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Schism within government on how to deal with the Ontario Medical Association puts premier and health minister at odds

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The Ford government has not only angered doctors by pulling the plug on arbitration with the Ontario Medical Association, but now one of its MPPs has gone public in denouncing the move as well.

The Star has also learned there is a growing schism within government on the issue — with the health minister’s office on one side and the premier’s office on the other.

Binding arbitration, aimed at resolving an almost five-year-old contract dispute between the OMA and government, is scheduled to resume Saturday.

But the government revealed earlier this week it no longer plans to attend.

The OMA, which is the legally recognized bargaining agent for the province’s 31,000 physicians, says it still plans to participate, noting that arbitration legislation permits the process to continue even if one party fails to show up.

But the OMA contends it’s illegal for the government to “fire” its nominee.

Meantime, angry doctors are lashing out against the government with some warning of job action and others calling on Conservative MPPs and cabinet ministers to stand up to their own government on the issue.

The physicians charge that the Conservative Party wooed them for their support during the election based on a false promise to make peace with the profession.

Conservative MPP Randy Hillier said he has heard that message loud and clear from doctors in his eastern Ontario riding of Lanark-Frontenac-Kingston. He said the Conservatives also promised in the election to resolve the dispute through binding arbitration and now have an obligation to do so.

“There is a substantial number of physicians who are very disappointed. They are truly expecting and wanting to have a good relationship and to have this dispute resolved through the mechanism that we agreed to,” he said.

“We made that commitment to resolve this dispute through arbitration and unless there is a better mechanism that all parties agree to, then we must uphold our commitment,” Hillier added.

The government earlier this week sent a letter to William Kaplan, chair of the arbitration board, stating it was withdrawing from the arbitration process because it “lacks confidence that the OMA can deliver on the outcome of any arbitration decision.”

Less than two weeks earlier, a request was made to Health Minister Christine Elliott by a group of high-paid specialists to suspend the arbitration process.

It was signed by radiologist Dr. David Jacobs, an outspoken supporter of Premier Doug Ford’s. He is spearheading an effort by a group of high-billing specialists, including radiologists, to break-away from the OMA.

The attempt to split the OMA followed the release of a report from an internal association committee, which recommended that high-billing specialists get paid less and low-billing ones get paid more.

A source close to government said the decision to pull out of arbitration came directly from Premier Doug Ford’s office.

Health Minister Christine Elliott has pushed for arbitration to continue but has been overruled by an official from Ford’s office, said the source who spoke on the condition of anonymity in order to discuss internal deliberations.

A second source close to government acknowledged the internal rift.

“Given how this was handled, there is no way that the government is unified about this decision. Things have to get back on track, fast,” said the source, who who spoke on the condition of anonymity in order to discuss the controversy.

The government is alienating physicians, the source warned, adding that the consequences could spell bad news for Ontario patients.

“The problem is that the consequences for the government and its relationship with physicians will be toxic.”

Press secretaries for Ford and Elliott have not responded to questions about the dissension between their offices.

On Twitter, doctors are discussing job action and OMA president Dr. Nadia Alam has said all options are on the table.

OMA lawyer Steven Barrett sent a letter to Kaplan Thursday, stating that the arbitration hearings “must proceed nothwithstanding the unlawful and bad faith attempt by the (government) to undermine the process.”

Theresa Boyle is a Toronto-based reporter covering health. Follow her on Twitter: @theresaboyle

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Nostalgia and much more with Starburst XXXtreme

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Get a taste of adventure with Starburst XXXtreme based on the legendary NetEnt Game. The nostalgic themes are sure to capture fans of the classic version as they get treated to higher intensity, better visuals, and features. The most significant element of the game is its volatility. Patience will not be an essential virtue considering the insane gameplay, and there is a lot of win potential involved. It retains the original makeup of the previous game while adding a healthy dose of adrenaline. 

Starburst Visuals and Symbols

The game is definitely more conspicuous than before. The setting happens over a 5-reel, 3-row game grid with nine fixed win lines, which function if a succession from the left to the right reel is present. Only those players that that attain the highest win per bet line are paid. From a visual standpoint, the Starburst XXXtreme slots illustrates lightning effects behind the reels, which is not surprising as it is inherited from the original version. Available themes include Classic, Jewels, and Space. The game is also available in both desktop and mobile versions, which is advantageous for players considering the global pandemic. According to Techguide, American gamers are increasingly having more engaging gaming experiences to socialize to fill the gap of in-person interaction. Starburst XXXtreme allows them to fill the social void at a time when there is so much time to be had indoors. 

Starburst XXXTreme Features

Players get to alternate on three features which are Starburst Wilds, XXXtreme Spins, and Random Wilds. The first appears on reels 2,3, or 4. When these land, they expand to cover all positions while also calculating the wins. They are also locked for a respin. If a new one hits, it also becomes locked while awarding another respin. Starburst XXXtreme offers a choice between two scenarios for a higher stake. In one scenario with a ten times stake, the Starburst Wild is set on random on reels 2,3, or 4, and a multiplier starts the respin. The second scenario, which has a 95 times stake, starts with two guaranteed starburst wilds on reels 2,3, or 4. it also plays out using respin game sequence and features. The game also increases the potential with the Random Wilds feature to add Starburst Wilds to a vacant reel at the end of a spin. Every Starburst Wild gives a random multiplier with potential wins of x2, x3, x5, x10, x25, x50, x100, or even x150.

The new feature is sure to be a big hit with the gaming market as online gambling has shown significant growth during the lockdown. AdAge indicates the current casino customer base is an estimated one in five Americans, so Starburst XXXtreme’s additional features will achieve considerable popularity. 

What We Think About The Game

The gambling market has continued to diversify post-pandemic, so it is one of the most opportune times to release an online casino-based game. Thankfully Starburst XXXtreme features eye-catching visuals, including the jewels and space themes. These attract audience participation and make the gameplay inviting. The game also has a nostalgic edge. The previous NetEnt iteration featured similar visuals and gameplay, so the audience has some familiarity with it. The producers have revamped this version by tweaking the features to improve the volatility and engagement. 

That is characterized by the potential win cap of 200,000 times the bet. Starburst XXXtreme does not just give betting alternatives for players that want to go big. The increase of multipliers also provides a great experience. If the respins in the previous version were great, knowing that multipliers can go hundreds of times overtakes the game to a new level. 

Players should get excited about this offering. All of the features can be triggered within a single spin. Whether one plays the standard game or takes the XXXtreme spin route, it is possible to activate all of the features. Of course, the potential 200,000 times potential is a huge carrot. However, the bet size is probably going to be restricted and vary depending on the casino. It is also worth pointing out that a malfunction during the gameplay will void all of the payouts and progress. Overall, the game itself has been designed to provide a capped win of 200,000 times the original bet. 

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Anglais

‘We’re back’: Montreal festival promoters happy to return but looking to next year

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In downtown Montreal, it’s festival season.

In the city’s entertainment district, a musical act was conducting a sound check on stage Friday evening — the second day of the French-language version of the renowned Just For Laughs comedy festival. Tickets for many of the festival’s free outdoor shows — limited by COVID-19 regulations — were sold out.

Two blocks away, more than 100 people were watching an acoustic performance by the Isaac Neto Trio — part of the last weekend of the Festival International Nuits d’Afrique, a celebration of music from the African continent and the African diaspora.

With COVID-19 restrictions continuing to limit capacity, festival organizers say they’re glad to be back but looking forward to next year when they hope border restrictions and capacity limits won’t affect their plans.

Charles Décarie, Just For Laughs’ CEO and president, said this is a “transition year.”

“Even though we have major constraints from the public health group in Montreal, we’ve managed to design a festival that can navigate through those constraints,” Décarie said.

The French-language Juste pour rire festival began on July 15 and is followed by the English-language festival until July 31.

When planning began in February and March, Décarie said, organizers came up with a variety of scenarios for different crowd sizes, ranging from no spectators to 50 per cent of usual capacity.

“You’ve got to build scenarios,” he said. “You do have to plan a little bit more than usual because you have to have alternatives.”

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MELS new major movie studio to be built in Montreal

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MONTREAL — MELS Studios will build a new film studio in Montreal, filling some of the gap in supply to meet the demand of Hollywood productions.

MELS president Martin Carrier said on Friday that MELS 4 studio construction will begin « as soon as possible », either in the fall or winter of next year. The studio could host productions as early as spring 2023.

The total investment for the project is $76 million, with the Quebec government contributing a $25 million loan. The project will create 110 jobs, according to the company.

The TVA Group subsidiary’s project will enable it to stand out « even more » internationally, according to Quebecor president and CEO Pierre Karl Péladeau. In the past, MELS Studios has hosted several major productions, including chapters of the X-Men franchise. The next Transformers movie is shooting this summer in Montreal.

Péladeau insisted that local cultural productions would also benefit from the new facility, adding that the studio ensures foreign revenues and to showcase talent and maintain an industry of Quebec producers.

STUDIO SHORTAGE

The film industry is cramped in Montreal.

According to a report published last May by the Bureau du cinéma et de la télévision du Québec (BCTQ), there is a shortage of nearly 400,000 square feet of studio space.

With the addition of MELS 4, which will be 160,000 square feet, the company is filling part of the gap.

Carrier admitted that he has had to turn down contracts because of the lack of space, representing missed opportunities of « tens of millions of dollars, not only for MELS, but also for the Quebec economy. »

« Montreal’s expertise is in high demand, » said Montreal Mayor Valérie Plante, who was present at the announcement.

She said she received great testimonials from « Netflix, Disney, HBO and company » during an economic mission to Los Angeles in 2019.

« What stands out is that they love Montreal because of its expertise, knowledge and beauty. We need more space, like MELS 4, » she said.

There is still not enough capacity in Quebec, acknowledged Minister of Finance, the Economy and Innovation Eric Girard.

« It is certain that the government is concerned about fairness and balance, so if other requests come in, we will study them with the same seriousness as we have studied this one, » he said.

Grandé Studios is the second-largest player in the industry. Last May, the company said it had expansion plans that should begin in 2022. Investissement Québec and Bell are minority shareholders in the company.

For its part, MELS will have 400,000 square feet of production space once MELS 4 is completed. The company employs 450 people in Quebec and offers a range of services including studio and equipment rentals, image and sound postproduction, visual effects and a virtual production platform.

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