equity

Should doctors be charging disadvantaged patients for sick notes?

Can’t you do something, Judge? This was the question I was asked in Drug Treatment Court last week. Unfortunately, my answer was “I tried. But I can’t seem to get these doctors to change!” The issue was doctors charging their patients for one line notes stating they had been ill and had been seen in

Homeless LGBT youth face discrimination, violence in shelter system

Alex Abramovich

“Almost all LGBTQ people going into shelters have a fear of them, because it isn’t a matter of if it’s dangerous, but just how dangerous it will be. It is horrible to live in that fear everyday. ” – Mouse, 23 years old Lesbian, gay, bisexual, transgender, transsexual, queer, questioning, and 2-Spirit (LGBTQ2) youth are overrepresented

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

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

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

Hospital parking: health care’s controversial cost

Shalimar Novak is sick of paying for parking. The social worker has been to Toronto’s Mount Sinai once or twice a week recently for appointments related to her pregnancy, and paid about $15 every time. “It definitely adds up,” she says. “And when you have a kid coming, you’re thinking in diaper dollars. It would be nice

Lessons from Cuba on improving primary care in Canada

Chris Stone healthy debate blogger

Canada spends a significant proportion of its budget on health care, while achieving average population health outcomes compared with other OECD countries. It is difficult to achieve coordinated and comprehensive care, due in part to the strain of a dependence on acute care services, accounting for nearly 30% of total health care costs. An aging

Despite Ontario’s Northern Health Travel Grant, some still pay out of pocket

Northern Travel Grant

When Nan Normand’s husband had quintuple bypass surgery, it cost them $1,500. It wasn’t the operation that was pricey, but the travel. The couple went from Kenora, a small city near the Ontario-Manitoba border, to Hamilton for the surgery. The trek included flights and a multiple-night stay. Normand was unlucky: Manitoba had temporarily stopped accepting most Ontario heart patients,

Time for a human rights-based approach to refugee health

Grace Belayneh

June 16th, 2014 will mark the 3rd National Day of Action to Stop Cuts to Refugee Health Care in Canada. Concerned members of the Canadian public and healthcare providers across the country will again join forces to protest the changes that were made to the Interim Federal Health Program (IFHP) in 2012. The IFHP was

Caring for international patients improves care for Canadians

Marnie Escaf & Nizar Mahome

For the other side of the debate, read Monika Dutt’s Medical tourism is bad business for Canadian hospitals In recent weeks a few people have written about international patients in Canadian hospitals, “medical tourism” and the “slippery slope” that the writers all seem to believe will inevitably lead to two-tiered medicine.  We are responsible for the

Medical tourism is bad business for Canadian hospitals

Monika Dutt healthydebate.ca blogger

For the other side of this debate, see Marnie Escaff & Nizar Mahomed’s Caring for international patients improves care for Canadians Sunnybrook Hospital in Toronto has recently been in the news for its new method of revenue generation: offering care to wealthy foreign patients – aka “medical tourists” – who are able to pay out-of-pocket for

Ontario’s new minimum wage increase—will it help patients?

Gagan Dhaliwal

In January, Ontario’s Liberal government approved legislation that would increase the minimum wage by 75 cents to $11/hour. And in March, Saskatchewan followed by increasing theirs by 20 cents to $10.20/hour. While this has ramifications for labor and the economy, it also impacts the patients in our healthcare system. This minimum wage rise came right

Loan deferral during residency: a win-win solution

Loan deferral for medical students

It is no secret that Canada suffers from an inequitable distribution of health professionals. A 2012 report from the Canadian Institute for Health Information revealed that 18% of Canadians live in rural and remote areas, yet only 8% of doctors live in these regions. The lack of access to medical services in rural communities contributes

We should compensate living donors for their kidney

Kidney donation

People with end-stage kidney disease have two treatment options: dialysis or transplantation. Dialysis is the process of removing waste and excess water from the blood, by hooking up to a machine that mimics the function of the kidney. Transplantation, however, is the optimal treatment for end-stage kidney disease, because it reduces a patient’s risk of

A new mom in medicine

Ishani Ganguli healthydebate blogger

Months before my life was upended, a doctor friend tried to explain my forthcoming role in terms I’d understand. “Imagine being on call 24 hours a day, seven days a week,” he said. “You’re in charge of a single patient, but she is needy as hell.” Medical training prepared me for motherhood in some ways