• Paying MDs more won’t help

    Some access and wait-times are better since the 1980s, but not because there are more physicians getting higher fees. Success has mainly come through common-sense reorganization and by replacing physician-centred models of medical care with patient-centred models, often involving fewer physicians but other more appropriate professionals… other factors matter more to our health… security in housing and food, good education, adequate income.

  • Physician incomes at heart of dispute with province

    The public would take doctors a lot more seriously if, along with their demands for more money, they called for a redistribution of wealth in the form of far more robust social programs, which collectively influence health to the same degree than all medical interventions combined.

  • A sad day for Ontario doctors, patients

    … they claim they are advocating on behalf of patients who are suffering because the Liberals “are driving health care into the ground.” Few people are buying that argument, though. One of those is Bob Rae, the former Ontario NDP premier, who tweeted this week that the “OMA is a union fighting for higher incomes for docs. Period.”

  • Sexual violence: The silent health epidemic

    Being a girl or woman is a risk factor for abuse and assault… But being marginalized greatly increases that risk… Gender-based violence tends to flourish out of a culture that devalues women, where so-called “locker-room talk” that demeans women is casually accepted, where media messages objectify women, where women are held to a different sexual standard (slut-shaming) and where sexual harassment is dismissed as no big deal.

  • There’s nothing like an American health care debate to make Canadians feel lucky

    … solutions are neither magical, nor beyond our grasp. And most of them don’t actually require more money—in fact, some of them will produce savings… by working together in teams with nurses, physiotherapists and pharmacists, we could deliver truly patient-centred care… pooling lists among specialists… reducing unnecessary tests and procedures… by creating a national pharmacare system… Our system of universal health care is a fundamental expression of our values and a testament to Canadians’ commitment to fairness.

  • Millions of Canadians will pay at least $1,000 more if Ottawa taxes health and dental plans, study finds

    … most employee benefits are taxed but, for reasons lost in the mists of past public policy, health and dental coverage is not. The argument for taxation is that those without private health plans, often people on low income, are subsidizing those who have them, generally people in the public sector or those who work in large companies. Reforming the taxation of benefits has been advocated by the Department of Finance for years.

  • An Urgent Call on Overdose Crisis: Prescribe Drugs, End Prohibition Second in a series.

    “Prohibition does not deliver on its intended goals, but it does result in the marginalization of whole groups of people and in some cases their deaths. It is time to consider an approach that helps to contain the negative effects of drug use, provides a variety of treatment modalities and harm reduction services and avoids criminalizing those who use drugs.”

  • The Overdose Crisis: We Know How to Save Lives, Doctors Say

    “Initially, we had thought the main reason for this epidemic in our community was we were seeing the intergenerational trauma from residential schools being resurrected… But that’s not the main factor driving people, particularly young people, into addiction… We’re finding out that the number one social determinant for what we’re seeing with addictions in this community is poverty.”

  • Money, yes – but mental health needs a plan

    We need to steal the ideas behind other countries’ successful programs… We must scale up successful programs… We need to tie more money to more measurement… to address… outcomes… a single, reliable clearinghouse… an accountability requirement for the spending of new mental-health money

  • Suddenly, safe-injection sites are mainstream politics

    … politicians could at least admit intractable problems are intractable and support half-measures. If hundreds of people are dying easily preventable deaths and your political orthodoxy prevents you from supporting a demonstrably effective remedial measure, maybe there’s something wrong with your political orthodoxy. Maybe, pretty soon, you’re going to look lost, silly and backward.