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Proposal by College of Physicians and Surgeons to have all circumcisions performed in medical clinics “cut off” before it could go anywhere

By BERNIE BELLAN It began with an emailed message sent out by Jewish Federation CEO Elaine Goldstine to members of the community on July 13.
In her message, Goldstine informed recipients that the College of Physicians and Surgeons of Manitoba had issued a draft proposal that, if accepted, would prevent any circumcisions from being performed anywhere other than in a “medical clinic”.

The proposal, however, did not include any specific reference to the Jewish tradition of “brit milah”, which has traditionally been performed in a home setting.
According to Goldstine, “If brought into force, this draft as it is currently worded would therefore make the performance of a brit milah by a physician outside of a medical clinic a violation of the College’s Standard of Practice.

 Even though the Draft Standard by the College has been in the public domain for approximately one month, the Jewish Federation was only made aware of its contents yesterday” (July 12).
Further, according to Goldstine, “

The Jewish Federation immediately reached out to the College of Physicians and Surgeons of Manitoba to discuss the matter. Based on those discussions, this was unintentional.”

Subsequent to Goldstine’s email to members of the Jewish community, the Winnipeg Council of Rabbis sent a letter to the College of Physicians and Surgeons, also indicating strident opposition to what was perceived as the College’s new policy governing circumcisions.
In the letter, which was penned by Rabbi Allan Finkel of Temple Shalom, the Council enumerated a number of points, all of which detailed the long history of circumcision within the Jewish community.

B’nai Brith Canada also joined in the opposition to the College’s proposal, noting that “If enacted, this would constitute a significant infringement on the important Jewish lifecycle event of brit milah. Jewish circumcisions are typically family events hosted in homes or synagogues, involving a celebratory meal, blessings and speeches. None of these can practically take place in a medical clinic or hospital.
“In correspondence with B’nai Brith, the CPSM has clarified that pursuant to Manitoba law, non-CPSM members can also perform ritual circumcisions and would not be bound by the proposed Standard of Practice. But the main mohel, or Jewish circumciser, in Manitoba is a CPSM member, and the mooted change would have the effect of preventing any future Manitoba mohel from performing traditional Jewish circumcisions while maintaining a medical practice, which is standard across Canada.
“There is no evidence that the CPSM specifically consulted the Jewish community about the proposed change, despite its obvious impact on Jewish life in Manitoba. It is also not clear what prompted the proposed restrictions, and B’nai Brith is not aware of equivalent strictures in any other province.”

A perusal of laws as they apply in other countries did not turn up any other jurisdictions which require that circumcisions be performed only within a medical clinic.
We wondered what may have led to the College of Physicians and Surgeons, perhaps unintentionally but with drastic implications nonetheless, wanting to regulate the practice of circumcision in a way that had never been ordered previously?

As background to the College’s apparent radical policy directive, Myron Love sent me a story that was originally reported by the CBC in December 2018. In that story a CBC journalist reported on two botched circumcisions that had been carried out by a Dr. Ejaz Ahmad. The CBC report noted that:
“Two boys almost bled to death from botched circumcisions performed by a now-suspended Winnipeg doctor.
“Dr. Ejaz Ahmad pleaded guilty to professional misconduct on Oct. 15 (2018) for performing circumcisions on

as many as 18 pediatric patients in 2016 and 2017, when he lacked the training and know-how to do the procedures.
“Several of his young patients ended up in the emergency room with complications.
” ‘It is disturbing any time a physician practises and performs procedures that they are not competent to do,’ said Dr. Anna Ziomek, CEO and registrar of the College of Physicians and Surgeons of Manitoba, in an interview Thursday.
“Among the complications, two boys were rushed to hospital with potentially life-threatening bleeds, one after a portion of his penis was amputated and the other with arterial bleeding.
“Other boys experienced complications like swelling, pain, embedded gauze from improper wound care, possible infections and disfigurement.
“At least one boy’s penis was left so deformed he required a revision surgery.
“Ahmad admitted to using an inappropriate technique and lacking knowledge, skill and judgment. He acknowledged he provided anesthetic at a ‘non-specific dose,’ used only alcohol swabs to sterilize the surgical site and did not suture after circumcision.”

But, here’s a crucial part of the story: “The circumcisions were performed at Ahmad’s private clinic.”
One wonders, therefore, how the College’s proposal to require that all circumcisions be performed within a medical clinic would have made any difference if a physician is not fully competent to perform those procedures, as was evidently the case with Dr. Ahmad?
Apparently the storm that resulted from the initial disclosure by Elaine Goldstine in her email to community members that the College was considering ordering that all circumcisions in future be performed within a medical clinic led to a quick reversal on the College’s part.
By Friday, July 16, the College had posted a notice on its website indicating a complete abandonment of its proposal. Here is what that notice said, in part:
“We recognize that as currently written, the standard would implicate a practicing CPSM (College of Physicians and Surgeons of Manitoba) member performing a male circumcision outside of an appropriate medical facility. That was not the intention in drafting the standard…

“The standard will be amended. The standard will not infringe on any human or religious rights and freedoms whatsoever. The role of CPSM is to protect the safety of the public, and we will continue to strive to achieve this through appropriate regulation of the medical profession.
“At a minimum, the working group will add an exemption in the standard for male circumcision performed in a religious ceremony or tradition, particularly respecting low-risk neonatal circumcisions…
“CPSM established a working group in 2020, tasked with developing a new standard of practice for performing specific procedures in office-based practice settings, including male circumcisions.
“The working group did not consult with the Jewish community in its early development of the draft Standard; however, that is precisely the purpose of the current public consultation, and we are grateful for the feedback received.”

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Thoughts on Sid Green

Grant Mitchell


By GRANT MITCHELL (Grant Mitchell is a well-known lawyer in Winnipeg whose father, Leon Mitchell, was Sid Green’s law partner for many years.

Following are remarks Grant delivered at the meal of remembrance which was held following Sid Green’s funeral on June 9:

Sid was a Gold medallist in law in the class of 1955.
He knew that my Dad, Leon Mitchell, was in sole practice in the Confederation Building. Leon was 13 years older than Sid but graduated just the year before. Leon had been the business agent for the Civic Employees Union of the City of Winnipeg before and during law school, and his union connections gave him a client base to start a practice.
After obtaining his call to the Bar, Sid attended Leon’s office and informed him, “You need me.”
Leon was taken aback. He was physically disabled from a major bout of Guillen-Barre syndrome, but felt fully capable of practising solo. He told Sid he didn’t need anyone.
Sid told Leon, “You don’t understand. I don’t mean you need me to advise clients, I mean I can do the physical side for you, attending court and hearings and other functions that require mobility.”
With that understanding, they became Mitchell & Green, and later Mitchell, Green and Minuk when Sam Minuk joined the firm. They were the only labour firm in Winnipeg at that time that acted exclusively on the Union side.
In around 1960, a Mitchell & Green client did not have the money to pay for his legal fees and offered the partially constructed cottage he was building at Big Whiteshell Lake to the firm as payment, with the excess to be refunded to the client. Sid and Leon became co-owners of that cottage. For years it had no plumbing and an incomplete ceiling. When Leon died in 1987, Sid got the cottage.
When Sid went into politics, Leon supported the move, and in fact delivered the nomination speech for Sid to be leader of the NDP when he ran against Russ Paulley and then Ed Schreyer.
When Sid was made a Cabinet Minister in the Schreyer government in 1969, Leon also left practice to go into public service, as Chair of the Municipal Board, Chair of the Mental Review Board and Commissioner in the Churchill Forest Industries inquiry. Sam Minuk became a Provincial Judge. It was the end of Mitchell Green and Minuk. That practice was the foundation of what has become the Myers firm.
Sid and Leon’s paths would cross again when Leon was mediator of the Northern Flood Agreement and Sid was the Minister responsible for Manitoba Hydro.
They had been professional partners with profound mutual respect, but they were also personal friends and remained so for the rest of Leon’s life.
Leon had a huge admiration for people he thought were unusually intelligent. Sid was at or near the top of that list.

At the funeral, I spoke of Sid’s relationship with my father, Leon Mitchell.
I will just add that during their years at the Confederation Building and then in the Crown Trust Building, they hired an articling student named Bill Rachman, who made Sid and Leon nervous about everything he did. When the articling period ended, Sid told Leon that notwithstanding their reservations about Bill’s ethics and practicing skills, Bill would be far more financially successful than either Sid or Leon. Leon agreed. They were correct.
When Sid returned to private practice after his time in government, the unions and he had a falling out and he found himself acting against unions rather than on their behalf
Sid’s philosophy on unions was that protective labour laws produced weak unions, who would not represent their members’ interests effectively. He felt that Wagner Act type labour legislation, now universal in North America, was a tragic compromise by unions. He believed that the recognition strike and the wildcat strike were fundamental weapons for successful trade unions, and that certification of unions, the duty to bargain in good faith and mandatory grievance arbitration were the poor cousins of the recognition and wildcat strikes. This was opposite to the position of the union movement at that time, which lobbied strenuously for union-friendly legislation in the form of greater and greater regulation of the union employer relationship.
In fact, Sid said that the only labour laws that unions should need were to protect the right to picket, and to take away a court’s power to order a person to work. These 2 provisions are found in sections 56 and 57 of the King’s Bench Act to this day, more than 50 years later, and still known to people of my generation as the “Sid Green amendments”. No injunction to enforce a personal services contract. No injunction to restrict assembly on a public thoroughfare to communicate accurate information, that is, a picket sign.
Sid supplemented professors at the law school, Robson Hall, by delivering several lectures in each term about the fundamentals of labour law. I taught that course for 22 years and I had Sid come for a guest lecture, as he had done in the labour law class when I was a student.
He had a powerful and persuasive way of making his points. For example, he felt that a legislated duty to bargain in good faith was a mistake – let the parties fight it out, and let the stronger survive. If employers don’t bargain genuinely, the response is to hold a strike, not run to the labour board.
“If I offer $1, $2, $3, $5, $10 then I’m bargaining in good faith. If I offer $10, $10, $10, $10, then I’m bargaining in bad faith. But it’s still $10!”
He didn’t like certification and preferred the recognition strike. Settle disputes through battle, not argument. Conflict rather than compromise. He particularly objected to certifying unions by card count as opposed to secret ballot vote. A card signer had no meaningful way of revoking their support for the union if they changed their mind after the union applied for certification.
Sid said, “If I buy a vacuum cleaner from a door to door salesman, under the CPA I have a month to change my mind and get my money back. But if I sign a union card, the next day may be too late to change my mind. Which is more important, having a union take over my bargaining rights, or buying a vacuum cleaner?”
Apart from representing employees against unions, Sid also built a practice of representing lawyers who faced disciplinary action from the Law Society. When he ran to be a bencher, he received more votes than any other candidate, even though he was not affiliated with any of the larger law firms. As a bencher, he would send out a “Report from a Bencher” after each Bencher meeting, giving his analysis on the decisions the Society was making, often critical of the majority.
In so many ways, he believed in a “survival of the fittest” approach to human differences. He did not care for protectionist legislation like Human Rights laws. He particularly objected to affirmative action or any other form of “reverse discrimination”.
In one case I had with him, he was acting for Nabila Malik, an economist in the Cabinet secretariat who had been laid off. I was acting for the employer. He called me to tell me that he wished to amend his statement of claim. “I want to add a paragraph to the claim to say that in letting my client go, the government violated its own affirmative action policy because the policy said that there should be more women in senior civil service positions and yet my client, a woman, was let go when many men in senior civil service positions had remained employed.
“Do you object to my amendment?” “No.”
“You don’t think I believe in that affirmative action bullshit do you?” “I don’t know.”
“I DON’T!” But I say, ‘If you are going to preach bullshit, you have to practice bullshit.’”
Sid took up hockey when he was 50. As a young man, he had been a good athlete, quarterbacking the law school football team. It was a late stage of life to learn to skate and join a new sport but Sid approached it with the same gusto he applied to everything else. When he awoke after cardiac surgery a few years later, his first question was, “Will I still be able to play hockey?” You don’t have to be great at something to love it, as I well know. And Sid loved to play hockey, indoors or out.
An employer client of mine had one of its managers vilified in the union newsletter – the “Golden Turkey Award”. My client said, “We want a lawyer for the manager, and we want that lawyer be one with the kind of reputation that when the other side sees who is threatening to sue them, they will involuntarily cringe uncontrollably.” I gave them 2 names, with Sid’s being the second one. “Sid Green, that name sounds familiar. Who is he?” “Oh, he was once the Minister of Labour in the NDP government, but after he left politics, the unions treated him as a pariah, and now he fights them regularly.” “That’s the guy we want.” Sid took the case. He got a settlement offer so generous that the manager desperately wanted to accept it: full page retraction, apology, substantial payment. He may have been a turkey, but he was not foolish. Sid said it was not enough. He got more, before yielding to the client’s wish to settle. And oh, yeah, there were no more golden turkeys awarded.
Sid loved to litigate. He would rather fight than settle. His adversaries knew that, and as a result, he achieved great settlements. Sid’s rejection of an offer was never a bluff.
He had a fundamental belief in democracy, that the rules should be made by people who were elected, not appointed. If he had the choice, he would prefer to be a law maker rather than a lawyer or judge. He also felt that if a matter was worth taking on, it was worth taking all the way. I doubt that any private lawyer has been involved in more appeals.
Others know more about Sid’s career as a politician than I do. He did love to tell one story about his time in government. In 1975, Bob “Junior” Wilson had just been elected in a Wolseley by-election, narrowly defeating Sid’s friend, D’Arcy McCaffrey. In his first appearance in the Legislative Assembly, Wilson stood up to make his maiden speech. The protocol had long been that when a member speaks for the first time, they give a benign speech about how honoured they are to serve their constituents and how they look forward to working with everyone in the house. Instead, Wilson launched into an attack on the governing Schreyer government, accusing them of every misdeed known to politics, and demanding that they immediately resign and call a general election. It fell to Sid to respond on behalf of the NDP majority.
“The Honourable Member has ignored the usual protocol for new members. I don’t mind that. I have no particular affinity for protocols. I think members should say what they genuinely feel. So I commend the Member for being so frank. I have some difficulty with his message, however. He says that we should resign and cease to govern. But that would be undemocratic. A majority of Manitobans have elected us to run the Province. That is our duty. He may not like it, but the fact is that we are his government. But if he feels badly about that, he should imagine how I feel. He is my member!!”
I’ll close by saying that in Sid’s pre-politics practising days, there were many colourful lawyers that made being a lawyer a fascinating profession. By the time he returned to practice, there were only a few of the wild ones left. The profession needed a gadfly like Sid to make practice fun. The reason he got so many votes from the profession is that Manitoba lawyers recognized that in Sid there was a fearlessness mixed with skill, humour, joy and a profound understanding of the policy reasoning behind the letter of the law. There was no one like him, and I doubt that there will be one. I will miss him.

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Sid Green – famed lawyer, one of the first Jewish provincial cabinet ministers, and first director of BB Camp – passes at age 96

By BERNIE BELLAN Sid Green, whose name was well known in so many different circles in Manitoba, passed away on Sunday, June 7, at the age of 96.
Green was perhaps best known as one of three Jewish Members of the Legislature who became cabinet ministers in the first ever NDP government in Manitoba, which came to power in 1969 under the leadership of Ed Schreyer. (The other two Jewish members who became cabinet ministers were the late Saul Cherniack and the late Saul Miller.)
Green, who had first been elected as an MLA in 1962 representing the riding of Inkster, led a challenge to then-NDP leader Russ Paulley in 1968, which eventually led to Paulley resigning as leader. The subsequent leadership race saw Green, who was only 39 at the time, facing off against a 32-year-old Ed Schreyer.
Although Green and Schreyer were later to part ways over a number of issues – especially over the issue of aid to private schools, Green and Schreyer were actually good friends.
In fact, Ed Schreyer, who is now 90, spoke at Green’s funeral, which was held Tuesday, June 9, at the Chesed Shel Emes (with interment following at the Hebrew Sick Benefit Cemetery).
In his early years, Sid Green was a very active member of the YMHA on Albert Street, serving as president of the house council for several years. A fierce athlete, Green competed in basketball and volleyball at the Y. At the age 50 he took up ice hockey – and was known for his fierce competitiveness. He was to serve on the board of directors of the YMHA for many years, right up until its closing in 1997.
Green was also the quarterback for the University of Manitoba law school football team during the early 1950s – and led them to two school championships. In a 2019 interview I conducted with Green about his early years at the YMHA, he noted that he was the only 5’6″ 150 pound quarterback in the inter-faculty league.
In 1954 Green became the first director of BB Camp, which had just moved to Town Island from Sandy Hook.
In 1955, Green graduated from the U of M law school, winning the gold medal in law that year.
He went on to become one of Manitoba’s most successful labour lawyers, subsequently pairing withfamed labour lawyer, Leon Mitchell, later to be joined by Sam Minuk (who was to become a provincial court judge) in what became the firm of Mitchell, Green & Minuk.
During his time as a lawyer, Green often represented employers – which might seem a little surprising for someone who such a staunch NDPer. But Green was staunchly opposed to entrenching laws such as anti-scab legislation or secret ballot voting to unionize. He thought it important to represent any client, including employers engaged in disputes with unions, no matter how much he might have disagreed with that client’s position, and because he was so skilful in arguing a case, he was much sought after by employers to represent them in labour disputes.
He was so respected as a lawyer, moreover, that he was often asked to represent other lawyers in cases before the courts.
Green was also very pro-Israel and extremely proud of his Jewish roots. Although not a religious man, during his many years at the Y – first on Albert Street, then later on Hargrave, Green was involved in developing many Jewish cultural programs.
In days to come we will have much more about the life of Sid Green. In the meantime, if you want to watch a video interview I did with Sid about his experiences at the Y on Albert Street, you can go to Sid Green reminisces.
Sid Green was predeceased by his wife Shleema in 2009 and is survived by his five children: Arthur, MIndy, Cathy, Sharon, and Marty, as well as 15 grandchildren.

For more about Sid Green’s career, read Grant Mitchell’s eulogy, which was delivered at the Meal of Remembrance following Sid Green’s funeral on June 9: Grant Mitchell on Sid Green

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