Policy and Politics

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by Gabriel Fabreau Annalee Coakley

Alberta can’t rely on immigrant workers while denying them health care

Alberta cannot build a functioning health system by recruiting newcomers to sustain it while denying some of them the care and education that allow them to live, work and stay.
by Élise Boulanger Neb Kovacina Marwa Ilali

Digital tools promise better care. Are they delivering on the Quintuple Aim?

If primary care is increasingly digital, are these tools helping us move toward better patient experience, health outcomes, lower costs, improved clinician well-being and greater equity?
by Don Wilson

Rather than a ‘chilling effect’, Bill S-228 provides protection from forced sterilization

The intention of Bill S-228 is to clarify the law on aggravated assault, not to create any laws to target physicians providing care under currently accepted norms and methods.
by Adrienne Lam

Sharing the waterfront with e-scooters and e-bikes

If we listen to the people who use the roads, including walkers, bicyclists as well as riders of e-bikes and e-scooters, we can design roads so that getting around feels safer and more pleasant.
by Janice E. Parente

Is industry shaping Canada’s research ethics ecosystem?

Canada’s research governance framework must be strong enough to ensure that research ethics oversight remains independent – and that protecting research participants is its first obligation.
by Kathryn Andrusky

MAID debate must address access, not just eligibility

Much of the current discussion around Alberta’s proposed changes to MAiD has focused on eligibility. Less attention has been paid to a more immediate question: how patients actually access care in practice.
by Élise Boulanger Neb Kovacina Marwa Ilali

When digital tools reshape primary care: What happens to the 4Cs?

The question is not whether digital systems can do more. It’s whether we are designing and governing them to protect the core functions of primary care – or allowing them to add load in ways that quietly undermine care.

by Élise Boulanger Neb Kovacina Marwa Ilali

When technology becomes the work: Why primary care must confront the digital burden it created

Primary care in Canada is in the middle of a digital paradox. Electronic health records and digital tools were introduced to make our work easier, safer and more coordinated.
by Lynn Murphy-Kaulbeck Diane Francoeur

A federal bill aimed at protecting women could actually cause harm

"We call on Members of Parliament not to pass Bill S-228 in its current form and focus instead on improving policies and funding that could enhance enforcement of existing laws that prohibit coerced sterilizations."
by Suman Virdee

To improve primary care, ‘think globally, act locally’

Primary care is the foundation not only for individual but also for collective health, and we must mobilize more family physicians to improve it.
by Marie Claire Bourque

Are we the problem?

"Systems would visibly fail. And perhaps – like the family that finally sets the boundary – they would be forced to build what they’ve never needed to, because we were always there."
by Margot Burnell

Co-payments ‘a step backward’ for refugees and the health-care system

It’s imperative we protect access to health care for refugees and asylum claimants. There is no compromise when it comes to equitable health care.
by Sarah Hobbs

Encouraging signs but retention and recruitment essential for Ontario to achieve primary care goals

The Primary Care Act and the vision that positions primary care as the foundation of Ontario’s health system is the bold thinking our system has needed for many years. But now is the time to act on retention.

by Joyce Cheung Alessandra Palombo Kelly Le Roopinder Kaloty Iuliia Povieriena Chavi Tejpal

Too frail but not yet palliative: Ontario’s opportunity to lead in home care for older adults

If Ontario wants to help more people age at home, it should apply lessons from home palliative care to frailty right now. It needs to stop treating frailty as an administrative afterthought, and act on what it already knows works.
by Ramona Coelho

Assisted dying is changing medicine more than we realize

If Canada continues expanding assisted dying, it must answer hard questions. Are we expanding access to death faster than access to care? Are we ending lives prematurely when people could have flourished with adequate suicide prevention and support?
by Emily Foucault

Transparency is not risk free. But neither is restricted access

Patients should not have to file formal requests to understand their own care. They should not have to wait months to read information that already exists. And they should not be excluded from conversations that shape their health and lives.
by Elliot Goodell Ugalde

The paradox of progress: How medical advancements are expanding the time we spend unwell

Humanity is living longer, yet a growing portion of that extended life is spent in poor health. What if the same forces that prolong life, namely technology and industrialization, are also increasing the percentage of our lives spent unwell?
by Maddi Dellplain

Bill to criminalize forced sterilization sparks debate over reproductive justice and medical practice

Bill S-228, which would criminalize forced and coerced sterilization with an up to 14-year prison sentence, is on its way to becoming law. But is it a step in the right direction? Experts weigh in.

by Biba Tinga

The issue no one wants to address about blood donation and Black Canadians

The issue is not whether Black communities care enough to donate. The issue is whether Canada’s blood system is structured in a way that makes equitable participation possible.
by Nour Khatib

The paperwork burden weighing on Canadian physicians

What’s the prescription for physician burnout? Intervention is required to simplify non-clinical workflows and alleviate the administrative burden on physicians.

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