Reports and Case Summaries

The Ombudsman investigates individual complaints and major systemic issues under the Ombudsman Act. He also investigates complaints about closed municipal meetings under the Municipal Act. Use the filters to find the reports and case studies you are looking for.

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June 27, 2017

27 June, 2017

Delay headache

A woman whose migraine medication is covered through the Exceptional Access Program contacted us because she was worried about how long it was taking the program to approve a renewal of her prescription.

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June 27, 2017

27 June, 2017

Got him covered

A man who had lost all of his identification a few years earlier sought our help because he was unable to get health coverage through OHIP.

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November 8, 2016

8 November, 2016

Welcome home

A senior contacted our Office after restrictions were placed on his visits with his wife at her long-term care home, after he raised concerns with a nurse about his wife’s care.

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November 8, 2016

8 November, 2016

Fire protection

A man whose home and important documents were destroyed by fire complained that he was having trouble renewing his Ontario health card.

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November 8, 2016

8 November, 2016

Retroactive relief

After the Trillium Drug Program denied a woman drug benefits that she had previously received, our staff raised the case with a senior analyst at the Ministry, who found the information she had submitted about her private insurer’s drug coverage had been inconsistent.

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November 8, 2016

8 November, 2016

Finding compassion

A woman complained to our Office on behalf of her 34-year-old daughter, who requires a specially-made drug at a cost of $200 per month.

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November 8, 2016

8 November, 2016

Timely medicine

A mother whose son has a developmental disability and is medically fragile complained that her son’s medication costs were no longer being covered since he had been placed in a group home funded by the Ministry of Community and Social Services.

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July 28, 2015

28 July, 2015

A sign of relief

A mother was concerned about the lack of support and funding for her 19-year-old son, who has autism and aggressive behavioural issues. He had recently been taken to hospital by police after an incident when he became agitated and violent.

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July 28, 2015

28 July, 2015

Handling with care

The aunt and uncle of a 16-year-old boy with Down Syndrome needed help finding the boy a place to live after his mother died of cancer. They were concerned that they would not be able to care for him because they lived 270 kilometres away, both worked odd hours, and, due to their age, wouldn’t be able to look after him on a long-term basis.

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July 28, 2015

28 July, 2015

Pearly rights

A woman whose teeth had been damaged as a result of physical abuse by her partner years earlier contacted the Ombudsman for help in obtaining funds to have them fixed.

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July 28, 2015

28 July, 2015

Good medicine

A woman who was experiencing a third occurrence of HER2-positive breast cancer was denied funding by the Ministry for the chemotherapy drug Kadcyla, although it was prescribed by her oncologist. The Ministry would fund the drug for women experiencing a second occurrence of the disease, but not a third – despite scientific evidence that women with third and even fourth occurrences did benefit from the drug.

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July 28, 2015

28 July, 2015

Lost in the mail

A 62-year-old woman with Crohn’s disease required infusions every eight weeks at a cost of $4,542.76 per treatment. The woman’s private insurance covered 80% of the costs, while the Trillium Drug Program reimbursed her for the remainder, but she was reaching the lifetime maximum for her private insurance coverage and it was about to end.

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July 28, 2015

28 July, 2015

Failure to communicate

After the removal of a benign brain tumour, a woman in her 20s suffered a stroke that left her unsteady on her feet, needing assistance to use the bathroom, and with speech difficulties. She had to be hospitalized several times and was placed in the complex care unit of a local hospital for four months.

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July 28, 2015

28 July, 2015

No time to lose

An inmate was told after a colonoscopy that he likely had bowel cancer and would need surgery immediately – within a week. However, the jail’s doctor told him the facility had no paperwork from the specialist, and it would be up to four weeks before he could even get an appointment for surgery.

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July 28, 2015

28 July, 2015

Excruciating wait

An inmate had been waiting for months to have a wisdom tooth extracted and was in severe pain, to the point where he had fainted and had to be sent to hospital.

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July 28, 2015

28 July, 2015

New drug, new hope

After a woman was denied funding for a drug to treat neuropathic pain, her husband came to the Ombudsman for help. The woman has a rare neurological disease and her condition, which is considered palliative, means she has considerable muscle and nerve pain. One of the drugs that helped her pain, Sativex, was only approved for patients with multiple sclerosis, or palliative cancer patients with refractory pain.

 

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July 28, 2015

28 July, 2015

Going the distance

The owner of a home for adults with mental health issues contacted the Ombudsman, frustrated that he couldn’t get ODSP or Developmental Services Ontario (DSO) to provide funding to take one of his residents to her cancer treatments.

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July 28, 2015

28 July, 2015

Rehab reset

A mother complained to the Ombudsman after she was forced to pay $7,000 for a spot for her adult daughter in a residential treatment program for women with substance abuse issues.

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June 10, 2011

10 June, 2011

Non-emergency medical transportation services

Investigation into complaints about patient safety, infection control and other issues involving the vehicles that transport non-emergency patients, focusing on whether adequate measures are in place to protect the public.

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May 12, 2011

12 May, 2011

Limited funding of Herceptin

The Ministry of Health and Long-Term Care agreed to fund Herceptin for patients with breast cancer tumours of one centimetre in diameter or less. The Ombudsman suspended his investigation in May 2011, but he continues to monitor complaints and developments on the issue.

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December 21, 2010

21 December, 2010

Long-term care

The Ministry of Health and Long-Term Care incorporated the Ombudsman’s suggestions in its ongoing upgrade of its monitoring of long-term care facilities after he identified serious systemic problems. Since the Ministry’s efforts are “a work in progress,” in lieu of a report, the Ombudsman released a summary of his findings and the Ministry’s responses to date.

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August 10, 2010

10 August, 2010

The LHIN Spin

Ombudsman finds the Hamilton Niagara Haldimand Brant LHIN closed several meetings to the public for the purposes of “education” illegal.

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June 15, 2010

15 June, 2010

Dental implants

The Ministry of Health and Long-Term Care agreed to fund dental implants for a 55-year-old cancer patient who required extensive reconstructive facial surgery.  The Ministry also acknowledged that there may be others in such exceptional circumstances and undertook to address the gap in the system to allow them access to funding for dental implants.

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September 30, 2009

30 September, 2009

A Vast Injustice

Ministry decision to restrict cancer drug "verges on cruelty" - Ombudsman finds cap on Avastin funding unreasonable and wrong.

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July 23, 2009

23 July, 2009

PET scans

The Ministry of Health and Long-Term Care announced funding for Positron Emission Tomography scans for certain indications in the wake of this investigation of the Ministry's process for evaluating the technology, and practices in other provinces. (Because the issue was resolved, no report was published.)

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November 1, 2007

1 November, 2007

Assistive Devices: Life and Breath

The Ministry of Health and Long-Term Care agreed to fund the home use of oxygen saturation monitors for children with life-threatening respiratory conditions, and to review the entire Assistive Devices Program.

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April 13, 2007

13 April, 2007

Mental health services for military Children: Collateral Damage

The province created a $2-million emergency fund for children’s mental health services and the federal government committed $100,000 to help traumatized children of Ontario-based Canadian Forces personnel serving in Afghanistan.

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September 1, 2006

1 September, 2006

OHIP: The Difference a Few Days Make

Coverage was granted to a 94-year-old man who moved back to Ontario from the U.S. and broke his hip 38 days before his Ontario health insurance eligibility was to take effect.

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July 20, 2006

20 July, 2006

Out-of-country cancer care: The Out-of-Country Conundrum

The Ministry of Health overhauled its out-of-country care program and paid $75,000 to a chemotherapy patient who was wrongly denied coverage.

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May 1, 2006

1 May, 2006

Testicular implants for boys: A Medical Necessity

The Ministry of Health and Long-Term care restored funding for testicular prosthesis surgery for boys under 18. Because the issue was resolved, no report was published.

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September 27, 2005

27 September, 2005

The Right To Be Impatient

Investigation into whether the Ministry of Health and Long-Term Care has failed to properly administer newborn screening in Ontario.

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September 1, 2005

1 September, 2005

From Hope to Despair

Investigation into the Ministry of Health and Long-Term Care's refusal to fund the drug Cystagon for treatment of Batten's Disease.

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