We must face the reality of people like Kenroy and Denville who are punished as a result of laws that do not recognize the situation on the ground. We must address the unfair conditions under which we bring people over for this program, and provide them the services they are due. Canada set out to have a universal healthcare system that covers everybody, and it's about time that we did just that.
Mr. Alexander, I turn to you for guidance on what to do the next time this patient comes to my clinic: a gay man who fled his country because it is a crime to be homosexual. This man who was beaten and persecuted by his community and his family. He is not able to work in Canada because he can not acquire a work visa and instead volunteers with local charities.
What we need is a health care system that's based on need, not ability to pay. But we also need social policies that create the conditions for good health. The evidence also shows us that lifestyle choices such as decreasing smoking, exercise and good diet increase proportionally to an individual's social and economic status.
I feel our health care workers and health care system is doing the best it can with the limited resources and support services they have. I am not sure what the solutions are but I feel the status quo is not working. I have been thinking about my experience in the hospital emergency room for a while. How can the system improve so the services are there in a timely and efficient manner when the people need them?
I don't talk about my feelings very often but I sometimes wonder why my two boys and my daughter don't come see me more often. What in the world did I do to them? I think they are mad at me because their mother passed away too soon. Maybe if she hadn't given all those hours, months and years she would still be around.
You have to be Canadian to understand the right of passage known as "The Polar Bear Plunge." I jumped into the freezing cold water to raise funds for Special Olympics. That inspired me to write this blog on how important heart rate is, and the joy of sport.
Flu shots have raised similar alarms in young children. In the 2011 flu season, the U.S. Food and Drug Administration confirmed 42 cases of seizures, 36 of them involving infants and 10 of them deemed "serious," after vaccination with Fluzone, a vaccine made by Sanofi-Pasteur.
One thing Americans and Canadians can agree on is that we don't want each other's health care systems. In truth, most Americans don't know how Canada's system works and Canadians don't know much about the U.S. system. Yes, there are waiting lists for some services -- but, no, Canadians are not coming across the border in droves to get American care. Separating fact from opinion as the Canadian ambassador long ago urged was something I tried to do as I made my way across Canada while visiting there recently. In some ways, the Canadian system is very different from U.S. health care. In other ways, it's very much the same and faces similar challenges in the years ahead.
And as nations are just starting to get their heads around how to solve the obesity crisis, surely we shouldn't dump everything out of our toolbox before the real work has even started. We need to keep our public policy options open, to make room for initiatives to clean up a food environment that is literally killing us.
We know that the U.S. has the most expensive health care in the world. But beyond noting that dubious achievement, we seldom ask why. On my recent visit to Canada as a Fulbright scholar, I stopped by to pose that question to one of their leading health care experts, David Dodge, an economist who has served as federal deputy health minister and seven terms as governor of the Bank of Canada.
We actually know quite a lot about what makes Canadian health policy so effective. Population health approaches to improving social conditions, as well as public health prevention and health promotion measures taken across the country, have helped to reduce both chronic disease and acute illness. The Canadian portrait compares favourably to the American, but how does our healthcare investment compare to other developed nations in the study? Here, Canada falls short. Canada ranked 8th of 27 countries, while the US came in at 22nd.
If the current investment in physician compensation was intended to improve the accessibility of medical care, then the data from Quebec show that this was a policy failure. Not only was there no improvement, but the problem actually worsened. In Quebec, it appears we are investing more money to pay more physicians to get less care.
The term, health care 'super utilizers' or 'super users,' was first coined by Dr. Jeff Brenner of Camden, New Jersey to describe individuals who, despite very high levels of health intervention and expense, are still suffering from very ill health. His work also outlines the existence of 'medical hot spots' -- specific areas in a community that often incur the highest health bills.
Healthcare in Canada is anything but free. The average Canadian family of two parents with two children (similar to Walt's family in the drama) pays approximately $11,320 in taxes for hospital and physician care through the country's tax system, in addition to the cost of private insurance for things like dental care and outpatient prescription drugs.
It is my belief, as a Canadian who has lived in the U.S. for several years now and writes about drug development and medicine for a living, that standard of care isn't good enough when standards of care are poor. Why stick to a treatment regimen for all patients when the results are so dismal? In the absence of anything better to offer, why not at least offer patients and their families choice? There are many things that I admire about the Canadian healthcare system. Inflexibility is not one of them.
Very few would dispute the fact that Canada has a doctor shortage. Patients are forced to resort to emergency rooms and walk-in clinics for their primary care, and with more and more doctors set to retire, the problem will only worsen over the next years. What is often not reported, however, is that there may be light at the end of the tunnel.