Can't put my finger on why, but it looks like we may actually be getting some action from our federal government resident (fancy) sock(s) puppet for the next year and a half, anyway.
Prime Minister Justin Trudeau has asked Canada's top public servant to look into the government's procurement process over what he says seems a 'highly illogical and inefficient' contract to develop the ArriveCan app.
www.ctvnews.ca
Then there's this. Next up on the docket............
Reactive healthcare-only going when something is wrong because you have to pay for every visit/procedure.
vs preventative healthcare where visits don’t “cost” in the traditional sense.
A bit like making sure the fluids in the car are maintained regularly vs only swapping them out when spent (and perhaps when the damage has already been done).
Not saying Canada is fantastic at the preventative side of things but the system we have is better set up for everyone to access at least some of that vs the better-off few that can do so in other systems.
Years ago in France (when the budget allowed) there were breast screening programs sent to grocery car parking lots so women could get screened while they did the shopping. The French worked out that prevention saved money in the long run. It freed up hospital beds and saved on palliative care and surgeries. This was open to all economic levels of society. Also, you wouldn’t get your first pay cheque for a company unless you’d had a free medical. I found the last bit out the hard way but appreciated the way this meant that large parts of the population at least had some baseline health measures looked at.
The problem in Canada now is that there’s an issue with providers vs what can actually be accomplished. The real cap is people. The reason for the cap comes down to a few things:
1. Number of students going into family medicine
2. Funding of places for medical students
Combination of things including protectionism by the medical associations. Plenty of good foreign docs would love to come here.
One big thing is that students don’t choose family medicine as much as it’s “hard”. They may get called out at weird times, the pay isn’t as good as a specialist etc. You know what’s popular? Dermatologist..how many times do people get called out at 3am for a rash.
Combination of things including protectionism by the medical associations. Plenty of good foreign docs would love to come here.
One big thing is that students don’t choose family medicine as much as it’s “hard”. They may get called out at weird times, the pay isn’t as good as a specialist etc. You know what’s popular? Dermatologist..how many times do people get called out at 3am for a rash.
Pay was crap last I checked. A full patient roster gave you 325k which sounds ok but that is gross. If your patients visit an unaffiliated walkin clinic, some of that 325 is clawed back. From that you need to pay all expenses including rent and staff. Given the years and hours spent on school, net pay is terrible.
Pay was crap last I checked. A full patient roster gave you 325k which sounds ok but that is gross. If your patients visit an unaffiliated walkin clinic, some of that 325 is clawed back. From that you need to pay all expenses including rent and staff. Given the years and hours spent on school, net pay is terrible.
I had a solution but it probably wouldn’t fly. Treat family medicine like a military commission. Education is free but you get posted for a number of years and you have no say over where. You can buyout your commission but it would be more than the tuition would cost.
I tried switching dermatologists and liked the new one as he was very thorough. However he doesn't do regular check ups every six months like the previous one. My problem is pre-cancerous lesions that need to be frozen off with a shot of liquid nitrogen. The skin freezes and in a couple of days the problem drops off.
The new guy says they don't do regular check ups anymore. He gave me a Rx for a self treatment, a white paint that I dab on the keratosis, assuming I can recognize one and see it on the top of my head using a mirror. Cure is in a couple of months instead of a couple of days.
I went back to the previous dermatologist.
What I see in dermatology is getting out of the OHIP stuff of plantar warts and into cosmetic surgery, spider veins, cosmetic warts, age spots, collagen, tattoo removal etc. People will pay for vanity but not to save their life.
After seeing the protest posters last week of on their sign people with (alleged) university degrees in IT that can't spell ruining, I would hope those (alleged) MDs coming into the country are vetted with an iron fist.
‘I’d like an annual checkups’
‘Doctor is too busy so the earliest is January’ (this was Oct)
‘Ok well I’ve got this pain in my gut I need to check’
‘So this is more than just a checkup? Come in next week’
I asked the doctors and he said they’ll do regular checkups again, they’re just working on the backlog.
While I’m not a fan of this 2-3 week wait, in fairly urgent cases he gets one of the other doctors or nurse practitioner to see us fairly quick. Usually 1-3 days.
After seeing the protest posters last week of on their sign people with (alleged) university degrees in IT that can't spell ruining, I would hope those (alleged) MDs coming into the country are vetted with an iron fist.
A guy insists on having a castration and after hours hours talking to his surgeon the operation is done. In post op the surgeon drops by and says "I hope you're going to be happy. I can't stay as I have to do a circumcision."
I asked my Doc about yearly checkups years ago said they were not necessary. Then more recently once I hit the half century mark he thought we should do it....oy vey. I haven't bother following up on that, should have looked for a new doc a while ago.
I had a solution but it probably wouldn’t fly. Treat family medicine like a military commission. Education is free but you get posted for a number of years and you have no say over where. You can buyout your commission but it would be more than the tuition would cost.
That's what's happening in nursing right now, tuition if free for many if they work a few years in underserved areas. It's working -- nursing schools are full to the brim, and grad rates and finished product should be good as competition intensifies for positions.
My feeling is that foreign-trained doctors should have a fast path to becoming family physicians in Canada. I don't mean doctors from U of Carribean Rum, but those from qualified universities and hospitals that are on par with Canada's. Have them work in underserved areas for 5 years in exchange for a fastpath.
Why arbritrarily stop your history/geography trip there? Is it because if you do then you don’t have to acknowledge the swarthy brown types that were the origin of optics, surgery. algebra, geometry and the establishment of universities? Also don’t give us the Romans example without those I mention because I’m fairly sure you don’t currently **** in a pit or race your vehicles on cobblestones today.
And off we go picking nits again. Disregard the force behind 2500 years of overall progress and focus on the individual, claiming individual steps are what we should consider. You must be the guy who looks at a quad-turbocharged, 16-cylinder Bugatti and comments on how the cheap VW-sourced signal lights make a mockery of the car.
Moderator public warning: I am sensing some thinly veiled racism here. It stops NOW, and I strongly recommend that a certain member go back and review some of their own posts. We're watching.
Post #416 in this thread contains an exceptionally problematic statement, and it is being submitted for review.
And off we go picking nits again. Disregard the force behind 2500 years of overall progress and focus on the individual, claiming individual steps are what we should consider. You must be the guy who looks at a quad-turbocharged, 16-cylinder Bugatti and comments on how the cheap VW-sourced signal lights make a mockery of the car.
No I’m the guy that knows you can’t discount historical discoveries that modern day achievements are based on simply because that doesn’t suit your opinion or argument or perhaps for some other more nefarious reason.
Moderator public warning: I am sensing some thinly veiled racism here. It stops NOW, and I strongly recommend that a certain member go back and review some of their own posts. We're watching.
Post #416 in this thread contains an exceptionally problematic statement, and it is being submitted for review.
After seeing the protest posters last week of on their sign people with (alleged) university degrees in IT that can't spell ruining, I would hope those (alleged) MDs coming into the country are vetted with an iron fist.
Can't put my finger on why, but it looks like we may actually be getting some action from our federal government resident (fancy) sock(s) puppet for the next year and a half, anyway.
Prime Minister Justin Trudeau has asked Canada's top public servant to look into the government's procurement process over what he says seems a 'highly illogical and inefficient' contract to develop the ArriveCan app.
www.ctvnews.ca
Then there's this. Next up on the docket............
Conservative Leader Pierre Poilievre is pushing for an audit into the federal government's border application ArriveCan, suggesting the Liberals should be cutting as much 'wasteful spending' as possible.
www.ctvnews.ca
Don’t thank Mr Fancy Socks, thank PP for holding Mr FancySocks’ feet to the fire!
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