FROLITICKS

Satirical commentary on Canadian and American current political issues

Future of Child Care Up in the Air in Both the U.S. and Canada

Providing adequate child care has been a major issue in both countries.  From an economic point of view and in terms of economic growth, the continued participation of women in the labour market is recognized as being extremely important.  A 2019 Washington Post article reported that in 1990, 74 percent of American women between the ages of 25 and 54 either had a job or were looking for one, the sixth-highest rate among 22 rich countries.  By 2017, though, that number had risen to 75 percent, by then the fourth-lowest share among the same group of wealthy nations.  In Canada, statistics have shown that the participation of women in the labour force has consistantly been well above 60 percent in recent decades.  There are more working couples than ever, especially now that more women have chosen professional careers and many are needed in numerous labour-intensive sectors such as in health care, education, retail and the services.  Interestingly, a Statistics Canada study in 2019, noted that approximately 60 percent of children aged 0 to 5 years were participating in a formal or informal type of child care arrangement.

In order to support women’s participation, numerous jurisdictions have taken measures to reduce the costs of child care.  In both countries, child care is a direct responsibility of the states and provinces, with support funding often provided by the federal governments.  In 2003, the Canadian federal government announced a $1-billion, multiyear investment proposal in child care, requiring negotiations with the provinces to eventually establish a national child care program.  Consequently, Canada recently introduced a program to subsidize universal child care, in due course providing an average fee of 10 dollar-a-day child care by 2025-26 to all Canadian families.  During the pandemic in the U.S., there was temporary relief to keep the industry afloat.  The federal government made $24 billion available to the states.  Many providers were given thousands of dollars a month, depending on their size, which they used to pay for expenses, the biggest of which was wages.

Running a child care business has long been a very challenging math problem.  Many providers can barely afford to operate, yet many parents cannot afford to pay more.  It has also become harder to recruit child-care workers, one of the lowest-paying jobs in both countries.  With the termination of pandemic federal funding, some states, including a few led by Republicans, have invested state funds to make up for the pursuant loss of federal funds.  For example, this year Vermont will start to spend $125 million a year for large expansions in eligibility for subsidies for low-income families, and Kentucky spent $50 million on grants after federal funds expired.  Reportedly, the Biden administration has asked Congress for $16 billion for one year of additional funding for child care.  Apparently, a group of Democratic senators support it.  However, it is unlikely that it would get the Republican approval needed to pass.

There are additional considerations that have a direct impact on the current use of child care.  During the pandemic, many women began working from home.  Known as remote work, this has permitted some parents to increasingly provide home-based child care, further reducing their family costs and reliance on outside services.  In addition, the current high inflation has had a direct impact on the costs of running a child care operation, hitting the bottom line of many businesses.  Expenses include payroll, utilities, mortgage payments, food and supplies.  Like everyone, low-paid child-care workers have been affected by high inflation, and the result is a greater turnover rate among such workers.

While there are always debates over whether home care or external child care are more effective regarding a child’s early development, the fact is that the provision of quality child care is considered an essential element of a modern economy and its growth.  Those providing child care services are facing very difficult circumstances, everything from increasing costs to a shortage of qualified child-care workers.  In particular, the pay and working conditions for such workers, many qualified in early learning, has to be improved.  It is inexcusable that a society doesn’t adequately support those responsible for caring for our children, be they parents or child-care workers.  This is certainly one of the most crucial issues of our decade.

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Russia’s Treatment of Wounded Soldiers in the Ukraine Conflict Mirrors American Treatment of Wounded Vietnam Veterans

Recently, more information is coming out of Russia with respect to the estimated numbers of wounded soldiers involved in the war with Ukraine.  Of course, the total number of actual Russian war wounded is not disclosed by the Russian authorities.  After the war’s first month, the Russian defense minister, Sergei K. Shoigu, reportedly announced 3,825 wounded, a figure Russia has never updated.  The Central Intelligence Agency, in an article published in January 2024 in Foreign Affairs, estimated that Russian dead and wounded soldiers numbered 315,000.  The actual number may lie somewhere in between.  Nevertheless, the fact is that such a large number of wounded veterans are returning home means that the Russians have a major political problem.

Now let’s go back to a very unpopular Vietnam War and similar reactions by the American government as to the number of returning wounded Viet veterans.  As in Russia, American participation in the war in Vietnam became less and less popular as the war went on.  Although there were protests initially against Russia’s invasion of Ukraine in the early months, Putin’s regime quickly imposed severe restrictions, including imprisonment, against its opponents.  While open demonstrations by anti-Vietnam war protesters were condemned by many in the U.S. administration, and by Presidents Johnson and Nixon in particular, they did represent a significant degree of opposition as the war went on.  The Pentagon underplayed the actual number of American deaths and injuries for some time, only to release more information towards the end of the war.

With the numbers of returning wounded, the U.S. military health care facilities became overwhelmed.  The same can be said for the Russian situation where accounts from doctors and the wounded suggest that Russia lacks essentials for treatment — everything from sufficient evacuation vehicles to hospital beds to drugs in military run medical facilities nationwide.  The walking wounded will increasingly be seen everywhere among the civilian population, creating a PR nightmare for both governments.  Both wars involved a type of warfare that resulted in horrendous physical injuries, including those involving amputations. 

Without providing actual numbers, the Russian administration recently disclosed that about 54 percent of wounded veterans classified as disabled have suffered amputations.  As for Vietnam, by 1969 more than 500,000 U.S. military personnel were stationed in Vietnam.  As of the current Census taken during August 2000, the surviving U.S. Vietnam Veteran population estimate is a little over one million.  It is difficult to obtain the actual number of physically or mentally injured veterans, except to say that they are in the thousands, many still being treated in VA facilities.  U.S. Wings notes that 58,148 were killed in Vietnam, 75,000 severely disabled, 23,214 were 100% disabled, 5,283 lost limbs and 1,081 sustained multiple amputations.  This most likely doesn’t include those suffering from traumatic stress disorders (TSD).

After the American military left Vietnam, there were no ticker tape parades for the returning vets as most Americans believed the war had been a mistake and preferred simply to forget about it.  In Russia, many of the injured are not openly celebrated and Russians appear “not ready” to see amputees, which satisfies the chosen approach by the Russian propaganda regime.  However, as in the case of Vietnam, the increasing appearance of injured Russian vets within their communities cannot but affect their families and the population at large.  Moreover, they appear to be treated as heroes or not at all.  Efforts are being made to keep them out of the public eye, much like what happened in the U.S. during the Vietnam War.

The Kremlin, military analysts and some medical personnel say, wants to avoid a repeat of the antiwar movements that forced a halt to the Soviet Union’s earlier wars in Chechnya and Afghanistan.  What will happen to the injured Russian vets is anyone’s guess at this time, particularly as the Ukraine conflict is continuing with no end in sight.  If it is anything like what happened eventually to many American Vietnam injured vets, the future doesn’t look too good.

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Politicization of Health Issues in North America

The last few decades have seen a greater politicization of a number of issues related to health.  The clear division among pro-vaccine and anti-vaccine proponents during the COVID pandemic was a major indication of such politicization, with even public officials taking up one side or another.  The pandemic raised a number of health issues in both the U.S. and Canada, forcing governments and medical practitioners to support one side or the other.  However, the science was clear and supported the need for a vaccine and the various societal restrictions introduced to protect peoples’ lives.  The high number of COVID-related deaths, particularly in the first year of the pandemic, confirmed the urgency for action in order to minimize the terrible impact of the virus on the population at large.  Results indicated that where individuals were not immunized, the probability of serious health consequences and even death was that much higher.  Many ended up placing an extreme hardship on the health care system and communities.

In the U.S., the recent Supreme Court’s decision which overturned Roe vs. Wade — a 1973 landmark decision establishing a constitutional right to abortion — opened up the door to reviving the whole issue surrounding abortion, another primarily health issue.  Again, pro-life and pro-choice groups became more politically active in many states, with some state governments enacting laws introducing all kinds of restrictions on abortion, sometimes leading in practice to an outright ban.  This placed medical practitioners in a difficult situation, often putting a woman’s health in jeopardy as a result of the loss of the abortion option. 

More recently, governments in Canada and the U.S. have or plan to introduce legislation to support planned policy changes affecting transgender and non-binary youth and adults.  Often under the banner of “parental rights”, the laws aim to restrict health-care options for such youth and inform parents of any name and gender identity changes students request at school.  Age limits are being prescribed for the use by medical practitioners of puberty blockers and hormone therapies for gender affirmation.  As a result, medical experts and patients are weighing in on gender-affirming care and the potential impact of such laws on affected youth.  They believe that limiting their access to care will put some kids at risk of self-harm, especially with respect to their mental health.  Psychiatrists who see gender-diverse youth and adult patients believe that to outlaw access to puberty blockers ignores best practices, guidelines and international standards of care endorsed by major medical associations.  Such laws are an unnecessary and unconstitutional political intrusion into the personal health choices of children, their parents and their doctors.  What is difficult to understand is that it appears to be the policy equivalent to hitting a fly with a hammer, given that the issue affects a very tiny portion of the population, often depicted as representing well less than one percent of children and adolescents.

When it comes to personal health matters, I believe that the majority of people would prefer that the government stay out of the equation.  In Canada, we saw a similar political split during past debates on the issue of medical assistance in dying (referred to as MAiD).  There were those that opposed MAiD primarily on religious beliefs, compared to the medical profession and civil rights groups who argued in favour of assisting those with terminal diseases, living with pain, in anguish, and with no hope for a cure.  In the six years since assisted dying was decriminalized by the Canadian Parliament in 2016, more patients are seeking MAiD year over year as this option becomes more widely known and available.  Since the introduction of this practice into the Canadian healthcare system, over 40,000 Canadians have taken advantage of the option. Decisions for assisted dying are left to the individual, his or her family and their medical practitioners, using several prescribed guidelines developed under the program.

I don’t know about you, but I want to make decisions about my health with the least amount of government interference or that of politically motivated groups.  I want decisions to be based on the best science at the time and the experience and input of medical practitioners.  There has been far too much politicization of health issues, driven by motives that most likely have nothing to do with the freedom to determine what is right for each person.  Our beliefs are our own.  As long as one is not harming anyone else, our health-related choices are our business. 

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Addiction to Sports Gambling on the Increase in North America

A recent episode by 60 Minutes on CBS on February 4, 2024 touched on the issue of addiction to online sports betting in the U.S.  Interestingly, a study of people involved in online sports betting indicated that the majority of gamblers were between 25 and 34 years old.  What was most concerning is the fact that the operators in online gaming — including sports betting — are gathering immense of amounts of data about each individual’s gambling habits.  They then use this information to individualize their online marketing to each gambler in order to encourage more betting and to lure back former gamblers to their site.  As a result, there is a greater chance of some gamblers to overextend their betting, and to develop an addiction to online sports betting.

In addition, the marketing of sports betting sites appears to be directed mostly to young people.  All one has to do is watch any sports event and one will see several flashy ads for such sites.  Operators also now cover any sport anywhere at any time (24/7), whereby some gamblers may not even know much about or follow a particular sport on a regular basis.  Beyond football, you have everything including curling, soccer, basketball, hockey, motor sports, rugby, volleyball, and even tennis.  There appear to be no limits on what one can bet.  The sites do not really make an effort to provide such limits, even though they have all the necessary individual data.

In the U.S., a 2018 Supreme Court decision opened the door for states to legalize sports betting, whereby the majority of States have since seen it as a new source of revenue.  Since then, 60 Minutes reported that Americans have spent more than a quarter of a trillion dollars sports betting.  Canada made single-event sports betting legal in 2021.  The province of Ontario was first to move ahead with a regulated sports betting program — allowing multiple operators to provide legal online sports gambling services.  There are now more than two dozen companies to compete for this sports-related segment of the broader provincial online gaming market.  In-play betting also opens the door to people being able to make many bets within a given game.

What all this means is that the possibility of increasing the number of gambler addicts is definitely in the mix.  While governments claim that their gaming commissions are trying to educate people about the dangers of excessive gambling, very little funding is provided to deal with this issue when compared to revenues going into their coffers.  The ability to control online gambling has become even more difficult because of the nature of the technology itself.  It was one thing in the past where an individual had to go to a casino or offsite operation to make a bet in cash.  Making a physical bet in cash is certainly more evident than making a bet online where to amount of total bets become more elusive and less discernable.  Young people in particular are more comfortable with using new technologies and have become more reliant on them for their daily experiences.  In such an environment, how to deal with potential addictive behaviour has become that much more difficult.

60 Minutes interviewed Matt Zarb-Cousin, a leading gambling reformer in the U.K.  He is also a recovering gambling addict.  Mr. Zarb-Cousin successfully lobbied for stricter gambling regulations in Britain — limiting how betting companies advertise and how much gamblers can wager.  He says the U.K.— where gambling’s been legal for decades — offers a sobering glimpse into what he believes is a crisis headed straight toward the U.S.  He noted that online sports betting addiction has been intensified by how much more the gambling companies now know about each user.

All in all, more has to be done to deal with gambling addictions.  Governments can no longer be complicit in online gambling in particular.  I once read that about one in five persons will develop a gambling addiction.  This of course has a major impact on individuals’ lives, their families, their communities and the health care system.  The costs associated with such addictions can be enormous!

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