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Huge potential for our mineral resourcesBritain, Germany, France, Italy and several other European countries said Monday they would freeze all pending asylum requests from Syrians, a day after the ouster of president Bashar al-Assad. While Berlin and other governments said they were watching the fast-moving developments in the war-ravaged nation, Austria signalled it would soon deport refugees back to Syria. Far-right politicians elsewhere made similar demands, including in Germany -- home to Europe's largest Syrian community -- at a time when immigration has become a hot-button issue across the continent. Alice Weidel, of the anti-immigration Alternative for Germany, reacted with disdain to Sunday's mass rallies by jubilant Syrians celebrating Assad's downfall. "Anyone in Germany who celebrates 'free Syria' evidently no longer has any reason to flee," she wrote on X. "They should return to Syria immediately." World leaders and Syrians abroad watched in disbelief at the weekend as Islamist-led rebels swept into Damascus, ending Assad's brutal rule while also sparking new uncertainty. A German foreign ministry spokesman pointed out that "the fact that the Assad regime has been ended is unfortunately no guarantee of peaceful developments" in the future. Germany has taken in almost one million Syrians, with most arriving in 2015-16 under ex-chancellor Angela Merkel. Interior Minister Nancy Faeser said many Syrian refugees "now finally have hope of returning to their Syrian homeland" but cautioned that "the situation in Syria is currently very unclear". The Federal Office for Migration and Refugees had imposed a freeze on decisions for ongoing asylum procedures "until the situation is clearer". She added that "concrete possibilities of return cannot yet be predicted and it would be unprofessional to speculate in such a volatile situation". Rights group Amnesty International slammed Germany's freeze on asylum decisions, stressing that for now "the human rights situation in the country is completely unclear". The head of the UN refugee agency also cautioned that "patience and vigilance" were needed on the issue of refugee returns. In Austria, where about 100,000 Syrians live, conservative Chancellor Karl Nehammer instructed the interior ministry "to suspend all ongoing Syrian asylum applications and to review all asylum grants". Interior Minister Gerhard Karner added he had "instructed the ministry to prepare an orderly repatriation and deportation programme to Syria". "The political situation in Syria has changed fundamentally and, above all, rapidly in recent days," the ministry said, adding it is "currently monitoring and analysing the new situation". The French interior ministry said it too would put asylum requests from Syrians on hold, with authorities in Belgium, the Netherlands, Switzerland, Denmark, Sweden and Norway announcing similar moves. Britain's interior ministry said it was taking the same measure "whilst we assess the current situation". The Italian government said late Monday after a cabinet meeting that it too was suspending asylum request "in line with other European partners." The leader of the far-right Sweden Democrats, a coalition partner in the government, said residence permits for Syrian refugees should now be "reviewed". "Destructive Islamist forces are behind the change of power" in Syria, wrote their leader Jimmie Akesson on X. "I see that groups are happy about this development here in Sweden. You should see it as a good opportunity to go home." In Greece, a government spokesman voiced hope that Assad's fall will eventually allow "the safe return of Syrian refugees" to their country, but without announcing concrete measures. In Germany, the debate gained momentum as the country heads towards February elections. Achim Brotel, president of a grouping of German communes, called for border controls to stop fleeing Assad loyalists reaching Germany. The centre-right opposition CDU suggested that rejected Syrian asylum-seekers should now lose so-called subsidiary protection. "If the reason for protection no longer applies, then refugees will have to return to their home country," CDU legislator Thorsten Frei told Welt TV. CDU MP Jens Spahn suggested that Berlin charter flights to Syria and offer 1,000 euros ($1,057) to "anyone who wants to return". A member of Chancellor Olaf Scholz's Social Democrats criticised the debate as "populist and irresponsible". Greens party deputy Anton Hofreiter also said "it is completely unclear what will happen next in Syria" and deportation talk was "completely out of place". Many Syrians in Germany have watched the events in their home country with great joy but prefer to wait and see before deciding whether to return. "We want to go back to Syria," said Mahmoud Zaml, 25, who works in an Arabic pastry shop in Berlin, adding that he hopes to help "rebuild" his country. "But we have to wait a bit now," he told AFP. "We have to see what happens and if it is really 100 percent safe, then we will go back to Syria." burs-fz/rlp/phz/gv/givCalzada TD to Alexander sends Incarnate Word to FCS quarterfinal with win over Villanova
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When Dr. Kemi Wijesundera moved into the new Telus Health family medicine clinic in downtown Toronto, he quickly found he had one less thing to worry about during consults. Each of the seven examination rooms in the modern new clinic, which Telus Health has opened under its “MyCare” brand, is equipped with “AI scribe” software that listens to appointments (with patients’ consent) and uses artificial intelligence to summarize the conversations in the standardized medical note form. Before the patient even gets out the door, the notes from their appointment, including their medical history, as well as any requisitions, prescriptions and special instructions from their doctor, are uploaded to their phone through the Telus MyCare app. “This is the future of health care,” says Wijesundera, a recent medical school grad and one of six family physicians at the new Telus Health MyCare Union clinic. Located in repurposed office space on York Street, just south of Union Station, the “digital first” clinic, which had a soft launch in late summer, is now fully operational. 516 Estimated number of Torontonians without a family doctor 2.5 Estimated number of Ontarians without a family doctor 6.5 Estimated number of Canadians without a family doctor Source: Ontario College of Family Physicians, Ontario Community Health Profiles Partnership, OurCare Initiative Toronto Star graphic Located in repurposed office space on York Street, just south of Union Station, the “digital first” clinic, which had a soft launch in late summer, is now fully operational and facing a unique challenge: at a time when an 516,000 Torontonians are looking for a family doctor, the physicians at the clinic are looking for patients — up to 6,000 of them. “It gives people who live in the Toronto area a new way to become attached to a family doctor within the public health-care system,” says Chris Engst, vice-president of consumer health for Telus Health, which opened its first two MyCare clinics in Victoria and Vancouver in 2020. The expansion is part of a broader, global trend that’s seeing private companies taking ownership stakes in the provision of medical services, an area many investors see as ripe with opportunity as wait-lists for family doctors and certain surgical procedures remain stubbornly high. Unlike its main telecom competitors, Rogers Communications and BCE, which have diversified into sports team and media ownership, Telus is staking a claim on health care. In 2022, it , formerly Morneau Shepell, for $2.3 billion, as well as buying up a substantial share of the market for electronic medical record (EMR) software in Canada over the last decade. After these and other acquisitions, Telus says it now provides health-care services to some 76 million people in more than 160 countries. “It’s a regular family practice. The physicians are doing everything from preventative care, immunizations, chronic disease management, acute care, whatever the care needs are of their patients,” says Dr. Alissia Valentinis, a family doctor and medical director of the Toronto MyCare clinic. 1 Estimated number of Torontonians who could be without a family doctor by 2026 4.4 Estimated number of Ontarians who could be without a family doctor by 2026 Source: Ontario College of Family Physicians, INSPIRE-Primary Health Care Toronto Star graphic Dr. Alissia Valentinis, medical director of the Telus Health MyCare Union clinic, explains that the MyCare model is similar to other private clinics where doctors pay a percentage of their provincial billings to the company running the clinic to cover rent, staff and insurance. In this case, Telus Health manages the clinic while the physicians are independent contractors who are “100 per cent publicly funded.” “It’s a regular family practice. The physicians are doing everything from preventative care, immunizations, chronic disease management, acute care, whatever the care needs are of their patients,” says Valentinis. One thing the new Toronto MyCare clinic isn’t: a cramped and stuffy space in a lowrise office complex that some may associate with more traditional medical offices. A wall covered with plants about six metres long that stretches to the ceiling greets patients in the clinic’s waiting room on the second floor of Telus Harbour, a 30-storey, LEED Platinum office building next to Scotiabank Arena. Floor-to-ceiling windows that look down on York Street illuminate the seven, gleaming-white examination rooms that are equipped with two computer screens, one for virtual consultations and one for medical charting. One slightly larger examination room can accommodate minor procedures, such as the removal of lumps or bumps. A counselling room featuring cushioned seats offers a quiet space for doctors to have difficult conversations with patients, if necessary, or for breastfeeding moms to find some privacy. A team of clinical operations support staff assist physicians with administration, pharmacy inquiries, referrals and appointment bookings. “We’ve been using technology to try and think about, how do you deliver primary care in a unique way which helps to support the needs of patients and also helps to support the needs of the clinicians who work with us?” says Engst. A key pillar in this quest is the Telus Health MyCare app, a sort of all-in-one platform that not only holds MyCare patients’ electronic medical records, but also allows patients to book same-day or next-day appointments and see physicians at the Union clinic virtually or in-person. Despite the obvious value for patients in a city starved of family doctors like Toronto, the company’s expansion into the health-care space has not been without controversy. A living wall of plants about six metres long that stretches to the ceiling greets patients in the clinic’s waiting room on the second floor of Telus Harbour, a 30-storey, LEED Platinum office building next to Scotiabank Arena. A few years ago, Telus Health opened but then closed the doors of a family medicine clinic in downtown Toronto, a move it said was a “strategic decision” to “re-evaluate and refine our approach to supporting health-care needs in Toronto.” “This period of reflection and analysis led to the development and launch of the Telus Health MyCare Union clinic,” the company said in an email. “This new model represents an evolution of our initial concept, incorporating lessons learned and aligning more closely with our goal of improving access to primary care for thousands of Toronto residents.” In late 2022, British Columbia’s Medical Services Commission, responsible for that province’s public health insurance system, went to court seeking an injunction against a separate Telus Health program, called LifePlus, that the government alleged charged patients thousands of dollars a year for care already covered publicly — an illegal practice under the B.C. Medicare Protection Act. In April 2023, the commission and Telus Health reached an agreement and clarified processes to better distinguish insured from uninsured services, the company said. It’s unclear how much, if any, profit Telus is making on the Toronto MyCare clinic, but Engst did say its physicians bill the provincial health system just like any other public health-care clinician, with a portion of those fees going to cover support staff and overhead. A less tangible benefit for the company could be a treasure trove of potentially valuable data. And that has not gone unnoticed by privacy and public health-care advocates, who question what the Vancouver-based company is doing with its now vast holdings of personal health information. “Telus owns most of the electronic medical record (EMR) software market in Canada, including the EMR that I use. All of my prescribing information is in my EMR. Where is the data going and are they monetizing it for secondary use?” says Danielle Martin, chair of the Department of Family and Community Medicine at the University of Toronto. Danielle Martin, chair of the Department of Family and Community Medicine at the University of Toronto, says that while the MyCare Union clinic “is what every doctor and every patient wants and deserves” when it comes to physicians being able to focus on being clinicians instead of running an office, she questions why a private company is stepping in to meet demand instead of the public health-care system. Engst says Telus Health, as both a technology and health-care company, “brings unique capabilities to improve health-care delivery and access.” “To be clear, the Telus Health MyCare Union clinic supports the public health-care system by providing access to publicly insured services,” he added. Martin notes that the province already funds models similar to the MyCare clinics through family health teams and community health centres, but these interprofessional teams — which include not only doctors, but also nurses, social workers, dietitians and pharmacists — only cover about 30 per cent of the population. “This is what creates a market for Telus, because doctors prefer to work in an environment like that and patients prefer to get care in an environment like that,” says Martin, who is also a family doctor. But she questions what Telus Health does with the patient data it retains. “Telus owns most of the electronic medical record (EMR) software market in Canada, including the EMR that I use. All of my prescribing information is in my EMR. Where is the data going and are they monetizing it for secondary use?” Martin says. In an email, Telus Health said it does not sell any data collected by its virtual-care platforms, including MyCare, and is “deeply committed” to the internationally recognized Privacy By Design principles. Privacy by Design, created by Ontario’s former privacy commissioner Ann Cavoukian, is a system based on seven principles intended to proactively embed privacy into information technology and business systems. “All data collected from our services are treated as personal health information and handled in accordance with the rigorous laws and best practices applicable to personal health information,” the company said. 19 Estimated number of hours per week family doctors spend on administrative work Source: Ontario Medical Association Toronto Star graphic Back at the MyCare Union clinic, Wijesundera says the technology deployed by Telus Health is what made working at the clinic attractive as a new medical grad who wants to spend more time seeing patients and less time doing paperwork. “This is potentially going to solve physician burnout,” he says. The Ontario Medical Association reports that family doctors spend about 19 hours per week on administrative tasks, such as writing notes or filling in patient forms. “I get more time to look at the patient, have a conversation and it’s not just me on the computer typing. It’s a nice interaction. The patients feel heard as well.”
Rupert Murdoch’s audacious bid to cement his eldest’s son’s control over one of the world’s most influential media empires has failed, a US report said Monday. The first family of news — commanding a stable that includes Fox News, The Wall Street Journal and a host of British and Australian media — had been the inspiration for the hit TV series “Succession.” Like the fictional version, this real-life fight pitted the children of a powerful patriarch against each other for who should be the face and the voice of the empire after the old man dies. Murdoch, now 93, had long intended that his children inherit the empire, and jointly decide its direction. The eldest daughter, Prudence, has had little involvement in the family business, but at various times the other three — Lachlan, James and Elisabeth — have all been considered as successors. But in recent years Murdoch senior had reportedly grown concerned that Fox News — the crown jewels of the collection — might drift away from its lucrative right-wing moorings after his death, to reflect the more centrist views of James and Elisabeth. He had therefore sought to designate Lachlan — who currently heads Fox News and News Corp — as the controlling player in the wider business. That had required rewriting the terms of an irrevocable trust that passed power to the four siblings jointly, stripping three of them of voting power, while allowing them to continue to benefit financially. Rupert Murdoch had argued that giving control to Lachlan — who is understood to share his father’s worldview — was in the financial interests of the whole brood. – ‘Carefully crafted charade’ – The family intrigue played out behind closed doors in a Nevada courtroom, where Murdoch senior and his four children were understood to have given several days’ evidence in September. In a decision filed at the weekend, probate commissioner Edmund J. Gorman Jr. said the father and son had acted in “bad faith” in trying to rewrite the rules, The New York Times reported, citing a copy of the sealed court document. The plan to alter the trust’s structure was a “carefully crafted charade” to “permanently cement Lachlan Murdoch’s executive roles.” “The effort was an attempt to stack the deck in Lachlan Murdoch’s favor after Rupert Murdoch’s passing so that his succession would be immutable,” the Times cited the ruling as saying. “The play might have worked; but an evidentiary hearing, like a showdown in a game of poker, is where gamesmanship collides with the facts and at its conclusion, all the bluffs are called and the cards lie face up. “The court, after considering the facts of this case in the light of the law, sees the cards for what they are and concludes this raw deal will not, over the signature of this probate commissioner, prevail.” Murdoch’s lawyer, Adam Streisand, did not immediately reply to an AFP request for comment. The ruling is not final, and must now be ratified or rejected by a district judge. That ruling could be challenged, perhaps provoking another round of legal arguments. The complicated structure of the irrevocable trust reflects the colourful familial relationships that shaped Rupert Murdoch’s life as he built the multibillion-dollar empire. The trust was reported to have been the result of a deal agreed with his second wife — mother of Lachlan, Elisabeth and James — who wanted to ensure her offspring would not be disenfranchised by children Murdoch had with his third wife, Wendi Deng. The Murdoch empire has transformed tabloid newspapers, cable TV and satellite broadcasting over the last few decades while facing accusations of stoking populism across the English-speaking world. Brexit in Britain and the rise of Donald Trump in the United States are credited at least partly to Murdoch and his outlets. With 2,400 staff representing 100 different nationalities, AFP covers the world as a leading global news agency. AFP provides fast, comprehensive and verified coverage of the issues affecting our daily lives.
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