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Current Rate Trends
October 2, 2021
9:25 am
RetirEd
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pooreva: My old fridge was over 50 years old when I replaced it, and when they pulled it out I realized it was STILL working and all I had to do was screw in one loose screw to stop that thumping noise. The new one (I chose the least hi-tech one that was frost-free) is a LOT easier on power, but it achieves that by having fans to move heat from a proper heat-exchanger in the back, and those fans will wear out. I had had a little whisper fan behind the old fridge feeding a length of dryer-duct to my kitchen exhaust fan for years but the new fridge did a LOT better.

Kidd: Don't leave those watches sitting with old batteries in them. They may leak and destroy the watch.

Buy a jeweler's-screwdriver kit from Canadian Tire or a dollar store for under $10 and change them yourself! If you can't, ask a tech-savvy youngster.
RetirEd

RetirEd

October 2, 2021
10:29 am
HermanH
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RetirEd said
pooreva:
Kidd: Don't leave those watches sitting with old batteries in them. They may leak and destroy the watch.

Buy a jeweler's-screwdriver kit from Canadian Tire or a dollar store for under $10 and change them yourself! If you can't, ask a tech-savvy youngster.
RetirEd  

I used to change my own batteries for about $8, but the watch was never again water resistant. So, for the price of a cheap new watch ($12), I just run them out and buy a new one. I hate needing to either take them off or seeing the water vapour inside them after a shower.

October 2, 2021
2:18 pm
Norman1
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Bill said
Ontario optometrists say they haven't had a raise from ohip in many years, that they get far less than in other provvinces, and that it costs them to perform ohip related services, i.e. they lose money when seeing those patients. I don't know if that's true, but if it is can we expect people to lose money when they provide a service?

It has been a few decades for the Ontario optometrists.

According to CTV News: 'At least cover what it costs us to see a patient'…, the OHIP reimbursement has been around $47 for the last three decades:

He [Optometrist Dr. Wes McCann, a former Ontario Association of Optometrists board member] says his office is reimbursed $47 from the province for a seniors’ eye exam, and according to him, compares that to $77.18 in Manitoba, $106.90 in Quebec and $137.02 in Alberta.

“In our office, that is supposed to cover all of my staff, all of our equipment costs, our rent subsidy and everything else.”

Reimbursement for those under 19, he says, is slightly lower.

The optometrists claim the cost of an exam is around $80. The province is offering an 8.49% raise on the $47 or $4 more! Obviously not settled yet.

October 3, 2021
5:45 am
savemoresaveoften
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Norman1 said

Bill said
Ontario optometrists say they haven't had a raise from ohip in many years, that they get far less than in other provvinces, and that it costs them to perform ohip related services, i.e. they lose money when seeing those patients. I don't know if that's true, but if it is can we expect people to lose money when they provide a service?

It has been a few decades for the Ontario optometrists.

According to CTV News: 'At least cover what it costs us to see a patient'…, the OHIP reimbursement has been around $47 for the last three decades:

He [Optometrist Dr. Wes McCann, a former Ontario Association of Optometrists board member] says his office is reimbursed $47 from the province for a seniors’ eye exam, and according to him, compares that to $77.18 in Manitoba, $106.90 in Quebec and $137.02 in Alberta.

“In our office, that is supposed to cover all of my staff, all of our equipment costs, our rent subsidy and everything else.”

Reimbursement for those under 19, he says, is slightly lower.

The optometrists claim the cost of an exam is around $80. The province is offering an 8.49% raise on the $47 or $4 more! Obviously not settled yet.  

This is my opinion:

1) While on the surface it is true they have not got a meaningful raise for a few decades, what if I counter and say the pay has been grossly excessive from the get go. Now its inline with what is considered a sustainable fair amount ?? It is complete flaw to just say it was $40 and hence it should be much higher 30 years later...

2) The "calculated cost" of $80 a patient is based on reduced capacity and added cost due to covid. In other words, for the past 18 months, they are seeing less than 50% of patients due to covid. Obv rent, staff costs are fixed. All of a sudden, it now costs $80 a patient. Convenient to use it to "proof" how inadequate govt's current payment is, but the math is "rigged" in my mind. A more "honest" optometrist admit during normal times, while they dont get rich from the OHIP payment, it covers the cost. And they make $ on the side sale like prescription, contact lens etc. A small loss leader so to speak, but provide an essential service to those that do not have insurance coverage.

3) Why does it matter what other provinces pay ?? Again its tied to my first point. Just because other provinces choose to continue to overpay for services does not mean Ontario should do the same.

Think about it, I read somewhere that says 60% of patients are OHIP covered, and if they truly lose $30+ per patient, you think their business will sustain for years ?? Food for thoughts.

I will total support the optometrist's crusade if they clearly show the real math and how they indeed lose money on every OHIP patient during normal times without covid restrictions. So far I have seen none and the argument they have is weak for anyone who thinks a little deeper. Even if the math is real, I will not be happy with any health care provider that uses their patients as a bargaining chip ever.

October 3, 2021
6:24 am
mordko
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Covering costs during some other times is great but surprisingly few people agree to negative salaries during any times.

The optometrist phenomenon has wider implications in terms of inflation. Our population is aging. People who get old need fewer goods but more healthcare. Normally market would respond by increasing the cost of healthcare and attracting more healthcare resources. However the cost of healthcare is controlled by the government monopoly which has a vested interest in not letting this cost increase. Which is why inflation in healthcare is showing in terms of rationing, shortages and waiting times rather than $s.

October 3, 2021
6:35 am
dougjp
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savemoresaveoften said

This is my opinion:

1) While on the surface it is true they have not got a meaningful raise for a few decades, what if I counter and say the pay has been grossly excessive from the get go. Now its inline with what is considered a sustainable fair amount ?? It is complete flaw to just say it was $40 and hence it should be much higher 30 years later...

2) The "calculated cost" of $80 a patient is based on reduced capacity and added cost due to covid. In other words, for the past 18 months, they are seeing less than 50% of patients due to covid. Obv rent, staff costs are fixed. All of a sudden, it now costs $80 a patient. Convenient to use it to "proof" how inadequate govt's current payment is, but the math is "rigged" in my mind. A more "honest" optometrist admit during normal times, while they dont get rich from the OHIP payment, it covers the cost. And they make $ on the side sale like prescription, contact lens etc. A small loss leader so to speak, but provide an essential service to those that do not have insurance coverage.

3) Why does it matter what other provinces pay ?? Again its tied to my first point. Just because other provinces choose to continue to overpay for services does not mean Ontario should do the same.

Think about it, I read somewhere that says 60% of patients are OHIP covered, and if they truly lose $30+ per patient, you think their business will sustain for years ?? Food for thoughts.

I will total support the optometrist's crusade if they clearly show the real math and how they indeed lose money on every OHIP patient during normal times without covid restrictions. So far I have seen none and the argument they have is weak for anyone who thinks a little deeper. Even if the math is real, I will not be happy with any health care provider that uses their patients as a bargaining chip ever.  

I don't buy it. Everything seems to be based on the premise that the prices first established decades ago were excessively high, as in double or so, what it should have been. And that optometrists are unique in being immune to inflation/costs. Or subsequent governments after that initial pricing "mistake" (if that's what it was - I don't agree) were whittling away at the excess through lack of increases of any kind.

From what I have read so far on this issue, it seems the "what percentage increase from current price" thinking is trying to drown out any independent financial study of what is the current reality. It would be more helpful to have a detailed economic study and then compare to other professions.

"Keep your stick on the ice. Remember, I'm pulling for you. We're all in this together." - Red Green

October 3, 2021
9:40 pm
Peter
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Locking this thread, as it became extremely unproductive via several now-removed posts.

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