Each immigrant costs Canada $450 per year: report

Description: A train of Vancouver's Skytrain (...Image via Wikipedia
By: Jon Woodward, ctvbc.ca
Date: Tuesday Jul. 26, 2011 9:49 AM PT
A team of B.C. economists has cut a conservative think-tank's estimate of the cost of immigration down to size.
Two months after the Fraser Instituteestimated that each immigrant on average costs the Canadian government $6,051 per year – a total cost of as much as $23 billion – Mohsen Javdani and Krishna Pendakur of Metropolis British Columbiatook another look at their numbers.
Using a wider sample size of immigrants, correcting calculation errors, and using data where it was available rather than estimates, the pair found a far lower annual cost of about $450 per immigrant, or about $2 billion per year.
"We find that there's a significant fiscal effect of immigration," Javdani said. "But we do not conclude that immigrants are a burden to the Canadian economy."
Javdani added Canada needs to find programs that benefit new arrivals to improve immigrants' labour market potential and performance, which would inject money into the Canadian economy.
The authors are both economists at Simon Fraser University.
Taxes vs. benefits
Both studies attempted to figure out whether immigrants fully pay for in taxes the public services that they use, like health care or education.
The Fraser Institute's study was an attempt to gauge whether our system should move to select for would-be immigrants who already have job offers, according to co-author Patrick Grady.
"Canada has to develop a much better system of assessing immigrants coming in," Grady told CTV News in a phone interview. "They can't seem to tell if a person is going to be able to find a job at a good salary or if they'll find employment at their profession and skill."
The Fraser Institute study looked at immigrants arriving after 1987 – about 4 million people – and compared them to average Canadians in the same time frame. The result was a report sharply critical of immigration.
It recommended that Canada only allow immigrants with employment lined up, and keep citizenship only if the immigrants hang onto their jobs.
The Metropolis study, which was given to CTV News before it is to be publicly released, at first set out to correct calculation errors in the Fraser Institute report, which it said were "apparently typographic in origin." Corrected calculations reduced the difference to $5,473.
Where the Fraser Institute estimated property taxes paid by immigrants – 72 per cent of the Canadian average -- the Metropolis team dug up data on immigrant households to find they actually pay about 96 per cent of the Canadian average.
"We prefer data to guesses," the report noted dryly.
The pair also widened their sample size, going back to 1970, which would capture more immigrants in their prime earning years.
"If you look at the longer term, these immigrants are going to contribute through earning higher incomes and paying higher taxes," said author Javdani.
That change reduced the estimated cost to $2,470 per immigrant, the report said.
Instead of comparing the immigrants to the average Canadian – which would include immigrants as well – the Metropolis study compared the immigrants to the Canadian-born, and found immigrants took $554 less in benefits.
They also ignored "public good" government expenditures that are less directly related to the size of the population, such as national defence – a difference of $,1692 per immigrant.
The end result was a much lower annual total cost of $450 per immigrant – about seven per cent of the Fraser Institute figure, and a very different conclusion, said Javdani.
Immigrants tend to be poorer
Javdani said the lesson is that immigrants tend to be poorer than Canadians, and that means we need programs that can help them succeed.
Kanako Heinrichs runs Queensberry Flower Company located in Granville SkyTrain Station. She said when she came from Japan in 2007 with her new Canadian husband, it was difficult to get a job.
"Most immigrants can relate to that," she said, adding that the hardest part was bouncing around through low-paying, dead-end jobs. "It's tough."
She contacted immigrant services agency SUCCESS, and they helped her develop an idea of bringing a Tokyo-style flower shop into a subway station. The project has been a huge success, to the point that she is opening another shop in the Yaletown subway station, which will employ more people.
"Everybody has a different background. In my case, I brought what I know very well over here," she said. "That's what immigrants can do. Brand new ideas, brand new products, new concepts that make the city more exciting."
Javdani said her story is a good example of how difficult it is to filter immigrants. "If you limit settlement in Canada to the people who have a job offer, you limit opportunities that immigration may bring," he said.
SUCCESS CEO Thomas Tam said the $450 per immigrant is an investment that pays off in the connections that immigrants make with the world, and the ideas and opportunities they bring Canada.
"We see thousands of immigrants, they settle down, they find a job, some create jobs for other people," he said.
Grady of the Fraser Institute said the institute stands by its report, with some corrections that he said don't dramatically change the final cost.
He rejected the Metropolis team's choice to go farther back than 1987, because immigrants from before that time largely came from developed countries. Since then, a court decision has required the government to accept applications from all over the world.
"Canadian taxpayers are going to be subsidizing future generations of immigrants if they keep coming at the rate they're coming. It's going to exacerbate the problems that we're going to get with respect to the aging of the population, and it's not going to solve the problem," Grady said.
 

Immigrants' health woes focus of new guide

Photo of Tabaret Hall with the Desmarais Build...Image via WikipediaCanadian doctors now have their largest, most comprehensive reference guide yet to use in treating immigrants and refugees.
Compiled from global data, the 100-page report published Monday by the Canadian Medical Association Journal is the first of its kind and synthesizes results from 150 investigators.
The guidebook highlights medical problems that are common among immigrants and refugees but can easily get overlooked because they're not typical in the wider Canadian population.
Dr. Kevin Pottie of the University of Ottawa, and founding director of the Immigrant Health Clinic of Ottawa, co-authored the report that recommends migrants visit a doctor more than once a year.Dr. Kevin Pottie of the University of Ottawa, and founding director of the Immigrant Health Clinic of Ottawa, co-authored the report that recommends migrants visit a doctor more than once a year. (CBC) "Immigrants are coming from 150 countries," notes Dr. Kevin Pottie of the University of Ottawa, who co-authored the guidelines. "Some of them come as refugees, some under family class. So, there's a large diversity of needs and potential preventable and treatable illnesses [that] the average family doctor just isn't thinking about."
Pottie hopes to develop an international set of guidelines in terms of treating migrants.
"We need to see health as a human right, and small interventions are all that's needed for all immigrants," Pottie said in an interview with CBC News.
The guide, titled Evidence-based Clinical Guidelines for Immigrants and Refugees, instructs physicians on how to deal with the kind of health risks faced by the 357,000 annual migrants to Canada, including refugees, international students and migrant workers.
It says the post-arrival "healthy immigrant effect" is declining and recommends that doctors get their migrant patients to visit them more than once a year.
Specifically, certain immigrant groups suffer from higher incidences of some diseases compared with people born in Canada: Southeast Asians from stroke, Caribbeans from diabetes and all immigrant men from liver cancer.
Also, the report says many immigrants are susceptible to diseases that are often preventable through vaccines:
  • 30 to 50 per cent are susceptible to tetanus.
  • 32 to 54 per cent are susceptible to measles, mumps or rubella.
  • A significant number come from countries with chronic hepatitis B infections.
The guidelines recommend that:
  • All adults without immunization records be vaccinated against measles, mumps, rubella, diphtheria, whooping cough, tetanus and polio.
  • Adults and children from countries with chronic hepatitis B be screened and vaccinated.
  • Adolescents and adults from places where HIV is prevalent (i.e. greater than one per cent of the population) should be screened, with informed consent.
  • All immigrants greater than 35 years of age from areas of the world at high risk, which includes South Asia, Latin America and Africa, be screened for for Type 2 diabetes
  • All women of reproductive age and children aged one to four should be screened for iron-deficiency anemia.
  • All migrants should be checked for dental pain.

A time-saver for treatment

Pottie said the guidebook can be an effective tool for time-saving and inexpensive treatment. He cites the presence of intestinal parasites in some migrants. He said most doctors would probably find, on average, 12 parasites, and most doctors wouldn't know which ones to treat.
"We've discovered, through a detailed look at evidence, that virtually all these parasites will go away except for two: strongyloides and schistosoma, which are particular to Asia and Africa. So we're able to refine it to a simple blood test."
Dr. Meb Rashid runs a clinic inside a refugee centre in downtown Toronto, A family physician for 17 years, Rashid has worked mostly with refugees and immigrants for the past eight years. He applauds the guidebook, which will help doctors intervene faster when it comes to possible illnesses in their migrant patients.
"There are physicians in rural Canada who may be just starting to see some of these diseases, and I think these guidelines will be immensely helpful to those people," Rashid told CBC News. "It's well-organized and easy to reference."

Refugees at higher risk

The guidelines say it's important to distinguish whether a person came to Canada through voluntary or forced migration, as those who have been displaced against their will face the most significant health risks.
They say refugees have experienced "past exposure to harmful living conditions, violence and trauma," and note that many experience a rapid decline in health after arriving in Canada and need more care and attention to their medical needs.
New guidelines say it's important to find out whether a migrant to Canada has been forced to leave their homeland. Refugees suffer from more health problems.New guidelines say it's important to find out whether a migrant to Canada has been forced to leave their homeland. Refugees suffer from more health problems. (CBC) Refugees, of which Canada takes in 28,000 a year, are especially vulnerable to depression and other anxiety disorders, the guidelines say. The report recommends physicians use "culture brokers," and not anyone related to the refugee, to help with treatment and to monitor progress and address the social causes of the depression. It proposes "empathy, reassurance and advocacy" and cautions against pushing for "disclosure of traumatic events," which causes more harm than good.
The guidelines include a section on AIDS. It warns that while many HIV-positive migrants may already be aware of their status, they may not be knowledgeable about treatments.
The report warns that migrants may come from countries where there is a strong stigma against HIV-positive people. It counsels health professionals to inform patients of the "risks and benefits of treatment in a culturally and linguistically appropriate manner."

Tread carefully on condom issue: guidelines

On women's health, the guidelines say "culturally sensitive" contraceptive counselling should be offered to women who are or could be sexually active, and they should be given a choice as to what method they want to use. The guidebook underlines that condoms are often taboo in some cultures and seen as an indication of promiscuity, infidelity or having a sexually transmitted infection, so there needs to be careful explanation about their use.
As well, it says that females between ages nine and 26 years should be vaccinated against the human papillomavirus, or HPV.
Migrant and refugee women are also at greater of risk of violence from their husbands and complications connected to their pregnancies, including sexually transmitted infections, chronic pelvic infections, reproductive tract trauma and psychological trauma, the guide says.
It says doctors should be aware the women may be reluctant to talk about their health problems and also unaware of their rights and of the medical services available to them.

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