Fw: [aca-members] Canadian healthcare system in crisis

By Guest guest
August 24, 2007 in Health, Medicine and Natural Healing 07

Followers 0

Recommended Posts

Guest guest

Posted August 24, 2007

- Report
- Share

Posted August 24, 2007

F.Y.I.....as per a single payer system....

Vern Saboe

[aca-members] Canadian healthcare system in crisis

> CMA head pushes greater role for privatization

> Canadian Press

> Updated: Thu. Aug. 23 2007 8:28 AM ET

> VANCOUVER -- The incoming president of the Canadian Medical Association

> says the country's public health-care system is headed for crisis, but a

> greater role for private health care could be the right prescription.

> Dr. Day said in his inaugural speech to Canada's medical

> establishment Wednesday that contracting out health services isn't new

> and has helped slash wait lists.

> " Let's be clear: Canadians should have the right to private medical

> insurance when timely access is not available in the public system, " he

> said to applause from about 270 delegates at the annual convention.

> Day, a Vancouver orthopedic surgeon, said the Supreme Court of Canada

> has already made a decision favouring such a move.

> The Chaouilli case, named after the Quebec doctor who initiated it,

> struck down Quebec's ban on private insurance in 1995, saying it

> contradicted the provincial charter of rights.

> Day said injured workers in some provinces are treated in private

> facilities, saving workers' compensation boards millions of dollars in

> wages and keeping people off long wait lists.

> Day, who opened Canada's first private surgery clinic in 1995, has often

> been criticized for his pro-privatization views that some say could pave

> the way for a for-profit system much like in the United States.

> " No one I know wants to adopt a so-called American-style health system, "

> he told delegates at the association that represents 65,000 doctors

> across Canada.

> He said the private-versus-public debate is largely irrelevant and

> counterproductive but that new ideas and concepts are bound to face

> opposition and skepticism.

> The status quo must change, Day said, because the declining health of

> the country's aging population will have a profound social and economic

> impact on Canada's future.

> " Canadians face difficult choices, but we must act. We and our patients

> remain frustrated by waiting periods that exceed all ethical standards. "

> But while he advocated more choice in the private sector, Day said the

> ability to pay should never be a factor for any patient needing health

> care in Canada.

> He called for the modernization of the Canada Health Act, saying it's

> based on principles developed over 40 years ago and no longer meets the

> needs of today's population.

> " My support for universal health care is unequivocal, but I believe the

> act must be revised. "

> Day also said provinces must change the way hospitals are funded because

> they suck the largest amount of money out of the health-care budget.

> The current system of block, or global, funding doesn't reward

> efficiencies or penalize failure to deliver service to patients, Day said.

> " Hospitals must have incentives to reopen operating rooms, increase the

> number of beds available, hire more staff and treat more patients. "

> Day is an advocate of the British system of funding hospitals, which

> compete with each other for public money based on the number of

> procedures they perform as an incentive to cut that country's wait lists.

> He said the market-oriented scheme has some problems but that Canada

> could adapt what's working in Britain and other countries that have

> universal health care as part of their health-care system.

> " There are those that dismiss these concepts of success and excellence

> as elitist or undesirable. They support the status quo and dismiss the

> plight and suffering of patients. "

> Guy Caron, spokesman for the Council of Canadians, said that while

> Canada has a problem with wait lists, it's too simplistic to say models

> from other countries can be applied here.

> Caron said Britain and France, which each have a mixed public-private

> health-care system, have hired more doctors to cut wait lists.

> " In the UK and in New Zealand they tried to bring market components to

> health care and it failed so they are actually reforming the system

> right now to bring more public (services) into the system. "

> Day said Canada's shortage of doctors and other health-care

> professionals is at a crisis point and that medical graduates leave the

> country because they don't have the operating-room time and other

> resources they need to stay here.

> Ferguson-Par De, president of the Registered Nurses' Association of

> Ontario, said Day's vision favours two-tier health care and will lead to

> the destruction of medicare.

> Ferguson-Par De said in a statement that the British Medical Association

> has criticized the hospital funding scheme in the United Kingdom and

> that it has led to higher administrative costs.

> However, at a news conference after his speech, Day said the British

> counterpart to the association he is now heading has not opposed its

> government's funding model and that critics have falsely made such claims.

> During his speech, Day also called for the use of technology, such as

> electronic medical records, in the health-care field to deliver safe,

> efficient care.

> " We are in the information age and medicine needs to catch up, " he said.

> " Sadly, our access to new and valuable technologies is at a point where

> we rank near the bottom of developed countries. This must change. "

> Before Day's speech, delegates voted overwhelmingly in favour of several

> motions, with 99 per cent of them calling on provincial and territorial

> governments to implement strategies that would reduce emergency-room

> wait times and overcrowding.

> Dr. Ross, a Burnaby, B.C., family doctor, said patients are

> waiting too long to be assessed and that the use of the acronym DIC,

> which stands for Died In Chair, indicates people are waiting too long to

> be assessed.

> Many of the motions passed Wednesday urged the federal government to

> support environmental policies to protect the public's health by

> implementing various measures.

> They include improving the quality of the air people breathe - both

> inside and outside - ensuring access to adequate and safe drinking

> water, minimizing the effects of global climate change and banning

> smoking in vehicles that carry children.

> Dr. Brad Fritz of Vancouver said half a million people living on about

> 600 reserves don't have the same assurances as other Canadians that

> their drinking water is safe to drink.

> Ninety-six per cent of the doctors also voted to pass a motion saying

> their association will develop a policy to safeguard physicians from

> fear of reprisal and retaliation when they speak out as advocates for

> their patients and communities.

> And 93 per cent of them favoured a move by their association to let the

> federal government know that federal wait-list strategies have failed to

> provide Canadians with timely access to quality medical care.

> One doctor called Ottawa's national wait-times strategy a charade and " a

> slap in the face of intelligent Canadians " because it targets areas that

> are already showing improvement.

> Delegates also voted 98 per cent in favour of urging the federal

> government to promptly address the high cost of generic and off-patent

> drugs in Canada.

> --

> Warren T. Jahn, DC, MPS, FACO, DACBSP, DABFP

> Board Certified Chiropractic Orthopedist and Sports Physician

> Forensic Examiner

> Roswell GA 30076

> 770-740-1999

> 770-619-3203 fax

> " The mediocre teacher tells.

> The good teacher explains.

> The superior teacher demonstrates.

> The great teacher inspires. " - Arthur Ward

> For information on the College on Forensic Sciences (CFS) go to

> http://www.forensic-sciences.org or call 770-740-1999

> Email is covered by the Electronics Privacy Act, 18 U.S.C. Sections

> 2510-2521, and is legally privileged. This e-mail communication contains

> CONFIDENTIAL INFORMATION WHICH IS ALSO LEGALLY PRIVILEGED and which is

> intended only for the use of the intended recipient(s) identified above.

> If you are not the intended recipient of this communication, you are

> hereby notified that any use, dissemination, distribution, downloading or

> copying of this communication is strictly prohibited. If you have

> received this communication in error, please notify us immediately by

> e-mail or by telephone at (770) 740-1999 and delete the communication and

> destroy all copies. Thank you for your cooperation.

> ______________________________________________________

> ACA-members mailing list

> To post to the list:

> ACA-members@...

> To unsubscribe or change membership options:

> http://ww3.chirolists.com/mailman/listinfo/aca-members

> List options tutorial:

> http://www.chirolists.com/index.cfm?nid=6

> Email filters tutorial:

> http://www.chirolists.com/index.cfm?nid=7

> Visit the ACA online at:

> http://www.acatoday.org

> ______________________________________________________

Quote

Link to comment

Share on other sites

Guest guest

Posted August 24, 2007

- Report
- Share

Posted August 24, 2007

Long wait times in Canadian health system demand that adequate numbers of docs be available for national needs. (WARNING: HERETICAL STATEMENT AHEAD): A well functioning universal system must put the needs of the patients above the remuneration needs of the providers, the inadequate momentum of past efforts, and assure that financing provides for appropriate evidence-based medical management. If medical education were free, and enrollment highly competitive, docs would not be forced into higher wage strategies to repay loans and would be able to address national needs within national wage limits (and still enjoy incomes well above most others).Thanks for sharing the article. Sears, DCNW PDX On Aug 24, 2007, at 7:58 AM, Vern Saboe wrote:F.Y.I.....as per a single payer system....Vern Saboe [aca-members] Canadian healthcare system in crisis> CMA head pushes greater role for privatization>>> Canadian Press>> Updated: Thu. Aug. 23 2007 8:28 AM ET>> VANCOUVER -- The incoming president of the Canadian Medical Association> says the country's public health-care system is headed for crisis, but a> greater role for private health care could be the right prescription.>> Dr. Day said in his inaugural speech to Canada's medical> establishment Wednesday that contracting out health services isn't new> and has helped slash wait lists.>> "Let's be clear: Canadians should have the right to private medical> insurance when timely access is not available in the public system," he> said to applause from about 270 delegates at the annual convention.>> Day, a Vancouver orthopedic surgeon, said the Supreme Court of Canada> has already made a decision favouring such a move.>> The Chaouilli case, named after the Quebec doctor who initiated it,> struck down Quebec's ban on private insurance in 1995, saying it> contradicted the provincial charter of rights.>> Day said injured workers in some provinces are treated in private> facilities, saving workers' compensation boards millions of dollars in> wages and keeping people off long wait lists.>> Day, who opened Canada's first private surgery clinic in 1995, has often> been criticized for his pro-privatization views that some say could pave> the way for a for-profit system much like in the United States.>> "No one I know wants to adopt a so-called American-style health system,"> he told delegates at the association that represents 65,000 doctors> across Canada.>> He said the private-versus-public debate is largely irrelevant and> counterproductive but that new ideas and concepts are bound to face> opposition and skepticism.>> The status quo must change, Day said, because the declining health of> the country's aging population will have a profound social and economic> impact on Canada's future.>> "Canadians face difficult choices, but we must act. We and our patients> remain frustrated by waiting periods that exceed all ethical standards.">> But while he advocated more choice in the private sector, Day said the> ability to pay should never be a factor for any patient needing health> care in Canada.>> He called for the modernization of the Canada Health Act, saying it's> based on principles developed over 40 years ago and no longer meets the> needs of today's population.>> "My support for universal health care is unequivocal, but I believe the> act must be revised.">> Day also said provinces must change the way hospitals are funded because> they suck the largest amount of money out of the health-care budget.>> The current system of block, or global, funding doesn't reward> efficiencies or penalize failure to deliver service to patients, Day said.>> "Hospitals must have incentives to reopen operating rooms, increase the> number of beds available, hire more staff and treat more patients.">> Day is an advocate of the British system of funding hospitals, which> compete with each other for public money based on the number of> procedures they perform as an incentive to cut that country's wait lists.>> He said the market-oriented scheme has some problems but that Canada> could adapt what's working in Britain and other countries that have> universal health care as part of their health-care system.>> "There are those that dismiss these concepts of success and excellence> as elitist or undesirable. They support the status quo and dismiss the> plight and suffering of patients.">> Guy Caron, spokesman for the Council of Canadians, said that while> Canada has a problem with wait lists, it's too simplistic to say models> from other countries can be applied here.>> Caron said Britain and France, which each have a mixed public-private> health-care system, have hired more doctors to cut wait lists.>> "In the UK and in New Zealand they tried to bring market components to> health care and it failed so they are actually reforming the system> right now to bring more public (services) into the system.">> Day said Canada's shortage of doctors and other health-care> professionals is at a crisis point and that medical graduates leave the> country because they don't have the operating-room time and other> resources they need to stay here.>> Ferguson-Par De, president of the Registered Nurses' Association of> Ontario, said Day's vision favours two-tier health care and will lead to> the destruction of medicare.>> Ferguson-Par De said in a statement that the British Medical Association> has criticized the hospital funding scheme in the United Kingdom and> that it has led to higher administrative costs.>> However, at a news conference after his speech, Day said the British> counterpart to the association he is now heading has not opposed its> government's funding model and that critics have falsely made such claims.>> During his speech, Day also called for the use of technology, such as> electronic medical records, in the health-care field to deliver safe,> efficient care.>> "We are in the information age and medicine needs to catch up," he said.> "Sadly, our access to new and valuable technologies is at a point where> we rank near the bottom of developed countries. This must change.">> Before Day's speech, delegates voted overwhelmingly in favour of several> motions, with 99 per cent of them calling on provincial and territorial> governments to implement strategies that would reduce emergency-room> wait times and overcrowding.>> Dr. Ross, a Burnaby, B.C., family doctor, said patients are> waiting too long to be assessed and that the use of the acronym DIC,> which stands for Died In Chair, indicates people are waiting too long to> be assessed.>> Many of the motions passed Wednesday urged the federal government to> support environmental policies to protect the public's health by> implementing various measures.>> They include improving the quality of the air people breathe - both> inside and outside - ensuring access to adequate and safe drinking> water, minimizing the effects of global climate change and banning> smoking in vehicles that carry children.>> Dr. Brad Fritz of Vancouver said half a million people living on about> 600 reserves don't have the same assurances as other Canadians that> their drinking water is safe to drink.>> Ninety-six per cent of the doctors also voted to pass a motion saying> their association will develop a policy to safeguard physicians from> fear of reprisal and retaliation when they speak out as advocates for> their patients and communities.>> And 93 per cent of them favoured a move by their association to let the> federal government know that federal wait-list strategies have failed to> provide Canadians with timely access to quality medical care.>> One doctor called Ottawa's national wait-times strategy a charade and "a> slap in the face of intelligent Canadians" because it targets areas that> are already showing improvement.>> Delegates also voted 98 per cent in favour of urging the federal> government to promptly address the high cost of generic and off-patent> drugs in Canada.>> -- >>> Warren T. Jahn, DC, MPS, FACO, DACBSP, DABFP> Board Certified Chiropractic Orthopedist and Sports Physician> Forensic Examiner>> Roswell GA 30076> 770-740-1999> 770-619-3203 fax>> "The mediocre teacher tells.> The good teacher explains.> The superior teacher demonstrates.> The great teacher inspires." - Arthur Ward>>> For information on the College on Forensic Sciences (CFS) go to> http://www.forensic-sciences.org or call 770-740-1999>> Email is covered by the Electronics Privacy Act, 18 U.S.C. Sections > 2510-2521, and is legally privileged. This e-mail communication contains > CONFIDENTIAL INFORMATION WHICH IS ALSO LEGALLY PRIVILEGED and which is > intended only for the use of the intended recipient(s) identified above. > If you are not the intended recipient of this communication, you are > hereby notified that any use, dissemination, distribution, downloading or > copying of this communication is strictly prohibited. If you have > received this communication in error, please notify us immediately by > e-mail or by telephone at (770) 740-1999 and delete the communication and > destroy all copies. Thank you for your cooperation.>>>>>>> ______________________________________________________> ACA-members mailing list> To post to the list:> ACA-memberschirolists> To unsubscribe or change membership options:> http://ww3.chirolists.com/mailman/listinfo/aca-members> List options tutorial:> http://www.chirolists.com/index.cfm?nid=6> Email filters tutorial:> http://www.chirolists.com/index.cfm?nid=7>>> Visit the ACA online at:> http://www.acatoday.org> ______________________________________________________

Quote

Link to comment

Share on other sites

Guest guest

Posted August 24, 2007

- Report
- Share

Posted August 24, 2007

Hi colleagues,

The Canadian system doesn’t work and

is in fact a joke and continues to go broke a.k.a., continually broken.

Years ago circa early to mid 80’s I was asked to take then chiropractic

lobbyist Chuck ’s place on a trip to Vancouver, BC to look at the

marvels of the Canadian system. I took the opportunity to schedule

meetings with the leadership of the BC chiropractic assoc. to gain their

“Canadian chiropractic view” of this supposedly wonderful

system. It was a joke to the BC chiropractors who unlike their medical

counter parts had to make their patients pay a then $15 co-payment again

something the medical patients didn’t have to do, in fact their was not

financial accountability by Canadians seeing medical physicians. Canadians

believing health care was a entitlement were flagrantly abusing the system

running to the medical clinics/docs for every and any little snivel, ache,

pain, cough, rash, bump on de’skin etc., etc., etc., etc. and in doing so

were bankrupting the system. In I believe 2004 I was presenting in front

of the BC Chiropractic group yet again and they had just been removed from the

national health care system completely to of course “save money”

for a system that was continuing to be broke/broken.

Even back then all of the major Canadian

medical associations/societies were contracted with American Health Insurance

companies so they could get their health care needs taken care of in the lower

48! In short I have heard the “We Can Do Better” universal health

care folks in this state quote how wonderful the Canadian, English, German,

Swedish etc. health care systems are. They have even gone as far as

saying we already have a model for universal health care in this

state…”Medicare” yikes!!!! The truth is we must come up

with a system that is somewhere in between our system and these other systems

and within this new system we must have “Joe Public” paying into

the system, some financial accountability on the public’s part each time

they are thinking about scheduling for this or that supposed medical

issue. There must also be adequate reimbursement for providers etc.,

etc., etc.

Getting back to that 1981-82 meeting up in

BC. I remember as if it were yesterday sitting in a huge Board room at

Vancouver General Hospital with BC politicians, administrators, physicians, and

surgeons all gathered around talking about how wonderful the Canadian system

was but, that they needed to continue to find ways to improve care while saving

money. There were several “window dressing” type comments by

members of our Oregon

group and then during a moment of silence I spoke up.

“Good morning, I’m Dr. Vern

Saboe an Oregon

chiropractic physician and I was just wondering considering this current

discussion. The international medical literature is replete with articles

that reveal that way to much spinal surgery is taking place. In fact in

the US it is estimated by

two researches that 50% to as much as 90% of all spinal surgery in the US is in fact

unnecessary. Clearly there are unnecessary spinal surgeries occurring in

the British Columbia

system. So I was just wondering since in a recent study published by Dr.

Kirkaldy-Willis here in Canada he and his co-workers were able to save roughly

80% of patients with lower back and leg pain who had clear disc hernations from

surgery wouldn’t chiropractic care we on top of your list of conservative

interventions? I mean if you consider that these researchers were

gaining 80% resolution with daily chiropractic treatments for a minimum of

three weeks and since these chiropractic treatments only cost the provincial government

a whopping $15/treatment for an average total of $225/for these disc cases…and

considering the alternative cost of spinal surgery, hospitalization,

disability, post-surgical rehab, lost wages would this not be a treatment

modality you would want to make a priority in these expensive “disc

cases?”

Not sure

these were the exact words it’s been a few years but you could have heard

a pin drop in the room….so….several years later chiropractic

treatment has been completely eliminated from the services covered in the BC

system. Any who don’t look for universal health care to save this

profession…..

Me two

cents worth on a Friday….

Have a

wonderful weekend….

Vern

Saboe

From:

[mailto: ] On Behalf Of Sears

Sent: Friday, August 24, 2007 8:47

Vern Saboe

Cc: Oregondcs

Subject: Re: Fw:

[aca-members] Canadian healthcare system in crisis

Long wait

times in Canadian health system demand that adequate numbers of docs be

available for national needs. (WARNING: HERETICAL STATEMENT AHEAD): A well

functioning universal system must put the needs of the patients above the

remuneration needs of the providers, the inadequate momentum of past efforts,

and assure that financing provides for appropriate evidence-based medical

management. If medical education were free, and enrollment highly competitive,

docs would not be forced into higher wage strategies to repay loans and would

be able to address national needs within national wage limits (and still enjoy

incomes well above most others).

Thanks for sharing the article.

Sears, DC

NW PDX

On Aug 24, 2007, at 7:58 AM, Vern Saboe wrote:

F.Y.I.....as per a

single payer system....

Vern Saboe

[aca-members] Canadian healthcare system

in crisis

> CMA head pushes greater role for

privatization

> Canadian Press

> Updated: Thu. Aug. 23 2007 8:28 AM ET

> VANCOUVER -- The incoming president of the

Canadian Medical Association

> says the country's public health-care system

is headed for crisis, but a

> greater role for private health care could be

the right prescription.

> Dr. Day said in his inaugural speech to

Canada's

medical

> establishment Wednesday that contracting out

health services isn't new

> and has helped slash wait lists.

> " Let's be clear: Canadians should have

the right to private medical

> insurance when timely access is not available

in the public system, " he

> said to applause from about 270 delegates at

the annual convention.

> Day, a Vancouver

orthopedic surgeon, said the Supreme Court of Canada

> has already made a decision favouring such a

move.

> The Chaouilli case, named after the Quebec doctor who

initiated it,

> struck down Quebec's ban on private insurance in 1995,

saying it

> contradicted the provincial charter of rights.

> Day said injured workers in some provinces

are treated in private

> facilities, saving workers' compensation

boards millions of dollars in

> wages and keeping people off long wait lists.

> Day, who opened Canada's first private surgery

clinic in 1995, has often

> been criticized for his pro-privatization

views that some say could pave

> the way for a for-profit system much like in

the United States.

> " No one I know wants to adopt a

so-called American-style health system, "

> he told delegates at the association that

represents 65,000 doctors

> across Canada.

> He said the private-versus-public debate is largely irrelevant

and

> counterproductive but that new ideas and

concepts are bound to face

> opposition and skepticism.

> The status quo must change, Day said, because

the declining health of

> the country's aging population will have a

profound social and economic

> impact on Canada's future.

> " Canadians face difficult choices, but

we must act. We and our patients

> remain frustrated by waiting periods that

exceed all ethical standards. "

> But while he advocated more choice in the

private sector, Day said the

> ability to pay should never be a factor for

any patient needing health

> care in Canada.

> He called for the modernization of the Canada

Health Act, saying it's

> based on principles developed over 40 years

ago and no longer meets the

> needs of today's population.

> " My support for universal health care is

unequivocal, but I believe the

> act must be revised. "

> Day also said provinces must change the way

hospitals are funded because

> they suck the largest amount of money out of

the health-care budget.

> The current system of block, or global,

funding doesn't reward

> efficiencies or penalize failure to deliver

service to patients, Day said.

> " Hospitals must have incentives to

reopen operating rooms, increase the

> number of beds available, hire more staff and

treat more patients. "

> Day is an advocate of the British system of

funding hospitals, which

> compete with each other for public money

based on the number of

> procedures they perform as an incentive to

cut that country's wait lists.

> He said the market-oriented scheme has some

problems but that Canada

> could adapt what's working in Britain and

other countries that have

> universal health care as part of their

health-care system.

> " There are those that dismiss these

concepts of success and excellence

> as elitist or undesirable. They support the

status quo and dismiss the

> plight and suffering of patients. "

> Guy Caron, spokesman for the Council of

Canadians, said that while

> Canada has a problem with wait

lists, it's too simplistic to say models

> from other countries can be applied here.

> Caron said Britain and France, which each have

a mixed public-private

> health-care system, have hired more doctors

to cut wait lists.

> " In the UK

and in New Zealand

they tried to bring market components to

> health care and it failed so they are

actually reforming the system

> right now to bring more public (services)

into the system. "

> Day said Canada's shortage of doctors and

other health-care

> professionals is at a crisis point and that

medical graduates leave the

> country because they don't have the operating-room

time and other

> resources they need to stay here.

> Ferguson-Par De, president of the

Registered Nurses' Association of

> Ontario,

said Day's vision favours two-tier health care and will lead to

> the destruction of medicare.

> Ferguson-Par De said in a statement that the

British Medical Association

> has criticized the hospital funding scheme in

the United Kingdom

and

> that it has led to higher administrative

costs.

> However, at a news conference after his

speech, Day said the British

> counterpart to the association he is now

heading has not opposed its

> government's funding model and that critics

have falsely made such claims.

> During his speech, Day also called for the

use of technology, such as

> electronic medical records, in the

health-care field to deliver safe,

> efficient care.

> " We are in the information age and

medicine needs to catch up, " he said.

> " Sadly, our access to new and valuable

technologies is at a point where

> we rank near the bottom of developed countries.

This must change. "

> Before Day's speech, delegates voted

overwhelmingly in favour of several

> motions, with 99 per cent of them calling on

provincial and territorial

> governments to implement strategies that

would reduce emergency-room

> wait times and overcrowding.

> Dr. Ross, a Burnaby, B.C., family doctor, said patients

are

> waiting too long to be assessed and that the

use of the acronym DIC,

> which stands for Died In Chair, indicates

people are waiting too long to

> be assessed.

> Many of the motions passed Wednesday urged

the federal government to

> support environmental policies to protect the

public's health by

> implementing various measures.

> They include improving the quality of the air

people breathe - both

> inside and outside - ensuring access to

adequate and safe drinking

> water, minimizing the effects of global

climate change and banning

> smoking in vehicles that carry children.

> Dr. Brad Fritz of Vancouver said half a million people living

on about

> 600 reserves don't have the same assurances

as other Canadians that

> their drinking water is safe to drink.

> Ninety-six per cent of the doctors also voted

to pass a motion saying

> their association will develop a policy to

safeguard physicians from

> fear of reprisal and retaliation when they

speak out as advocates for

> their patients and communities.

> And 93 per cent of them favoured a move by

their association to let the

> federal government know that federal

wait-list strategies have failed to

> provide Canadians with timely access to

quality medical care.

> One doctor called Ottawa's national wait-times strategy a

charade and " a

> slap in the face of intelligent

Canadians " because it targets areas that

> are already showing improvement.

> Delegates also voted 98 per cent in favour of

urging the federal

> government to promptly address the high cost

of generic and off-patent

> drugs in Canada.

> --

> Warren T. Jahn, DC, MPS, FACO, DACBSP, DABFP

> Board Certified Chiropractic Orthopedist and

Sports Physician

> Forensic Examiner

> Roswell

GA 30076

> 770-740-1999

> 770-619-3203 fax

> " The mediocre teacher tells.

> The good teacher explains.

> The superior teacher demonstrates.

> The great teacher inspires. " -

Arthur Ward

> For information on the College on Forensic

Sciences (CFS) go to

> http://www.forensic-sciences.org or call 770-740-1999

> Email is covered by the Electronics Privacy

Act, 18 U.S.C. Sections

> 2510-2521, and is legally privileged. This

e-mail communication contains

> CONFIDENTIAL INFORMATION WHICH IS ALSO

LEGALLY PRIVILEGED and which is

> intended only for the use of the intended

recipient(s) identified above.

> If you are not the intended recipient of this

communication, you are

> hereby notified that any use, dissemination,

distribution, downloading or

> copying of this communication is strictly

prohibited. If you have

> received this communication in error, please

notify us immediately by

> e-mail or by telephone at (770) 740-1999 and

delete the communication and

> destroy all copies. Thank you for your

cooperation.

> ______________________________________________________

> ACA-members mailing list

> To post to the list:

> ACA-memberschirolists

> To unsubscribe or change membership options:

> http://ww3.chirolists.com/mailman/listinfo/aca-members

> List options tutorial:

> http://www.chirolists.com/index.cfm?nid=6

> Email filters tutorial:

> http://www.chirolists.com/index.cfm?nid=7

> Visit the ACA online at:

> http://www.acatoday.org

> ______________________________________________________

Quote

Link to comment

Share on other sites

Guest guest

Posted August 24, 2007

- Report
- Share

Posted August 24, 2007

I've heard about enough on wait times in Canada. Folks, my nurse practioner signed me up in APRIL for my old guy exam stuff and the earliest the proctologist's office can get to me for my 1/2 day introductory education lecture is OCTOBER! That's not even to have the scope done. So we have a six month wait for my sigmodoscopy lecture. Would this be standard in Canada as it is here?

Christian Mathisen, DC

3654 S Pacific Hwy

Medford, OR

cmathdc@...

[aca-members] Canadian healthcare system in crisis> CMA head pushes greater role for privatization>>> Canadian Press>> Updated: Thu. Aug. 23 2007 8:28 AM ET>> VANCOUVER -- The incoming president of the Canadian Medical Association> says the country's public health-care system is headed for crisis, but a> greater role for private health care could be the right prescription.>> Dr. Day said in his inaugural speech to Canada's medical> establishment Wednesday that contracting out health services isn't new> and has helped slash wait lists.>> "Let's be clear: Canadians should have the right to private medical> insurance when timely access is not available in the public system," he> said to applause from about 270 delegates at the annual convention.>> Day, a Vancouver orthopedic surgeon, said the Supreme Court of Canada> has already made a decision favouring such a move.>> The Chaouilli case, named after the Quebec doctor who initiated it,> struck down Quebec's ban on private insurance in 1995, saying it> contradicted the provincial charter of rights.>> Day said injured workers in some provinces are treated in private> facilities, saving workers' compensation boards millions of dollars in> wages and keeping people off long wait lists.>> Day, who opened Canada's first private surgery clinic in 1995, has often> been criticized for his pro-privatization views that some say could pave> the way for a for-profit system much like in the United States.>> "No one I know wants to adopt a so-called American-style health system,"> he told delegates at the association that represents 65,000 doctors> across Canada.>> He said the private-versus-public debate is largely irrelevant and> counterproductive but that new ideas and concepts are bound to face> opposition and skepticism.>> The status quo must change, Day said, because the declining health of> the country's aging population will have a profound social and economic> impact on Canada's future.>> "Canadians face difficult choices, but we must act. We and our patients> remain frustrated by waiting periods that exceed all ethical standards.">> But while he advocated more choice in the private sector, Day said the> ability to pay should never be a factor for any patient needing health> care in Canada.>> He called for the modernization of the Canada Health Act, saying it's> based on principles developed over 40 years ago and no longer meets the> needs of today's population.>> "My support for universal health care is unequivocal, but I believe the> act must be revised.">> Day also said provinces must change the way hospitals are funded because> they suck the largest amount of money out of the health-care budget.>> The current system of block, or global, funding doesn't reward> efficiencies or penalize failure to deliver service to patients, Day said.>> "Hospitals must have incentives to reopen operating rooms, increase the> number of beds available, hire more staff and treat more patients.">> Day is an advocate of the British system of funding hospitals, which> compete with each other for public money based on the number of> procedures they perform as an incentive to cut that country's wait lists.>> He said the market-oriented scheme has some problems but that Canada> could adapt what's working in Britain and other countries that have> universal health care as part of their health-care system.>> "There are those that dismiss these concepts of success and excellence> as elitist or undesirable. They support the status quo and dismiss the> plight and suffering of patients.">> Guy Caron, spokesman for the Council of Canadians, said that while> Canada has a problem with wait lists, it's too simplistic to say models> from other countries can be applied here.>> Caron said Britain and France, which each have a mixed public-private> health-care system, have hired more doctors to cut wait lists.>> "In the UK and in New Zealand they tried to bring market components to> health care and it failed so they are actually reforming the system> right now to bring more public (services) into the system.">> Day said Canada's shortage of doctors and other health-care> professionals is at a crisis point and that medical graduates leave the> country because they don't have the operating-room time and other> resources they need to stay here.>> Ferguson-Par De, president of the Registered Nurses' Association of> Ontario, said Day's vision favours two-tier health care and will lead to> the destruction of medicare.>> Ferguson-Par De said in a statement that the British Medical Association> has criticized the hospital funding scheme in the United Kingdom and> that it has led to higher administrative costs..>> However, at a news conference after his speech, Day said the British> counterpart to the association he is now heading has not opposed its> government's funding model and that critics have falsely made such claims.>> During his speech, Day also called for the use of technology, such as> electronic medical records, in the health-care field to deliver safe,> efficient care.>> "We are in the information age and medicine needs to catch up," he said.> "Sadly, our access to new and valuable technologies is at a point where> we rank near the bottom of developed countries. This must change.">> Before Day's speech, delegates voted overwhelmingly in favour of several> motions, with 99 per cent of them calling on provincial and territorial> governments to implement strategies that would reduce emergency-room> wait times and overcrowding.>> Dr. Ross, a Burnaby, B.C., family doctor, said patients are> waiting too long to be assessed and that the use of the acronym DIC,> which stands for Died In Chair, indicates people are waiting too long to> be assessed.>> Many of the motions passed Wednesday urged the federal government to> support environmental policies to protect the public's health by> implementing various measures.>> They include improving the quality of the air people breathe - both> inside and outside - ensuring access to adequate and safe drinking> water, minimizing the effects of global climate change and banning> smoking in vehicles that carry children.>> Dr. Brad Fritz of Vancouver said half a million people living on about> 600 reserves don't have the same assurances as other Canadians that> their drinking water is safe to drink.>> Ninety-six per cent of the doctors also voted to pass a motion saying> their association will develop a policy to safeguard physicians from> fear of reprisal and retaliation when they speak out as advocates for> their patients and communities.>> And 93 per cent of them favoured a move by their association to let the> federal government know that federal wait-list strategies have failed to> provide Canadians with timely access to quality medical care.>> One doctor called Ottawa's national wait-times strategy a charade and "a> slap in the face of intelligent Canadians" because it targets areas that> are already showing improvement.>> Delegates also voted 98 per cent in favour of urging the federal> government to promptly address the high cost of generic and off-patent> drugs in Canada.>> -- >>> Warren T. Jahn, DC, MPS, FACO, DACBSP, DABFP> Board Certified Chiropractic Orthopedist and Sports Physician> Forensic Examiner>> Roswell GA 30076> 770-740-1999> 770-619-3203 fax>> "The mediocre teacher tells.> The good teacher explains.> The superior teacher demonstrates.> The great teacher inspires." - Arthur Ward>>> For information on the College on Forensic Sciences (CFS) go to> http://www.forensic-sciences.org or call 770-740-1999>> Email is covered by the Electronics Privacy Act, 18 U.S.C. Sections > 2510-2521, and is legally privileged. This e-mail communication contains > CONFIDENTIAL INFORMATION WHICH IS ALSO LEGALLY PRIVILEGED and which is > intended only for the use of the intended recipient(s) identified above. > If you are not the intended recipient of this communication, you are > hereby notified that any use, dissemination, distribution, downloading or > copying of this communication is strictly prohibited. If you have > received this communication in error, please notify us immediately by > e-mail or by telephone at (770) 740-1999 and delete the communication and > destroy all copies. Thank you for your cooperation.>>>>>>> ______________________________________________________> ACA-members mailing list> To post to the list:> ACA-memberschirolists> To unsubscribe or change membership options:> http://ww3.chirolists.com/mailman/listinfo/aca-members> List options tutorial:> http://www.chirolists.com/index.cfm?nid=6> Email filters tutorial:> http://www.chirolists.com/index.cfm?nid=7>>> Visit the ACA online at:> http://www.acatoday.org> ______________________________________________________

Quote

Link to comment

Share on other sites

Guest guest

Posted August 24, 2007

- Report
- Share

Posted August 24, 2007

From: vsaboe

[mailto:vsaboe@...]

Sent: Friday, August 24, 2007

10:04 AM

' Sears'

Cc: 'Oregondcs '

Subject: RE: Fw:

[aca-members] Canadian healthcare system in crisis

Hi colleagues,

The Canadian system doesn’t work and

is in fact a joke and continues to go broke a.k.a., continually broken.

Years ago circa early to mid 80’s I was asked to take then chiropractic

lobbyist Chuck ’s place on a trip to Vancouver, BC to look at the

marvels of the Canadian system. I took the opportunity to schedule

meetings with the leadership of the BC chiropractic assoc. to gain their

“Canadian chiropractic view” of this supposedly wonderful system.

It was a joke to the BC chiropractors who unlike their medical counter parts

had to make their patients pay a then $15 co-payment again something the

medical patients didn’t have to do, in fact their was not financial

accountability by Canadians seeing medical physicians. Canadians

believing health care was a entitlement were flagrantly abusing the system

running to the medical clinics/docs for every and any little snivel, ache,

pain, cough, rash, bump on de’skin etc., etc., etc., etc. and in doing so

were bankrupting the system. In I believe 2004 I was presenting in front

of the BC Chiropractic group yet again and they had just been removed from the

national health care system completely to of course “save money”

for a system that was continuing to be broke/broken.

Even back then all of the major Canadian

medical associations/societies were contracted with American Health Insurance

companies so they could get their health care needs taken care of in the lower

48! In short I have heard the “We Can Do Better” universal

health care folks in this state quote how wonderful the Canadian, English,

German, Swedish etc. health care systems are. They have even gone as far

as saying we already have a model for universal health care in this state…”Medicare”

yikes!!!! The truth is we must come up with a system that is somewhere in

between our system and these other systems and within this new system we must

have “Joe Public” paying into the system, some financial

accountability on the public’s part each time they are thinking about

scheduling for this or that supposed medical issue. There must also be

adequate reimbursement for providers etc., etc., etc.

Getting back to that 1981-82 meeting up in

BC. I remember as if it were yesterday sitting in a huge Board room at

Vancouver General Hospital with BC politicians, administrators, physicians, and

surgeons all gathered around talking about how wonderful the Canadian system

was but, that they needed to continue to find ways to improve care while saving

money. There were several “window dressing” type comments by

members of our Oregon

group and then during a moment of silence I spoke up.

“Good morning, I’m Dr. Vern

Saboe an Oregon

chiropractic physician and I was just wondering considering this current

discussion. The international medical literature is replete with articles

that reveal that way to much spinal surgery is taking place. In fact in

the US it is estimated by

two researches that 50% to as much as 90% of all spinal surgery in the US is

in fact unnecessary. Clearly there are unnecessary spinal surgeries

occurring in the British Columbia

system. So I was just wondering since in a recent study published by Dr.

Kirkaldy-Willis here in Canada he and his co-workers were able to save roughly

80% of patients with lower back and leg pain who had clear disc hernations from

surgery wouldn’t chiropractic care we on top of your list of conservative

interventions? I mean if you consider that these researchers were

gaining 80% resolution with daily chiropractic treatments for a minimum of

three weeks and since these chiropractic treatments only cost the provincial

government a whopping $15/treatment for an average total of $225/for these disc

cases…and considering the alternative cost of spinal surgery, hospitalization,