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Looking for Solutions in Health Care for 2006 and Beyond

Our health care system needs to change to accommodate new demographics, new technologies and new pharmacologic advancement.

The roots of compassion and caring in health care should not change however, and it is with this in mind that the dialogue of change should be had surrounding health care.

How can we adapt to different needs that emerge as our population ages?

How can we  find sustainability in the midst of so many new advancements?

How can individuals become more empowered in serving their own health care needs?

What role does the individual have in enabling the  health care of others  beyond paying taxes?

Many questions like these need to be answered and if we are willing to look with open minds at the problems within our health care system, and beyond political posturing, then we can find new  solutions to take us further into this century. 

 

 

 

 

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Main | Ontarians Should Be Very Wary of Bill 41- "The Patients First Act" »
Tuesday
Feb072017

Resignation of the OMA Executive-What Now?

So, the Executive of the Ontario Medical Association has resigned...sort of. The Executive is resigning to sit on the Board of Directors and then will go through an electoral process. At least that is what we are told currently.

This follows after a 55% non-confidence vote in the OMA Executive at a special meeting of the OMA Council but at which other motions failed to win the required two thirds majority to pass. These other motions if they had been successful would have led to the resignations at the individual executive level.

In the face of the quasi-win by the groups challenging the OMA's representative performance, there had been murmurings of requiring the OMA to hold another General Meeting of Council to address the non-confidence vote which had initially been arrogantly passed off by the OMA as a demonstration of support. Another General Meeting of Council would have been disastrous for the OMA. It managed to avoid that through this resignation process.

However, the OMA should know that this result was not the end of this non-confidence wrangling. It is just the beginning.

The Ontario Liberal government should also understand that the advocacy efforts of front-line physicians are not going away. These physicians are not dissidents as they have been labelled by some reporters. They are simply aware that the Liberal government's cuts to front line health care and patient care in Ontario will cause more and more hardship for patients as time goes on. It's not the 1990s anymore.

Fact is that we are up against the demographic wall made even more challenging due to a sluggish economy affected by the shift in aging--a double whammy. Instead of cuts to care, government ought to be planning how to allow more care for more people. Cuts do the exact opposite of what is needed. Even if the deficit is eliminated for 2018, growing health care need will not be eliminated. The pent-up demand for care will be even greater after 2018 due to the current Liberal cuts.

Physicians are becoming more vocal. Despite government-created positions for paid "Physician Leaders" to push through the government's self-serving and short-sighted version of transformation, many physicians see the negative impact of government's efforts to balance its budget on the backs of patient services.

Physicians I know and have known care deeply about their patients. They see that health care access is becoming more and more difficult. They want to continue to provide much needed services but they may differ on how those services can best be provided. We should be able to differ on the "How" and value different perspectives and approaches and still be united in providing quality patient care.

We must ask the "What if" questions.

What if the government is not forthcoming with more and more funding for care to adequately serve citizens who are dependent on it?

What if government providing  more funding leads to higher debt and greater interest payments resulting ultimately in fewer services?

Billions of dollars going to interest payments every month are one reason why Canada has fewer physicians and hospital beds per population than most developed countries and which results in lack of timely care, delayed diagnoses, and patient hardship--even death.

A couple years ago a fellow physician told me not to worry--all that was needed was a Liberal federal government and the money would flow. They were surprised to discover that the Trudeau Liberals are no health care saviours.

So what now?

I have no doubt that some of the former OMA Executive members will be re-elected to a new Executive. That will change nothing. Some new MDs may find themselves elected and in a position to create change from within the OMA but it is external factors beyond the OMA that have brought us to this point of upheaval. It is only by addressing external  structural health care system issues BEYOND the OMA that substantive, sustainable change can occur.

I'm hoping that a new OMA Executive will understand that their most important role is not to align with the government transformation flavour of the day. Instead, it is to give critical input on how more care for more patients can be realistically achieved while supporting our human providers who deliver that very necessary care.

We need to be asking the hard questions.

As always, thank you for your continued insights and thoughtful comments.

 

Reader Comments (724)

DrL:

You are correct. The effort is to divert the attention from the policy, to the behavior. By concentrating on the behavior, the policy can be pushed through. The policy is to "control the MDs" absolutely, and make them servants of the state, not servants of the patient.
February 28, 2017 | Unregistered CommenterMovingforwardOntario
Is it true that the recent revelations in the TorStar are stimulated by the MoHLTC to tarnish the character of physicians? This is not meant as a defence, rather I am interested in the interrelationship by the press and government.
February 28, 2017 | Unregistered Commentereklimek
It is no coincidence the sequence of events happening in the same time frame...the OMA hierarchy's collaboration with the government triggered a medical profession grassroots rebellion against both--- leading to the resignation of the OMA executive ( but who maintained their positions on the Board)--- an OMA friendly ( rather than membership friendly) negotiation team was chosen to meet with the government negotiation team--- binding arbitration was supposed to be the " make or break" issue, the OMA negotiators were supposed to walk away from the table if not achieved.

There will be a Provincial election in June 2018, the government is busy getting its ducks in a line in order to get reelected--- the neutering of the medical profession is essential for its plans.

The Star, the establishment's media weapon carried out an expose of the deviants in the grass roots rebellion, attacking "pure innocents" in the ranks of the medical establishment , the OMA hierarchy itself and its ideological warriors in the medical ivory towers who have been pushing for the collectivization of the profession for decades.

The stature of the OMA's collaborative hierarchy has to be elevated and its critics diminished.

Cardinal Richelieu stated " give me six lines written by an honest man and I'll find something in them to hang him for".

The CPSO should not allow itself to be used as an attack dog to eradicate the opposition to the government's schemes.
February 28, 2017 | Unregistered CommenterAndris
Andris

Granted it's no coincidence. However, my question remains. Is the MoHLTC driving the tabloid coverage to influence the public?
February 28, 2017 | Unregistered Commentereklimek
Ontario doctors should cut out the insults and bullying: Editorial
‘Physicians, heal thyselves. Stop the shameful bullying and intimidation that some of you have been indulging in as divisions among Ontario doctors grow more bitter.’

https://www.thestar.com/opinion/editorials/2017/02/27/ontario-doctors-should-cut-out-the-insults-and-bullying-editorial.html

<<It’s no doubt naïve to think physicians would be above such behaviour.>>

Then call me naïve...I've been called worse.

As for Dr. Klimek's question:
<< Is the MoHLTC driving the tabloid coverage to influence the public?>>

If you are referring to the Ministry of Health and Long-Term Care, I believe the answer is "no".

If you are referring to the Minister of Health and Long-Term Care, I also believe the answer is "no" but with the qualification that I firmly believe that it is the political machine - and not the bureaucracy - that is driving that bus down too fast the side of the treacherous mountain.
February 28, 2017 | Unregistered CommenterExecutive Lead Blogger
" .. it is the political machine - and not the bureaucracy .." ELB

Thank you. That's what I wanted to know.

It speaks to access and influence. Tarring the doctors has been a strategy that emerges recurrently.

Again , I am not defending those at fault. For the same reason I don't use a pseudonym, I think one should be responsible. Only those few that risk themselves without whistle blower protection should be anonymous.
February 28, 2017 | Unregistered Commentereklimek
The separation of political machine, government and MoHLTC is no longer quite clear in these events. Regrettably this entirely fits the Liberal pattern of using Ministry money to politically influence the electorate.

It then begs the question, "With whom are we negotiating?" , if the separation of entities is blurred. How can we have "mutual interest" discussion if we are negotiating with a party seeking reelection? Can we be sure we have any mutual interest?
February 28, 2017 | Unregistered Commentereklimek
The only thing being negotiated is the revenue. All other terms central will impose.
Independent process between a physician and patient, has been removed. You are servants of the state.
February 28, 2017 | Unregistered CommenterMovingforwardOntario
mfo

You are correct.

However regardless of the objective (revenue) in interest based negotiations it requires that one understand the interests around the table of both or all participants. In this case, if one party wears three hats (political machine, government and Ministry) one may find it unlikely to satisfy much less identify shared mutual interests. Rather like talking to a multiple personality disorder, one is never quite sure who is talking much less what is being discussed.

Because, if the goal is to win pre-election labour peace with the doctors, like the teachers, the answer is simple - acquiesce or accept the negative lobby consequences.

If the answer is to have a "partner" in planning and delivering health care, the answer is also simple, derand the OMA and move on dealing with your selected "partners"
February 28, 2017 | Unregistered Commentereklimek
One can not negotiate the terms on mandatory servitude.

FFS is going, pay for performance is coming, and some sections are going to have major losses in income.
February 28, 2017 | Unregistered CommenterMovingforwardOntario
https://www.thestar.com/opinion/commentary/2017/03/01/abusive-behaviour-by-doctors-is-never-acceptable-walley.html

Walley takes a shot at me in this piece of garbage published by the Star.
March 1, 2017 | Unregistered CommenterStephen Skyvington
"Birds of a feather fly together"---just watch who flies with the approval of the Star and who doesn't .
March 1, 2017 | Unregistered CommenterAndris
SS

Many of your articles , if not all, I have read. You should not feel targeted. Fundamentally Dr Walley is right. Personal slurs are not to be condoned.

On one note however I am puzzled by her comments of influencing others. In previous tentative agreements University heads have influenced students and staff in voting in the interest of the department.

I think students and trainees, who may vote on tentative agreements, are easily influenced. One may also argue that in other professions trainees or apprentices do not vote as journey men or masters in the guild of craftsmen.
March 1, 2017 | Unregistered Commentereklimek
I am writing a rebuttal.

Reminding everyone of how the OMA brass bullied docs into voting for the last couple of shitty contracts.

Also going to ask where was the OMA and Dr. Berger when the CPSO's MRC bullied Dr. Tony Hsu to death 14 years ago.
March 1, 2017 | Unregistered CommenterStephen Skyvington
Good point regarding Dr. Hsu ( a proud man driven to death by the OMA OHIP auditing inquisitors).

It is no coincidence that the Star is playing its present role to blacken the reputations of those resisting Bill41 and polishing up the images ( and lifting the morale) of those pushing it, trying to make them look like oppressed victims rather than being members of the repressive establishment that has been busy selling a "pig in the poke" primary care reform to the citizenry of Ontario.

The dissidents main crime is that they committed the crime of " letting the cat out of the bag" where Bill 41 is concerned, exposing and condemning those shills promoting it.
March 1, 2017 | Unregistered CommenterAndris
Liberals are getting their duckies in order for the election.

So if this hydro rate reduction is analogous to taking a longer loan amortization period then who is going to pay the higher accumulated interest? The Millennials and their children?

I'd like to see on to which group the burden of the longer term financing will fall.

So if the Liberals buy some votes with lower hydro rates in the near term what issues will be front and centre come election time? Housing prices in the GTA or a full out war with the medical profession?


"Premier Kathleen Wynne to cut hydro rates by 25 per cent

Most of the reduction will come from the Ontario government stretching out the costs of electricity generation contracts. The savings impact should be immediate."

TStar
March 1, 2017 | Unregistered CommenterCanary in a Coal Mine
What we've been saying on this blog for the last year. Automation is the technology that is driving much of the social unrest that is occuring today and even more so in the future. Trump to some degree is in the WH due to the job killing effects of automation.

And what does this have to do with life as a family physician? We are left to deal with the social and medical fall out when 50 year olds are laid off permanently and never re-enter the work force or if they do it is working in minimum wage retail jobs.

We have hundreds of teen boys as patients who have no idea what to do in life if they once would have worked on a GM or Ford production line in Oshawa or Oakville. It this group of high school educated boys which I find very difficult to offer advice to regarding the future and it is this demographic where we have very high rates of substance abuse, depression, and family discord.

And now we are finding so many of the Millennials with university degrees cannot find work even with STEM degrees and those that have jobs often are working two or three contract jobs with no benefits.

Automation is not going to go away but it is going to be one of the greatest job disrupters we have seen ever yet what do we hear from the Liberal party in possible policy directives to mitigate the disruption? Crickets.

Trudeau's own head of the economic advisory council has said that FORTY percent of jobs in Canada will be eliminated by automation within the next decade. If that isn't enough to light a fire under someone's backside then we are a population of pot-smoking zombies.



"But what about the elephant in the room? The job-ravaging behemoth called automation. Dominic Barton, the head of Justin Trudeau’s Advisory Council on Economic Growth, said recently that automation will eliminate no less than 40 per cent of existing Canadian jobs in the coming decade. He’s referring to such technologies as self-checkout counters, driverless cars, burger-flipping robots."

http://www.theglobeandmail.com/opinion/where-is-the-liberal-plan-for-tackling-job-killing-automation/article34160029/

http://www.cbc.ca/news/thenational/is-a-university-degree-a-waste-of-money-1.4004999
March 1, 2017 | Unregistered CommenterCanary in a Coal Mine
CICM
In answer to your question, "Why do the "young" not notice this? "

They are so busy making ends meet that they dont care. A house is out of reach. A child maybe one is far into the future. There is no " future" beyond next months rent.

Its hard to remember you need to drain the swamp when you are busy with the alligators. (Im sure I mangled that aphorism)
March 1, 2017 | Unregistered Commentereklimek
"....busy fighting off the alligators".

Spoke to a young FP this am, he had never heard of Bill 41...he did not have the slightest idea about LHINs ...seemed to know nothing about anything...he went bug eyed when I told him about the Bureaucrat first act ...not to mention the No touching the naughty bits act.

Young FPs are making presumptions about the future, making plans that would be blown to bits when Bill41 is enacted , they completely ignorant about what the powers that be have in mind for them.

If he was a teacher in such circumstances his union would have worked hard to give him the head's up.

The OMA tends to push the governmen't party line whilst turning a blind eye to the negatives.

My piece of advice to him was gleaned from this site---that he stick to the LHIN that he is in at present , that if he moved to a less attractive LHIN that he might be trapped for life within it--- I've heard of teachers being trapped within their school boards.
March 1, 2017 | Unregistered CommenterAndris
CICM

The debt can be stretched out further. The future immigration will grow the economy. The economic consultants have assured us.
March 1, 2017 | Unregistered CommenterMovingforwardOntario
Canada, the economy run by robots needs more unskilled and elderly immigrants like a hole in the head...we are home growing the unskilled and elderly.
March 1, 2017 | Unregistered CommenterAndris
Even bringing in skilled immigrants these days is risky. Take for example the 45 year old physician from a developing country of your choice. I have several of them as patients (males) and after 4 years here they are still on social assistance.

If we are going to poach physicians from developing countries then they must be young enough to spend the 5 years trying to get licensed here and if not still have the time, energy, and money to retrain in another field.

Same goes for engineers, IT workers, etc. Most past the age of 40 will never work in their respective fields here in Canada due to language issues, lack of Cdn experience, and outright inferior credentials from wherever they come from.

Skilled immigrants should be young couples with excellent English skills upfront, who are still adaptable, and who can hit the road running when they arrive.
March 1, 2017 | Unregistered CommenterCanary in a Coal Mine
Dear MFO

What say you about the rumours being circulated by Toronto Star journalists that Eric Hoskins will be stepping down?
March 1, 2017 | Unregistered CommenterWhat now
WN

It is well known the Minister wishes to be an international leader.
March 2, 2017 | Unregistered CommenterMovingforwardOntario
So is energy price relief based on consumption (thus dealing with each individual's carbon foot print), or merely a wealth distribution issue ( tax the wealthy)? It will become clear with the new policy, that energy is another revenue redistribution plan. It is the inconsistent policies that are affecting us. Energy should be a consumption issue, not a wealth redistribution plan.
March 2, 2017 | Unregistered CommenterMovingforwardOntario
The association that represents Ontario’s doctors is fighting back against the government’s proposal to change the law around discipline for health professionals, which would see the health minister being granted a larger role in the process.

“These changes, taken together, paint a troubling picture,” Ontario Medical Association spokesperson Dr. Rachel Forman said in a statement issued to the Star.

“If the bill is passed in its current form, there is a very real risk that physicians could cease performing certain medical acts to avoid any potential they would be subjected to unjust processes.”

https://www.thestar.com/news/gta/2017/03/02/ontario-doctors-push-back-against-changes-to-discipline-process.html
March 2, 2017 | Unregistered CommenterCanary in a Coal Mine
According to Dr. Jacobs, the OMA has argued that because residents are future doctors, and thus the future of the OMA, it isn’t unreasonable for someone who represents them to represent the entire association. (The OMA refused to confirm that this is, in fact, their stance.)

Needless to say, he doesn’t agree.

“To me, that’s an absolute non-argument,” Dr. Jacobs said. “Yes, the residents will become physicians but right now they represent a subgroup with different needs and different goals.”

Pushing the tPSA

"Dr. Jacobs also took issue with the fact that Barrett had authored a blog post in support of the tPSA which was voted down during the special general meeting that happened last summer. He will now be acting as an advisor to the OMA’s behalf in official negotiations. (Barrett is not unique in this respect, however; several of the doctors now on the the OMA’s official negotiating committee also supported the tPSA.)

What appears to be more concerning are Dr. Jacobs’ allegations that Barrett reached a “side agreement” with the ministry of health to guarantee PARO “a seat at the table” in reference to a part of the failed tPSA that promised the health system would be co-managed by physicians and government.

The OMA confirmed that, at that time, Barrett was not employed by the OMA and so was not involved in negotiating the tPSA."
From the Medical Post
March 2, 2017 | Unregistered CommenterMerrilee Fullerton
Now the OMA is harvesting the discontent that has grown through years of neglect. The previous emphasis on obtaining a PSA by majority has resulted in serial neglect of problems.

The student vote is but one example. In that regard I would add that it is just the tip of the iceberg. Practicing physicians may have nothing more than medical school in common. Even medical school is not a common experience varying in duration and model.

As a result the interests of groups do not unify under one umbrella.
March 2, 2017 | Unregistered Commentereklimek
Let me back up a couple of posts.

Are you saying PARO negotiates for its own benefit, and also has a vote in the negotiations for practicing MDs?
March 2, 2017 | Unregistered Commentereklimek
DrK

Yes.
March 2, 2017 | Unregistered CommenterMovingforwardOntario
Energy and Health.

The energy issue has hit everyone, as we all use energy. It is known, it has been mishandled, and it can be quantified. It has drained resources from many families, to the point of "hurt. That "hurt" can not be undone. With the adjustments moving ahead, the unneeded "hurt" is just being shifted around. This has been, an obviously, mishandled file,with billions of dollars misaligned. It rose to the surface, because the entire population has seen the issue, because we all consume energy.

Health care, really only impacts, about 10% of the population on an annual basis. The critical mass to impact change clearly is much higher than 10%, thus health care sputters along, really not changing. Reality is, 90% of us are "happy" we have a "safety net" we can boast about, it is only when we slide into that 10%, that the issues can be seen.

What the OMA should do, is break the"energy"issues down into its costs and how people (all of us) have been impacted, and then point out the issues in health are 10 times worse.
March 2, 2017 | Unregistered CommenterMovingforwardOntario
"then point out the issues in health are 10 times worse"-mfO

You can say that again.
While you mention that only 10% of the population feels the health squeeze on any given year, I suggest that the majority are about to feel the impact of lack of long term care for dementia patients.
The old age dependency ratio shift over the coming years means big numbers of people will feel the effect of lack of support.
March 2, 2017 | Unregistered CommenterMerrilee Fullerton
R

It is interesting, that on this site, years ago, we digested reports from BC confirming age was not going to affect costs. They are.

We have a changing demography which has, rising health care couts. Ignoring this is not realistic. Raise taxes, take wealth from those whom have saved, to pass resources to their children. They need to be taxed at higher rates. The wealth redistribution needs to accelerated.

We know central is wise, as the energy portfolio has shown. Trust central on the wealth distribution needs.
March 2, 2017 | Unregistered CommenterMovingforwardOntario
"Raise taxes, take wealth from those whom have saved, to pass resources to their children. They need to be taxed at higher rates. The wealth redistribution needs to accelerated.

We know central is wise, as the energy portfolio has shown. Trust central on the wealth distribution needs."-mfO

In case anyone reading this thinks you are serious mfO,
let me clarify for readers that you are using sarcasm.
March 2, 2017 | Unregistered CommenterMerrilee Fullerton
Ironic humour is the stating the opposite of what one believes and it's not picked up by the listener---sarcasm, when it is recognized.

The Brits are excellent in using irony and often try go as long as they can get away with it unrecognized, the English in particular --- Cleese , of Monty Python fame , found that those, certainly in the Southern US states , had difficulty detecting ironic humour.

I recall my Welsh colleagues were skilled at pretending that they had been taken in by the English use of irony, and took pleasure at seeming to be gullible to see how far they could drag the speaker out on a limb , essentially turning the tables undetected---the speaker would leave believing that he had pulled the wool over the listeners' eyes---once departed the listeners would roar out in laughter.
March 2, 2017 | Unregistered CommenterAndris
Just passing the hot potato on to the next generation. Just think of the health care which could have been purchased with that 25 billion in additional interest payments. Boggles the mind that such corruption and incompetence can go unpunished in this province.

Any smart Millennial should be looking at moving out of this province else they will be taxed to death (and after death) in Ontario.


"Of course, all Wynne is doing is kicking the hydro financial crisis the Liberals helped to create down the road.

Of course, it will end in astronomical future hydro rate increases and mortgage the future of our children, grandchildren and generations of Ontarians yet to be born.

Of course, Wynne is cynically trying to bribe Ontarians with their own money in order to win next year’s election, given that her hydro rate cut is a shell game in which the costs of electricity are being transferred from hydro consumers to taxpayers, who are the same people."

http://www.torontosun.com/2017/03/02/wynnes-25b-hydro-boondoggle
March 3, 2017 | Unregistered CommenterCanary in a Coal Mine
The sooner the TStar goes into receivership the better.


"Doctors crouch in the middle of a high school food-fight (or worse), in Ontario. The Wynne Liberals chose to attack us. Our patients suffer on wait lists for surgery and die with treatable cancers, while waiting for beds.

The Wynne Liberals are fighting for survival.

The OMA is fighting for survival (if it has any political insight).

The failing Toronto Star, the media arm of the Liberal party, is fighting for survival.

In the centre of this mess, doctors must keep their wits. Our moral beachhead is patient care. Patients need medical care from doctors. We cannot provide medical care when government keeps cutting fees, closing beds and cancelling surgeries."

http://shawnwhatley.com/fundamentalism/#more-4995
March 3, 2017 | Unregistered CommenterCanary in a Coal Mine
R:

When the inequity damage caused by the energy issues, gets sorted out, the public will get that much of the growing gap in income, is actually being driven by central. All these subsidies make things worse. Central is not good at picking the winners and losers.
March 3, 2017 | Unregistered CommenterMovingforwardOntario
It has been documented that private versus public wages are unequal. Those employed directly and indirectly through government monopoly, including doctors, generally fair well. The few outstandng earners in the private sector are held out as examples merely so the government can justify a comparison of the "best and brightest" as competition for civil service talent compensation. This is of course nonsense.

It would be an interesting xperiment to dismiss all on the public payroll and provide their successor the actual salary of their predecessor when they are employed in the private sector. (Ignore for the moment the costs of firing costs.) For doctors and public healh service it would require that the government permit private sector availability of services.

We would quickly see the ruse exposed. My guess is , first there are few comparable jobs and ,second, they don't pay as well. Let's be even more critical. Where are the private sctor middle managment jobs that pay near $1/4 million annually? The ripple effect on depressing the pyramidal distribution of salaries might pay off the hydro debt. It would certainly improve the budget.
March 3, 2017 | Unregistered Commentereklimek
Data management or patient careÉ

“Maybe we have to ratchet back the computer work. That’s going to help patients. It’s going to make sure the possibility for dropped balls is so much less when we’re actually talking to one another.”

https://www.thestar.com/news/canada/2017/02/23/excessive-computer-use-by-doctors-has-negative-impact-on-patient-care-study.html

http://onlinelibrary.wiley.com/doi/10.1111/1475-6773.12466/epdf?r3_referer=wol&tracking_action=preview_click&show_checkout=1&purchase_site_license=LICENSE_DENIED_NO_CUSTOMER



A study based on 2015 numbers and commissioned last year by Canada Health Infoway, a not-for-profit organization, heralded some benefits of digital health care in Canada...."We have lots of evidence that says the use of the (electronic records) provides better quality care. It's better for the clinician, it's better for the patient and it saves the system money."

http://www.nationalnewswatch.com/2017/02/24/excessive-computer-use-has-adverse-effects-on-patient-care-u-of-c-study/#.WLmEBTvyuUk
March 3, 2017 | Unregistered Commentereklimek
Any guesses on what the main election issues will be in Ontario come 2018?

1. Hydro rates
2. Housing costs
3High young adult unemployment/underemployment
4.?
5. Health care wait times/ Access to LTC.
March 3, 2017 | Unregistered CommenterCanary in a Coal Mine
Eklilmek
All this emphasis on HIT detracts from patient care because everyone is so busy filling in the templates and staring at screens that the staff end up communicating less with patients and between each other. Just the nature and emphasis on said technology encourages greater anti-social behaviour as well.

There was an article in BBC news last week on coffee shops that are removing their wifi from the businesses and seeing a 20 percent increase in sales, but more importantly people, ever strangers, start communicating with each other again.
March 3, 2017 | Unregistered CommenterCanary in a Coal Mine
Thank you Stephen for expressing how the majority of OMA members feel.

Any chance of having the TSun publish this?
March 3, 2017 | Unregistered CommenterCanary in a Coal Mine
Energy:

The OMA would be wise to spend resources on analyzing the structure of resources flowed into energy.

Second examine the policy of money flow. It has been set up as a redistribution policy(paid based on your wealth). Exactly wrong as policy. It should be a consumption based system (paid based on what you consume, to get you to consume more efficiently).

Regretfully, much of social justice training is based on getting human "right' assigned to a task, so you can "sue" the government when your "rights" are not delivered. This is a legal tactic, that goes counter to ecology and biology.

As a result, efficient businesses/households will be paying massive subsidies to maintain highly inefficient consumers to support their "right" to waste power, and pollute.

Same as in health. What to do when a"smoker" won't stop smoking, in the end we subsidize that.We need better policies.
March 4, 2017 | Unregistered CommenterMovingforwardOntario
I'm working on getting other papers and the Med Post to publish it.

Although I sent it to the Star three times, they ignored me.

Guess the Liberals wouldn't let them publish it

Ironic, though, in that the Spec is a Star publication

Guess someone didn't get the memo
March 4, 2017 | Unregistered CommenterStephen Skyvington
Perhaps a variation of the article could have been sent to the Red Star under the name of one of the government's medical surrogates from the ivory tower--- it would have been published sight unseen by the editors.

( Tongue in cheek).
March 4, 2017 | Unregistered CommenterAndris
Looks like the Star and the OMA old guard are going to try and get as much negative MD PR as possible on the issue of bullying.

The reality is that while any form of bullying should not be tolerated it is not unexpected to find a very small percentage of the profession engaged in bullying given what has transpired over the last year, however I'm not sure it is any different than rates found in society in general or in other professions.

Just jump on any comment board these days and they are full of similar vulgarities and hate to the point one can hardly read them anymore and if they do you need a thick skin. We've seen similar language used by Dalhousie dental students in the past and recently amongst lawyers in the personal injury business dispute. Let's deal with the problem but not by blowing the extent of the problem out of proportion as the Star and the OMA seems to be doing.




"A former president of the beleaguered Ontario Medical Association is calling for an independent third-party review of the organization so that its members — 34,000 doctors and medical students across the province — feel safe to speak their minds without reprisals.

“They need a third-party review to make suggestions to the board about how they can protect their members. We have to protect our own colleagues from abuse,” said Dr. Scott Wooder, who helmed the organization in 2013 and 2014.

His comments were prompted by a Star investigation, published earlier this week, about the growing problem of bullying in the profession, related to turmoil within the OMA."

https://www.thestar.com/news/gta/2017/03/04/oma-needs-third-party-review-of-bullying-problems-says-former-president.html
March 4, 2017 | Unregistered CommenterCanary in a Coal Mine

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