Privatization of public infrastructure is not the answer: P3s cost more,
deliver less
November 2, 2006 Ontario Health
Coalition: News Release
McGuinty Government Fudging Costs of Royal Ottawa Hospital P3: Hospital
dramatically more expensive due to privatization

October 31, 2006
Ontario Health Coalition news release and backgrounder on P3 hospital
secrecy

For public sector workers, a new
state-of-the-art facility can be an attractive prospect. Many communities
have been waiting a long time for replacement of tired old buildings or
highways full of potholes – especially after eight years of Tory rule that
ignored Ontario’s infrastructure needs.
Infrastructure minister David
Caplan is correct when he says that Ontario’s infrastructure deficit could
be as much as $100 billion. However, his prescription for addressing that
deficit could put billions in the hands of private corporations and create a
legacy of unnecessary debt for the next generation.
Last fall Caplan announced 28
hospital projects using what he calls “alternate financing and procurement,”
or “AFPs.” Most of us know this arrangement by another name: a
“public-private partnership, or a “P3.”
P3s not just for hospitals
P3s have been creeping into
Ontario for some time, often below the public radar. And they aren’t just
for hospitals and highways, like the 407. Recently announced P3s include new
court houses in Waterloo and Oshawa, a $700 million light rail project in
Ottawa, a new arts center for Orleans. These projects are being initiated by
all levels of government as the private sector lobby grows.
This represents a remarkable
turnaround on the part of the McGuinty Liberal government, who campaigned
against using P3 financing, recognizing three years ago that these projects
cost more and deliver less. In 2003, McGuinty not only attacked the Tories
for developing two new hospitals this way, but vowed he would bring these
hospitals back into the public sector. “We believe in public ownership and
public financing,” he said at the time.
Private hospital deal expected to cost
$300 million more
Only a year after these remarks,
McGuinty signed the two private deals the Tories set up for the William
Osler and Royal Ottawa Hospitals. The government has been fighting in the
courts since to keep these deals out of the sight of the public. Dalton
McGuinty has a good reason to – government is not contesting the $300
million estimate in added costs advocates say the public will be paying for
the Osler deal. That’s $300 million more than it would cost to use public
financing of the building.
With 28 hospital projects
announced in the fall, and the new Woodstock General Hospital announced
recently, the extra costs of these projects could be crippling to future
government finances.
Layoffs, job cuts and scandals
When money gets tight, the first
place to cut costs is usually through layoffs and job cuts. When the United
Kingdom went down the P3 route to finance public hospitals, an average of 30
per cent of staff – both clinical and support -- had to be cut at these
hospitals to balance the budget. In 2002, when most European countries were
cutting taxes, Britain was forced to raise taxes to cover this huge legacy
of debt.
British P3 hospitals also became
scandal-plagued amid faulty construction and questionable land deals that
resulted in huge profits to the private consortiums.
In Nova Scotia, a
pro-privatization Tory government had to cancel a P3 school construction
program amid cost overruns, scandals and lack of public control. In Hamilton
the city had to take back its water service after poor performance by
several P3 consortiums. And we all know about how much control the
government had over the skyrocketing costs of P3 Highway 407 – none. It’s no
wonder David Caplan prefers to call these projects AFPs, and not by their
real name.
We can fight back!
The course of events is
beginning to change. The P3 Union Station deal in Toronto recently collapsed
after the private consortium was unable to meet the terms set out by City
Hall. The announced P3 hospitals are having the scope of private control
scaled back. Many communities are taking back their water services after
poor performance by large international water companies. We cannot stop now.