Health care

A coworker of mine posted this and I thought I would share it:

As most of us know that were around in the eighties, the slash and burn started with the worst Prime Minister in our countries history Free trade Brian.

The provinces were forced to start cutting as the transfer payments were cut by the feds.

Here is an article that shed’s light on how things have gone from bad to worse and the subterfuge that is associated with it.

Copyright The Daily News (Kamloops) 2007)

Politicians are dead wrong when they claim that health-care costs are spiralling out of control, a leading health economist said Friday at TRU.

Robert Evans, a UBC economics professor and associate director of the Centre for Health Services and Policy Research, said the public is being duped into believing that medicare and the public-health system in Canada are unsustainable.

Evans plotted the rate of change in health-care expenditures in relation to the growth of province’s economy to demonstrate that expenditure per capita on health has dropped since the Campbell Liberals took office in 2001.

“Expenditures are actually falling two per cent per annum,” he said. “That’s a real squeeze.”

The shrinkage in relation to the economy is probably unsustainable yet the public is led to believe that costs are skyrocketing and the system needs radical change.

"The polite term is terminological inexactitude. Other people call it lying. And you’re not going to be able to sustain that.

“Misleading. Ill-advised, perhaps. This is an example of misdirection, of getting people to look at the wrong thing, and it’s quite common, certainly in Canada.”

At a humanities and social sciences lecture, the economist urged a small audience to “look at the doughnut, not at the hole.” His talk came as the provincial government brings its Conversation on Health forum to Kamloops. The forum takes place today at the Coast Canadian Inn from 9:30 a.m. to 4 p.m.

He pointed to an economic growth rate of 6.4 per cent and a fiscal picture nationally that is the best of any major industrial economy in the world.

On another graph showing national health expenditures as a percentage of GDP, he showed that costs in Canada were rising but stabilized somewhat after the introduction of medicare in the 1960s. In the same period costs have soared in the for-profit system in the U.S.

Canada entered its current health funding dilemma as a result of successive recessions in the early '80s and early '90s. In response the federal government began cutting expenditures to bring down large budgetary deficits. The cuts left the provinces with a diminished share of health funding, a reduction that has never been corrected despite soaring economies.

“All I’m saying is, when we actually look at the numbers, the idea of fiscal collapse just isn’t borne out.”

Restraint meant cutting costs and cutting costs meant cutting the incomes and jobs of health care workers.

As budget surpluses developed, senior governments have reacted with tax cuts. As a result declining revenue has had the net effect of increasing health costs as a percentage of government expenditures overall, making it appear as though they are climbing at a greater rate than they actually are.

Those tax cuts have amounted to $150 billion to $200 billion, roughly run the health-care system.

“The federal-provincial relationship led us into that hole – competitive tax-cutting.”

Breaking down the impact of the restraint on various health sectors, Evans showed that hospitals have been far and away the hardest hit but the situation.

“As a percentage of national income, (spending on) hospitals has actually gone down. That’s a ski jump there in the early '90s,” he said, pointing to one precipitous drop for hospitals. “That’s when doctors and nurses said, ‘God, they’re killing the system.’ Well, they were cutting incomes.”

It should have come as no surprise when the system then had to grapple with a nursing shortage as nurses headed for more rewarding positions elsewhere.

“So there’s a big hole, agewise, in the structure of the nursing workforce.”

The resulting decline in the quality of care has been used to justify the introduction of private health-care options.

“Wow, here’s a big opportunity to start setting up private MRI centres. I’m not pointing fingers at anybody. I’m saying this is the way the system behaves.”

Health Minister George Abbott has in the past dismissed the figures Evans uses with the explanation that they are not the provincial government’s figures.

“That’s technically true but misleading,” Evans said.

An optimist might say that the provincial government’s motive is to control costs and it must posture itself for tough negotiations with those in the medical profession, he said.

“A pessimist would say they really are trying to convince British Columbians that health care is really falling apart and using this as justification for privatizing.”

“It does not help to have a deputy minister – Dr. Penny Ballam - - bail out.”

Ballam quit her senior health post in June, citing unsound planning for the health ministry. She explained last month that the government is creating policy on the run, a practice that has wrecked health-care systems around the world.

Evans refused to say which view he holds – optimistic or pessimistic – but he did say he sees pressure to shift the burden of the health-care costs from the healthy and wealthy to the unhealthy and unwealthy.

“Across the board we’re seeing a dramatic decrease in the distribution of income. . . . I think what is going on is a lot more inegalitarian society with more money at the top.”

A member of the Order of Canada, Evans took part in of the B.C. Royal Commission on Health Care and Costs in 1990, and of the National Forum on Health, chaired by former prime minister Jean Chretien from 1994 to 1997. His writings include several classics in the field.

Perhaps people wouldn’t be so outraged if the doctors actually cured people of even common ailments.
Here in Podunk, you could treat your illnesses with a butterknife, some KY Jelly and bottle of T1’s and still have a better quality of life/survival rate.

Ouch!  Are you trolling or is this your real opinion?  Do you have stats comparing your method’s survival rate to the hospital’s?  What’s your sample size? Yourself only (impossible since according to your claim, you’d be dead if you visited the hospital so you couldn’ t possibly do the butterknife thing? 

You miss the whole point of the article which points at the misinformation propaganda by the Campbelliberals in order to instill the idea that private health care is the best option in the minds of british columbians.  The alert is given by a respected economist which gives enormous weight to his opinion.

Note:  Am I the first one to use Campelliberals?  It seems so:

campbell is only part of the information problem the other is the Fraser Institute.

…how many people really know what this organization is …and what they stand for.

for example  Canada should join the USA and last summer they had a conference on the benefits of sweatshops.

But yet the new broadcasts their numbers and studies without checking up to verify what they are saying is true…like their yearly report card on b.c schools…but then cant expect much when the editor in chief of the vancouver sun use to work for the Fraser institute…oh and they set up another organization called the canadian taxpayers association.

most people treat that illness with a tube of PrepH :smiley:

butter knife, KY… kinky, kinky!

I’m not trolling! EDIT: Yes I did miss the whole point. But that was my intention in my original post  :stuck_out_tongue: but since you poked fun at my exaggerated scenario…

EDIT #2: I understand the CBC has just aired a story that doctors are going to be given training in proper “cleanliness.” Does the below sound a little paranoid now?

I just drop by now and again and put down some sarcasm and humour to make fun of an issue that is serious. It’s an exaggerated statement based on previous experiences, and yes, it is my opinion-though the scenario is exaggerated.
I’ve also got some rather harsh words for the cancer society and center, in Vancouver. Namely their facilities and staffing is grossly un-empathetic, their food is horrible etc. etc. - but that’s another story…

To state a few examples of people I know:

Sister: Gaul Bladder removal.
Complications: Infection.  

Sister: Hysterectomy as a result of infection from gaul bladder removal and consequent infection.
Complication: ANOTHER infection which nearly caused her death. Only after the family getting extremely upset in light of the doctors not taking adequate measure did they do something. They started antibiotics and blood transfusions via intravenus through the neck. Still to this day, her immune system is compromised.

Friend’s Father: Diagnosed with throat cancer. The doctor attending moved south. Didn’t pass on the records to the Greene Clinic, he was not informed of test results-leading to a complete removal of the man’s voice box and more importantly, more tissue in the surrounding throat area, prematurely according to his son.

Uncle: Examination of liver. (Walked into hospital)
The doctor told us that he was dying, and to get his affairs in order.  Eight years later, and a senior, he finally passed away.  They just gave up based on a bad diagnosis. They sent him to St. Pauls where they were able to “save his life.”

Female Family Friend: Tonsil Examination.
Complication: Infection as a result of examination.

Female Family Friend: Septic Shock as a result of a hospital examination/procedure.

Mother: Found speckle of blood in ice-cube in glass of water requested from staff.

Friend’s Wife: Complications with pregnancy (undiagnosed)
A friend’s wife had been complaining of pain in stomach area with while pregnant. Repeated visits to the hospital and an ultrasound produced nothing by the doctors or staff here.
A short time later, her husband became extremely combative and assertive with staff and doctors because their concerns were not taken seriously and dismissed. A call to the a doctor in Terrace who was familiar with his wife produced a call the PRRH’s staff expressing outrage at their handling of the woman. The husband drove his wife to Terrace as fast as he could, and they performed an emergency operation as she had been bleeding out, internally. Her entire belly was dark, resembling a bruise.

Myself: Complaint of fatigue
I went to a local doctor complaining of fatigue. I was scheduled for blood tests, and in the meantime given a general antibiiotic to take incase of some bacterial infection (I am guessing). Less than a week later I began having extremely traumatizing migraine/cluster headaches. After twelve visits to the doctor and ER, a CTScan, blood tests, ECG and a visit to a specialist (Complete lack of examination of me) I was told I had migraines. I’ve never had migraines. To this day, I still have fatigue, thank god the migraines went away. The doctors still have no idea. I’m trying for a second opinion.

Some of the incometence, or lack of training, or whatever you want to call it, is alarming. Other instances (as you will know if you keep your ears open in this town) was that staff were not sterilizing one particular instrument correctly, the ambulance service not having a charged defibrulator resulting in death etc. etc. etc.
I don’t know the whole picture, or pretend to, but what I do know of the follies and coincidences is alarming at best, and negligent at worst. I am also not pretending that PRRH is not a victim of the provincial bureaucracy and buget cuts. So please don’t assume I am.

My point is this: If I personally know of these happenings, of all these people getting infections after procedures here in our community, how many others are out there with the same experiences? My problem here is that patients are not given an avenue (publicly displayed & informational) to report these “odd, life threatening occurances” and “inaction” which may result in a degradation of their health, or as in some of the instances I know of myself, death. That’s the problem.

I’m not trolling, hence the exaggerated scenario I posted first. But you see my point, and why my opinion is the way it is. I’m not some a-hole that goes off without reason.

Hemerroids are a subective issue. Some use them as an excuse to get out of the waiting room!


I must say that you have made your point clear.  But I think herbie’s post takes the cakes!

herbie rules! :smiley:

very good point indeed but it isnt just the doctors. …

I watched a cleaning person at St Pauls hospital wipe down a toilet inside and out then proceed to use the same cloth without rinsing it …wipe down the counter top…sink mirror and walls.

Infection is a big problem as well as training at all levels…not just about hand washing

Yuck. “Some people’s kids!” …I tell ya.