WEL NEWSLETTER February 2021, Vol. 10, No. 11
Hello,

I’ve got that February feeling….in other words, grin and bear it...
....because it's almost spring! The sunshine, the warmth, it is coming…hang on….you can do it!
 
Last February, I spent a week on a beach with my daughter on her reading week. When I returned there were musings of the corona virus, not only having arrived, but spreading following travel associated with the Chinese New Year celebrations. The Chinese Lunar New Year last year was the year of the rat. Even sounds ominous! This year, as of February 12th until end of January next year it’s the year of the ox. I think we might be better placed with the ox! As I was saying, within weeks, planned travel for work seemed dubious and doubtful. Now, here we are a year on, and a journey…not over yet. Feels like Groundhog Day, or 50 First Dates, or, I don’t know what, but it is anything but gone.
 
My Valentine’s message last year was light, uplifting, and celebratory. I could recycle it, but that wouldn’t be fair. Finding reasons to have fun, celebrate, eat candy, spread love, no matter what kind of love should be even easier this year because we need to busy our minds and lives with anything good to avoid the troubled challenges we are facing. A fond memory I have, and maybe you do as well, is watching, A Charlie Brown Valentine, or Be My Valentine, Charlie Brown, and Lucy’s cardboard booth brandishing, HOME MADE VALENTINE’S FOR THE ❤️ OF YOUR LIFE. I encourage you to busy yourselves and make some home made Valentine’s this year! If you don’t’ remember this TV Movie, or you are too young to know about it (she says arghh), search it out and celebrate with Charlie Brown and the rest of the Peanuts.
 
Happy Valentine’s Day Everyone & Happy Lunar New Year!

Enjoy the Read,

Kim
I. WEL NEWS
1.  TORONTO LAWYERS’ ASSOCIATION, SERIOUS ILLNESS PLANNING, JANUARY 28, 2021
Kimberly Whaley presented at the Toronto Lawyers Association, Serious Illness Planning, on January 28, 2021, on a panel with Dr. Daren Heyland and Ian Hull on the topic: “To Live and Die Well, You Need to Plan Well” and “What has COVID-19 Taught Us.” This program was chaired by Kira Domratchev at Hull & Hull and is available for purchase on the TLA website at:

2. STEP CANADA SPECIAL SYMPOSIUM, MARCH 8, 2021
On March 8th, 2021, STEP Canada is holding a by invitation virtual special symposium on issues affecting vulnerable people. This collaborative event will provide an opportunity for thought-leaders from likeminded organizations to collaborate on the critical issues unique to their industry and engage in discussion about the internal processes, policies and procedures that specifically target the needs and issues that disproportionately affect this growing group.
 
From this multi-disciplinary discussion, the objective is to better understand the gaps in training and education for those that work with vulnerable clients. The results of the symposium could include further action steps towards supporting organizations to better educate the public and service providers on this issue.
3. WEL PARTNERS VIDEO ON ELDER LAW
We are pleased to share with you our Elder Law Video. Please feel free to share it with your colleagues.

This video is LSO accredited and contains 15 minutes of Professionalism Content, eligible for up to 0.75 Substantive Hours

The video is an overview of our book, Whaley Estate Litigation Partners on Elder Law which is available for PDF download: http://welpartners.com/resources/WEL-on-elder-law.pdf 
We would be happy to send you a hard copy of our book if you wish (while supplies last). Please contact Blossom Pangowish, blossom@welpartners.com to make arrangements. 

Visit our website at https://welpartners.com/resources/publications to view our other published books.
II. SHOUT OUTS
WEL CONGRATULATES THE LAW COMMISSION OF ONTARIO (LCO) 3 NEW MEMBERS, EFFECTIVE JANUARY 21, 2021
Randall Kahgee (member-at-large): Randall Kahgee is Senior Counsel with Olthuis Kleer Townshend LLP in Toronto and specializes in indigenous rights law, with an emphasis on community-based processes and government-to-government negotiations.


Shalini Konanur (member-at-large): Shalini Konanur is a lawyer and the Executive Director of the South Asian Legal Clinic of Ontario (SALCO), a not-for-profit organization in Toronto that provides direct legal services to low-income South Asian populations across Ontario.


Neha Chugh (representative for the Law Foundation of Ontario): Neha Chugh is a criminal defence lawyer practicing in Eastern Ontario since 2011, and since 2014 has been the owner and managing partner of Chugh Law Professional Corporation.
WEL CONGRATULATES RACHEL BLUMENFELD, TEP, ON RECEIVING THE STEP FOUNDERS AWARD, 2021
Rachel is an outstanding member and contributor to STEP Canada, and currently serves as Deputy Chair. Her passion and support for STEP has helped the Society achieve the highest standards in education and member services. This Award is given to members who have made ‘an exceptional and outstanding long-term contribution to the Society beyond that normally expected of a member, through office in their branch, or elsewhere in the voluntary life of the Society’.
III. LAW REVIEW
(i) INHERITANCE ON INTESTACY
By Albert H. Oosterhoff
1. Introduction

What happens to a person’s property when he dies? Initially it devolves upon (passes to) his personal representatives. These are the people who must administer his estate. That means that they must gather in all of the deceased’s assets and acquire title to them. Then they must pay all his debts and any taxes that need to be paid, including income tax and estate administration tax. They also arrange for the deceased’s funeral and pay all the costs associated with that out of the assets. And when all that is done, they must distribute the net estate among the people entitled to it.[1]

The deceased may have died testate, which means that he died with a will. (The word testate derives from testament, a Latinate synonym of the Old English word will. This is also why we call the maker of the will the testator).[2] Or the deceased may have died intestate, that is, without a will. If he died testate, the distribution of the assets takes place in accordance with the dispositive provisions in the deceased’s will. In other words, the testator’s directions govern who gets what. But if he died intestate we need to look to what is sometimes referred to as a deceased person’s statutory will. This governs the distribution of the assets of a person who died without a will. The statutory will is contained in Part II of the Succession Law Reform Act[3] and supposedly distributes the estate as fairly as possible and in a way that the deceased would likely have wanted.

In fact, it is often not at all what the deceased would probably have wanted. In modern society people are often not married, but are in a “common law” relationship. However, under Ontario’s “statutory will” the common law partner is not entitled to inherit.[4] Only the spouse (of the same or opposite sex) to whom the deceased was married is entitled, together with the deceased’s descendants or more remote blood relatives. To ensure that your partner will inherit from you, you must therefore make a will and include her in it. Other reasons for making a will include that you can give preferential treatment to some of your descendants over others in the will. For example, you can make special provision for children who are mentally or physically challenged; you can also give less to a child whom you have already helped financially during his life; and you can even exclude persons from inheriting any property. In addition, a testator can name an executor in his will to administer her estate. This person is typically one whom the testator trusts to do so effectively and efficiently.
 
If a testator does not name an executor or the named executor cannot or refuses to act, the court can and will appoint an administrator to administer the estate and it will also appoint an administrator in the case of an intestate estate.
 
2. Distribution on Intestacy

The structure of the legislation makes provision first for the surviving spouse and descendants. If there are none, then it makes provision for other blood relatives of the intestate.
 
2.1 Surviving Spouse

If the intestate is survived by a spouse, but not by issue, the spouse takes the entire net estate.[5]

If the intestate is survived by a spouse and descendants, the spouse is given preferential treatment. She receives a preferential share off the top of the net estate.[6] The amount is fixed by regulation and is currently $200,000.[7] If the net estate is $200,000 or less the surviving spouse will therefore take it all. The preferential share also applies if the deceased dies partially intestate, that is, if he has a will, but it does not cover all his assets, so that he dies intestate of the assets not covered by the will. However, the legislation takes into account the amount the surviving spouse receives under the will. For example, if she receives $250,000 under the will, she is not entitled to a preferential share. But if she receives only $50,000 under the will, she is entitled to a preferential share of $150,000 out of the intestate property.
 
If the net estate is greater than $200,000, the surviving spouse is also entitled to a distributive share. This share varies with the number of descendants that survive the intestate. If he is survived by his spouse and one child, the spouse is entitled to one-half of the residue after payment of the preferential share. But if he is survived by his spouse and more than one child, the spouse’s distributive share is reduced to one-third. Note, however, that if a child has predeceased the intestate, but left issue surviving the intestate, the spouse’s distributive share is calculated as if the child survived the intestate.[8]
 
2.2 Surviving Issue/Descendants

Once the surviving spouse’s preferential and distributive shares have been paid, the intestate’s descendants share what remains. Of course, if there is no surviving spouse, they take the entire net estate. The property is distributed in equal shares among the intestate’s issue who are of the nearest degree in which there are issue surviving the intestate. Thus, if the intestate has three children, A, B, and C, and they all survive him, they each take a one-third share. However, if B and C have predeceased the intestate and both have children who survive the intestate, the remaining estate is first divided into three shares. Child A is paid her one third and the other two-thirds are distributed per stirpes among the children of B and C.
 
Thus, if B has two children and C has three, Each of B’s two children takes one-half of B’s one-third share, and each of C’s three children takes one-third of C’s one-third share. Note, however, that if the intestate’s issue are all of the same degree, e.g., grandchildren (as when A, B, and C have all predeceased the intestate and all or some have children who survived the intestate (his grandchildren) they all take an equal share.[9]

2.3 Posthumous Conception

Because assisted reproduction technology now makes posthumous conception of a child of a person possible, and because the conception can happen many years later, allowing such a child to share in the deceased’s estate can cause administrative delays and unfairness to children who had the foresight to be born before the deceased’s death. For this reason, Ontario enacted legislation in 2016 that places restrictions on the right of posthumously conceived children to share in the estate. The surviving spouse must give written notice to the Estate Registrar for Ontario within six months of the deceased’s death of the spouse’s intent to use reproductive material or an embryo to attempt to conceive a child of the deceased. The child must be born no later than the third anniversary of the deceased’s death, and the court must make a declaration establishing the child’s parentage.[10] The provision applies to both testate and intestate estates.

2.4 Surviving Ascendants and Collaterals

If, and only if, there is no surviving spouse and there are no surviving issue, the net intestate estate will be distributed among the intestate’s ascendants and collaterals. Ascendants are the intestate’s direct ancestors; collaterals are the descendants of the ascendants. Entitlement is determined in accordance with the gradual scheme of distribution and is measured, subject to a few exceptions, by reference to the degree of relationship an ascendant or collateral has to the intestate. The degrees of relationship are indicated on the diagram shown at the top of this article.[11]

Apart from the exceptions, persons of the closest degree of consanguinity to the intestate are entitled to share in the estate before persons of more remote degrees of consanguinity. The exceptions are that the legislation prefers brothers and sisters over grandparents, even though both are of the second degree. It also favours nephews and nieces, who are of the third degree, over grandparents (second degree) and over great-grandparents and uncles and aunts (third degree).

Although stirpital distribution is the rule among descendants (except if all are of the same degree), ascendants and collaterals always take per capita. There is one exception to that rule and that is that the children of a deceased brother or sister of the intestate may represent their parent when they are competing with one or more living brothers or sisters of the intestate.

The degrees of relationship may cause confusion on occasion. For example, how exactly do you determine and describe your relationship between you and various cousins? The following diagram may help you.[12]
Richard and Heather are brother and sister. So their children, Steve and Melissa are first cousins. The relationship between Steve and Chris and between Melissa and Wilma is different, because they are one degree further removed. So they are known as first cousins once removed. Wilma and Chris are two degrees further removed, so they are second cousins.

The following is a description of the rights of inheritance of ascendants and collaterals.

If the intestate leaves no spouse or issue, his property will be distributed equally between his parents, or if only one survives him, all will go to the surviving parent.[13]

If there are no surviving parents, the intestate’s surviving brothers and sisters inherit equally, but if a brother or sister has predeceased the intestate, his or her share will be distributed equally among his or her children.[14] In other words, they represent their parent and take per stirpes.

If no brothers or sisters survive the intestate, the property will be distributed equally among the intestate’s nephews and nieces, “without representation”. In other words, as distinct from s. 47(4), discussed in the previous paragraph, the nephews and nieces now take per capita.[15]

If there are no surviving nephews and nieces, the property is distributed equally among the next of kin of the nearest degree to the intestate.[16]

Finally, if there are no surviving next of kin, the intestate’s property becomes the property of the Crown and the Escheats Act, 2015[17] applies.[18]

The legislation provides that “for the purposes of subsection (6), degrees of kindred shall be computed by counting upward from the deceased to the nearest common ancestor and then downward to the relative, and the kindred of the half-blood shall inherit equally with those of the whole blood in the same degree”.[19] There are some questions about both parts of this provision.

The first part seems to suggest that to determine the relationship of an ascendant you need to count up to the ascendant’s parent and then down to the ascendant. Thus, to determine the degree of a grandparent you would have to count up to a great-grandparent and then down to the grandparent. That would make the grandparent of the third degree and he would then have to compete with, for example, an aunt who is also of the third degree. That is not how degrees were calculated under the old law and it is highly unlikely that the drafters of the SLRA intended to change the former law on this point. In other words, a grandparent continues to be of the second degree.

With respect to the second part, s. 47(8) permits “kindred” of the half-blood to inherit equally with those of the same degree. Since s. 47(8) progresses through issue, parents, brothers and sisters, and nephews and nieces, and “next of kin”, it could be argued that “kindred of the half-blood” refers to next of kin other than issue, parents, brothers and sisters, and nephews and nieces. However, this is highly unlikely, since the term “next of kin” denotes the closest blood relative to the deceased regardless of the degree of relationship. That would, therefore, normally be one or more descendants of the intestate. It is unlikely that the drafters of s. 47(8) intended to change this well-understood principle.[20]

Finally, the legislation states that descendants and relatives of the deceased conceived before and born alive after the death of the deceased will inherit as if they were born in the deceased’s lifetime and survived the deceased.[21]

2.5 Blood Relationship

Note that, apart from two exceptions, the right to inherit depends on there being a blood relationship between the intestate and the claimant. (Another term for “blood relationship” is a consanguineous relationship: the word consanguineous incorporates the Latin word sanguis, blood, so the two terms are synonyms.)

The exceptions are: (1) The surviving spouse is not normally in a consanguineous relationship with the intestate, but in an affine relationship, i.e., a relationship of marriage. (2) Section 217 of the Child, Youth and Family Services Act, 2017[22] provides that for all purposes of the law an adopted person becomes the child of the adoptive parent and the adoptive parent becomes the parent of the adopted child. The adopted child also ceases to be the child of the person who was formerly the child’s parent. Thus, a person whom the intestate has adopted is treated as a child of the intestate and entitled to inherit with the intestate’s natural children even though she does not have a blood relationship with the intestate. Similarly, a person adopted by a child of the intestate or by any other relative of the intestate is entitled to inherit from the intestate.

2.6 Persons Born Outside Marriage

Finally, I should mention that at common law persons born outside marriage were not entitled to inherit, but that principle has long since been reversed by legislation. Thus, the Succession Law Reform Act now provides: “In this Act, and in any will unless a contrary intention is shown in the will, a reference to a person in terms of a relationship to another person determined by blood or marriage shall be deemed to include a person who comes within the description despite the fact that he or she or any other person through whom the relationship is traced is based outside marriage.[23]

---

[1] See Estates Administration Act, R.S.O. 1990, c. E.22, s. 2(1).
[2] In passing, this terminology may be in flux. For example, in the Wills, Estates and Succession Act, S.B.C. 2009, c. 13, s. 1(1), the testator is called the will-maker. I find this an unnecessary and undesirable change. It is one thing to change Latin terms to English, since Latin is no longer understood by most people, but the word testator has long since been a naturalized English word. Besides, it is shorter than the new-fangled will-maker. If we continue on this route, we shall soon have to get rid of i.e., the abbreviation of the Latin phrase, id est, which means,” that is”; of e.g., the abbreviation of the Latin phrase, exempli gratia, which means, “for the sake of an example”; and of many other words. Ultimately, this will impoverish the English language, two-thirds of which derives, directly or indirectly, from Latin.
[3] R.S.O. 1990, c S.26 (“SLRA”).
[4] This too is changing. In the Western provinces common law partners are also entitled to inherit on intestacy.
[5] SLRA, s. 44.
[6] SLRA, s. 45.
[7] O. Reg. 54/95.
[8] SLRA, s. 46
[9] SLRA, s. 47(1)-(2). For diagrammatic representations of these examples, I refer the reader to my text, Oosterhoff on Wills, 9th ed. forthcoming Spring 2021, by Albert H. Oosterhoff, C. David Freedman, Mitchell McInnes, and Adam Parachin (Toronto: Thomson Reuters/Carswell, 2021), §3.3.3
[10] SLRA, s. 1.1, enacted S.O. 2016, c. 23, s. 71(6). For similar legislation, see Wills, Estates and Succession Act, B.B.C. 2009, c. 13, s. 8.1, added by S.B.C. 2011, c. 25, s. 67.
[11]See also Oosterhoff, supra, §3.3.4. An alternative to the gradual scheme of distribution is the parentelic scheme of distribution. It is used in the Uniform Intestate Succession Act, http://www.ulcc.ca/en/uniform-acts-new-order/current-uniform-acts/479-josetta-1-en-gb/uni-form-actsa/intestate-succession-act/304-intestate-succession-act-1986, and has been adopted in Alberta, British Columbia, Manitoba, and Saskatchewan: Intestate Succession Act, CCSM, c. I85, ss. 4-5; Intestate Succession Act, 2019, S.S. 2019, c. I-13.2, ss. 8-10; Wills and Succession Act, S.A. 2010, c. W-12.2, s. 67(1); Wills, Estates and Succession Act, S.B.C. 2009, c. 13, s. 23(1)(b). This type of legislation is thought to be fairer because it ensures that a close relative will take over a more remote relative of the same degree, and because both sides of the intestate’s family will usually take a share of the estate.
[12]See Oosterhoff on Wills, supra, §3.3.5(a).
[13] SLRA, s. 47(3),
[14] SLRA, s. 47(4)
[15] SLRA, s. 47(5).
[16] SLRA, s. 47(6).
[17] S.O. 2015, c. 38, Sched. 4.
[18] SLRA, s. 47(7).
[19] SLRA, s. 47(8).
[20] See further Oosterhoff on Wills, supra, §3.3.5(b), Notes and Questions 5 and 6.
[21] SLRA, s. 47(9).
[22] S.O. 2017, c. 14, Sched. 1.
[23] SLRA, s. 1(3). This subsection was amended following extensive changes made by the All Families Are Equal Act, S.O. 2016, c. 23, and the Children’s Law Reform Act, R.S.O. 1990, c. C.12, amended by S.O. 2016, c. 23.
(ii) EVEN A LIMITATION PERIOD HAS ITS LIMITS – BEAUDOIN ESTATE V. CAMPBELLFORD MEMORIAL HOSPITAL 
Beaudoin Estate v. Campbellford Memorial Hospital https://canlii.ca/t/jcwj1

By Bryan Gilmartin

This appeal involved a medical malpractice claim brought by the estate of the late Garry Beaudoin (the “Estate”) and by his wife, daughter, and grandchildren as claimants under the Family Act (the “Appellants”) against Campbellford Memorial Hospital, two emergency room doctors, and a diagnostic radiologist (the “Respondents”).

Mr. Beaudoin passed away on January 9, 2015. The Appellants asserted that Mr. Beaudoin was negligently diagnosed and treated at the hospital on January 3, 4, and 5, 2015, leading to a delay in surgery that could have saved his life.

The Appellants issued a statement of claim on April 27, 2017, nearly two years and three months after Mr. Beaudoin passed away.

The Respondents delivered their statement of defence and asserted that the action was statute-barred because it was not brought within the two-year limitation period prescribed under s. 38(3) of the Trustee Act. Accordingly, the Respondents brought a motion under Rule 21.01(1) (a) of the Rules of Civil Procedure seeking an Order dismissing the action as statute-barred.

The Appellants responded by amending their claim and plead that the Respondents fraudulently concealed portions of Mr. Beaudoin’s medical records. Specifically, the Appellants alleged that they had requested and paid for Mr. Beaudoin’s complete medical records from the hospital in March of 2015. What they were provided with did not include CT imaging conducted on January 3, 2015, which showed an obstruction and/or occlusion of Mr. Beaudoin’s mesenteric artery. This CT imaging was not disclosed to the Appellants until May 2017, more than two years later.

The Appellants claimed that the fraudulent concealment of the CT imaging prevented them from knowing that they had a cause of action against the Respondents until May 2017, about one month after they issued their amended claim in April 2017. The motion proceeded in April 2018 and the motion judge ultimately struck out the Appellants’ claims under the Trustee Act as statute-barred, ruling that the appellants could not rely on fraudulent concealment to toll the limitation period because there was no causal connection between the alleged improper concealment and the Appellants’ failure to bring their claim within the limitation period. The Appellants appealed this decision.

Issues:

The issues on appeal were as follows:

1) Did the motion judge err in deciding the question of fraudulent concealment as a question of law under r. 21.01(1) (a)?; and,

2) Was it open to the motion judge to find that the facts as pleaded in the Appellant’s claim relating to causation were patently ridiculous or manifestly incapable of proof?

Holding & Reasons:

(i) Did the motion judge err in deciding the question of fraudulent concealment as a question of law under r. 21.01(1)(a)?

Rule 21.01(1) (a) provides as follows:

21.01 (1) A party may move before a judge,

(a) for the determination, before trial, of a question of law raised by a pleading in an action where the determination of the question may dispose of all or part of the action, substantially shorten the trial or result in a substantial saving of costs; or

(b) to strike out a pleading on the ground that it discloses no reasonable cause of action or defence, and the judge may make an order or grant judgment accordingly. R.R.O. 1990, Reg. 194, r. 21.01 (1).

(2) No evidence is admissible on a motion,

(a) under clause (1) (a), except with leave of a judge or on consent of the parties;

(b) under clause (1) (b). R.R.O. 1990, Reg. 194, r. 21.01 (2).z 21.01 (1) A party may move before a judge,

The court identified the main principles applicable to a motion under Rule 21.01(1) (a):

(i) the test is whether the determination of the issue of law is “plain and obvious”;

(ii) the facts pleaded in the statement of claim are assumed to be true, unless they are patently ridiculous or manifestly incapable of proof; and,

(iii) the statement of claim should be read as generously as possible to accommodate drafting inadequacies, and if the claim has some chance of success, it should be permitted to proceed.

The Respondents relied on the limitation period in s. 38 of the Trustee Act which imposes a two-year limitation period and that the discoverability principles under the Limitations Act, 2002 do not apply. However, the court, citing Levesque v. Crampton Estate, noted that this limitation period can be mitigated by common law rules, such as the doctrine of fraudulent concealment.

The doctrine of fraudulent concealment was described by the Supreme Court of Canada in Pioneer v. Godfrey as an equitable doctrine that prevents limitation periods from being used ‘as an instrument of injustice. Further, the court noted that it applies, whenever, “it would be, for any reason, unconscionable for the defendant to rely on the advantage gained by having concealed the existence of a cause of action.

On this basis, the court held that a motion under r. 21.01(1) (a) was not the proper vehicle for weighing evidence and making findings of fact. The causation arguments made by the respondents in response to the allegations of fraudulent concealment fundamentally involved a factual inquiry and such inquiry should not be determined on a motion to determine a question of law under r. 21.01(1)(a).

(ii) Was it open to the motion judge to find that the facts as pleaded in the Appellant’s claim relating to causation were patently ridiculous or manifestly incapable of proof?

In addition to finding that a motion under r. 21.01(1)(a) was not the proper vehicle for weighing evidence and making findings of fact, the court noted that the motion judge erred in that, he was required to assume that all facts pleaded in the Appellant’s claim were true under r. 21.01(1)(a). In his reasons, the motion judge did not purport to apply the standard of “patently ridiculous or manifestly incapable of proof”. Rather, he made a factual finding against the Appellants on causation based on the pleadings alone.

Conclusion:

The court held that the Appellants should have the opportunity to support their allegation of fraudulent concealment with evidence and only then will the court have to decide when the limitation clock starts to run or, having started to run, when it stops and when it starts up again. As such, the Appellant’s claim could not be rejected on a motion under rule 21.01(1)(a) where the admission of the evidence required to support such an allegation is prohibited. As a result, the court held that the Appellant’s plea of fraudulent concealment could not be patently ridiculous nor manifestly incapable of proof.
(iii) ONTARIO’S INADEQUATE HOME CARE FORCING SENIORS INTO HOSPITALS
By Matthew Rendely

Dr. Alexandra Rendely (physical medicine and rehabilitation specialist at University Health Network’s Toronto Rehabilitation Institute) and Dr. Anjali Bhayana (family physician and hospitalist in geriatric rehabilitation at University Health Network’s Toronto Rehabilitation Institute) advocate that more needs to be done to protect vulnerable and elderly persons from returning to inpatient care after discharge.

In an op-ed recently published in Healthy Debate, Dr. Rendely and Dr. Bhayana suggest that to make such healthcare policy reform would not only result in a decrease in hospital overcrowding, but would better protect elderly, racialized, disabled, and other vulnerable and marginalized populations from decompensating upon discharge and returning to hospital to be at risk of acquiring COVID-19 or other hospital-acquired infections. 

To achieve this outcome, Dr. Rendely and Dr. Bhayana suggest that this critical healthcare reform needs to start with the provincial government providing more funding to the Ministry of Health and Long-Term Care (MOHLTC) to then fund Local Health Integration Networks (LHIN) throughout the province. They acknowledge that so doing would require an upfront cost but that it would be economically beneficial in the long term.

“As we discharge this enormous number of hospitalized, elderly COVID-recovered patients, including those disproportionately affected in racialized and low-income groups, the gaps in services expose stark inequities. It is imperative that home supports and outpatient rehabilitation resources be scaled up to meet this demand in all regions.

The Ford government has publicized a temporary wage boost for public sector PSWs but this is a band-aid solution to this ongoing shortage.

We are advocating for better wages, benefits and paid sick days for home-sector PSWs in agencies affiliated with LHINs; improved safety protocols and PPE provision to care for isolated COVID-19 positive patients at home, if necessary; immediate hiring of additional PSWs; and decreased cost barriers to training.

[…]

Implementing increased homecare resources would require upfront costs but would be beneficial in the long term. Housing a patient in a non-ICU bed costs $1,000-$1500 per day. Each day that patients are not in their homes, the system is financially stretched. LHINs receive only four per cent to five per cent of all provincial health spending, which is not enough. Prioritizing home care needs to be the number one agenda item for the province in 2021. With an estimated 38,000 people on waitlists for long-term care beds, the emphasis should be on keeping these patients in their own homes safely with the supports they need.”

You can read the full article here:


Dr. Rendely has published other articles during the COVID-19 pandemic about a host of critically needed public healthcare reforms in the Globe and Mail: https://www.theglobeandmail.com/opinion/article-canada-cant-afford-to-shut-down-operating-rooms-again/, and with the CBC: https://www.cbc.ca/news/opinion/opinion-hospital-patients-visitation-policies-1.5815267.

*This article was written by Matthew Rendely, Dr. Alexandra Rendely’s proud (and definitely not biased) twin brother.
IV. UPCOMING PROGRAMS
STEP Canada Special Symposium
Vulnerable Clients
March 8, 2021
Speaker: Kimberly Whaley

Osgoode Professional Development
Passing of Fiduciary Accounts
April 6, 2021
Chair: Kimberly Whaley
Speakers, Albert Oosterhoff, Tracey Phinnemore

Osgoode Family Disputes Panel
April 14, 2021
Speaker: Professor Albert Oosterhoff

Osgoode Certificate in Elder Law
Tackling Financial Abuse of Elders
April 21, 2021
Speaker: Kimberly Whaley

Osgoode Professional Development
Contentious Guardianship Applications and Removals of Attorneys and Guardians
April 27, 2021
Speaker: Kimberly Whaley

Toronto Police Seminar
Elder Abuse Investigator’s Course
April 30, 2021
Speakers: Matthew Rendely and Bryan Gilmartin

LESA 53rd Annual Refresher: Managing Wills & Estates Matters
April 30-May 3, 2021 (DATE TO BE CONFIRMED)
Decisional Capacity: A Wills & Estates Context
Speaker: Kimberly Whaley and John Poyser
Keynote Speaker: Professor Albert Oosterhof

Canadian Lawyer Co-branded Webinar
Top 10: Lawyers Need to Know About Death & Capacity
May 4, 2021
Speakers: Kimberly Whaley and Ian Hull 

Law Society of Ontario, 15th Solo and Small Firm Conference
The Solo/Small Advantage
June 10, 2021
Chair: Kimberly Whaley

Estate Planning and Litigation Mini Forum
New Developments in Case Law
June 16, 2021
Speaker: Kimberly Whaley
 
Ontario Police
Elder Abuse Investigations 2021
June 16, 2021
Speakers: Daniel Paperny and Matthew Rendely

International Federation of Ageing – 15th Global Conference on Ageing
November 10-12, 2021
Speakers: Daniel Paperny and Matthew Rendely

Ontario Police
Elder Abuse Investigations 2021
November 16, 2021
Speakers: Bryan Gilmartin and Paul Murphy
 
Estate Planning and Litigation Forum
Spring 2022
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VI. IN CASE YOU MISSED IT - RECENT BLOG POSTS
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WEL NEWSLETTER February 2021, Vol. 10, No. 10