poverty, health and homelessness
TRANSCRIPT
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Medical citizenship means every doctor should have a voice and should use it, and every doctor’s
voice matters.
If doctors cannot speak out, we have a problem.
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“Opening the doors of Halifax’s public libraries to anyone who is homeless, street-involved or otherwise are what
those buildings are all about.”Asa Kachan, CEO Halifax Public Libraries
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a non-profit charitable organization providing housing and supports in Halifax, operating
an emergency shelter, second-stage housing and two affordable, supportive
housing buildings for women and children, as well as several condominium units.
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is an independent, non-partisan research institute concerned with issues of social, economic and environmental justice.
https://www.policyalternatives.ca/offices/nova-scotia
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Is a physician led organization.
Our mission is to provide a voice for Canadian doctors who want to strengthen and improve Canada’s universal publicly-funded healthcare system.
We advocate for innovations in treatment and prevention services that are evidence-based and improve access, quality, equity and sustainability.
http://www.canadiandoctorsformedicare.ca/
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The mission of the Mi'kmaw Native Friendship Centre is to provide
structured, social-based programming for Urban
Aboriginal People while serving as a focal point for the urban
aboriginal community to gather for a variety of community functions
and events.
http://www.mymnfc.com/
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-MOSH provides accessible primary health care services to people who are homeless, insecurely housed, street involved and underserved in our community. -The MOSH team is a collaborative primary health care team of two full-time nurses, half- time occupational therapist, half-time administrative support and 12 hrs of physician care per week.
http://moshhalifax.ca
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http://nshealthcoalition.ca/
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http://www.dal.ca/sites/noveltechethics.html
an interdisciplinary research team based at Dalhousie University that does research at the intersection of health, bioethics, and public policy.
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Health and Homelessness Halifax Report Card (2012)
32% report being unable to follow a prescribed treatment plan, and 41% of those indicating that their lifestyle did not allow for follow through
59% were supposed to be taking medication for physical ailments, but only 27% said that they were able to obtain their medication
85% had been diagnosed with at least one of the chronic physical health conditions; 18% had 5 or more
Affordable Housing Association of Nova Scotia http://www.ahans.ca/
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Health and Homelessness Halifax Report Card (2012) cont’d
48% had been given a mental health diagnosis by a health care professional
35% did not have a health card
58% accessed the ER for health care at least once in the previous year
56% accessed Mobile Outreach Street Health (MOSH) for health care at least once in the previous year
39% Said they are often hungry through the week
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Poverty in NS
All income assistance recipients live in poverty
For a single individual IA is $538 per month
A healthy affordable diet for one person average costs about $200-290 per month
Average rent for a bachelor is $690 in Halifax
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Faces of Poverty
Women have higher poverty rates than men no matter who they are or where they live.
Indigenous and First Nations children face poverty rates from 40% to 50%.
Racialized Canadians are particularly at risk with a poverty rate of 22%
Immigrant children's poverty rate in Canada: 33%
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Faces of Poverty37.8% of people living in poverty in Nova
Scotia have a disability, and 12.1% of people with disabilities live in poverty (in 2009) in NS.
1 in every 2 lone parent families with children under the age of 18 live in poverty in Nova Scotia (2013)
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Faces of Poverty
There are also differences depending on where people live
Highest child poverty rate for families with children is in Cape Breton, where almost 1 in 3 children under age of 18 live in poverty (32.6%).
http://www.capebretonpost.com/News/Local/2014-11-16/article-3941753/New-Waterford-students-tackling-child-poverty/1
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http://tvo.org/whypoverty/info/working-poor
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Panelists
Debbie Eisan, Mi'kmaw Native Friendship Centre
Sheri Lecker, Executive Director, Adsum for Women & Children
Patti Melanson, RN and Team Lead, Mobile Outreach Street Health, North End Community Health Centre
Dr. Dan Boudreau, Physician and Board Member, Canadian Doctors for Medicare
Moderator: Christine Saulnier, PhD, Nova Scotia Director, Canadian Centre for Policy Alternatives
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First Question
What are the current challenges to the provision of care for those who are
living in poverty and in particular people who are
homeless?
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Second Question
What are some innovative ways that these challenges are being addressed/could
be addressed?
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Third Question
How can these challenges and solutions provide us with a
deeper understanding of the state of health and health care?