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Medical abortion drug available at no cost in Alberta

Earlier this year, a potentially life changing prescription drug arrived in Canada called Mifegymiso. What is Mifegymiso? With a name as complicated as it sounds, the drug follows a lot of controversy. It is the medical abortion pill that can terminate a pregnancy for up to 49 days following conception.

Women are slowly gaining access to more reproductive choices and on Monday, it was announced in Alberta that this pill will receive universal coverage, which means it will be free.  Alberta is the second Canadian province to approve universal coverage, following in the steps of New Brunswick. The new policy in New Brunswick also led to a change in abortion access.

Mifegymiso has been the choice drug for medical abortions for over 30 years and it was approved for use by Health Canada in July 2015, following an application time of three years. It became available in January 2017 for a cost of $300 and physicians are required to complete a training program before prescribing. In April 2017, New Brunswick approved coverage and now Alberta has joined them in July 2017.

The idea behind universal coverage is to remove financial barriers and allow women complete freedom over their reproduction choices. It also allows access to rural parts of Canada, where it is more difficult to access reproductive health care services due to the lack of physicians and skilled workers operating clinics.

Sandeep Prasad, the executive director for Action Canada for Sexual health and Rights, remarked that Alberta has shown great leadership in implementing universal coverage of the drug, and hopes it will  motivate other territories. “They have demonstrated that cost coverage is both necessary and possible, she said in a news release after the Government of Alberta announced their decision. “That is why we expect all provincial and territorial governments to commit to cost coverage programs of at least the same caliber as Alberta’s before the health ministers’ meeting in the Fall of 2017.”

Abortion is legal in Canada and in the province of Ontario, but there has been no amendment to covering the cost of Mifegymiso, but many expect the cost to be covered in this province by the end of the year as mentioned in the last budget.

Free Mifegymiso does not mean that the process is simple, as women are still required to do ultrasounds first before taking the pill so that doctors will assess if the candidate can undergo use of the drug. The pill is only available through prescription by your doctor.

City council approves transit network plan

As a reporter, I love covering City Hall. But, sometimes it can get frustrating — for example, when it takes nine hours of discussion before a decision can be made surrounding a transit plan that has been on the table for over a year.

City Council voted Tuesday to go forward with the “motherlode” Transit Network Plan and approve a deal made with the province that will see them contribute approximately $11 billion towards transit. This includes $3.7 billion for Regional Express Rail (RER) and $7.84 billion for Light Rail Transit (LRT).

The problem? The city was not prepared to carry their weight of SmartTrack. This agreement would see the city contribute $3 billion of their own funding towards the project (or $2 billion if the federal government pitches in). Toronto will also be responsible for day-to-day-operations and maintenance of the Finch West, Sheppard East, and Eglinton Crosstown LRTs.

Mayor John Tory had to remind council a number of times that the deal with the province really does benefit the city, saying that if the province had meant to pay for everything, they would have had a parade and used it as an election campaign issue.

“The number one thing they want me to do is ease the strangulation that has taken place in this city as a result of traffic congestion and the number one way you can do that is build public transportation,” Tory said to reporters half way through the meeting.

This transit network has been a continuous source of political capital for city councillors, which is why staff divided the funding discussion into two parts in hopes of making the decision easier. During this particular council meeting, councillors were simply voting to approve the negotiations between the province and the city, and committing the city to continue their work. Staff will then return with the exact costs and details of construction for each project.

The second discussion will be about revenue tools — how exactly will Toronto pay for transit? Will they have to raise property taxes? Will they have to find cuts somewhere in the budget? This discussion will happen in December or January and is sure to be just as lengthy, if not more so.

However, this did not stop a number of councillors from using this time to try and amend the motion to squeeze as much as possible out of the province. Staff warned that by delaying the provincial negotiations, it could result in the province completely reneging on the agreement. As City Manager David Wallace pointed out, Toronto needs to make an investment and they need to do it now.

There were a number of councillors who were concerned about making that investment, saying that approving a plan before knowing how the city was going to pay for it was irresponsible. While I can admire their tenacity and commitment to the budget, city staff, as well as the Toronto Transit Commission, have reached an agreement that appears to be quite fair. By continuing to delay the building and construction of necessary transit systems, council will ultimately ruin all the hard work city staff have put into building an integrated transit network to begin with.

The solution seems simple: instead of complaining, be creative and start to come up with ways of creating revenue without raising property taxes to the extreme. I’ve previously suggested the use of tolls, something I firmly believe would help raise the much-needed revenue for transit. Not only would it unlock gridlock on our congested roads, but the money could be earmarked for SmartTrack specifically!

Toronto NEEDS transit, and if at all possible, it would be great if part of it was finished in my lifetime. Let’s stop the bickering and start to think of real solutions to the city’s gridlock problems.