Routine “rescue” care for the frail elderly is unethical

Margaret McGregor

On a daily basis both in hospitals and in our offices we deploy a dizzying array of medications and technologies designed to extend life. The problem is that most of these interventions have rarely been tested on frail seniors and have a much greater chance of causing them harm than providing benefit. Yet “rescue” care

Improving medication safety for the elderly

Medication safety at home

Mimi Roots is worried about her ninety year old mother, Maria. Maria lives alone and has multiple health issues: congestive heart failure, asthma, arthritis, gastrointestinal issues, and a thyroid that was surgically removed. She receives care from five specialists and her family doctor – and each prescribes their own set of medications. Maria takes a

Will Quebec’s cut to IVF funding lead to more multiple pregnancies?

Francoise Baylis

Women who get pregnant without using technology typically have one baby at a time. Women who use technology such as fertility drugs or in vitro Fertilization (IVF) are at increased risk of getting pregnant with twins, triplets or more. While this may seem like good news for women who might not otherwise get pregnant, multiple

Complacency about road safety hiding a public health crisis

“96 vehicles involved in collision after ‘wall of snow’ hits Highway 400” “Highway 17 Crash Leaves Five Men Dead” “Huge multi-vehicle pile-up injures 100 people near Edmonton.” Every winter, we’re snowed under by headlines like these, on stories of car crashes that seem as inevitable as the season. But it’s not just Old Man Winter

The changing face of end of life care

Andreas Laupacis healthydebate editor

A while ago I finished two weeks working on the palliative care service at St. Michael’s Hospital. As usual it was a moving, stressful, rewarding, frustrating, exhilarating, humbling, human experience. Working clinically provides me with a reality check for the other parts of my professional life which focus mostly on health services research and health

Medical education must include quality improvement and patient safety

Zafira Bhaloo

Entering medical school is like settling in a new country, you have to learn the language, adapt to the culture and figure out how to succeed. As medical students, we study the pathophysiology, clinical presentation, diagnosis and management of diseases. We learn how to effectively communicate with patients to get their stories and pair these

Slowing growth in health care spending: temporary blip or permanent gain?

Health care spending

For years, health care spending in Canada (both public and private) grew much faster than the economy. Until very recently, this trend was expected to continue, casting doubt on the sustainability of Canada’s health care system. However, recent data from the Canadian Institute for Health Information shows that growth in health care spending in 2013

Please help us evaluate The Rounds Table

It has been just over six months since we launched The Rounds Table on Healthy Debate. This week we are posting a user survey to get your feedback. Hareem, our Associate Producer is conducting this evaluation as part of an Independent Study project she is doing as part of a university course. We would be

Why doctors must be advocates

Nina Nguyen and Yan Xu

The federal government recently announced the Chief Public Health Officer – the physician at the head of the Public Health Agency of Canada – should no longer set the agency’s own budget, leaving this task to a soon-to-be appointed administrator. While the risks and benefits of this approach continue to be debated, a widely cited

Is Canada’s medical malpractice system working?

Starting next year, doctors’ malpractice insurance in most parts of the country will cost a lot more – more than doubling in many places. Fortunately for physicians, however, that will affect provincial health budgets more than their own practices. Most doctors are covered by the Canadian Medical Protective Association (CMPA), a non-profit mutual defence organization

Federal reversal of refugee health cuts still leaves many uncovered

Ritika Goel Healthydebate.ca blogger

What you need to know about the federal government’s reversal of the refugee health cuts After significant public opposition and efforts from the health sector, the federal government has finally backtracked on many of their cuts to the refugee health program brought about in 2012. The drastic changes to the Interim Federal Health program cut off