ProMED (Harvard) 4 cases reported in unimmunized children. Other unimmunised sent home for 16 days.
Ontario allows unimmunised children to attend schools.
1967 Merck's Dr MAURICE HILLMAN ,1919-2005, produced Mumps vaccine from 5y old infected daughter 's saliva ("Jenny Lynn" strain) Provided free in Ontario but refused by some parents. (Stats`Can 46% Canadians functionally illiterate) Ontario allows children in Secondary education .to work;usually in fast-food chains.
29 May 2015
COUNCIL MEETING Ontario College Physicians & Surgeons.(CPSO)
May 28/29
In response to Liberal political pressure, details of all complaints and resultant action to be published on-line.. Also the CPSO will list all non-Ontario licences`of members that it knows about. (The CPSO notifies all other known Licencing bodies about result of complaints.)
About 1000 Ont.MDs act as agents of the CPSO assessing a practice every 10 years; after 70y every 5y.
These doctors are mainly not Academic and practice Ontario Guideline medicine. A danger for MDs who are Internationally up-to-date.
In Ontario, less risk to career to practice Academic medicine, preferably non-Clinical,..
ELECTIONS
President-elect one nomination VP CPSO cardiac electrophysiologit JOEL KIRSH MD (Tor. 1992) FRCPC (Paed & Cadiology) U.Tor Rep.
VP: one nomination: David ROUSELLE MD Dist 5 rep Newmarket MD(Queen's 81) FRCSC (87 Obs & Gyn). RE-ELECTED
ONE Physician Council member for EXECUTIVE COMMITTEE (2 nominees)
Dist 8 Rep NORTH BAY Stephen BODLEY (ELECTED) in speech said what he wanted to do.
Dist 9 Rep THUNDER BAY William McCREADY (NOT ELECTED)- in speech patronised opponent.
TWO PUBLIC MEMBERS for EXECUTIVE COMMITTEE.(3 nominees)
Sudershen BERI (Richmond Hill) NOT RE-ELECTED-remained seating & bent over while giving speech.
Pierre GIROUX (Toronto) ELECTED- stood up
Ronald PRATT (Toronto), MBA ELECTED- stood up
(NB CPSO short of THREE Public Council members appointed by the Ont. Lt.Gov..on advice of the Min Health Dr. E. Hoskins MD. Public members are paid for time spent.)
MEMO: CPSO used to delete CPSO DISCIPLINE TRIBUNAL (not a Court) if verdict reversed on Ontario Court Appeal.. CPSO will now NOT delete Tribunal verdict even if MD wins on COURT Appeal.. Difference between a TRIBUNAL & COURT not generally known. One point: in TRIBUNAL no need to Swear or Affirm. Also no need to stand.when Tribunal enters and leaves.
MEMO:Kingston Emerg. Wayne Joseph SPOTSWOOD MD (Queem's 70) FRCPC (Emerg Med.85) has represented Dist.6 for many years. Is` also on Inquiries,Complaints and Reports Committee and Registration committee. His SON JAMIE SPOTSWOOD BA(Victoria) LLB (Queen's 2006) is Partner in the Toronto Law Firm LENCZNER SLAGHT that is retained by CMPA to represent MDs at CPSO TRIBUNALS.
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In response to Liberal political pressure, details of all complaints and resultant action to be published on-line.. Also the CPSO will list all non-Ontario licences`of members that it knows about. (The CPSO notifies all other known Licencing bodies about result of complaints.)
About 1000 Ont.MDs act as agents of the CPSO assessing a practice every 10 years; after 70y every 5y.
These doctors are mainly not Academic and practice Ontario Guideline medicine. A danger for MDs who are Internationally up-to-date.
In Ontario, less risk to career to practice Academic medicine, preferably non-Clinical,..
ELECTIONS
President-elect one nomination VP CPSO cardiac electrophysiologit JOEL KIRSH MD (Tor. 1992) FRCPC (Paed & Cadiology) U.Tor Rep.
VP: one nomination: David ROUSELLE MD Dist 5 rep Newmarket MD(Queen's 81) FRCSC (87 Obs & Gyn). RE-ELECTED
ONE Physician Council member for EXECUTIVE COMMITTEE (2 nominees)
Dist 8 Rep NORTH BAY Stephen BODLEY (ELECTED) in speech said what he wanted to do.
Dist 9 Rep THUNDER BAY William McCREADY (NOT ELECTED)- in speech patronised opponent.
TWO PUBLIC MEMBERS for EXECUTIVE COMMITTEE.(3 nominees)
Sudershen BERI (Richmond Hill) NOT RE-ELECTED-remained seating & bent over while giving speech.
Pierre GIROUX (Toronto) ELECTED- stood up
Ronald PRATT (Toronto), MBA ELECTED- stood up
(NB CPSO short of THREE Public Council members appointed by the Ont. Lt.Gov..on advice of the Min Health Dr. E. Hoskins MD. Public members are paid for time spent.)
MEMO: CPSO used to delete CPSO DISCIPLINE TRIBUNAL (not a Court) if verdict reversed on Ontario Court Appeal.. CPSO will now NOT delete Tribunal verdict even if MD wins on COURT Appeal.. Difference between a TRIBUNAL & COURT not generally known. One point: in TRIBUNAL no need to Swear or Affirm. Also no need to stand.when Tribunal enters and leaves.
MEMO:Kingston Emerg. Wayne Joseph SPOTSWOOD MD (Queem's 70) FRCPC (Emerg Med.85) has represented Dist.6 for many years. Is` also on Inquiries,Complaints and Reports Committee and Registration committee. His SON JAMIE SPOTSWOOD BA(Victoria) LLB (Queen's 2006) is Partner in the Toronto Law Firm LENCZNER SLAGHT that is retained by CMPA to represent MDs at CPSO TRIBUNALS.
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22 May 2015
CMAJ: May 19 Obit Dr E.C.EATON aet 104. Prof.Colleen FLOOD LLM Graduate Tor.Institute for Contemporary Psychoanalysis.
Elizabeth Corrie EATON Shediac,NB. Died Jan 31,2015. MBBS(Lond.1935) Married to Late Dr .Robert EATON. Moved to Canada in 1938. Passed Canadian exams aged 60.. 5 children.
Univ.Ottawa Prof. Colleen M FLOOD LLM et al.
RESTRICTING PRIVATE-SECTOR PRACTICE USING CONTRACTS.pp583-586
COMMENT by Dr.A.Franklin MBBS(Lond) FLEX(USA) LMC(Can.) D.Phys.Med(UK) DPH & DIH(Tor.)
Left-wing medical activists worried about rise of private doctors' offices and private hospitals e.g. Montreal Rockland MD.and Vancouver Cambie Surgical Centre.. In Toronto: "Wellness" GP clinics ; Cleveland Clinic Canada; MedCan; MediSys (Montreal,Toronto,Calgary,Vancouver). Usual fees are $3,500 a year. GP visits NOT billed to OHIP.;.
(Article attempts to review ways that EU & Anzac countries deals with the problem).
Since 1947 UK has had private and public medicine. Population increasingly insured privately e.g. with BUPA Many private hospitals including private mental hospitals..
Specialists who wish to work for NHS sign a 9/11 sessions a week contract. 9 x 3.5 hr sessions. Leaving two half-days for private practice at market price. Get pension at 65y.when compulsory retirement.from NHS. Can then practice 100% privately according to market demand.
Some UK specialists.work entirely outside NHS.. Can perform surgery in private hospitals.
Unlike Ontario, talent is rewarded by A,B,C, Distinction awards. A= Doubles NHS rate for FULL-TIME
academics with NO PRIVATE PRACTICE. B & C depend on Research & Teaching. In Ontario all Specialists are paid the same. by OHIP.. In Ontario Medical Specialists supplement their income through Drug Trials.Some surgeons commute to USA & UK.Can also bill market rates to non-Canadians..
Naive to believe that Ontarians paying millions for a condo or home; who pay upto $50,000/yr for private schools (not tax deductible) and are members of expensive private sport and social clubs will accept OHIP standard of medical care.. Prefer luxury of private clinics which are disguised as "WELLNESS CLINICS" & offer extra services such as Dietitian +/- Physiotherapist..Cardiologists have combined to open elegant offices with advanced imaging.billing OHIP and accepting private out-of-Province clients.
Footnote:: Toronto Institute for Contemporary Psychoanalysis does NOT require a personal analysis. unlike the Toronto Institute for Psychoanalysis., 40 St.Clair West, @ Yonge St. 416 922 7770
WIKIPEDIA: The Capio Group, based in Gothenburg, Sweden, is one of Europe's leading[citation needed] healthcare companies. Via hospitals, specialist clinics and primary care units Capio offer a broad range of medical, surgical and psychiatric healthcare. The operations and more than 11,000 employees are located in Sweden, Norway, France and Germany.[1] In 2013 Capio received more than 4.3 million patient visits.
Capio is owned by private equity firms Nordic Capital and Apax Partners. (Scandinavia moved from State to Private admin of hospitals.)
Univ.Ottawa Prof. Colleen M FLOOD LLM et al.
RESTRICTING PRIVATE-SECTOR PRACTICE USING CONTRACTS.pp583-586
COMMENT by Dr.A.Franklin MBBS(Lond) FLEX(USA) LMC(Can.) D.Phys.Med(UK) DPH & DIH(Tor.)
Left-wing medical activists worried about rise of private doctors' offices and private hospitals e.g. Montreal Rockland MD.and Vancouver Cambie Surgical Centre.. In Toronto: "Wellness" GP clinics ; Cleveland Clinic Canada; MedCan; MediSys (Montreal,Toronto,Calgary,Vancouver). Usual fees are $3,500 a year. GP visits NOT billed to OHIP.;.
(Article attempts to review ways that EU & Anzac countries deals with the problem).
Since 1947 UK has had private and public medicine. Population increasingly insured privately e.g. with BUPA Many private hospitals including private mental hospitals..
Specialists who wish to work for NHS sign a 9/11 sessions a week contract. 9 x 3.5 hr sessions. Leaving two half-days for private practice at market price. Get pension at 65y.when compulsory retirement.from NHS. Can then practice 100% privately according to market demand.
Some UK specialists.work entirely outside NHS.. Can perform surgery in private hospitals.
Unlike Ontario, talent is rewarded by A,B,C, Distinction awards. A= Doubles NHS rate for FULL-TIME
academics with NO PRIVATE PRACTICE. B & C depend on Research & Teaching. In Ontario all Specialists are paid the same. by OHIP.. In Ontario Medical Specialists supplement their income through Drug Trials.Some surgeons commute to USA & UK.Can also bill market rates to non-Canadians..
Naive to believe that Ontarians paying millions for a condo or home; who pay upto $50,000/yr for private schools (not tax deductible) and are members of expensive private sport and social clubs will accept OHIP standard of medical care.. Prefer luxury of private clinics which are disguised as "WELLNESS CLINICS" & offer extra services such as Dietitian +/- Physiotherapist..Cardiologists have combined to open elegant offices with advanced imaging.billing OHIP and accepting private out-of-Province clients.
Footnote:: Toronto Institute for Contemporary Psychoanalysis does NOT require a personal analysis. unlike the Toronto Institute for Psychoanalysis., 40 St.Clair West, @ Yonge St. 416 922 7770
WIKIPEDIA: The Capio Group, based in Gothenburg, Sweden, is one of Europe's leading[citation needed] healthcare companies. Via hospitals, specialist clinics and primary care units Capio offer a broad range of medical, surgical and psychiatric healthcare. The operations and more than 11,000 employees are located in Sweden, Norway, France and Germany.[1] In 2013 Capio received more than 4.3 million patient visits.
Capio is owned by private equity firms Nordic Capital and Apax Partners. (Scandinavia moved from State to Private admin of hospitals.)
18 May 2015
TORONTO: Metro Convention Centre AMERICAN PSYCHIATRIC ASSOCIATION 168th ANNUAL MEETING
In program Welcome text included name of Ontario APA Chapter President Sexologist Frank G. SOMMERS MD(1970 Tor.) FRCP(C) 1975 of 360 Bloor St West. Toronto. 416 922 7335. Dr.Sommers used surrogates for rehabilitation of sexual dysfunction. Also produced educational videos on sexual technique(".Sexual Pleasures"). Political activist against Nuclear war & Anti-Semitism 12,000 registrants.
BRAINSWAY deep transcranial magnetic stimulation for major depression. In use Montreal Douglas University Institute.((Dr.M.T.Berlim nrc.douglas@me.com).Not OHIP-paid.
Residential Psychiatric facilities: represented at APA.
Homewood Health Centre,Guelph,Ont.
Privately owned. Medical treatment OHIP-paid Room fees not OHIP-paid $250-330 daily.
www.homewoodhealth.com
hartuso@homewoodhealth.com
RN Helen Artuso.
Menninger Clinic,Houston,Tx.
www.MenningerClinic.com
affiliated with Baylor( in Texas Med.Centre)
CooperRiis (long-term) Healing Community, Mill Spring,NC
www.CooperRiis.org
Private with Charitable funds for financial aid.
BRAINSWAY deep transcranial magnetic stimulation for major depression. In use Montreal Douglas University Institute.((Dr.M.T.Berlim nrc.douglas@me.com).Not OHIP-paid.
Residential Psychiatric facilities: represented at APA.
Homewood Health Centre,Guelph,Ont.
Privately owned. Medical treatment OHIP-paid Room fees not OHIP-paid $250-330 daily.
www.homewoodhealth.com
hartuso@homewoodhealth.com
RN Helen Artuso.
Menninger Clinic,Houston,Tx.
www.MenningerClinic.com
affiliated with Baylor( in Texas Med.Centre)
CooperRiis (long-term) Healing Community, Mill Spring,NC
www.CooperRiis.org
Private with Charitable funds for financial aid.
13 May 2015
CANADIAN UNDERWRITER April 2015: Ed. Ms A Stelmakowich WEATHER RISKS for MDs.
Extreme cold in N.America caused losses US $2.5 BILLION..Insured losses $1.7 BILLION (Munich Re)
As EARTHQUAKE losses insurable ; not eligible for Ont.Gov compensation.
OVERLAND (surface) WATER coverage now available in Alberta & Ontario must be combined with sewer back-up protection.. Cost depends on postal code risk. No coverage at present for SALT WATER damage
STATS;
In past 60y av temp increaed by 1.3C
Av rainfall increased by 12%
Canada now has extra 20 days rain yearly..
As EARTHQUAKE losses insurable ; not eligible for Ont.Gov compensation.
OVERLAND (surface) WATER coverage now available in Alberta & Ontario must be combined with sewer back-up protection.. Cost depends on postal code risk. No coverage at present for SALT WATER damage
STATS;
In past 60y av temp increaed by 1.3C
Av rainfall increased by 12%
Canada now has extra 20 days rain yearly..
6 May 2015
AD. in Ont.Med.Review:: LEGAL RISKS OF PAIN MEDICINE
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Malpractice in Pain Medicine - Medico-legal Conference
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General Information
Target audience:
Date: Time: Location: |
Healthcare professional involved in the management of pain
Saturday, September 19, 2015 08:00-16:30 Chestnut Residence and Conference Center 89 Chestnut Street Toronto, Ontario, Canada |
Program
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07:30
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Registration and Breakfast
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08:15
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Welcome Address
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Moderator:
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Dr. Philip Peng
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08:20
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Overview of Medico-Legal Claims in Pain Medicine -
Dr. Edward Crosby, CMPA |
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08:35
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Overview of Pain-Related College Complaints - Dr. Carol Leet, CPSO
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08:50
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Anatomy of a Legal Action - Cindy Clarke, BLG
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09:00
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Anatomy of a CPSO Complaint - Dr. Carol Leet, CPSO
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09:10
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Group Discussion
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09:30
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Refreshment Break
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Moderator:
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Dr. Dinesh Kumbhare
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10:00
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Case Scenario - Opioid Issue
Case Presentation - Dr. Kathryn Reducka, CMPA Video Presentation - A Challenging Patient Commentary by Medical Expert - Dr. Andrea Furlan Commentary by Defendant Lawyer - Andrea Plumb, Lerners Commentary by Plaintiff Lawyers - Richard Halpern, Thomson Rogers Group Discussion |
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11:30
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How to Write a Medical Report - Dr. Randy Zettle
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11:50
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Lunch
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Moderator:
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Dr. Dinesh Kumbhare
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12:50
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Case Scenario - Intervention Related Complication
Case Presentation - Dr. Randy Zettle Commentary by Medical Expert - Dr. Philip Peng Commentary by Defendant Lawyer - Andrea Plumb, Lerners Commentary by Plaintiff Lawyers - Richard Halpern, Thomson Rogers Group Discussion |
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14:00
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Refreshment Break
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Moderator:
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Dr. Randy Zettle
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14:15
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Potpourri of Cases
Interactive Session with Audience Response System (iclicker). |
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Moderator:
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Dr. Randy Zettle
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15:15
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Case Scenario - Termination of Patient-Physician Relationship
Case Presentation - Dr. Carol Leet, CPSO Commentary by CMPA - Dr. Kathryn Reducka, CMPA Commentary by CPSO - Dr. Carol Leet, CPSO Panel Discussion |
 Dr. Philip Peng |
 Dr. Dinesh Kumbhare |
 Dr. Randy Zettle |
Registration:
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Early Bird Rate to May 31, 2015 - $150
After May 31, 2015 - $175 Register early for guaranteed attendance! Registrations are accepted on a first-come, first-serve basis. Registration forms are accepted by Mail or Fax. Fees must be paid in full at the time of registration.  Online Registration Form Or Please send registration form to: Christine Drane Departmental Administrator Department of Anesthesia Toronto Western Hospital University Health Network 399 Bathurst St., McL 2-405 Toronto, ON, M5T 2S8, Canada Tel. 416-603-5118 Fax. 416-603-6494 E-mail: christine.drane@uhn.ca
(CMPA & CPSO SPEAKERS ARE SALARIED. IMPORTANT INFORMATION FOR OMA MEMBERS LIMITED TO THOSE PAYING A FEE AND TRAVELLING TO TORONTO. NO TELECONFERENCE PROVIDED)
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4 May 2015
OMA COUNCIL MEETING.(May 1-3)
- Approx 250 elected Council members are paid to attend. Based on Districts where they practice and Branch of medicine. Cost of three-day meeting at Hilton Toronto 145 Richmond St including meals is about $1-million. NON-DELEGATE OMA members can attend as observers. Do not vote. May be allowed to speak.
Districts to be reduced from 142 to 125. Some were a`legal fiction. e.g. In Toronto,Central, Doctors & Wellesley Hosps were closed many years ago. Sections reduced from 63 to 49. In past a section could be formed.by 25 members.(now 50). Section delegates increased from 96 to 102. New Section of Academic doctors.
New Medical Interest Groups (50+) without a vote and not paid to attend Council can be formed. The OMA will provide about $5,000 for say 2 meetings a year of a` MIG Executive:: Chair + Sec/Treas+ Past Pres + 2 Directors who are paid to attend.. Food catered.
MIGs now accepted: SLEEP STUDIES. & SURGICAL ASSISTANTS.
MIGs pending: Complementary medicine and Clinical hypnosis.
New OMA Pres. AYLMER Ont (S/E of London) popn.7,100+/- GP Michael Louis TOTH MD (U West.Ont1984)..
Much of Council meeting spent on MOH pay cuts and leaving Ont.MDs without a contract. NPs, PAs and Pharms. taking over roles of GP. NPs can now prescribe non-narcotics and refer pts to Specialists. Pharms can alter GP prescription.without permission.
OHIP pays same throughout Ontario. Obviously rental overhead varies. OHIP cuts encourage move out of high property value areas. In Aylmer 4-bedroom home on one acre about $400,000. In Toronto would cost several million.
GPs moving into NON-OHIP paid medicine: COSMETIC MEDICINE.and opening WELLNESS clinics which provide extras e.gl. Dietary advice +/- Physio. OHIP is NOT BILLED for GP services. Patient pays about $3,500 yearly. This legal loophole is tolerated although supplementary billing to OHIP fees is not allowed.. Many Ontarians subscribe to Cleveland Clinic Canada, MedCan and MediSys..Health Group.
There is lack of unity in the profession. Sexologist, U.Tor Lecturer Frank SOMMERS MD (Tor.1970) FRCPC (1975) accused GPs seeing 60 patients a day" of cheating the system. It had to be explained to "social activist" Dr.Sommers that GPs often work a10 hour day. So a patient every 10 minutes is reasonable.
To encourage new ideas, there is now a 20-year limit to OMA committee work. As hourly rate increases`with number of committees some MDs have made the OMA a part-time job collecting committees..Especially as the OMA pays for travel across the Province and 5-star hotels.
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