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From Tommy to Jack: A (Hallucinatory) Dream of Universal Health Care

Posted: 08/26/11 05:53 PM ET

Tommy Douglas appeared to me once in a drug and trauma-induced hallucination. It was 2002 and I was bearing the brunt of British Columbian Premier Gordon Campbell's vile cuts to healthcare. My immobile body on a stretcher was literally being stored in a closet in an over-crowded Vancouver emergency ward. Unfortunately, the drugs were all medically-administered and more disorienting than pleasurable. As the Archangel of Canadian health care, Tommy had come to fly me and my leaking, numb and closeted body away to the well-funded public facility of all of our dreams.

It didn't really surprise me that Tommy showed up. I'd always counted him among my closest comrades (and also, I was very ill and medicated). I cut my political teeth in Mike Harris' Ontario. As a teenager on the lawn of Queen's Park as hundreds of thousands of people shut down the city of Toronto, I got the impression that this is what always happened when health care and other social program cuts are unjustly meted out on a population -- we rise up, fight back. And Tommy knows a lot about fighting back.

Last night I dreamt of Jack Layton. We were drinking beer. We talked about the messy, unpredictable vulnerability of all these human bodies we walk around in (this part made me cry, even in my sleep). And that surely, fair and equitable access to care for these bodies is essential to a just, humane and democratic society. How can we even pretend to be a democracy while we slowly eke out privatization that will limit access for poor people and increase it for the wealthy? In that beautiful sleep-state where amazingly contradictory things seem to just make sense, I simultaneously accepted both that he passed away this week and that he'd continue to take a principled stand for universal, public health care.

As we finished our beers, Tommy showed up just in time, with another round. The three of us sat and drank and talked the night away. They smiled at Jack's amazing election victory this spring -- how millions more people are engaging visibly and audibly to defend public health care. Then we talked about how Stephen Harper can't be trusted to negotiate a new healthcare agreement with the provinces in 2014, and I got a bit panicked.

"What are we going to doooo?!" I demanded as they peaceably sipped their beers. "And ohmygod what if Hudak gets elected in Ontario? What will happen to rural hospitals and home care and nurse practitioners and family doctors and health teams? We're already in a perfect storm of under-funded hospitals, under-resourced communities and unsupported healthcare professionals! Tommy! Jack! Ahh!"

They spoke together, in one voice (which seemed so normal and plausible while I was asleep), "You are all going to defend, public accessible medicare -- free to everyone, well-funded, high quality -- and we are going to have your backs."

I looked at them both, my beer goggles in full-effect by this point. I could see so clearly how Jack flew into the position of the leader of the largest Official Opposition on Tommy's wings, sharing his vision of a fair and equitable society. That every time the doomsday messengers of privatization show up with their axes at our public hospital doors, Canadians in our masses rise up and push them back. And awake now, with the soft light of day pouring onto my computer keys, I can see how this is all more than a hallucinatory dream of beer and solidarity -- it's what's going to happen. Because Tommy and Jack have our backs.

 
Tommy Douglas appeared to me once in a drug and trauma-induced hallucination. It was 2002 and I was bearing the brunt of British Columbian Premier Gordon Campbell's vile cuts to healthcare. My immobil...
Tommy Douglas appeared to me once in a drug and trauma-induced hallucination. It was 2002 and I was bearing the brunt of British Columbian Premier Gordon Campbell's vile cuts to healthcare. My immobil...
 
 
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10:30 PM on 08/27/2011
Harper is an evangelical Christian and he is of the opinion that Canada should become a super power (he doesn't say how but the jumping jets are probably a first step) and he doesn't believe in birth control or abortion (even if the mother will die if she has to continue with the pregnancy) and he is never going to tolerate universal health care. Statistics don't stop him. He is building three jails though we have had a falling crime rate for twenty years and even though stats show canadians live longer than americans thanks to universal health cre, he will trash that as soon as he can. The poor can jump in the fake lake.
04:09 PM on 08/27/2011
One: Don't, don't ever do anything to injure the current universal Canadian Health Care Delivery System. Its not perfect but the unintended consequences of major reform are fraught with danger. Like me the majority of Canadians do not want to see the insides of a hospital or pop prescription pills. Any abuse of the system is tolerable and preventable. My son lives in the States and makes good money. Like any good Chinese son, he wants to take care of me in my old age and with my cancer. My health care expenses in the States will bankrupt him. That's how personal my defense of the Canadian system is.

Second: For people who can afford it I have no objection to their jumping the queue and pay generously for that privilege. The extra income will keep our specialist doctors happy and top up the funds in short supply necessary to upkeep our universal health care system. My solution is perhaps was can pass a law that limits such queue jumping to 10 or 20 percent of the specialists' patient load. Any abuse of the system is easy to easy to monitor from the patient outcomes. I am poor so don't give me any guilt trip about fighting for the helpless poor. Serious health problems didn't develop overnight. They are not going to get cured overnight either. I am willing to take my turn (triage) so long as I treated treated eventually and no less professionally than anyone else.
04:08 PM on 08/27/2011
I am a low income senior who was diagnosed with advanced cancer last October. I am still undergoing chemo which will likely go on for as long as the cancer shows signs of stabilizing and hopefully eventual remission. As a senior (over 65) I didn't have to pay a thing for consultations, hospital stays and my operations. I copay prescription drugs at 25 percent to a maximum of $25 per prescription. I can't praise enough the health care system, the personnel and senior's benefits system Canada has in place and especially in Alberta where I live. All my health problems ( gall stone, hernia, heart attack) came late in life. I never saw the insides of a hospital and rarely needed to see my family doctor until well into my fifties. That is to say that I was forced to draw on my health benefits during the most vulnerable stage of my life. Yet I lose no sleep over access to my health concerns or the affordability of drugs (at less than $100 per month for heart medications and for chemo.) When my time comes I want to go quickly, no heroic efforts wanted. I can brag a lot more about my good fortune in being Canadian whose universal health delivery system is second to none. This is a roundabout way to make two points.

(carried over to the next post.)
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CanadaStan
Cogito ergo spud, I think, therefore I yam
03:28 PM on 08/27/2011
France has better health care than Canada and they don't do it by following Tommy or Jack's dogma.
Should we learn from France or should we just sit tight while people die needlessly, secure in the belief that we are following St. Tommy and the soon to be St. Jack?
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Blacksheep1
Keeping the Left honest, 7 days a week!
09:03 AM on 08/28/2011
The question is, why do so many Canadians, French, and many others end up in the US for major surgeries and top of the line procedures?

Talk amongst yourselves.....
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CanadaStan
Cogito ergo spud, I think, therefore I yam
11:26 AM on 08/28/2011
Exactly, and they include many of Canada's senior politicians who crow about how great the Canadian system is then scurry off to the US when they are ill.
12:31 PM on 08/28/2011
Because they are rich. Rich people dont wait for anything.

We also have a mass of baby boomers getting old and they are pressuring the system.
11:27 AM on 08/27/2011
Oh boy - did you remember Rae Days when Bob Rae actually ran out of tax payer money to pay the government employees? Check out some history.
Drink beer like that and I can see my tax dollars paying for your choices and health care problems down the road. Just went through the health care system and boy, St Mike's is dirty. The health care workers smoking outside in their scrubs and then coming in the elevators stinking of smoke - nice. Also, the nurses sitting behind computers while I get given a dirty blanket with blood on it - nice.
As a business owner, I wondered how staff got rewarded. If one person, nurse, had to be accountable for the cleanliness of their area and the health outcomes of those patients, it might help improve cleanliness. I came away realizing that medicine is now like a mechanics' shop. A doctor at my son's school told me he was telling his son to go into medicine as you can not go bankrupt like an entrepreneur. His son is a genius at computer science so there we go - the loss of a tax dollar payer. Canada will be all the poorer.
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arkymorgan
Nobody knows the trouble I've been...
09:20 AM on 08/27/2011
Canadians are not Americans...I think that one of the things that differentiates them is that Canadians actually expect more out of the governments they elect. While they are tolerant and patient, I believe that Canadians will, in fact, rise up and hold the Harperites to account if they are pushed too far. They hold the people they vote for to a certain standard, even now.

(Americans, who talk incessantly about 'freedom' and 'liberty', in the same circumstances, seem to have already acepted that their elected representatives are uniformly criminal and venal - and think there is nothing they can do about it.)

Come on, Canada. Let Mr. Harper know that if he does not moderate his policies and keep them in line with _our_ values, he will not merely be a one-term majority: he will bury the Tories so deep that the Liberal losses this past election will seem like a massive victory.
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CanadaStan
Cogito ergo spud, I think, therefore I yam
03:23 PM on 08/27/2011
HUH?
11:54 PM on 08/26/2011
What a time eh................ a beer with Tommy and Jack , oh how nice that would be a this moment !

Reality now sets in ..... no beer, no Tommy...no Jack.......... but wait !!!!! ....................

"Still a Hopeful Dream "