鈥淚t will be very bad. I don鈥檛 know how I can solve it,鈥� said Raduly, staring at the floor.
Margit Balogh got the same letter.
鈥淚 just had to stop and had to think, 鈥楴o, it鱿鱼视频app not possible. They can鈥檛 do it. So many people could die,鈥� 鈥� she said through an interpreter.
With high blood pressure, high cholesterol and a developing case of osteoporosis, a complete loss of pharmaceutical benefits is unthinkable for her and her son living on $938 per month.
It鱿鱼视频app very possible that Immigration Canada鱿鱼视频app newly issued order in council limiting health coverage to all classes of refugees will result in death, said Dr. Tatania Friere-Lizama, a perinatologist at Toronto鱿鱼视频app St. Michael鱿鱼视频app Hospital who came to Canada with her family as a refugee at the age of seven.
鈥淚f you鈥檙e talking about a situation where someone with diabetes doesn鈥檛 have enough money to pay for their insulin, that鱿鱼视频app life-threatening,鈥� she said. 鈥淵ou鈥檙e talking about a situation here, having somebody in an intensive care unit being treated for a diabetic coma because they were no longer able to buy their insulin. That鱿鱼视频app a whole lot more expensive than just providing them with primary care and their medications.鈥�
Refugees currently receive full medical, pharmaceutical, dental and vision coverage while their case is being processed. As of July 1, benefits will be reduced for all classes of refugees, more or less depending on their country of origin and how they arrived in Canada. Full coverage will be restored eventually only to those who become landed immigrants.
Dr. Philip Berger, St. Michael鱿鱼视频app Hospital chief of family medicine, was stunned when he read that for one class of refugees the new federal government health insurance plan won鈥檛 even cover a heart attack.
鈥淚t says 鈥楳edical emergencies; category, heart attack; coverage, none,鈥� 鈥� said Berger.
鈥淣one!鈥� he screams over the phone. 鈥淚鈥檝e never seen a government document ever that actually says none. It鱿鱼视频app the same with pregnant women 鈥� coverage, none.鈥�
Refugees not covered for a heart attack or for delivering a baby in a hospital are those whose initial application for refugee status have been rejected by the Immigration and Refugee Board, or those who come from a list of yet-to-be-revealed 鈥淒esignated Countries of Origin.鈥� The DCO countries will be those the government judges safe, democratic and non-refugee producing.
But even refugees whom the government itself plucked out of refugee camps will lose basic coverage for drugs, visits to the dentist, ambulance rides, wheelchairs and glasses 鈥� exactly the kind of care they would have received from the United Nations High Commission for Refugees and allied NGOs in a refugee camp.
The more restrictive health coverage for refugees is necessary 鈥渢o ensure that IFHP (Interim Federal Health Program) beneficiaries do not receive benefits that are more generous than those provided to Canadians through government-funded benefit programs,鈥� according to an e-mail from the Citizenship and Immigration Canada media department.
Agnes Raduly with Roma Centre of Toronto settlement worker Gyongyi Hamori. Agnes received a letter telling her that her medication for diabetes won鈥檛 be covered by the federal government鱿鱼视频app health plan starting July 1.
Photo by Michael Swan
But refugees aren鈥檛 getting special treatment, only the same health coverage vulnerable people dependent on Old Age Security or welfare would receive, said Office of Refugees, Archdiocese of Toronto executive director Martin Mark.
鈥淚t鱿鱼视频app not true that these people get better health insurance than a Canadian. A Canadian in a similar situation, like a person on welfare, gets nearly the same,鈥� he said.
New restrictions on health coverage are bound to cost the 160-plus Toronto-area parishes with active refugee sponsorship committees, said Mark. Parishes will end up footing the bill when Citizenship and Immigration withdraws drug, dental and vision coverage.
鈥淥nce you get families or individuals in high need, then that parish, that (refugee sponsorship) committee will be really, really devastated,鈥� Mark said.
鈥淚t was really unfortunate that they tried to use this legislation to kind of pit Canadians against refugees,鈥� said Dr. Fok-Han Leung, the physician lead at St. Michael鱿鱼视频app Hospital鱿鱼视频app 80 Bond Street Health Centre. 鈥淭hey billed it as such by saying they鈥檙e getting all this and regular Canadians are not.鈥�
In an e-mail to The Catholic Register the CIC media department claims, 鈥淚t is unfair to ask Canadians to fund benefits for protected persons and refugee claimants that they are not necessarily entitled to themselves.鈥�
But that doesn鈥檛 cut it for Leung.
鈥淚 believe most Canadians would be interested in what is 鈥榡ust鈥� over what is 鈥榝air,鈥� 鈥� said Leung.
Leung, Berger and Friere-Lizama were among 90 doctors who showed up at Federal Natural Resources Minister Joe Oliver鱿鱼视频app Toronto office May 11 to protest the cuts. A similar rally of doctors was held on Parliament Hill.
鈥淚f one sees what is a gross injustice, and a plan that violates basic Canadian values of fairness and compassion 鈥� and I would say Catholic values as well 鈥� then doctors have a duty to speak out,鈥� said Berger.
The CIC media department claims the cuts have been misunderstood.
鈥淭he program has expanded beyond its original intent, in terms of both benefits covered and people eligible,鈥� they said.
CIC claims the new restrictions will save the government $100 million over five years.
Cutting preventative care and maintenance is actually going to cost taxpayers more in the long run, said Friere-Lizama.
鈥淎nybody who works in health knows primary care is much cheaper than urgent health care. If you wait until health conditions deteriorate, until people need urgent care, it鱿鱼视频app a whole lot more expensive,鈥� she said.
The information given to physicians is riddled with restrictions that violate good medical practice, said Leung.
鈥淪omeone treated in the ER for a heart attack would get all the emergency medications,鈥� he notes. 鈥淏ut the cholesterol lowering medication post-heart attack would not be covered. This dramatically raises their risk of repeat heart attack.鈥�
Cutting prenatal care to pregnant refugee women will have dire consequences, said Friere-Lizama. 鈥淲e know that we decrease maternal and newborn mortality by providing prenatal care. Women in those groups who are going to be denied even access to prenatal care 鈥� that鱿鱼视频app a disaster waiting to happen,鈥� she said.
Women under stress, facing difficult pregnancies have shown up in Friere-Lizama鱿鱼视频app office crying since they received the CIC letter.
鈥淚 don鈥檛 know what to tell them,鈥� said the doctor.