No the top level people don't but the people actually do the work are unionized.
The problem is fixing problem like this requires a lot of trial and error and quite a bit of agility. Being unionized doesn't help (case in point the nurse practitioners fiasco), not to mention it is going to cost a lot more.
The fact is DTES services is actually quite efficient financially because everything is so concentrated there.. eg the mental health team is the largest in Canada, and they are very multidisciplinary (psychs, social work, nurse and police work as a team etc) and response rate is actually very good for acute cases(. The team react to changes what they see on the ground, with synthetic drugs they don't commit them because by the time the patient has sit through waiting @ the ER, it is way past its half life. Moving people to outside Vancouver eg Surrey etc I would argue will make things worse for the patients, because the systems there will not be handle those situations.
Quote:
Originally Posted by Tapioca
Outlining a vision and a broad strategy have little to do with the fact that much of the public sector is unionized. The bureaucrats are ultimately at the mercy of their political masters and not only that, most of the senior decision-makers are not unionized and/or view their unions as little more than negotiating agents when it's time for a new agreement. Part of the problem is that our politicians lack the courage to actually try to sell a long-term vision for solving the problem in the DTES, but another part of the problem is with us.
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