Wolfson and Castle: Ottawa’s new health funding is tied to better data. What will that really mean?

Good data discussion on outputs vs outcome measures, with the latter harder to measure but more important:

The federal government has just offered the provinces and territories substantial new funding to address the obvious failings in Canada’s health care sector. They have also rightly coupled reform with major improvements in health data collection, including the need for new and better indicators to measure progress. As Prime Minister Justin Trudeau has repeatedly said, “What gets measured gets done.”

But as with all data, the devil is in the details.

What exactly are health outcomes? Are they the same as health indicators? How will they be measured, and how can we ensure they are reported meaningfully and transparently for all Canadians? And most importantly: Will new health data meaningfully improve health care for Canadians?

In health care, for example, indicators can include the percentages of Canadians who have access to a family care team and the number of new family care practitioners; in fact, these are two of the indicators specified by the federal government. But while these are valuable, neither measures a health outcome. Instead, these indicators provide information on volume and accessibility for a key input in health care, namely primary care.

To the extent that these indicators can provide more detail – for example, by ethnicity or socioeconomic status, which should be essential lenses – they can shed light on important issues of equity and timeliness of health care. And as these indicators are tracked over time, they can provide a partial picture of whether health care is improving.

But health-outcome measures go beyond indicators, and require more detailed kinds of data.

A health outcome needs to consider a patient’s health status both before and after an intervention, such as a knee replacement or cataract surgery. It’s not just the waiting lists that matter; we also need to know how often a knee replacement has to be redone within a short period of time, or how frequently a cataract surgery fails to improve vision as much as anticipated.

Regularly measuring these kinds of health outcomes is fundamental to learning how well different parts of health care are performing, and whether we are receiving quality health care in the most cost-effective manner.

So how does this understanding of outcomes align with the federal government’s proposed “indicators” and data initiatives requirement? Short answer: we don’t know.

Provinces and territories have control over what health care data are routinely collected. For example, if we really want to know about health outcomes related to primary care, we first need to understand the various ways primary care is currently delivered – whether by solo fee-for-service doctors, or by teams, which include nurse practitioners as well as physicians who are remunerated by capitation, or some other model.

There is enough variety in primary care delivery across Canada that it should be possible to learn what works best by careful and probing comparisons across and within jurisdictions.

We then need to follow samples of individuals over time, to track which mode of primary care organization has patients with fewer illnesses, fewer hospitalizations and longer lives.

It is only with these kinds of longitudinal, person-level data that we’ll be able to produce evidence on which we can base valid indicators of health outcomes, and connect them to jurisdictions’ current and evolving ways of providing primary care to their residents.

Will the provinces collaborate, agree on standardized definitions and, with federal financial support, make the investments needed so these critical data become available? The federal government’s wording on this is ambiguous: “To access their share of the federal funding, including the guaranteed 5 per cent growth top-up payments to the CHT, for the next five years, provincial and territorial governments are asked to commit to improve how health information is collected, shared, used and reported to Canadians to promote greater transparency on results.”

Is this general statement merely cajoling, or is the federal government actually waving a serious fiscal stick? That will ultimately dictate the data outcome, because past decades of federal initiatives have repeatedly shown that if Ottawa fails to wield meaningful fiscal penalties, the momentum on serious health care reform is bound to face disappointment.

Michael Wolfson is a former assistant chief statistician at Statistics Canada and an adjunct professor in the faculties of medicine and law at the University of Ottawa. David Castle is professor of public administration at the University of Victoria. They both served on the Expert Advisory Group of the Pan-Canadian Health Data Strategy convened by the Public Health Agency of Canada.

Source: Ottawa’s new health funding is tied to better data. What will that really mean?

Asylum seekers using well-organized system for crossing irregularly into Canada

Have to admire the entrepreneurial spirit of those helping irregular arrivals:

Moments after a Greyhound bus from New York City pulls into a gas station bus stop in Plattsburgh, N.Y., Friday at 5:25 a.m., several minivan taxis swarm the vehicle.

About a dozen passengers descend from the bus — mostly single men, but also several couples and a family with three young daughters. They are greeted by four pushy taxi drivers.

The drivers begin to shout: “Frontera!” — the Spanish word for border — “Roxham Road! 60 dollars! Come! Come!”

As the passengers unload luggage from under the bus, the taxi drivers are relentless, beckoning them into their cars for the 30-minute drive to Roxham Road, the wooded route into Canada that has become an unofficial border crossing for tens of thousands of asylum seekers over the past several years.

Most of the bus passengers approached by The Canadian Press refused to talk; some shielded their faces. Many weren’t dressed for winter: they wore T-shirts, thin jackets, sneakers. One couple, however, were prepared, wearing warm winter jackets, tuques, gloves and boots.

One single man hopped into a cab. Asked where he was from, he said, “Haiti.”

Anxiously waiting for the taxi to depart, the man said his bus ticket was “purchased by a friend.”

Last week, reports said officials from New York City were providing free bus tickets to migrants heading north to claim asylum in Canada. New York City Mayor Eric Adams told Fox 5 his administration helps in the “re-ticketing process” for people who arrive in the city but want to go elsewhere.

In December, a total of 4,689 migrants entered the country through Quebec’s Roxham Road — more than all would-be refugees who arrived in Canada in 2021. Crossing the irregular border allows them to take advantage of a loophole in a deal between the United States and Canada.

The Canada-U.S. Safe Third Country Agreement requires that asylum seekers make a refugee claim in the first “safe” country they reach. In practice, it means that border officials in Canada turn back would-be asylum seekers who show up at official checkpoints from the U.S. But they are not required to turn back asylum seekers who cross irregularly at places such as Roxham Road.

On average, about 100 migrants arrive daily at the Greyhound bus stop on their way to Roxham Road, according to Chad Provost, who runs his own shuttle service for migrants. On his business card is written “Roxham Road Border,” his WhatsApp number, and “24 hour service to and from the Canadian border. Asylum seekers and refugee safe transportation.”

Provost, standing at the bus station outside his minivan with three passengers inside, said he sometimes provides asylum seekers with free rides.

“A lot of them come from mess-up places. A lot of them just want a better life,” Provost said.

“There are some people I have driven for free. A lot of them don’t have any money. Some of these other drivers will just leave them here to freeze …. The gas station is closed at night.”

He says he doesn’t need to wrestle with the other taxi drivers to fill up his van — he gets his customers through word of mouth.

“My customers call me in advance to set up pickups from the bus stop to Roxham Road.”

For months, Quebec has been calling for the federal government — which controls Canada’s borders — to stop the flow or migrants, or at least ensure they are more equally distributed across the country after they arrive. The vast majority of people who enter irregularly into Canada cross into Quebec, putting a strain on the province’s social services.

The opposition Parti Québécois, meanwhile, has called for the provincial police to shut down Roxham Road entirely — but the party hasn’t said what it thinks should be done if asylum seekers choose another of the many forested routes into the country.

The province recently announced $3.5 million in aid for community organizations that have been struggling to provide food, clothing and housing for rising numbers of asylum seekers.

On Thursday evening, along the muddy trail leading up the border, a sign says “road closed.” A second sign a few metres away says, “Stop” in French. To the left, blue barrels act as pillars at the front of a makeshift entryway where asylum seekers line up and are met by RCMP agents.

One of those migrants is David Jesus Binto, 17, who arrived to Roxham Road in a taxi with another young man. Jesus Binto, wearing sneakers, jeans and an old-looking windbreaker over a T-shirt, says he and his friend are from Venezuela.

“We heard about (Roxham Road) through word of mouth. We left Venezuela for economic reasons,” he said in Spanish.

When asked if he had acquired the bus tickets for free, he replied that they had purchased the tickets themselves.

RCMP agents tell the migrants that if they cross the blue bins into Canada, they will be placed under arrest.

Jesus Binto, his friend and several others walk in single file toward the agents and into Canada.

Source: Asylum seekers using well-organized system for crossing irregularly into Canada

Lynch and Mitchell: Instead of adding new programs, Ottawa should focus on proper delivery of the ones it has

Likely a perennial refrain among officials having to respond to political-level demands but valid nevertheless as capacity limits of the public service in areas such as passports, immigration and others have become painfully apparent post-pandemic.

Of course, one of the ironies of former DMs and ADMs raising these issues is that the vast majority rose up through the policy ranks, helping governments introduce new programs, rather than in service or delivery!

And one should not underestimate the difficulty of briefing the political level against a particular initiative or program based on service delivery grounds:

Most Canadians expect value for money in their spending, especially in these uncertain and inflationary times. With worker shortages, empty offices, supply chain woes, high energy prices, soaring inflation and painful accommodation costs, Canadian consumers are worried about their financial health.

But what about governments? Are they delivering value for Canadians’ hard-earned tax dollars? For anyone seeking a passport or visa, lining up for airport security screening, trying to get a Nexus card, waiting for a routine medical procedure or watching government procurement systems that cannot deliver payroll, the answer is unambiguously negative.

Core government services are not being delivered well today, and this not only erodes confidence in government as an institution – it also undermines productivity and competitiveness in the Canadian economy.

What are the causes? While there is no single answer, it is clearly not due to a shortage of spending, public servants, consultants or debt. At the federal level from 2015 to 2022, the size of the public service grew by 30 per cent, the use of consultants shot up 40 per cent, government spending skyrocketed by 66 per cent and government debt almost doubled. In short, the size of government expanded, considerably, while the efficiency of government declined, noticeably – not a good combination.

In fact, the stratospheric and scattered spending is one root cause of the delivery problem.

Before, during and since the pandemic, the federal government has unleashed a vast array of new programs. New program delivery is complex and time-consuming work, requiring highly capable, experienced and empowered public servants. Indeed, “delivery” is the nuts and bolts of policy implementation and program operations – it encompasses the design of new programs, the stress testing of the design to avoid unintended consequences, ensuring robust IT and data systems to support the program, the hiring and training of staff, establishing quality control and compliance systems, and communicating to the intended beneficiaries how the program works.

There is a risk of moral hazard here – as governments try to do more and more, they may end up achieving less and less. The problem arises from the scale, scope and speed of new spending. Too many new programs, with too little prioritization, that are too quickly rushed to the “press release stage” is a recipe for delivery problems, not only of the new programs but also related existing programs on common platforms.

Today’s reality of government not being particularly good at actually delivering things – both core services and new programs – should be a matter of concern well beyond the Ottawa bubble. If you believe what government does matters to Canadian society and the economy, as we do, then less-than-stellar delivery of government services neither serves the public interest nor bolsters the public’s trust in our institutions of government.

What can be done? Like any complex problem, there is no single solution, but four possible actions deserve serious consideration.

First, pause the proliferation of new spending and new programs. This is needed to restore operational integrity and program delivery capacity as well as to support fiscal sustainability in a period of high inflation, high interest rates and high debt. And yet, the risk today is a proliferation of new government programs and the scaling up of existing ones ranging from new industrial policies to new energy transition programs, national dental care and pharmacare, new health transfers, increases in defence spending and expanded immigration. Whatever the policy merits of these proposed initiatives, this is simply not the time to expand government. Rather, it’s the time to refocus on meeting the expectations of Canadians for quality and timely delivery of government services.

Second, reverse the extreme centralization of decision-making within government. This is necessary for better governance as well as better program delivery. Too much decision making has been vested in the Prime Minister’s Office at the expense of ministers, cabinet and Parliament. Ministerial accountability and collective decision making, with fearless advice from an empowered, non-partisan public service, are central to our Westminster system of government. The sad fact is we have strayed far from that guiding ideal.

Third, modernize the architecture of compliance and oversight within government. This requires a profound shift from an operating culture of control and risk avoidance to one of innovation, risk taking and delegation. In the name of protecting the taxpayer, there is a compliance morass pervading government today, with overlapping oversight bodies, excessive red tape and needless reporting – all of which impedes getting things done and delivered.

Fourth, invest in the public service. This is not a call for a larger public service but a better equipped one. The public service needs the IT and data systems that allowed the banks to develop online banking and companies like Amazon to revolutionize delivery. It needs the skill sets for a digital world not an analog one, and should engage consultants as the exception not the rule. The public service should be an exciting place to work, empowering public servants to make a difference and attracting the best and brightest – and public servants are up to the challenge.

Better service delivery is in everyone’s interest. These changes would result in a higher-performing, more productive public sector. That should be part of Canada’s competitive advantage in a challenging world.

Kevin Lynch was clerk of the Privy Council and vice-chair of BMO. Jim Mitchell is an adjunct professor at Carleton University and a former assistant secretary to the cabinet.

Source: Instead of adding new programs, Ottawa should focus on proper delivery of the ones it has

Crackdown on ‘birth tourism’ as pregnant Russians flock to Argentina

Of note. Sharp contrast to the pre-pandemic and pre-invasion of Ukraine preference of oligarchs and ultra-rich Russians for Miami as these women appear to have limited financial resources. Given Canadian visa requirements, does not appear to be any surge in Canada although there are some lawyers who in the past had marketed their services to Russian birth tourists:

Immigration authorities in Argentina are cracking down on Russian women who since the invasion of Ukraine have started travelling to Buenos Aires to give birth in order to gain Argentinian citizenship for their children.

The director of Argentina’s immigration office, Florencia Carignano, said on Friday that a judicial investigation has been launched into what she described as a lucrative business that promises Argentinian passports for the Russian parents.

Carignano spoke after 33 expecting women – all between 32 and 34 weeks into their pregnancies – arrived on the same flight late on Thursday. Several of the women were initially turned away at passport control but were eventually let into the country.

While the concept of birth tourism isn’t new, Moscow’s isolation from the west as a result of the war has made Argentina, where Russians face no visa requirements, a popular destination for families looking to give their children the privileges of second citizenship.

Some 10,500 pregnant Russians have arrived in the South American country in the past year, Carignano said.

Carignano said in a Telenueve channel interview on Friday that “5,800 of them [were] in the last three months, many of them declaring they were in the 33rd or 34th week of pregnancy.”

The official said that about 7,000 of the women returned home after giving birth, leaving Argentinian lawyers charged with applying for Argentinian citizenship for the baby – and then the parents.

“The problem is that they arrive, have their children and then leave Argentina never to come back,” Carignano said. “We cannot allow them to shamelessly lie to us saying that they are tourists when they are not.”

Source: Crackdown on ‘birth tourism’ as pregnant Russians flock to Argentina

Trudeau pushing softer approach to temporary visas, less focus on risk of overstaying

Would be nice if we actually had published data on the number of visa overstays to inform policy and monitor extent of issue (USA reports on overstays). Some progress in recognizing impact of immigration on housing…:

Prime Minister Justin Trudeau says he’s pushing Canada’s immigration system to soften its approach to processing visa applications and put less focus on the risk of visitors overstaying their short-term visas.

“We’re also trying to do a better job around temporary visas,” Trudeau said Friday.

“The system — I’ll be honest — is still based around, ‘Prove to me that you won’t stay if you come,’ right?” he said, arguing that it is easier for applicants to “convince” immigration officials to grant them visas if they have “a good job and a home and a house and a good status back home.”

On the other hand, people who are strongly motivated to be in Canada for family reasons could be seen by officials as more likely to overstay, he suggested: “If your mom talks about how much she loves you and just wants to be there (in Canada), and you’re there all alone, that’s scary.”

Trudeau made the remarks Friday during an hour-long meeting with about 25 Algonquin College nursing students in Ottawa. Many of them told him they are international students, and a handful mentioned visa issues.

During a question-and-answer session, one international student recounted being hospitalized for seven months and feeling isolated. She told the prime minister her mother had tried twice to get a visa to come visit her, but both applications were rejected.

Trudeau responded that it is vital for Canadians to have faith in the integrity of their immigration system. But he also suggested that he had asked Immigration, Refugees and Citizenship Canada to take a less defensive posture when issuing visas.

“We have to stop saying ‘Well, it would be a bad people, a bad thing, if these people were to choose to stay,'” Trudeau said. “Our immigration minister, Sean Fraser, is working very, very hard on trying to shift the way we look at immigration and make sure that we’re bringing people in.”

The prime minister told the student that the Immigration Department made the wrong call in deciding not to admit her mother.

“It would seem unfair to Canadians and to all sorts of people if there was a back door. These are all the things we’re trying to balance,” Trudeau said. “But I absolutely hear you. Your mom should have been able to come and see you.”

Trudeau added that the federal immigration system is challenged by Canada’s need to fill labour gaps and by numerous crises abroad that are causing people to flee their homes.

Trudeau also said Ottawa has to do a better job helping immigrants thrive. Otherwise, he said, Canadians’ warm feelings toward immigration could chill.

“An anti-immigration party would have a hard time succeeding in Canada, because so many Canadians understand how important that is,” Trudeau said. “We need to protect the fact that Canadians are pro-immigration.”

For example, he said there must be enough housing stock for newcomer families to establish themselves without breeding resentment among the Canadian-born population. But he suggested immigration could also help solve that problem.

“There’s a labour shortage in the construction industry and building houses. So as we bring in more people who can build houses, we will solve some of the housing shortage,” said Trudeau.

“There are solutions in this. Part of it is shifting the attitudes. Part of it is also just improving our ability to process (applications) using proper digital means and computer means.”

Fraser’s office confirmed that work is underway to look at how Ottawa issues visas for relatives of people already in Canada.

“Reuniting families is a pillar of Canada’s immigration system,” the minister’s spokeswoman, Bahoz Dara Aziz, said in a statement. “We continue to be guided by principles of fairness and compassion, and work to explore all avenues possible in bringing people together with their loved ones.”

Canada’s visa denials and processing delays have made global headlines in the past year, with citizens of developing countries finding themselves unable to attend global conferences hosted in Canadian cities.

This week, the International Studies Association went public with its struggles to get visas for hundreds of people set to attend a Montreal conference next month.

Despite presenting plane tickets, income data and evidence of funding they received to attend the conference, many attendees, including panelists, have been denied on the grounds that they can’t demonstrate a likelihood of returning home when the event is over.

The issues follow an uproar last year over the denial of visas for multiple African delegates to the International AIDS Conference, also held in Montreal, which had some accusing Canada of racism.

Data updated Tuesday show that visa applications take an average of 217 days to process for people based in Britain. It’s 212 days for people in France.

While citizens of those countries don’t need visitor visas to come to Canada, academics from many developing countries who are based in Paris or London do need a visa to attend a conference Canada.

The Immigration Department did not respond to the concerns until after The Canadian Press published an article Wednesday.

“IRCC works collaboratively with organizers of international events taking place in Canada to help co-ordinate processing of temporary resident visa applications for delegates or participants to Canada,” spokesman Jeffrey MacDonald said in an email.

“We are committed to the fair and non-discriminatory application of immigration procedures. We take this responsibility seriously, and officers are trained to assess applications equally against the same criteria.”

The department said the complexity and accuracy of information in a visa application can influence how quickly IRCC processes it, in addition to the staffing and resources of offices that handle the requests.

But the department also noted that the processing times it posts online are often not “reflective of reality.”

That’s because the estimate is based on how long it took officials to process 80 per cent of applications in the previous six to eight weeks. Those include long-backlogged cases.

“Processing times can be skewed by outliers, in particular applications from our older inventory that were previously on hold for a long period of time and are now being processed,” MacDonald wrote.

“Once this backlog of applications is cleared, we will start to see processing times more reflective of reality.”

Source: Trudeau pushing softer approach to temporary visas, less focus on risk of overstaying

U.S. border agents give rides to Quebec-bound migrants as side hustle, sources tell Radio-Canada

Hard not to see how this story, and the higher numbers, will not encourage the government to act (not just pretend to act?):

U.S. Customs and Border Protection (CBP) is investigating reports that some of its border patrol agents are driving Quebec-bound asylum seekers to the irregular border crossing on Roxham Road in exchange for money, picking up groups of people in nearby Plattsburgh, N.Y., while off duty.

Sources have told Radio-Canada the practice “has been known for a few months,” adding that several agents are involved, but the exact number is unknown.

The CBP’s Office of Professional Responsibility (OPR) said Friday it “is in receipt of these allegations and is conducting an investigation” but “the commencement of an OPR investigation is not indicative of wrongdoing or the substantiation of alleged misconduct.”

This situation has been reported to Canadian authorities, according to Radio-Canada sources.

Many people looking to cross into Canada use a regular bus line to get to Plattsburgh,which is about 30 minutes away from Roxham Road.

From there, they walk through a wooded passage, enter Canada and seek asylum.

CBSA says it’s ‘aware of situation

When first contacted by Radio-Canada, the Canada Border Services Agency (CBSA) confirmed twice in writing that it was aware of the transportation situation involving U.S. border patrol agents and migrants.

“We are aware of the information you are reporting,” said spokesperson Jacqueline Roby. She added that the CBSA “is in contact with the United States regarding irregular migration issues.”

In another written exchange, the CBSA repeated the same message while instructing Radio-Canada to contact its American counterparts, the CBP.

Source: U.S. border agents give rides to Quebec-bound migrants as side hustle, sources tell Radio-Canada

Wernick: The never-ending question of contracting in the public service

Interesting how some former clerks remain silent in retirement and others like Wernnick, play a useful public role in sharing their reflections over the unsolved (and perhaps unsolvable) systemic issues of government and governing:

Over the last few months, we have seen a rising tide of interest in the use of contracted services by the federal government. The latest episode seems to have crystallized around the use of consulting firms, notably McKinsey & Company. It has triggered another round of partisan squabbling at a parliamentary committee and the pack of journalists who cover politics are piling on, unsure of what narrative is the most important.

It is not clear what “theory of the case,” if any, is driving the current flap. At its simplest, the Opposition and the media are drilling wells hoping for a political gusher. Can they find something untoward in the contracting process? Can they find something troubling in the relationship with a particular supplier? Can you show poor value for money? If they can’t find proof of anything untoward, a stream of insinuation can still generate political rewards.

The more interesting angles to this are about whether the use of outside contractors is a sign of weakening capacity by the public service, at least the federal version, or augurs of a dangerous dependency. That is far from clear as a diagnostic and, once again, the point would be what tangible actions anyone is prepared to take to do something about it. For me, the issue is not whether to use outside suppliers of services, but how to use them to best effect.

There is nothing new about governments at every level acquiring services from outside suppliers, and no iron rule to lean on as to whether work is best done by public servants or contractors. It is a matter of judgment, informed by business choices around cost, timeliness and quality, and by ideological preferences about the role of the state.

There are three ways to get a flow of work done: by permanent public servants; by temporary public servants (term appointments, casuals, seasonal workers, students); or by outside contractors. The first two fall under “staffing” policies and processes, while the third falls under “procurement and contracting.” All three generate costs for the government. These days, Ottawa spends roughly $50 billion on its public service and $15 billion on contracted services. Is that mix the right one? If you want to dampen or cut government spending, which should be cut more deeply?

Permanent public servants are expensive, carrying a premium beyond their salaries in terms of benefits and future pension costs. They are difficult to move around and almost impossible to terminate for poor performance. They are entangled in a complex web of collective agreements and human resource mechanisms. They do however bring experience, expertise, loyalty, engagement and an orientation to the public interest, as opposed to short-term profit. The smart business choice is often to build up and develop sustainable capacity within a public service entity.

But the truth – uncomfortable for some – is that sometimes it makes more sense to go to an outside supplier where a pool of expertise resides. Just as the private sector does, it often makes sense for governments to outsource services, whether they are ongoing or related to a specific project with finite time frames. A large consideration is matching supply to demand.

The federal government is actually more than 300 distinct entities, most of them small, working on a vast array of tasks and projects. It would make little sense for each of them to build up permanent staff and cost structures to deal with the episodic need for some kinds of work. That is why there is a range of internal service providers such as Public Services and Procurement Canada, Shared Services Canada and the Translation Bureau. It is also why bringing in outside firms often makes sense.

It is commonplace and relatively uncontroversial now for governments to contract building maintenance and security, to retain external auditors and to hire legal counsel with specific skills. The federal government contracts translators and interpreters for specific events or tasks. It contracts communications firms to develop and place advertising, and to conduct market research to find out what users and citizens are thinking. I can recall a period of controversy about using temporary help agencies for administrative work.

As governments have moved more and more of their transactional and information services to the web and phone apps – while chasing rising expectations for speed, accuracy, cybersecurity and personalization – they have turned to firms that work with large private sector clients around the world that are wrestling with similar challenges. At their best, these firms help upgrade both the hardware and software of government technology, and train public servants to work with whatever is the emerging toolkit.

The pressure to continuously improve externally facing services and the internal services that support them make it sensible to retain firms that have worked with other governments and with private sector firms on queue management, customer relationship interfaces, customization of offerings, and protection of privacy and security. It is simply not true that public servants could keep up all by themselves. Nor is it true that all the people with the skills and knowledge needed by governments want to become public servants. Nor is it true that private firms always do good work – as we saw with the Phoenix pay system and with some apps, such as ArriveCAN – or do it at less cost.

What seems to be troubling some observers is the use of “management consultants,” which is a very elastic term. At their best, firms can offer an outside perspective on business processes, internal governance, organizational maturity, costing, risk management and other management issues. They can draw on international networks and expertise gained from working with a range of clients. For the public sector, they can be a useful antidote to inertia and the culture of “but that is the way we have always done things.”

The private sector uses external advisers extensively. I worked with several ministers who were highly sceptical of public service advice and insisted on running the issue by an outside firm with a big reputation before taking a decision. During spending reviews, ministers reflexively turn to outside advisers because they assume, with some justification, that the public service won’t be willing to challenge itself or consider new approaches.

The current McKinsey episode has surfaced concerns that advisory firms are starting to play a bigger role in decisions about policy – the “what” government chooses to do, as opposed to “how” it does it. It has also raised concerns that the public sector can become too dependent on outside firms with a profit motive and an interest in generating future work and billings. These are valid topics for scrutiny. Public service unions make valid arguments about the potential exploitation of gig workers with little job security or benefits at these outside firms. But there are valid arguments for using outside suppliers that can’t be dismissed as mindless privatization.

The boundaries between insourcing and outsourcing have always generated controversy. Can we use these brief periods of attention to do something about it beyond scoring short-term points?

The politicians and pundits who now argue for less use of external advisers should commit themselves in action or argument to a doubling of the resources allocated to training public servants and to a much expanded program for interchange of permanent staff between the public service, and the private and not-for-profit sectors. They should also endorse greatly expanding the resources used to acquire outside perspective and fresh ideas from the supply chain of think tanks and academic centres.

To be an intelligent buyer getting value for money for taxpayers and citizens, the public service must always invest in its leadership cadre, in its capacity in vendor management, in project management, and in its processes to onboard and internalize the skills and knowledge that working with outside advisors can provide. It should be possible to create a positive feedback loop and learning cycle that makes the public service better.

Source: The never-ending question of contracting in the public service

Nicolas: Claquer la porte 

Always interesting commentaries by Nicolas, and, given the variety of identities many of us have, of “slamming the door shut” rather than understanding and engaging:

Comme je suis liée au milieu universitaire, à la société civile puis au monde médiatique torontois, et du reste du Canada plus largement, depuis près de 13 ans, ma compréhension de notions comme le Québec bashing s’est nuancée au fil des années. On me permettra de partager ici quelques réflexions sur le sujet.

Notons que le concept de Québec bashing n’est pas utilisé ici de manière interchangeable avec la notion de « francophobie », qui regroupe un ensemble d’attitudes touchant directement les francophones qui sont en situation minoritaire, à l’extérieur du Québec. On pourra y revenir dans un autre texte.

Est-ce que « les Anglais nous méprisent et nous haïssent », comme l’avancent certains tribuns et autres fins sociologues peu réputés pour faire dans la dentelle ? La vérité, c’est que, tout comme la société québécoise s’est profondément transformée au cours des dernières décennies, le reste du pays n’est aussi plus ce qu’il était. Tout comme au Québec, donc, il y a ailleurs au Canada un clivage générationnel important entre ceux qui se souviennent des négociations constitutionnelles et des référendums, et ceux qui étaient trop jeunes. J’ai surtout été témoin, parmi les générations plus âgées, de deux attitudes principales.

La première est surtout nourrie par une lassitude : on n’a jamais vraiment compris (ou voulu comprendre) la différence québécoise, et on a l’impression que le Québec, politiquement, est une espèce d’enfant gâté qui utilise son poids politique dans la fédération pour ne pas jouer selon les mêmes règles que tout le monde. On a pu lire souvent, par exemple, que si Justin Trudeau n’a pas critiqué aussi vertement François Legault que Doug Ford pour leurs usages récents de la disposition de dérogation, c’est parce que le Québec fait l’objet d’un traitement de faveur.

La deuxième s’appuie sur une fascination parfois très sincère, parfois quelque peu fétichisée pour le Québec. Parce qu’on a encore un souvenir très vif de la fragilité de la fédération, une certaine élite canadienne exprime sa passion pour « l’unité nationale » par une curiosité particulière pour le Québec et son évolution.

Chez les plus jeunes (et les plus récemment arrivés au Canada), la question se pose autrement. Tant ici qu’ailleurs au pays, la question de « la différence québécoise » au sein du Canada a émergé politiquement pour les millénariaux et la génération qui les suit non pas par le débat sur la souveraineté, mais d’abord à travers toute la saga des accommodements raisonnables, puis par le débat sur la Charte des valeurs, le racisme systémique, les lois 21 et 96, etc.

Il y a une différence fondamentale — j’insiste, fondamentale — entre un jeune de Scarborough ou de Mississauga, immigrant ou enfant d’immigrant, qui n’entend parler politiquement du Québec qu’à travers le refus de sa classe politique de reconnaître le racisme systémique ou de nommer l’islamophobie, et un conservateur de l’Ontario ou du Manitoba rural qui a absorbé, un peu par osmose, les vieilles rengaines orangistes de ses aïeux. J’ai été beaucoup en contact avec l’un, par exemple, lorsque j’étais chargée de cours à l’Université de Toronto, alors que j’ai surtout vu l’autre sévir dans les sections commentaires de certains journaux.

Les deux posent, lorsqu’ils en ont l’occasion, des questions que l’on peut sentir empreintes d’une méconnaissance profonde de la société québécoise dans toute sa complexité et ses nuances. Mais les postures de base et les dynamiques de pouvoir qu’elles sous-tendent ne pourraient être plus diamétralement opposées. Je ne peux pas répondre à mon étudiante qui se préoccupe de l’impact des débats identitaires québécois sur le reste du climat politique canadien — et donc, en fin de compte, sur sa propre sécurité, comme s’il s’agissait de la réincarnation de James Wolfe prêt à revenir brûler nos villages avec son armée.

Cette différence, on est trop peu nombreux à la saisir au Québec. Pour la faire, il faudrait que ceux qui commentent ces questions se sortent eux-mêmes, un tant soit peu, de leur propre lassitude, indifférence, et ignorance du Canada dans toute sa complexité et ses nuances. Depuis le temps que je parcours la 401 dans un sens comme dans l’autre, il y a au moins une chose qui m’apparaît claire : dans ce pays, le sens de la caricature a toujours été parfaitement bilingue.• • • • •

Dans le contexte, on me demande parfois pourquoi je reste dans le dialogue avec le reste du Canada, ou pourquoi je ne claque pas la porte d’un média qui a déjà publié des opinions douteuses sur le Québec dans le passé. Serais-je ainsi complice du Québec bashing ?

La réponse, c’est que je suis une Québécoise francophone de même que je suis une femme, une personne noire et une personne queer. Si je croyais opportun de claquer la porte de toutes les salles de rédaction qui publient des opinions qui viennent heurter mon vécu personnel et familial tant sur le plan de la langue, de la race que du genre, je ne travaillerais plus nulle part, dans aucune langue. Personnellement, je préfère ne pas hiérarchiser les différents aspects de qui je suis, et tente de rester cohérente dans ma manière de réagir à toutes les attaques.

On en comprend que l’impatience, le brûlage de pont et le claquage de porte, donc, sont surtout des réflexes politiques partagés par les personnes socialisées comme majoritaires au sein de leur société. Il faut avoir le luxe, en quelque sorte, de savoir qu’on peut toujours éviter les dialogues difficiles en se repliant vers un monde où les normes sont pensées pour nous. Remarquons enfin que les francophones des autres provinces ont, de manière générale, développé une culture de la résistance politique très différente de celle qui s’affiche souvent au Québec.

Source: Nicolas: Claquer la porte 

Khan: How a Quebec current affairs show offered a model for how to talk about Islamophobia

Good example:

It has been a bruising two weeks, to say the least, in Quebec. Here, there has been strong reaction to the Justin Trudeau government’s appointment of Amira Elghawaby as Canada’s Special Representative on Combatting Islamophobia, with a mandate of providing outside advice and guidance to the federal government.

But Ms. Elghawaby’s previous writings pertaining to Quebec set off a firestorm in the province. In a 2019 opinion piece, she and co-author Bernie Farber cited a poll in saying that “the majority of Quebeckers appear to be swayed not by the rule of law, but by anti-Muslim sentiment” in their support for Bill 21, which restricts certain public-sector employees from wearing religious symbols while on the job.

Now, this has unleashed calls for her resignation from four provincial and two federal political parties, in spite of her sincere apology for the hurt caused by her words; some have even called for the abolition of the position itself. In response to these accusations of Quebec-bashing and contempt for the people of Quebec, there have been counter-accusations of Islamophobia for the treatment of Ms. Elghawaby, as well as for Bill 21. It’s as if the two solitudes have been shouting at each other, which has only tragically entrenched them in their positions.

So it was bold for Radio-Canada to enter the fray with a televised debate around these very issues, on the popular current affairs show Tout le monde en parle, hosted by the brilliant Guy A. Lepage. The guests were Maxime Pedneaud-Jobin, the former mayor of Gatineau, Que., and Boufeldja Benabdallah, a co-founder and spokesman of the Islamic Cultural Centre of Quebec, where six Muslim worshippers were murdered in 2017.

But while the two men differed on a number of issues, they did so respectfully, with nuance, humour and a heartfelt appeal for mutual understanding.

Mr. Pedneaud-Jobin, who is now a columnist for La Presse, had penned a piece on the suffering of the Quebec people under the yoke of the Catholic Church. His great-grandmother died at the age of 34, following her 13th pregnancy, of which eight had come to term; his grandmother gave birth to 11 children, after which her priest had blessed her for “doing her part.” These were the days when the Church controlled much of the state and the lives of Quebeckers, and according to Mr. Pedneaud-Jobin, the harms it perpetrated far outweighed the good. A friend of mine likens that era to present-day Iran. This is why a generation of Quebeckers is averse to religion – especially any foray into government.

For Mr. Pednault-Jobin, Bill 21 is a compromise, in that it is not an outright ban on all government employees. He also explained that in Quebec, collective rights are more prominent than in the rest of North America, where individual rights hold sway. One may not agree, but this was useful – and necessary – in understanding why people support the law.

For his part, Mr. Benabdallah eloquently shared his appreciation for the Quebec people, the vast majority of whom have extended kindness to the Muslim community since the 2017 murders. He said he was “devastated” by Ms. Elghawaby’s comments – they didn’t reflect his own experience – but as a man of peace, he believes she should be given the opportunity to prove herself, since she has apologized. As for the laïcité, Mr. Benabdallah agreed that religion should have no influence on government affairs, but he took issue with Bill 21. If it was as benign as its supporters claim, he said, there would have been no need for the province to use the notwithstanding clause to shield it from both the Canadian and Quebec Charters.

On the question of the representative job itself, Mr. Pednault-Jobin drew from his mayoral experience, arguing that money spent on local, on-the-ground programs would be far more effective than funding a federal post. He also preferred a position that would combat all forms of discrimination. As a counterpoint, Mr. Benabdallah pointed out that 11 Muslim Canadians have been murdered in three separate attacks over a four-year period, and that anti-Muslim sentiment has not stopped, making the specificity necessary. But he did also agree with the need for an office to combat antisemitism.

And so it went: a palette of ideas, offered up for reflection with much wisdom and from cooler heads. This juxtaposition of opposing views, served in a humane manner to enhance understanding and respect, should be a model for discussion of other contentious issues. In this way, there is an opportunity for a gradual rapprochement amidst colliding histories within our human family. We don’t need to shout past each other; we need to listen.

Sheema Khan is the author of Of Hockey and Hijab: Reflections of a Canadian Muslim Woman.

Source: How a Quebec current affairs show offered a model for how to talk about Islamophobia

Ndiaye: Voici pourquoi il est difficile – et peu souhaitable – de « fermer » le chemin Roxham

We will see what the SCC rules. But not convinced that the shutting or Roxham Road would have a minimal impact on numbers. The reason why over 95% choose Roxham is because of its convenience, relatively low risk and accessibility. Some are likely to weigh the risks accordingly and thus results in fewer irregular arrivals:

« Fermer » le chemin Roxham a été invoqué à maintes reprises ces dernières semaines, tant par des chroniqueurs que des élus, créant même un imbroglio entre la ministre québécoise de l’Immigration, Christine Fréchette, et son propre gouvernement caquiste. En 2022, un record de 50 000 demandeurs d’asile sont passés par le désormais célèbre chemin, qui relie la Montérégie et l’État de New York.

Ces demandeurs d’asile évitent les postes-frontières officiels entre le Canada et les États-Unis en raison de l’entente sur les tiers pays sûrs, signée en 2002 et entrée en vigueur en 2004. En vertu de cette entente, « les personnes qui entrent au Canada à un point d’entrée terrestre ne sont toujours pas admissibles à présenter une demande de statut de réfugié, et seront renvoyées aux États-Unis à moins qu’elles ne satisfassent à l’une des exceptions prévues dans l’Entente ».

Il y a en effet peu de chances qu’un demandeur d’asile puisse invoquer des persécutions aux États-Unis, un pays considéré comme « sûr ». De fait, sur les 62 113 demandes encore en instance devant la CISR en septembre 2022, seulement 274 considéraient les États-Unis comme pays de persécution.

La question qui se pose est la suivante : est-ce que l’entente sur les tiers pays sûrs pourrait être appliquée tout au long des 8 891 km qui nous séparent des États-Unis, afin de limiter le passage de ces demandeurs d’asile empruntant le chemin Roxham et d’autres chemins alternatifs ?

Du point de vue opérationnel, la réponse est non. Pas plus que le Québec ne peut fermer le chemin Roxham, car c’est le gouvernement fédéral qui a la compétence pour gérer les frontières canadiennes.

Par ailleurs, le Canada est soumis à des obligations résultant de la Charte canadienne des droits et libertés : il ne peut renvoyer les demandeurs d’asile vers un pays où il existe un risque de torture. En vertu du droit international, le Canada a aussi ratifié la Convention relative au statut des réfugiés et la convention contre la torture, qui implique ce principe de non-refoulement à toute personne risquant la torture, des traitements inhumains ou dégradants.

Professeure de droit des migrations à l’UQÀM, je suis directrice de l’Observatoire sur les migrations internationales, les réfugiés, les apatrides et l’asile (OMIRAS). Je propose ici un survol de ce que disent les lois internationales sur l’accueil de réfugiés.

Devant la Cour suprême

La saga judiciaire pour invalider l’entente sur les tiers pays sûrs a débuté en 2007 devant la Cour fédérale, ensuite devant la Cour d’appel fédérale, et s’est finalisée en 2009 par un rejet de la Cour suprême.

Depuis 2020, avec l’arrivée de dizaines de milliers de demandeurs arrivant des États-Unis par des points d’entrée non officiels, une nouvelle demande a été introduite par Amnistie internationale, le Conseil canadien des Églises, le Conseil canadien pour les réfugiés et des demandeurs d’asile afin de faire invalider l’entente. À la suite de plusieurs aller-retour devant la justice, une demande d’autorisation d’appel a été introduite. Le 16 décembre 2022, la Cour suprême a accepté de recevoir la cause et de réviser l’entente. Il faudra donc attendre la décision de la plus haute juridiction canadienne sur la validité ou non de l’entente

Un droit garanti en droit international

Le Canada accueille un nombre infime des demandeurs d’asile dans le monde. Le HCR les estime à plus de 4,9 millions. À eux s’ajoutent les 25 millions de réfugiés et plusieurs autres millions de déplacés internes. La plupart vivent dans les pays limitrophes de leur pays d’origine, comme la Jordanie, la Turquie ou le Liban, au Moyen-Orient, la Colombie, en Amérique du Sud, ou l’Ouganda et le Kenya, en Afrique (continent qui accueille le plus grand nombre de réfugiés).

Ultimement, le Canada est obligé de laisser les gens disant fuir des persécutions présenter leurs demandes d’asile, un droit garanti par l’ONU. Toutes ces demandes d’asile doivent être jugées recevables avant d’être transmises à la Section de protection des réfugiés, compétente pour examiner les demandes de protection internationale au Canada. Si les demandes remplissent les critères, les personnes seront reconnues comme des réfugiées au Canada.

Migrants irréguliers et demandeurs d’asile

Il y a présentement un amalgame entre migrations irrégulières et accueil des demandeurs d’asile. Pour ces derniers, l’entente sur les tiers pays sûrs leur permet d’arriver au Canada à travers le chemin Roxham (à leurs risques et périls). L’invalidation de l’entente permettrait aux personnes disant fuir des persécutions de présenter leur demande d’asile en toute sécurité au Canada, quel que soit leur lieu d’arrivée. Notons que des organisations de défense des migrants, dont Amnistie internationale, relatent des pratiques qui enfreignent les droits humains des demandeurs d’asile aux États-Unis.

Pour les migrations irrégulières, le Canada dispose d’un Programme d’aide mondiale aux migrants irréguliers (PAMMI) et des dispositions législatives pour éradiquer l’immigration irrégulière. Le Québec devra continuer la collaboration avec le gouvernement fédéral afin de lutter efficacement contre les migrations irrégulières notamment en ciblant les causes réelles de ces déplacements (inégalités économiques, changements climatiques, conflits et violences dans le monde).

D’autres chemins ouvriront

Le chemin Roxham présente des enjeux complexes. Mais il faut le situer dans son contexte mondial, avec la présence de plus de 100 millions de personnes en exil dans le monde.

Devant l’afflux de plus en plus de réfugiés, plus de 68 % des Québécois souhaitent la fermeture du chemin Roxham. Les pressions sur le système se font grandissantes. Il en coûte 20 millions de plus par mois à Québec en prestation d’aide sociale, notamment en raison du fait que le Québec accueille 64 % de ces demandes d’asile au Canada et que le Canada tarde à délivrer des permis de travail.

Malgré cela, il n’est pas pertinent de fermer le chemin Roxham, car d’autres points d’entrée le remplaceront, exposant les demandeurs d’asile à davantage de risques et de dangers. L’exemple de l’Union européenne est révélateur : dès qu’une route se ferme, d’autres encore plus dangereuses s’ouvrent et le nombre de personnes décédées ou disparues grimpent. À cela s’ajoutent les multiples violations des droits humains dont font l’objet ces millions d’hommes, de femmes et d’enfants fuyant les guerres et les persécutions.

Source: Voici pourquoi il est difficile – et peu souhaitable – de « fermer » le chemin Roxham