Obvious but not Easy

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  • I’m 67 and worked 6 yrs for a multinational, then 32 for the Federal Govt., always in accounting, so I believe understand the mentality of the bureaucrats at every level. Wonder whether I will live long enough to hear a politician in this country that understands what is wrong with our Government funded service programs and is brave enough to stand up and say it out loud for as long as it takes? IT’S COMPETITION WE NEED and PUBLIC SECTOR UNIONS YOU ARE GOING TO HAVE TO STEP ASIDE! And I am not taking about the current competition for Govt. grants that is so prevalent here in N.S. today.
    The following anecdote received today from a friend really drives the message home for me at least:
    Two patients limp into two different medical clinics with the same complaint. Both have trouble walking and appear to require a hip replacement.

    The FIRST patient is examined within the hour, is x-rayed the same day and has a time booked for surgery the following week.

    The SECOND sees his family doctor after waiting 3 weeks for an appointment, then waits 8 weeks to see a specialist, then gets an x-ray, which isn’t reviewed for another week and finally has his surgery scheduled for 6 months from then.

    Why the different treatment for the two patients?

    The FIRST is a Golden Retriever.

    The SECOND is a Senior Citizen.

    Donald M Hall | October 3, 2011 | Reply

  • The doctors don’t seem to like to work within a team format with other health professionals supporting.
    Nurse practitioners, Social Workers, pharmacists, etc.
    Team members can do much of the work with the doctors focusiing on their particular area of expertise.
    Perhaps they make more money doing it all themselves.

    Peter McCurdy | June 25, 2011 | Reply

  • Bill: Good read but I disagree on principle that physicians have to be incented to send an email. If we were serious about better communication we would mandate it. The key question is “if one was inventing a medical delivery system, would it look like the one we have now”? The answer is no, but we have these “interested groups, like doctors and nurses who have a great deal at stake by keeping supply of this specialized labour low so those inside the loop continue to be paid at the highest rates.
    Even the unionized sublayers like cleaning are protected by being the exclusive suppliers of labour and therefore, society pays more, much more than in a compettive private sector. Society is hobbled by the forces of status quo, those who are supplying services demand more and resist any change.
    The only glimer of hope has been Scotia Surgery but I fear that this government will suffocate this program soon.
    Change in this closed system is next to impossible until the payor runs out of money and payee knows that change is a must if they want to get paid. I would suggest we declare such a state sooner than later and get to the pickin’s.

    Wayne

    Wayne Fiander | June 24, 2011 | Reply

  • This is a good article and the NOT EASY part is the big one…This is very complicated, it sounds like a slam dunk but it is not likely to occur quickly or easily…don’t leave out the docs…or it will never work! They are very protective of their patients and themselves generally, and although many want to be proactive many will not move quickly for various reasons….a very good debate could come of this topic as it has been addressed in other similar areas….Allan

    Allan Purdy | June 22, 2011 | Reply