Canadian Politics
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SloopJonB
Super Anarchist
It's collapsing here and we've had the NDP for years.
I think it's just incompetence, not a plot.
For my entire life there has only been one absolute certainty - the health system was going to take a massive hit when the baby boom aged out.
So what do the idiot pols do? Spend the last 20 years bolstering the system to be ready?
Noooo... they let the entire system crumble.
I think it's just incompetence, not a plot.
For my entire life there has only been one absolute certainty - the health system was going to take a massive hit when the baby boom aged out.
So what do the idiot pols do? Spend the last 20 years bolstering the system to be ready?
Noooo... they let the entire system crumble.
spankoka
Super Anarchist
Yup, the Maritimes are Liberal a lot of the time-but still has lousy health care a lot of the time. I think the biggest issue is not enough places at med school. Nothing against immigrant physicians-but please make more physicians here in Canada. At least some of them, would go back to their home towns to practice. The absurdity of Canada relying on the developing world to train physicians willing to practice in Canada, is obvious. If anything, Alberta is ahead of the curve here. Look at how many doctors the U. of Alberta creates vs. U. de Moncton. A med school cohort is 162 at U. of A. Good for them!
www.ualberta.ca
Application Requirements | Faculty of Medicine & Dentistry
nonacademic requirements, non academics, extracurriculars, personal activities, interview, reference letters, mmi, reference, additional testing, md program, doctor of medicine, doctor
www.ualberta.ca
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Keith
Super Anarchist
A big part of the problem is new doctors don't want to be GPs.Yup, the Maritimes are Liberal a lot of the time-but still has lousy health care a lot of the time. I think the biggest issue is not enough places at med school. Nothing against immigrant physicians-but please make more physicians here in Canada. At least some of them, would go back to their home towns to practice. The absurdity of Canada relying on the developing world to train physicians willing to practice in Canada, is obvious. If anything, Alberta is ahead of the curve here. Look at how many doctors the U. of Alberta creates vs. U. de Moncton. A med school cohort is 162 at U. of A. Good for them!
Application Requirements | Faculty of Medicine & Dentistry
nonacademic requirements, non academics, extracurriculars, personal activities, interview, reference letters, mmi, reference, additional testing, md program, doctor of medicine, doctor
Too much paperwork and management of the practice and not enough cash flow.
Many are specializing.
SloopJonB
Super Anarchist
It goes way deeper than that.
One of the crew at my boatyard is a Persian trained doctor. He and his family came here when the mullahs took over in Iran and he spent two years re-qualifying in Ontario. Later they decided to move here only to discover he'd have to do that two years over again to work here. I mean WTF? Is this one country or not?
He said fuck that and got a job in the boatyard instead.
In another case an RN trained in the States applied for a license here and after two years was still waiting.
The problem is 100% the fault of the pols.
Not only that, the idiot cabinet minister in charge here - Adrian Dix - has just had his position reconfirmed in the latest cabinet shuffle so they are obviously happy with the current mess.
It's gotten so bad that it's reached the point where people are starting to say maybe the American right wingers have a point.
One of the crew at my boatyard is a Persian trained doctor. He and his family came here when the mullahs took over in Iran and he spent two years re-qualifying in Ontario. Later they decided to move here only to discover he'd have to do that two years over again to work here. I mean WTF? Is this one country or not?
He said fuck that and got a job in the boatyard instead.
In another case an RN trained in the States applied for a license here and after two years was still waiting.
The problem is 100% the fault of the pols.
Not only that, the idiot cabinet minister in charge here - Adrian Dix - has just had his position reconfirmed in the latest cabinet shuffle so they are obviously happy with the current mess.
It's gotten so bad that it's reached the point where people are starting to say maybe the American right wingers have a point.
Rain Man
Super Anarchist
My wife is in the the biz, and says the main issue with family practice is the next generation of docs a) don't want to work full time and b) don't want to run family practice clinics because it isn't as profitable as specialized medicine for the same amount of work. The fee-for-service model doesn't help. To address b), Adrian Dix just made family practice more attractive with a big increase in annual income for family doctors.
What is really needed to address a) is more nurse practitioners who are rapidly assuming the role of family doctors. It just takes too long to train a primary care physician with the current model.
What is really needed to address a) is more nurse practitioners who are rapidly assuming the role of family doctors. It just takes too long to train a primary care physician with the current model.
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SloopJonB
Super Anarchist
The NP thing is going to work as you say - but when? In 10 years when they have trained some and got them working?
A simple fix would be a requirement to work as a GP for the first 5 years or whatever after graduation.
We pay for most of their training so it's reasonable to expect a return.
Lots of stupid rules too - like 1,000,000 others in B.C. we don't have a GP so we have to spend hours waiting to see a clinic doctor who doesn't know us to get a referral to another doctor/specialist.
The clinic model means it can take most of a day just to get a scrip renewed. Every time you see a vet is like the first time - no relationship tracking or knowledge of your history.
The system is a shambles and by the time they fix it 1/2 the boomers will be dead - which is very possibly the point. One of Dix's "fixes" (school expansion) won't even start producing results for at least 8 years - when the oldest boomers will be 84. I'm not any sort of conspiracy loon but I'm beginning to think their "solution" is to simply let the boomers die off through neglect simply to save the bulge of expenditures.
One thing is for sure - Eby and this current bunch won't get our vote again - I can't imagine anyone else being more incompetent.
A simple fix would be a requirement to work as a GP for the first 5 years or whatever after graduation.
We pay for most of their training so it's reasonable to expect a return.
Lots of stupid rules too - like 1,000,000 others in B.C. we don't have a GP so we have to spend hours waiting to see a clinic doctor who doesn't know us to get a referral to another doctor/specialist.
The clinic model means it can take most of a day just to get a scrip renewed. Every time you see a vet is like the first time - no relationship tracking or knowledge of your history.
The system is a shambles and by the time they fix it 1/2 the boomers will be dead - which is very possibly the point. One of Dix's "fixes" (school expansion) won't even start producing results for at least 8 years - when the oldest boomers will be 84. I'm not any sort of conspiracy loon but I'm beginning to think their "solution" is to simply let the boomers die off through neglect simply to save the bulge of expenditures.
One thing is for sure - Eby and this current bunch won't get our vote again - I can't imagine anyone else being more incompetent.
spankoka
Super Anarchist
Thailand is a good place to retire to, I think. Their health care system actually functions.
- Thread starter
- #1,070
You must have a short memory, because I sure can.
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- #1,071
The Turbo Christians are alive and well in Canada. It certainly spotlights the disconnect in these people's brains. Watching another culture's religious/historical ceremony is an infringement on her religious freedom? She'd be happy as hell to see everyone forced to sit through Christian prayers in school.
www.theguardian.com
Canada court rejects mother’s lawsuit to ban Indigenous ceremony at children’s school
Candice Servatius, an evangelical Protestant, claimed ceremony infringes on her children’s religious freedoms
www.theguardian.com
Rain Man
Super Anarchist
Change is painfully slow. As you mentioned, it took 20 years of inaction to get us here.
In the interim, I've been using Telus MyHealth for some time now when I can't get in to see a family doc - we are lucky to still have one, but sometimes appointments are three weeks out. Appointments are usually next day with Telus. They connect you with a BC doctor that can see all your records, so prescription renewals are quick.
The recent scandal about violating the Medicare Protection act is about their value-added services - not basic family medicine which is still free.
SloopJonB
Super Anarchist
Yeah but I get the impression you're like my parents - anything other than the NDP is simply unthinkable.
Blaming the previous Libs for the health care situation is like the people who blamed the 2008 sub-prime crash on Clinton - sure it had its start under him but Bush the Lesser had years to fix it and didn't.
The current health situation is very comparable - we didn't have any of these problems 10 years ago even though the seeds had been sown. Horgan and his crew simply let things continue to unwind.
And they can't even say "no money" - they pissed away 10's of millions and ensured more decades of gridlock stopping the Deas bridge for no other reason that to say "We're different". That bridge was needed 20 years ago and it's going to be at least 10 years more before it's replaced.
They had a billion or two for a new museum with no problem too.
Not to mention the current 5 billion surplus.
It's either incompetence or deliberate neglect - you choose.
Blaming the previous Libs for the health care situation is like the people who blamed the 2008 sub-prime crash on Clinton - sure it had its start under him but Bush the Lesser had years to fix it and didn't.
The current health situation is very comparable - we didn't have any of these problems 10 years ago even though the seeds had been sown. Horgan and his crew simply let things continue to unwind.
And they can't even say "no money" - they pissed away 10's of millions and ensured more decades of gridlock stopping the Deas bridge for no other reason that to say "We're different". That bridge was needed 20 years ago and it's going to be at least 10 years more before it's replaced.
They had a billion or two for a new museum with no problem too.
Not to mention the current 5 billion surplus.
It's either incompetence or deliberate neglect - you choose.
I think incompetence is more likely.
You'll recall the BC museum project was cancelled.
And BC family doctors income was changed so it wasn't plain fee-for-service model, with a huge pay hike including extra money for office overhead. "a full-time family physician working 1,680 hours a year, who sees 1,250 patients with cases of average complexity and has 5,000 visits from patients a year, will earn at least $385,000. " - Vancouver Sun
I agree that it sucks:
- foreign trained doctors and nurses face very high barriers to joining the workforce. (I work with a bunch of foreign trained engineers and they seem to have no trouble getting employed here)
- a big pandemic happened that put lots more stress on a health care system that always seemed to be running at 95-110% of total capacity
- baby boomers reaching peak medical care requirement years
You'll recall the BC museum project was cancelled.
And BC family doctors income was changed so it wasn't plain fee-for-service model, with a huge pay hike including extra money for office overhead. "a full-time family physician working 1,680 hours a year, who sees 1,250 patients with cases of average complexity and has 5,000 visits from patients a year, will earn at least $385,000. " - Vancouver Sun
I agree that it sucks:
- foreign trained doctors and nurses face very high barriers to joining the workforce. (I work with a bunch of foreign trained engineers and they seem to have no trouble getting employed here)
- a big pandemic happened that put lots more stress on a health care system that always seemed to be running at 95-110% of total capacity
- baby boomers reaching peak medical care requirement years
And in other political news, the Ontario by-election was a loss for the federal Conservatives under Pierre Pepperpot. They lost more bigly than in previous years. Low voter turnout as well = apathy about the evil Trudeau Liberals?
CBC - By Tuesday morning, with 233 of 234 polls reporting, Sousa had secured 51.2 per cent of the vote. His Conservative opponent, Ron Chhinzer — a gang prevention expert and member of the Peel Regional Police Service — came away with 37.3 per cent. New Democrat Julia Kole secured 4.9 per cent of the vote, while the Green Party was not far behind the NDP with 3.2 per cent. The People's Party of Canada earned the support of 1.2 per cent of votes cast.
CBC - By Tuesday morning, with 233 of 234 polls reporting, Sousa had secured 51.2 per cent of the vote. His Conservative opponent, Ron Chhinzer — a gang prevention expert and member of the Peel Regional Police Service — came away with 37.3 per cent. New Democrat Julia Kole secured 4.9 per cent of the vote, while the Green Party was not far behind the NDP with 3.2 per cent. The People's Party of Canada earned the support of 1.2 per cent of votes cast.
SloopJonB
Super Anarchist
Only after a public outcry.
My understanding is that will be the practice income, not the doctor's personal income. If it's their personal income, O/K - my son make 6 figures as a cop so a vet should make that sort of money.
I'm sure it's the medical association protecting their own that is driving that - typical guild protectionism.
It could be stopped with a wave of the government wand - remember Glen Clark - "Don't forget, government can do anything it wants".
Expat Canuck
Anarchist
It takes an additional 2 - 4 years to train in a specialty. Back in the '80's, we had the "extra billing" controversy in BC, becasue specialists felt they should be paid more than GP's, not only for their additional training, but also extended hours. As my father (a specialist) said at the time, "you never see a GP in the corridors of the hospital at 3 am."
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- #1,078
I'm lucky, I got referred to young GP in the mid-90's (recommended by the wife of a customer who had been a nurse along side him), and he took on my wife as a patient as well.
As to political preference, right now they are all fucking up for a lot of reasons, but I look at how Ford is trashing Ontario in the service of Big Money and shudder. I'm a lefty, always have been.
As to political preference, right now they are all fucking up for a lot of reasons, but I look at how Ford is trashing Ontario in the service of Big Money and shudder. I'm a lefty, always have been.
spankoka
Super Anarchist
Yeah, my GP is Persian-she is nice. Again, nothing against immigrants. However, every profession in Canada is in the same boat. Why is drunk driving decriminalized in BC?-because everyone from drunk drivers, to hitmen and dope pushers cannot find counsel, and thus would rightfully get off on habeas corpus. As I understand it; the hitman at UBC golf course is so far only charged with not getting a burning permit for his work car. This is after Richmond RCMP heroically ran a Chevy Suburban into his car.
Leeroy Jenkins
Super Anarchist
I was told by a doctor friend (retired) that he and his partner had to see 42 patients a day just to keep the doors open. This was probably 20 years ago.
