Ontario Ministry of Community and Social Services called on criminal negligence contributing to deaths

Staff and management in the Accessibility Directorate have failed to familiarize themselves with the injury and killing of persons disabled by environmental sensitivities in health care, and their exclusion and injury elsewhere, even as public servants contribute to ongoing preventable harm. There is an apparently deliberate lack of corporate memory on this topic in MCSS.

Staff and management, including Ellen Waxman, Mansur Rahim and Alfred Spencer seem unaware of previous Ontario government reports and action on this topic. When provided with materials, they have apparently failed to make themselves aware, despite their mandate and, in some situations, their duty of care concerning ongoing preventable harm being caused by Ontario public servants, and by others the province employs, funds, regulates and influences.

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