
 
 
Michael Lambert
Content deactivated
Some good news: Novavax, the first protein based vaccine, has received WHO and EMA approval. If Canada can quickly approve, I would expect our vaccination rate would rise significantly as many vaccine hesitant have been waiting for the more traditional vaccines.
 
 
Marc Bourque
Content deactivated
Reply to @Michael Lambert: the anti gang will still refuse as they believe it’s a world wide move to enslave them.
 
 
Johnny Lawrence
Content deactivated
Reply to @Michael Lambert: anti-vaxxers will simply move on to the next conspiracy as to why they should not take the vaxx. Each time something they argue is disproved they find another conspiracy to cling to. I am hoping I am wrong this time around since a more traditional vaxx might appease at least some of them.
 
 
David Amos 
Content deactivated
Reply to @Johnny Lawrence: So you say
 
 
Johnny Lawrence
Content deactivated
Reply to @David Amos: so I read on these boards on a daily basis.
 
 
David Amos 
Content deactivated
Reply to @Johnny Lawrence: I had been blocked for 6 months Hence you read nothing I have stated until last week Correct??? 
 
 
David Amos 
Content deactivated
Reply to @Johnny Lawrence: Methinks if you have been reading this forum since 2015 then you know of my 7 runs for public office and more importantly the lawsuit I filed in 2015 Corret? Anybody with two clues between their ears should deny the fact that Higgy was incredibly dumb to send me butter tarts instead of a Health Care Card N'esy Pas???
 
 
 
 
 
 
 
 
 
 
Marguerite Deschamps
Cut all the services and keep all the💰💰 💰💰! The Higgy way to a budget surplus.
 
 
Marguerite Deschamps
And my reading comprehension is 20/20! It's the ones wearing their blue coloured glasses who refuse to comprehend anything and would rather remain on their crass ignorance.
 
 
David Amos
Reply to @Marguerite Deschamps: Speak of the Devil and he is sure to appear 
 
 
Marguerite Deschamps
Reply to @David Amos: The 😈 is sure to appear soon
 
 
Marguerite Deschamps
H does not like my opinions. So they go "poof". And I put then back, just in spite.
 
 
 
 
 
 
 
 
 
 
 
 
Blair Churchill
Nothing to worry about the government has it all in hand lol, like they have since we have gone green
 
 
David Amos
Reply to @Blair Churchill: Who is we???
 
 
Blair Churchill
Reply to @David Amos: the province
 
 
David Amos
Reply to @Blair Churchill: I am no Green Meanie 
 
 
 
 
 
 
 
 
 
 
 
Kathleen McGuire
Is this the best use of NP’s? I am thinking not as now the system will be backed up even further. Could we not use senior year nursing students to help with testing and vaccinations?
 
 
David Amos
Reply to @Kathleen McGuire: Ask Cardy He knows whats best for all students
 
 
 
 
 
 
 
 
 
Bill Hamilton
Given that almost anyone can take a nose swab and most can be trained to give an injection, why underutilize the skills of NP's (or Dr's ) to do Covid tests or vaccinations? Why unnecessarily expose NP's and Dr's to to Covid exposure and thereby subject them to having to isolate.
 
 
David Amos
Reply to @Bill Hamilton: Good question
 
 
 
 
 
 
 
 
 
 
Dave Fischer
So... I understand the urgency about covid... so those of "us" that are fully vaxed & had boioster MAYBE need the medical care that the NP's provide. I for 1... need access for some issues.. but not to the extent that I need "urgent/emergency care' ,,,but my "normal medical needs" keep getting put off... so NOW SOME of us are not so important..>>> something is wrong with this picture... my "current needs" can change... hopefully in a GOOD way... but maybe not... then where do I go?
 
 
David Amos
Reply to @Dave Fischer: Higgy's house
 
 
Michael Cain
Reply to @Dave Fischer: after hours clinics 
 
 
 
 
 
 
 
 
 
 
Lou Bell 
Not too hard to understand and comprehend , as the story states , they're being redeployed TO VACCINATION CLINICS ! And yet there are those claiming they're testing sites ! Says right in the story , VACCINATION CLINICS !!!
 
 
JOhn D Bond 
Reply to @Lou Bell: From Horizon's site
NEW Horizon's Saint John Uptown Health Centre will be closed beginning today, Dec. 20 until Jan. 3 so that our staff can assist at COVID-19 vaccination clinics and assessment centres in the area. Patients will be contacted to reschedule their appointments and the facility will reopen to patients on Jan. 4, 2022.
 
 
Lou Bell  
Reply to @JOhn D Bond: And it states CBC has reached out to Horizon for a response on the NP's being redeployed to Vaccination clinics . Yup , says it right there !
 
 
JOhn D Bond 
Reply to @Lou Bell: Will go with what Horizon is disseminating to the public on their site as opposed to what a reporter is saying until clarified by Horizon. CBC does not set policy for Horizon.
 
 
David Amos
Reply to @JOhn D Bond: Don't bet on it
 
 
Dan Lee 
Yup......close outpatients.......close clinics.....send doctors home.......but keep dentists iwth no needles........ sigh.........great job
 
 
Pete Parent 
Reply to @Lou Bell: Health horizon does say assessment and vaccination....how many will be sent to vaccine clinics compared to assessment? we will never know.... In an email Monday, Horizon Health Network said the redeployments to assessment and vaccination centres were prompted by a "growing surge in demand caused by the recent rise in COVID activity" in the province.
 
 
David Amos 
Reply to @Dan Lee: So you say
 
 
 
 
 
 
 
 
 
 
 
Jimmy Belafonte
Another obtuse decision.
 
 
David Amos 
Reply to @Jimmy Belafonte: Par for the course
 
 
 
 
 
 
 
 
 
 
Roy Kirk
Seems an odd decision. NPs have a fairly advanced skill set that is more valuable to their patients. Even a lawyer or a marketing consultant could run a Q-tip around peoples noses and ask them a few questions. Having such types do this testing work would be a better allocation of govt labour.
 
 
james edwards
Reply to @Roy Kirk: a Q-tip is a beauty product FYI
 
 
Roy Kirk
Reply to @james edwards: Nasal swabs then! Sheesh!
 
 
Lou Bell
Reply to @Roy Kirk: " VACCINATION " and testing clinics ! Read the story ! I'd imagine they will be used FOR VACCINATING !
 
 
Maxime Babineau
Reply to @Lou Bell: Why NPs? Aren't RNs qualified?
 
 
David Amos
Reply to @Roy Kirk: Methinks you may place too much faith in lawyers N'esy Pas? 
 
 
 
 
 
 
 
 
 
 
 
 
Evan Day 
So the government assures people that there's no disadvantage to having a nurse practitioner instead of a family doctor, and then at the drop of a hat can declare that these patients lose access to their primary care provider (without a word of consultation). Nice job, GNB.
 
 
Lou Bell
Reply to @Evan Day: Horizon Health in Saint John made the decision . Take a look at the suddeen rise in cases worldwide and in Canada . Vaccinating ASAP is a necessity for TWO WEEKS ! Nurse Pimplepopper will be unavailable FOR 2 WEEKS ! Not the end of the world .
 
 
Michael Lambert
Reply to @Evan Day: Good thing some staff are on unpaid leave. Im sure these patients would prefer no care and the illusion of safety.
 
 
David Amos
Reply to @Evan Day: Thank Higgy for this circus
 
 
Johnny Lawrence
Reply to @David Amos: so you are banned from all gov't buildings and also any establishment that requires a vax, no wonder you remain so bitter, your options have become quite limited............................. good.
 
 
David Amos
Reply to @Johnny Lawrence: Wrong I am not an anti-vaxxer However I defiitely am an anti-masker who complies with Teddy's questionable emergency orders and wears a face diaper in order to go shopping and to court etc. 
 
 
Johnny Lawrence
Reply to @David Amos: not sure who teddy is but our emergency orders echo what much of the rest of the world is doing. If you are not wearing a mask then your options of where you can go are limited even more.................. good.
 
 
David Amos
Reply to @Johnny Lawrence: Say hey to Teddy our Attorney General for me will ya? Everybody knows he is the dude I will be arguing in court 
 
 
Johnny Lawrence
Reply to @David Amos: The AG spends zero time in court but you have fun anyways.
 
 
David Amos
Reply to @Johnny Lawrence: Clearly you read my arguments with their lawyers
 
 
 
 
 
 
 
 
 
 
 
 
JOhn D Bond 
Certainly seems strange that they would reallocate NP's to do injections and swab at test centres. Have to wonder how many NP's actually work at these clinics and how much of a dent it will make in the backlog? At least they Horizon recognize this is a inconvenience and will be contacting the patients to reschedule.
Have to wonder will there be more released on Why than the statement on their website?
 
 
Lou Bell 
Reply to @JOhn D Bond: The story on my computer says " VACINNATION AND Test Centers " !! I'd bet my money it's for vaccinating , now wouldn't you ??
 
 
JOhn D Bond
Reply to @Lou Bell: Given the back log in testing I wouldn't make that bet.
 
 
Pete Parent
Reply to @JOhn D Bond: i am hoping it is for testing....but if we suddenly see that booster shots are now available for more age groups today or tomorrow i will be convinced that they will have been redeployed to vaccination clinics.
 
 
David Amos
Reply to @JOhn D Bond: Are you afraid to gamble with Madame Bell??
 
 
 
 
 
 
 
 
 
 
 
 
 
SarahRose Werner
If, as an example, the refinery had blown up and every pair of hands was needed to provide immediate care to the wounded, then this sort of last-minute reassignment would be justified. But that's not what's happening here. There's no reason Horizon couldn't have told the NPs a week or so ago that this was coming. This would have allowed them some time to contact at least their most urgent patients and perhaps make some alternate arrangements.
 
 
Michael Lambert
Reply to @SarahRose Werner: Agreed. Further highlighting the extent of our "leaders" incompetence...
 
 
Jake Quinlan
Reply to @SarahRose Werner: Agreed. That said....this line: """Thousands of patients and at least five clinics........ are affected by the temporary closures, Raelyn Lagacé said in an interview Sunday......"This means that these patients no longer have access to their primary care provider for the next two weeks. So their only access to care will be walk-ins and ERs," Lagacé said. Makes it sort of sound like all the thousands of patients service by the clinics ALL had appointments in next 2 weeks and now will not .....not quite true.

M
 
 
Lou Bell
Reply to @SarahRose Werner: Ever think there are less volunteers and it has been stated there are a lot of doses that need to be administered before they're warranted outdated by the end of the month . You do realize all at once the process has been sped up EVERYWHERE as transmission has accelerated .
 
 
Lou Bell 
Reply to @Michael Lambert: Our leaders can't babysit every city in the province . This decision was made by Horizon Health IN SAINT JOHN !
 
 
David Amos
Reply to @Michael Lambert: I concur
 
 
 
 
 
 
 
 
 
 
 
Graeme Scott
I wonder what they will actually be doing at the testing sites? A master's degree NP would seem wildly over qualified to do assembly line PCR swabs all day.
 
 
Edwin Crandall
Agreed. This is just more theatre do promote how dire the situation is.
 
 
Lou Bell 
Reply to @Graeme Scott: Anyone who read the story would comprehend the line that says in part " on the increased need for nurses at COVID vaccination centers " ! NOT " testing sites " ! So it doesn't sound like they're swabbing now does it ?
 
 
David Amos
Reply to @Edwin Crandall: Bingo
 
 
 
 
 
 
 
 
 
 
Trevis L. Kingston
Sounds like the childrens story about the blanket that was too short to pull up to their chins...
so the mother cut a foot off the bottom...
and sewed it on the top!
Nothing gained here... except the false hope of a better blanket!
 
 
Jake Quinlan
Reply to @Trevis L. Kingston: Lol. Never heard that before. Have to remember that one.
 
 
Michel Forgeron
Reply to @Trevis L. Kingston - Precious!!
 
 
Clive Gibbons
Reply to @Jake Quinlan: We hear it twice per year, around daylight savings time.
 
 
David Amos
Reply to @Trevis L. Kingston: Well put
 
 
Marguerite Deschamps
Reply to @Trevis L. Kingston: 👍👍👍👍👍👍!!!!! 
 
 
 
 
 
 
 
 
 
 
 
SarahRose Werner
Last-minute redeployments are a great way to retain NPs in New Brunswick.
 
 
David Amos
Reply to @SarahRose Werner: Surely you jest
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Edwin Crandall
Is this some weak attempt to show the severity of this casedemic ? That we need to "redeploy" health care professionals to stuff a q tip up someones nose for the wildly inaccurate PCR test?
 
 
David Amos
Reply to @Edwin Crandall: Yup
 
 
 
 
 
 
 
 
 
 
Matt Steele
Unfortunately there is only so many qualified staff to go around , so you have to reassign staff to where they are needed most , and do the greatest good . Getting those booster shots into arms is pretty important as Covid seems to be spreading rapidly , and could overwhelm the Health Care system if the booster shots are not given .
 
 
Edwin Crandal
Reply to @Matt Steele: You mean the booster shots that have zero effect on the mighty omicron?
 
 
Marc Martin
Reply to @Edwin Crandall: Who says it doesn't ?
 
 
Evan Day
Reply to @Matt Steele: They're not redeploying them to give boosters - they're being redeployed to COVID testing sites. And even if it's justified, they should have at least consulted the NPs and provided for some sort of continuity of care for their patients. You can train a monkey to give IM injections or jab swabs up people's nose anyway - you don't need an NP to do it.
 
 
Edwin Crandal
Reply to @Marc Martin: Experts of course.
 
 
Ken Tremblay
Reply to @Matt Steele: More important than the primary care provider checking on the results of the mammogram or CAT scan or blood tests? Weeks delay in sending a referral could mean a big difference.
 
 
David Amos
Reply to @Marc Martin: He just did
 
 
Michael Cain
Reply to @Evan Day: staff will instead report to work at COVID vaccination and assessment centres 
 
 
 
 
 
 
 
 
 
 
Derek Grant
Little by little, day by day - Covid hammers away at the healthcare infrastructure. All is still merry and bright, the word from GNB. But many of the insiders/advocates are starting to get very, very restless and in knowing the condition of the dam and the rising height of the waters.
 
 
Rusty Shackleford
Reply to @Derek Grant: complaint, complaint, complaint....no solution. thanks for your input.
 
 
Derek Grant
Reply to @Rusty Shackleford: More immigration, more tax $$$$, more strategic healthcare planning for those rainy days, Cuz what, it's a rainy day!
 
 
David Amos
Reply to @Derek Grant: Remember Higgy, Russell and Cardy dancing a jig o a stage in Fat red City last summer with no masks on while their buddy Teddy was still prosecuting folks for not wearing masks???
 
 
 
 
 
 
 
 
 
 
 
Scott Smalley
More needs to be invested in healthcare in this new COVID era. Everyone needs to be prepared to pay more and sacrifice elsewhere. It’s just reality.
 
 
David Amos
Reply to @Scott Smalley: Yea Right
 
 
David Amos
Reply to @Scott Smalley: Methiks Higgy should finally refund all the money I spent in recent years for all the doctor's tests and give me my Health Care Card before I sue him ad put further burden our investment Nesy Pas?
 
 
Harvey York
Reply to @David Amos: you threaten to sue on a daily basis. Ever done it for real? Or just all talk..........
 
 
David Amos
Reply to @Harvey York: Ask the RCMP
 
 
Harvey York
Reply to @David Amos: No thanks. That's your answer to everything when you know you've got nothing.
 
 
David Amos
Reply to @Harvey York: If I say more I am banished Correct?

 

 


 Deja Vu Anyone???

 

 

 https://www.cbc.ca/news/canada/new-brunswick/nbnu-agreement-1.6291458

 

New Brunswick Nurses Union ratifies collective agreement with province

56% voted in favour of agreement offered by government this month

The largest bargaining unit within the New Brunswick Nurses Union has voted to accept a collective agreement reached with the province.

Fifty-six per cent of nurses voted in favour. 

The results were tallied on Friday, the union said in a statement issued Saturday. 

"I am pleased that a collective agreement has been ratified," Paula Doucet, the president of the union, said in the statement.

"This is the first step in improving the work and personal lives of nurses in New Brunswick; however, I recognize that the poor working conditions and retention and recruitment won't be fixed overnight. They will remain priority issues for NBNU."

The province reached a tentative agreement with the union on Dec. 10, four days after nurses voted overwhelmingly in favour of strike action.

Nurses rejected two previous tentative agreements prior to the strike vote in July and September.

Two other bargaining units representing nurse managers and supervisors are also voting on a tentative agreement that was offered by the province, with voting expected to wrap up on Monday, the union said. 

The union represents about 8,000 registered nurses in the province, in addition to nurse practitioners, licensed practical nurses, and workers in public and community health programs, Ambulance NB and extra-mural programs.

"Details of the agreements will remain confidential at this time," said Doucet, who was not immediately available for comment.

Finance Minister Ernie Steeves said the province is pleased to have a resolution "with these workers who have been working exceptionally hard since the start of the pandemic."

"We appreciate their dedication to the health and well-being of New Brunswickers. This deal is fair for employees and New Brunswick taxpayers. We look forward to the nurse managers' vote in the coming days."

 

ABOUT THE AUTHOR

Miriam Lafontaine is a reporter with CBC New Brunswick based in Fredericton. She's originally from Montreal, and can be reached at miriam.lafontaine@cbc.ca.

CBC's Journalistic Standards and Practices

 

 Deja Vu Anyone???

 
 

Tens of thousands of patients wait for family doctor in New Brunswick

As of Dec. 31, a total of 44,226 people have been registered with Patient Connect New Brunswick

As of Dec. 31, a total of 44,226 people have been registered with Patient Connect New Brunswick, which pairs residents with a family doctor. 

In September, CBC News reported about 37,000 people in the province without a doctor or nurse practitioner.

Patient Connect NB has a list of more than 17,500 patients waiting for a doctor in Zone 3, which includes Fredericton and a large portion of the St. John River Valley.

"The hospital really is the only option for us," said Debbie Simmonds of Fredericton. 

Waiting for a doctor 4 years later

She and her husband moved to New Brunswick from Prince Edward Island in 2017 for work and to be closer to their children.

Four years later, they're still waiting for a family doctor.

Since then, Simmonds, who was diagnosed with a neurological condition in 2019 and has been off work for several months, has been relying on the emergency room at the Dr. Everett Chalmers Regional Hospital for care. 

Her mother, who moved to New Brunswick from Ontario in 2019, was diagnosed this past summer with ovarian cancer, managed to get a doctor. 

"Is this what has to happen to get a doctor?"

Simmonds called Patient Connect to make sure the couple are still on the list. She was told there was nothing available.

'I don't know what else to do'

The Fredericton resident said she has heard some people have been waiting up to eight years to get a doctor in New Brunswick. 

"We're still waiting. I don't know what else to do." 

Early last year, the province announced it would hire 32 nurse practitioners, but Simmonds is worried they're being lured to other provinces. 

During last year's province election campaign, Premier Blaine Higgs also promised to provide $5 million to recruit doctors in rural areas and $4.2 million to add nurse practitioners to clinics and emergency rooms.

CBC News has asked  Health Minister Dorothy Shephard to talk about the number of people waiting for a family doctor and a plan to have nurse practitioners fill in the gaps. Shephard was not available for an interview. 

Everyone deserves a family doctor

Dr. Jeff Steeves, president of the New Brunswick Medical Society, said it's disheartening to see so many people waiting for a family doctor.

But it's a challenge that has been going on for many years.

He said more physicians in New Brunswick are retiring, leaving patients without a family doctor.

People are also living longer and doctors aren't able to care for as many patients because they require more medical attention.

   Dr. Jeff Steeves, president of the New Brunswick Medical Society, said the organization is working alongside government to bring more doctors to the province. (New Brunswick Medical Society)

Steeves said recruitment falls under the Department of Health and the two regional health authorities in New Brunswick.

But the New Brunswick Medical Society is working with government to lower the number of patients waiting for a family doctor.

"We're trying to work with government to significantly improve that list so that everybody can have a family doctor."

He said the goal is to reimagine how to recruit and retain new family doctors to New Brunswick to takeover when a family doctor retires. 

"Certainly all New Brunswickers would hope the trend would be going down from last year," he said.

"Every person in New Brunswick deserves a good family doctor."

ABOUT THE AUTHOR

Elizabeth Fraser

Reporter/Editor

Elizabeth Fraser is a reporter/editor with CBC New Brunswick based in Fredericton. She's originally from Manitoba. Story tip? elizabeth.fraser@cbc.ca

With files from Information Morning Fredericton

 

 https://davidraymondamos3.blogspot.com/2021/04/nurse-practitioners-shocked-by-higgs.html

 

Saturday, 10 April 2021

Nurse practitioners shocked by Higgs government decision to charge for medical tests but CBC et al knows why I certainly am not

https://twitter.com/DavidRaymondAm1/with_replies 

 

David Raymond Amos
Replying to @DavidRaymondAm1 @Nyonitz and 49 others  
Nurse practitioners shocked by Higgs government decision to charge for medical tests but CBC et al knows why I certainly am not

#cdnpoli #nbpoli

 

https://www.cbc.ca/news/canada/new-brunswick/health-new-brunswick-nurse-practitioners-raelyn-lagace-chantal-richard-1.5977955

 

Nurse practitioners shocked by Higgs government decision to charge for medical tests

Nurse practitioners say new rule that charges 'private' providers will hurt orphan patients the most

Chantal Richard, president-elect of Nurse Practitioners of New Brunswick, said the move to charge for any medically required tests ordered for patients is another blow to those without a primary care provider. (Submitted by Chantal Ricard)

A new rule introduced by the Blaine Higgs government is raising concern among nurse practitioners, who believe it will introduce yet another barrier for the more than 44,000 New Brunswickers who do not have a primary care provider.

Under the policy, which came into effect April 1, any medical practitioner who is operating outside of the public system and charging patients directly, will be billed by the regional health authority for any diagnostic or laboratory tests ordered.

Chantal Ricard, president-elect of Nurse Practitioners of New Brunswick, said the decision is "impeding access to care."

"We believe that these tests should be insured because they're medically necessary and ordered for patients with valid Medicare cards and ordered by licensed health professionals."

Nurse practitioners can diagnose illnesses and injuries, order and interpret tests, and prescribe medications. They are also able to refer patients to a specialist or transfer care to a physician if required.

No explanation for policy

CBC News requested an interview with Health Minister Dorothy Shephard but she was not available to explain the rationale for the decision.

"We've met with them on a few occasions," nurse practitioner and association president Raelyn Lagace said when asked if she knew why health officials made the change, "But we haven't come to any conclusion as to what they're trying to accomplish."


Health Minister Dorothy Shephard was not available for an interview. A government spokesperson says her department does not keep track of the number of doctors or nurse practitioners seeing patients outside of the public system. (Ed Hunter/CBC)

 In a letter obtained by CBC News dated June 19, 2020, and addressed to the Vitalité and Horizon Health board chairs, then-health minister Ted Flemming writes that the change is meant to establish "consistent policies and bylaws related to the granting and use of privileges for ordering tests and diagnostic services."

He said government has been made aware "in recent months" of instances where nurse practitioners and doctors are "utilizing publicly funded resources such as laboratory tests and diagnostic services, while charging patients fees."

Lagace said about 150 nurse practitioners are working in New Brunswick. Many are salaried employees with the health authorities, and others work independently, charging patients directly for their visits.

'I'm not quite sure what's going on'

Nurse practitioners who billed patients for a consultation in the past could then order medically necessary tests, which would be covered by Medicare. Lagace said nurse practitioners wouldn't charge anything for tests, only for the consultation.

"If you are a citizen in New Brunswick and require medically necessary tests, you already are paying taxes and should have access to these publicly funded systems that your tax dollars pay for."

Health policy expert Gregory Marchildon agreed. The Ontario research chair in health policy and system design said the move by government strikes him as "a bit of a shift."

In New Brunswick, an increasing number of patients have been forced to seek care outside the public system because they can't get access to a family doctor, or to specialists with long wait lists.

"The fact that these residents are charged for their medically necessary, primary care services only because they can't get access to a physician or nurse practitioner with a Medicare billing number seems contrary to the whole purpose of Medicare," Marchildon said.


Gregory Marchildon, Ontario research chair in health policy and system design, said all residents with a health card are entitled to 'every medically necessary hospital, diagnostic and physician service.' (Submitted by Gregory Marchildon)

 "I'm not quite sure what's going on here in New Brunswick, but the rule is that every Canadian should have access … to every medically necessary hospital, diagnostic and physician service. And it seems to me that there is no loophole for that."

Marchildon said if a test isn't medically required — for instance, if someone just wants an MRI "to see if there's possibly anything wrong"— the hospital shouldn't charge for that test. Rather, "they should be just simply refusing to do it."

"The way in which this is being dealt with doesn't sound helpful or constructive," he said. "And it could be very much contrary to the Canada Health Act."

The Department of Health said it does not track how many physicians are working outside the public system in New Brunswick.

Policy impedes access

A March 2021 memo to Horizon Health physicians and nurse practitioners, from two Horizon vice-presidents outlines a range of examples of when physicians or nurse practitioners would "receive a bill directly from Horizon Finance Department."

The list includes services that would be considered medically necessary such as "a patient who requires investigation for anemia," and those that wouldn't, such as "a patient who requires a chest X-ray for a scuba diving licence."

While the new policy charges the medical practitioner who orders the tests, Ricard and Lagace said the costs would ultimately be passed on to the patient.

Lagace said nurse practitioners charge between $29 and $49 for a consultation with a patient, and it's not feasible for them to then pay between $128 and $600 for diagnostic tests.


Raelyn Lagace, president of Nurse Practitioners of New Brunswick, said her members want more flexible options to provide care and ultimately would like to have Medicare billing numbers, similar to doctors. (Submitted by Raelyn Lagace)

 "We don't want to pass that bill on to the patient," said Ricard. "We've been working with government for the last two years trying to make changes that would improve access for patients and remove barriers for care, but government chose to take this direction.

"In essence it ties our hands. It shuts us down." 

Government goes ahead, despite 'gaps' in care

At the end of the day, Lagace said, the Higgs government is hurting those without access to primary health care the most.

That's something Flemming recognized in his letter from June 2020.

"Please note, Government is also aware of gaps in access to primary health care that would occur should [nurse practitioners] no longer be able to see their existing patients as part of a private practice," Flemming wrote. "This is evidenced in our commitment to fund the establishment of [nurse practitioner] staffed clinics in the province."


Former health minister Ted Flemming said in June 2020 letter that changes to the policy for diagnostic tests and laboratory tests were being made to 'ensure publicly funded health resources are both utilized appropriately and applied equitably.' (Jacques Poitras/CBC)

 Lagace said new clinics, staffed by nurse practitioners, are set to open in Moncton, Saint John and Fredericton. Each nurse practitioner will eventually be able to take between 800 and 1,000 patients and will operate within the Medicare system.

While that is good news, she still questioned the direction the government is heading and pointed out the new policy doesn't fit with other goals.

"We want to increase the population of New Brunswick." she said. "But if we can't provide health care, then that's not an option. People are not going to stay if they cannot get access to care.

"People in New Brunswick in the Fredericton region have been on these wait lists for five, seven, 10 years and are not able to get access to care."

Call to revise policy

Ricard and Lagace are calling on the government to change the new policy, arguing New Brunswick citizens are entitled to these tests through the Hospital Services Act.

"There's a need and there's room for all of us and I think that all available health care providers should be on deck," Ricard said.

"We don't understand why government would choose to take away this only option for many patients before having something better to offer them."

Marchildon said New Brunswick should immediately contract with whatever health providers it can, including independent nurse practitioners, to offer care to everyone, "rather than penalizing New Brunswick residents for something they have no control over."

Reporter Vanessa Blanch has been looking into how the new rules impact access to healthcare in the province. 0:00
 

ABOUT THE AUTHOR

Vanessa Blanch is a reporter based in Moncton. She has worked across the country for CBC for 20 years. If you have story ideas to share please email: vanessa.blanch@cbc.ca

 

 

163 Comments
Commenting is now closed for this story.

 

Fred Brewer
The crux of the problem is that we have 44,000 NB residents who don't have a family doctor. Which do you think would be cheaper for the province? Hiring 20-30 new doctors or paying for the medical tests of those of the 44,000 who to choose to pay a private practitioner?

In my view, if Higgs is unwilling to fix the core problem of not enough family doctors, then he should be thankful for the private practitioners who are trying to fill that void and he should pay for any legitimate tests
 
 
Terry Tibbs 
Reply to @Fred Brewer:
Meanwhile, over a year and a half ago, "the problem" was identified, by the then Minister of Health, good old Teddy Flemming.

https://www.cbc.ca/news/canada/new-brunswick/billing-numbers-eliminated-family-doctors-1.5303180  

But, I'm guessing, good old Higgs and company, can't grind a few bucks out of that, so we'll just sweep it under the rug, and forget about it.

 

Fred Brewer
Reply to @Terry Tibbs: It seems to me that Higgs is willing to cut education, healthcare, infrastructure and almost anything else rather than demand that the Empire pays its fair share of taxes.

 

 

https://www.cbc.ca/news/canada/new-brunswick/new-brunswick-health-minister-dorothy-shephard-doctor-shortage-nurse-practitioner-1.5983983 

 

Health minister focused on finding everyone a doctor or nurse practitioner within 6 months

Dorothy Shephard says her department has taken over recruitment to get rid of waitlist

"Every physician and nurse practitioner should be working within the Medicare system," the minister said. "We have 18 vacant nurse practitioner positions that we would dearly love to fill."

In New Brunswick, an increasing number of patients have been forced to seek care outside the public system because they can't get access to a family doctor, or to specialists with long wait lists.

As of Dec. 31, there were 44,226 people registered with Patient Connect New Brunswick which pairs residents with a family doctor. 

But Shephard believes that by doing a comprehensive review of the names on the Patient Connect list and by hiring 18 full-time nurse practitioners, she will be able to eliminate that wait list within six months.

"I will hire them today," Shephard said. "And out of those 18 positions, we will take 18,000 patients off the Patient Connect list and connect them with a primary caregiver, a permanent one. That's what we need to have happen. We don't need one-off appointments."

Nurse practitioners argue that long wait list, combined with a new rule introduced by the Blaine Higgs government April 1, which charges medical practitioners for diagnostic or laboratory tests ordered for patients they see outside of the publicly funded system, is making it more difficult for patients who need care.

Shephard said she has no plans to reverse that policy, and is "not going to encourage that people should have to pay for a Medicare service" by providing any public resources to those doctors or nurse practitioners who are charging patients directly for appointments.

Focus is on hiring

In New Brunswick, patients are able to pay between $30 and $50 to see a family doctor or nurse practitioner operating outside of the public system.

Shephard said that's not a solution to the shortage of people who can provide primary care, and it's not something she is going to spend any energy on supporting.

"They're doing one-time appointments," she said. "They may have some followup, but this individual using their service does not have a primary-care provider full time. And that's our goal. Our goal is to ensure that every New Brunswick gets a primary health-care provider."

We're working on a two-tiered system — that's not what we want in New Brunswick. We want dependable, affordable health care. And there's ways to do it.​​​​
- Minister of Health Dorothy Shephard

Shephard said staff are going through the list of people waiting for doctors and are contacting them by phone and through the mail to determine who is still in need of a primary caregiver.

She said officials have not been able to reach a "significant number," and their names will be removed from the list.

"Then we will have a very clear, concise idea of how many people in this province need a primary caregiver." 

Chantal Ricard, president-elect of the Nurse Practitioners of New Brunswick, said her members would like to work within the Medicare system for one of the regional health authorities, but not everyone wants to work full time.

Shephard said she understands that, and is willing to hire part-time nurse practitioners.

Chantal Ricard, president-elect of Nurse Practitioners of New Brunswick, has asked numerous times for the details of available positions so her association can help the province recruit more nurse practitioners to the public system. (Submitted by Chantal Ricard)

Ricard also provided an email exchange with a "talent acquisition specialist" with Horizon Health that began on Feb. 26,  when she asked for the postings for the available nurse practitioner positions so she could share with her members and help the province with its recruitment.

She was promised the information in an email dated March 2, but Ricard said it never materialized, even after following up as recently as April 9.

Not happy with recruitment 

When asked about that, Shephard said she has heard other complaints from health-care providers who want to work in New Brunswick.

"I've also been told that I have family physicians who want to come home to practise here, and they can't even get a call back, she said.

"That's why we've taken recruitment into the Department of Health to lead it, working with our partners at the [regional health authorities] and the medical society and our associations. I have not been satisfied with our recruitment process."

Shephard did not provide any suggestions for those who are currently without a family doctor or nurse practitioner, and in need of care.

"We're working on a two-tiered system — that's not what we want in New Brunswick. We want dependable, affordable health care. And there's ways to do it."

ABOUT THE AUTHOR

Vanessa Blanch is a reporter based in Moncton. She has worked across the country for CBC for more than 20 years. If you have story ideas to share please email: vanessa.blanch@cbc.ca

 

https://www.cbc.ca/news/canada/new-brunswick/healthcare-new-brunswick-doctor-1.5990854 

 

Horizon chair 'perturbed' by province saying it will take over doctor recruitment

Horizon Health Network says province gave no heads-up it would take lead on recruitment efforts

During a Horizon board of directors meeting Friday, John McGarry questioned the Department of Health's ability to do a better job than the health networks at recruiting doctors to New Brunswick.

McGarry said he could imagine scenarios that would work at recruiting doctors, such as one doctor calling another and asking if they'd like to join or take over their practice. He also suggested the health network's CEO could successfully recruit doctors by contacting them directly.

"I'm thinking, what physician is even going to have a discussion with a bureaucrat in the Department of Health about taking a position?" McGarry said. 

"Because they know they must come back to the [regional health authorities] about privileges; 'What group am I going to be with? What services am I going to do? If I'm a specialty person, what kind of resources am I going to have to do those?'

"It all begins and ends with the hospital and the physicians groups, so I'm really perturbed with this statement of government saying we're taking over recruitment, and [I'm] thinking, 'Well, good luck'."

McGarry's comments came after Health Minister Dorothy Shephard said earlier this week her department was taking the lead on the recruitment of family physicians and nurse practitioners in the province, adding she hasn't been satisfied with the process so far.

As of Dec. 31, there were 44,226 people registered with Patient Connect New Brunswick, which pairs residents with a family doctor.

Shephard also said she has heard complaints from health-care providers about not receiving a call back after expressing interest in working in New Brunswick.

No consultation from Department of Health: CEO

During Horizon's board meeting Friday, CEO Karen McGrath said the Department of Health never communicated to Horizon any issues of prospective healthcare providers not being called back.

McGrath also said the department hasn't offered any directive with respect to it taking a lead on physician recruitment, adding she only heard about the plan through the news media.

Horizon Health Network CEO and president Karen McGrath said it would be impossible for someone in the Department of Health to properly identify the need for doctors within the health authorities. (Zoom)

She also added to McGarry's concerns about the department's ability to effectively recruit doctors, saying it would be "virtually impossible" for someone in government to be able to identify specific needs within the health authorities.

"We need to be careful about adding layers of complexity," McGrath said.

"So if indeed there is someone in government calling somebody who says yes I'd like to work in anesthesia in X community, and there is actually nobody needed in X community, then we need to be careful about individuals who are not associated with the health authority and know the need and know also the fit."

Horizon gained 38 family doctors since 2019

In further contrast to Shephard's claims, McGrath said she thinks Horizon has been "significantly successful" in its recruitment efforts in the past two-and-a-half years.

"I think it's been nothing short of miraculous quite frankly in terms of the recruitment team in the medicine department."

As part of the meeting, Horizon vice-president of medical, academic and research affairs Dr. Édouard Hendriks highlighted recent statistics on doctor recruitment by Horizon.

He said since July 2019, Horizon has gained 78 new family doctors, and lost 40, for a net gain of 38 across the entire health network.

Of those new doctors, he said less than 10 per cent were brought in with help from the Department of Health.

Hendriks said there's currently "fierce" competition among Canadian provinces to attract family doctors, adding Horizon has partnered with Medicare, the Department of Health and the New Brunswick Medical Society "to make sure we have a common approach for recruitment."

CBC's Journalistic Standards and Practices

 

https://www.cbc.ca/news/canada/new-brunswick/horizon-health-new-brunswick-1.6000591 

 

Health minister fires vocal chair of Horizon Health board

John McGarry first joined as CEO in 2013, then as board chair in 2019

Health Minister Dorothy Shephard made the decision to remove John McGarry from his position, Bruce Macfarlane, spokesperson for the Department of Health, said in an email Friday.

Shephard wasn't made available for an interview Friday afternoon, and Horizon deferred all comment to the provincial government.

CBC was unable to reach McGarry for comment Friday.

The move comes just a week after McGarry criticized the Department of Health when Shephard said it would take the lead on recruiting physicians to work in New Brunswick.

During a board of directors meeting last Friday, McGarry said he was "perturbed" by that plan, and he cast doubt on the Department of Health's ability to successfully recruit doctors.

"It all begins and ends with the hospital and the physicians groups, so I'm really perturbed with this statement of government saying we're taking over recruitment, and [I'm] thinking, 'Well, good luck'," McGarry said, at the time.

McGarry first joined Horizon as its CEO in February 2013, and in April 2016, he announced he would not be renewing his four-year contract.

In January 2019, McGarry was brought in again under former health minister Ted Flemming, this time as Horizon's board chair.

Vocal about ideas on health-care reform

During his time as CEO, McGarry was outspoken about the need for major reforms to New Brunswick's health-care system to fix issues around wait times and hospital overcrowding.

In 2015, McGarry raised eyebrows when he tweeted about what he called a "crisis" of congestion in New Brunswick hospitals.

"Horizon Health network called for urgent action in January, Nurses Association of New Brunswick is now, all regional hospitals are facing intolerable congestion," he posted on Twitter.

"When will system sit down as one and fix the worsening situation of alternative levels of care and long term care for patients who need their hospital care? Please someone tell us what it will take?"

Then in a commentary piece he wrote in January 2016, McGarry said it was time to move away from the concept that all care must occur in hospitals, and embrace a model with fewer emergency rooms and improved care in communities.

By closing some hospitals and freeing up money, more could be invested in community health care, he said, at the time.

That same year, then-premier Brian Gallant declared there would be no major cuts to health care, which McGarry publicly disagreed with, saying smaller hospitals needed to close.

And last year, it was revealed that Horizon's board had approved a plan by Premier Blaine Higgs to close the nighttime operations of emergency departments at six small hospitals.

That plan was quickly scrapped following swift backlash from the public.

CBC's Journalistic Standards and Practices

 

https://www.cbc.ca/news/canada/new-brunswick/john-mcgarry-andre-veniot-horizon-health-dorothy-shephard-1.6008562 

 

Former Horizon chair takes firing in stride — but not health minister's 'cheap shot'

John McGarry says tension between Horizon and Dorothy Shephard has grown since she took over

At 69, John McGarry said he is fine with being fired by the health minister from his position as chair last month.

He is not fine, he said, with Shephard criticizing the health authority for failing to recruit doctors, and with her telling the media her department would now lead recruitment rather than Horizon and Vitalité.

In April, Shephard told CBC News there are "family physicians who want to come home" to practise in New Brunswick but "can't even get a call back" from the regional health authorities.

"That's why we've taken recruitment into the Department of Health to lead it," the minister said. "I have not been satisfied with our recruitment process."

McGarry took exception to that statement, in part because neither Shephard nor anyone from her department called Horizon first to raise those concerns.

"That's just a cheap shot to say those things without really coming to the [regional health authorities] themselves and say, 'Tell me the story here. Why are people saying this?'" McGarry said. "That's what upset me — I find that it's maligning our recruitment people, who are doing a good job."

Minister has never met with board

Longtime board member André Veniot decided to speak out after McGarry was fired April 23.

Veniot believes the minister is unnecessarily undercutting and "throwing shade" on Horizon staff.

"I think it's been for some time that the Department of Health, and this minister in particular, has been almost throwing Horizon … and this board under the bus — and the decisions we make under the bus," he said.

"And that, I think, caused a lot of friction." 

Since she was appointed health minister at the end of September 2020, Shephard has not met with the Horizon board, said Veniot and McGarry.

Andre Veniot questions whether the health boards should continue. He said successive governments have directed members not to cut services at rural hospitals, which is preventing meaningful reform. (Submitted by Andre Veniot)

"Your board … represents the people of New Brunswick. We have a ton of experience and it would be nice to be appreciated for the work we do," Veniot said.

McGarry, who has worked with other health ministers in his time as board chair, said he expected to have a good working relationship with Shephard where they could challenge one another, but he hasn't met with her or her deputy since last fall.

"There's usually more regular board chair-minister meetings. I had a lot of them with minister [Ted] Fleming," he said, referring to Shephard's predecessor in the Progressive Conservative government.

"I think I've only met once with the minister and the deputy probably in October or November."

Health-care 'vision' questioned

McGarry was fired after he publicly criticized the health minister at a Horizon board meeting on April 16, saying he was "perturbed" by Shephard's assertion that her department would be taking over doctor recruitment. He questioned whether the Department of Health could do a better job.

McGarry understands why the minister dismissed him, but he said Shephard's comments during a legislative committee hearing April 29, one week later, left him scratching his head.

Health Minister Dorothy Shephard told a legislative committee on April 29 that her vision for New Brunswick is 'to have a health-care network of excellence.' (Legislative Assembly of New Brunswick)

At that meeting Shephard responded to questions from Liberal MLA Jean-Claude D'Amours about McGarry's firing saying, "I'm not going to explain myself to the member opposite with regards to a position that is held at the pleasure of the minister."

She went on to say that her objective was to "begin putting in place people who share my vision, our vision, government's vision, for the direction we need to take the Department of Health."

Shephard never explained how that vision differed from McGarry's.

McGarry said when he heard Shephard's comments he thought, "What is she talking about?"

"Is there something that I'm missing here? No. You're upset that I criticized you for taking broadsides at the recruitment process. And then you decided that I should go — which is fine I have no problem with that — but own up to it."

CBC requested an interview with Shephard but she refused. Instead her spokesperson sent a statement that reads in part, "the minister of health would like to thank Mr. McGarry for his hard work and dedication to the people of New Brunswick."

During the legislative committee meeting, Shephard was asked about her vision for health care in New Brunswick.

"We have to have vision," she replied. "I see a health-care network, networks, in this province where patients are as equally satisfied as the medical professionals who serve them. What a goal. There's my vision."

Health Department not equipped to recruit doctors

McGarry continued to cast doubt on the idea of the Department of Health leading doctor recruitment, saying it is a "delicate" process.

"It shouldn't be led by the government — the government should be creating an environment in the province that is open to physicians and welcoming to physicians."

You don't have some assistant deputy minister start calling people and saying, 'Hey, would you like to have a job in Fredericton?'
- John McGarry

McGarry explained that physicians have an important role when it comes to recruiting doctors who will be a good fit for the province and their existing teams.

"They do the calling in most cases and say, 'Listen, Dr. X, we'd like you to come here and come on up for the weekend and … talk to us and come out to dinner with us and see if you like Saint John or Fredericton or Moncton … see if you're compatible with us because we're really interested in talking to you," he said.

"You don't have some assistant deputy minister start calling people and saying, 'Hey, would you like to have a job in Fredericton?'"

McGarry maintains that doctor recruitment should remain the responsibility of Horizon because it is a 'delicate' process that should involve doctors already working in the province. (Hannah McKay/Reuters/Pool)

Adding insult to the injury of Shephard's initial comments, McGarry said, was that nothing actually changed at Horizon after Shephard said her department was taking the lead on recruiting doctors.

"Did she send a letter afterwards saying, here's what I mean — here's what we're going to do, and here's what you're going to do? No. So it was just a throwaway in a media scrum that slammed the [regional health authorities] without any basis."

Veniot said it feels to him that Minister Shephard is making up policy as she goes, pointing again to a CBC interview where she promised to eliminate the wait list for primary care in New Brunswick within six months.

"Good luck. I wish you well. I'd love to see it," he said. "It's just I don't think it's going to happen." 

Future of health boards questioned

Veniot, who is an appointed member of the board, expects he may also be fired for criticizing the minister but said the board's job of charting a course for health care in the long term is not easy, and government should expect to be challenged.

Seriously, I mean if all the board is going to be doing is tinkering at the edges, that to me is not the proper functioning and good use of the board.
- Andre Veniot, Horizon Health board member

He said if the minister isn't prepared for the board chair and the board members to "speak truth to power," then perhaps there isn't any point of having health boards.

"You're not dealing with the problem. You're not dealing with the issues."

In his six years on the board, Veniot said, successive governments have directed members to leave rural hospitals out of any reform plans, and that is hamstringing any real reform.

"Seriously, I mean if all the board is going to be doing is tinkering at the edges, that to me is not the proper functioning and good use of the board." 

Veniot still believes the health reforms introduced last year that would have seen emergency rooms in six rural hospitals closed overnight is the right way forward.

"I still stand by that. But the government chose otherwise. And that's their role, but at some point down the road, and in a not too distant future, it's going to come back."

Veniot said working with Horizon has been a privilege and given him "a real insight" into the $1.2 billion health corporation with 13,000 "dedicated, professional, highly trained" employees.

The Horizon Health Network, which includes the Moncton Hospital, is the second largest health authority in Atlantic Canada. It includes 12 hospitals, has 13,000 employees and an annual budget of $1.2 billion. (CBC)

Shephard recently finished 46 community engagement sessions across the province talking about the future of health care in New Brunswick as her department works on a health care plan that she has said will not include the closure or reduction in hours of any emergency rooms.

McGarry believes Shephard needs to listen to, not ignore, members of the Horizon board.

"Board people, they don't do this because they want to get bashed around, they do it because they love their communities, and they want to do the best job they can and they want to build a good health system."

There are seven appointed members of the Horizon board, and eight elected. In the upcoming election, 26 candidates are running for those eight positions, including six incumbents.

ABOUT THE AUTHOR

Vanessa Blanch is a reporter based in Moncton. She has worked across the country for CBC for more than 20 years. If you have story ideas to share please email: vanessa.blanch@cbc.ca

 

 

https://www.cbc.ca/news/canada/new-brunswick/horizon-health-chair-john-mcgarry-ceo-1.4992788 

 

Former vocal Horizon CEO John McGarry returns as board chair

Health-care system will benefit from his 'leadership, insight and expertise,' minister says

McGarry, the former president and CEO of the regional health authority, has been appointed chair of the board of directors, effective immediately, Health Minister Ted Flemming announced on Friday.

McGarry, who retired in January 2017 at the age of 64, "brings a wealth of knowledge" to the position, with more than 35 years of experience in health care administration, Flemming said in a statement.

"The province's health-care system will greatly benefit from his leadership, insight and expertise," he said.

McGarry said in the government release that New Brunswick faces many pressures on its social systems, including demographic, fiscal and human resource-related challenges.

"I look forward to working with CEO Karen McGrath and the board of directors in helping keep our health-care system accessible to everyone who needs care, and sustainable in the long-term," he said.

McGarry first joined Horizon in February 2013. In April 2016, he announced he would not to be renewing his four-year contract.

He told reporters at the time that his decision to step down had nothing to do with any disagreement with the provincial government over policy.

But he did say he was disappointed with continuing turf issues among the regions Horizon covers, and with the francophone health network, Vitalité.

He also said his successor would have to continue making difficult decisions, managing public expectations with limited provincial resources.

'Crisis' of hospital congestion

Earlier that year, McGarry had written a commentary, saying it was time to move away from the concept that all care must occur in hospitals and embrace a model with fewer emergency rooms and improved care in communities.

In 2015, McGarry had raised eyebrows when he tweeted about what he called a "crisis" of congestion in New Brunswick hospitals.

"Horizon Health network called for urgent action in January, Nurses Association of New Brunswick is now, all regional hospitals are facing intolerable congestion," he posted on Twitter.

"When will system sit down as one and fix the worsening situation of alternative levels of care and long term care for patients who need their hospital care? Please someone tell us what it will take?"

Frustrated by inaction

The tweets came on the heels of numerous surgeries being delayed because hospital beds were blocked by patients who should have been in other facilities.

McGarry told reporters he was frustrated by years of inaction by successive governments and felt he had no choice but to go public.

Then-health minister Victor Boudreau said he wished McGarry had called him to discuss the matter first and offer solutions rather than just complain. But he agreed there was a problem and said the government was working on it.

Horizon operates 12 hospitals and more than 100 medical facilities, clinics and offices.

McGarry previously served as co-CEO for the Office of Health Renewal and acting assistant deputy minister for the Department of Heath.

He has also served as vice-president of finance at Kitchener-Waterloo Hospital, senior vice-president of the Dr. Everett Chalmers Regional Hospital and CEO of River Valley Health.

 

 

 Deja Vu Anyone???

 

https://www.cbc.ca/news/canada/new-brunswick/province-phase-out-physician-billing-system-1.5301606  

 

Province to eliminate physician billing number system

New Brunswick Medical Society working on alternative

"The physician billing number system no longer works for the province," Health Minister Ted Flemming said in a media release Saturday.

"It is flawed because it restricts the number of physicians practising, restricts the mobility of physicians and impedes recruitment."

Flemming made the announcement during the New Brunswick Medical Society's annual general meeting in Moncton.

During the throne speech in November, Premier Blaine Higgs said one of his major commitments while in government was to eliminate the physician billing number system.

The billing number system was introduced in 1992 and controls where and how many physicians can practise in the province.

Doctors are assigned a billing number as a way to maintain an even distribution of doctors throughout the province, specifically in rural areas.

"After 30 years, we've come to understand that it's a failed experiment," said Dr. Serge Melanson, the president of the New Brunswick Medical Society, in an interview.

"By removing it, we're essentially streamlining the process such so we can recruit physicians to the province faster and actually give more flexibility and options to physicians who are looking to set up practice in the province." 

Melanson said he hopes this change will provide New Brunswickers with more access to doctors. 


Dr. Serge Melanson, president of the New Brunswick Medical Society, said he hopes the elimination of the billing number system will improve access to health care. (CBC News)

 "We're hoping this will increase recruitment which will, in turn, improve access to health care to our patients," he said.

The system is expected to be phased out by mid-December.

The New Brunswick Medical Society is working with the regional health authorities and the Department of Health to develop an alternative to the billing number system that works on rural recruitment and access to primary care.

"We're empowering the regional health authorities, Vitalité and Horizon, which already have mandates and abilities to hire physicians," Melanson said. "We're actually providing them with more tools to do so in an effective manner."

 

CBC's Journalistic Standards and Practices

 

 

49 Comments
Commenting is now closed for this story.

 

 
David Amos
How can my doctor bill the system when Flemming and his many minions won't give me my Health Care Card?
 

 

https://www.cbc.ca/news/canada/new-brunswick/billing-numbers-eliminated-family-doctors-1.5303180

 

Scrapping billing numbers could ease urban family doctor shortage, minister says

Northern leaders fear move could cost smaller, rural communities their doctors

The challenge of finding family doctors for smaller communities and rural areas will be relatively easy to solve by paying them more money to practise there, Ted Flemming said Monday.

"The shortage, the wait list, in rural New Brunswick is very, very low compared to urban New Brunswick. The rural issue is just not serious in the sense of numbers." 

Of the 32,000 New Brunswickers on waiting lists for doctors, 27,500 are in urban centres. 

Fewer than 1,000 people are on waiting lists for family doctors in some northern zones, while the lists in the largest cities have passed the five-figure mark, Flemming said.


Health Minister Ted Flemming announced on the weekend that the government will abandon the billing-number system. (Jacques Poitras/CBC)

 Flemming announced on the weekend that the government will abandon the billing-number system, a mechanism created in 1992 to rein in soaring health-care costs.

He made the announcement at a meeting of the New Brunswick Medical Society, which endorsed the move. The Progressive Conservative government promised the change in its throne speech last fall.

Each doctor practising in the province gets a billing number they use to invoice Medicare for the services they provide. But the individual billing number is linked to where the doctor practises, restricting their movements. 

If no billing number is available in a community, a new doctor can't set up a practise there.

Bigger the place, longer the wait

Anthony Knight, the CEO of the New Brunswick Medical Society, said billing numbers in urban centres have not grown at the same pace as their populations, or their family-doctor wait lists.

"That number should align with patient needs and patient expectations in terms of their health status, the size of their communities, and the demographic changes we see in our province with the shift of people in certain communities moving to more urban centres," he said.

By eliminating the billing numbers, it will be easier to get more doctors into cities where the longest wait lists exist, Flemming said.

As an illustration, the minister pointed out that in the Bathurst-Acadian Peninsula zone of the Vitalité health authority, 932 people are on the waiting list for a family doctor — fewer than the normal patient load of one physician. In the Campbellton zone, 412 are on the waiting list.

But in the Moncton area, the wait list is 10,272 people, and in Fredericton it's 11,874, Flemming said.

"Finding coverage for 412 people is an easier task than 10,300," he said.

"The demand for primary health care is in the cities. It's not in rural areas. That doesn't mean we don't need to find that [northern] position. That's not insurmountable. That's one nurse practitioner." 

Concern over effect on rural communities

Some leaders in northern New Brunswick are already expressing concern about the loss of the billing numbers. 

"Those numbers in my mind guaranteed positions in the regions," said Denis Savoie, the mayor of Eel River Crossing and the chair of the Regional Service Commission in the Restigouche area. 

"In the current system, it was one of the tools we had to make sure doctors came to the area." 

Flemming said the regional health authorities and the medical society will work toward a new system, including financial incentives, to fill the gaps in northern and rural communities.

"If you want someone to locate in certain areas, you have to give particular incentives," he said.

Knight said that without billing numbers restricting mobility, doctors based in urban centres could rotate into rural communities for short periods, perhaps for extra pay. 

"We know that certain incentives do work," he said. "They help to encourage physicians to work in communities, maybe not permanently but for periods of time. They could shift in and out with a team of doctors." 


Anthony Knight, CEO of the New Brunswick Medical Society, says that incentives can help attract doctors to rural communities. (Michael Gorman/CBC) 

That would be better than leaving a billing number vacant because a new doctor is unwilling to permanently establish themselves in that rural or northern community, he said.

New doctors are looking for work-life balance and many of them prefer an urban setting, yet billing numbers are often not available in cities, Knight said. And persuading them to practise elsewhere can be "a hard sell." 

Another flaw with billing numbers is they distort the calculation of how many patients are being seen.

One doctor may have 2,000 patients while another easing toward retirement may be seeing far fewer. "I'm not saying the work is not valuable," Flemming said. "What I'm saying is a billing number does not represent the same delivery of medical service." 

Into 'the deep end'

The province is aiming to have a new system in place by Dec. 15.

Knight said the new regime "may not be fully ready but there should be, I'll call it, a landing pad for anyone that's interested in establishing a practice on that date." 

Flemming said he leapt into "the deep end" without a clear replacement because it's been clear for years the billing-number system was flawed and he didn't want to delay changes any longer. 

"You can study and you can do this and this and this," he said. "This is something that had to be done. I had no appetite for another study and another review. It's the right decision."  

With files from Information Morning Fredericton

 

CBC's Journalistic Standards and Practices

 

 

http://davidraymondamos3.blogspot.com/2020/02/inaction-on-health-care-crisis-hurts.html 


Saturday, 22 February 2020

Inaction on health-care crisis hurts everyone, economist says

 

https://twitter.com/DavidRayAmos/with_replies





Replying to @alllibertynews and 49 others
FYI I still have no Health Care Card but I just PAID another big bill for emergency room services and STILL Higgy and the economist Richard Saillant don't care N'esy Pas?



http://davidraymondamos3.blogspot.com/2018/08/cbc-and-their-economist-buddy-richard.html






https://www.cbc.ca/news/canada/new-brunswick/higgs-health-reforms-cancellation-analysis-1.5466815



 https://ihpme.utoronto.ca/faculty/gregory-marchildon/

 

Gregory P. Marchildon



 

---------- Original message ----------
From: Justice Minister <JUSTMIN@novascotia.ca>
Date: Mon, 20 Dec 2021 16:46:00 +0000
Subject: Automatic reply: Your buddy Higgy must have figured out by
now that I have had enough of Cardy's nonsense and am as serious as a
heart attack about my right to Heath Care N'esy Pas Rob Mooe a Doug
Ford???
To: David Amos <david.raymond.amos333@gmail.com>

Thank you for your email to the Minister of Justice. Please be assured
that it has been received by the Department. Your email will be
reviewed and addressed accordingly. Thank you.


---------- Original message ----------
From: Premier of Ontario | Premier ministre de l’Ontario <Premier@ontario.ca>
Date: Mon, 20 Dec 2021 16:45:47 +0000
Subject: Automatic reply: Your buddy Higgy must have figured out by
now that I have had enough of Cardy's nonsense and am as serious as a
heart attack about my right to Heath Care N'esy Pas Rob Mooe a Doug
Ford???
To: David Amos <david.raymond.amos333@gmail.com>

Thank you for your email. Your thoughts, comments and input are greatly valued.

You can be assured that all emails and letters are carefully read,
reviewed and taken into consideration.

There may be occasions when, given the issues you have raised and the
need to address them effectively, we will forward a copy of your
correspondence to the appropriate government official. Accordingly, a
response may take several business days.

Thanks again for your email.
______­­

Merci pour votre courriel. Nous vous sommes très reconnaissants de
nous avoir fait part de vos idées, commentaires et observations.

Nous tenons à vous assurer que nous lisons attentivement et prenons en
considération tous les courriels et lettres que nous recevons.

Dans certains cas, nous transmettrons votre message au ministère
responsable afin que les questions soulevées puissent être traitées de
la manière la plus efficace possible. En conséquence, plusieurs jours
ouvrables pourraient s’écouler avant que nous puissions vous répondre.

Merci encore pour votre courriel.





---------- Original message ----------
From: David Amos <david.raymond.amos333@gmail.com>
Date: Mon, 20 Dec 2021 12:43:29 -0400
Subject: Your buddy Higgy must have figured out by now that I have had
enough of Cardy's nonsense and am as serious as a heart attack about
my right to Heath Care N'esy Pas Rob Mooe a Doug Ford???
To: premier <premier@ontario.ca>, "rob.moore" <rob.moore@parl.gc.ca>,
"blaine.higgs" <blaine.higgs@gnb.ca>, robert.gauvin@gnb.ca, Newsroom
<Newsroom@globeandmail.com>, Norman Traversy <traversy.n@gmail.com>,
pm <pm@pm.gc.ca>, "Katie.Telford" <Katie.Telford@pmo-cpm.gc.ca>, Viva
Frei <david@vivafrei.com>, "freedomreport.ca"
<freedomreport.ca@gmail.com>, sheilagunnreid
<sheilagunnreid@gmail.com>, "steve.murphy" <steve.murphy@ctv.ca>,
premier <premier@gov.ab.ca>, Office of the Premier
<scott.moe@gov.sk.ca>, PREMIER <PREMIER@gov.ns.ca>, premier
<premier@gov.bc.ca>, premier <premier@leg.gov.mb.ca>, premier
<premier@gov.nl.ca>, premier <premier@gov.pe.ca>, "pierre.poilievre"
<pierre.poilievre@parl.gc.ca>, premier <premier@gov.yk.ca>,
president@nanb.nb.ca, mewithers@nanb.nb.ca, cclockedile@nanb.nb.ca,
mbrown@nanb.nb.ca, "hugh.flemming" <hugh.flemming@gnb.ca>,
"andrea.anderson-mason" <andrea.anderson-mason@gnb.ca>

, "David.Coon"
<David.Coon@gnb.ca>, "kris.austin" <kris.austin@gnb.ca>,
kristar@frederictonchamber.ca, "Tim.RICHARDSON"
<Tim.RICHARDSON@gnb.ca>, "Mitton, Megan (LEG)" <megan.mitton@gnb.ca>,
"Arseneau, Kevin (LEG)" <Kevin.A.Arseneau@gnb.ca>, "michelle.conroy"
<michelle.conroy@gnb.ca>, "Dominic.Cardy" <Dominic.Cardy@gnb.ca>,
oldmaison@yahoo.com, andre@jafaust.com
Cc: motomaniac333 <motomaniac333@gmail.com>, JUSTMIN
<JUSTMIN@novascotia.ca>, mcu <mcu@justice.gc.ca>, "John.Williamson"
<John.Williamson@parl.gc.ca>, "Ross.Wetmore" <Ross.Wetmore@gnb.ca>,
"robert.mckee" <robert.mckee@gnb.ca>, "Roger.L.Melanson"
<roger.l.melanson@gnb.ca>, "Robert. Jones" <Robert.Jones@cbc.ca>


---------- Original message ----------
From: "Higgs, Premier Blaine (PO/CPM)" <Blaine.Higgs@gnb.ca>
Date: Mon, 20 Dec 2021 16:02:48 +0000
Subject: RE: I just called Nurses Association of New Brunswick and
they played dumb so perhaps Michel Carrier and his SANB lawyer pals
can explain why I called N'esy Pas Serge Rouselle?
To: David Amos <motomaniac333@gmail.com>

Hello,

Thank you for taking the time to write.

Due to the volume of incoming messages, this is an automated response
to let you know that your email has been received and will be reviewed
at the earliest opportunity.

If your inquiry more appropriately falls within the mandate of a
Ministry or other area of government, staff will refer your email for
review and consideration.

Merci d'avoir pris le temps de nous écrire.

En raison du volume des messages reçus, cette réponse automatique vous
informe que votre courriel a été reçu et sera examiné dans les
meilleurs délais.

Si votre demande relève plutôt du mandat d'un ministère ou d'un autre
secteur du gouvernement, le personnel vous renverra votre courriel
pour examen et considération.

If this is a Media Request, please contact the Premier’s office at
(506) 453-2144 or by email
media-medias@gnb.ca<mailto:media-medias@gnb.ca>

S’il s’agit d’une demande des médias, veuillez communiquer avec le
Cabinet du premier ministre au 506-453-2144.

Office of the Premier/Cabinet du premier ministre
P.O Box/C. P. 6000 Fredericton New-Brunswick/Nouveau-Brunswick E3B 5H1 Canada
Tel./Tel. : (506) 453-2144
Email/Courriel:
premier@gnb.ca/premier.ministre@gnb.ca<mailto:premier@gnb.ca/premier.ministre@gnb.ca>



---------- Original message ----------
 From: Premier of Ontario | Premier ministre de l’Ontario <Premier@ontario.ca>
 Date: Fri, 6 Mar 2020 14:32:37 +0000
 Subject: Automatic reply: I just called Nurses Association of New
 Brunswick and they played dumb so perhaps Michel Carrier and his SANB
 lawyer pals can explain why I called N'esy Pas Serge Rouselle?
 To: David Amos <david.raymond.amos333@gmail.com>

 Thank you for your email. Your thoughts, comments and input are greatly valued.

 You can be assured that all emails and letters are carefully read,
 reviewed and taken into consideration.

 There may be occasions when, given the issues you have raised and the
 need to address them effectively, we will forward a copy of your
 correspondence to the appropriate government official. Accordingly, a
 response may take several business days.

 Thanks again for your email.
 ______­­

Merci pour votre courriel. Nous vous sommes très reconnaissants de
 nous avoir fait part de vos idées, commentaires et observations.

 Nous tenons à vous assurer que nous lisons attentivement et prenons en
 considération tous les courriels et lettres que nous recevons.

 Dans certains cas, nous transmettrons votre message au ministère
 responsable afin que les questions soulevées puissent être traitées de
 la manière la plus efficace possible. En conséquence, plusieurs jours
 ouvrables pourraient s’écouler avant que nous puissions vous répondre.

 Merci encore pour votre courriel.


 ---------- Original message ----------
 From: "Moore, Rob - M.P." <Rob.Moore@parl.gc.ca>
 Date: Fri, 6 Mar 2020 14:32:41 +0000
 Subject: Thank you for your email
 To: David Amos <david.raymond.amos333@gmail.com>

 On behalf of the Honourable Rob Moore, P.C., M.P. thank you for your
 email. Our office appreciates the time you took to get in touch with
 our office. Due to the high volume of email correspondence our office
 receives, below is a guide on how your email will be responded to:

 Constituent of Fundy Royal:

 The constituents of Fundy Royal are our office’s priority. Please
 ensure to include your full contact details on your email and the
 appropriate staff will be able to action your request. We strive to
 ensure all constituent correspondence is responded to in a timely
 manner.

 If your query is case related (i.e. immigration, CPP, EI, CRA, etc.),
 consent forms will need to be filled out before your file can be
 activated. If you have not yet filled out our office’s consent form, a
 staff member will be in contact with you.

 If your question or concern is time sensitive, please call our office:
 506-832-4200.

 Event Invitations and Meeting Requests:

 If you have sent meeting request or an event invitation, we sincerely
 appreciate the kind request and we will check his availability to see
 if his schedule can accommodate.

 Invitations for Fundy Royal are managed in the riding office and
 Ottawa based events and meetings are managed from the Parliamentary
 office. The appropriate staff will follow up on your request.

 Non-Constituent Enquiries:

 If you are not a Fundy Royal resident, given the high volume of emails
 we receive, your email will be reviewed and filed as INFORMATION. If
 the email is Critic portfolio in nature, it will be responded to as
 necessary.

 Again, we sincerely appreciate you taking the time to contact the
 office of the Honourable Rob Moore.



---------- Original message ----------
From: David Amos <david.raymond.amos333@gmail.com>
Date: Fri, 6 Mar 2020 10:32:32 -0400
Subject: Fwd: I just called Nurses Association of New Brunswick and
they played dumb so perhaps Michel Carrier and his SANB lawyer pals
can explain why I called N'esy Pas Serge Rouselle?
To: premier <premier@gnb.ca>, premier <premier@ontario.ca>,
"blaine.higgs" <blaine.higgs@gnb.ca>, "hugh.flemming"
<hugh.flemming@gnb.ca>, robert.gauvin@gnb.ca, "bruce.northrup"
<bruce.northrup@gnb.ca>, Kevin.A.Arseneau@gnb.ca, megan.mitton@gnb.ca,
jwhitehead@nanb.nb.ca, ejohnston@cna-aiic.ca, execdir@npls.ca,
president@nanb.nb.ca, oldmaison@yahoo.com, andre <andre@jafaust.com>,
"robert.mckee" <robert.mckee@gnb.ca>, "PETER.MACKAY"
<PETER.MACKAY@bakermckenzie.com>, Norman Traversy
<traversy.n@gmail.com>, pm <pm@pm.gc.ca>, "Katie.Telford"
<Katie.Telford@pmo-cpm.gc.ca>
Cc: motomaniac333 <motomaniac333@gmail.com>,
Hon.Dominic.LeBlanc@canada.ca, Newsroom <Newsroom@globeandmail.com>,
Nathalie Sturgeon <sturgeon.nathalie@brunswicknews.com>,
"steve.murphy" <steve.murphy@ctv.ca>, "Robert. Jones"
<Robert.Jones@cbc.ca>, "rob.moore" <rob.moore@parl.gc.ca>

https://twitter.com/DavidRayAmos/with_replies

David Raymond Amos
@DavidRayAmos
·Replying to @DavidRayAmos @alllibertynews and 49 others
Methinks CBC et al may enjoy a little Deja Vu about Clinic 554 before
the last election I ran in while clearly stating that I am PRO LIFE
N'esy Pas?


http://davidraymondamos3.blogspot.com/2019/10/trudeau-vows-to-ensure-new-brunswick.html


#nbpoli #cdnpoli


https://www.cbc.ca/news/canada/new-brunswick/clinic-554-transgender-health-care-new-brunswick-1.5485648




---------- Original message ----------
From: David Amos <motomaniac333@gmail.com>
Date: Mon, 20 Dec 2021 12:00:42 -0400
Subject: Fwd: I just called Nurses Association of New Brunswick and
they played dumb so perhaps Michel Carrier and his SANB lawyer pals
can explain why I called N'esy Pas Serge Rouselle?
To: president@nanb.nb.ca, mewithers@nanb.nb.ca,
cclockedile@nanb.nb.ca, mbrown@nanb.nb.ca,
peter.lindfield@carlisleinstitute.org, "hugh.flemming"
<hugh.flemming@gnb.ca>, "andrea.anderson-mason"
<andrea.anderson-mason@gnb.ca>, "brian.gallant"
<brian.gallant@gnb.ca>, "David.Coon" <David.Coon@gnb.ca>,
"blaine.higgs" <blaine.higgs@gnb.ca>, "kris.austin"
<kris.austin@gnb.ca>, kristar@frederictonchamber.ca, "Tim.RICHARDSON"
<Tim.RICHARDSON@gnb.ca>, "Mitton, Megan (LEG)" <megan.mitton@gnb.ca>,
"Arseneau, Kevin (LEG)" <Kevin.A.Arseneau@gnb.ca>, "robert.mckee"
<robert.mckee@gnb.ca>, "robert.gauvin" <robert.gauvin@gnb.ca>,
"rick.desaulniers" <rick.desaulniers@gnb.ca>, "michelle.conroy"
<michelle.conroy@gnb.ca>, "Dominic.Cardy" <Dominic.Cardy@gnb.ca>,
oldmaison@yahoo.com, andre@jafaust.com
Cc: "david.raym\"David Amos\"" <david.raymond.amos333@gmail.com>

https://www.cbc.ca/news/canada/new-brunswick/covid-testing-nps-redeployed-1.6290513

Nurse practitioners fear for patients amid clinic closures,
redeployment to COVID test sites

Horizon to close clinics in Saint John for two weeks starting today,
NPNB president says
Marie Sutherland · CBC News · Posted: Dec 20, 2021 7:00 AM AT


56 Comments
.
David Amos
Hmmm

David Amos
Reply to @David Amos: Nurse practitioners shocked by Higgs government
decision to charge for medical tests

Nurse practitioners say new rule that charges 'private' providers will
hurt orphan patients the most
Vanessa Blanch · CBC News · Posted: Apr 09, 2021 6:00 AM AT


https://www.npnb.ca/about-us

Nurse Practitioners of New Brunswick (NPNB) is an interest group
within the Nurses Association of New Brunswick (NANB) and a member of
Nurse Practitioners Association of Canada (NPAC).


https://www.cbc.ca/news/canada/new-brunswick/nbnu-agreement-1.6291458

New Brunswick Nurses Union ratifies collective agreement with province

56% voted in favour of agreement offered by government this month
Miriam Lafontaine · CBC News · Posted: Dec 18, 2021 2:03 PM AT


http://www.nanb.nb.ca/contact/staff

Complaints

    Melissa Everett Withers
    General Counsel
    mewithers@nanb.nb.ca
    506-459-2830 (ext 830)

    Catherine Clockedile
    Paralegal
    cclockedile@nanb.nb.ca
    506-459-2878 (ext 878)

    Marianne Brown
    Senior Legal Assistant
    mbrown@nanb.nb.ca
    (506) 459-2866 (ext 866)



---------- Original message ----------
From: David Amos <motomaniac333@gmail.com>
Date: Thu, 17 Jan 2019 16:21:47 -0400
Subject: I just called Nurses Association of New Brunswick and they
played dumb so perhaps Michel Carrier and his SANB lawyer pals can
explain why I called N'esy Pas Serge Rouselle?
To: "serge.rousselle" <serge.rousselle@gnb.ca>, "Michel.Carrier"
<Michel.Carrier@gnb.ca>, president@nanb.nb.ca, ljanes@nanb.nb.ca,
jwhitehead@nanb.nb.ca, peter.lindfield@carlisleinstitute.org,
"hugh.flemming" <hugh.flemming@gnb.ca>, "andrea.anderson-mason"
<andrea.anderson-mason@gnb.ca>, "brian.gallant"
<brian.gallant@gnb.ca>, "David.Coon" <David.Coon@gnb.ca>,
"blaine.higgs" <blaine.higgs@gnb.ca>, "kris.austin"
<kris.austin@gnb.ca>, kristar@frederictonchamber.ca, "Tim.RICHARDSON"
<Tim.RICHARDSON@gnb.ca>, "Mitton, Megan (LEG)" <megan.mitton@gnb.ca>,
"Arseneau, Kevin (LEG)" <Kevin.A.Arseneau@gnb.ca>, "robert.mckee"
<robert.mckee@gnb.ca>, "robert.gauvin" <robert.gauvin@gnb.ca>,
"rick.desaulniers" <rick.desaulniers@gnb.ca>, "michelle.conroy"
<michelle.conroy@gnb.ca>, "Dominic.Cardy" <Dominic.Cardy@gnb.ca>,
"Hon.Dominic.LeBlanc" <Hon.Dominic.LeBlanc@canada.ca>
Cc: David Amos <david.raymond.amos@gmail.com>, oldmaison
<oldmaison@yahoo.com>, andre <andre@jafaust.com>

You folks can always talk to Chucky Leblanc and his new buddy Krista
Ross it seems that they know everybody and everything N'esy Pas?

https://www.youtube.com/watch?v=xMA45Ht5MK0


CEO of the Fredericton Chamber of Commerce Krista Ross sits down to
educate Blogger!!!
Charles Leblanc
Published on Jan 16, 2019


    Nurses Association of New Brunswick
    165 Regent Street
    Fredericton NB
    Canada  E3B 7B4
    Phone: 506-458-8731


    Jennifer Whitehead
    Manager, Communications and Government Relations
    jwhitehead@nanb.nb.ca
    506-459-2852 (ext 852)


https://www.cbc.ca/news/canada/new-brunswick/nurses-association-withdraws-lawsuit-language-commissioner-1.4981862


Nurses withdraw lawsuit against language commissioner over licensing exam


Nurses group was angry with commissioner's report on failure rate by
francophone nurses

CBC News · Posted: Jan 17, 2019 12:29 PM AT

The pass rate by francophone nursing graduates plunged after a new
licensing exam was adopted. (iStock)

The New Brunswick Nurses Association is withdrawing a lawsuit launched
last August against the commissioner of official languages after a
stinging report on the exam nurses take to get a licence.

The licensing body was challenging the commissioner's findings that it
broke the Official Languages Act by adopting an exam that put
francophone students at a disadvantage.

    Nurses association sues language commissioner over nursing exam report ​
    Watchdog says nursing exam puts francophone students at a disadvantage

The exam, developed from the American NCLX-RN licensing test, saw
University of Moncton nursing students with the highest failure rate
in the country.

After the exam was introduced in 2015, the school's success rate
dropped to 32 per cent from 91 per cent.

Former languages commissioner Katherine d'Entremont found there was a
lack of preparation material, such as practice tests, in French and
that the translation was weak, likely because it was done by people
who were not qualified translators.
The former commissioner of official languages said the lack of
preparatory materials and practice exams in French was a major factor
in the high failure rates. (CBC)

After discussions between the two parties, the nurses association
decided to withdraw the lawsuit from Fredericton Court of Queen's
Bench this week.

D-Entremont has retired, and the interim commissioner, Michel Carrier,
said the office would decline to comment on the reasons why the
lawsuit was dropped. The nurses association said it declined comment
for the time being.

The association is still being sued by the Acadian Society of New
Brunswick and the student federation at the University of Moncton, who
took it to court last May over the failure rate.

CBC's Journalistic Standards and Practices


---------- Forwarded message ----------
From: Justice Website <JUSTWEB@novascotia.ca>
Date: Mon, 18 Sep 2017 14:21:11 +0000
Subject: Emails to Department of Justice and Province of Nova Scotia
To: "motomaniac333@gmail.com" <motomaniac333@gmail.com>

Mr. Amos,
We acknowledge receipt of your recent emails to the Deputy Minister of
Justice and lawyers within the Legal Services Division of the
Department of Justice respecting a possible claim against the Province
of Nova Scotia.  Service of any documents respecting a legal claim
against the Province of Nova Scotia may be served on the Attorney
General at 1690 Hollis Street, Halifax, NS.  Please note that we will
not be responding to further emails on this matter.

Department of Justice


---------- Forwarded message ----------
From: "Eidt, David (OAG/CPG)" <David.Eidt@gnb.ca>
Date: Wed, 1 Mar 2017 00:33:21 +0000
Subject: Automatic reply: Yo Mr Lutz howcome your buddy the clerk
would not file this motion and properly witnessed affidavit and why
did she take all four copies?
To: David Amos <motomaniac333@gmail.com>

I will be out of the office until Monday, March 13, 2017. I will have
little to no access to email. Please dial 453-2222 for assistance.


---------- Forwarded message ----------
From: Marc Richard <MRichard@lawsociety-barreau.nb.ca>
Date: Fri, 12 Aug 2016 13:16:46 +0000
Subject: Automatic reply: RE: The New Brunswick Real Estate
Association and their deliberate ignorance for the bankster's benefit
To: David Amos <motomaniac333@gmail.com>

I will be out of the office until  August 15, 2016. Je serai absent du
bureau jusqu'au 15 août 2016.





> ---------- Forwarded message ----------
> From: David Amos motomaniac333@gmail.com
> Date: Mon, 12 Jun 2017 09:32:09 -0400
> Subject: Attn Integrity Commissioner Alexandre Deschênes, Q.C.,
> To: coi@gnb.ca
> Cc: david.raymond.amos@gmail.com
>
> Good Day Sir
>
> After I heard you speak on CBC I called your office again and managed
> to speak to one of your staff for the first time
>
> Please find attached the documents I promised to send to the lady who
> answered the phone this morning. Please notice that not after the Sgt
> at Arms took the documents destined to your office his pal Tanker
> Malley barred me in writing with an "English" only document.
>
> These are the hearings and the dockets in Federal Court that I
> suggested that you study closely.
>
> This is the docket in Federal Court
>
> http://cas-cdc-www02.cas-satj.gc.ca/IndexingQueries/infp_RE_info_e.php?court_no=T-1557-15&select_court=T
>
> These are digital recordings of  the last three hearings
>
> Dec 14th https://archive.org/details/BahHumbug
>
> January 11th, 2016 https://archive.org/details/Jan11th2015
>
> April 3rd, 2017
>
> https://archive.org/details/April32017JusticeLeblancHearing
>
>
> This is the docket in the Federal Court of Appeal
>
> http://cas-cdc-www02.cas-satj.gc.ca/IndexingQueries/infp_RE_info_e.php?court_no=A-48-16&select_court=All
>
>
> The only hearing thus far
>
> May 24th, 2017
>
> https://archive.org/details/May24thHoedown
>
>
> This Judge understnds the meaning of the word Integrity
>
> Date: 20151223
>
> Docket: T-1557-15
>
> Fredericton, New Brunswick, December 23, 2015
>
> PRESENT:        The Honourable Mr. Justice Bell
>
> BETWEEN:
>
> DAVID RAYMOND AMOS
>
> Plaintiff
>
> and
>
> HER MAJESTY THE QUEEN
>
> Defendant
>
> ORDER
>
> (Delivered orally from the Bench in Fredericton, New Brunswick, on
> December 14, 2015)
>
> The Plaintiff seeks an appeal de novo, by way of motion pursuant to
> the Federal Courts Rules (SOR/98-106), from an Order made on November
> 12, 2015, in which Prothonotary Morneau struck the Statement of Claim
> in its entirety.
>
> At the outset of the hearing, the Plaintiff brought to my attention a
> letter dated September 10, 2004, which he sent to me, in my then
> capacity as Past President of the New Brunswick Branch of the Canadian
> Bar Association, and the then President of the Branch, Kathleen Quigg,
> (now a Justice of the New Brunswick Court of Appeal).  In that letter
> he stated:
>
> As for your past President, Mr. Bell, may I suggest that you check the
> work of Frank McKenna before I sue your entire law firm including you.
> You are your brother’s keeper.
>
> Frank McKenna is the former Premier of New Brunswick and a former
> colleague of mine at the law firm of McInnes Cooper. In addition to
> expressing an intention to sue me, the Plaintiff refers to a number of
> people in his Motion Record who he appears to contend may be witnesses
> or potential parties to be added. Those individuals who are known to
> me personally, include, but are not limited to the former Prime
> Minister of Canada, The Right Honourable Stephen Harper; former
> Attorney General of Canada and now a Justice of the Manitoba Court of
> Queen’s Bench, Vic Toews; former member of Parliament Rob Moore;
> former Director of Policing Services, the late Grant Garneau; former
> Chief of the Fredericton Police Force, Barry McKnight; former Staff
> Sergeant Danny Copp; my former colleagues on the New Brunswick Court
> of Appeal, Justices Bradley V. Green and Kathleen Quigg, and, retired
> Assistant Commissioner Wayne Lang of the Royal Canadian Mounted
> Police.
>
> In the circumstances, given the threat in 2004 to sue me in my
> personal capacity and my past and present relationship with many
> potential witnesses and/or potential parties to the litigation, I am
> of the view there would be a reasonable apprehension of bias should I
> hear this motion. See Justice de Grandpré’s dissenting judgment in
> Committee for Justice and Liberty et al v National Energy Board et al,
> [1978] 1 SCR 369 at p 394 for the applicable test regarding
> allegations of bias. In the circumstances, although neither party has
> requested I recuse myself, I consider it appropriate that I do so.
>
>
> AS A RESULT OF MY RECUSAL, THIS COURT ORDERS that the Administrator of
> the Court schedule another date for the hearing of the motion.  There
> is no order as to costs.
>
> “B. Richard Bell”
> Judge
>
>
> Below after the CBC article about your concerns (I made one comment
> already) you will find the text of just two of many emails I had sent
> to your office over the years since I first visited it in 2006.
>
>  I noticed that on July 30, 2009, he was appointed to the  the Court
> Martial Appeal Court of Canada  Perhaps you should scroll to the
> bottom of this email ASAP and read the entire Paragraph 83  of my
> lawsuit now before the Federal Court of Canada?
>
> "FYI This is the text of the lawsuit that should interest Trudeau the most
>
>
> ---------- Original message ----------
> From: justin.trudeau.a1@parl.gc.ca
> Date: Thu, Oct 22, 2015 at 8:18 PM
> Subject: Réponse automatique : RE My complaint against the CROWN in
> Federal Court Attn David Hansen and Peter MacKay If you planning to
> submit a motion for a publication ban on my complaint trust that you
> dudes are way past too late
> To: david.raymond.amos@gmail.com
>
> Veuillez noter que j'ai changé de courriel. Vous pouvez me rejoindre à
> lalanthier@hotmail.com
>
> Pour rejoindre le bureau de M. Trudeau veuillez envoyer un courriel à
> tommy.desfosses@parl.gc.ca
>
> Please note that I changed email address, you can reach me at
> lalanthier@hotmail.com
>
> To reach the office of Mr. Trudeau please send an email to
> tommy.desfosses@parl.gc.ca
>
> Thank you,
>
> Merci ,
>
>
> http://davidraymondamos3.blogspot.ca/2015/09/v-behaviorurldefaultvmlo.html
>
>
> 83.  The Plaintiff states that now that Canada is involved in more war
> in Iraq again it did not serve Canadian interests and reputation to
> allow Barry Winters to publish the following words three times over
> five years after he began his bragging:
>
> January 13, 2015
> This Is Just AS Relevant Now As When I wrote It During The Debate
>
> December 8, 2014
> Why Canada Stood Tall!
>
> Friday, October 3, 2014
> Little David Amos’ “True History Of War” Canadian Airstrikes And
> Stupid Justin Trudeau
>
> Canada’s and Canadians free ride is over. Canada can no longer hide
> behind Amerka’s and NATO’s skirts.
>
> When I was still in Canadian Forces then Prime Minister Jean Chretien
> actually committed the Canadian Army to deploy in the second campaign
> in Iraq, the Coalition of the Willing. This was against or contrary to
> the wisdom or advice of those of us Canadian officers that were
> involved in the initial planning phases of that operation. There were
> significant concern in our planning cell, and NDHQ about of the dearth
> of concern for operational guidance, direction, and forces for
> operations after the initial occupation of Iraq. At the “last minute”
> Prime Minister Chretien and the Liberal government changed its mind.
> The Canadian government told our amerkan cousins that we would not
> deploy combat troops for the Iraq campaign, but would deploy a
> Canadian Battle Group to Afghanistan, enabling our amerkan cousins to
> redeploy troops from there to Iraq. The PMO’s thinking that it was
> less costly to deploy Canadian Forces to Afghanistan than Iraq. But
> alas no one seems to remind the Liberals of Prime Minister Chretien’s
> then grossly incorrect assumption. Notwithstanding Jean Chretien’s
> incompetence and stupidity, the Canadian Army was heroic,
> professional, punched well above it’s weight, and the PPCLI Battle
> Group, is credited with “saving Afghanistan” during the Panjway
> campaign of 2006.
>
> What Justin Trudeau and the Liberals don’t tell you now, is that then
> Liberal Prime Minister Jean Chretien committed, and deployed the
> Canadian army to Canada’s longest “war” without the advice, consent,
> support, or vote of the Canadian Parliament.
>
> What David Amos and the rest of the ignorant, uneducated, and babbling
> chattering classes are too addled to understand is the deployment of
> less than 75 special operations troops, and what is known by planners
> as a “six pac cell” of fighter aircraft is NOT the same as a
> deployment of a Battle Group, nor a “war” make.
>
> The Canadian Government or The Crown unlike our amerkan cousins have
> the “constitutional authority” to commit the Canadian nation to war.
> That has been recently clearly articulated to the Canadian public by
> constitutional scholar Phillippe Legasse. What Parliament can do is
> remove “confidence” in The Crown’s Government in a “vote of
> non-confidence.” That could not happen to the Chretien Government
> regarding deployment to Afghanistan, and it won’t happen in this
> instance with the conservative majority in The Commons regarding a
> limited Canadian deployment to the Middle East.
>
> President George Bush was quite correct after 911 and the terror
> attacks in New York; that the Taliban “occupied” and “failed state”
> Afghanistan was the source of logistical support, command and control,
> and training for the Al Quaeda war of terror against the world. The
> initial defeat, and removal from control of Afghanistan was vital and
>
> P.S. Whereas this CBC article is about your opinion of the actions of
> the latest Minister Of Health trust that Mr Boudreau and the CBC have
> had my files for many years and the last thing they are is ethical.
> Ask his friends Mr Murphy and the RCMP if you don't believe me.
>
> Subject:
> Date: Tue, 30 Jan 2007 12:02:35 -0400
> From: "Murphy, Michael B. \(DH/MS\)" MichaelB.Murphy@gnb.ca
> To: motomaniac_02186@yahoo.com
>
> January 30, 2007
>
> WITHOUT PREJUDICE
>
> Mr. David Amos
>
> Dear Mr. Amos:
>
> This will acknowledge receipt of a copy of your e-mail of December 29,
> 2006 to Corporal Warren McBeath of the RCMP.
>
> Because of the nature of the allegations made in your message, I have
> taken the measure of forwarding a copy to Assistant Commissioner Steve
> Graham of the RCMP “J” Division in Fredericton.
>
> Sincerely,
>
> Honourable Michael B. Murphy
> Minister of Health
>
> CM/cb
>
>
> Warren McBeath warren.mcbeath@rcmp-grc.gc.ca wrote:
>
> Date: Fri, 29 Dec 2006 17:34:53 -0500
> From: "Warren McBeath" warren.mcbeath@rcmp-grc.gc.ca
> To: kilgoursite@ca.inter.net, MichaelB.Murphy@gnb.ca,
> nada.sarkis@gnb.ca, wally.stiles@gnb.ca, dwatch@web.net,
> motomaniac_02186@yahoo.com
> CC: ottawa@chuckstrahl.com, riding@chuckstrahl.com,John.Foran@gnb.ca,
> Oda.B@parl.gc.ca,"Bev BUSSON" bev.busson@rcmp-grc.gc.ca,
> "Paul Dube" PAUL.DUBE@rcmp-grc.gc.ca
> Subject: Re: Remember me Kilgour? Landslide Annie McLellan has
> forgotten me but the crooks within the RCMP have not
>
> Dear Mr. Amos,
>
> Thank you for your follow up e-mail to me today. I was on days off
> over the holidays and returned to work this evening. Rest assured I
> was not ignoring or procrastinating to respond to your concerns.
>
> As your attachment sent today refers from Premier Graham, our position
> is clear on your dead calf issue: Our forensic labs do not process
> testing on animals in cases such as yours, they are referred to the
> Atlantic Veterinary College in Charlottetown who can provide these
> services. If you do not choose to utilize their expertise in this
> instance, then that is your decision and nothing more can be done.
>
> As for your other concerns regarding the US Government, false
> imprisonment and Federal Court Dates in the US, etc... it is clear
> that Federal authorities are aware of your concerns both in Canada
> the US. These issues do not fall into the purvue of Detachment
> and policing in Petitcodiac, NB.
>
> It was indeed an interesting and informative conversation we had on
> December 23rd, and I wish you well in all of your future endeavors.
>
>  Sincerely,
>
> Warren McBeath, Cpl.
> GRC Caledonia RCMP
> Traffic Services NCO
> Ph: (506) 387-2222
> Fax: (506) 387-4622
> E-mail warren.mcbeath@rcmp-grc.gc.ca
>
>
>
> Alexandre Deschênes, Q.C.,
> Office of the Integrity Commissioner
> Edgecombe House, 736 King Street
> Fredericton, N.B. CANADA E3B 5H1
> tel.: 506-457-7890
> fax: 506-444-5224
> e-mail:coi@gnb.ca
>


On 8/3/17, David Amos <motomaniac333@gmail.com> wrote:

> If want something very serious to download and laugh at as well Please
> Enjoy and share real wiretap tapes of the mob
>
> http://thedavidamosrant.blogspot.ca/2013/10/re-glen-greenwald-and-braz
> ilian.html
>
>> http://www.cbc.ca/news/world/story/2013/06/09/nsa-leak-guardian.html
>>
>> As the CBC etc yap about Yankee wiretaps and whistleblowers I must
>> ask them the obvious question AIN'T THEY FORGETTING SOMETHING????
>>
>> http://www.youtube.com/watch?v=vugUalUO8YY
>>
>> What the hell does the media think my Yankee lawyer served upon the
>> USDOJ right after I ran for and seat in the 39th Parliament baseball
>> cards?
>>
>> http://archive.org/details/ITriedToExplainItToAllMaritimersInEarly200
>> 6
>>
>> http://davidamos.blogspot.ca/2006/05/wiretap-tapes-impeach-bush.html
>>
>> http://www.archive.org/details/PoliceSurveilanceWiretapTape139
>>
>> http://archive.org/details/Part1WiretapTape143
>>
>> FEDERAL EXPRES February 7, 2006
>> Senator Arlen Specter
>> United States Senate
>> Committee on the Judiciary
>> 224 Dirksen Senate Office Building
>> Washington, DC 20510
>>
>> Dear Mr. Specter:
>>
>> I have been asked to forward the enclosed tapes to you from a man
>> named, David Amos, a Canadian citizen, in connection with the matters
>> raised in the attached letter.
>>
>> Mr. Amos has represented to me that these are illegal FBI wire tap tapes.
>>
>> I believe Mr. Amos has been in contact with you about this previously.
>>
>> Very truly yours,
>> Barry A. Bachrach
>> Direct telephone: (508) 926-3403
>> Direct facsimile: (508) 929-3003
>> Email: bbachrach@bowditch.com
>>
>

http://davidraymondamos3.blogspot.ca/2017/11/federal-court-of-appeal-finally-makes.html


Sunday, 19 November 2017
Federal Court of Appeal Finally Makes The BIG Decision And Publishes
It Now The Crooks Cannot Take Back Ticket To Try Put My Matter Before
The Supreme Court

https://decisions.fct-cf.gc.ca/fca-caf/decisions/en/item/236679/index.do


Federal Court of Appeal Decisions

Amos v. Canada
Court (s) Database

Federal Court of Appeal Decisions
Date

2017-10-30
Neutral citation

2017 FCA 213
File numbers

A-48-16
Date: 20171030

Docket: A-48-16
Citation: 2017 FCA 213
CORAM:

WEBB J.A.
NEAR J.A.
GLEASON J.A.


BETWEEN:
DAVID RAYMOND AMOS
Respondent on the cross-appeal
(and formally Appellant)
and
HER MAJESTY THE QUEEN
Appellant on the cross-appeal
(and formerly Respondent)
Heard at Fredericton, New Brunswick, on May 24, 2017.
Judgment delivered at Ottawa, Ontario, on October 30, 2017.
REASONS FOR JUDGMENT BY:

THE COURT



Date: 20171030

Docket: A-48-16
Citation: 2017 FCA 213
CORAM:

WEBB J.A.
NEAR J.A.
GLEASON J.A.


BETWEEN:
DAVID RAYMOND AMOS
Respondent on the cross-appeal
(and formally Appellant)
and
HER MAJESTY THE QUEEN
Appellant on the cross-appeal
(and formerly Respondent)
REASONS FOR JUDGMENT BY THE COURT

I.                    Introduction

[1]               On September 16, 2015, David Raymond Amos (Mr. Amos)
filed a 53-page Statement of Claim (the Claim) in Federal Court
against Her Majesty the Queen (the Crown). Mr. Amos claims $11 million
in damages and a public apology from the Prime Minister and Provincial
Premiers for being illegally barred from accessing parliamentary
properties and seeks a declaration from the Minister of Public Safety
that the Canadian Government will no longer allow the Royal Canadian
Mounted Police (RCMP) and Canadian Forces to harass him and his clan
(Claim at para. 96).

[2]               On November 12, 2015 (Docket T-1557-15), by way of a
motion brought by the Crown, a prothonotary of the Federal Court (the
Prothonotary) struck the Claim in its entirety, without leave to
amend, on the basis that it was plain and obvious that the Claim
disclosed no reasonable claim, the Claim was fundamentally vexatious,
and the Claim could not be salvaged by way of further amendment (the
Prothontary’s Order).


[3]               On January 25, 2016 (2016 FC 93), by way of Mr.
Amos’ appeal from the Prothonotary’s Order, a judge of the Federal
Court (the Judge), reviewing the matter de novo, struck all of Mr.
Amos’ claims for relief with the exception of the claim for damages
for being barred by the RCMP from the New Brunswick legislature in
2004 (the Federal Court Judgment).


[4]               Mr. Amos appealed and the Crown cross-appealed the
Federal Court Judgment. Further to the issuance of a Notice of Status
Review, Mr. Amos’ appeal was dismissed for delay on December 19, 2016.
As such, the only matter before this Court is the Crown’s
cross-appeal.


II.                 Preliminary Matter

[5]               Mr. Amos, in his memorandum of fact and law in
relation to the cross-appeal that was filed with this Court on March
6, 2017, indicated that several judges of this Court, including two of
the judges of this panel, had a conflict of interest in this appeal.
This was the first time that he identified the judges whom he believed
had a conflict of interest in a document that was filed with this
Court. In his notice of appeal he had alluded to a conflict with
several judges but did not name those judges.

[6]               Mr. Amos was of the view that he did not have to
identify the judges in any document filed with this Court because he
had identified the judges in various documents that had been filed
with the Federal Court. In his view the Federal Court and the Federal
Court of Appeal are the same court and therefore any document filed in
the Federal Court would be filed in this Court. This view is based on
subsections 5(4) and 5.1(4) of the Federal Courts Act, R.S.C., 1985,
c. F-7:


5(4) Every judge of the Federal Court is, by virtue of his or her
office, a judge of the Federal Court of Appeal and has all the
jurisdiction, power and authority of a judge of the Federal Court of
Appeal.
[…]

5(4) Les juges de la Cour fédérale sont d’office juges de la Cour
d’appel fédérale et ont la même compétence et les mêmes pouvoirs que
les juges de la Cour d’appel fédérale.
[…]
5.1(4) Every judge of the Federal Court of Appeal is, by virtue of
that office, a judge of the Federal Court and has all the
jurisdiction, power and authority of a judge of the Federal Court.

5.1(4) Les juges de la Cour d’appel fédérale sont d’office juges de la
Cour fédérale et ont la même compétence et les mêmes pouvoirs que les
juges de la Cour fédérale.


[7]               However, these subsections only provide that the
judges of the Federal Court are also judges of this Court (and vice
versa). It does not mean that there is only one court. If the Federal
Court and this Court were one Court, there would be no need for this
section.
[8]               Sections 3 and 4 of the Federal Courts Act provide that:
3 The division of the Federal Court of Canada called the Federal Court
— Appeal Division is continued under the name “Federal Court of
Appeal” in English and “Cour d’appel fédérale” in French. It is
continued as an additional court of law, equity and admiralty in and
for Canada, for the better administration of the laws of Canada and as
a superior court of record having civil and criminal jurisdiction.

3 La Section d’appel, aussi appelée la Cour d’appel ou la Cour d’appel
fédérale, est maintenue et dénommée « Cour d’appel fédérale » en
français et « Federal Court of Appeal » en anglais. Elle est maintenue
à titre de tribunal additionnel de droit, d’equity et d’amirauté du
Canada, propre à améliorer l’application du droit canadien, et
continue d’être une cour supérieure d’archives ayant compétence en
matière civile et pénale.
4 The division of the Federal Court of Canada called the Federal Court
— Trial Division is continued under the name “Federal Court” in
English and “Cour fédérale” in French. It is continued as an
additional court of law, equity and admiralty in and for Canada, for
the better administration of the laws of Canada and as a superior
court of record having civil and criminal jurisdiction.

4 La section de la Cour fédérale du Canada, appelée la Section de
première instance de la Cour fédérale, est maintenue et dénommée «
Cour fédérale » en français et « Federal Court » en anglais. Elle est
maintenue à titre de tribunal additionnel de droit, d’equity et
d’amirauté du Canada, propre à améliorer l’application du droit
canadien, et continue d’être une cour supérieure d’archives ayant
compétence en matière civile et pénale.


[9]               Sections 3 and 4 of the Federal Courts Act create
two separate courts – this Court (section 3) and the Federal Court
(section 4). If, as Mr. Amos suggests, documents filed in the Federal
Court were automatically also filed in this Court, then there would no
need for the parties to prepare and file appeal books as required by
Rules 343 to 345 of the Federal Courts Rules, SOR/98-106 in relation
to any appeal from a decision of the Federal Court. The requirement to
file an appeal book with this Court in relation to an appeal from a
decision of the Federal Court makes it clear that the only documents
that will be before this Court are the documents that are part of that
appeal book.


[10]           Therefore, the memorandum of fact and law filed on
March 6, 2017 is the first document, filed with this Court, in which
Mr. Amos identified the particular judges that he submits have a
conflict in any matter related to him.


[11]           On April 3, 2017, Mr. Amos attempted to bring a motion
before the Federal Court seeking an order “affirming or denying the
conflict of interest he has” with a number of judges of the Federal
Court. A judge of the Federal Court issued a direction noting that if
Mr. Amos was seeking this order in relation to judges of the Federal
Court of Appeal, it was beyond the jurisdiction of the Federal Court.
Mr. Amos raised the Federal Court motion at the hearing of this
cross-appeal. The Federal Court motion is not a motion before this
Court and, as such, the submissions filed before the Federal Court
will not be entertained. As well, since this was a motion brought
before the Federal Court (and not this Court), any documents filed in
relation to that motion are not part of the record of this Court.


[12]           During the hearing of the appeal Mr. Amos alleged that
the third member of this panel also had a conflict of interest and
submitted some documents that, in his view, supported his claim of a
conflict. Mr. Amos, following the hearing of his appeal, was also
afforded the opportunity to provide a brief summary of the conflict
that he was alleging and to file additional documents that, in his
view, supported his allegations. Mr. Amos submitted several pages of
documents in relation to the alleged conflicts. He organized the
documents by submitting a copy of the biography of the particular
judge and then, immediately following that biography, by including
copies of the documents that, in his view, supported his claim that
such judge had a conflict.


[13]           The nature of the alleged conflict of Justice Webb is
that before he was appointed as a Judge of the Tax Court of Canada in
2006, he was a partner with the law firm Patterson Law, and before
that with Patterson Palmer in Nova Scotia. Mr. Amos submitted that he
had a number of disputes with Patterson Palmer and Patterson Law and
therefore Justice Webb has a conflict simply because he was a partner
of these firms. Mr. Amos is not alleging that Justice Webb was
personally involved in or had any knowledge of any matter in which Mr.
Amos was involved with Justice Webb’s former law firm – only that he
was a member of such firm.


[14]           During his oral submissions at the hearing of his
appeal Mr. Amos, in relation to the alleged conflict for Justice Webb,
focused on dealings between himself and a particular lawyer at
Patterson Law. However, none of the documents submitted by Mr. Amos at
the hearing or subsequently related to any dealings with this
particular lawyer nor is it clear when Mr. Amos was dealing with this
lawyer. In particular, it is far from clear whether such dealings were
after the time that Justice Webb was appointed as a Judge of the Tax
Court of Canada over 10 years ago.


[15]           The documents that he submitted in relation to the
alleged conflict for Justice Webb largely relate to dealings between
Byron Prior and the St. John’s Newfoundland and Labrador office of
Patterson Palmer, which is not in the same province where Justice Webb
practiced law. The only document that indicates any dealing between
Mr. Amos and Patterson Palmer is a copy of an affidavit of Stephen May
who was a partner in the St. John’s NL office of Patterson Palmer. The
affidavit is dated January 24, 2005 and refers to a number of e-mails
that were sent by Mr. Amos to Stephen May. Mr. Amos also included a
letter that is addressed to four individuals, one of whom is John
Crosbie who was counsel to the St. John’s NL office of Patterson
Palmer. The letter is dated September 2, 2004 and is addressed to
“John Crosbie, c/o Greg G. Byrne, Suite 502, 570 Queen Street,
Fredericton, NB E3B 5E3”. In this letter Mr. Amos alludes to a
possible lawsuit against Patterson Palmer.
[16]           Mr. Amos’ position is that simply because Justice Webb
was a lawyer with Patterson Palmer, he now has a conflict. In Wewaykum
Indian Band v. Her Majesty the Queen, 2003 SCC 45, [2003] 2 S.C.R.
259, the Supreme Court of Canada noted that disqualification of a
judge is to be determined based on whether there is a reasonable
apprehension of bias:
60        In Canadian law, one standard has now emerged as the
criterion for disqualification. The criterion, as expressed by de
Grandpré J. in Committee for Justice and Liberty v. National Energy
Board, …[[1978] 1 S.C.R. 369, 68 D.L.R. (3d) 716], at p. 394, is the
reasonable apprehension of bias:
… the apprehension of bias must be a reasonable one, held by
reasonable and right minded persons, applying themselves to the
question and obtaining thereon the required information. In the words
of the Court of Appeal, that test is "what would an informed person,
viewing the matter realistically and practically -- and having thought
the matter through -- conclude. Would he think that it is more likely
than not that [the decision-maker], whether consciously or
unconsciously, would not decide fairly."

[17]           The issue to be determined is whether an informed
person, viewing the matter realistically and practically, and having
thought the matter through, would conclude that Mr. Amos’ allegations
give rise to a reasonable apprehension of bias. As this Court has
previously remarked, “there is a strong presumption that judges will
administer justice impartially” and this presumption will not be
rebutted in the absence of “convincing evidence” of bias (Collins v.
Canada, 2011 FCA 140 at para. 7, [2011] 4 C.T.C. 157 [Collins]. See
also R. v. S. (R.D.), [1997] 3 S.C.R. 484 at para. 32, 151 D.L.R.
(4th) 193).

[18]           The Ontario Court of Appeal in Rando Drugs Ltd. v.
Scott, 2007 ONCA 553, 86 O.R. (3d) 653 (leave to appeal to the Supreme
Court of Canada refused, 32285 (August 1, 2007)), addressed the
particular issue of whether a judge is disqualified from hearing a
case simply because he had been a member of a law firm that was
involved in the litigation that was now before that judge. The Ontario
Court of Appeal determined that the judge was not disqualified if the
judge had no involvement with the person or the matter when he was a
lawyer. The Ontario Court of Appeal also explained that the rules for
determining whether a judge is disqualified are different from the
rules to determine whether a lawyer has a conflict:
27        Thus, disqualification is not the natural corollary to a
finding that a trial judge has had some involvement in a case over
which he or she is now presiding. Where the judge had no involvement,
as here, it cannot be said that the judge is disqualified.


28        The point can rightly be made that had Mr. Patterson been
asked to represent the appellant as counsel before his appointment to
the bench, the conflict rules would likely have prevented him from
taking the case because his firm had formerly represented one of the
defendants in the case. Thus, it is argued how is it that as a trial
judge Patterson J. can hear the case? This issue was considered by the
Court of Appeal (Civil Division) in Locabail (U.K.) Ltd. v. Bayfield
Properties Ltd., [2000] Q.B. 451. The court held, at para. 58, that
there is no inflexible rule governing the disqualification of a judge
and that, "[e]verything depends on the circumstances."


29        It seems to me that what appears at first sight to be an
inconsistency in application of rules can be explained by the
different contexts and in particular, the strong presumption of
judicial impartiality that applies in the context of disqualification
of a judge. There is no such presumption in cases of allegations of
conflict of interest against a lawyer because of a firm's previous
involvement in the case. To the contrary, as explained by Sopinka J.
in MacDonald Estate v. Martin (1990), 77 D.L.R. (4th) 249 (S.C.C.),
for sound policy reasons there is a presumption of a disqualifying
interest that can rarely be overcome. In particular, a conclusory
statement from the lawyer that he or she had no confidential
information about the case will never be sufficient. The case is the
opposite where the allegation of bias is made against a trial judge.
His or her statement that he or she knew nothing about the case and
had no involvement in it will ordinarily be accepted at face value
unless there is good reason to doubt it: see Locabail, at para. 19.


30        That brings me then to consider the particular circumstances
of this case and whether there are serious grounds to find a
disqualifying conflict of interest in this case. In my view, there are
two significant factors that justify the trial judge's decision not to
recuse himself. The first is his statement, which all parties accept,
that he knew nothing of the case when it was in his former firm and
that he had nothing to do with it. The second is the long passage of
time. As was said in Wewaykum, at para. 85:
            To us, one significant factor stands out, and must inform
the perspective of the reasonable person assessing the impact of this
involvement on Binnie J.'s impartiality in the appeals. That factor is
the passage of time. Most arguments for disqualification rest on
circumstances that are either contemporaneous to the decision-making,
or that occurred within a short time prior to the decision-making.
31        There are other factors that inform the issue. The Wilson
Walker firm no longer acted for any of the parties by the time of
trial. More importantly, at the time of the motion, Patterson J. had
been a judge for six years and thus had not had a relationship with
his former firm for a considerable period of time.


32        In my view, a reasonable person, viewing the matter
realistically would conclude that the trial judge could deal fairly
and impartially with this case. I take this view principally because
of the long passage of time and the trial judge's lack of involvement
in or knowledge of the case when the Wilson Walker firm had carriage.
In these circumstances it cannot be reasonably contended that the
trial judge could not remain impartial in the case. The mere fact that
his name appears on the letterhead of some correspondence from over a
decade ago would not lead a reasonable person to believe that he would
either consciously or unconsciously favour his former firm's former
client. It is simply not realistic to think that a judge would throw
off his mantle of impartiality, ignore his oath of office and favour a
client - about whom he knew nothing - of a firm that he left six years
earlier and that no longer acts for the client, in a case involving
events from over a decade ago.
(emphasis added)

[19]           Justice Webb had no involvement with any matter
involving Mr. Amos while he was a member of Patterson Palmer or
Patterson Law, nor does Mr. Amos suggest that he did. Mr. Amos made it
clear during the hearing of this matter that the only reason for the
alleged conflict for Justice Webb was that he was a member of
Patterson Law and Patterson Palmer. This is simply not enough for
Justice Webb to be disqualified. Any involvement of Mr. Amos with
Patterson Law while Justice Webb was a member of that firm would have
had to occur over 10 years ago and even longer for the time when he
was a member of Patterson Palmer. In addition to the lack of any
involvement on his part with any matter or dispute that Mr. Amos had
with Patterson Law or Patterson Palmer (which in and of itself is
sufficient to dispose of this matter), the length of time since
Justice Webb was a member of Patterson Law or Patterson Palmer would
also result in the same finding – that there is no conflict in Justice
Webb hearing this appeal.

[20]           Similarly in R. v. Bagot, 2000 MBCA 30, 145 Man. R.
(2d) 260, the Manitoba Court of Appeal found that there was no
reasonable apprehension of bias when a judge, who had been a member of
the law firm that had been retained by the accused, had no involvement
with the accused while he was a lawyer with that firm.

[21]           In Del Zotto v. Minister of National Revenue, [2000] 4
F.C. 321, 257 N.R. 96, this court did find that there would be a
reasonable apprehension of bias where a judge, who while he was a
lawyer, had recorded time on a matter involving the same person who
was before that judge. However, this case can be distinguished as
Justice Webb did not have any time recorded on any files involving Mr.
Amos while he was a lawyer with Patterson Palmer or Patterson Law.

[22]           Mr. Amos also included with his submissions a CD. He
stated in his affidavit dated June 26, 2017 that there is a “true copy
of an American police surveillance wiretap entitled 139” on this CD.
He has also indicated that he has “provided a true copy of the CD
entitled 139 to many American and Canadian law enforcement authorities
and not one of the police forces or officers of the court are willing
to investigate it”. Since he has indicated that this is an “American
police surveillance wiretap”, this is a matter for the American law
enforcement authorities and cannot create, as Mr. Amos suggests, a
conflict of interest for any judge to whom he provides a copy.

[23]           As a result, there is no conflict or reasonable
apprehension of bias for Justice Webb and therefore, no reason for him
to recuse himself.

[24]           Mr. Amos alleged that Justice Near’s past professional
experience with the government created a “quasi-conflict” in deciding
the cross-appeal. Mr. Amos provided no details and Justice Near
confirmed that he had no prior knowledge of the matters alleged in the
Claim. Justice Near sees no reason to recuse himself.

[25]           Insofar as it is possible to glean the basis for Mr.
Amos’ allegations against Justice Gleason, it appears that he alleges
that she is incapable of hearing this appeal because he says he wrote
a letter to Brian Mulroney and Jean Chrétien in 2004. At that time,
both Justice Gleason and Mr. Mulroney were partners in the law firm
Ogilvy Renault, LLP. The letter in question, which is rude and angry,
begins with “Hey you two Evil Old Smiling Bastards” and “Re: me suing
you and your little dogs too”. There is no indication that the letter
was ever responded to or that a law suit was ever commenced by Mr.
Amos against Mr. Mulroney. In the circumstances, there is no reason
for Justice Gleason to recuse herself as the letter in question does
not give rise to a reasonable apprehension of bias.


III.               Issue

[26]           The issue on the cross-appeal is as follows: Did the
Judge err in setting aside the Prothonotary’s Order striking the Claim
in its entirety without leave to amend and in determining that Mr.
Amos’ allegation that the RCMP barred him from the New Brunswick
legislature in 2004 was capable of supporting a cause of action?

IV.              Analysis

A.                 Standard of Review

[27]           Following the Judge’s decision to set aside the
Prothonotary’s Order, this Court revisited the standard of review to
be applied to discretionary decisions of prothonotaries and decisions
made by judges on appeals of prothonotaries’ decisions in Hospira
Healthcare Corp. v. Kennedy Institute of Rheumatology, 2016 FCA 215,
402 D.L.R. (4th) 497 [Hospira]. In Hospira, a five-member panel of
this Court replaced the Aqua-Gem standard of review with that
articulated in Housen v. Nikolaisen, 2002 SCC 33, [2002] 2 S.C.R. 235
[Housen]. As a result, it is no longer appropriate for the Federal
Court to conduct a de novo review of a discretionary order made by a
prothonotary in regard to questions vital to the final issue of the
case. Rather, a Federal Court judge can only intervene on appeal if
the prothonotary made an error of law or a palpable and overriding
error in determining a question of fact or question of mixed fact and
law (Hospira at para. 79). Further, this Court can only interfere with
a Federal Court judge’s review of a prothonotary’s discretionary order
if the judge made an error of law or palpable and overriding error in
determining a question of fact or question of mixed fact and law
(Hospira at paras. 82-83).

[28]           In the case at bar, the Judge substituted his own
assessment of Mr. Amos’ Claim for that of the Prothonotary. This Court
must look to the Prothonotary’s Order to determine whether the Judge
erred in law or made a palpable and overriding error in choosing to
interfere.


B.                 Did the Judge err in interfering with the
Prothonotary’s Order?

[29]           The Prothontoary’s Order accepted the following
paragraphs from the Crown’s submissions as the basis for striking the
Claim in its entirety without leave to amend:

17.       Within the 96 paragraph Statement of Claim, the Plaintiff
addresses his complaint in paragraphs 14-24, inclusive. All but four
of those paragraphs are dedicated to an incident that occurred in 2006
in and around the legislature in New Brunswick. The jurisdiction of
the Federal Court does not extend to Her Majesty the Queen in right of
the Provinces. In any event, the Plaintiff hasn’t named the Province
or provincial actors as parties to this action. The incident alleged
does not give rise to a justiciable cause of action in this Court.
(…)


21.       The few paragraphs that directly address the Defendant
provide no details as to the individuals involved or the location of
the alleged incidents or other details sufficient to allow the
Defendant to respond. As a result, it is difficult or impossible to
determine the causes of action the Plaintiff is attempting to advance.
A generous reading of the Statement of Claim allows the Defendant to
only speculate as to the true and/or intended cause of action. At
best, the Plaintiff’s action may possibly be summarized as: he
suspects he is barred from the House of Commons.
[footnotes omitted].


[30]           The Judge determined that he could not strike the Claim
on the same jurisdictional basis as the Prothonotary. The Judge noted
that the Federal Court has jurisdiction over claims based on the
liability of Federal Crown servants like the RCMP and that the actors
who barred Mr. Amos from the New Brunswick legislature in 2004
included the RCMP (Federal Court Judgment at para. 23). In considering
the viability of these allegations de novo, the Judge identified
paragraph 14 of the Claim as containing “some precision” as it
identifies the date of the event and a RCMP officer acting as
Aide-de-Camp to the Lieutenant Governor (Federal Court Judgment at
para. 27).


[31]           The Judge noted that the 2004 event could support a
cause of action in the tort of misfeasance in public office and
identified the elements of the tort as excerpted from Meigs v. Canada,
2013 FC 389, 431 F.T.R. 111:


[13]      As in both the cases of Odhavji Estate v Woodhouse, 2003 SCC
69 [Odhavji] and Lewis v Canada, 2012 FC 1514 [Lewis], I must
determine whether the plaintiffs’ statement of claim pleads each
element of the alleged tort of misfeasance in public office:

a) The public officer must have engaged in deliberate and unlawful
conduct in his or her capacity as public officer;

b) The public officer must have been aware both that his or her
conduct was unlawful and that it was likely to harm the plaintiff; and

c) There must be an element of bad faith or dishonesty by the public
officer and knowledge of harm alone is insufficient to conclude that a
public officer acted in bad faith or dishonestly.
Odhavji, above, at paras 23, 24 and 28
(Federal Court Judgment at para. 28).

[32]           The Judge determined that Mr. Amos disclosed sufficient
material facts to meet the elements of the tort of misfeasance in
public office because the actors, who barred him from the New
Brunswick legislature in 2004, including the RCMP, did so for
“political reasons” (Federal Court Judgment at para. 29).

[33]           This Court’s discussion of the sufficiency of pleadings
in Merchant Law Group v. Canada (Revenue Agency), 2010 FCA 184, 321
D.L.R (4th) 301 is particularly apt:

…When pleading bad faith or abuse of power, it is not enough to
assert, baldly, conclusory phrases such as “deliberately or
negligently,” “callous disregard,” or “by fraud and theft did steal”.
“The bare assertion of a conclusion upon which the court is called
upon to pronounce is not an allegation of material fact”. Making bald,
conclusory allegations without any evidentiary foundation is an abuse
of process…

To this, I would add that the tort of misfeasance in public office
requires a particular state of mind of a public officer in carrying
out the impunged action, i.e., deliberate conduct which the public
officer knows to be inconsistent with the obligations of his or her
office. For this tort, particularization of the allegations is
mandatory. Rule 181 specifically requires particularization of
allegations of “breach of trust,” “wilful default,” “state of mind of
a person,” “malice” or “fraudulent intention.”
(at paras. 34-35, citations omitted).

[34]           Applying the Housen standard of review to the
Prothonotary’s Order, we are of the view that the Judge interfered
absent a legal or palpable and overriding error.

[35]           The Prothonotary determined that Mr. Amos’ Claim
disclosed no reasonable claim and was fundamentally vexatious on the
basis of jurisdictional concerns and the absence of material facts to
ground a cause of action. Paragraph 14 of the Claim, which addresses
the 2004 event, pleads no material facts as to how the RCMP officer
engaged in deliberate and unlawful conduct, knew that his or her
conduct was unlawful and likely to harm Mr. Amos, and acted in bad
faith. While the Claim alleges elsewhere that Mr. Amos was barred from
the New Brunswick legislature for political and/or malicious reasons,
these allegations are not particularized and are directed against
non-federal actors, such as the Sergeant-at-Arms of the Legislative
Assembly of New Brunswick and the Fredericton Police Force. As such,
the Judge erred in determining that Mr. Amos’ allegation that the RCMP
barred him from the New Brunswick legislature in 2004 was capable of
supporting a cause of action.

[36]           In our view, the Claim is made up entirely of bare
allegations, devoid of any detail, such that it discloses no
reasonable cause of action within the jurisdiction of the Federal
Courts. Therefore, the Judge erred in interfering to set aside the
Prothonotary’s Order striking the claim in its entirety. Further, we
find that the Prothonotary made no error in denying leave to amend.
The deficiencies in Mr. Amos’ pleadings are so extensive such that
amendment could not cure them (see Collins at para. 26).

V.                 Conclusion
[37]           For the foregoing reasons, we would allow the Crown’s
cross-appeal, with costs, setting aside the Federal Court Judgment,
dated January 25, 2016 and restoring the Prothonotary’s Order, dated
November 12, 2015, which struck Mr. Amos’ Claim in its entirety
without leave to amend.
"Wyman W. Webb"
J.A.
"David G. Near"
J.A.
"Mary J.L. Gleason"
J.A.



FEDERAL COURT OF APPEAL
NAMES OF COUNSEL AND SOLICITORS OF RECORD

A CROSS-APPEAL FROM AN ORDER OF THE HONOURABLE JUSTICE SOUTHCOTT DATED
JANUARY 25, 2016; DOCKET NUMBER T-1557-15.
DOCKET:

A-48-16



STYLE OF CAUSE:

DAVID RAYMOND AMOS v. HER MAJESTY THE QUEEN



PLACE OF HEARING:

Fredericton,
New Brunswick

DATE OF HEARING:

May 24, 2017

REASONS FOR JUDGMENT OF THE COURT BY:

WEBB J.A.
NEAR J.A.
GLEASON J.A.

DATED:

October 30, 2017

APPEARANCES:
David Raymond Amos


For The Appellant / respondent on cross-appeal
(on his own behalf)

Jan Jensen


For The Respondent / appELLANT ON CROSS-APPEAL

SOLICITORS OF RECORD:
Nathalie G. Drouin
Deputy Attorney General of Canada

For The Respondent / APPELLANT ON CROSS-APPEAL

 

 

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