Bulk purchasing of pharmaceuticals has attracted significant attention of late as Canada's provinces work to balance access to medicines and their benefits with budgetary realities. Unfortunately for Canadians, insufficient consideration is being given to the tradeoffs and risks associated with bulk purchasing agreements.
Why do so many doctors still think they are invincible to the influence of the pharmaceutical industry? Attractive, well-dressed, charismatic drug reps with pearly smiles and shiny flow charts still wait in waiting rooms. Lectures and conferences still occur where lunch is paid for by the pharmaceutical industry. Canada has banned the use of TV, print and radio advertising of drugs directly to consumers because we recognize that this information should come from unbiased sources. Why then do we allow so much drug promotion to physicians? As a medical community, we have to say no to pharmaceutical influences on our practice.
Many different organizations and health experts have purposed various solutions to solve the western world's obesity epidemic. But the underlying problem to the obesity epidemic is the current population's lack of connectivity to the soil, the environment and the food supply. If we can reconnect our current population with the food supply and the community, we will create a healthier and brighter future for generations to come.
How do we get more doctors to practice in rural communities? This has been a long standing challenge in Canada -- getting physicians to work where we need them -- especially in provinces with large rural populations. Policy makers have created and implemented some promising solutions, but until recently, there has been little evidence on whether or not the solutions are working. Unfortunately, new research indicates that some programs aimed at retaining doctors in rural areas across the country may not be as successful as we'd hoped.
At this time of the year, many parents are visiting their doctor's office with kids in tow, for everything from routine vaccinations to dealing with the sudden influx of colds and fevers. But just going to the doctor's office can make you sick...of thinking of ways to entertain them while you inevitably wait. Make sure you're prepared to keep the kids quiet and occupied.
There is a serious shortage of primary care physicians in the whole country, and it is very difficult if not impossible to find a family physician these days. In the past few years I myself had to see patients who did not, and could not find a primary care physician to follow up on the treatment and advice I gave them. You would think that the leaders in medicine from both sides would strike a joint committee and solve the problem, but it does not seem to have happened. Very briefly, here is a proposed nation-wide plan.