• 3 Posts
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Joined 2 years ago
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Cake day: July 1st, 2023

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  • Generally speaking, reducing public servants increases consultancy requirements, not reduces.

    If you don’t have someone with the capabilites/skills/corporate knowledge/experince/capacity to do X thing on the payroll, then you need to hire a consultant to do it.

    Now obviously I couldn’t tell you what ministry/department/etc needs, but let’s take the Alto contract as an isolated example.

    We don’t have any rail expertise in government at all, so we need to consult it in, and we pay a premium for that. In the lens of a single rail project, that makes a a lot of sense, we aren’t paying payroll and maintaining expertise for a once in a generation project.

    The alternative is having something like a national rail crown corp or department, like SNCF in France. Now all the experience is at the national level whenever you need it. SNCF has a lot more staff, planning, and engineering capacity than it requires; so that gets farmed out to regions and municipalities to help them with their rail/metro/tram projects. This is instead of each of them needing consultants, driving up the costs for municipal governments/capital projects.

    In this manner increased federal spending becomes an accelerant for other levels of government and reduces regional and municipal spending, and thus the overall tax burden for everyone.

    So if we had something like SNCF then the Alto project might cost a little more, but the Vancouver, Edmonton, Calgary, Ottawa, Toronto, and Montréal recent/ongoing lines would be cheaper; plus medium cities like Victoria, Winnipeg, Québec City, and Halifax would have rail projects in their reach; and smaller cities like Red Deer, Regina, Thunder Bay, Kingston, Trois Rivières, and Fredericton would have tram projects in their reach.




  • I’m having a hard time taking you as an honest person.

    I appreciate the attempt.

    At one point, the CDC designated corrective lenses as a comorbidity because they were so desperate to make people think it only impacts disabled people

    So this is the source of my misinformation. I’ve been told, and had no reason until now, to believe that certain vulnerable groups have worse outcomes, and therefore need extra protection. It makes sense to me to give these people extra protection (which a targetted vaccine scheme seems to do).

    Nobody cares about what is equitable “to you,”

    Individual me, no; multiple, yes. The pol in politics stands for people, public health is a political system. If public health Québec isn’t doing enough on COVID, than the people must demand action.

    The funding was obviously hyperbolic, but PH does have to work in a resource constrained environment.

    people are too morally flawed to stay home and because of the original sin we can’t mitigate death from COVID

    Never said that. We can’t stay home because “the economy”

    you’ve shown that you are an apathetic and dangerous person who feels no responsibility for what they say.

    Im sorry you think that. I like to believe I think mostly rationally with the information presented to me. That doesn’t mean i have the best information, or right circumstances, to make an optimal choice.


  • I’m saying there are easier simplier ways to get health outcomes than covid vaccines for everyone.

    I’m not sure I follow the logic on COVID vaccines only being offered to vulnerable populations as a eugenicist argument. Those who need the vaccines get them free. Those who don’t need them don’t get them for free.

    I’m fully aware I’ll probably get COVID for a third time. I’m equally aware I’ll probably just be sick for a couple days again. I’m not fully aware of what the impact of my 7th COVID booster will be on my personal health outcomes, or the health outcomes of others.

    While not equal, it seems equitable to me. Perhaps I’m missing a key population who isn’t getting the vaccine who should be?

    And to fully kill COVID, we don’t need a vaccine; we just need everyone to stay the fuck home for 3 weeks, but we’ve proven time and time again we’re incapable of that.


  • Of course it’s not a magic one resourceinto another; but public health exists in a resource and public actions constrained environment.

    If you want to have optimal health outcomes, literally just ban cars overnight. That will be a massive reduction in direct injury and death, mammoth reduction environmental illness, and huge boon to indirect health benifits; to a scale that dwarfs COVID. And that’s before we talk about climate effect. Plus it evens out transportation for people with disabilities (who can’t currently drive) with those without (who can drive).



  • Generally that effects of COVID are much lower now, particularly since most the population has been vaccinated and had covid.

    Vulnerable people (young and old) still get free vaccines.

    $150 is an administered cost, a vial is $115 wholesale. Since non-vuneable populations have limited negative health outcomes; is it worth $1,350,000,000 / year for one shot, or $2,700,000,000/yr for two shots?

    A doctor in Québec has a salary of $200,000. Lets call it $500,000 to account for benefits and other associated costs.

    Is giving every québécois a covid shot every year a better or worse health outcome than having 2,700 more doctors? Or 5,400 more doctors for two shots?