When I finally got my hands on $80m Danielle Smith/MHCare Medical boondoggle children's acetaminophen, I weighed & measured it.
Thanks to glass bottle: 291 grams
250,000 bottles = 73 tons!
Smith's decision to airlift that to Alberta in Jan 2023 is case study in bad ethics.
🧵
@TheBreakdownAB @LukaszukAB @JMeddings @PfParks The whole boondoggle is enough to kick out a gov and bring in Auditor General.
But Smith's decision to manufacture AND airlift these 250,000 bottles – without a child safety cap (!) – shows the worst of it in one incident.
Shameless Smith made an expensive PR stunt about it.
GoA admitted that the package design they + MHCare submitted for Health Canada approval did not have child resistant cap required by law since at least 2006.
But Smith decided to:
• manufacture 250,000 deficient bottles anyway
• AIRLIFT them here
On 18 Jan 2023, GoA even published this Flickr Album of 50 photos, including Health Min Jason Copping, Deputy Premier Nathan Neudorf, and the CEO of Edmonton International Airport, Myron Keehn.
Who's not there? Sam Mraiche or anyone from MHCare Medical.
My bachelor's degree is in Industrial Systems Engineering, and I have a background in new product development, manufacturing, and procurement.
When I see politicians throw around numbers like 5 million bottles, or even 250K bottles, I know they're making stupid promises.
500K bottles is too much for a single airlift, so Smith & Copping decided instead to get 250K bottles, charter an entire 747, and pretend they were solving an AHS crisis by airlifting 73 tons of pharmaceutical in glass bottles to Edmonton.
But it's for the children, right?
Children are starving to death around the world, running out of even Ready-to-use-Therapeutic-Food (RUTF).
RUTF packages are 100 grams each. So Alberta's chartered 747 could have carried 73 tons, or 730,000 packages of food to help those kids survive.
Instead of starving children, Smith instead threw our money around to TAKE 250K bottles of acetaminophen FROM the developing world, and hoard the inventory at AHS, which already had adequate stock.
Mauro Chies said so, as clearly as an AHS CEO can tell a "You're fired" Premier.
How can I prove AHS did not need the meds?
See @alanna_smithh Oct 2023 report. AHS only distributed 9000 bottles internally, before ordering staff in July 2023 not to use it.
If AHS were in crisis needing this airlift, they'd be using 9000 bottles/WEEK.
While I am – and hopefully some of you are – double-checking my math:
The $80m boondoggle package is 14 cm high, 6 cm wide, and 6 cm deep. That's 504 cubic centimetres, for 0.000504 m^3 in SI units.
250,000 would take about ~126 m^3 in volume.
Time for Unit Load Device (ULD)
ULD pallets are standardized carriers for air freight, which work with the cargo handing equipment so you don't drive forklifts in an airplane, and allow you to secure the load.
You can see the 3 Amigos standing on those cargo handling rails and bearings in the photos.
Now, I don't know which ULD pallet Atabay used for the air freight, but let's guess something like about 7.5 m~2 of usable area, loaded to ~1.5 m high.
@LukaszukAB Why am I trying to estimate these dimensions?
To price airlift from Istanbul to Edmonton:
• 73 tonnes on 12 pallets x 6.1 tonnes each
• each pallet 3 m x 2.5m x 1.5 m high
• about 9000 km as crow flies
• just over 16 hours non-stop flying?
Anyone in this industry know?
For reference, bookmark @alanna_smithh excellent report.
AHS admitted they spent $4m on shipping. But Copping had repeatedly said the $70m for 5m bottles = $14/bottle was a LANDED cost.
$70m was paid UP FRONT to "Atabay". But I think this is the pattern of GoA deception, hiding the involvement of MHCare Medical.
I believe the $70m was paid to MHCare Medical. I'm guessing Atabay is choked about how little of that $70m they got.
I've heard from someone with federal procurement experience, who can't believe Alberta paid $70m UP FRONT, saying it should be paid based on progress of goods of acceptable quality, etc received.
Yup. This whole $70m contract stinks.
Tonight, I focus just on that one airlift.
While I singled out Alanna Smith for her work, there are several investigative reporters doing excellent work on this boondoggle. I hear their questions at press conferences, and find their work when I back up my threads.
Please feel free to secretly tip your favourite.
I remember trying to figure out how Smith and Copping had already spent $15.8m by 31 March 2023.
It is hard to figure this out when a government is actively lying to you. @pancholi_rakhi did a great job in limited time to drill into budget estimates.
$3.5m for 250K bottles no child-resistant caps
$3.5m for 250K bottles for retail
$4m airlift faster than $14 standard shipping
$4.8m secure disposal/other?
-----
$15.8m
Was there a 250K risk buy without Health Canada at $3.5m, plus secure disposal $1.3m?
Enough on airlift for now.
Let's get into why Smith decided to get 250K bottles manufactured WITHOUT child-resistant caps at all.
From the outset, Smith claimed all 5m bottles were intended for retail, in pharmacies, with full Health Canada approval.
"Alberta’s government and Alberta Health Services are working with Health Canada on COMPLETING the drug establishment licensing approval process."
[emphasis mine]
So why even manufacture children's acetaminophen without a child safety cap?
Blaming Health Canada is false.
I remember Smith testily giving false information to a reporter:
• Alberta always intended for the first batch to go to AHS
• Alberta was not rejected or blocked by Health Canada for a product design that failed to include the child-resistant cap
So instead of waiting until January for Health Canada to approve their resubmission of a complete design for approval.
Smith decided to intentionally manufacture deficient bottles without child-safety caps:
• unusable outside hospitals in Alberta
• risk of harm to kids
Instead of using lawyers as they are supposed to be used, to make products safer and more valuable WITH regulatory approval, Smith used them to find loopholes to manufacture WITHOUT APPROVAL.
She does that a lot, IMO.
MHCare Medical didn't care- they got $70m up front.
Of course I thought of you two as I did this section.
@sameo416 @dparkinson45
Smith blames "Ottawa" a lot for her failures too.
Smith dishonestly pretends Health Canada did not advise GoA that child-resistant caps were needed until AFTER GoA/MHCare Medical had submitted their application to import their design without caps.
Second, Health Canada even prepared a guideline in Sep 2016 specifically for acetaminophen "to assist in preparing drug submissions when seeking an approval to sell a pharmaceutical drug product in Canada."
@TheBreakdownAB @JMeddings @LukaszukAB Third, Smith & Copping said in 6 Dec 2022 announcement they were already working closely w Health Canada + Alberta Pharmacists to meet Canadian requirements.
And again, MHCare Medical was paid $70m to do what they laughably still claim on their website.
@TheBreakdownAB @JMeddings @LukaszukAB For those that think Smith wasn't involved enough in the details (so may have been duped by Copping) that is not what she demonstrated - and explicitly said - in this testy, dishonest exchange 10 Jan 2023.
@TheBreakdownAB @JMeddings @LukaszukAB In that presser, Smith repeatedly denied, in the face of all evidence, that Health Canada had rejected GoA's plan to distribute the meds to pharmacies without child-resistant caps.
Madeline Smith (and others) already had statements from Health Canada.
@TheBreakdownAB @JMeddings @LukaszukAB Let's go back to 22 Dec 2022, when Copping's answers revealed stupid, wasteful and unsafe decisions GoA was making in December:
• after GoA's initial overpromising announcement
• before Health Canada approved only in-hospital use on 30 Dec 2022
@TheBreakdownAB @JMeddings @LukaszukAB To @alanna_smithh, Copping said GoA was investigating bringing into Alberta the first 500K shipment "pending Health Canada approval".
ie. knowingly manufacturing + airlifting unsafe acetaminophen without child-resistant caps, while pressuring Health Canada to back down.
@TheBreakdownAB @JMeddings @LukaszukAB @alanna_smithh When @Jantafrench pressed Copping on specifics about obstacles to regulatory approval, Copping did not mention child-resistant caps.
Massive deception.
Only labelling, and the Drug Establishment Licensing for foreign building Atabay and their secret importer MHCare Medical.
Looking back over the evidence, it appears Smith authorized:
• manufacture of 500K bottles without child resistant caps or Health Canada Approval
• airlift of 250K bottles
• safe disposal of 250K bottles in Turkey
Maybe @pancholi_rakhi @shoffmanAB can ask Smith in #ableg?
@pancholi_rakhi @shoffmanAB By her own 6 Dec 2022 PR, Smith also approved AIRLIFT FOR ALL 10 shipments of 500K bottles each!
500K is than one 747, so the shipments dropped to 250K each.
Huge waste of taxpayer dollars when $14/bottle to MHCare was landed cost (by ship likely).
Ominous suggestion 👇it was likely MHCare Medical who got paid for the airlifts too. They tout that expertise, and AB Health loves to sole-source from them.
Maybe @pancholi_rakhi @shoffmanAB can ask Smith or LaGrange about this too?
Smith pretends the main reason for Food & Drugs Act is hospital use, and that retail use is some secret higher level where requirement for child-resistant caps is hidden.
False. The focus of the Act is unsafe Sales & Advertising of Drugs.
@Lorian_H @UbakaOgbogu @NdbYyc1305 @TheBreakdownAB @LukaszukAB @Mark_Ungrin @PfParks @gilmcgowan Dumping it "internally" on AHS Hospitals = forcing pharmacists & nurses to manage the risk of wrong concentration, no child-resistant cap, and crap labelling without Health Canada approval.
But "internally" means risk of harm to our children.
@Lorian_H @UbakaOgbogu @NdbYyc1305 @TheBreakdownAB @LukaszukAB @Mark_Ungrin @PfParks @gilmcgowan @GosiaGasperoPhD Even though only 9000 bottles from that unethical shipment of 250K were distributed within hospitals, that 3.6% still managed to put infants at risk.
Thankfully, because this purchase was completely unnecessary, more bottles had not been distributed.
@Lorian_H @UbakaOgbogu @NdbYyc1305 @TheBreakdownAB @LukaszukAB @Mark_Ungrin @PfParks @gilmcgowan @GosiaGasperoPhD The "clarification" from AHS:
• tries to minimize "adverse event" by "adverse reaction" examples first
• "Technically..."
• "Instances where product packaging and labeling can be misapprehended can also qualify as an adverse event." ie Dosing Error
I would LOVE to get one of the original products dumped on AHS. Safely dispose of all liquid inside first - I just need empty bottle, package, and any insert or dosing device.
Be happy to review it.
Would also love to see the Risk Management Plan Health Canada imposed on AHS.
@threadreaderapp please unroll all the tweets in this thread hopefully going back to 29 October, and continuing through tonight.
I think I'm done.
Think about this from Atabay perspective:
• Alberta government + their shady importer demand 500K bottles NOW
• Neither of them know Canada's regulatory requirements
• Rich Canadians deprive developing world during global shortage Dec 2022
• then force dump of 250K bottles
How vested is Smith in this $80m boondoggle?
• Snit when @Jantafrench asks legitimate questions at presser purportedly to prevent kids hospital overload
• What about PREVENTION? We're getting OTC meds
• Where's CMOH advice? He's not part of this deal
And for those wondering where Copping ended up after losing Calgary Varsity in May 2023?
• Not in Law Society directory
• He's a Special Advisor at Blue Rock Law, like Steve Allan
• "Boutique" founded in 2023; Doug Schweitzer one of the co-founders
@TheBreakdownAB In this video, I show that the UCP gov claimed from the start that this product would be available on the same pharmacy shelves as the brand name products, at retailers so parents would not have go to hospital to get the meds.
But the City doesn't tell you the $17m/yr is a mortgage payment, of which only the interest portion is operating revenue.
The City lies to you these are all Lease Payments.
On this mortgage, at best the City is getting a breakeven. The City is showing no Interest Income on it.
Let's pretend this is a lease:
• payments starting at $17m/yr
• rising at ridiculously low 1%/yr
• as if CSEC is an affordable housing client needing a rent cap.
CSEC gets ALL the revenues of $1.2b of taxpayer dollars, custom-built, for only $17m/yr.
🧵 Stampede Park Arena aka "future Culture & Entertainment District Event Centre"
City of Calgary's presentation of the financials is deceptive:
• overstating direct benefits to City
• overstating CSEC investment
• understating City investment
• especially from Reserves
Citizens of Calgary do not get a referendum on the deal. In fact, "public consultation" was limited to an announcement on 25 April 2023, releasing this deceptive report.
Our "Referendum" is the Provincial Election Monday 29 May, and its advance voting.
How is City's report deceptive?
• Pretends $316m worth of CSEC mortgage repayment over 35 yrs is upfront capital investment
• Hides the fact the City needs another $316m up front to build arena complex - from Where?
• Disguises $17m/yr of mortgage payments as Lease Income
@JorgeDe83010797 Hi. The other night we chatted briefly about locomotive axle bearings on @MriyaReport and I decided to get up to speed on it a bit. If you want to chat about this on the Spaces, let me know. I can cover generally while you dive deeper.
@JorgeDe83010797@MriyaReport This video goes deeper into the assemblies. I gathered from the Spaces that Russia does not make the bearings themselves, but was curious about their domestic capability for fabrication and maintenance of all parts of the axle box, or even the bogeys.
Let me know if I misunderstand.
• 2 wheels + axle + gear = WAG = wheel set
• 2 or 3 wheel sets assembled into bogey aka truck(?)
• axle box contains the (tapered) roller bearing and transfers load to axle
• have to track roller bearing wear & replace