Fractured futures: Upward mobility for immigrants is a myth as their health declines

Odd connection to make between poorer health outcomes and the need for municipal voting rights for permanent residents.

First of all, unclear that this is a priority for most permanent residents compared to more pressing economic and social issues.

Secondly, Canadian citizenship is relatively easy to obtain in terms of residency, language and knowledge requirements.

Third, the author’s general comment on voting rates of immigrants is misleading: the StatsCan study, comparing the 2011 election with recent elections, highlighted small gaps between recent and long-term immigrants and the Canadian-born in the 2019 election before dropping in 2021, but recent immigrant voting rates neverthess increased by 10 points between 2011 and 2021:

Immigrant health research frequently refers to the notion that immigrants are generally healthier than people born in Canadabut that their health worsens with time.

The apparent trend has been attributed to a number of factors, including an unexpected lack of social mobility after immigration. 

The story often goes that immigrant parents willingly make sacrifices for the good of their children, with the widespread assumption that emphasizing good grades and higher education among the next generation will make their sacrifices worth it. 

But recent research finds that this lack of social mobility extends into the second generation.

As someone who’s spent more than a decade conducting immigrant and refugee health research, I am among a growing contingent of researchers who recognize that immigrants in Canada have extremely diverse identities and experiences, all of which affect their experiences with the structural and social determinants of health. 

That, in turn, shapes their health and health-care access, and challenges the notion that immigrants are a monolith with identical health and social trajectories.

This “healthy immigrant effect” and the upward social mobility of subsequent generations are commonly believed theories in academic circles. However, I fear these ideas have caused the nuanced needs of immigrant and diasporic communities to be over-simplified, dismissed and even neglected by policymakers.

The impact of COVID-19

The legacy of this neglect became painfully clear in the early days of the COVID-19 pandemic amid a litany of reports about how long-term care workers, taxi drivers, food processors and other essential workers who came to Canada as immigrants were falling victim to the virus.

Statistics have since backed up these reports. 

Toronto Public Health, the first health unit in Canada to collect race-based data during the pandemic, found racialized Torontonians (including mostly immigrants but also those in racialized diasporic communities) were much more likely to be infected or hospitalized due to COVID-19. 

An upcoming study has found that before high-population COVID-19 vaccine coverage was achieved, immigrants in Ontario — particularly those from Central America, Jamaica, parts of South Asia and East Africa — were much more likely to be hospitalized or die from COVID-19 than other residents in the province.

The major contributing factors are a mismatch between their education and the jobs they end up getting, and employer discrimination, which leads to immigrants being over-represented and trapped in essential, low-wage precarious work. These jobs have a higher risk of exposure to COVID-19, and don’t provide employer-paid sick leave.

Thankfully, an Ontario government focus on equitable vaccine distribution, as well as innovative strategies like Toronto’s Community Health Ambassadors program — implemented by immigrant-serving community organizations — led to a remarkably equitable vaccine rollout and equally remarkable reductions in hospitalizations and deaths, according to the upcoming study.

But considering the subsequent elimination of many of these programs and policies, all of which were put in place to address barriers to vaccination for immigrants and their higher exposure to COVID-19 (due, in part, to the absence of employer-paid sick days), it’s possible that once again immigrants are bearing the brunt of the virus that’s still circulating and mutating.

Policy neglect is also responsible for the current primary-care crisis across Canada, with pre-pandemic inequities becoming further entrenched by the COVID-19 pandemic.

Racialized and low-income Canadians are the least likely to report having a primary-care physician. Meanwhile family doctors nearing retirement have a larger number of patients who face multiple social barriers to health and health care access. Both affected groups are likely made up largely of immigrant and diasporic communities.

The importance of elections

So how can the health and well-being of immigrants — widely praised as being the engine of Canada’s economy — and subsequent generations be prioritized?

First, our elected officials should engage meaningfully and respectfully with immigrants from all walks and stages of life, and avoid stoking xenophobic sentiments among the public.

Second, immigrants with Canadian citizenship — particularly those who’ve been in Canada for fewer than 10 years — are less likely than Canadian-born residents to vote in federal elections. There must be civic engagement initiatives connecting immigrants’ priorities with specific political platforms coupled with “get out the vote” campaigns.

Immigrants who are not yet citizens can’t vote in elections at any level of government, so they have no influence over how their tax dollars are spent. That voter gap should be addressed immediately, particularly given the large numbers of permanent and temporary residents who have made Toronto and other Canadian cities their home in recent years.

Right now, it seems these groups of potential future citizens are good enough to fill labour gaps and contribute their time, money and tax dollars to the economy. But they’re not good enough to have their voices and needs recognized in the political decision-making that governs their everyday lives and futures.

The false notion of the healthy immigrant effect and assumption of upward social mobility among the second generation has been reinforced through a lack of recognition of the diversity of identities and experiences of immigrants in big cities like Toronto and beyond. 

These assumptions may have led policymakers to neglect the health and health-care needs of immigrants.

Addressing long-standing inequities in immigrant and migrant voter participation in Canada may finally help shine a spotlight on the social and economic hardships that immigrant and diasporic communities have faced for decades, not to mention the adverse impact on their health and health-care access.

Source: Fractured futures: Upward mobility for immigrants is a myth as their health declines

Lithuania’s citizenship referendum: what it’s about and what it needs to succeed

Of interest, given the considerations at play with respect to Russia and ethnic Russians:

Under the current restrictive rules, Lithuanians who emigrate and become citizens in other countries automatically lose their Lithuanian passports. With the Lithuanian diaspora having ballooned in recent decades, there has been growing pressure to change the constitution. The referendum on “retaining citizenship” is an attempt to do it.

No ordinary referendum

“Citizenship of the Republic of Lithuania is acquired at birth and on other grounds established by law. Except in individual cases provided for by law, no one may be a citizen of the Republic of Lithuania and of another state. The procedure for acquisition and loss of citizenship shall be determined by law,” is the current wording of Article 12 of the Constitution of the Republic of Lithuania.

It is this article that will be changed if the referendum is successful.

The proposed new wording is: “Citizenship of the Republic of Lithuania is acquired at birth and on other grounds and in accordance with the procedure laid down by a constitutional law. The constitutional law shall also determine the grounds and procedure for losing citizenship of the Republic of Lithuania.”

Since Article 12 is part of the first section of the constitution, “The State of Lithuania”, changing it requires that more than half of all eligible voters – around 1.2 million people – not only come to the polls but also say yes. The last attempt to amend the article in 2019 failed because even though the turnout was 53 percent and the “yes” vote stood at 72 percent, this was not enough (because it represented only under 40 percent of the total electorate).

Why would this time be different? The initiators have argued that the first attempt to simply lift the ban on dual citizenship may have spooked some voters. The restriction was put into place to alleviate fears that Lithuania’s sizeable Russian-speaking community (about 5 percent of the population) could get Russian citizenship. To avoid that, the current proposal includes a reference to a constitutional law.

This law, which has already been drafted, specifies which nationalities would be compatible with Lithuanian citizenship. These “friendly countries” are the members of the European Union, the European Economic Area, the Organisation for Economic Co-operation and Development (OECD) and NATO.

Meanwhile, Lithuanian citizens could not retain their citizenship if they were also nationals of Russia or Belarus, the member-states of the Eurasian Economic Union, the Collective Security Treaty Organisation, The Shanghai Cooperation Organisation, the Commonwealth of Independent States, or “any other political, military, economic or other alliances established on the basis of the former USSR”.

Will the constitutional law be passed?

This constitutional law, however, is also a target of the opponents of the amendment. They argue that if the referendum succeeds and Article 12 is amended, there is no guarantee the law will actually be passed in its current form.

A constitutional law is not part of the constitution or a constitutional amendment. It is a completely separate document drafted by the parliament and adopted with a special majority – more than half of all MPs.

The parliament would only vote on the new constitutional law after a successful referendum.

But opponents of the referendum doubt whether the special majority will be easy to achieve or that no one will try to change the law.

The initiators of the referendum, meanwhile, assure that the law will be adopted because all parliamentary parties are in agreement and have no objections to the bill. Recall, they argue, that 111 MPs voted in favour of calling the referendum and none voted against it.

The constitutional law cannot be passed before the referendum because it would simply be deemed in violation of the current constitution. However, to make sure people know what they are voting for, the law has already been registered in the Seimas and is available to all who wish to read it.

Source: Lithuania’s citizenship referendum: what it’s about and what it needs to succeed

Setting the record straight on refugee claims by international students

Good analysis of the data and placing it in perspective.

However, makes the mistake of only focussing on the overall numbers and not considering growth rates. For example, an increase of three percent to eight percent over the last 5 years is an increase of about 170 percent, a valid concern particularly if the trend continues given the overburdened refugee determination system (and higher than the overall increase of 150 percent).

While “only one percent” of international students making claims is a small number, given the large number of international students again that understates the issue.

Of course, the media and much commentary focuses on these issues rather than for example, declining naturalization rates. But that’s the reality, and IRCC and Ministers have contributed to that given the policies that got us to this place.

But valid, of course, to assess against low acceptance rates.:

The Canadian government placed a cap on the number of study permits granted to international students earlier this year. The government stated that a rapid increase in the number of international students was putting added “pressure on housing, health care and other services.”

In addition, Immigration Minister Marc Miller criticized some private colleges for the increasing number of refugee claims from their international students, saying the trend was “alarming” and “totally unacceptable.”

Similarly, a recent article in the Globe and Mail stated refugee claims by international students increased by 646 per cent from 2018 to 2023, and raised concerns about students exploiting Canada’s immigration system.

However, focusing on refugee claims, and not refugee claim approvals, obscures the context needed to understand such a complex issue. These comments and statistics are misleading and contribute to fueling xenophobia and anti-immigrant sentiment.

Given the central place of immigration in heated political debates in Canada, it’s crucial to unpack these claims and understand the implications of perpetuating unfounded criticism of Canada’s refugee and immigration system.

Growing number of displaced people

Amid the war in Ukraine, violence in Haiti and enduring humanitarian crises in Afghanistan, Syria, Somalia, Venezuela, Sudan and elsewhere, over 114 million people have been displaced worldwide. Accordingly, refugee claims have increased around the world from displaced people; many of whom face the risk of being forcibly returned home or sent to a third country.

The number of refugee claims in Canada fluctuates over time, largely in response to global events. For example, during the COVID-19 pandemic there was a notable decline in refugee claims from 58,378 in 2019 to 18,500 in 2020. However, refugee claims in Canada increased from 55,388 in 2018 to 137,947 in 2023.

While the increase in the number of international students making refugee claims is worth investigation, the impact of this increase should not be exaggerated or taken out of context. In 2018, international students made up three per cent of new refugee claims. By 2023, this figure increased to only eight per cent.

Most importantly, these numbers need to be examined as a percentage of all international students in Canada. In 2023, only one per cent of international students sought asylum.

A table showing the number of refugee claims madein canada each of the years along with those that were accepted, rejected and made by international students.
Data on the number of refugee claims made in Canada between 2018 and 2023. (Immigration, Refugees and Citizenship Canada), Author provided (no reuse)

Refugee fraud is rare

The large majority of refugee claims in Canada succeed. In recent years the number of refugee claims approved increased from 63 per cent in 2018 to 79 per cent in 2023.

During this same period, fraud in the refugee determination system has been relatively rare. When Canada’s Immigration and Refugee Board encounters a claim that is “clearly fraudulent” the Board has a legal obligation to declare that the claim is “manifestly unfounded.” This occurs only a few dozen times per year.

The result is that most refugee claimants in Canada are determined to have a well-founded fear of being sent back home. As such, most will obtain permanent residence in Canada and be on the path to citizenship.

Dangers of alarmist rhetoric

Statistics Canada data indicate that more than 15 per cent of immigrants are deciding to leave Canada within 20 years of immigrating. Meanwhile less than half of permanent residents are deciding to become citizens. There is also a similar trend among international students. More and more international students are contemplating leaving Canada amid declining affordability and diminishing job prospects.

However, these realities are often not as interesting or enraging as the alarmist rhetoric adopted by politicians and media. The fact that fraud is rare in Canada’s refugee system doesn’t sell newspapers or win votes. Declining citizenship rates are not as compelling as tales of international students exploiting loopholes to stay in Canada.

This kind of rhetoric also overlooks the fact that many students do come from countries experiencing political instability and violence, making their refugee claims deserving of consideration. In the face of migration controls and the absence of safe and legal channels, coming to Canada as a student and seeking refuge may be the only viable option for some people seeking protection from persecution.

With that in mind, politicians and media must be careful regarding how they discuss refugee claimants. It is misleading to imply that it is “alarming” and “unacceptable” for someone to make a refugee claim simply because they are an international student. Seeking asylum is a right they have under both international and Canadian law.

Such rhetoric fosters a climate of suspicion and distrust towards newcomers, fueling xenophobia and hostility towards those in need of protection. Instead, politicians, media and the public in general, should recognize that Canada has processes that are well-placed to examine these claims. These include one of the world’s most well-regarded refugee determination systems that assesses each claim on its merits.

When politicians engage in rhetoric that plays into anxieties about migration, the media must act as an informed voice that scrutinizes their comments, instead of amplifying reactionary claims about fraud and the spectre of bogus refugees.

Source: Setting the record straight on refugee claims by international students

Global Housing Shortages Are Crushing Immigration-Fueled Growth

Of note, Canada not alone (but doesn’t excuse the policy and program mistakes….). Money quote: “Canada’s experience shows there’s a limit to immigration-fueled growth:”

For decades, the rapid inflow of migrants helped countries including Canada, Australia and the UK stave off the demographic drag from aging populations and falling birth rates. That’s now breaking down as a surge of arrivals since borders reopened after the pandemic runs headlong into a chronic shortage of homes to accommodate them.

Canada and Australia have escaped recession since their Covid contractions, but their people haven’t with deep per-capita downturns eroding standards of living. The UK’s recession last year looked mild on raw numbers but was deeper and longer when measured on a per-person basis.

All up, thirteen economies across the developed world were in per-capita recessions at the end of last year, according to exclusive analysis by Bloomberg Economics. While there are other factors — such as the shift to less-productive service jobs and the fact that new arrivals typically earn less — housing shortages and associated cost-of-living strains are a common thread.

So is the immigration-fueled economic growth model doomed? Not quite.

In Australia, for instance, the inflow of roughly one million people, or 3.7% of the population, since June 2022 helped plug a chronic shortages of workers in industries such as hospitality, aged care and agriculture. And in the UK — an economy near full employment — arrivals from Ukraine, Hong Kong and elsewhere have made up for a lack of workers after Brexit.

Skills shortages across much of the developed world mean more, not fewer, workers are needed. Indeed, the US jobs market and economy are running hotter than many thought possible as an influx of people across the southern border expands the labor pool — even as immigration shapes up as a defining issue in the November presidential election.

While the US has seen a widely-covered surge in authorized and irregular migration, the scale of the increase actually pales in comparison to Canada’s growth rate. For every 1,000 residents, the northern nation brought in 32 people last year, compared with fewer than 10 in the US.

Put another way: Over the past two years, 2.4 million people arrived in Canada, more than New Mexico’s population, yet Canada barely added enough housing for the residents of Albuquerque.

Canada’s experience shows there’s a limit to immigration-fueled growth: Once new arrivals exceed a country’s capacity to absorb them, standards of living decline even if top-line numbers are inflated. The Bank of Nova Scotia estimates a productivity-neutral rate of population growth is less than a third of what Canada saw last year, which would be more in line with the US pace.

So even as that record population growth keeps Canada’s GDP growing, life is getting tougher, especially for younger generations and for immigrants such as 29-year-old Akanksha Biswas.

Biswas arrived in Canada in the middle of 2022, just as per-capita GDP started plunging amid the start of the post-pandemic immigration boom and the Bank of Canada’s aggressive interest-rate tightening cycle.

The former Sydneysider moved to Toronto for what she believed would be a better life with a lower cost of living and greater career prospects. Instead, she faced higher rent, lower pay and limited job opportunities.

“I actually had a completely different picture in my mind about what life would be like in Toronto,” said Biswas, who works in advertising. “Prices were almost similar, but there’s a lot more competition in the job market.”

Canada’s working-age population grew by a million over the past year but the labor market only created 324,000 jobs. The upshot: The unemployment rate rose by more than a full percentage point, with young people and newcomers again the worst hit.

Biswas spends more than a third of her income on the monthly rent bill of C$2,800 ($2,050), splitting the cost with her partner. She’s dining out less and making coffee at home instead of going to the cafe. She’s also pushing back plans to have children or buy a home.

“I don’t see my future here if I want to raise a family,” she says.

While millions of Americans also face a housing affordability crisis, their real disposable income growth has stayed above the rise in home prices over much of the past two decades. Not so in Canada. The median price for homes in Toronto is now C$1.3 million, nearly three times that of Chicago, a comparable US city.

The chronic underbuilding of homes and decades of continuous rises in prices has drained funds from other parts of the economy toward housing. That lack of investment in capital — combined with firms’ focusing instead on expanding workforces due to cheaper labor costs — has driven down productivity, which the Bank of Canada says is at “emergency” levels.

Growing anxiety around the housing crunch forced Prime Minister Justin Trudeau’s government to scale back on its immigration ambitions, halting the increase of permanent resident targets and putting a limit on the growth of temporary residents for the first time.

Canada’s goal is now to cut the population of temporary foreign workers, international students and asylum claimants by 20%, or roughly by half a million people, over the next three years. That’s expected to slash the annual population growth rate by more than half to an average of 1% in 2025 and 2026.

Meantime, Biswas and her partner are calling it quits on their Canada experiment and moving to Melbourne, where they reckon they can afford a two-bedroom apartment for less than what they paid for a one-bedroom space in Toronto.

But life won’t be easy Down Under either as many of the same strains are playing out, with Australia facing its worst housing crisis in living memory.

Building permits for apartments and town houses are near a 12-year low and there remains a sizable backlog of construction work, largely due to a lack of skilled workers. The government has tried to plug the labor supply gap by boosting the number of migrants, only to find that’s making the problem even worse.

Just like Canada’s experience, the ballooning population is not only exacerbating housing demand, it’s also masking the underlying weakness in the economy.

GDP has expanded every quarter since a short Covid-induced recession in 2020, yet on a per-capita basis, GDP contracted for a third consecutive quarter in the final three months of 2023 — the deepest decline since the early 1990s economic slump.

In absolute terms, Australia’s per-capita GDP is now at a two-year low — a “material under-performance” versus the US and an outcome that could spur higher unemployment, according to Goldman Sachs Group Inc.

Angst about the lack of housing, soaring rents and surging home prices has prompted Anthony Albanese’s ruling Labor government to crack down on student visas.

“It has been proven over many many years that there’s a positive to Australia from a high migration intake,” said Stephen Halmarick, chief economist at the nation’s biggest lender Commonwealth Bank of Australia. “But in the very near term, you can see that it’s putting upward pressure on rents, house prices and clearly that’s a concern for many and the demand for some services is seeing sticky inflation.”

Neighboring New Zealand is grappling with a similar headache.

The government there last month made immediate changes to an employment visa program, introducing an English-language requirement and reducing the maximum continuous stay for a range of lower-skilled roles, citing “unsustainable” net migration. The changes were part of a plan to “create a smarter immigration” that is “self-funding, sustainable and better manages risk,” Immigration Minister Erica Stanford said in the statement at the time.

Calvin Jurnatan, 30, moved to Sydney from Indonesia in December to study construction design as a gateway to becoming a permanent resident. Months later, he still doesn’t have a job. One reason is that migrants face long and expensive processes to get their qualifications recognized.

Jurnatan’s failure to find a part-time role in construction comes despite the sector being high on the skills shortage list, especially after the government set an ambitious goal of building 1.2 million new homes by 2029. That target looks increasingly unachievable, industry players say.

Frustrated, Jurnatan has stopped looking for construction jobs and is instead scouting the retail sector where roles are easier to find. He’s doing some freelance photography to eke out a living and says he wouldn’t recommend Australia to his family and friends back home.

“People are struggling,” he said. “I’m struggling. It’s not cheap and everyone needs to work really, really hard here. So, when people call me and ask, ‘hey, how is living in Sydney right now?’ I tell them the truth.”

Independent think tank the Committee for Economic Development of Australia found in a recent report that the hourly wage gap between recent migrants and Australian-born workers increased between 2011 and 2021. On average, migrants who have been in Australia for 2 to 6 years earn more than 10% less than similar Australian-born workers.

“There are big costs from not making the best use of migrants’ skills,” according to CEDA’s senior economist Andrew Barker.

Over in Europe, its largest economy, Germany, also saw a per-capita recession that comes against a backdrop of rising political tensions over a large number of asylum seekers, housing shortages and a misfiring economy. Bloomberg Economics analysis shows that France, Austria and Sweden are also among those who have suffered per-capita recessions.

In Britain, too, record levels of migration have begun to weigh on the economy. A technical recession in the second half of last year saw headline GDP slip 0.4%, yet the slump was longer and deeper when adjusted for population. Per-capita GDP has contracted 1.7% since the start of 2022, falling in six out of the seven quarters and stagnating in the other.

With Britain close to full employment and over 850,000 dropping out of its workforce since the pandemic, immigration has helped employers fill widespread worker shortages, not least in the health and social care sectors.

“A very good bit of the growth that we saw through the 2010s was down to net migration,” said Paul Johnson, director of the Institute for Fiscal Studies. “In terms of the overall size of the economy, it’s been really important. What’s really hard to say is what impact the net immigration has had on the per-capita numbers.”

UK GDP has expanded 23% since the start of 2010. On a per-person basis, growth in output has been far less impressive at 12%.

Over the same period, the population has surged, growing an estimated 11%, or almost 7 million, to 69 million. The Office for National Statistics expects it to hit close to 74 million in 2036 in updated population projections that now predict faster growth. Over 90% of the increase in the population expected between 2021 and 2036 will come from migrants, it said in January.

“If we hadn’t had such high immigration, housing would be cheaper than it is at the moment, possibly quite significantly,” Johnson said. “But the converse of that is that the problem has been that we simply haven’t built enough houses, given what we know is happening to the size of the population.”

The UK’s post-Brexit immigration system aimed to stop cheap labor from Europe and prioritize high-skilled workers. However, the government allows some foreign workers easier access if they are in shortage-hit sectors.

“Those shortages really are pretty much always caused by poor paying conditions, although the employers will tell you it’s all skills,” said Alan Manning, labor market economist at the London School of Economics. “Then they start complaining about ‘we can’t afford higher wages and so we have to have migrants so we can keep our existing wages.’”

The growing pressures on housing and stretched public services are prompting a backlash among voters against Rishi Sunak’s ruling Conservative government ahead of a general election expected later this year. It has hemorrhaged support to the right-wing populist Reform UK party, which is promising “net zero immigration,” while the Tories are polling in single digits among 18- to 24-year-olds who put housing as their second-most important issue.

The opposition Labour party has promised a “blitz” of planning reforms to unlock construction, as well as restraint on immigration as it heads toward what’s widely anticipated to be a sweeping election victory.

A shortage of properties for the bigger population has sent house prices to over eight times average earnings in England and Wales, and 12 times in London. In 1997, they were 3.5 times earnings and four times, respectively. A lack of supply has also caused rental costs to rocket at a record pace in the last 12 months, worsening a cost-of-living crisis for young Britons especially.

Official figures show that 234,400 homes were added to the UK housing supply in 2022-23, well below the levels needed to meet huge demand and the 300,000-a-year target the Tories promised to reach by the mid-2020s at the last election.

“If we’re looking to grow GDP by throwing more people at it, then we need more housing,” said Peter Truscott, chief executive of FTSE 250 housebuilder Crest Nicholson.

However, UK housebuilders and the government have struggled to boost construction of new homes to the levels needed. A restrictive planning system has been used by Nimbys — “not in my back yard” — to block local developments and efforts to overhaul the system by the ruling Conservatives were scuppered by concerns of a backlash in their rural southern heartlands.

“We have a completely utterly dysfunctional planning system in the UK,” said Truscott. “Forty years in house building, it’s never been so bad, and the rate of decline in planning has been quite incredible over the last couple of years.”

While encouraged by Labour plans, he cautions that it will take two parliamentary terms to make a difference as supply chain constraints will prevent an instant “flood” of new homes.

The longer voters in the UK, Australia, Canada and similar economies see their living standards go backwards, the more their opposition to rapid immigration programs will harden. A lasting fix requires government policies, especially in housing, that convince both would-be migrants and the existing populations of the benefits of immigration-led economic growth.

Source: Global Housing Shortages Are Crushing Immigration-Fueled Growth

Fines mounting for violations in Canada’s temporary foreign worker programs

Of note. Good and revealing data analysis:

The federal government penalized nearly 200 companies last year for violating the rules of its temporary foreign worker programs, resulting in record fines for infractions such as wage theft and abuse in the workplace.

Ottawa reached 194 decisions against non-compliant employers in 2023 and handed out $2.7-million in penalties, an average of $13,800 per decision, according to a Globe and Mail analysis of figures published by the government. Some employers have also been suspended from hiring temporary labour from outside the country.

While the government reached more decisions of non-compliance in 2021, last year set a new high for fines. And 2024 is shaping up to be even worse.

So far this year, the average fine is nearly $29,000, according to data pulled by The Globe in late April. In 2019, it was roughly $3,200….

Source: Fines mounting for violations in Canada’s temporary foreign worker programs

Klein Halevi: The war against the Jewish story  

Necessary read and questioning of the approach and effectiveness previous and current Holocaust education:

How has it come to this? How is it possible that Israel, rather than radical Islamism, would become the villain on liberal campuses? That thousands of students would be chanting “from the river to the sea” even as the Hamas massacre revealed that slogan’s genocidal implications? That the most passionate outbreak of student activism since the 1960s would be devoted to delegitimizing the Jewish people’s story of triumph over annihilation? 

This moment didn’t happen in a vacuum. The anti-Zionist forces in academia have been preparing the ground for decades, systematically dismantling the moral basis of each stage of Zionist and Israeli history. 

The attack began on the very origins of Zionism, which was transformed from a story of a dispossessed people re-indigenizing in its ancient homeland into one more sordid expression of European colonialism. (Europe’s post-Holocaust gift to the Jews: leaving us with the bill for its sins.) 

Next, the birth of Israel in 1948 was reduced to the Nakba, or catastrophe, a Palestinian narrative of total innocence that ignores the ethnic cleansing of Jews from every place where Arab armies were victorious and the subsequent uprooting of the entire Jewish population of the Muslim world. Post-1967 Israel was cast as an apartheid state – turning Zionism, a multi-faceted movement representing Jews across the political and religious spectrum into a racist ideology and reducing an agonizingly complex national conflict into a medieval passion play about Jewish perfidy. 

And now, with the Gaza War, we have come to the genocide canard, the endpoint in the process of delegitimization.

To turn Israel into the world’s arch-criminal requires three forms of erasure. The first is of the connection between the land of Israel and the people of Israel. In the anti-Zionist telling of the conflict, a 4,000-year connection that has been the heart of Jewish identity and faith is irrelevant, if not contrived outright by Zionists.

The second is the erasure of the relentless war against Israel, placing its actions under a microscope while downplaying or entirely ignoring the aggression of its enemies. There is never any context to Israel’s actions. Only by erasing Hamas’s atrocities can Israel be turned into the villain of this war. 

In focusing on Israel’s actions and dismissing those of Hamas, campus protesters are providing cover for October 7 denialism. This is a new version of the Holocaust denialism prevalent in parts of the Muslim world: The atrocities didn’t happen, you deserved them and we’re going to do it again (and again). 

On a recent trip to New York, walking along Broadway on the Upper West Side, I saw dozens of defaced posters of kidnapped Israelis. Rather than tear down the posters, the vandals had blacked out the Israeli faces – a literal defacement. And a useful metaphor for the anti-Zionist assault on our being.

The third form of erasure is dismissing the history of peace offers presented or accepted by Israel and uniformly rejected by the Palestinian side. No offer – an independent Palestinian state on the West Bank and Gaza, the re-division of Jerusalem, the uprooting of dozens of settlements – was ever sufficient. It is hard to think of another national movement representing a stateless people that rejected more offers of self-determination than the Palestinian leadership.

The ease with which anti-Zionists have managed to portray the Jewish state as genocidal, a successor to Nazi Germany, marks a historic failure of Holocaust education in the West.

This moment requires a fundamental rethinking of the goals and methodology of Holocaust education. By over-emphasizing the necessary universal lessons of the Holocaust, many educators too easily equated antisemitism with generic racism. The intention was noble: to render the Holocaust relevant to a new generation. But in the process, the essential lesson of the Holocaust – the uniqueness not only of the event itself but of the hatred that made it possible – was often lost. 

Antisemitism is not merely the hatred of Jews as other but the symbolization of The Jew – that is, turning the Jews into the symbol for whatever a given civilization defines as its most loathsome qualities. For Christianity until the Holocaust, The Jew was Christ-killer; for Marxism, the ultimate capitalist; for Nazism, the defiler of race. And now, in the era of anti-racism, the Jewish state is the embodiment of racism. 

Holocaust education was intended, in large part, to protect the Jewish people from a recurrence of the antisemitism that reduces Jews to symbols. Yet the movement to turn Israel into the world’s criminal nation emerges from a generation that was raised with Holocaust consciousness, both in formal education and the arts. And this latest expression of the antisemitism of symbols is justified by some anti-Zionists as honoring “the lessons of the Holocaust.” 

Unlike the Iranian regime, which clumsily tries to deny the historicity of the Holocaust, anti-Zionists in the West intuitively understand that coopting and inverting the Holocaust is a far more effective way of neutralizing its impact.

Many, perhaps most, of the campus protesters are likely not antisemitic. They may have Jewish friends or be Jewish themselves. But that is irrelevant: They are enabling an antisemitic moment.

What is under assault is the integrity of the mid-20th century Jewish story, of a people rejecting the self-pity of victimhood and fulfilling its most improbable dream: renewing itself, in its broken old age, in the land of its youth. The shift from the lowest point Jews have known to the reclamation of power and self-confidence is one of the most astonishing feats of survival not only in Jewish but world history. It is that story that is being distorted and trivialized and demonized on liberal campuses. 

I recently completed a lecture tour of some of the most Jewishly problematic campuses, from Columbia to Berkeley. In meetings with Jewish students, I was repeatedly told about a pervasive atmosphere of hostility toward Israel, even among many otherwise apolitical students. While the protests are an immediate threat to Jewish well-being on campus, the far deeper problem is the impact of the anti-Zionist campaign, linking the name “Israel” with racism and genocide. The vulgar protesters are a small minority, but they are shaping the attitudes of a whole generation. 

By focusing only on the immediate threat of the protests, we risk repeating the mistake we’ve made over the last decades of failing to adequately confront the systematic assault on our story.

We are losing a generation, but we haven’t yet lost. Like other radical movements, anti-Zionism could go too far in its righteous rage, potentially alienating the majority. Perhaps that process has already begun. 

The challenge of our generation is to defend the story we inherited from the survivor generation. We need to tell that story with moral credibility, in all its complexity, frankly owning our flaws even as we celebrate our successes, acknowledging the Palestinian narrative even as we insist on the integrity of our own. 

We desperately need new strategies to counter the anti-Zionist assault. A good beginning would be the creation of a brain trust, composed of community activists, rabbis, journalists, historians, public relations experts, that would devise both immediate responses to the current crisis and a long-term strategy, emulating the decades-long patient work of the anti-Zionists. 

The Jews are a story we tell ourselves about who we think we are; without our story, there is no Judaism. It is long past time to mount a credible defense of our mid-20th century story, which continues to sustain us as a people. 

Source: Klein Halevi: The war against the Jewish story  

Some cities allow noncitizens to vote in local elections. Their turnout is quite low

Of note. Not surprised. Those that argue that non-citizen voting will increase municipal vote turnout should look at this case study. Similar to those advocating for no restrictions on voting by Canadian expatriates; while the number of registered voters and votes casts doubled, the numbers were still tiny (55,000 registered) compared to an estimated expatriate adult population of less than three million:

Three cities in Vermont now allow non-U.S. citizen residents to vote in local elections.

Winooski is one of those municipalities. It just held its third local election with noncitizen voting.

“Thirteen hundred and 45 people participated in our annual city and school election,” Winooski Clerk Jenny Willingham said about March’s contests. “Eleven of those ballots cast were from our all-resident voting,” a category that includes green-card holders, refugees and asylum-seekers.

In Vermont and elsewhere, municipalities that allow noncitizen voting in local elections have seen similar low voter registration rates and turnout. Local leaders are trying to parse out why.

That’s as noncitizen voting has emerged as a national flashpoint this election year. Republicans including former President Donald Trump are pushing legislation aimed at stopping noncitizens from voting in federal elections — which is already illegal and, by all accounts, very rare.

Small numbers of ballots cast

In Winooski, getting those 11 noncitizen votes cast in March’s races took a lot of legwork for Willingham. She had the ballots printed in 12 languages and had four interpreters — speaking Burmese, Nepali, Swahili and Somali — working on Election Day.

Burlington, Vermont’s largest city, counted 62 votes by noncitizens, accounting for less than half of 1% of the nearly 15,000 total votes cast.

In Montpelier, the state’s capital, 13 noncitizens voted. There are so few noncitizen registered voters that Clerk John Odum keeps their paperwork in a half-inch blue binder.

This trend extends outside Vermont. Takoma Park, Md., legalized local noncitizen voting 30 years ago. Still, registration and turnout remain relatively low.

There are ongoing grassroots efforts in Vermont to increase voter participation among green-card holders, refugees and asylum-seekers. The League of Women Voters distributes pamphlets and holds info sessions.

The city of Burlington pays outreach workers like Jules Wetchi, an immigrant from the Democratic Republic of Congo, to connect with immigrant communities. Wetchi hosts local radio and TV shows geared at French-speaking new Americans.

“I did what they call civic education to push people to know how they should be engaged to vote, because it’s very important,” Wetchi said. “This is our second country. We are living here — we should be more engaged to the political situation.”

Fear as a barrier to voting

But Wetchi said fear is one of the barriers to the ballot box. People have told him they’re afraid they might get harassed when they vote. Others worry that voting might negatively affect their U.S. citizenship application, even if their city clerk assures them that it won’t.

Some of that fear stems from the national spotlight on this issue, which got brighter last month when Trump and House Speaker Mike Johnson pushed a measure that would add citizenship documentation requirements for voters.

Vermont Secretary of State Sarah Copeland Hanzas, a Democrat, said she understands why some Vermonters are reluctant to have their names on a list of non-U.S. citizens that’s accessible with a public records request.

“We are a nation of immigrants. So it’s wild to imagine how we got to this place where we have to worry about these things,” she said.

Winooski and Montpelier were sued by the state and national Republican parties to try to stop local noncitizen voting. The lawsuits were thrown out, but Copeland Hanzas wondered whether they added to the chilling effect.

“I’m quite certain that there are more folks who would have been eligible to vote in those local elections,” she said.

In Washington, D.C., Republicans in Congress are trying to block a law that allows noncitizens to vote in local D.C. elections. The law went into effect in January. As of April 30, there were 372 noncitizens registered in a city with around 450,000 total registered voters.

D.C. Board of Elections staff members are doing their best to keep their heads down and not let the controversy affect their work, said Executive Director Monica Holman Evans.

“I receive the quote-unquote attacks or the quote-unquote comments, commentary, opinions about it,” she said. “And I’m just very clear that I don’t take an opinion on this or any other legislation that has been passed in the District of Columbia. Our job is to enforce what’s currently in effect.”

Vermont’s local election officials also said they feel the heat from the national spotlight. They know that one slip-up, like a presidential ballot being mailed to a noncitizen, could end up on the national news.

Larger jurisdictions like D.C. have voter databases that can track noncitizen voters. Vermont doesn’t yet; the secretary of state’s office said one is in the works.

In the meantime, clerks use Excel spreadsheets and three-ring binders to track noncitizen voters. Willingham, Winooski’s clerk, keeps her noncitizen voter registrations in a manila folder in a filing cabinet next to her desk.

“I feel like I check and then I recheck just to make sure that everything is correct, that they are only voting in the elections that our charter has declared,” she said.

Despite the low turnout, the mere fact that noncitizen voting is on the books means a lot to many immigrants in Vermont. Wetchi’s mother recently made the move to Vermont from the Democratic Republic of Congo. She speaks only Swahili and a local dialect, but Wetchi said he hopes she can vote one day.

“Because her voice is very important. Her voice can change many things,” he said.

The thing is, Wetchi and his family just moved to the city of South Burlington, which doesn’t have noncitizen voting. His mom can’t vote there. But he can — he’s a full citizen. He’s even thinking about running for office one day.

Source: Some cities allow noncitizens to vote in local elections. Their turnout is quite low

Clark: Foreign interference is a threat chipping away at pieces of democracy

Good commentary on risks:

….Instead, Justice Hogue’s report describes foreign actors – China, mainly – chipping away at pieces of Canada’s democracy. But those pieces matter. And they add up.

“It is likely to increase and have negative consequences for our democracy unless vigorous measures are taken to detect it and better counter it,” Justice Hogue wrote.

That’s the conclusion worth following here. Canadians – voters, candidates, constituents – feel real effects. Diaspora communities feel intimidated. There is a risk politicians alter their messages out of fear of foreign governments. And this is a growing danger…..

Source: Foreign interference is a threat chipping away at pieces of democracy

Widening Racial Disparities Underlie Rise in Child Deaths in the U.S.

Of note:

Thanks to advancements in medicine and insurance, mortality rates for children in the United States had been shrinking for decades. But last year, researchers uncovered a worrisome reversal: The child death rate was rising.

Now, they have taken their analysis a step further. A new study, published Saturday in The Journal of the American Medical Association, revealed growing disparities in child death rates across racial and ethnic groups. Black and Native American youths ages 1 to 19 died at significantly higher rates than white youths — predominantly from injuries such as car accidents, homicides and suicides.

Dr. Coleen Cunningham, chair of pediatrics at the University of California, Irvine, and the pediatrician in chief at Children’s Hospital of Orange County, who was not involved in the study, said the detailed analysis of the disparities documented “a sad and growing American tragedy.”

“Almost all are preventable,” she said, “if we make it a priority.”

Researchers at Virginia Commonwealth University and Children’s Hospital of Richmond had previously revealed that mortality rates among children and adolescents had risen by 18 percent between 2019 and 2021. Deaths related to injuries had grown so dramatically that they eclipsed all public health gains.

The group, seeking to drill deeper into the worrying trend, obtained death certificate data from the Centers for Disease Control and Prevention’s public WONDER database and stratified it by race, ethnicity and cause for children ages 1 to 19. They found that Black and American Indian/Alaska Native children were not only dying at significantly higher rates than white children but that the disparities — which had been improving until 2013 — were widening.

The data also revealed that while the mortality rates for children overall took a turn for the worse around 2020, the rates for Black, Native American and Hispanic children had begun increasing much earlier, around 2014.

Between 2014 and 2020, the death rates for Black children and teenagers rose by about 37 percent, and for Native American youths by about by about 22 percent — compared with less than 5 percent for white youths.

“We knew we would find disparities, but certainly not this large,” said Dr. Steven Woolf, a professor of family medicine at the V.C.U. School of Medicine, who worked on the research. “We were shocked.”

The racial and ethnic disparities were most drastic when injuries were isolated from other causes of death. For example, Black children died by homicide at 10 times the rate of white children between 2016 and 2020. When the study’s lead author, Dr. Elizabeth Wolf, an associate professor of pediatrics at the V.C.U. School of Medicine, compared accidents with intentional injuries, the sobering realities of the mental health crisis came into focus.

Native American children died by suicide at more than twice the rate of white children, whose rate was already high.

“As a pediatrician, that really took my breath away,” she said.

Gun-related deaths, including accidents, homicides and suicides, were two to four times as high among Black and Native American youths than among white youths, and the risk of dying from a gun-related injury more than doubled among Black and Native American youths between 2013 and 2020.

The researchers also drew attention to disparities in other causes of death: Native American children died from pneumonia and the flu at three times the rate of white children, for example, and Black children died from asthma at almost eight times the rate of white children.

This particular study did not examine all of the variables that contribute to the causes of childhood illness, injury and death. Dr. Wolf said she hoped the paper would serve as a “wake-up call” and galvanize researchers to scrutinize the underlying factors.

Understanding the reasons for the increase in car accident deaths, for example, could determine whether redesigned intersections or targeted seatbelt campaigns would be the most effective intervention for a specific group.

For other childhood deaths, access to care is a likely factor, given that Black children with circulatory diseases are less likely to be referred for transplants and less likely to have a successful procedure compared to white children. Asthma-related disease and death are likely to be affected by access to interventions such as inhalers, as well as socioeconomic and environmental factors like air pollution.

At the same time, Dr. Woolf said, policymakers should not “wait for more research to identify the obvious next steps,” including mental health support for children and stricter gun laws. The public perception of gun violence among children is often focused on school shootings, he said, but statistically speaking, “the vast majority occur in communities across our country — day by day, one by one.”

Source: Widening Racial Disparities Underlie Rise in Child Deaths in the U.S.

Social justice or medical expertise: What do patients want more from their doctors?

Rhetorical question for patients. One thing to have awareness and understanding of the social determinants of health and to improve data and understanding of health factors that affect different groups, but how will anti-oppression language improve health outcomes:

For over a year Canadian physicians have been debating the CanMEDS roles, which is a framework describing the competencies required of specialist doctors certified by the Royal College of Physicians and Surgeons of Canada. These roles are taught in medical school and form part of the basis for the students’ evaluations.

The roles include physician as communicator, collaborator, leader, health advocate scholar and professional. The central role is physician as medical expert, which integrates the other roles.

In the March 2023 special issue of the Canadian Medical Education Journal, the CanMEDS 2025 interim report was distributed for open public feedback and included a suggestion to centre social justice anti-racism and anti-oppression, rather than medical expertise.

A massive push back from physicians against the decentering of medical expertise arose and has been continuing since publication of the report.

Now, in a March 2024 issue of the CJME, one of the authors of the March 2023 report and others are responding to the negative responses. They claim that opposition to the decentering of medical expertise simply represents “medicine perpetuat(ing) its own power” and maintaining “medicine as an institution steeped in power and privilege.”

This is a deadly serious issue for medical education and for the care of patients. It matters not whether a surgeon is engaged in social justice for the patient who makes it to the operating room. At that point only medical expertise counts.

I learned this during my training at St. Michael’s Hospital in the late 1970s. A man living in a shelter was admitted to hospital for an urgent heart valve replacement. The surgeons saved his life but were not focused on social justice. Their expertise and attention were directed to the patient and nothing else.

Of course, post surgically he had no place to live and hospital personnel had a duty to find him an adequate place to which he could be discharged. But that would be all for naught had it not been for the expertise of the surgeons. That determined everything else. Medical expertise trumped all.

Confronting inequities and racism in health care is inseparable from confronting system-wide and societal inequities. Doctors alone cannot solve that, but they can at least be competent physicians technically and remain current on the science and standards of care for ailing people.

Beyond that they may choose to engage as any other caring citizen and fight fiercely for justice, freedom and truth in the health care system and in general.

They cannot be taught, mandated, and scripted to do so in the detached world of academic medicine. That is elitism at its worst, as if doctors should lead the charge for social justice.

There is a certain personal irony for me. Nearly 20 years ago I gave the first advocacy lecture in the University of Toronto’s Temerty Faculty of Medicine undergraduate curriculum. I stated up front to the students that I was not sure why I was even giving the lecture. I have given the same talk dozens of times since.

Here is how I introduced my talk and then with breathtaking hypocrisy continued on with the presentation:

“In my judgment, all advocacy means is being a socially responsible and good citizen, values both personal and ideological that are part of being a human and could not possibly — and maybe, should not — be taught by the universities. After all, what business is it of medical faculties to be teaching and evaluating political philosophies within the context of a curriculum?

“But how can the matter of advocacy be incorporated into medical practice and medical school curricula? It should be expected that physicians advocate on behalf of individual patients, who might benefit from an experimental therapy for a life-threatening disease. Physicians should actively intervene on behalf of a group of patients who are being denied access to a standard treatment. And physicians must intervene when a neighbourhood is at a health risk because, for example, of an environmental hazard.”

I still do not think that it is the business of medical faculties to be teaching and evaluating political philosophies within the context of a curriculum.

The public, if they were ever asked I am certain, would choose a competent surgeon, if that is all the surgeon could offer. They can secure their social justice elsewhere, with or without doctors.

Philip Berger is an Officer of the Order of Canada and a longstanding downtown Toronto physician.

Source: Social justice or medical expertise: What do patients want more from their doctors?