Treatment as prevention and it's related 90-90-90 target are the unequivocal, evidence-based path to ending the AIDS pandemic, the biggest health challenge of the last generation. As we close the 2015 IAS AIDS Conference in Vancouver, we call on the leaders of the world to join us to end the AIDS pandemic. The scientific evidence is all in, the UN 90-90-90 target is the only way forward. There is nowhere to hide. You are either with us or against us! We demand you deliver on the promise of an AIDS-free generation by fully embracing and funding the UN 90-90-90 target, domestically and internationally.
The overwhelming majority of these incredibly common infections are caused by viruses -- that is, they will not respond to antibiotics -- so I don't routinely offer antibiotic treatments. When patients hear they won't be getting an antibiotic many become surprised and often upset. I then spend time counselling them about why antibiotics are, in most cases, the wrong treatment choice.
For the last 30 years or so, Canadians have repeatedly flagged healthcare as the most important national concern and the issue they want their political leaders to prioritize. Surveys and studies and polls and panels -- there have been plenty -- all come up with the same finding: Canadians care about healthcare.
For almost 30 years I've tried to help Canadians understand their health system and their medical care. In that time, I've seen tremendous advances in medicine. Modern medicine has become so specialized that many physicians treat specific syndromes and body parts, and the patient herself gets lost in the process. We have filled our temples of medicine with such bedazzling hi-tech tools that we've forgotten that we should treat people where they live. In our desire to cure, we over-treat.
Recently, I was fortunate to attend the Global Symposium on the Role of Physicians and National Medical Associations in Addressing Health Equity and the Social Determinants of Health held in London, England. I sat down with Dr. Simpson to explore the stories, the evidence and the politics that come into play when doctors are actors for social change.
Cities have to spend this money, taken from local taxpayers, because Canada's medicare system is the only universal, public health care system among developed countries that does not include universal coverage of prescription drugs. It is not wrong for cities to care for their employees. But leaving these costs to the cities makes about as much sense as requiring every homeowner to maintain the roads and infrastructure surrounding their property. Here's why.
Desensitization, which involves gradual reintroduction of a drug, starting with very small doses, makes it possible for some people to take a medication that would normally trigger an allergic reaction. The procedure, of course, must be done under direct supervision of a health-care professional in case you develop a severe reaction.
I had a vision of cultivating a practice where patients felt heard and cared for, and where I could provide full-spectrum family medicine care, including obstetrical care. My practice embraced the principles of patient-centered collaborative care. It employed the latest in 21st-century technology. I loved my work and my patients. But after five years of constant fighting with multiple private insurance companies in order to get paid, I ultimately made the heart-wrenching decision to close my practice down. The emotional stress was too great.
Today it seems that we're bombarded with news about some great new medical hope or fear of the moment, and I worry that we are all suffering from health-information overload. Fortunately, there are a few simple steps we can take when reading medical news that will help us to put it all in perspective.
A case emerged in response to an audit of Cambie Surgeries, a private for-profit corporation by the B.C. Medical Services Commission. The audit found from a sample of Cambie's billing that it (and another private clinic) had charged patients hundreds of thousands of dollars more for health services covered by medicare than is permitted by law. Dr. Day and Cambie Surgeries claim that the law preventing a doctor charging patients more is unconstitutional.
A new study in the Canadian Medical Association Journal with health economist Steve Morgan as lead author argues a national universal care drug program would not result in substantial tax increases. It seems the time is ripe to finally complete our universal system of public healthcare coverage by adding a national public drug plan. If anything, these cautions should serve as guideposts to make sure a new national drug plan is not only effective but also designed in a fiscally sustainable manner.
Last week, much ado was made about a fascinating story coming out of the United Kingdom. A thousand year old remedy for a common eye problem -- styes -- was tested in the lab against the pathogen, Methicillin Resistant Staphylococcus aureus (MRSA). The concoction was not only effective at killing the bacterium but also outperformed a common antibiotic, vancomycin.
Experiencing a medical emergency is an incredibly stressful experience for patients and their families. This stress should not be compounded by worries about getting an ambulance bill they can't afford. As physicians, we know the importance of the first few minutes of an emergency situation, and the crucial role of Emergency Medical Services (EMS) in saving lives. And yet ambulance fees remain a significant barrier to people receiving necessary care across Canada.
A federal election could be called any time in the next few months, judging by the media coverage and the ramping up of political activity. Many issues have been crowding into the media headlines in anticipation of the election -- but with a notable absence of any consideration of healthcare by our political parties. Apparently the subject is still on the minds of the electorate though, at least amongst my own circle of friends, colleagues and neighbours, many of whom note the leading edge of our baby-boomers have now turned 65.
So when no evidence exists to show that e-cigarettes are safe for long-term use by humans, when laboratory studies demonstrate worrisome potential physiological risks, and when strong evidence is mounting that e-cigarettes are leading our youth to consider smoking tobacco cigarettes, I would contend that caution here is the only reasonable approach.
In a public healthcare system, too often system failures end up as fodder for Question Period battles rather than impetus for learning. When investments have been made in new models of health service funding and delivery that don't work out, it can be difficult to proclaim failure as a means to move toward success.