{"id":812080,"date":"2024-12-12T23:13:08","date_gmt":"2024-12-13T05:13:08","guid":{"rendered":"https:\/\/newsycanuse.com\/index.php\/2024\/12\/12\/isfeld-fix-medical-insurance-now-for-canadians-serving-abroad\/"},"modified":"2024-12-12T23:13:08","modified_gmt":"2024-12-13T05:13:08","slug":"isfeld-fix-medical-insurance-now-for-canadians-serving-abroad","status":"publish","type":"post","link":"https:\/\/newsycanuse.com\/index.php\/2024\/12\/12\/isfeld-fix-medical-insurance-now-for-canadians-serving-abroad\/","title":{"rendered":"Isfeld: Fix medical insurance now for Canadians serving abroad"},"content":{"rendered":"<article aria-labelledby=\"articleTitle\" data-wcm-id=\"cdb70771-66ca-4a3f-b631-d2beee839b1d\">\n<header aria-label=\"Beginning of Article\">\n<div>\n<div>\n<p>The union representing foreign service officers \u2014\u00a0who often work under hazardous conditions \u2014 has been forced to take the Government of Canada to court over health coverage. We shouldn&#8217;t have to do that.<\/p>\n<div>\n<p><span>Published Nov 21, 2024<\/span> \u00a0\u2022\u00a0 <span>Last updated Nov 21, 2024<\/span> \u00a0\u2022\u00a0 <span>3 minute read<\/span><\/p>\n<\/div>\n<\/div>\n<figure data-aqa=\"featured-image\"><picture><source media=\"(min-width: 1200px)\" srcset=\"https:\/\/smartcdn.gprod.postmedia.digital\/ottawacitizen\/wp-content\/uploads\/2024\/11\/53a1097.jpg?quality=90&#038;strip=all&#038;w=564&#038;h=423&#038;type=webp&#038;sig=bUwM-bVcaxTSQvt8iLecLg, \nhttps:\/\/smartcdn.gprod.postmedia.digital\/ottawacitizen\/wp-content\/uploads\/2024\/11\/53a1097.jpg?quality=90&#038;strip=all&#038;w=1128&#038;h=846&#038;type=webp&#038;sig=LiWwBdLZpHfggtbh5r9Ttw 2x\" type=\"image\/webp\"><source media=\"(min-width: 1200px)\" srcset=\"https:\/\/smartcdn.gprod.postmedia.digital\/ottawacitizen\/wp-content\/uploads\/2024\/11\/53a1097.jpg?quality=90&#038;strip=all&#038;w=564&#038;h=423&#038;type=jpg&#038;sig=OGRtyABFbSA8N2Qx1AFEHw, \nhttps:\/\/smartcdn.gprod.postmedia.digital\/ottawacitizen\/wp-content\/uploads\/2024\/11\/53a1097.jpg?quality=90&#038;strip=all&#038;w=1128&#038;h=846&#038;type=jpg&#038;sig=aI-e6oRZ7kytXfUPE0FusQ 2x\" type=\"image\/jpeg\"><source media=\"(min-width: 768px)\" srcset=\"https:\/\/smartcdn.gprod.postmedia.digital\/ottawacitizen\/wp-content\/uploads\/2024\/11\/53a1097.jpg?quality=90&#038;strip=all&#038;w=472&#038;h=354&#038;type=webp&#038;sig=wfrhB_uoGy5LRps8FStqPw, \nhttps:\/\/smartcdn.gprod.postmedia.digital\/ottawacitizen\/wp-content\/uploads\/2024\/11\/53a1097.jpg?quality=90&#038;strip=all&#038;w=944&#038;h=708&#038;type=webp&#038;sig=IAPJjBgNCIMuyN6Nr0a_sg 2x\" type=\"image\/webp\"><source media=\"(min-width: 768px)\" srcset=\"https:\/\/smartcdn.gprod.postmedia.digital\/ottawacitizen\/wp-content\/uploads\/2024\/11\/53a1097.jpg?quality=90&#038;strip=all&#038;w=472&#038;h=354&#038;type=jpg&#038;sig=DtXPRZiZQFFUoVyytkYiAg, \nhttps:\/\/smartcdn.gprod.postmedia.digital\/ottawacitizen\/wp-content\/uploads\/2024\/11\/53a1097.jpg?quality=90&#038;strip=all&#038;w=944&#038;h=708&#038;type=jpg&#038;sig=KB8pNZgevo4q-CSvneAgXg 2x\" type=\"image\/jpeg\"><source media=\"(max-width: 767px)\" srcset=\"https:\/\/smartcdn.gprod.postmedia.digital\/ottawacitizen\/wp-content\/uploads\/2024\/11\/53a1097.jpg?quality=90&#038;strip=all&#038;w=288&#038;h=216&#038;type=webp&#038;sig=Qf6ww9JX4GbgQOWOq-WTuw, \nhttps:\/\/smartcdn.gprod.postmedia.digital\/ottawacitizen\/wp-content\/uploads\/2024\/11\/53a1097.jpg?quality=90&#038;strip=all&#038;w=576&#038;h=432&#038;type=webp&#038;sig=eXfDdMXJ_EIYJQB7RajJ7w 2x\" type=\"image\/webp\"><img loading=\"lazy\" decoding=\"async\" alt=\"Pamela Isfeld, president of PAFSO, portrait\" src=\"https:\/\/smartcdn.gprod.postmedia.digital\/ottawacitizen\/wp-content\/uploads\/2024\/11\/53a1097.jpg?quality=90&#038;strip=all&#038;w=288&#038;h=216&#038;sig=R11HBKafRk0G8TxWwn4GOQ\" srcset=\"https:\/\/smartcdn.gprod.postmedia.digital\/ottawacitizen\/wp-content\/uploads\/2024\/11\/53a1097.jpg?quality=90&#038;strip=all&#038;w=288&#038;h=216&#038;sig=R11HBKafRk0G8TxWwn4GOQ,\n                    https:\/\/smartcdn.gprod.postmedia.digital\/ottawacitizen\/wp-content\/uploads\/2024\/11\/53a1097.jpg?quality=90&#038;strip=all&#038;w=576&#038;h=432&#038;sig=LJ28n6y2DT9HnM3cLPHZMQ 2x\" height=\"750\" width=\"1000\"><\/picture><figcaption><span>Pamela Isfeld, president of the Professional Association of Foreign Service Officers (PAFSO), says the government has not acted on concerns about health coverage abroad for PAFSO members. <\/span> <span>Photo by Tony Caldwell<\/span> \/<span>POSTMEDIA<\/span><\/figcaption><\/figure>\n<\/div>\n<\/header>\n<section>\n<p data-async>One of my favourite tasks as president of the Professional Association of Foreign Service Officers <a data-evt-val=\"{\"control_fields\": {\"mparticle\": {\"keys\": {\"click_source_type\": \"click_source_type\", \"anchor_text\": \"anchor_text\", \"target_url\": \"target_url\", \"layout_section\": \"layout_section\"}, \"mp_event_type\": \"Navigation\", \"extra_keys\": [\"click_vertical_position_percentage\", \"click_vertical_position_pixels\"]}}, \"click_source_type\": \"in-page link\", \"anchor_text\": \"(PAFSO\", \"target_url\": \"https:\/\/pafso.com\/\", \"layout_section\": \"in-page-link\"}\" data-evt=\"click\" data-evt-typ=\"click\" href=\"https:\/\/pafso.com\/\">(PAFSO<\/a>) is welcoming new recruits. These talented individuals are always eager to contribute their skills to a profession that demands excellence under difficult conditions.<\/p>\n<\/section>\n<section>\n<p>Article content<\/p>\n<\/section>\n<section>\n<p>Article content<\/p>\n<p data-async>Yet, when questions turned to insurance company <a data-evt-val=\"{\"control_fields\": {\"mparticle\": {\"keys\": {\"click_source_type\": \"click_source_type\", \"anchor_text\": \"anchor_text\", \"target_url\": \"target_url\", \"layout_section\": \"layout_section\"}, \"mp_event_type\": \"Navigation\", \"extra_keys\": [\"click_vertical_position_percentage\", \"click_vertical_position_pixels\"]}}, \"click_source_type\": \"in-page link\", \"anchor_text\": \"MSH International\", \"target_url\": \"https:\/\/www.msh-intl.com\/en\/\", \"layout_section\": \"in-page-link\"}\" data-evt=\"click\" data-evt-typ=\"click\" href=\"https:\/\/www.msh-intl.com\/en\/\">MSH International<\/a> and accessing the <a data-evt-val=\"{\"control_fields\": {\"mparticle\": {\"keys\": {\"click_source_type\": \"click_source_type\", \"anchor_text\": \"anchor_text\", \"target_url\": \"target_url\", \"layout_section\": \"layout_section\"}, \"mp_event_type\": \"Navigation\", \"extra_keys\": [\"click_vertical_position_percentage\", \"click_vertical_position_pixels\"]}}, \"click_source_type\": \"in-page link\", \"anchor_text\": \"Public Service Health Care Plan\", \"target_url\": \"https:\/\/www.canada.ca\/en\/treasury-board-secretariat\/topics\/benefit-plans\/plans\/health-care-plan.html\", \"layout_section\": \"in-page-link\"}\" data-evt=\"click\" data-evt-typ=\"click\" href=\"https:\/\/www.canada.ca\/en\/treasury-board-secretariat\/topics\/benefit-plans\/plans\/health-care-plan.html\">Public Service Health Care Plan<\/a> (PSHCP) outside of Canada, I was forced to tell the newest group something that was unthinkable to me when I joined the Foreign Service 31 years ago: their employer is failing to provide a functioning overseas health insurance plan. This has given PAFSO no option but to turn to the federal court in search of accountability.<\/p>\n<\/section>\n<section data-aqa=\"identity-sign-in\" data-async id=\"article-block\">\n<header>\n<div>\n<p><img decoding=\"async\" alt=\"Ottawa Citizen\" height=\"37\" loading=\"lazy\" src=\"https:\/\/dcs-static.gprod.postmedia.digital\/17.5.4\/websites\/images\/identity\/logo-identity-oc-new.svg\" width=\"280\"><\/p>\n<div>\n<p>THIS CONTENT IS RESERVED FOR SUBSCRIBERS ONLY<\/p>\n<p>Subscribe now to read the latest news in your city and across Canada.<\/p>\n<ul>\n<li>Exclusive articles from Elizabeth Payne, David Pugliese, Andrew Duffy, Bruce Deachman and others. Plus, food reviews and event listings in the weekly newsletter, Ottawa, Out of Office.<\/li>\n<li>Unlimited online access to Ottawa Citizen and 15 news sites with one account.<\/li>\n<li>Ottawa Citizen ePaper, an electronic replica of the print edition to view on any device, share and comment on.<\/li>\n<li>Daily puzzles, including the New York Times Crossword.<\/li>\n<li>Support local journalism.<\/li>\n<\/ul>\n<\/div>\n<div>\n<p>SUBSCRIBE TO UNLOCK MORE ARTICLES<\/p>\n<p>Subscribe now to read the latest news in your city and across Canada.<\/p>\n<ul>\n<li>Exclusive articles from Elizabeth Payne, David Pugliese, Andrew Duffy, Bruce Deachman and others. Plus, food reviews and event listings in the weekly newsletter, Ottawa, Out of Office.<\/li>\n<li>Unlimited online access to Ottawa Citizen and 15 news sites with one account.<\/li>\n<li>Ottawa Citizen ePaper, an electronic replica of the print edition to view on any device, share and comment on.<\/li>\n<li>Daily puzzles, including the New York Times Crossword.<\/li>\n<li>Support local journalism.<\/li>\n<\/ul>\n<\/div>\n<div>\n<p>REGISTER \/ SIGN IN TO UNLOCK MORE ARTICLES<\/p>\n<p>Create an account or sign in to continue with your reading experience.<\/p>\n<ul>\n<li>Access articles from across Canada with one account.<\/li>\n<li>Share your thoughts and join the conversation in the comments.<\/li>\n<li>Enjoy additional articles per month.<\/li>\n<li>Get email updates from your favourite authors.<\/li>\n<\/ul>\n<\/div>\n<div>\n<p>THIS ARTICLE IS FREE TO READ REGISTER TO UNLOCK.<\/p>\n<p>Create an account or sign in to continue with your reading experience.<\/p>\n<ul>\n<li>Access articles from across Canada with one account<\/li>\n<li>Share your thoughts and join the conversation in the comments<\/li>\n<li>Enjoy additional articles per month<\/li>\n<li>Get email updates from your favourite authors<\/li>\n<\/ul>\n<\/div>\n<\/div>\n<\/header>\n<div data-auth-component id=\"auth-screen-form\" aria-live=\"assertive\">\n<h2>Sign In or Create an Account<\/h2>\n<p><span><\/span><span>or<\/span><span><\/span><\/p>\n<\/div>\n<\/section>\n<section>\n<p>Article content<\/p>\n<p>In July 2023, Canada Life and MSH International became the new administrators of the PSHCP, which provides essential health insurance for thousands of public servants and their families serving Canada abroad. Since this change, we\u2019ve seen case after case of foreign service officers and their families being denied access to their basic PSHCP insurance coverage, even as premiums continue to be deducted from their pay.<\/p>\n<p>Imagine being turned away from urgent care because your provider could not confirm coverage. Or spending costly days in intensive care, as a global pandemic raged around you, awaiting a second procedure because the company cannot be reached to give the green light. Even those paying out-of-pocket have often reported receiving arbitrary denials for their submitted claims.<\/p>\n<p>Dedicated foreign service officers operate in difficult, high-stress environments, often thousands of miles from home; the very least they deserve is the assurance their employer will fulfil its duty to provide accessible health-care coverage.<\/p>\n<h3>Medical visits delayed or rejected by insurer<\/h3>\n<\/section>\n<section>\n<p>Article content<\/p>\n<p>PAFSO members are spending hours \u2014 sometimes days \u2014 fighting the system. The insurance provider\u2019s employees are shockingly unfamiliar with the terms of the plan, forcing our members to doublecheck every detail. It\u2019s difficult enough that some members have delayed important medical visits while others have felt deterred from seeking postings abroad.<\/p>\n<p>None of us signed up for this. Our members in foreign countries are vulnerable and in need of essential medical care. They do not have access to provincial health care and are finding that their lifelines are failing them.<\/p>\n<p>This issue is forcing those serving their country abroad, sometimes at significant personal risk, to shoulder additional administrative and financial burdens and stress. The employer\u2019s failure to ensure foreign service officers can access health-care coverage, whether through MSH International or otherwise, is compromising our members\u2019 trust, health and safety, and dignity.<\/p>\n<p>Instead of accountability, we\u2019ve seen nothing but Band-Aid measures and buck-passing \u2014 as we did with the Phoenix pay system.<\/p>\n<\/section>\n<section>\n<p>Article content<\/p>\n<p>PAFSO has taken significant steps to fight these injustices on behalf of our members.<\/p>\n<p>First, we filed a policy grievance, outlining the numerous violations of the health insurance plan and demanding immediate corrective action. The grievance was met with silence by the employer.<\/p>\n<p data-async>We escalated our battle by <a data-evt-val=\"{\"control_fields\": {\"mparticle\": {\"keys\": {\"click_source_type\": \"click_source_type\", \"anchor_text\": \"anchor_text\", \"target_url\": \"target_url\", \"layout_section\": \"layout_section\"}, \"mp_event_type\": \"Navigation\", \"extra_keys\": [\"click_vertical_position_percentage\", \"click_vertical_position_pixels\"]}}, \"click_source_type\": \"in-page link\", \"anchor_text\": \"filing complaints\", \"target_url\": \"https:\/\/ottawacitizen.com\/news\/federal-union-files-human-rights-complaints-over-health-insurance-woes\", \"layout_section\": \"in-page-link\"}\" data-evt=\"click\" data-evt-typ=\"click\" href=\"https:\/\/ottawacitizen.com\/news\/federal-union-files-human-rights-complaints-over-health-insurance-woes\">filing complaints<\/a> with the Canadian Human Rights Commission, targeting both the Government of Canada and MSH International for their failure to uphold basic human rights.<\/p>\n<p>Despite these efforts, the situation remains unresolved.<\/p>\n<p>Now, we have filed a writ of mandamus in court to compel the government to fulfil its legal obligations to employees and their families. We are demanding that the court order the government to step in, take control and ensure our members have adequate health insurance until this systemic failure is rectified.<\/p>\n<p>We can\u2019t keep waiting for MSH International to get its act together; the government must take the reins and make the system work. The time for half-measures and empty promises has long passed.<\/p>\n<p>We will continue to fight, but we shouldn\u2019t have to shame our government into meeting its responsibilities The foreign service community, not to mention Canada and its citizens, deserves better.<\/p>\n<p><em><strong>Pamela Isfeld<\/strong> is president of the Professional Association of Foreign Service Officers (PAFSO).<\/em><\/p>\n<section aria-labelledby=\"moreTopicLabel1284158319344965654145969210523648\" data-aqa=\"embed-more-topic\" data-carousel-component data-carousel-icon-button data-carousel-type=\"list\">\n<p>Recommended from Editorial<\/p>\n<ol data-carousel-slide-list tabindex=\"0\">\n<li data-evt-val=\"{\"control_fields\": {\"mparticle\": {\"keys\": {\"click_source_type\": \"click_source_type\", \"data_source\": \"data_source\", \"anchor_text\": \"anchor_text\", \"widget_title\": \"widget_title\", \"target_url\": \"target_url\", \"target_article_title\": \"target_article_title\", \"target_article_id\": \"target_article_id\", \"target_article_position\": \"target_article_position\", \"layout_section\": \"layout_section\"}, \"mp_event_type\": \"Navigation\", \"extra_keys\": [\"click_vertical_position_percentage\", \"click_vertical_position_pixels\"]}}, \"click_source_type\": \"widget-list\", \"data_source\": \"editorial\", \"anchor_text\": \"PBO &#038;#39not holding&#038;#39 his breath over public service layoffs as personnel spending still on the rise\", \"widget_title\": \"recommended-from-editorial\", \"target_url\": \"https:\/\/ottawacitizen.com\/public-service\/pbo-layoffs-public-service-spending\", \"target_article_title\": \"PBO &#038;#39not holding&#038;#39 his breath over public service layoffs as personnel spending still on the rise\", \"target_article_id\": \"23ad6156-6d3f-4e7b-af4d-764dc282e434\", \"target_article_position\": \"0\", \"layout_section\": \"recommended-from-editorial\"}\" data-carousel-item data-evt=\"click\" data-evt-typ=\"click\"><a href=\"https:\/\/ottawacitizen.com\/public-service\/pbo-layoffs-public-service-spending\"> <picture><img decoding=\"async\" alt=\"Parliamentary Budget Officer Yves Giroux.\" src=\"https:\/\/smartcdn.gprod.postmedia.digital\/ottawacitizen\/wp-content\/uploads\/2024\/06\/Yves-Giroux-1-1.jpg?h=96&#038;strip=all&#038;quality=80&#038;sig=FGQ-Ny5_A8mL9WMKcUL5yg\" srcset=\"https:\/\/smartcdn.gprod.postmedia.digital\/ottawacitizen\/wp-content\/uploads\/2024\/06\/Yves-Giroux-1-1.jpg?h=96&#038;strip=all&#038;quality=80&#038;sig=FGQ-Ny5_A8mL9WMKcUL5yg, https:\/\/smartcdn.gprod.postmedia.digital\/ottawacitizen\/wp-content\/uploads\/2024\/06\/Yves-Giroux-1-1.jpg?h=192&#038;strip=all&#038;quality=80&#038;sig=BEEWmc6yO-B8xZEoVcmEjQ 2x,\n                                             https:\/\/smartcdn.gprod.postmedia.digital\/ottawacitizen\/wp-content\/uploads\/2024\/06\/Yves-Giroux-1-1.jpg?h=288&#038;strip=all&#038;quality=80&#038;sig=kbiLAXzTru4P3GkmIDKVfw 3x\" height=\"96\" loading=\"lazy\" width=\"96\"><\/picture>\n<p><span>PBO &#8216;not holding&#8217; 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We shouldn&#8217;t have to do that. Published Nov 21, 2024 \u00a0\u2022\u00a0 Last updated Nov 21, 2024 \u00a0\u2022\u00a0 3 minute read Pamela Isfeld, president of the Professional Association of<\/p>\n","protected":false},"author":1,"featured_media":812081,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[140166,3850],"tags":[140165,5276],"class_list":["post-812080","post","type-post","status-publish","format-standard","has-post-thumbnail","category-isfeld","category-medical","tag-isfeld","tag-medical"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/newsycanuse.com\/index.php\/wp-json\/wp\/v2\/posts\/812080","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/newsycanuse.com\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/newsycanuse.com\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/newsycanuse.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/newsycanuse.com\/index.php\/wp-json\/wp\/v2\/comments?post=812080"}],"version-history":[{"count":0,"href":"https:\/\/newsycanuse.com\/index.php\/wp-json\/wp\/v2\/posts\/812080\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/newsycanuse.com\/index.php\/wp-json\/wp\/v2\/media\/812081"}],"wp:attachment":[{"href":"https:\/\/newsycanuse.com\/index.php\/wp-json\/wp\/v2\/media?parent=812080"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/newsycanuse.com\/index.php\/wp-json\/wp\/v2\/categories?post=812080"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/newsycanuse.com\/index.php\/wp-json\/wp\/v2\/tags?post=812080"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}