Carol Ann Fried as herself, and as Groucho Marx. Fried presents the program Laughing Matters at the May 28 Jewish Seniors Alliance Spring Forum. (photos from Carol Ann Fried)
Carol Ann Fried helps people find their “joy spot.” When she brings her interactive presentation to the Jewish Seniors Alliance Spring Forum May 28, she promises: “My goal is it’s going to be the most fun meeting they’ve ever attended.”
Fried is a Halifax-raised, Montreal-educated, Vancouver woman whose Friedom Training and Coaching Services include keynote speeches, workshops and meeting facilitation. She is also chief executive officer of Playfair Canada, which offers noncompetitive adult play experiences, especially to first-year students on Canadian campuses.
The joy spot is found in many ways, but it always involves connecting people with one another, she told the Independent.
“I do it by getting people to interact in creative and fun ways, toward some kind of end, if it’s a theme or team-building or fun at work or fun at home,” she said. “This can happen in various ways, but the way I do it is to get people up moving, usually, interacting with each other, talking with each other, doing some kind of activity.”
Typically, she does this with businesses, organizations and teams. In her program with the Jewish Seniors Alliance, laughter will be a core objective.
While members of the JSA may be longtime friends or acquaintances, Fried promises that, by attending her program, “They are going to get to know each other in new ways. They are going to make new connections, they are going to laugh. There will be laughter.”
After growing up in Halifax and studying at Dalhousie University, Fried got a master’s degree in counseling at McGill University in Montreal and eventually made her way west. She has served on the board of Or Shalom synagogue and is currently the chair of the membership committee.
If she has one piece of advice for people – attending her program or not – it is “Be courageous.”
That can mean something as simple as being willing to play.
“In our world, people somehow have the idea that play is for children and that we have to get serious when we get taller,” Fried said. “The idea of it is pooh-poohed by a lot of people. But my work is about getting them to do it before I tell them what they’re going to do.”
In corporate settings, she calls this “Managing to have fun.”
“I love jazzing up meetings,” she said.
Fried also has an affinity for doing programs with food.
“You can do a lot of things around food – Jewish people and food,” she said. “You can have a bag and in the bag are a variety of implements that are anything but cutlery. One of them could be the egg beater, the carrot peeler, a salt spoon, the things that you find in that drawer where you throw everything. People pull a ribbon and they have to eat their whole meal with that one thing. There are no forks, knives or spoons in there. It’s super-fun and it would be great for one of these family meals where you’re worried about how people are going to get along.”
Another idea is a “backwards meal” – spoiler alert: it’s eating dessert first.
“I really believe that shared laughter and play are essential to a healthy lifestyle,” said Fried. “When we are playful, all sorts of good things happen in our body, all those horrible hormones decrease and all the good ones increase. It affects morale, it affects creativity, all very positively. They’re going to experience each other in different ways than they otherwise would or that they are used to or that they have at other times.”
JSA’s Spring Forum takes place May 28, 2 p.m., at the Peretz Centre. Fried’s program is titled Laughing Matters. Call 604-732-1555 or email [email protected] for more information.
The Louis Brier Jewish Aged Foundation announces David Zacks, KC, as chair of the 2023/24 The Brier, Their Home campaign.
Born and raised in Vancouver, Zacks has been an active member of the Jewish community for more than five decades. He practised banking and finance law and was recognized globally for his professional achievements. He is a Life Bencher of the Law Society of British Columbia and was appointed King’s Counsel in 2002. In his retirement, Zacks is devoting time and energy to a variety of charitable causes, including the Louis Brier Jewish Aged Foundation. He is most proud of his two sons and their spouses and his five grandchildren.
The Louis Brier Home and Hospital is the home of 32 Holocaust survivors. The Brier understands the depth of the complexity of care to be delivered in providing clinical, spiritual and psychological attention to this sector of our community. Most residents come to Louis Brier older, frailer and with more complex health needs than ever before. Holocaust survivors are an especially fragile group because of their cumulative trauma. Aging, for them, can often be a time of severe crisis, and presents the risk of retraumatization.
The Brier is one of the most important and resource-demanding establishments in the Vancouver Jewish community. For more than 60 years, 24/7, 365 days a year, the home and hospital cares for the most susceptible and often extremely ill members of our community with both clinical and emotional support. They are carefully guided through their most vulnerable and difficult times by the staff, who know that caring for this generation means not only providing critical clinical care, but equally providing opportunities for enjoyment and engagement – the Brier strives to be a joyous place for elders to live.
The Brier campaign takes place every two years. It is the main source of funding, and the Brier Foundation’s main fundraising endeavour. The funds raised cover the basic annual needs of the home that are not funded by government. The needs of a Jewish home extend far beyond the basic human requirements provided – every Jewish component of the Louis Brier Home and Hospital is completely reliant on community donors. Examples include having a chaplain/chazzan, a fully kosher facility, a shul, Holocaust education for staff, and the celebration of all Jewish holidays. The Brier Foundation also supports extras that most other long-term care facilities cannot, such as full-time infection control, quality-and-risk practitioners, security, medical equipment, music, art, physio, rehabilitation, and occupational therapy.
It is thanks to the commitment and consistency of community donors that Louis Brier Jewish Aged Foundation provides the Brier with stability of funding that provides the best possible quality of life for residents, one of dignity and happiness. The board members and executive director of the Louis Brier Foundation, Ayelet Cohen, are acutely aware of the immense responsibility they hold, and thank everyone for sharing this responsibility with them over the years.
May 1 marks the start of this year’s campaign – The Brier, Their Home – which runs until June 16. The Brier Foundation, together with the leadership of Zacks, hopes to raise $1.8 million to keep up with the home and hospital’s needs. This amount will just allow the Jewish home to cover expenses through 2023/24. Over the last six years, the Brier Foundation’s funding responsibility has more than tripled in an evolving healthcare environment. It takes immense resources to manage such an operation. The needs are great and ever increasing.
The Brier Foundation works to fulfil these essential needs, but cannot do this without the community’s help. If it is not done as a community, there is the risk of losing the ability to provide a dignified and gratifying end-of-life process for Jewish seniors. It is our collective duty to care for our elders, those who built our community for us.
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Chabad Richmond depends on a devoted team of volunteers. From delivering Light of Shabbat meals to assisting with programs, assembling Pesach packages, and so much more, Chabad’s cohort contributes not only their time but their enthusiasm. Leading the charge, along with Chabad Richmond co-directors Rabbi Yechiel and Chanie Baitelman, is the new board of directors, comprised of lay leaders who bring a multitude of talents to the table and have an ambitious vision for the future of Chabad.
New president Ed Lewin takes over from past president Steve Whiteside, and welcomes Phil Levinson as first vice-president and Jeff Wachtel as second vice-president and secretary. New recruits Gayle Morris and Brent Davis join existing board members Sheldon Kuchinsky, Shelley Civkin, Shaun Samuel (treasurer), Louise Wright and Yael Segal.
Lewin was born and raised in Vancouver, the middle child of Holocaust survivors. An avid sportsman and community worker, he has served on many nonprofit boards in the Jewish community and is past president of the Vancouver Holocaust Education Centre. He is proud to have represented Canada in basketball three times at the Maccabi Games in Israel, winning two bronze medals. He recently sold his business law practice in Vancouver and is currently associate counsel with Arora Zbar LLP. He moved to Richmond in 1987, and has been married to Debbie for almost 42 years. The Lewins have two children, both married, and a 1-year-old grandson, all of whom call Richmond home.
The board of directors supports Rabbi Baitelman’s dream of an expanded Chabad Centre in Richmond, recognizing the potential for growth in a community whose Jewish population is close to 4,000.
“The vision of a larger Chabad centre with increased capacity and a variety of amenities for all ages is on the horizon. With board and community support, it will become a reality,” said Lewin.
Chabad Richmond recently launched a young professionals group for 19-32-year-olds, and is expanding several of its programs.
“Education, community outreach and gathering as a community to celebrate Jewish holidays and lifecycle events are only part of what we currently do,” said Rabbi Baitelman. “We want to expand our reach and nurture every Jew in every way we can. We have much work ahead of us, but we’re blessed to have a steadfast and conscientious board who works to help us grow. Each one of them brings their unique talents to assist us in realizing our mission.”
People are living longer and, ideally, they’d be living longer at home. Pragmatically, this means that they and their primary caretaker(s) would need support not just for medical care, but for errands and companionship, as well. Enter Rona Goodman and her small business, Bubbymobile.com.
“Bubbymobile.com is a senior concierge service that offers a multitude of non-medical services to families. They include companionship, lunch, errand running, grocery shopping, accompanying to medical appointments and check-ups, transportation, walks and more,” Goodman told the Jewish Independent.
Goodman thought of the concept for Bubbymobile.com a few years ago but waited until the pandemic subsided and it was safe to launch.
“I would say it’s been around a year since I started, and it is going very well,” she said. “It’s growing organically and that’s the way I wanted it. Mostly word of mouth and recommendations, and that’s the best advertising you can get. I would love to meet more families in the community.
“The concept came to fruition when I was visiting my friend’s mom who was in a seniors home. I would take her for walks and be her companion. I met several people in the facility who didn’t have anyone visit them or assist with their non-medical needs. After researching, I thought this service would be a great resource to complement what is already out there.”
Goodman named her business after her maternal grandmother.
“My bubby was the best and the matriarch of our family,” said Goodman. “I’m from Montreal and grew up with a close family because of my bubby and zadie. Every Friday night since I can remember, we would have dinner at their house with my family, aunts, uncles and cousins. We all grew up together and I wanted to honour my bubby with the name.”
Goodman said she had two wonderful grandmothers, but “my dad’s was my grandmother…. Both were lovely but I did spend more time with my bubby cause of Friday night dinners. But we (me, my brother and sister) did visit my grandmother and would take her out for drives and lunches/dinners and had lovely visits. She made the best coleslaw…. Both of my grandfathers passed when I was pretty young. Everyone has had a bubby or grandmother or grandfather, so it’s really in honour of them all!”
For Goodman, two of the best things about being Jewish are family and giving back. “You take care of the ones you love and give back to others who may not be as fortunate,” she said. “There was always an extra plate for dinner at Bubby’s house for drop-ins and friends. You also must be compassionate, patient, a good listener, understanding, kind and giving to do this kind of work. That’s how I walk through this world and this service is a natural fit for me. I also do volunteer work for VCDS (Vancouver Cancer Drivers Society), a wonderful organization that involves transportation.”
In addition to Bubbymobile.com, Goodman is a musician and a public-relations professional.
“My professional life has always been about passion, creativity and being of service,” she said about the common threads that tie her diverse endeavours together. “I’ve worked in the music industry for over 25 years in many areas of the business. From record labels, musician, songwriter to sales, marketing and publicity. As a PR person, I’ve learned a lot about communication, understanding people’s needs, listening to their stories and reaching out and engaging community – I think it brings out the kid in me and keeps me vibrant and young. These qualities are important when working with seniors, as it’s parallel in many ways.
“As a composer, songwriter and producer, I tell stories through music, lyrics and composition,” she added. “Music is a healer and there is nothing better to lift the soul. To be a composer, you need to write about life’s experiences and adventures. That’s why I love hearing the stories shared by my seniors. What a gift to be in their presence really. I would happily pick up my guitar and sit and play some music for someone that I’m working with. It’s fun and I’m grateful that I can give that little extra service to my clients. There is nothing better than to share the love of music.”
Ultimately, Goodman would like to be able to offer Bubbymobile’s services in every community in the province.
“In the long term,” she said, “I would like to build the business so it can develop into a franchise opportunity across Canada. The more I talk with people, the more excited they are that I’m doing this and how much it is needed. As we grow older, we are living longer, and I find it does provide some relief for families looking for that extra support. I’ve talked with families who may not be living in Vancouver who need extra assistance for their loved ones. Many are also too busy with work and raising families to visit during the week. That’s why I’m here – for that extra support.”
Katherine Matlashewski is creator, performer and co-producer of Disclosure, which “explores the struggles of a survivor searching for pathways toward healing in an adversarial medical system.” (photo from Disclosure Productions)
“Disclosure was inspired by a true story that focuses on the process of healing,” explained Katherine Matlashewski, creator, performer and co-producer of the production that will see several performances during the Vancouver Fringe Festival, Sept. 8-18.
“The way in which trauma affects the mind and body is complex and unique to each individual,” Matlashewski told the Independent. “Through movement, spoken word, soundscape and humour, Disclosure explores the struggles of a survivor searching for pathways toward healing in an adversarial medical system.”
An interdisciplinary artist, Matlashewski is a graduate of Studio 58. She has trained with Arts Umbrella and the Arts Club, and has performed with several companies, including Theatre Replacement, Metro Theatre, Stage 43 and Royal City Musical Theatre. The award-winning theatre artist is an instructor at Carousel Theatre for Young People and Arts Umbrella.
“Prior to attending Studio 58,” she said, “my training was based in movement and musical theatre. In musical theatre, when a character does not have the words to express themselves, they sing. When singing is not enough, they dance. I do not always have the words to describe how I am feeling, so I naturally turn to creating interdisciplinary works. While I was developing Disclosure, I realized that combining multiple disciplines could be utilized to convey what could not be communicated through text.”
Every Fringe performance of Disclosure will include a 10-minute post-show discussion facilitated by a representative from WAVAW Rape Crisis Centre.
The first iteration of the one-person show was presented at Studio 58 as part of Matlashewski’s graduation solo performance this past spring. “With the hopes of expanding Disclosure to a wider audience,” she said, “I applied for the 2022 Vancouver Fringe Festival. After my performance at Studio 58, I was approached by director Jane Heyman about developing my show further. After being selected as a Vancouver Fringe Festival lottery finalist, I reached out to Jane about directing the show for the Fringe and I was overjoyed when she accepted! I then began building a creative team of local emerging and early career artists.”
Heyman is also a member of the Jewish community, and she was already attached to the production when creative producer Natasha Zacher came on board.
“Katherine and I connected in May 2022, after Disclosure was accepted into the Vancouver Fringe Festival,” said Zacher. “However, we have known each other for a few years, since working alongside each other on a (very!) different Vancouver Fringe Festival show in 2015. Katherine reached my way as she knew a good deal about my professional journey, integrating work as an independent theatre-maker and a mental health clinician. We reconnected quickly on the premise and hopes for the production, and I was very glad to join the team.”
As a producer, Zacher said, “My primary focuses are on seeking funding for the show (grants, sponsorships, donations), creating and managing our budget, coordinating timelines for marketing and promotions initiatives for the show … contracting artists, liaising with the Vancouver Fringe team regarding production needs and, recently, developing and facilitating COVID-19 safety plans.”
Given the nature of the production, there are additional safety plans.
“It is important to take the time to create a safe, inclusive and accessible rehearsal and performance space,” said Matlashewski. “Part of my artistic practice is to create a ‘room agreement.’ This is a living document, written by the artists involved in the production. In our room agreement, we include boundaries and guidelines about how we will communicate and conduct ourselves in the rehearsal process. Something I value is taking the time to include a check in and out at the beginning and end of each rehearsal day.
“In addition,” she said, “to promote self-care, the artistic team has decided to stagger rehearsals, and also observe Shabbat by not rehearsing on Fridays.”
The seriousness of the material does not mean Disclosure is devoid of lighter moments.
“There are many ways to heal from trauma. Humour is one of them!” Matlashewski said. “Having witnessed and experienced generational trauma, I have come to understand that humour can help create distance from a difficult incident. In addition, sometimes humour is more palatable for an audience. For me, the journey to healing is like a rollercoaster. It is not linear in any way. Even in the most challenging of times, humour can facilitate healing.”
Disclosure will be presented at the NEST on Granville Island during the Fringe Festival. For anyone wanting to support the show, there is a GoFundMe campaign. “Funds raised will go directly to production costs and compensating the artists involved for their time, energy and expertise,” said Matlashewski.
“I am looking forward to seeing how the audience responds to the performance,” said Zacher. “I don’t have any expectations, and want to walk into the experience of getting the show on stage as an open book. I hope the audience feels empowered to take with them whatever supports them to feel seen and heard.”
In Volume 28 of the Jewish Seniors Alliance’s Senior Line magazine, JSA members Kenneth Levitt and Larry Shapiro debated some of the arguments for and against for-profit long-term-care facilities. They offered their personal opinions in the debate, as JSA does not have a position on this topic. Their views are reprinted here, with permission.
For-profits here to stay by Kenneth Levitt
The COVID-19 pandemic with its various mutations has caused a justified focus on long-term care (LTC) in Canada. Organizations such as the B.C. Health Coalition, the NDP, unions and other left-leaning activists or progressives, as well as some physicians, have called for the abolition of all for-profit (FP) facilities, recommending that they be taken over by provincial governments or government-approved not-for-profits (NP). This will not happen in the near future. For-profits (FP) are here to stay and, furthermore, provincial governments support them with LTC operating agreements.
The two main issues are profit and quality of care. In British Columbia, there are 27,000 persons in LTC. Approximately one-third are in each of government-operated, NP and FP facilities. When an FP builds or upgrades a facility, there is no government capital fund support. Capital funds for FPs come from investors and shareholders, whereas NPs depend on governments and their own fundraising efforts. FPs have saved governments billions of dollars in capital costs.
In general, residents are financially responsible for their room and board. Their care is paid for by the local funding authority. Should residents pay from their assets (as in the United States) or continue to pay based on income testing? Should residents who are capable contribute more for their room and board? Many NPs raise funds to subsidize care; others permit paid companions to provide extra care for residents. Should investors who put up their own risk capital (with government “ipso facto” approval) be permitted to make a profit? Is it immoral?
FPs did not do well in terms of COVID-19 deaths. Horrendous stories from Ontario and Quebec came to light that noted the squalor and the shameful living conditions of many vulnerable residents. In British Columbia, a number of NPs and FPs had too many COVID infections and deaths. Staff were not exempt from contracting COVID. How do we account for this? When we factor in those facilities with two or more residents per room, the number of COVID-19 infections, complications and deaths increase dramatically for NPs and FPs. In most cases, staff and visitors were responsible for importing the virus. Governments/health authorities were totally unaware, at the outset of the pandemic, of the extent of the problems. However, most care homes planned well, had few infections with a high percentage of vaccinated staff, and are faring well during the pandemic.
It is not just a move to single beds that will solve the problem of COVID and seasonal flu outbreaks, it is the design of the facilities. We need new and upgraded buildings now. It is also imperative that all staff be vaccinated, and that they be supported by management to better prepare for future health crises.
Canada needs FPs. FPs have the capacity to provide needed accommodation for older adults who qualify, and can build more LTC beds faster than governments. They can provide improved efficiency and greater innovation than NPs. The naysayers want to nationalize all private-sector nursing homes in Canada. The National Institute on Aging at Ryerson University in Toronto recently noted, “Some of the FPs are doing well because they have deeper pockets and much better planning procedures than NPs. It is not clear that one class of ownership is better than the other.”
In an April 2021 report, Isobel McKenzie, B.C. Seniors Advocate, criticized FPs for apparently short-changing the number of direct care hours for which they were paid and making a profit by doing so. At the same time, McKenzie noted that capital costs (building maintenance) is one area where FPs outperform NPs.
There is one FP LTC operator in Ontario, Schlegel Villages, that is at the cutting-edge of services and programs for their residents. Schlegel is a family-owned company that has about 5,000 residents and about 5,000 staff in 19 villages. It did not escape COVID-19, but they have excelled in what is known as “best practices”:
Their philosophy: a purposeful life for each resident.
Each village is accredited.
Staff are unionized and pay is the same as at NPs.
Owners are committed to providing exceptional care, and are good corporate citizens who are involved in and contribute to the communities they serve.
Newer villages are 60% private rooms and 40% with two persons per room. Moving forward, all new construction will be single rooms with ensuites.
Each resident has two bathing opportunities per week.
Villages have several neighbourhoods, with 32 residents residing in each self-contained neighbourhood that is well-supported by seven staff with a variety of skills.
Each village has programs and space open to outside community organizations and they encourage locals to hold events in the available space.
How can we move forward in a constructive way that includes government-operated facilities, not-for-profits and for-profits?
The federal government, in partnership with the provinces, needs to develop and to legislate a set of standards of care and service that will be enforced with consequences. This can be done through accreditation, which is currently voluntary. Once the feds have placed standards of care and service into law, each province should enact similar legislation to require that all LTC facilities be accredited. A provincial accreditation body would be responsible for accrediting, monitoring and enforcing standards.
Accreditation would ensure every LTC facility is delivering the hours of care and support for which they are receiving funds.
Wages and benefits for full-time staff should be uniform for all LTC facilities and part-time staff should be equally entitled to the same wages and benefits.
Hours for home care and Better at Home need to be increased. The financial threshold needs to be lowered to allow more persons in need to take advantage of such a service. This has the potential to put less strain on waitlists for LTC admissions.
When an FP is for sale, give preference to a quality NP to purchase it or allow a local (new) society to purchase and operate it.
Require all LTC facilities that plan to expand to have only single rooms with ensuites.
Develop a timetable and a budget for NPs to upgrade/replace current outdated institutional/hospital-style buildings.
Healthcare leaders, their boards of directors and seniors should be the ones who are advocating and pushing for changes. The status quo is not acceptable.
To eliminate FPs is specious and politically and/or ideologically motivated and is a short-sighted non-pragmatic position. Canada’s Parliament last year voted against such a proposal put forth by the NDP. The issue is not between the NPs or the FPs. The issue is how to ensure that the interests of the residents come first.
The billions of dollars that would be required to eliminate the FPs can better be used for increased and quantifiable quality programs and services. This would be the best and the most ethical way to honour those lost in the pandemic and to ensure it will never happen again. The issue is how we treat our most vulnerable older adults. After all, is it not a matter of human rights and choices?
No place for profits by Larry Shapiro
My goal in this debate is to paint a comprehensive picture illustrating conclusively why many of the for-profit long-term-care facilities (LTCFs) are squandering public funds, with little transparency or few accountability requirements to honour any predetermined set of standards in the areas of quality of service, accountability and profit. We need to see profit taken out of long-term care and need new investments in public and nonprofit beds so that we can reduce our dependence on the private, for-profit sector.
Decades of budget cuts, underfunding and privatization by successive governments have resulted in the catastrophic state of the many private care facilities that have been the sites of the loss of a great number of our loved ones. Nobody should be profiting from the care of our senior citizens. Policy decisions going back 20 years have encouraged raising the profits of private LTCFs by replacing union staff with contract workers, which has resulted in personnel shortages, declining working conditions and less access to public funding. The centre of most COVID-19 outbreaks in British Columbia and throughout the rest of the country have been in our LTCFs.
Let us examine the causes and effects of some of the common characteristics of for-profit LTC facilities that negatively affect the quality of care being dispensed to our seniors. Statistically, 67% of LTC in British Columbia is supplied by both nonprofit and for-profit organizations with the remaining 33% being supplied directly by provincial health authorities. The practice of sub-contracting care services occurs when service providers like LTCFs and assisted living facilities, which are contracted by regional health authorities to provide care, proceed to sub-contract with other companies that offer care workers, kitchen staff and maintenance crews.
These sub-contractors are able to bid lower than qualified unionized staff would cost, all to the detriment of the senior residents who are being served by these workers who are receiving lower wages and poorer benefits and who enjoy fewer full-time positions. The prevalence of sub-contracting in elder care began about 22 years ago, when the B.C. government, by virtue of Bills 29 and 94, stripped out no-contracting and job-security provisions from the collective agreements governing healthcare workers. These laws resulted in the loss of 8,000 jobs by the end of 2004. These laws (which were repealed in 2018) provided health-sector employers, including private LTCFs, with unprecedented rights to lay off unionized staff and hire them back as non-union workers through sub-contracted companies. Predictably, this negatively impacted wages and working conditions.
Reduced funding for and access to publicly funded seniors care, from the early 2000s, resulted in the rationing of care. This meant that access to publicly funded care is limited to those with more acute needs, leaving seniors with less complex needs without access to support services that could keep them from deteriorating and requiring institutional care. So, as staffing levels have declined, the care needs of many LTC residents have increased. More of the publicly funded services are being delivered by for-profit companies, often in LTCFs that combine publicly funded and private-pay beds. The latest data shows that more than 35% of beds are run by the for-profit companies. The health authorities pay for the services through block funding, which accounts for the direct care hours that each resident is to receive per day, and the cost of other services and supplies such as meals. There are no restrictions on how operators spend these dollars and health authorities do not perform payroll or expense audits to ensure public funds are actually spent on direct care.
A report from the Seniors Advocate exposed the fact that most direct care (67%) is delivered by care aides, the lowest paid care workers. For-profit care companies generate profits by underpaying the workers who provide most of the direct care, despite receiving funding based on the assumption they pay union rates contained in the master collective agreement (industry standard). Operators are not monitored to ensure that they are providing the number of care hours for which they are being paid. Without adequate oversight and reporting, companies also make profits by understaffing, which impacts the amount and quality of care that residents receive.
Many LTCFs have a combination of publicly subsidized and private-pay beds, but the co-located private-pay beds are not consistently included in the calculation of care hours delivered. This practice results in publicly funded care hours used to cross-subsidize the care of private-care residents who pay out-of-pocket (for the generation of greater profits) and, at the same time, exacerbates staffing shortages, as companies use the same staff to cover both publicly funded and private-pay beds, which should have their own dedicated staff.
Notwithstanding that the last period for which data is available is 2017-2018, it is noteworthy that while receiving, on average, the same level of public funding, contracted not-for-profit LTCF operators spent $10,000 more per resident per year than did for-profit providers. In addition, and not surprisingly, the for-profit LTCFs failed to deliver 207,000 funded direct-care hours while the nonprofit LTCFs exceeded direct-care hour targets by delivering an additional 80,000 hours of direct care beyond what they were funded to deliver.
Low staffing levels and resulting poor working conditions deteriorate the quality of care, as low staffing places both workers and residents under increased stress and reduces the amount of time care workers can spend with residents. The combination of low pay and understaffing makes it difficult to recruit and retain staff. There is adequate proof that staffing levels and staffing mix are key predictors of resident health outcomes and care quality, and that care provided in for-profit long-term care facilities is generally inferior to that provided by public- and nonprofit-owned facilities.
The B.C. government’s long-standing reliance on attracting private capital into the seniors care sector has benefited corporate chains with the ability to finance and build new facilities. In the decade between 2009 and 2018, British Columbia invested less than one half of one percent of the total healthcare capital spending (which is not very much money). More than one-third of all publicly subsidized and private-pay long-term care and assisted living spaces are controlled by large corporations, while the balance is owned by either nonprofit agencies or health authorities.
Corporate chain consolidation in seniors care has become popular among investors in this sector because the business is real estate-focused, resulting in care facilities being treated and traded as financial commodities. This being the case, the care chains are prone to engage in risky business practices. These chains are routinely bought and sold after using debt-leveraged buyouts, ultimately leaving the chains with debt-servicing costs that revenues, including the government funding, cannot cover, resulting in financial crisis and creating disruptions that undermine the quality of relational care due to high staff turnover.
The evidence is clear: profit-making has no place in seniors care. Public dollars are flowing into profits not into frontline care as intended.
Let us strive to provide the care and support for our parents, grandparents, siblings and others who gave us so much and for whom we care so much. Nobody should be profiting from the care of our seniors and that, dear readers, is why profit should be eliminated from long-term care.
Kenneth Levitt is a past president of Jewish Seniors Alliance, former chief executive officer of Louis Brier Home and Hospital, and a past chair of Camp Miriam. In 1985, he co-edited, The Challenge of Child Welfare, the first textbook on child welfare in Canada. Larry Shapiro studied accounting and worked at major firms as well as with the federal government. In 1977, he studied real estate and opened his own business. Since moving from Montreal to Vancouver, Shapiro has been an active member of the JSA board.
Judith Anderson speaks at the Wallenberg-Sugihara Civil Courage Society’s Raoul Wallenberg Day event last month. (photo by Masumi Kikuchi)
This year’s commemoration of Raoul Wallenberg Day took place April 10 at Congregation Beth Israel because COVID-19 restrictions prevented the gathering in January. The event honoured the courage of B.C. frontline healthcare providers during the pandemic.
Hosted by the Wallenberg-Sugihara Civil Courage Society, Judith Anderson welcomed attendees. She asked them to take a moment of silence to think about Ukraine and “all the victims of this humanitarian crisis, and to thank the countries welcoming refugees, especially Ukraine’s closest neighbours – Poland, Romania, Slovakia, Moldova and Hungary. In addition, let’s remember the many organizations and volunteers who are stepping forward to help.”
Anderson spoke about gratitude. “We are blessed to live in a peaceful society, where threads of various cultures are woven together to make a fabric that is stronger and warmer than any of the threads would be alone. Let’s recognize two special qualities of that fortunate fabric that we are thankful for today.
“First, we appreciate our shared land. Here in Vancouver, we are meeting on the unceded territories of Musqueam, Squamish and Tsleil-Waututh people. We thank them for sharing, and for having cared for these lands and waters for thousands of years.
“Second, we are thankful for our health care. Modern medicine has developed from diverse cultural threads, including science, people skills, systems management and the professional commitment of thousands of healthcare providers. Our routine expectations of health and longevity could scarcely have been imagined, just 100 years ago.
“And today,” she continued, “we are thankful, in particular, for the civil courage of those who have provided health care to British Columbians during the COVID-19 pandemic. They have faced a new, deadly, communicable disease with unknown risks to their own and their families’ health. They have worked to exhaustion under the most stressful conditions, saving lives and comforting families. Then, when vaccines became available, healthcare workers extended themselves yet more to immunize us all. Unfortunately, as some people have tired of public health restrictions, medical workers have been subjected to harassment and threats. And still they are there for us when we need health care, whatever the problem might be.”
Deputy Mayor Christine Boyle read the Raoul Wallenberg Day proclamation from the City of Vancouver, recognizing Jan. 17 as the day of its commemoration.
The Civil Courage Society’s Alan Le Fevre introduced the three speakers: Barb Nederpel, president of the Hospital Employees Union of British Columbia; Sherri Kensall, board chair of the Nurses and Nurse Practitioners of British Columbia; and Dr. Ramneek Dosanjh, president of the Doctors of British Columbia. They described the challenges and courageous responses of hospital workers, nursing professionals and doctors during the COVID pandemic.
The one-hour documentary Zero to Zero was screened at the event. Filmed over 15 months, it offers an unfiltered look at what it’s like to be a healthcare worker during the COVID-19 pandemic. It follows the staff of a hospital from the moment they admit their first patient in June 2020, till after the third wave. Filmed by a healthcare worker with unprecedented access to the hospital frontline, it deals with patients during life-and-death situations, but the focus remains on the indomitable strength of the human spirit.
After the screening, the guest speakers fielded questions from the audience about what they thought of the documentary, about long-COVID in healthcare workers and about the harassment they faced and how they responded to it.
The annual commemoration is held in memory of Raoul Wallenberg, a Swedish architect, businessman, diplomat and humanitarian, who became Sweden’s special envoy to Hungary in summer 1944 and, at great personal risk, saved tens of thousands of Jews from deportation and death. He disappeared into Soviet captivity on Jan. 17, 1945, and his fate remains unknown.
Wallenberg has been made an honorary citizen of Canada, the United States, Hungary, Australia and Israel. In 2000, the Canadian government proclaimed Jan. 17 as Raoul Wallenberg Day.
The event is also in memory of Chiune Sugihara, a Japanese diplomat who served as vice-consul in Lithuania during the Second World War. He chose to act, at clear professional and personal risk to himself and his family, issuing transit visas that allowed about 2,000 Jews, more than 90% from Poland, to escape almost certain death.
Both Wallenberg and Sugihara have been designated by Israel as Righteous Among the Nations.
The Wallenberg-Sugihara Civil Courage Society, said Anderson, defines “civil courage as an act entailing personal risk or sacrifice, intended to improve or save the lives of others who endure misfortunes attributable to social context. In even the best-managed societies, some people may suffer from conflict, injustice or threats to health and well-being – such as the COVID pandemic – that are intimately tied to our social structures. And those who help despite personal risk, show the same inner strength as wartime role models like Wallenberg and Sugihara.
“In 2006,” she continued, “the former honorary Swedish consul to Vancouver, Anders Neumuller, began Vancouver’s annual commemoration of Wallenberg Day. He later envisaged a nonprofit society dedicated to honouring acts of civil courage. And so the Wallenberg-Sugihara Civil Courage Society was formed in 2013 by members of the Swedish and Jewish communities in Vancouver.”
The Civil Courage Society honours the legacy of Wallenberg and Sugihara by acknowledging British Columbians who have demonstrated civil courage and by promoting civil courage.
“To that end, each year, we formally recognize a person or group of people who have displayed civil courage in British Columbia,” said Anderson. “We also screen a film intended to get the audience thinking about the importance of civil courage and how to encourage it.”
For more information, including photos and video of the commemoration, visit wsccs.ca.
– Courtesy Wallenberg-Sugihara Civil Courage Society
How technology can connect people and reduce social isolation was the topic of the Jewish Seniors Alliance’s fall symposium. (photo from pixnio.com)
At the fall symposium of the Jewish Seniors Alliance, which took place on Zoom Nov. 21, attendees heard from experts on the topic Triumphs and Trials Using Technology: Social Isolation Among Older Adults.
Dr. Kristen Haase, assistant professor of applied science at the University of British Columbia School of Nursing, and Dr. Megan O’Connell, professor of geriatric psychology at the University of Saskatchewan, were welcomed by Gyda Chud, co-president of Jewish Seniors Alliance. Chud pointed out that this session related to the key pillars of JSA:
Outreach: to seniors in the community.
Education: we can learn from the professors’ study results.
Peer support: JSA has projects that help combat loneliness and isolation.
Of their study on social isolation among older adults during the pandemic, Haase said they wanted to explore how the inability to interact in person during the pandemic has impacted seniors. She mentioned that two scientific publications – The Lancet and The Journal of the American Medical Association – had commented on the detrimental effect of isolation on seniors. Haase and O’Connell wanted to look at the effects and what could be done to alleviate them.
There is empirical evidence that social isolation impacts mental, physical and cognitive health. Since technology can facilitate social connection, the idea was to train older adults to use these facilities to lessen their isolation. Use of both the telephone and Zoom was embraced by many older adults, and even those people with some cognitive impairment could be trained to use Zoom and other such tools.
Haase and O’Connell reached out to groups and individuals in British Columbia and Saskatchewan for participants. Four hundred individuals and 41 seniors groups were involved in the study, including JSA. Two of the questions were: How did they change their programs? and How did they maintain social connections?
Some groups opted to meet outdoors. The advent of a vaccine helped alleviate some fears. One of the findings was that introverted people, as well as those who lived in rural areas and those who had family nearby, fared better than more extroverted people.
Many community groups rose to the challenge and introduced new technology to their members. In addition to providing training, they also kept in touch with frail members. In rural areas, where broadband access was problematic, groups had to make major use of the telephone. A 1-800 line was purchased to facilitate contact in these areas. These types of disparities in access were highlighted by the pandemic.
A few community groups closed during COVID, but many rose to the occasion by staying in regular contact, providing iPads to clients and helping them learn how to use them.
Haase and O’Connell then turned to the audience for any questions or other information that would help with their research.
One question was how do we find the truly isolated, as we usually rely on people to self-identify if they are in need. The poser of that question, Larry Shapiro, pointed out that, in the United Kingdom, they use the postal service to check on isolated individuals.
Another issue raised was whether groups should continue with a hybrid model of services – this would involve in-person events plus a Zoom possibility. Hybrid models make programming more accessible for those who are ill or who have a disability that impedes mobility. As well, many older adults are still fearful and need help to re-enter society. Funding would be needed to facilitate such programs.
Tammi Belfer thanked the speakers for their research, which was helping improve the lives of older adults.
Shanie Levin is program coordinator for Jewish Seniors Alliance and on the editorial board of Senior Line magazine.
Firefighters Daniel Greenberg, left, and Adam Bender. (photo from Adam Bender)
There are not many Jewish firefighters in Vancouver – but two of them serve together in Fire Hall #2 in the Downtown Eastside.
Being Jewish is not all Daniel Greenberg and Adam Bender have in common. They are also both Ontario-born men, about 40, who came to firefighting comparatively late in life after other careers. And both have young families who they get to spend quality time with because the shift work inherent in their profession offers a flexibility that the 9-to-5 grind does not.
The two met while stationed together in the Downtown Eastside, a posting unlike any other in the city. The vast majority of calls to which they respond are drug overdoses and related emergencies. The leading minds of politics, policing and healthcare have not been able to resolve the epidemic of addiction that grips the neighbourhood and, if firefighters had the solution, it would have been implemented by now, but they don’t.
“This issue is often discussed amongst the firefighters,” said Greenberg. “We obviously don’t know the solution. It’s a terrible situation. It is difficult to see. You are seeing human beings living in a state that, honestly, you don’t expect human beings to live in…. Safer places for them to go, more permanent housing situations, access to treatment programs – any and all of the above sound wonderful and ideal.”
Vancouver Fire and Rescue recognizes the toll that serving in this challenging hall can take and they have a limit of 80 shifts – or about a year – before being transferred to a more conventional hall.
When he started, Greenberg got some advice from a veteran firefighter.
“Don’t make their emergency your emergency,” he was told. This may be easier said than done, of course, and Greenberg said the fire department takes the risks seriously. During recruitment, trainees go through resiliency training to prepare them in advance for what they might encounter, and the department is sensitive to the impacts tough calls can have.
“If we witness a particularly troubling call, you are essentially taken out of service and you are provided with counseling,” said Greenberg.
This is a major advancement from the old-style approach, which Greenberg characterized as “Tough it up, shake it off, on to the next.”
“We are all made to feel really supported,” he said of the current atmosphere.
Greenberg became a firefighter in Ontario after working in construction and teaching physical education and kids with special needs. He moved west when his wife, Emily Greenberg, was hired as head of school at Vancouver Talmud Torah. They have three kids, ages 12, 10 and 6.
“I was really searching for a career path that I’d be very passionate about, that would suit my strengths and my interests. Frankly, also, a job that could support my family and my wife not only financially but also me being able to be around the family a lot more than a simple 9-to-5,” he said.
Jewish people may be overrepresented in many helping professions, but not this one. Greenberg isn’t sure why.
“I think, historically, whether I’m generalizing or not, most Jews are steered towards professions that are more of the white-collar variety: lawyers, doctors, builders, entrepreneurs,” he said. “Certainly anything that involves a level of danger, perhaps, doesn’t speak to Jewish people. Mothers are probably a key ingredient there.”
Coming to firefighting after wider experiences, Greenberg has no regrets.
“It’s really exceeded my expectations,” he said. “Every firefighter I speak to truly loves the job.”
He sees his work as an embodiment of the value of tikkun olam.
“I’m fortunate to have a job and a career where I may not be helping the world at large per se, but to an individual in that moment, in their most dire moment, it feels pretty good to be there with my crew helping them and potentially saving lives,” he said.
Greenberg also picks up some shifts as a supply teacher and he is starting a new side business involving cosmetic tattooing for hair loss. He noted that he may be the only Jewish vegan firefighter in North America.
Greenberg met Adam Bender at the hall. It was a total coincidence that two practising Jews – maybe the only ones on the job – would end up in the same station.
Bender was born in Oakville, Ont., but spent formative years in Israel. His parents moved there when he was a year old and they returned to Canada around the time of the first Gulf War, when Bender was in Grade 1.
In Hamilton, Ont., at this point, Bender admitted he was not a model student.
“To say that I was kind of a piece of crap would be an understatement,” he said. He was kicked out of school and, to avoid being kicked out of his house, he made a deal to go on a five-month ulpan on a kibbutz in Israel.
But Bender’s parents got more than they bargained for when he returned home from ulpan with a surprise.
“I did something my parents I don’t think thought was part of the deal when I signed up for ulpan,” he said. “I signed up with the Israeli army. I broke the news to them when I came home that I was going back in a month.”
He served two years (since he was joining at age 21, rather than 18, he was not required to commit to the usual three years) and made it into the paratroopers and special forces.
“Special forces unit [was] probably the biggest influence on my character in terms of understanding the ability to accomplish goals,” said Bender. He returned to Canada, intending to study at the University of Toronto but, again, school wasn’t a good fit and he joined the Canadian military. There, he also served in the special forces.
He met his now-wife and proposed shortly before a six-month deployment in Iraq. The understanding was more intuitive than explicit that, for the marriage to work, a career other than the military was required.
They married in 2017 and now have two kids, 3 and 1. He joined Vancouver Fire and Rescue in 2018.
Like Greenberg, Bender isn’t sure why more Jews don’t choose their path, but suggests “the Jewish grandmother card” may play a role. “There’s a lot of other professions that are a lot more attractive, let’s say, and safer. Firefighting is a blue-collar job at the end of the day.”
The Greenberg and Bender families hope to get together for Shabbat dinner one of these weeks, but the pandemic has thwarted that hope so far. Meanwhile, Bender said, it’s a happy coincidence that the two tribe members ended up together.
“There obviously wasn’t any strategic implementation of putting the two Jewish kids together on one crew,” said Bender. “We’re kind of lucky that that happened.”
Dr. Odeya Cohen (photo by Dani Machlis/BGU) and Dr. Rami Puzis (photo courtesy)
Ben-Gurion University of the Negev (BGU) researchers discovered patterns of significantly decreased joy, increased sadness, fear and disgust among healthcare professionals (HCP) in the largest social media study to track emotional changes and discourse during the COVID-19 pandemic.
In the study, a multidisciplinary BGU team analyzed more than 53,000 HCP tweets from followers of several hundred Twitter accounts of healthcare organizations and common HCP points of interest. The most significant topics HCPs discussed during the pandemic were COVID-19 information, public health and social values, medical studies, as well as daily life and food. Approximately 44% of their discourse was about professional topics during the entire 2020 year.
The research indicates data-driven approaches for analyzing social media networks are helpful as a method for exploring professional health insights during both routine clinical situations and emergencies. The study will be published in the Journal of Medical Internet Research. A preprint is already available online. It was funded by the BGU Coronavirus Taskforce and by an Israeli Ministry of Science and Technology coronavirus research grant.
“Our findings, which track increasing sadness and decreasing joy, should be a warning to health organizations of the importance of better mental health support to help HCPs cope with the emotional consequences of the pandemic,” say Dr. Rami Puzis of BGU’s software and information systems engineering department (SISE) and Dr. Odeya Cohen of the department of nursing. “Most interestingly, HCP tweets expressed greater levels of fear just prior to pandemic waves in 2020. This indicates that many HCPs, beyond those working in epidemiology, observed, and were adequately qualified to anticipate pandemic development.”
Puzis goes on to say, “This suggests that decision-makers could benefit from investing additional resources into listening to the broader HCP community to track and anticipate bottom-up pathways for developing health crises.”
– Courtesy Canadian Associates of Ben-Gurion University of the Negev
Israeli actor Shira Haas was the featured guest at the Canadian Associates of Ben Gurion University of the Negev’s virtual gala July 7. (photo byShula Klinger)
On July 7, the Canadian Associates of Ben Gurion University of the Negev held their second virtual fundraising gala. More than 1,200 participants logged on to the An “Unorthodox” National Virtual Gala event, which raised $850,000 for brain research at BGU’s Zlotowski Centre for Neuroscience.
The Zlotowski Centre is a group of researchers dedicated to finding cures and management tools for neurodegenerative diseases including Parkinson’s, Alzheimer’s, ALS and epilepsy.
Months in the making, the virtual gala was the work of a countrywide team of BGU staffers and numerous volunteers. Every participating household in Metro Vancouver received sweet and savoury kosher treats from Café 41. The accompanying gift box also brought olive oil from the Negev, a copy of Deborah Feldman’s memoir, Unorthodox: The Scandalous Rejection of My Hasidic Roots (Simon & Schuster, 2012), appetizer dishes and a commemorative cutting board.
Danny Chamovitz, BGU’s president, spoke about the work of BGU’s academics in general, in disciplines ranging from public health to brain research. Canadian Senator Linda Frum conducted the feature interview – with multiple-award-winning actor Shira Haas.
Describing herself as “very, very shy” as a young person, Haas said she had considered psychology or graphic design as professions, until a casting director approached her on Facebook. Sixteen years old at the time, she said, with respect to that first project, “I understood that this is what I want to do, it was like the door to Narnia.”
Haas does not take her success or popularity for granted. “It was always a dream to work internationally, in different languages, for different audiences, but I never imagined it,” she said. “It was always about the work. I am very, very lucky to be in this position.” She added, “My parents deserve to be talked about! They are the most supportive and amazing parents.”
Known for taking on demanding roles, Haas approaches acting in a scholarly fashion. She studied musculoskeletal diseases to play a terminally ill woman in the film Asia, and researched Russian, Yiddish and Charedi culture for the series Shtisel and Unorthodox. She said she finds beauty in hard work, explaining that Asia was “challenging in the most beautiful way. It was a lot of physical and emotional work, and very personal for me.”
When playing a part, Haas said she is motivated by two things. First, she must be passionate about the role because “that’s what brings everything alive.” About Shtisel, she said, “I fell in love with it immediately.”
Her second principle is to portray “subjects that matter to me.”
Haas’s idealism was evident in the way she spoke about Asia. “It’s not really about death,” she said. “It’s about relationships, about appreciating the time we have and what we do with it. The highest form of art is to bring light to the darkness.”
About Unorthodox, she said, “It didn’t occur to me that it is about the Orthodox world. It was just a story about people who want to be loved, their doubts, desires and failures.”
And Shtisel, she noted, had a huge impact on people all over the world. The show helped change people’s view of Orthodox communities, she said: “It’s universal.”
Of her forthcoming portrayal of Golda Meir in her early years, Haas described a woman with “a very interesting life. She was very passionate, with many dreams and desires.”
Since David Ben-Gurion and Golda Meir were friends, she laughed, “this event was meant to be!”
Haas spoke of her personal connection to BGU. Her sister studied at the university and a close friend is there now. Haas wanted to participate in the gala for several reasons, including, she said, “I am Jewish, I am an Israeli. I want to keep on doing events like this! I am even more proud to do it for Ben-Gurion.”
As for the brain research being conducted at BGU, which the gala funds will support, there has already been groundbreaking progress. Claude Broski’s group has identified a protein that can slow down the degeneration brought on by Parkinson’s. The social robots developed by Shelley Levy-Tzedek and her team will have an impact on stroke patient recovery – the robots offer motivation, feedback and performance-tracking during the rehabilitation phase. Epilepsy researchers are developing wearable hardware and software that could alert patients to an oncoming seizure, an hour before it happens. And Deborah Toiber’s Alzheimer’s team is exploring questions about brain aging, such as, Why does the disease affect so many of us, when only 5% of cases are genetic?
David Berson, executive director of CABGU, British Columbia and Alberta, said, “It has been very gratifying to see how the Metro Vancouver community has embraced BGU students and faculty in recent years. Many new supporters have stepped forward during the last year to engage with us. We are especially grateful to our community partners, who helped us promote this Unorthodox event.”
Among the many contributors to the gala were board members Jay Eidelman and Si Brown. Rachelle Delaney helped Berson with the goodie boxes at the crack of dawn on July 7, while volunteer drivers delivered the boxes. Adrian Cantwell and I were co-chairs for the Metro Vancouver team.
Shula Klingeris an author and journalist living in North Vancouver. She was Metro Vancouver co-chair of the CABGU gala with Adrian Cantwell.