Long wait times defy quick fixes

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  • Drew Bednar says:

    We delude ourselves with this talk about the hospital being blocked up by ALC and other long-term patients as the reason for wait lists that’s just wrong. We are blessed with administrators who manage to run our system at 100%+ capacity across the country and still we jam up. Every surgeon uses every minute of OR time and does more and more on an ambulatory basis every day. the simple truth is that WE SIMPLY HAVE A SYSTEM THAT HAS NOT GROWN TO MATCH THE GROWTH OF THE POPULATION much less their health care needs. The system just has to grow, be it with state funding or insurance dollars that pay so much for paramedicals care or with the demonized private dollar.

  • Professor William Stanish says:

    We need a private system to off load the public system— ALL Canadians would benefit.

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  • James Murtagh says:

    I began my career as a health administrator 30-years ago. The litany of challenges listed above and the few possible solutions are not particularly new. In fact, when I look at the challenges which constantly garner attention in the press, in professional journals and elsewhere I see almost nothing I did not encounter in my first week on the job. What has changed are the reasons we offer as to why things don’t change. It is true there are system level issues but I fear the ‘system’ perspective simply leads to paralysis as either no one has the authority to mandate change or, alternatively, the courage. Many health care commentators lack deep experience as patients and all of us who work in the ‘system’ should, no matter how sound the commentary, blush a little when we are so bold as to offer diagnoses and therapeutic options for the health system. We have been pontificating for 30-years and still patients face the same frustrations in accessing care. One would think we should have a credibility issue by now! For my part I think there is room for rapid and substantive change in some areas but most will not occur because health care leaders have been co-opted by government. We are employees in all but name and go to great lengths not to challenge government dogma. This is especially true of administrators who, unlike almost any other profession, has no independent voice challenging the status quo. Bottom line…lets not get so wrapped up in our analyses that we are still talking about the same issues 30-years from now.

  • Judy says:

    A system wide solution requires central oversight and logistical planning. Not disconnected solutions from 14 LHINs and more subLHIN bureaucracies. Did we learn anything from the eHealth EHR boondoggle? Experts in systems required, not doctors. Deputy minister deluded and in denial.


Vanessa Milne


Vanessa is a freelance health journalist and a form staff writer with Healthy Debate

Joshua Tepper


Joshua Tepper is a family physician and the President and Chief Executive Officer of North York General Hospital. He is also a member of the Healthy Debate editorial board.

Maureen Taylor


Maureen Taylor is a Physician Assistant who worked as a medical journalist and television reporter for the CBC for two decades.

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