{"id":98274,"date":"2025-10-17T11:54:48","date_gmt":"2025-10-17T15:54:48","guid":{"rendered":"https:\/\/theturtleislandnews.com\/?p=98274"},"modified":"2025-10-17T11:54:48","modified_gmt":"2025-10-17T15:54:48","slug":"as-ontario-expands-front-line-powers-critics-warn-of-care-by-patchwork","status":"publish","type":"post","link":"https:\/\/theturtleislandnews.com\/index.php\/2025\/10\/17\/as-ontario-expands-front-line-powers-critics-warn-of-care-by-patchwork\/","title":{"rendered":"As Ontario expands front-line powers, critics warn of \u201ccare by patchwork\u201d"},"content":{"rendered":"<p>By Jacqueline St. Pierre, Local Journalism Initiative Reporter, The Manitoulin Expositor ONTARIO \u2014Across Ontario\u2014and nowhere more visibly than in rural and Northern regions like Manitoulin\u2014the face of health care is changing fast. The provincial government is moving to expand the powers of paramedics, pharmacists, psychologists, optometrists, and other allied professionals in what it calls an effort to provide \u201cmore connected and convenient care.\u201d But critics say the changes reveal something else: a system under strain, shifting duties downstream as family medicine and hospital care continue to buckle. Under the new proposals, pharmacists could soon prescribe medications for 14 additional ailments, including sore throats, mild headaches, sleep disorders and shingles. Optometrists would gain authority to perform minor surgeries under local anesthetic, use laser therapy for cataracts and glaucoma, and order diagnostic&#8230; <\/p>\n<div class=\"pmpro\">\n<div class=\"pmpro_card pmpro_content_message\">\n<div class=\"pmpro_card_content\">This content is for Yearly Subscription, Yearly Subscription &#8211; Corporate, Print Subscription Only, and Canada Print and Online members only.<br \/><a href=\"http:\/\/theturtleislandnews.com\/wp-login.php?action=register\">Register<\/a><\/div>\n<div class=\"pmpro_card_actions pmpro_font-medium\">Already a member? <a href=\"https:\/\/theturtleislandnews.com\/wp-login.php?redirect_to=https%3A%2F%2Ftheturtleislandnews.com%2Findex.php%2F2025%2F10%2F17%2Fas-ontario-expands-front-line-powers-critics-warn-of-care-by-patchwork%2F\">Log in here<\/a><\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>By Jacqueline St. Pierre, Local Journalism Initiative Reporter, The Manitoulin Expositor ONTARIO \u2014Across Ontario\u2014and nowhere more visibly than in rural and Northern regions like Manitoulin\u2014the face of health care is changing fast. The provincial government is moving to expand the powers of paramedics, pharmacists, psychologists, optometrists, and other allied professionals in what it calls an effort to provide \u201cmore connected and convenient care.\u201d But critics say the changes reveal something else: a system under strain, shifting duties downstream as family medicine and hospital care continue to buckle. Under the new proposals, pharmacists could soon prescribe medications for 14 additional ailments, including sore throats, mild headaches, sleep disorders and shingles. Optometrists would gain authority to perform minor surgeries under local anesthetic, use laser therapy for cataracts and glaucoma, and order diagnostic... <\/p>\n<div class=\"pmpro\"><div class=\"pmpro_card pmpro_content_message\"><div class=\"pmpro_card_content\">This content is for Yearly Subscription, Yearly Subscription - Corporate, Print Subscription Only, and Canada Print and Online members only.<br \/><a href=\"http:\/\/theturtleislandnews.com\/wp-login.php?action=register\">Register<\/a><\/div><div class=\"pmpro_card_actions pmpro_font-medium\">Already a member? <a href=\"https:\/\/theturtleislandnews.com\/wp-login.php?redirect_to=https%3A%2F%2Ftheturtleislandnews.com%2Findex.php%2F2025%2F10%2F17%2Fas-ontario-expands-front-line-powers-critics-warn-of-care-by-patchwork%2F\">Log in here<\/a><\/div><\/div><\/div>","protected":false},"author":101363,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"pmpro_default_level":"","footnotes":""},"categories":[8,13],"tags":[],"class_list":["post-98274","post","type-post","status-publish","format-standard","hentry","category-national-news","category-ticker","pmpro-level-required","pmpro-level-3","pmpro-level-2","pmpro-level-5","pmpro-level-4","pmpro-level-6","pmpro-level-7","pmpro-no-access"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>As Ontario expands front-line powers, critics warn of \u201ccare by patchwork\u201d - The Turtle Island News<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/theturtleislandnews.com\/index.php\/2025\/10\/17\/as-ontario-expands-front-line-powers-critics-warn-of-care-by-patchwork\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"As Ontario expands front-line powers, critics warn of \u201ccare by patchwork\u201d - The Turtle Island News\" \/>\n<meta property=\"og:description\" content=\"By Jacqueline St. Pierre, Local Journalism Initiative Reporter, The Manitoulin Expositor ONTARIO \u2014Across Ontario\u2014and nowhere more visibly than in rural and Northern regions like Manitoulin\u2014the face of health care is changing fast. The provincial government is moving to expand the powers of paramedics, pharmacists, psychologists, optometrists, and other allied professionals in what it calls an effort to provide \u201cmore connected and convenient care.\u201d But critics say the changes reveal something else: a system under strain, shifting duties downstream as family medicine and hospital care continue to buckle. Under the new proposals, pharmacists could soon prescribe medications for 14 additional ailments, including sore throats, mild headaches, sleep disorders and shingles. Optometrists would gain authority to perform minor surgeries under local anesthetic, use laser therapy for cataracts and glaucoma, and order diagnostic\" \/>\n<meta property=\"og:url\" content=\"https:\/\/theturtleislandnews.com\/index.php\/2025\/10\/17\/as-ontario-expands-front-line-powers-critics-warn-of-care-by-patchwork\/\" \/>\n<meta property=\"og:site_name\" content=\"The Turtle Island News\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/TurtleIslandNews\/\" \/>\n<meta property=\"article:published_time\" content=\"2025-10-17T15:54:48+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/theturtleislandnews.com\/wp-content\/uploads\/2016\/01\/facebooklogo.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"725\" \/>\n\t<meta property=\"og:image:height\" content=\"483\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Lynda Powless\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@newsattheturtle\" \/>\n<meta name=\"twitter:site\" content=\"@newsattheturtle\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Lynda Powless\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"4 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/theturtleislandnews.com\\\/index.php\\\/2025\\\/10\\\/17\\\/as-ontario-expands-front-line-powers-critics-warn-of-care-by-patchwork\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/theturtleislandnews.com\\\/index.php\\\/2025\\\/10\\\/17\\\/as-ontario-expands-front-line-powers-critics-warn-of-care-by-patchwork\\\/\"},\"author\":{\"name\":\"Lynda Powless\",\"@id\":\"https:\\\/\\\/theturtleislandnews.com\\\/#\\\/schema\\\/person\\\/7b188fd7503577895ef8b306988cd458\"},\"headline\":\"As Ontario expands front-line powers, critics warn of \u201ccare by patchwork\u201d\",\"datePublished\":\"2025-10-17T15:54:48+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/theturtleislandnews.com\\\/index.php\\\/2025\\\/10\\\/17\\\/as-ontario-expands-front-line-powers-critics-warn-of-care-by-patchwork\\\/\"},\"wordCount\":742,\"publisher\":{\"@id\":\"https:\\\/\\\/theturtleislandnews.com\\\/#organization\"},\"articleSection\":[\"National News\",\"ticker\"],\"inLanguage\":\"en-CA\"},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/theturtleislandnews.com\\\/index.php\\\/2025\\\/10\\\/17\\\/as-ontario-expands-front-line-powers-critics-warn-of-care-by-patchwork\\\/\",\"url\":\"https:\\\/\\\/theturtleislandnews.com\\\/index.php\\\/2025\\\/10\\\/17\\\/as-ontario-expands-front-line-powers-critics-warn-of-care-by-patchwork\\\/\",\"name\":\"As Ontario expands front-line powers, critics warn of \u201ccare by patchwork\u201d - The Turtle Island News\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/theturtleislandnews.com\\\/#website\"},\"datePublished\":\"2025-10-17T15:54:48+00:00\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/theturtleislandnews.com\\\/index.php\\\/2025\\\/10\\\/17\\\/as-ontario-expands-front-line-powers-critics-warn-of-care-by-patchwork\\\/#breadcrumb\"},\"inLanguage\":\"en-CA\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/theturtleislandnews.com\\\/index.php\\\/2025\\\/10\\\/17\\\/as-ontario-expands-front-line-powers-critics-warn-of-care-by-patchwork\\\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/theturtleislandnews.com\\\/index.php\\\/2025\\\/10\\\/17\\\/as-ontario-expands-front-line-powers-critics-warn-of-care-by-patchwork\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/theturtleislandnews.com\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"As Ontario expands front-line powers, critics warn of \u201ccare by patchwork\u201d\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/theturtleislandnews.com\\\/#website\",\"url\":\"https:\\\/\\\/theturtleislandnews.com\\\/\",\"name\":\"The Turtle Island News\",\"description\":\"Your Source for Local News\",\"publisher\":{\"@id\":\"https:\\\/\\\/theturtleislandnews.com\\\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/theturtleislandnews.com\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-CA\"},{\"@type\":\"Organization\",\"@id\":\"https:\\\/\\\/theturtleislandnews.com\\\/#organization\",\"name\":\"Turtle Island News\",\"url\":\"https:\\\/\\\/theturtleislandnews.com\\\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-CA\",\"@id\":\"https:\\\/\\\/theturtleislandnews.com\\\/#\\\/schema\\\/logo\\\/image\\\/\",\"url\":\"https:\\\/\\\/theturtleislandnews.com\\\/wp-content\\\/uploads\\\/2016\\\/08\\\/turtle150.jpg\",\"contentUrl\":\"https:\\\/\\\/theturtleislandnews.com\\\/wp-content\\\/uploads\\\/2016\\\/08\\\/turtle150.jpg\",\"width\":140,\"height\":150,\"caption\":\"Turtle Island News\"},\"image\":{\"@id\":\"https:\\\/\\\/theturtleislandnews.com\\\/#\\\/schema\\\/logo\\\/image\\\/\"},\"sameAs\":[\"https:\\\/\\\/www.facebook.com\\\/TurtleIslandNews\\\/\",\"https:\\\/\\\/x.com\\\/newsattheturtle\",\"https:\\\/\\\/www.youtube.com\\\/channel\\\/UCOqB-hG3L6hRLsmqY0e5k0g\"]},{\"@type\":\"Person\",\"@id\":\"https:\\\/\\\/theturtleislandnews.com\\\/#\\\/schema\\\/person\\\/7b188fd7503577895ef8b306988cd458\",\"name\":\"Lynda Powless\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-CA\",\"@id\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/9dcf622653a010411b0a01d44ed2a1a41158cc5195ea70acd7914787f81e63a1?s=96&d=mm&r=g\",\"url\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/9dcf622653a010411b0a01d44ed2a1a41158cc5195ea70acd7914787f81e63a1?s=96&d=mm&r=g\",\"contentUrl\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/9dcf622653a010411b0a01d44ed2a1a41158cc5195ea70acd7914787f81e63a1?s=96&d=mm&r=g\",\"caption\":\"Lynda Powless\"},\"url\":\"https:\\\/\\\/theturtleislandnews.com\\\/index.php\\\/author\\\/lynda\\\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"As Ontario expands front-line powers, critics warn of \u201ccare by patchwork\u201d - The Turtle Island News","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/theturtleislandnews.com\/index.php\/2025\/10\/17\/as-ontario-expands-front-line-powers-critics-warn-of-care-by-patchwork\/","og_locale":"en_US","og_type":"article","og_title":"As Ontario expands front-line powers, critics warn of \u201ccare by patchwork\u201d - The Turtle Island News","og_description":"By Jacqueline St. Pierre, Local Journalism Initiative Reporter, The Manitoulin Expositor ONTARIO \u2014Across Ontario\u2014and nowhere more visibly than in rural and Northern regions like Manitoulin\u2014the face of health care is changing fast. The provincial government is moving to expand the powers of paramedics, pharmacists, psychologists, optometrists, and other allied professionals in what it calls an effort to provide \u201cmore connected and convenient care.\u201d But critics say the changes reveal something else: a system under strain, shifting duties downstream as family medicine and hospital care continue to buckle. Under the new proposals, pharmacists could soon prescribe medications for 14 additional ailments, including sore throats, mild headaches, sleep disorders and shingles. Optometrists would gain authority to perform minor surgeries under local anesthetic, use laser therapy for cataracts and glaucoma, and order diagnostic","og_url":"https:\/\/theturtleislandnews.com\/index.php\/2025\/10\/17\/as-ontario-expands-front-line-powers-critics-warn-of-care-by-patchwork\/","og_site_name":"The Turtle Island News","article_publisher":"https:\/\/www.facebook.com\/TurtleIslandNews\/","article_published_time":"2025-10-17T15:54:48+00:00","og_image":[{"width":725,"height":483,"url":"https:\/\/theturtleislandnews.com\/wp-content\/uploads\/2016\/01\/facebooklogo.jpg","type":"image\/jpeg"}],"author":"Lynda Powless","twitter_card":"summary_large_image","twitter_creator":"@newsattheturtle","twitter_site":"@newsattheturtle","twitter_misc":{"Written by":"Lynda Powless","Est. reading time":"4 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/theturtleislandnews.com\/index.php\/2025\/10\/17\/as-ontario-expands-front-line-powers-critics-warn-of-care-by-patchwork\/#article","isPartOf":{"@id":"https:\/\/theturtleislandnews.com\/index.php\/2025\/10\/17\/as-ontario-expands-front-line-powers-critics-warn-of-care-by-patchwork\/"},"author":{"name":"Lynda Powless","@id":"https:\/\/theturtleislandnews.com\/#\/schema\/person\/7b188fd7503577895ef8b306988cd458"},"headline":"As Ontario expands front-line powers, critics warn of \u201ccare by patchwork\u201d","datePublished":"2025-10-17T15:54:48+00:00","mainEntityOfPage":{"@id":"https:\/\/theturtleislandnews.com\/index.php\/2025\/10\/17\/as-ontario-expands-front-line-powers-critics-warn-of-care-by-patchwork\/"},"wordCount":742,"publisher":{"@id":"https:\/\/theturtleislandnews.com\/#organization"},"articleSection":["National News","ticker"],"inLanguage":"en-CA"},{"@type":"WebPage","@id":"https:\/\/theturtleislandnews.com\/index.php\/2025\/10\/17\/as-ontario-expands-front-line-powers-critics-warn-of-care-by-patchwork\/","url":"https:\/\/theturtleislandnews.com\/index.php\/2025\/10\/17\/as-ontario-expands-front-line-powers-critics-warn-of-care-by-patchwork\/","name":"As Ontario expands front-line powers, critics warn of \u201ccare by patchwork\u201d - The Turtle Island News","isPartOf":{"@id":"https:\/\/theturtleislandnews.com\/#website"},"datePublished":"2025-10-17T15:54:48+00:00","breadcrumb":{"@id":"https:\/\/theturtleislandnews.com\/index.php\/2025\/10\/17\/as-ontario-expands-front-line-powers-critics-warn-of-care-by-patchwork\/#breadcrumb"},"inLanguage":"en-CA","potentialAction":[{"@type":"ReadAction","target":["https:\/\/theturtleislandnews.com\/index.php\/2025\/10\/17\/as-ontario-expands-front-line-powers-critics-warn-of-care-by-patchwork\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/theturtleislandnews.com\/index.php\/2025\/10\/17\/as-ontario-expands-front-line-powers-critics-warn-of-care-by-patchwork\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/theturtleislandnews.com\/"},{"@type":"ListItem","position":2,"name":"As Ontario expands front-line powers, critics warn of \u201ccare by patchwork\u201d"}]},{"@type":"WebSite","@id":"https:\/\/theturtleislandnews.com\/#website","url":"https:\/\/theturtleislandnews.com\/","name":"The Turtle Island News","description":"Your Source for Local News","publisher":{"@id":"https:\/\/theturtleislandnews.com\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/theturtleislandnews.com\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-CA"},{"@type":"Organization","@id":"https:\/\/theturtleislandnews.com\/#organization","name":"Turtle Island News","url":"https:\/\/theturtleislandnews.com\/","logo":{"@type":"ImageObject","inLanguage":"en-CA","@id":"https:\/\/theturtleislandnews.com\/#\/schema\/logo\/image\/","url":"https:\/\/theturtleislandnews.com\/wp-content\/uploads\/2016\/08\/turtle150.jpg","contentUrl":"https:\/\/theturtleislandnews.com\/wp-content\/uploads\/2016\/08\/turtle150.jpg","width":140,"height":150,"caption":"Turtle Island News"},"image":{"@id":"https:\/\/theturtleislandnews.com\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/www.facebook.com\/TurtleIslandNews\/","https:\/\/x.com\/newsattheturtle","https:\/\/www.youtube.com\/channel\/UCOqB-hG3L6hRLsmqY0e5k0g"]},{"@type":"Person","@id":"https:\/\/theturtleislandnews.com\/#\/schema\/person\/7b188fd7503577895ef8b306988cd458","name":"Lynda Powless","image":{"@type":"ImageObject","inLanguage":"en-CA","@id":"https:\/\/secure.gravatar.com\/avatar\/9dcf622653a010411b0a01d44ed2a1a41158cc5195ea70acd7914787f81e63a1?s=96&d=mm&r=g","url":"https:\/\/secure.gravatar.com\/avatar\/9dcf622653a010411b0a01d44ed2a1a41158cc5195ea70acd7914787f81e63a1?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/9dcf622653a010411b0a01d44ed2a1a41158cc5195ea70acd7914787f81e63a1?s=96&d=mm&r=g","caption":"Lynda Powless"},"url":"https:\/\/theturtleislandnews.com\/index.php\/author\/lynda\/"}]}},"_links":{"self":[{"href":"https:\/\/theturtleislandnews.com\/index.php\/wp-json\/wp\/v2\/posts\/98274","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/theturtleislandnews.com\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/theturtleislandnews.com\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/theturtleislandnews.com\/index.php\/wp-json\/wp\/v2\/users\/101363"}],"replies":[{"embeddable":true,"href":"https:\/\/theturtleislandnews.com\/index.php\/wp-json\/wp\/v2\/comments?post=98274"}],"version-history":[{"count":1,"href":"https:\/\/theturtleislandnews.com\/index.php\/wp-json\/wp\/v2\/posts\/98274\/revisions"}],"predecessor-version":[{"id":98275,"href":"https:\/\/theturtleislandnews.com\/index.php\/wp-json\/wp\/v2\/posts\/98274\/revisions\/98275"}],"wp:attachment":[{"href":"https:\/\/theturtleislandnews.com\/index.php\/wp-json\/wp\/v2\/media?parent=98274"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/theturtleislandnews.com\/index.php\/wp-json\/wp\/v2\/categories?post=98274"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/theturtleislandnews.com\/index.php\/wp-json\/wp\/v2\/tags?post=98274"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}