Election 2018 Toolkit - MS Society of Canada
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E l e c t i o n 2 0 1 8 To o l k i t Ta b l e o f C o n t e n t s 5 Why advocate for people living with MS? 8 What is the objective of the toolkit? 10 What are the MS Society key issues? Supporting Our Caregivers 10 Employment and Income 12 Independent Living 14 Accessibility 15 16 Do you have 30 seconds? 18 How to take action 23 Additional information, resources and support 4
W H Y S H O U L D W E A D V O C AT E FOR PEOPLE LIVING WITH MS? Canada has one of the highest rates of people living with multiple sclerosis (MS) in the world. It is estimated that nearly 40,000 Ontarians live with MS. For the Multiple Sclerosis Society of Canada, Ontario & Nunavut Division, Ontarians living with multiple sclerosis are at the heart of everything we do and that includes advocating for improved services, access to treatments and therapies, enhancing the rights of people living with disabilities, and creating greater supports for caregivers. The provincial election in June 2018 presents an opportunity to be heard on the issues that affect you and the MS community. Our strength is in the number of people affected by MS. The MS community not only includes Ontarians who have been diagnosed with MS, but also their family members, their caregivers, their friends, and their medical support network. The Multiple Sclerosis Society advocates for changes and improvements that affect the MS community directly. However, we also reach out broadly to people living with disabilities, people living with neurological conditions and people everywhere who care for their loved ones. If every one of us takes action, we will help candidates recognize and learn about issues that impact the lives of people living with MS. “Because we are seated [in reference to my Sometimes those working within government and the public service wheelchair] does not mean may or may not be aware of what they can do to make a difference. that we can’t stand up for During this election, join the MS community in voicing our concerns ourselves. A life without and providing practical solutions that can be easily implemented. As obstacles, inconveniences one elected official said, “don’t be afraid to come and ask for things or challenges becomes because you elected us. If we don’t know what you need, we can’t long, boring and uninteresting.” 5 get it for you.” -Denis, MS Advocate
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W H AT I S T H E O B J E C T I V E O F T H E T O O L K I T ? We want to provide members of our community with a resource through which they can learn about the issues that require government support and partnership. This toolkit provides information on how to engage with local candidates during the election campaign and how to share practical recommendations about crucial issues. This toolkit also serves as a quick reference guide that supplies you with information and facts that you can share with people you speak to, whether it be a current MPP, an election candidate, or someone close to you. It is the starting point of change. In the following pages you will find an outline of key advocacy issues, the ‘asks’, and steps on preparing and approaching local candidates in your constituencies. 8
“Being diagnosed with MS presented me with new opportunities. My grandma used to say that ‘opportunity only knocks once’ but that’s untrue. Opportunities are abundant and there isn’t anything we can’t do if we set our minds to it.” - Joan, MS Advocate 9
W H AT A R E T H E K E Y I S S U E S ? There are four issues that candidates need to hear about that will improve the social, financial, physical and mental health of people affected by MS and other Ontarians with disabilities or chronic conditions. The Ask: 1. Improve caregiver SUPPORTING supports through flexible OUR respite programs and CAREGIVERS financial support. Everyone either knows of or is a caregiver. Respite One in five Ontarians is currently providing Funding dollars for caregiver respite must be care and as the population ages, there will implemented in a way that gives caregivers be an increased need of a family or informal more flexibility and control over when and how caregiver. The economic value of caregivers is they use services if such respite is to truly astounding: caregivers who look after seniors provide a sense of relief and a real break from the stresses of caregiving. Many caregivers are save Canada’s health care system between either unemployed, working only part-time or are $24 to 31 billion annually. seniors on low income and even modest charges for respite care are beyond their means. Respite Our current health care system is designed programs be flexible and responsive to the to focus on assisting the recipient of care, unique needs and circumstances of caregivers. overlooking the important role of caregivers. Respite options should build on successful and Candidates should commit to recognizing innovative programs currently being employed – caregivers by providing social and financial particularly well-designed self-directed caregiver support. respite options. Accessibility to respite must be universal and not discriminate on grounds of affordability. 10
Caregiver Allowance The focus of this is to reduce the caregiver’s burden by compensating for their financial loss. An allowance also has the potential to reduce the likelihood for care recipients to be admitted to long term care. A preliminary study of the Nova Scotia’s Caregiver Benefit shows that caregiver benefit has reduced the probability of institutionalization by 56% that would otherwise cost our system approximately 50 million dollars. As the total cost of caregiver benefit is 5.6 million dollars, the Nova Scotia government has saved approximately 44 million dollars from this program. 11
The Ask: 2. Increase the level of income or remove income as a basis of eligibility for income EMPLOYMENT supports such as the disability benefit, & INCOME refundable tax credits and ODSP which SUPPORT currently penalize individuals with MS who want to continue to be employed and receive work-related benefits. Much more is needed from government to help people living with MS and other disabilities stay in the workforce and improve their income support so that they can live independently and fully participate in their communities. Responses to the MS Society’s Listening Survey from nearly 1,500 Ontarians living with multiple sclerosis indicated that almost one third had to rely on financial help outside their personal resources to deal with issues related to MS and almost 50% of people receiving disability benefits found this income was not enough to maintain their quality of life. As well, the episodic nature of MS means that some individuals can only work on an intermittent basis and too many become unemployed as jobs and supports are not flexible enough to accommodate their needs. Many Ontarians with MS cannot qualify for disability-related public or private insurance programs because eligibility is obtained through employment that they are not able to maintain. Individuals are often diagnosed during their working years and are sometimes absent from work on a periodic basis due to the episodic nature of MS. Workplaces still need to endeavor towards better inclusivity for staff and a deeper understanding of the realities 12 of colleagues with disabilities. The MS Society believes that investments need to be made in order to bring awareness to the episodic nature of MS and to train employers on the importance of making accommodations for individuals who want to continue to work.
Some people living with MS continue to work and earn a sufficient income which can disqualify them from eligibility of specific disability related benefits and credits. As their illness progresses, expenses related to their disease put strain on their income and a larger percentage of their earnings go to healthcare related costs. As day to day expenses like housing, equipment, services and other illness-related costs rise, household incomes are depleting quicker than ever before. The MS Society is also in support of the Basic Income Pilot. We hope that those participating in the Basic Income Pilot will not lose access to other essential benefits such as drug coverage, child-care subsidies and any tax credits currently awarded which will continue to be critically required. 13
The Ask: The Direct Funding Program requires further investments that can help provide consistency 3. throughout the program and increase the number of people able to participate. We also INDEPENDENT ask the Government to expand the list of LIVING approved equipment to include items such as hospital beds, shower lifts, and ceiling lifts which will give more people the opportunity to live comfortably at home. People living with MS want to have the opportunity to live independently, ultimately lessening dependence on the healthcare system and other care facilities. This cannot be achieved without at home supports such as equipment that enables their independence, and caregivers that support their day to day needs. Programs like the Direct Funding Program through the Centre for Interdependent Living (CLIT) allows people with MS to live independently and with dignity, giving them more control over their own healthcare decisions. In turn, as more people are able to live independently, pressure is alleviated off of the healthcare system. Such programs are effective in helping more people with MS live at home instead of supportive housing. The Assistive Devices Program (ADP) allows individuals to live independently at home, longer without having to move to care facilities in order to access equipment such as hospital beds or wheelchair lifts as their illnesses progress. At present, the ADP program lacks a comprehensive list of essential equipment and the waiting list to participate in the program is often quite long. 14
The Ask: Ensure Ontario is a completely accessible province by 2025, that 4. information and services are readily ACCESSIBILITY accessible and that all people living with MS has access to adequate benefits and services. Accessibility for Ontarians with Disabilities Act (AODA) Further assurance is needed in regards to adherence and compliance of the AODA. Although some Ontario business and service locations are considered to be accessible, barriers for people with disabilities still exist. The MS Society believes that investing further in arms-length inspections and monitoring of AODA standards will ensure that Ontario businesses and service locations are accessible for people with MS and others with disabilities, especially those mandated to serve people with disabilities. Access to Information and Services Access to Benefits and Services Many people living with MS find navigating the Current methods of assessing individuals for current healthcare system to gain knowledge financial benefits and access to programs about programs and services available to them, and services are restrictive and exclusionary. difficult and confusing. Having a point of contact Although many people living with MS have the shortly following diagnosis and especially same healthcare needs and challenges as throughout the first few years of being diagnosed seniors, age restrictions for people under 65 can benefit individuals in adjusting to their new mean they do not meet eligibility requirements for circumstances and challenges. programs that would benefit them. One example is the current model for physiotherapy that is only The MS Society believes that being able to work extended to seniors. with one point of contact, such as an individual staff member who acts as a 'Patient Navigator' on The MS Society believes that broadening health teams and/or in communities, can ensure eligibility criteria and bringing more equitable people with MS are connected to the supports access to rehabilitation to include people with that enable their wellbeing and independence. MS who do not currently qualify due to age and income criteria, will ensure they receive the same quality of care as others experiencing similar 15 health issues and barriers.
D O Y O U H AV E 3 0 S E C O N D S ? The 30-second elevator pitch is a quick summary of your issues. This is an opportune moment to make an impactful and effective pitch to your candidate or elected official. Below is a short and effective example statement that you can use. Feel free to adapt the statement; however remember to keep it short. 16
In 30 seconds you want to introduce yourself, present the cause, state the problem and identify a solution. INTRODUCE YOURSELF: My name is ______________ and I have been living with MS for ___ years. (Your Name) OR I am a caregiver and my __________ has been living with MS for ___ years. (Relative) PRESENT THE CAUSE: The Multiple Sclerosis Society’s mission is to find a cure and enhance the quality of life for those living with MS. There are nearly 40,000 Ontarians living with MS, most of who are of working age. STATE THE PROBLEM: The progression of MS can lead to disabilities, prolonged or permanent absence from work, and can ultimately cause an individual and their caregiver(s) to depend on disability pensions or social assistance programs. IDENTIFY A SOLUTION: I want my elected official to take action in three areas. I want my government to 1. Provide caregivers with financial and social supports; 2. Ensure people with MS can work and access benefits equitably; and 3. Help people with MS live independently. Thank you! You may even wish to end the pitch by asking a question or two about their stance on the issues affecting those living with MS. 17 If you wish, mention that if they are elected, you would like to arrange to meet with them formally to discuss these issues in detail in the near future. This is a good way to establish a longer term relationship with your locally elected official.
H O W T O TA K E A C T I O N Some of us have a passion for policy reform and want to be active and fully engaged in order to improve the livelihoods of people in our communities. We may feel a sense of responsibility to take action. There are many different ways you can take action depending on how involved you wish to get. Here are steps to help guide you on advocating the issues with your local candidates. 18
Step 1: Know Your Electoral Riding Step 2: Know Your Candidates It is good to start by knowing the name of your Political parties may nominate a candidate electoral district or constituency. You can within your constituency. Get a list of the find yours by entering your postal code at the candidates running and their parties of Elections Ontario website: representation from the Elections Ontario https://eregistration.elections.on.ca/en/ website: voter-info/find-electoral-district https://www.elections.on.ca/en/political- Ontario is currently divided into 107 electoral entities-in-ontario/candidates.html districts but the number of electoral districts will increase to 124 for the 2018 General Election. Each party will also have a listing and Any by-elections that take place before the a biography of the candidates they are 2018 General Election will be based on the nominating. In addition, each candidate will current electoral districts. have their own website. The links to these pages can also be found through the Party Based on an analysis carried out by the website. government relations team, it is estimated that the MS Society has a volunteer Ambassador present in approximately one-quarter of the total number of constituencies. As well, there is chapter representation throughout Ontario. Step 3: Know the Issues In addition to the key election issues section of this toolkit, there are additional resources available on the MS Society, Ontario & Nunavut Division website that provide background information on each of the priority issues. Visit our page on the MS Society, Ontario & Nunavut Division website to get up to date information on priority issues: https://mssociety.ca/support-services/ programs-and-services/406/take-action- ontario-nunavut-division Speak to your friends and families and share your knowledge on the issues affecting people 19 living with MS.
Step 4: Step 5: Know Your Candidates’ View on Know Each Party’s View on the the Issues Issues Understand the level of knowledge and interest each of the candidates has on MS Society All major parties will be releasing campaign priority issues. There are several ways you can platforms. You can read the platforms by solicit their responses: visiting the party websites. Write letters, emails and ask questions. The best In addition, the MS Society has sent out a method of communication is through email since questionnaire to each party seeking a response it is received quickly by the candidate and allows to the issues. Check the website to view the them an easy way to respond to your queries. published responses. Tweet or write on a Facebook wall! You can follow candidates through Twitter or Facebook. Speak to electoral candidates when they come knocking on your door. Remember to be familiar with the issues prior to that visit. Attend an all-candidate debate or town hall meetings. 20
Step 6: Step 7: Meet Your Candidates Know What Other Related Organizations are Requesting You can consider hosting an event that will bring together all candidates in your local There are plenty of provincial organizations and constituency. Ideally, it should be a community agencies that have released statements, press event that can be hosted by the chapter or a releases and information kits for the election. local organization. The larger the number of Feel free to explore these other resources to voters attending, the more appealing it would help you make an informed decision and build be for candidates to attend. Organizing an knowledge on a party or candidate’s stance on event will not guarantee that all candidates will certain issues. show up. Since the MS Society remains non- partisan it is important to ensure a balance by Here are some suggestions on where you can inviting all candidates to an event. begin your search: The event will need to be original, appealing, savvy and fun. It should draw media attention Coalition Partners: and provide photo opportunities for the candidates to come out. Ontario Caregiver Coalition (OCC) http://www.ccc-ccan.ca/content.php?doc=48 One example of a successful event was a Neurological Health Charities Canada (NHCC) candidate macaroni and cheese cook-off http://www.mybrainmatters.ca hosted by a student organization in Edmonton. Each candidate was provided a cooking station with cooking equipment and macaroni Other Community Groups: and cheese. In addition, they were given $1.50, which represented the small student daily Accessibility for Ontarianswith Disabilities Act food budget provided under the student loan Alliance program, to purchase additional ingredients to http://www.aodaalliance.org/ complete the meal. Student council members Ontario Community Support Association then judged each of the dishes. The event (OCSA) garnered attention from local media, brought http://www.ocsa.on.ca/ together all running candidates and ultimately was successful in raising attention to the issue Ontario Home Care Association (OHCA) of lowering tuition fees and increasing student http://www.homecareontario.ca/public/ financial assistance. Municipal Accessibility Advisory Committees You can also be creative and raise awareness (MAACs) at your event. Some suggestions include You can find this website by connecting to your holding wheelchair races to raise awareness on municipal website. accessibility issues, or challenging candidates to try to get to appointments and work using the accessible transportation system. 21
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WHERE TO FIND MORE I N F O R M AT I O N A N D R E S O U R C E S Key websites: Party websites: Green Party Elections Ontario www.gpo.ca www.elections.on.ca Liberal Party www.ontarioliberal.ca Government of Ontario www.ontario.ca New Democrat Party www.ontariondp.com Legislative Assembly of Ontario www.ontla.on.ca/web/home.do Progressive Conservative Party www.ontariopc.com NEED SUPPORT FOR ADVOCACY WORK? Support is always available from the government relations team at the MS Feel free to contact us at: Society. We can help you to: Abidah Shamji run through a mock meeting with Manager, Government Relations your candidate 250 Dundas Street West, Suite 500 Toronto, ON M5T 2Z5 find more information on issues 23 Phone: 416-922-6600 x 3117 share briefing documents Abidah.Shamji@mssociety.ca
24 250 Dundas Street West, Suite 500 Toronto, ON M5T 2Z5
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