Opinion

Alberta's Soviet Meal Deal

To know why an oil-rich province forces hospital patients to eat thawed slop, meet the man they call The Cookie Monster.

By Andrew Nikiforuk, 24 Nov 2010, TheTyee.ca

SuperBoardVictim

Another victim of the Superboard.

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If you want to know what it's like to live in a petro state, where bust and boom budgets abuse ordinary people, just hear out Marguerite Edwards. She's started a revolution in rural Alberta and God bless her.

The 82-year-old, straight-talking farm girl hails from Oyen, Alberta near the Saskatchewan border. Last March Alberta Health Services positively "irked" her when it introduced a new 21-day standardized meal plan at the Big Country Hospital.

Out went locally cooked food such as roast beef, mashed potatoes and turnips. And in came precooked frozen dinners trucked all the way from a central supplier in Calgary. The new industrial menu included 'pasta and meat sauce' and 'broccoli cheese soufflé.' Just add lots of steam and, well, you get the gooey plastic picture. Many folks couldn't even recognize the crap as food.

The new meal deal for 114 rural hospitals and long-term care facilities is another so-called cost-saving measure by the province's Superboard known as Alberta Health Services. But it's really another sordid metaphor for how things have come undone in a province ruled by one party armed with petro dollars for nearly 40 years.

Let them eat cookies

Two years ago Premier Ed Stelmach dissolved the province's nine regional health authorities and created one big centralized agency to ostensibly save money. Health care, after all, represents 40 per cent of the government's budget. But centralization and concentration of power, the hallmark of petro states coping with volatile oil revenue and even more volatile government spending and cutting, hasn't saved a penny. Now Canada's wealthiest province is running a $5-billion deficit and its health care system is in free fall.

The intellectually-challenged Stelmach put an Aussie, Dr. Steve Duckett, in charge of the Superboard. In Alberta, they call Duckett the Cookie Monster. That's because of a now famous incident when journalists dared to pose a few fair-minded questions to Duckett and he repeatedly rebuffed them by saying: "I'm still eating my cookie." (The exchange is now a YouTube sensation.) Duckett, a professional itinerant economist, now makes approximately $800,000 a year piloting a Titanic-like $15-billion health care system that increasingly has little to do with health and everything with power (the high spending Saudi government hires foreigners to run essential services too.). When not greedily consuming cookies, Duckett peppers his talks with incomprehensible jargon such as "discount outlier days" and "low trim cases."

Ever since Duckett came aboard, the system has screwed people with economic precision. Alberta's emergency rooms have nearly collapsed due to over crowding (one patient committed suicide while waiting for care) while bonuses for Duckett staff have moved ever upward. (Raj Sherman, a Tory MLA and ER doctor was summarily dismissed from Alberta's Tory party this week for noting the system was broken. Petro states can't tolerant dissent let alone lame truths about how badly they spend petro dollars.) And, now courtesy of the Cookie Monster, rural seniors get to eat frozen "rethermalized" slop, instead of home cooked fresh meals. Oh, the paradox of plenty.

The plan to centralize food production for rural hospitals and long term care facilities came without warning like all bad news. "It was all hush, hush," says Edwards, a member of the Oyen and District Seniors Association. But farmers know a bad plate of food when they see one. The entrees or "high quality product options" were barely recognizable; the fruit wasn't fresh and the meat was so rubbery that many elders couldn't slice it up. "It was absolutely ridiculous," charges Edwards.

Meals on Wheels patrons also voted against the "cat food" and went back to tea and biscuits, adds Edwards. "We had good cooks here. This plan upset the whole town." Prisoners eat better than this, fumed the feisty elder. "Seniors deserve better. They are not criminals," she wrote in an angry June letter to the government.

But Edwards didn't get a reply until four months later in September. It seems that officials in a petro state are just too busy eating cookies these days. "And the letter was all words with nothing in it."

Cooks in exile

Meanwhile the apparatchiks at Alberta Health Services replied to the growing revolt against their Stalinist food system with extraordinary bafflegab. Judy-Ann Wybenga, director of food services north for Alberta Health Services, for example, defended the new meal plan as the best way to provide "safe, sustainable food service model in facilities." Wybenga, who holds a "Green Belt in Lean Healthcare" from the Leading Edge Group, also said that 21-day cycle would also "avoid menu boredom."

But the proud citizens of Claresholm never had a problem with menu boredom because their prized health care facilities served home-cooked meals. Last summer the 21-day meal plan summarily put local chefs out of work at the Willow Creek Community Care Centre and caused an uproar. Old folks used to wait with delight for carefully prepared meals. Now they dread the tasteless and odorless rations from the Superboard. Many families bring in food for elderly parents despite a three per cent rate fee hike in long-term care facilities, perhaps to pay for centralized food delivery.

THE RISK IN OIL RICHES

"Oil revenues are the catalyst for a chronic tendency of the state to become over-extended, over-centralized, and captured by special interests. In general, oil rents permit incapable state institutions to endure and ineffective policies to persist considerably longer than in less resource rich countries." -- Terry Karl

Rita Burton, a former 74-year-old retired Claresholm nurse, sampled the frozen meals and declared them "awful." She read the menu and nearly fainted. Frozen, thawed and steamed liver and onions ("Well, that will be really tasty"). But the "meatless meat balls" had her dumbfounded. "Why are we serving meatless meatballs in rural Alberta, the home of beef?" She's been writing letters ever since. "I'm a cranky old woman."

Glen Alm, a rancher and local councilor with the Municipal District of Willow Creek, also sampled the new food and wasn't impressed. "It's not good enough for someone who is going to be in a long term care for the next ten years of their life. . . These people don't have any advocates. Why is AHS going to the lowest common denominator in service?"

The rebellion grows

From Claresholm the revolt for decent food spread like fire to the town of Vermillion. There agents of the Alberta's fearless Cookie Monster squashed a church group that regularly prepared homed cooked meals for patients on specific days. Their standards were obviously too high and their food too tasty. Even a major Alberta Health Service consultation report tellingly reported the state pogrom against local food on September 16th:

"This community partnership has been cancelled, and instead a 21-day standardized menu has been put in place throughout the system. People spoke out everywhere about this decision. They talked about the loss of local jobs, loss of cultural food choices, inability to buy local fresh food—the loss of quality is a most basic quality of life issue."

In Jasper, seniors at the Alpine Summit Seniors Lodge soon joined the clarion call for a return to quality. Even the fruit comes prepackaged except for the occasional pineapple, lamented the elders. As one resident put it: "It's all about central buying and we're at the end of the line." Moreover the pre-cooked eggs possess a surreal consistency. "I call them rubber balls and you can bounce them on the floor," Don Hayes told the local paper, Fitzhugh.

Another rebellion continues to sweep through northeastern Alberta. In St. Paul, Edith Read, a 67-year-old president of the Alberta Council on Aging for Region 2, attacked the sordid food plan as uneconomic, unfair and just plain stupid.

In a stinging article for the Alberta Council on Aging, Read spelled out the unhealthy character of a centralized food supply. "If there is contamination at the source then everyone in the 114 facilities will become ill. Also the vendor in an effort to make a profit will buy from Mexico and China" or places that do not have regulated food standards. Somehow this sort of common sense escaped the Cookie Monster and his high paid health experts.

Nor does prepackaged and frozen food make any sense economically. "When you consider that almost all the kitchen staff is needed to reheat and prepare this food," says Read, the kitchens are still costing money to operate. In addition "transportation and shipping costs are high, the cost of reheating and freezing is high, and wastage in small facilities as a result of bulk buying is huge." In fact the AHS 21-day menu is a great way to keep landfill sites bursting with plastic containers, tin foil and inedible food.

The Cookie Monster's bureau

Last but not least the centralized food service system at the Superboard boasts five levels of bureaucracy. There is an executive vice president who reports to the Cookie Monster; a vice president; a director for north and south regions; more regional managers and then site coordinators for every three or four communities. "And they're saying they are saving money?!" asks Read incredulously.

The totalitarian nature of the plan also sickened Read. "Residents who have complained have been told that trouble makers will be evicted, so many of them are intimidated and afraid to complain."

Last September Premier Stelmach reluctantly tasted the frozen slop. Even the Ukrainian autocrat had to admit it was "terrible," as Read put it. Shortly afterwards the province ordered an investigation. Alberta Health Services then hired an Oakville, Ontario based Food System Consulting Inc. to do a review because what petro state would want to listen to non-oil producing seniors.

This week the Cookie Monster gang reported that seniors "living in health-oriented facilities told us they want food that is nutritious and reminds them of home." But they won't get it. No local cooking in Alberta. The Soviet meal plan still stands. But now it will be led by an Executive Chef which means more petro dollars for the Superboard. The news release reads about as tiresome and as dishonest as a cocaine deal in Fort McMurray.

Shockingly, the Soviet meal deal openly contradicts the very advice offered by the Superboard in its splashy and opulent magazine called Apple. (Petro states often mistake propaganda as a form of communication.) In the November issue, an article on family health champions home cooked meals as the number one way to stay well. All the frozen stuff is just too high in salt, fat and sugar. "Cooking from scratch is beneficial because it provides a well balanced diet with variety and an appreciation of where food comes from," advised dietician Samara Felesky-Hunt.

But obviously that sort of recipe for common sense shouldn't be served to the rural Albertans who built the province. So an incompetent government that now makes as much income from gambling and alcohol sales as it does bitumen production, has condemned its most defenseless citizens to macaroni and cheese in bags, cans of Campbell soup and meatless fucking meatballs all supervised by an Executive Chef at the Superboard.

Of course there might be some method in the madness. Perhaps the Superboard is on the payroll of laxative companies or coffin makers. Or maybe the Superboard has concluded that the best way to eliminate emergency waiting lines is by simply killing off the weak, old and the infirm with bad frozen food in the first place.

'We've lost local autonomy'

Although Tory politicians have now tasted the industrial slop and read a consultant's report confirming the badness of the situation, nothing has really changed, laments Read. The governments of Kuwait and Qatar aren't fond of accountability either. "It's all part of the concentration approach with the Superboard and that attitude we know what's right for you. We've lost local autonomy," says Read.

Meanwhile long-term care facilities in Kelowna, B.C. have adopted something called "the neighborhood philosophy." Guess what: they abandoned the Soviet model and returned to cooking local food on site. The new approach creates less food waste and records huge energy savings. Patients are even smiling again. Fortunately, these facilities aren't run by a centralizing Cookie Monster with petro dollars in his pocket.

In addition to restoring neighborly thinking, Read has another novel idea. And Marguerite Edwards thinks it's a good one too.

"Perhaps everyone who works for Alberta Health Services should eat this 'nutritious' food for the rest of their lives and pay for it as residents in long term care do as part of their accommodation fee." And all the MLAs at the legislature too.

But until the province starts running on taxes as opposed to volatile oil revenues or sets up responsible stabilization fund as recommended by the CD Howe Institute or seriously invests in smart democratic public policy development, Alberta's dysfunctional petro will continue to centralize and concentrate and thereby abuse the elderly, the weak and the poor. And why? To enrich Cookie Monsters from Australia.  [Tyee]

31  Comments:

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  • KWD

    1 year ago

    why stop there?

    What I don’t understand is why the Alberta Health Services didn’t go one step further and pelletize the meals. It’s a cost cutting meausre that seems to work well for other enterprises, like poutry, pig, cattle and fish farmers, that are concerned about efficiency and cost cutting.

    Just think of all the secondary advantages: completely eliminate the kitchen staff; a drastic reduction in santitation, water and energy costs; and even greater reductions in system maintenance costs.

    And just in case there was concern over “client” dissatisfaction, the Health Serice could add the approriate psychotropics and hallucinogens. Pipe in a little candle-light music, gourmet kitchen aroma to go along with the Soma, put some exotic travel movie on the big screen and the problem is solved.

  • doggone

    1 year ago

    Saw the video on "Rick Merser Report"

    Now these politicos are putting comedy writers out of work.
    Good article.
    My wife and I worked in an hospital in R.S.A. in the late '90s as the "Calgary Model" was being refined there.
    She came back to work for B.C. health ("They change their names so often") and lamented as this so called 'system' was implemented here.
    As the jumper from the 32 floor high rise was heard to exclaim as he plummeted past the 16th floor:
    "So far so good!"

  • demotto

    1 year ago

    Sounds a lot like

    Soylent Green is not far off

  • Skywalker

    1 year ago

    Isn't this what we do in B.C.

    I thought we had this debated on "thermalized" or whatever slop served in hospitals in B.C.. Or was that just for those beyond Hope?

  • Skywalker

    1 year ago

    Here's an idea.

    Serve the stuff at the Alberta Legislature cafeteria for a month and how many of the folk will be bringing in boxes of cookies because the need something tasty to eat.

  • VivianLea Doubt

    1 year ago

    cookies...

    don't come in boxes, although the one that Duckett was eating appeared to. Cookies take only minutes to prepare and bake...

    Yes, we have done largely the same thing in BC, and the food is absolutely atrocious: the worst quality, no taste or flavour, and the potential for disease outbreak concentrations astounding. Does anything get more political than food?

  • shepsil

    1 year ago

    Corporate human feedlots!

    Good article. One of my relatives works for the Compass Group in the US, (based in Britain). Their customers range from MicroSoft to prisons, hospitals and they were even doing work in Iraq. No doubt, they started with the usual 'business sense' to cut costs by buying in bulk and constantly reducing costs.

    They come in and simplify everything for a 'very reasonable' cost/meal based on so many million meals. The bureaucrats, that only care about reducing costs, believe they have nothing to lose.

    We have now become like cattle in massive human feedlots for the corporate world to profit from. The only upside here is that the food being eaten will likely put most consumers permanently out of their misery before their time!

  • cactus

    1 year ago

    kudos to Andrew Nikiforuk

    great article Andrew; I'm choking with f*^%! rage! Mmgmt. consultants....out of touch and out of their depth. The reference to the Leading Edge Group is a crucially important one. We have seen the enemy....

  • RT

    1 year ago

    And so it goes...

    I'm going on a $800,000 cookie binge

  • Loke

    1 year ago

    BC's the Same

    BC has been shipping in food for years now from Alberta for the hospitals. Probably the same stuff as mentioned above.
    The stuff is worse then airline food. My wife was in for five days and by the fifth she was screaming at the nurses that there was no way she was going to eat the stuff anymore and she never screams at people. My 8yr old daughter was in for a day and the doctors and nurses highly recommended I go down the street and buy food for my daughter as there was nothing that they would consider edible for her to eat.

  • Skywalker

    1 year ago

    Yes, God Bless Marguerite Edwards!

    Maybe the reason they do this is so that patients will not enjoy their stay at a hospital and will either want to home earlier or die. I say again let those porkers that make these decisions eat the stuff in the legislative cafeterias and see how long it takes before there are some changes.

  • grapeman

    1 year ago

    The paradox of plenty

    Though I enjoyed the article, I'd really like to hear more about the "paradox of plenty" that Nikiforuk only addresses at the end.

    Alberta's choice of revenue is something we rarely hear about, particularly during the boom times.

  • offended

    1 year ago

    Loke upthread

    mentions that food in BC hospitals is also shipped in from Alberta. True.

    My partner was in the Critical Care Unit in Langley Memorial hospital for a heart condition that could have killed him and he was fed this slop.

    I asked the nurses if he could eat White Spot Burgers while in there and they said it was better for him than the slop in the hospital.

    I've sent a letter of complaint to Fraser Valley Health AND the health minister but heard nothing back. Crickets.

    But they did respond when I pointed out that the system for sending messages to patients in hospital (emails delivered by volunteers) wasn't working because they had the wrong email address on Fraser Health's website.

    Priorities.

  • lynn

    1 year ago

    Packaging and Marketing the Lie

    It only has to look like real food.

    Or like a real hospital....

    Or like a real school...

    Or like real life.

  • Curt

    1 year ago

    Yeah, it's disgusting in BC

    Yeah, it's disgusting in BC as well. And now they want to charge you almost 30 bucks a day for "room and board". (against the Canada Health Act) Speak up, speak out and speak loud! Take it to the media, write letters/emails, placards. Enough of these disgusting politicians who know nothing of human caring.

  • Tigana

    1 year ago

    Aging Granny

    Thanks - great article. Added to resources at the Facebook group "Aging Granny".

  • Keith G.

    1 year ago

    It's a cautionary tale really

    You know, I’m normally the first person to be disgusted by this treatment of the elderly in Alberta but the fact of the matter is these same folks suffering from a lack of decent care spent the last 40 years electing the right-wing governments that they’re now suffering under. I think it’s reasonable to assume that left-leaning socialists would take better care of the elderly than rightist capitalists and oil barons. These folks made their bed with eyes wide open and now they lie in it.

  • reallife

    1 year ago

    Praise for hospital food?

    I do not recall anyone ever praising hospital food that was cooked onsite or otherwise. Insitutional food is just that - always has been and always will be less than appetizing but meets requirements for health and safety. Go to a good restaurant if you want gourmet cooking. Stay out of the hospitals and jails if you do not like the food.

  • Conductor274

    1 year ago

    Shop local

    I believe we should shop local and buy local as much as possible. Especially at places like farmer's markets where local produce is sold. Buy beef from local farmers. That way at least we can eat some healthy food more often.

  • RickW

    1 year ago

    Keith G.

    Quote:
    these same folks suffering from a lack of decent care spent the last 40 years electing the right-wing governments that they’re now suffering under

    Good Point! Unless of course it's only the retired lefties getting the slop........

  • Skywalker

    1 year ago

    Sure reallife

    No user fees when you need to go to the hospital just get all your meals brought and pay for them yourself -if you have somebody to bring them in. In the meantime the politicians can have taxpayer subsidized gourmet meals. Yup, makes sense to some.

    And Keith if the same crap is fed to BC patients and we can't separate patients by political affiliation, will they same opinion apply.

    These mega companies that are given these lucrative contract to make packaged slop for patients are making profits on others misery. I don't care how they voted. Slop is not healthy or nutritious or humane.

  • RickW

    1 year ago

    Skywalker

    Quote:
    I don't care how they voted

    But....if someone voted for a politico who promised to cut government, and make it "leaner and meaner" without demanding HOW, isn't this kind of thing the fallout?

  • whatthe

    1 year ago

    this is what a petro state looks like

    Remember "the race to the bottom?" You never hear that term anymore.... could it be because we have won?

    I dont think so, at least not yet but we are in the lead and when you read this stuff and contrast it the ranting Ezra Levant it seems apparent that we have in some ways reached the bottom but these guys wont rest until we are litterally scraping the bottom of the barrel.

  • edward01ca

    1 year ago

    I Ate At My Mother's Nursing Home

    last Christmas, Central Care Home in Victoria, and the food was absolutely disgusting. I have never eaten such a horrible meal. And, my mother pays over a $1000 dollars/month to stay here.
    As far as Albertans voting for right wing parties, we have done that for a decade here in BC and now Albertans just come to retire in BC. How come they come here when they have to pay HST?? Isn't Alberta the land of milk and honey?

  • RickOshea

    1 year ago

    Let Them Eat Slop

    I am of two minds here...

    On one hand, stupid Albertans (95% of them) voted for these corporate miscreants for decades despite all the warnings in the world that this is where they would end up - so you know - it kinda serves them right to suffer.

    On the other hand - I would not treat my dog this bad if I had one.

  • Skywalker

    1 year ago

    RickW

    As I said or implied. if you could separate those who didn't vote for the miscreants who made the decision to feed sick and old people slop, I might agree with you. Even at that it is still wrong in our society to treat sick and the old like some giant commercial enterprise or like a large pig farm..

  • dorothy

    1 year ago

    Missing the point

    "On one hand, stupid Albertans (95% of them) voted for these corporate miscreants for decades despite all the warnings in the world that this is where they would end up - so you know - it kinda serves them right to suffer."

    But, you know, it was never the intent that what should be taken away was stuff THEY cared about! It was all these OTHER freeloaders who needed to be put a stop to in their freeloading. Never mind that he who digs a grave for another, and so on. We vote to keep our own comfort zone intact against the next guy. Just look at how some people in another thread gripe about subsidizing air care for the cars who need more of it than theirs do. We should all pay our own way for just what we need in this here society, and not have to pay a penny for something needed only by others, then things would be fine. Except, of course, that then we wouldn't have a society, as there would be neither a point nor any reality to the concept. So, I guess that ultimately, these people are using their voting rights to try to eliminate what makes those rights relevant. This is where the fairy tale about having only one wish left comes from...

  • RickW

    1 year ago

    Skywalker

    Quote:
    Even at that it is still wrong in our society to treat sick and the old like some giant commercial enterprise or like a large pig farm

    I have to agree - and extend this to include everyone. But, the people who vote for the governments that would commit such acts of callousness (like Dorothy says) never imagine it happening to themselves, always to someone else. Vindictiveness it seems, is very apparently alive and well and endemic to society.
    Also apparently, we like to vote in governments that operate under the dictate:
    "Kill them all. For the Lord knows them that are His."
    - Arnaud Amalric

  • pwlg

    1 year ago

    charging $30 a day in BC

    Imagine having to charge this fee when just a few months ago the Province of BC was wining and dining the wealthy during their 16 day party, known as the 2010 Games.

    Cost overruns for operations by BC during the Games $450 million, cost overruns for the Trade and Convention Centre $400 million.

    It's about time we acted like citizens of a democracy. In France, there would be the entire population on the streets.

    In BC we have the regional health authorities but they are merely pawns of the provincial system with some Aussies heading up some of the regional authorities.

    The Fraser Valley Authority invested $17 million in Asset Backed Commercial papers, Canada's sub prime mortgages etc. Those papers were frozen and that debt still lingers. Operations curtailed, junk food, emergency rooms built for 1965 population and the list goes on.

    Shame on these parasites who undemocratically lord over our health system.

  • pwlg

    1 year ago

    despite the wealth

    a race to the bottom was predicted...and the bottom we shall be if we continue to let our governments sell us down that dark hole.

    We are but a wallet to our governments and are valuable as long as we are able to keep some coins in them.

    Disposable meals Disposable people.

  • freebear

    1 year ago

    Maybe the food should be served at the next

    G8 and G20 Conference!

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