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Thursday, January 31, 2019
Tuesday, January 29, 2019
Canada's Food Guide: New dish, with a dash of condescension
After years of celebrating our agricultural know-how, the guide has gone urban - and is more than a little patronizing
By Sylvain Charlebois
Senior Fellow Atlantic Institute for Market Studies
Almost
12 years after the launch of the previous version, the new Canada's
Food Guide celebrates food by displaying a plate filled with greens,
fruits, plant proteins and grains. And if you look very carefully,
you'll see a cup of yogurt alongside a piece of beef that looks a little
like a piece of wood.
Unlike the old version, the new guide can apply to different demographic groups and lifestyles.
In
a somewhat less innovative vein, it also encourages Canadians to cook,
eat with other people, and consider water as their drink of choice.
In all, the new food guide is a bold move from Health Canada, but it still misses the mark in some areas.
The
plate concept is clever. Few Canadians could tell how big portions
should be in the old version and many can relate to the size of a plate.
Dominated
by vegetables and fruits, grains and proteins are now sidekicks. And,
as expected, animal-based proteins are now second fiddle to plant-based
proteins. Dairy and meat products have lost the protein wars, which
means that in Ottawa, Health Canada won over Agriculture and Food
Canada, probably for the first time.
Nutrition-conscious minds prevailed, for better or worse.
The
guide has always showcased our agricultural know-how, beginning with
the first edition in 1942. Then, not only did almost 30 per cent of our
population live on farms, but nearly 30 per cent of our national gross
domestic product came from agriculture. It was expected that the
government promote commodities grown in our backyard. That guide
displayed products we all knew: milk, fish and meat.
Now, less than two per cent of Canadians live on farms and agriculture represents a fraction of our national GDP.
The
tone of this new guide is different as well - it embraces a different
language: the nutrient-focused jargon Health Canada believes Canadians
are ready for.
Fibre
and proteins are at the core of this new publication. The guide has
gone urban for the first time. It's more contemporary, multicultural and
adaptable to varying modern diets.
It's about time.
For
the Liberal government heading into an election in the fall, this
city-friendly platform will do no great harm, only alienating regions
that historically support the Conservatives.
There
are some weak points in this new guide, though. Some of it is quite
condescending, with trite advice only an idealistic health professional
would give. Phrases like "Enjoy your food," "Be mindful of eating
habits," and the patronizing "Be aware of food marketing" are prominent.
As
the guide became more sophisticated about what we should be eating, it
also got a little smug, treating all Canadians like five-year-olds. The
food industry spends billions on marketing and the average Canadian sees
roughly 1,500 advertisements a day. Is Health Canada suggesting
Canadians can hide from all of this for the sake of eating better?
That's a stretch.
And in the new guide, Health Canada is at odds with the buy-local movement.
Eggs,
poultry and milk are by far the biggest losers. Supported by supply
management, our grandiose protectionist policy that allows us to produce
what we need, these sectors may end up overproducing in just a few
years. As we institutionalize a new message, behaviours will change.
Domestic production of these commodities may require recalibration soon
and many of our farms could disappear.
Our
agricultural trade policies aren't synchronized with our domestic food
policies and the new guide will only make things worse. Ottawa can't
carry on stating it unconditionally supports supply-management policy.
It clearly doesn't anymore.
On
the fruit and vegetable front, things could get tricky as well. We're
highly vulnerable due to our dependency on imported fruits and
vegetables, especially in winter. It's the most volatile food category
for consumers. For example, lettuce prices went up by a whopping 39.4
per cent over 12 months in Canada. These price shifts are hard for
consumers to cope with.
We need to raise our veggie game in Canada - fast.
So the new food guide is a step forward, despite the dash of demeaning comments.
Now
if we can get Health Canada to review the guide every five years like
most other industrialized nations, perhaps it will stop treating the
release like it was revealing the location of Cleopatra's tomb.
Sylvain
Charlebois is scientific director of the Canadian Agrifood Foresight
Institute, a professor in food distribution and policy at Dalhousie
University, and a senior fellow with the Atlantic Institute for Market Studies. |
Monday, January 28, 2019
Friday, January 25, 2019
Wrinkle Injections: Vegan Millenials refuse Botox
Wrinkle Injections: Vegan Millenials refuse Botox:
The main ingredient in Botox is botulinum toxin, produced by Clostridium botulinum bacteria. Although the main ingredient in Botox comes from bacteria, since another ingredient is from humans,
Botox is not vegan.
Not only is Botox made of a non-vegan ingredient, the injectable is also tested on animals.
Botox and Fillers. As most fillers, including lip and derma fillers, are made from non-animal origin hyaluronic acid, they are considered vegan.
However, much like Botox, they are required by law to be tested on animals because they're classified as medical products.
Anyone born between 1981 and 1996 (ages 23 to 38 in 2019) is considered a Millennial
The main ingredient in Botox is botulinum toxin, produced by Clostridium botulinum bacteria. Although the main ingredient in Botox comes from bacteria, since another ingredient is from humans,
Botox is not vegan.
Not only is Botox made of a non-vegan ingredient, the injectable is also tested on animals.
Botox and Fillers. As most fillers, including lip and derma fillers, are made from non-animal origin hyaluronic acid, they are considered vegan.
However, much like Botox, they are required by law to be tested on animals because they're classified as medical products.
Anyone born between 1981 and 1996 (ages 23 to 38 in 2019) is considered a Millennial
Thursday, January 24, 2019
TIPS FOR MAKING CARAMEL
The caramel process must be watched. Do not walk away. Do not answer the door. Do not begin to empty the top rack of dishwasher. Stay put. Keep watch. Sugar is sneaky. I’ve had the best results without using a candy thermometer, so standing watch in order to see the color change can mean the difference between a smooth result or an over-burnt sticky clump.
Have all the ingredients and tools needed ready to go. Since a watchful eye is required, and the end of the process moves quickly, there won’t be a bunch of time to calmly gather everything.
Avoid stirring. Stirring can trigger crystals to form. Crystals are the enemy of smooth caramel. The recipe below follows the wet caramel technique. Once the sugar dissolves in the water, don’t stir until it’s ready to add other ingredients.
Make sure all tools being used for cooking are clean. Crystals can be triggered by any impurities.
Make sure to use a saucepan/pot that has tall enough sides for the amount to double as it will bubble and foam up toward the end. It will get very hot! So splattering is not a good thing. A heavy-duty, non-coated saucepan or skillet with tall sides will work well.
The recipe below lists refined granulated sugar. Other sugars, like brown sugar, can be used as well, but it can be tricky to get consistent results due to impurities. If you choose to try it with something other than refined granulated sugar, be extra vigilant.
David Lebovitz is quite the expert on caramel. Check out his tips and tricks for making caramel. AND be sure not to miss his Salted Butter Caramel Ice Cream recipe. Oh my … it’s worth all the effort. It’s the best!
Don’t give up. If you botch a batch, try again! You will learn with each attempt and begin to see the pattern. You’ll become a caramel making champ in no time.
SALTED CARAMEL SAUCE
This Salted Caramel Sauce is the perfect addition to so many treats. It refrigerates and rewarms well too.
Author: ©Amy Johnson | She Wears Many Hats
Recipe type: Dessert
Serves: Makes a little over 2 cups.
Tuesday, January 15, 2019
The wisdom (or lack of) in prescribing opiates after tooth removal A mother and a dentist team call for an end to routine opioid use for teens after wisdom tooth removal
By Amy Ma
and Susan Sutherland Contributors
We're
writing as a parent and a dentist to spread a message to parents and
dental health-care providers across Canada: there are alternatives to
prescribing opioids after wisdom teeth removal.
Removing
wisdom teeth is considered by many as a rite of passage for teenagers.
It's one of the most common surgical procedures done in young people
aged 16 to 24.
Thankfully,
Amy knew of the possible harms associated with powerful opioid
medications, such as Percocet, especially for young people. Abuse of
opioids is a national public health emergency, with growing numbers of opioid overdoses and deaths.
So
she asked the surgeon's assistant whether there was another pain
management option for Felix. Tylenol 3 was suggested (acetaminophen with
the opioid codeine), which still seemed too powerful.
How did Amy know to question the advice she was given?
Amy
asked for Naproxen for Felix - an over-the-counter pain reliever in the
same drug class as Aspirin and Ibuprofen. Felix took the Naproxen as
directed when the anesthesia wore off and he didn't require anything
stronger. In fact, he was quite comfortable.
We need to think twice about whether an opioid prescription is needed after wisdom teeth removal.
After having her wisdom teeth removed, Lady Gaga posted pictures of her puffy face and tweeted
out to her millions of followers: "Wisdom teeth out. P-p-Percocet
p-p-Percocet." Percocet after minor oral surgery should not be an
expectation of teenaged patients.
What's at stake?
Persistent
opioid use after elective surgery, like wisdom teeth removal, is a
risk, especially in young people whose brains are developing and are
highly susceptible to the effects of opioids. Leftover opioids are
equally dangerous for teens, who might be tempted to experiment or share
with friends and family members.
Dentists
and oral surgeons have a critical role to play here - they're among the
leading prescribers of opioids to young people. An American study published recently
found that dentists are the leading source of opioid prescriptions for
children and adolescents aged 10 to 19 years in the United States.
Dental prescriptions account for over 30 per cent of all opioid
prescriptions in this age group.
This
study also found that young people who received opioid prescriptions
after wisdom tooth extraction were more likely to be using opioids three
months and one year later, as compared to their peers who didn't get an
opioid.
The evidence is clear: a short prescription for opioids poses a real risk of ongoing opioid use to our teenagers.
Many
patients experience pain and swelling lasting three to four days and
sometimes up to a week after wisdom teeth surgery. The intensity and
duration of these symptoms varies considerably depending on the position
of the teeth, how deeply they're buried in bone and the surgical
difficulty in removing them. While many oral surgeons and dentists
prescribe opioids routinely after dental surgery, pain management for
all patients should be handled individually.
In
most cases, post-surgical dental pain can be controlled without opioids
and through anti-inflammatory drug such as ibuprofen, in combination
with the non-opioid pain relievers such as acetaminophen. For some oral
surgery procedures, such as such deeply impacted wisdom teeth or jaw
reconstruction, an opioid may be needed for pain control for a short
time.
It's
time oral surgeons and dentists move away from a one-size-fits-all pain
management strategy. Avoiding unnecessary opioid prescriptions for
teenagers is critical part of staving off the harm of the opioid
epidemic.
Amy
Ma is a parent of three living in Montreal. She is the co-chair of the
family adviser forum at the Montreal Children's Hospital and patient
adviser to Choosing Wisely Canada. Dr. Susan Sutherland is the chief of
dentistry at Sunnybrook Health Sciences in Toronto. She is the president
of the Canadian Association of Hospital Dentists. |
|
Friday, January 11, 2019
Tuesday, January 8, 2019
Safety Pin Clutch
Safety Pin Clutch
This is the most talked-about silhouette from BODHI and has been featured every where from Gossip Girl to the Glamourai. The signature safety pin hardware accents this perfectly sized clutch, making this bag a huge statement wherever you go. The Interior is completed with two cell pockets and one zip pocket.
This is the most talked-about silhouette from BODHI and has been featured every where from Gossip Girl to the Glamourai. The signature safety pin hardware accents this perfectly sized clutch, making this bag a huge statement wherever you go. The Interior is completed with two cell pockets and one zip pocket.
BODHI SAFETY PIN CLUTCH
PRODUCT DETAILS
Friday, January 4, 2019
Quebec's health-care privatization a lesson for the whole nation But much still hinges on the outcome of the ongoing court case in B.C.
By Amélie Quesnel-Vallée
and Rachel McKay EvidenceNetwork.ca
Ask
a random Canadian if our health system looks more like that of the
United States or the United Kingdom. Chances are, most will respond that
our system is nothing like the U.S. - which is largely paid for
privately - and every bit like the U.K., which has publicly-funded
health care.
The reality is more of a cold shower.
This
is 50 per cent more than the U.K., where private health spending is at
20 per cent, and three times as much as in France, where it's only 10
per cent.
Now, a court case that is ongoing in British Columbia, known widely as the Cambie case, has some worried that we might see an even greater development of the private pay health-care market across Canada.
But will we?
The
Quebec experience suggests that a lot hinges on how forcefully and
decisively the B.C. government responds to the court challenge. And, on
this count, B.C. has a head start where Quebec faltered. The court
decisions matter, of course but, at the end of the day, it will be
provincial governments' actions (or lack thereof) that open or shut the
door to a two-tier health system.
For
those with good memories, the Cambie case may be oddly reminiscent of
the Chaoulli case that unfolded more than 13 years ago in Quebec.
To
understand both, it's worthwhile to remind readers of the legal
provisions that constrain the private purchase of health care in
Canadian provinces. Basically, doctors in Canada are prohibited from
extra-billing or double dipping - charging patients for services already
covered under our publicly funded medicare.
Physicians must choose: either be all in the public system or all out.
The
Cambie court challenge seeks to break down the all-in or all-out
dilemma for physicians, striking at the heart of BC's Medicare
Protection Act by targeting all constraints on extra-billing and
opted-out practice, dual practice and private insurance that duplicates
B.C.'s public plan.
The
Chaoulli court challenge was far less ambitious, targeting only
Quebec's legal prohibition on the purchase of private insurance for
services delivered by opted out physicians. Yet, at the time, this was
still perceived as significant risk for the development of a two-tier
system.
Many
were concerned when Jacques Chaoulli won his challenge, and Quebec
responded with Bill 33, which opened the door to duplicative private
insurance for a select number of otherwise publicly-insured health
services.
While
Bill 33 turned out to be fairly innocuous (largely because private
insurers didn't deem this a profitable venture and that it only applied
to Quebec), it nevertheless responded to the spirit of the court
challenge, sending a powerful message that Quebec's elected officials
were at least, in principle, supportive of more private health provision
and insurance.
The
Chaoulli case should really be seen as a symptom rather than a cause of
the fact that Quebec is home to what is arguably one of the largest
private health markets in the country. In fact, the cause stems more
from neglect by legislators - whether benign or strategic, and for
decades preceding Chaoulli - allowing several hot spots of privatization
to flourish.
This
includes private diagnostic services, which are reimbursable by private
insurance in Quebec but not elsewhere in Canada; physicians opting out
of the public system in ever increasing numbers, year after year; and
extra-billing, which was only been officially banned by the province in
2017 (only after threats of claw backs of the federal health transfer).
While B.C. shares similar historical trends with Quebec, we see no such benign neglect by B.C. legislators.
Instead, the B.C. government appears to be fighting tooth and nail in the face of Cambie, pulling out all the stops to buttress the Medicare Protection Act. It even resurrected 14-year-old Bill 92, the Medicare Protection Amendment Act, in a deft counterpunch to give the province more powers to crack down on extra-billing.
With
both sides firmly entrenched in their positions, it's unlikely that we
will see a swift resolution to the Cambie conflict. Whichever side loses
the court case is likely to bring it to the B.C. Court of Appeal and,
from there, to the Supreme Court of Canada, as happened with Chaoulli.
In other words, there's still a long battle ahead.
Amélie
Quesnel-Vallée is the Canada Research Chair in Policies and Health
Inequalities and the director of the McGill Observatory on Health and
Social Services Reforms at McGill University. She's also a contributor
with EvidenceNetwork.ca,
which is based at the University of Winnipeg. Rachel McKay is a
post-doctoral fellow with the McGill Observatory on Health and Social
Services Reforms at McGill University. |
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