No public-health measure has resulted in as much controversy as face coverings. For a universal masking requirement in health-care settings to be acceptable, decision-makers must situate it within the context of public-health ethics to determine whether these mandates are justified.
Adding another year to the family practice residency may be controversial, but it is a good idea. All students, residents, clinicians, the system and, most importantly, patients would benefit from a more complete education of all doctors.
The College of Family Physicians of Canada's expansion of training will demoralize and financially penalize early career physicians. Education will not address systemic and structural barriers to comprehensive practice.
Providing permanent housing is not only something that can and has been realistically implemented for unhoused patients in emergency departments, it also has been shown to reduce ED visits and hospitalizations and produce health benefits.
In our safe country, we “react” to disasters like the forest fires or flooding with exorbitant efforts and resources after the crises. But we also lose track of key commitments to civil society and human progress.
The COVID-19 pandemic led to a number of people with disabilities missing health-care appointments due largely to health and safety concerns on transit. But there are measures we can take to provide accessible, disability-affirming care.
At the end of life, we are at risk of losing our sense of self because with the diagnosis of an illness, we begin a problematic health-care journey at a time when the preservation of “me” is so very important.
Patients without a family doctor can see a doctor virtually through artificial intelligence or non-family doctors apps run by private, for-profit corporations. But iDOCTOR will be of limited value to a system already stretched thin.
The closure of the Minden ED has become a rallying point for us to address broader issues affecting health-care systems. Minden’s experience must serve as a nationwide warning: review the financial management and board governance of your local health-care systems.
Policymakers have begun to address health disinformation and harmful products on social media, signaling hope that it could become easier to stop operations like Genesis II. But we still need to address the desperation that drives people to reach for these products to begin with.
Canadian medical students’ interest in pursuing careers in research, education and administration is on the rise, signalling future physicians’ interest in enhancing the health-care system rather than simply being a part of it. Medical schools will need to take note.
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