Monday, February 10, 2020

#CRYPTOZOOLOGY #CRYPTID #LAKEMONSTER
Gator or monster snake? Photo at South Carolina lake resurrects talk of tribal legend
BY MARK PRICE DECEMBER 30, 2019


Legends of a monster snake in the Catawba River date back for centuries, and some cited proof of it in a grainy photo posted taken over the weekend at Sunset Point picnic area on Lake Wylie. JESSICA PLATE PHOTO

The legend of a monster snake in the Catawba River dates back centuries, but some see new proof in a grainy photo taken over the weekend at Sunset Point on Lake Wylie.

The photo, posted online Sunday, shows what could be the head of something sticking out of the lake, with a sinuous wake spinning several feet behind it.

Within hours of it being posted online, talk of alligators, giant water snakes and a monster were being shared on Nextdoor.com, a community networking site. Lake Wylie, which does not have alligators, is a dammed section of the Catawba River, south of Charlotte.

“Lake Wylie monster?” Jessica Plate posted with her photo.

“I know this picture isn’t the greatest, but tonight while walking around the lake in our neighborhood we saw this 3 to 4 foot ‘thing’ moving in the water. At first, I thought it was a dog or deer, shoot, maybe a scuba diver!”

The photo was taken around 7:15 p.m. Saturday, and the thing appeared at first to be swimming toward her, then turned away, she wrote. “The wake it made was enormous! Please, does anyone know what it was!”
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Bigfoot The Sasquatch Museum is dedicated to answering question: Is Bigfoot real?

Expedition: Bigfoot The Sasquatch Museum, located near in north Georgia near North Carolina and Tennessee, is dedicated to the existence of the creature. BY JOHN D. SIMMONS

Plate told McClatchy news she wasn’t aware of the river snake myth until she started reading the responses posted to the photo.

She thinks the sensible explanation is that it was an alligator, despite the fact alligators don’t live in Lake Wylie. Commenters on the photo had a long list of other possibilities.

One person suggested it was a “a big nasty snake,” while another said it was nothing more than a floating log

“Beavers, muskrats, and otters were a few other guesses,” Plate said. “There is no way, this creature was way too big!”

The Catawba Nation, a tribe of indigenous people based in the same area, has folklore that tells of multiple river monsters. One involves “monstrously large snakes” that prey on people in the rapids and giant “leech-like creatures,” reported John Hairr in the 2013 book “Monsters of North Carolina: Mysterious Creatures in the Tar Heel State.”

As in the case with the infamous Loch Ness monster, proof has never been found of anything large or monstrous in the river, though alligators have been found occasionally in the Catawba.

Lake Norman, another site near Charlotte created by damming the river, is said to be home to a creature called the Lake Norman Monster. A website is devoted to alleged sightings of it, which some say is a giant fish more than a monster snake.


Jessica Plate remains curious about whatever it was she saw and intends to keep investigating.

“Definitely will go back to the shore (with more people for evidence) to try and catch another glimpse!” she told McClatchy.
Pulsating orb recorded flying erratically in South Carolina sky. Was it a UFO?
OF COURSE IT IS, IT WAS  AND STILL IS 'UNIDENTIFIED'

BY MARK PRICE DECEMBER 31, 2019 12:05 PM



Flashing dot zooms across sky. Father and son believe they spotted a UFO
Jay Wilson and his son were out shooting fireworks in Laurens, SC when they spotted what they believe is a UFO. BY JAY WILSON

A father and son headed to dinner in South Carolina say they saw something unexplained in the sky the day after Christmas: a glowing orb that resembled a star, but it bounced and floated for nearly 5 minutes.

Jay Wilson and his 14-year-old son Cameron posted video of the orb on YouTube late last week, noting it was filmed over Laurens, a town about 70 miles northwest of Columbia.

The video shows the orb at a standstill, vanishing and moving back and forth behind a line of trees. Its changes in direction are erratic and seem to defy the capabilities of a helicopter.


“No, don’t come back down here,” Jay Wilson is heard saying in the video, as the object moves closer. “This is the craziest I’ve ever seen.”

Wilson told McClatchy news this week he and his son saw the object around 6 p.m. Dec. 26, as they were driving to Subway.

“What grabbed my attention was the color of the light. I’d never seen something like that. It’s hard to explain. It just stood out,” Wilson said in an email.

“I first thought it was someone shooting fireworks, until it went from ascending vertical to horizontally instantly. That’s when I grabbed my phone out and stopped in the road to record. I knew this was something to see.”

He’s still not sure what is was, and commenters on YouTube have not offered viable ideas.

Possible explanations include someone with a hand-held laser or a drone. But those theories fall apart when watching the acrobatics, not to mention the light vanishing behind trees. A laser would reflect off the trees.

“I’ve never seen anything like that in my life. To see it with my own eyes instead of YouTube videos and such was breathtaking,” Wilson told McClatchy.

“Just watch the video and see how that thing moves. One thing I noticed was a few seconds before it would start to move that it would get brighter, you can also see this in the video. It was like it was charging or gathering energy.”

The video is the latest in a series of reported UFO sightings in South Carolina in recent months, including some recorded off the coast.

The nonprofit Mutual UFO Network (MUFON) has not released a tally of December UFO sightings for South Carolina but says there were three in November. North Carolina had 13 reported sightings during the month, MUFON reports.

Meanwhile, the national total for November was 407 reports, most described as circles or spheres, MUFON says.

“I kinda believe in UFOs,” Wilson told McClatchy. “I’ve seen things like this before, but I’ve never been in a position to where I could record it.”

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Phenomenon resembling UFO seen over North Carolina mountain. ‘The air felt electric.’


BY MARK PRICE FEBRUARY 05, 2020

The photos were taken about 6 p.m. Jan. 26, by professional photographer Jim Magruder of Linville, who grew up hiking Grandfather Mountain. © JIM MAGRUDER | MAGRUDERPHOTOGRAPHY.COM

Dramatic images circulating on Facebook that show something resembling a large UFO over Grandfather Mountain are genuine and highlight a unique weather phenomenon that took place two weeks ago.

Grandfather Mountain shared the photos Jan. 27, generating nearly 1,000 shares and more than 100 comments from people who called them “unreal,” “strange” and unlike anything they’d seen before in the mountains of Western North Carolina.


“Magical and stunning,” LuAnn Wilson wrote on the park’s Facebook page.
The formation was so vast, one commenter reported seeing it nearly 40 miles south in Marion, N.C.

Officials at Grandfather Mountain say the object is easily explained: It was a lenticular cloud that formed when the mountain was whipped by high winds and covered in rime ice, a white glaze created by frozen fog.

“Such clouds — technically known as ‘altocumulus standing lenticularus’ — form as strong winds blow over and around rough terrain,” the park said in a Facebook post.Duration


The photos were taken about 6 p.m. Jan. 26 by professional photographer Jim Magruder of Linville, who says he grew up hiking Grandfather Mountain.

He said he knew from the start what was taking shape but also recognized the UFO resemblance.

“The sky did remind me of a scene from the ‘Independence Day’ movie when the invading alien space ships appeared over major cities and blotted out the sun,” Magruder told McClatchy News

Magruder says he was standing in MacRae Meadows at the time the cloud formed. It was so big, it took a 10-frame panorama shot to capture it, he said.

“I always keep an eye out for unusual weather and light conditions,” Magruder said, noting .

He said he was doing chores at home that day and “ by 4 p.m. the leading points of the front were already beginning to curl over the north end of the ridge of Grandfather Mountain. ... I figured the combination of a white sparkling mountain top and incoming front might make for a powerful image.”

Other people stood nearby in the meadow, “gaping at the clouds over the mountain ... giddy with the spectacle,” he said.

“We didn’t speak more than perfunctory hellos, but shared a nod of acknowledgment that we were all witnessing something really special,” he added. “The air felt electric.”

By the time it was over, Magruder says he had taken 200 shots from three locations.

The National Weather Service says lenticularis clouds “are associated with waves in the atmosphere that develop when relatively stable, fast moving air is forced up and over” a land barrier.

“This deflection creates a gravity wave downwind of the topographic barrier not unlike a wave you might generate by throwing a pebble into a pond,” the National Weather Service says. “They are most often seen in the winter or spring when winds aloft are typically the strongest.”

Lenticular clouds appear over Grandfather Mountain during the afternoon of Sunday, Jan. 26. According to the National Oceanic and Atmospheric Administration, such clouds — technically known as "altocumulus standing lenticularus" — form as strong winds blow over and around rough terrain.

Photos by Jim Magruder | Magruder Photography

Elon Musk Starlink satellites seen near Grantham are being mistaken for UFOs


Residents in Colsterworth were left baffled after spotting 'a train of lights' flying high in the sky.
The lights have been seen several times throughout the last few weeks, prompting speculation about what they could be.
One resident was out running on Monday night when he came across a couple who were looking up at the sky.
Dutch astronomer Marco Langbroek captured the spectacle shortly after SpaceX's Starlink launch (Marco Langbroek) (28075872)
Dutch astronomer Marco Langbroek captured the spectacle shortly after SpaceX's Starlink launch (Marco Langbroek) (28075872)
In a post on social media, he said: "I stopped to look and we saw what seemed to be a train of lights (not flashing ones either like on planes) extremely high in the sky and in a formation that was a perfect line behind one another. It was that perfect that human control could not do it. There must have been in the region of 50 to 60 individual UFOs."
His post attracted a flurry of replies from residents saying that they too had seen the lights.
One replied: "Me and my partner at first thought we were going to have an alien invasion."
But theories of any extraterrestrial activity were soon quashed, with people explaining that the trail of lights are Starlink satellites - part of billionaire Elon Musk's plan to deliver universal internet access via a network of low Earth orbit satellites.
The constellation will consist of thousands of mass-produced small satellites, working in combination with ground transceivers.
Colsterworth residents are not the only ones to mistake them for UFOs though.
Since the first batch of satellites were launched last year, UFO reports have surged all over the world.
THE UFO FILES: Is this picture proof of aliens visiting Wigan?

The UFO captured on camera

Monday 27 January 2020
A Wigan man has described the moment he witnessed a "dazzlingly bright and colourful" UFO in the sky in the early hours of the morning as the most surreal experience of his life.

The man, 35, who didn't want to give his name for fear of being ridiculed, said he truly believes that what he saw was an alien craft and definitely not an aeroplane, weather balloon, Chinese Lantern or strange weather phenomenon.

The UFO as seen through the loft window

He said: "I was in my loft room on Sunday night and happened to look up through the roof windows when I saw three distinct glowing orbs.

"I was instantly gobsmacked and knew straight away that whatever it was it wasn't from Earth.

"I'm not a big believer in UFOs, never had been, so I grabbed my phone and snapped off a couple of shots thinking it would be gone in a few seconds, but it wasn't. It stayed totally motionless in the sky for at least 20 minutes before rocketing up out of view faster than anything I have ever seen.

"How can you account for that? How can that be anything like a plane? It's impossible.

"I'm a businessman, an intelligent guy and someone who has always been described as a sceptic, but I was stunned to say the least. Absolutely mesmerised."

The man, who lives in the Swinley area, went on: "I can't be the only person that saw this and when I showed people the pictures they were shocked too.

"You can see from the pictures just how colourful these objects are. The lights weren't flashing and there was absolutely no sound. They just hovered there slightly pulsating.

"To be honest it's given me a whole new perspective on things. It was the most surreal moment of my life."

Wigan has been a hotbed of UFO sightings over the years - there have been dozens of strange objects reported in the skies above our town.

"This, to me, is irrefutable proof that there are other beings not from around here visiting us, either from far away galaxies or other dimensions," said the UFO spotter. "The only other explanation would be that it was some kind of experimental secret man-made craft, but the speed in which it shot away was incredible and suggests something other-worldly."

Did you see this strange UFO in the early hours of Sunday? Let us know at newsroom@wigantoday.net.

UFO question posed to Democratic candidates leading up to New Hampshire primary

UFO
MYSTERY WIRE — The New Hampshire presidential primary is less than a week away, and at least one reporter has the UFO question on his mind.
While none of the candidates has been particularly vocal about the possible existence of UFOs, reporter Daymond Steer of The Conway Daily Sun is putting the question out there whenever he can. Specifically, he’s asking about the “Tic Tac” UFO incident, which was reported by former US Navy Cmdr. David Fravor.
Fravor lives in a town about 35 miles southeast of Concord, New Hampshire’s capital. Conway is about 75 miles north of Concord.
It’s a line of questioning that’s taken seriously, and shows how the UFO topic has evolved as more information becomes available. In 2008, Democratic contender Dennis Kucinich was laughed at following a statement that he had seen a UFO. No one’s laughing now.
So far, Steer has asked Pete Buttigieg, Amy Klobuchar, Deval Patrick, Bernie Sanders and William Weld. He’s making somewhat of a name for himself, and he was featured in a Thursday report on Motherboard.

READ: This reporter keeps asking presidential candidates about UFOs and it’s amazing

Here are brief summaries of the candidates’ replies, with links to full articles published by The Conway Daily Sun. (See also, videos from the Daily Sun.)
PETE BUTTIGIEG: Buttigieg likes his odds in N.H. primary (Jan. 6, 2020)
He repeated a popular opinion, “It’s very unlikely that we’re alone in the universe.” He also has an interest in space, listing Sally Ride (America’s first woman in space) as one of the three people in history he’d like to have dinner with.
AMY KLOBUCHAR: I’m well-positioned to win (Dec. 30, 2019)
Klobuchar on the Tic Tac UFO: “I don’t think we know enough.” She said science and the military should advise, and that journalists should continue digging. She stopped short of saying the government should disclose more about what is known.
DEVAL PATRICK: Candidate Patrick stumps in North Conway (Dec. 23, 2019)
Patrick said he didn’t know what to make of the Tic Tac report, but it isn’t his first exposure to the topic. “I will say, though, I have met other pilots, commercial pilots, who have said that there are things that they’ve seen in the night sky, mostly the night sky,” said Patrick. “I used to be on the board of an airline, I talked to pilots who told me about that sort of thing.”
BERNIE SANDERS: Sanders gets real with Sun editorial board (Jan. 20, 2020)
Sanders emphasized that he’s not “a full-fledged believer.” He responded to a question about the 2004 “Tic Tac” UFO incident, saying, “Of course we have to explore that, if it’s true.” He also said his wife, Jane O’Meara Sanders, would “demand” disclosure.
WILLIAM WELD: Weld: Trump’s conduct scream removal (Jan. 2, 2020)
Weld sees a high likelihood of extraterrestrial life — probably smarter than us. “So does that admit the possibility of space exploration by them? It does. I mean, it’s a little too convenient to have it be a flying saucer thing. I think it might take some other form that we couldn’t see so readily, but I would never say never.”


Canada's single-payer healthcare system - a system in turbulence, but beloved nonetheless

Publishing Details
Hospitals & Healthcare
3 Feb 2020
Milan Korcok
Featured in International Hospitals & Healthcare Review | February 2020


The war on doctors
Milan Korcok investigates the real cost of ‘free healthcare’ in Canada, the impact on employment within the healthcare sector, and the effect this has on access to care

For a nation that prides itself on its universal healthcare system, Canadians become ambivalent when faced with headlines proclaiming that their wait times for emergency room (ER) services are not only punishingly long, but among the ‘worst in the Western world’ as has been reported in the media by Robert Salois, a former Quebec Healthcare Commissioner, referring to conditions in his own province.

Citing data from 2016, Salois claimed that 35 per cent of Quebec’s ER patients had to wait five hours or more for care (with 10 per cent leaving without having seen a doctor), as did 19 per cent of Canadians overall. That compared – not too well – to only five per cent of Americans, Germans or Australians; or two per cent of Swiss, who hit the five-hour delay mark.

Fast forward to December 2019: The Canadian Press reported that on the weekend before Christmas, the Montreal Jewish General Hospital (one of the city’s core healthcare facilities) was working at 157-per-cent capacity; the Montreal Children’s Hospital at 217-per-cent capacity; and hospitals and their ERs in outlying areas were just as overloaded. To put that into perspective, the international standard for optimal hospital occupancy has long been 85 per cent – with anything below 75 per cent being wasteful, and 100 per cent being too tight, with no room left for error.


Only 43 per cent of Canadians reported that they were able to get a same- or next-day appointment at their regular place of care



According to the Canadian Institute for Health Information (Canada’s primary source of healthcare data), in 2018-2019, Canadians nationwide spent a median of 3.2 hours in the ER per visit. But for 90 per cent of those visits, patients were there for 10.9 hours or less. In 2017-2018, the median time was 2.8 hours per visit, while for 90 per cent of visits, it was 7.9 hours or less.

According to the US-based Commonwealth Fund, a respected monitor of international health trends, Canada continues to perform below the international average for timely access to patient care: only 43 per cent of Canadians reported that they were able to get a same- or next-day appointment at their regular place of care the last time they needed medical attention. And, when compared to those in Australia, France, Germany, the Netherlands, New Zealand, Norway, Sweden, Switzerland, the UK and the US, Canada was rated the worst in terms of the ability to get a same- or next-day appointment when sick; waiting for treatment in the emergency department; waiting to see a specialist; or waiting for elective surgery. In terms of the ability to get after-hours care without resorting to an ER, it was second worst.
Fortunately, however, Canadians are a forgiving people. Most surveys indicate that once they get into the care of their doctors, they rate it as ‘excellent’ or ‘very good’.
Keep on reading




Canada lags behind OECD countries for patient safety
A new report from the Canadian Institute for Health Information (CIHI) suggests that Canada is falling behind its international counterparts in terms of patient safetyRead More
8 Nov 2019
Robyn Bainbridge

Canadians actually do pay, a lot, for a system that is supposedly ‘free’ – they pay every time they fill their SUV with gas, buy a sweater, skates, or a bag of legal cannabis.


Hurry up and wait

Dr Kevin Smith, President and CEO of Toronto’s University Health Network (a consortium of five downtown university-affiliated hospitals), wrote in a Globe and Mail op-ed in November 2019: “Expecting high performance and the best patient experience in this condition is impossible. Overcrowded emergency rooms, long waits for inpatient beds or delays in getting care at home are the norm. Across Ontario, more than 5,300 people are in the wrong environment for their care or recovery. Most often, they are in acute care hospitals when they would be better cared for at home, in long-term care or rehabilitation.”


To attribute Canada’s healthcare access problem to sparseness of hospital beds or a low ratio of physicians to population would be to ignore the elephant in the room



Dr Smith urges a ‘renewed contract for healthcare’. “We must see a significant investment fueled by our federal government if we want universally accessible, medically necessary care to remain part of our national identity,” he said. He also warned that the challenges facing Canadians have an ‘extensive history’. “Those privileged to provide care have long sounded the foghorn. But never before has there been such a perfect storm. We are seeing an ill-timed collision of several factors: a growing population, clinician burnout, mental health and addiction issues, high occupancy rates of hospitals, crumbling infrastructure, funding that doesn’t keep pace with inflation, increasing need to help vulnerable patients, and rising expectations about the use of technology from patients and providers,” he said.

Dr Smith concluded that although many have spent entire careers working to improve the system through efficiency and redesign – and that many, including himself, will continue to do so – without increasing capacity in the health and social services systems, Canadians cannot enjoy the kind of care and innovation they deserve and have paid for.

And Canadians do pay – a lot, for a system many boast about as being ‘free’. It may be free in that Canadians don’t pay the high private insurance premiums that their neighbours in the US pay, but in 2019, total health expenditure in Canada was estimated to reach CAN$264 billion, or $7,068 per person. And overall, health spending will represent 11.6 per cent of Canada’s gross domestic product (GDP)*. And they pay every time they fill their SUV with gas, buy a sweater, skates, or a bag of legal cannabis.

Healthcare bureaucracies often shackle doctors with regulations that keep them from doing their work.

It’s not all in the numbers

Certainly, Canada’s hospital bed count is not rich: only 2.8 beds per 1,000 people, about the same as the US (2.6) or the UK (2.9); but far below Germany’s 4.3 and Austria’s 5.2. But numbers such as those don’t tell the whole story. They don’t reflect how those resources are used. More beds or more physicians don’t necessarily reflect better care. And to attribute Canada’s healthcare access problem to sparseness of hospital beds or a low ratio of physicians to population would be to ignore the elephant in the room: a chronic maldistribution of physicians in many communities throughout the country, as well as persistent underfunding by both provincial and federal governments and regulatory hurdles that keep physicians from doing what they were trained to do. That’s as pertinent in Canada as it is in the US, the UK or France.

In Nova Scotia, for example, maldistribution is endemic, and shortages of physicians – whose earnings are below those of colleagues in other provinces – have led to frequent closures of hospital emergency rooms. There just aren’t enough doctors to cover them all.

In one television interview, Dr Brian Ferguson – a family practitioner in Amherst, Nova Scotia – noted that when he recently closed his practice due to his own health problems, he had to leave 3,000 patients to seek out other practices. And he admitted that he has also had to advise young potential recruits to move to other provinces where they would get paid more and taxed less.


We are in the midst of the worst healthcare crisis that Ontario has ever seen


No shortage of health bureaucrats

But there is one healthcare ranking in which Canada excels: healthcare bureaucrats.
Canadian healthcare blogger Dr Shawn Whatley has starkly underlined what many doctors see as a major impediment to patient access: bureaucracies and their tendencies to shackle doctors with regulations and useless requirements that keep them from doing their work. He writes that Ontario closed 17,000 hospital beds between 1990 and 2013, yet has not cut a similar number of bureaucrats. In fact, it has allowed their numbers to blossom.

Citing data compiled in 2015 by healthcare analyst Matthew Lister, Dr Whatley notes that Canada has 32,000 healthcare bureaucrats (these are government appointed managers and directors of local or regional boards, networks charged with evaluating and facilitating the work of doctors, nurses and physicians’ assistants who are the hands-on healthcare providers). That number, reports Lister, equals 0.9 healthcare bureaucrats per 1,000 population. To compare this to other regions, Sweden has 0.4 bureaucrats per 1,000 population; Australia, 0.255; Japan, 0.23; and Germany only 0.06 bureaucrats per 1,000 population. From a different perspective, Japan has 30,000 healthcare bureaucrats for 130 million people. Canada had 32,000 bureaucrats for 35 million people (in 2015).

Jeff Yurek, Environment Minister and Conservative party MPP for Ontario, wrote in 2017 that the Ontario College of Family Physicians listed some 10,500 family physicians in the province (in most of Canada, certified family physicians provide the core of primary care doctors). At the same time, the Ministry of Health and its various agencies, consultancies and partnerships were charged with employing an additional 13,000 employees to administer within the system.
Is the ship tilting?

If there seems some imbalance here, that may account for the fractious relationships not only between doctors and their Health Ministry paymasters, but within the organisations that have been representing physicians in their dealings with the health ministries that fund hospitals, direct and channel healthcare resources, and determine how much of the public purse can be devoted to physicians’ costs.

Though the great majority of Canadian physicians are private practitioners responsible for paying their own facility rents, staff salaries, equipment and all other components of their businesses, their incomes are tightly controlled through Schedules of Benefits negotiated between Health Ministry number crunchers and provincial physician associations. These schedules list the allowable fees for thousands of medical services, and they are not guidelines. They are firm and procedure-specific. No ‘balance’ or extra billing of patients is permitted, and private insurance for those services is banned, although two-thirds of Canadians have some private insurance for supplemental services such as drugs, eyeglasses, dental services and some elective items such as cosmetic services.

For over 139 years, the Ontario Medical Association (OMA) has represented doctors in the province, but for five years has been unable to win a Schedule of Benefits contract from either the previous Liberal government or the current Conservative one. And the troops are restless.

Dr Brian noted that he has had to advise young potential recruits to move to other provinces where they would get paid more and taxed less.

In 2017, the executive committee of the OMA was pressured into resigning after a no-confidence measure against its proposed contract with the provincial government was passed by the association’s 260-member governing council. That contract offer would have provided an annual 2.5-per-cent increase to Ontario’s physician services but was criticised as not sufficient to keep up with inflation and other physician attrition issues.

In the meantime, several groups have splintered off from the OMA, among them the Concerned Ontario Doctors – composed mostly of frontline, primary care and family physicians advocating a reduced bureaucracy, a stripping down of the health system to a more lean and efficient mechanism that puts patients first and addresses the problem of physician burnout (early retirements are rampant) and high suicide rates.
Said Dr Kulvinder Gill, President of Concerned Ontario Doctors: “Today we are in the midst of the worst healthcare crisis Ontario has ever seen... this did not happen overnight. It is the result of years of complete and utter neglect and gross mismanagement of our once great healthcare system.”

Specialists too have torn away from the OMA to form their own Ontario Specialist Association, believing they can do a better job of representing their interests vis-a-vis government negotiators.


the average Ontario doctor billed $348,000 in the 2017-2018 fiscal year


Negotiations turn ‘hardball’

In 2018, partly to bolster its assertion that Ontario’s physicians’ wages were more than adequate, the Health Ministry released earnings data on the top 100 physician billers to the Ontario Health Insurance Plan (OHIP), and then followed up with the names of 518 physicians who billed more than $1 million.
The reaction of physicians (and their advocacy organisations) was predictably curt – emphasising that many of those individual bills actually covered group-type practices billed under lead physician’s names – however, the doctors and other professional and clerical staff weren’t listed on these. Such billings also accounted for the cost of facility rents, equipment, pensions, and all of the overhead operating costs of running a business serving thousands of patients.
The OMA emphasised that the Schedule of Benefits needed to be totally updated, that they were complex and confusing with more than 7,000 different, often arcane, billing codes.

To roil the storm waters even more, the politically left-leaning Toronto Star – Canada’s largest circulation newspaper – won a freedom of information action against the Health Ministry, gaining online access to the billings data for all 30,167 doctors who received fee-for-service payments from OHIP in 2017-2018, and made them accessible through its website (just please contribute to the paywall first). All that Star subscribers have to do is punch the doctor’s name into their laptop and there it is, bold as brass: how much their friendly obstetrician or family physician ‘made’ last year.
To give it its dues, the Star did mention that the total billings shown were not the same as income, that there were overhead costs such as rentals and staff to consider. But despite that footnote, the damaged was done,
and even reinforced, when Ontario Health Minister Helena Jaczek confirmed to media that the average Ontario doctor billed $348,000 in the 2017-2018 fiscal year**.

Ever since medicare was enacted in Canada in 1966, when federal legislation pledged that the financing of provincial healthcare plans would be cost-shared by the provinces and Ottawa on a 50:50 basis (a pledge long since abandoned by the feds in favour of a contorted system of tax point trade-offs), tensions between the care providers on the front line and their paymasters have continued to intensify, becoming ever more turbulent. But, quite astonishingly, even as those tensions proliferate and access becomes more limited, poll after poll shows that the vast majority of Canadians love their medicare. In fact, 94 per cent consider it a source of national pride***. Go figure. ■

References:


* Estimates from CIHI
** www.cbc.ca/news/canada/toronto/concerned-ontario-doctors-legislature-news-conference-neglect-health-care-1.4602728
*** Association for Canadian Studies


This article originally appeared in
International Hospitals & Healthcare Review | February 2020 READ FULL ISSUE

Milan Korcok is a national award-wining medical writer who has been covering international healthcare activities and trends in Canada, the US and abroad for many years. He has long served as contributing editor to the Canadian Medical Association Journal and the Journal of the American Medical Association. He is a founder of – and has served as editor of – the US Journal of Drug and Alcohol Dependence; a founder of the Travel Health Insurance Association of Canada, and currently serves as contributor to ITIJ
Does the eruption of the White Island volcano spell the end for ‘volcano tourism’?

Publishing Details
Travel Insurance
3 Feb 2020
Robin Gauldie
Featured in Issue 229 | February 2020
Overexposure to danger?

Could the eruption of the White Island volcano on 9 December last year spell the end for ‘volcano tourism’? In the aftermath of the tragedy, cruise lines and travel insurers may be considering their position on cover for such activities. Robin Gauldie asked industry experts for their take on the issue

The unforeseen eruption on a tiny, privately owned volcanic island just off the coast of New Zealand killed 17 people, including tour guides and cruise passengers. At the time of writing, 13 people were still in hospital with severe burns, and two remained missing.

Regular visits

Volcano tours are popular shore excursions for cruise passengers. Most of the 47 people on White Island at the time of the eruption were passengers from the Royal Caribbean vessel Ovation of the Seas, several of whom were among the fatalities. Soon after the incident, Royal Caribbean announced that it had suspended all tours of active volcanoes.

Small, slumbering volcanoes like White Island, as well as awesome giants from Hawaii to the Mediterranean, have become magnets for a wide range of visitors

Despite the highly publicised event, most ‘volcano tourism’ remains an acceptable risk, according to travel insurers. Deciding when visiting a volcano becomes a foreseeable hazard, though, is made trickier due to the lack of an internationally accepted system of eruption warnings. Nevertheless, small, slumbering volcanoes like White Island, as well as awesome giants from Hawaii to the Mediterranean, have become magnets for a wide range of visitors.

Package holidaymakers and cruise ship passengers swim happily in sea heated by undersea vents and wander among volcanic rocks at Nea Kameni, an islet off Santorini, one of Greece’s most popular holiday islands. Perhaps they’re unaware that Santorini’s spectacular, sea-filled caldera was created around 4,000 years ago by an apocalyptic event that destroyed Europe’s first civilisation, or that Nea Kameni last erupted as recently as 1950. Or perhaps that’s part of the thrill.

Also in Greece, day-trippers in search of an exotic setting for an Instagram selfie troop to tiny Nissiros, close to the popular resort island of Kos, to discover a dormant crater filled with bubbling, sulphurous mud pools. In Italy, Vesuvius and Stromboli – which has been in continuous eruption for almost 90 years – attract thousands of visitors.

Volcano Discovery, a specialist tour operator based in Germany, features ‘adventure guaranteed’ trips to volcano destinations such as Stromboli, Santorini, Krakatau in Indonesia and the remote Kurile Islands off Russia’s Pacific coast. Insurance provided by World Nomads is offered on the operator’s website.





Still insurable
Despite recent events, World Nomads spokesperson Phil Sylvester does not believe volcano tourism is likely to become an uninsurable hazard. “We discussed this in the immediate aftermath of the White Island tragedy,” he says. “We came to the conclusion that we have sufficient safeguards in place from a risk point of view, considering licensing of operators, warning and alert systems and, ultimately, the obligation on insureds to not take ‘unnecessary risk’.”

Sylvester draws comparisons with other activities that may appear hazardous, but are in reality low risk. “Consider bungee jumping, which was also popularised in New Zealand,” he says. “If you tied a bunch of elastic bands to your legs and jumped off the roof of your hotel, I can confidently predict no insurer would entertain a claim. But if an insured with appropriate cover turns up at a provider who has passed safety audits and consequently holds a license to operate, follows all their safety procedures, takes directions from their staff and doesn’t do anything stupid, it is highly unlikely that any harm will come to them, and if it does it would be ‘unforeseen’ and extraordinary.”

For those visitors to White Island, the criteria above seem to have been met. Sylvester said to ITIJ: “The operator was licensed, safety equipment was used, a trained guide accompanied all visitors [and] the eruption alert was below the level which would have precluded a visit.” He added: “Perhaps official inquiries will recommend that the criteria for future visits to volcanoes need to be tightened, which would seem prudent as any loss of life is truly terrible. If the threshold for volcano tours was lowered, our current test for extending cover would remain effective,” Sylvester confirmed.

The reputation of travel insurers could be damaged, he added, if the industry were to take a more draconian approach to such cover: “The public already eyes the product disclosure statement (PDS) and policy wording with suspicion. While adding clauses may help insurers manage risk, it is very likely to add to ambiguity and confusion for the end user. It is important for insurers to strike a balance between managing risk and providing a great customer experience.”

Kasara Barto, Public Relations Manager at US-based travel insurance comparison website Squaremouth, agreed that a measured approach is appropriate: “It would be unlikely that insurers would exclude coverage for dormant volcanoes outright,” she said. “However, once an event occurs, or becomes known or expected, providers will no longer offer coverage for that event on any policies purchased after that date. [So] while insurers probably won’t exclude dormant volcanoes specifically, they can stop providing coverage for losses related to a volcanic eruption once it becomes ‘foreseen’.”

The general exclusion in travel insurance policies around the world for foreseen events, noted Barto, can be applied to a volcanic eruption. “An example of this wording is: ‘any issue or event that was not anticipated or expected and occurs after the effective date of coverage’.”


Tourists killed and injured in New Zealand volcano eruption
A volcano eruption in New Zealand has killed at least five people, while 18 have been injured and several others are reported missing
9 Dec 2019
Lauren Haigh

Risk assessment

Managing and assessing risk is tricky when it comes to volcanoes, though. Predicting eruptions is not an exact science, even in comparison with monitoring events such as hurricanes, blizzards and avalanches.

Writing in online publication The Conversation in the aftermath of the White Island eruption, Shane Cronin, Professor of Earth Sciences at the University of Auckland, New Zealand, pointed out that such explosive hydrothermal (steam-driven) eruptions can happen without warning and are much harder to track using existing monitoring systems than a magma eruption, such as those seen in volcanoes such as Vesuvius, Stromboli or Hawaii’s Mt Pele (all of which are also popular volcano tourism destinations). Once a hydrothermal event is underway, those nearby have only minutes or even seconds to react, Professor Cronin stated.

Vulcanologists also point out that each volcano is unique, so monitoring all the world’s potential volcano tourism sites seems an impossible dream. Nor is there a standardised worldwide system of alert levels.

New Zealand’s GeoNet monitoring service operates a five-rung volcanic alert system system, from level zero – indicating no volcanic unrest – to level five, indicating a major eruption. GeoNet’s volcanic alert bulletin of 3 December (six days before the White Island eruption) placed White Island at level two: ‘moderate volcanic unrest’.

Should the industry create a risk assessment process down to specific volcanoes? No.

White Island is not the only volcanic incident to cause tourist deaths in recent years. In September 2014, 63 hikers were killed when Mount Ontake in Japan erupted.

Japan, a densely populated island nation with more than 100 active volcanoes, has the world’s most sophisticated – and plain-spoken – volcano monitoring system. On the Japan Meteorological Agency’s five-level scale, level one indicates potential for increased activity. At level two, a ‘near crater warning’ kicks in, instructing ‘do not approach the crater’. Presumably, therefore, insurers would regard any advisory above level one as indicating a ‘foreseen risk’.

The US Geological Survey’s (USGS) alert system, by contrast, is fuzzier. Level zero or ‘normal’ indicates a ‘non-eruptive state’; level two or ‘advisory’ indicates ‘elevated unrest’; level three or ‘watch’ indicates ‘increased potential of eruption’; and level four or ‘warning’ indicates ‘hazardous eruption imminent, under way or suspected’. Insurers erring on the side of caution might look at the USGS’s level two as uninsurable. Even those with a higher appetite for risk would probably balk at level three.

Disparate as they are, various national vulcanism monitoring and warning systems have one thing in common: their priority is preventing mass casualties by providing timely evacuation warnings to residents of cities in the shadow of active volcanoes, such as Popocatépetl, 40 miles from Mexico City, or Taal, a similar distance from Manila, capital of the Philippines. Both erupted powerfully in January 2020, with thousands of residents forced to flee.

But, compared with safeguarding the lives of tens of thousands of people living near major volcanoes, monitoring small and remote locations that are visited by comparatively tiny numbers of tourists is a relatively low priority for national warning systems.

“Volcanoes have always been dangerous and there are different levels of risk, but travel companies are exploring their destinations as the demand for new experiences grows,” says Greg Lawson, Head of Travel Insurance for UK-based Collinson Group. “Where demand grows, niche travel and insurance industries will adapt as they did for climbing Mt Everest, for example. Should the travel industry ensure it can deliver such activities safely and transparently? Yes, it should. Should the travel insurance industry keep an eye and review claims impacts? Yes. Should the industry create a risk assessment process down to specific volcanoes? No.”





Culture of recklessness?

Media coverage of the White Island eruption also homed in on New Zealand’s government-run accident compensation scheme, which pays for medical treatment for New Zealanders and visitors injured in accidents of any kind. The scheme effectively blocks the accident victim from launching a negligence suit against other parties, including tour operators. Some sources credit the scheme with fostering New Zealand’s transformation into a world leader in ‘adventure experience’ tourism – and arguably fostering a culture of recklessness among adventure tourists. Insurers rebut that claim, though.

Activities that verge on the reckless remain a niche pursuit, says Sylvester of World Nomads. “We continue to cover more than 130 adventure activities, but some of the most daring, like wing-suit flying, remain outside the ambit of our cover,” he told ITIJ. “There has been growth in ‘soft adventure’ activities. There has also been related growth in safety standards imposed on providers by legislation and self-regulation. The early days of cowboy operators with dubious safety standards are long gone.”

A case in point, Sylvester says, is Vang Vieng in Laos, which became notorious after a series of fatal accidents involving river tubing, rope swings and waterslides, before local authorities clamped down on ad-hoc operators.

Collinson Group’s Lawson concurs, but says not all destinations live up to the standards set by countries like New Zealand. “There are two key influences on people’s growing approach to adrenaline/adventure travel,” Lawson said. “The first is that travel companies are increasingly moving away from typical beach/winter/city holidays and their inventory now often reflects new and exciting opportunities – itself a challenge when marketing to generations that have increasing disposable income and ability to travel. They have a greater reach of destinations and a growing market wanting to stretch their ambitions.

“Certain countries have understandably capitalised on the tourist attractions that exist in their region and, not surprisingly, that creates demand, even when there is an element of greater risk. Whilst some countries can show that their provision for such attractions has been supportive, such as New Zealand, others have maybe not got the same infrastructure in place when things go wrong.

“The other key driver is that we are in a social media world where showing people what you are doing, and where you have been, is a major part of the holiday. This has clearly driven people to push the boundaries. As an industry, all we can do is continue to monitor cause of loss, adjust our rating where we have to pay claims, but also ensure that our longstanding clauses of needless exposure to risk are translated at the point of sale into simple language – if you think it’s dangerous, and you still do it, don’t be surprised if you get hurt and need help. If you haven’t thought about travel insurance, don’t be surprised if that help costs.” 




This article originally appeared in

Issue 229 | February 2020READ FULL ISSUE

STORM CIARA

UK battered by 100mph winds, as Met Office warns of more to come

IT IS ALSO BATTERING EUROPE 

VIDEO
Storm Ciara: UK faces 'storm of the century' as winds up to 90mph and torrential rain hit
https://www.thesun.co.uk/9f1b347e-5c4d-45e1-9b14-1d127507acb4




PLANE PANIC 

Passengers scream and ‘throw up’ on Storm Ciara terror flight as plane fails FIFTH landing in Amsterdam

VIDEO
https://www.thesun.co.uk/a5e62a5d-7ad7-49f2-82f6-fed52ca1362e
The short clip shows the plane rocking and jolting as it was buffeted by the strong winds from Ciara, known as Storm Sabine in Europe.
At least one woman can be heard crying hysterically and calling out “Oh my God!” in the dimly lit cabin.
Other passengers were reportedly screaming and throwing up in an ordeal that lasted almost an hour.
Eventually the pilot aborted the landing and returned to Madrid.
Passenger Mark Haagen told RTLNieuws: “We made a restart five times at Schiphol but we were unable to land.
“People screamed and were puking.
“The turbulence was enormous, everything vibrated and went back and forth. The luggage flew back and forth.
“The pilot stopped the landing twice at the very last moment and we took off again at 150 meters above the runway. Really not cool.”
Mark, of Kamerik in the Netherlands, was returning from a weekend in Madrid with two pals.
He added: “I think it is strange at all that we were allowed to fly with this weather.
“The communication from the cockpit was pretty lousy.
“I saw on a screen that we were returning to Madrid after five attempts to land. We did not know where we were.”
Flight tracker data shows the 787 Dreamliner made its first landing approach into Schiphol around 5.10pm local time.
It flew as low as 900ft, repeatedly climbing and circling Amsterdam before descending again.
After the final attempt at 6.05pm the plane climbed and headed back to the Spanish capital where it landed at 8.10pm – five hours after it took off.
Air Europa said: “Flight UX1093 from Madrid to Amsterdam couldn’t land at Amsterdam airport due to bad weather and returned to Madrid.
“Passengers were attended to at all times, accommodated in hotels, and alternatives to reach their destinations the day after were managed by our staff.”
There were around 300 on board the Air Europa 787 jet


The hammering gale-force winds of Storm Ciara are on full display in a southern UK seaside town, where they are causing a huge crane to spin around.


Dramatic video shows Storm Ciara spinning building site crane like a top

Dramatic video shows Storm Ciara spinning building site crane like a top

The hammering gale-force winds of Storm Ciara are on full display in a southern UK seaside town, where they are causing a huge crane to spin around.
A yellow crane at a building site in Worthing, West Sussex was seen rotating freely in the wind as 41mph gusts battered the south coast.
Normally a solid presence high above a 141-home development on the seafront, Sunday’s storm has turned the crane into a spinning top.
Sussex Police said they had received several reports about the whirling crane but confirmed there is no cause for concern as it is designed to move with the wind.





The crane at a building site in Worthing, West Sussex which is rotating in the wind (Michael Drummond/PA)
The crane at a building site in Worthing, West Sussex which is rotating in the wind (Michael Drummond/PA)

The force said on Twitter: “Sussex Police have had a number of reports about the crane on Brighton Road Worthing turning in the high winds.
“Sussex Police have been in contact with the developers and the crane’s safety mechanism is designed to let it move in the wind.”
Here in Ireland, Met Éireann has lifted a status orange wind warning but high winds remain and there's a cold-snap on the way.
The forecaster has replaced the orange wind with a status yellow warning - with strong winds of up to 110km/h promised along the west coast until midday tomorrow.
A status yellow snow and ice warning has also been issued for the whole country for Monday and Tuesday.


Storm Ciara lashes sports events across Europe



Issued on: 09/02/2020


Paris (AFP)

The unusually high winds that Storm Chiara blew up on Sunday played havoc with sports events across Europe as football and rugby matches were cancelled and a London road race was called off.

Top tier football matches in Germany, Belgium, the Netherlands and England were called off as 140kmph gusts (87 mph) were recorded.

Manchester City's Premier League clash with West Ham was among the more high profile events called off as howling winds disrupted transport links and travellers were advised only to make journeys if absolutely necessary.

The women's Six Nations clash between Scotland and England was also postponed after Saturday's Calcutta Cup clash between the two countries' men's teams in Edinburgh had been marred by terrible conditions.

Much of France was lashed by the storm Sunday but all three Ligue 1 matches were played, as was the blustery Six Nations rugby clash between France and Italy at the Stade de France outside Paris.

A 10km London road race was also called off due to the weather as the 25,000 expected runners were advised not to travel.

Storm Ciara did help one new record get set, but not in sports.

A British Airways 747 set the fastest flight by a conventional airliner from New York to London thanks to powerful tailwinds.

The flight took off from John F Kennedy airport and had been scheduled to land at Heathrow at 0625 GMT on Sunday, but arrived 102 minutes early at 0443 GMT.

© 2020 AFP