Social Determinants

Move to generic methadone raises concerns

Ontario’s move away from brand name Methadose has sparked concerns the switch could negatively impact those who rely on the drug, prompting calls for more buy-in from methadone users ahead of these changes.

Malnourishment by design

Colonial attitudes and policies, now recognized as powerful social determinants of health, have led to mass hunger and preventable diseases.

Cross-country project gives patients a say in solving primary-care crisis

Dr. Tara Kiran and a team of collaborators are launching OurCare, a three-phase research project that aims to provide much-needed answers to Canada’s primary care woes. The project kicks off with a national survey of patients' experience.

The Nobel Prize, and representation in science

The Nobel Prize is one of the most coveted accolades in academia, but diverse individuals are being left out as awardees. We hope that scientists from underrepresented communities also will feel as if their work will be recognized fairly.

‘Nowhere to go’: Homelessness and mental illness create a ‘revolving door’ of admissions

Homelessness at discharge in psychiatric settings comes with significant cost to our health-care system and, more importantly, to those with lived experience. Without a provincial strategy for discharging people experiencing homelessness from hospitals and shelter beds at capacity, many are left with no where to go.

In ‘Heroin,’ author lays bare the injustice and systemic racism behind Canada’s drug laws

For International Overdose Awareness Day (Aug. 31), Healthy Debate sat down with Dr. Susan Boyd to discuss her latest book, Heroin: An Illustrated History.

Tackling racism in Canadian health care: University offers first master’s program in Black health

Black Canadians have poorer health outcomes and are less likely to obtain health-care services compared to other groups. Poverty, unemployment, racism and discrimination, increase the risk of illness and interfere with timely and unprejudiced treatment. A new University of Toronto program is working toward eliminating discrimination and its adverse effects on health care.

Rural health care: How to get it right

Rural citizens are generally older, sicker and poorer than the rest of the population, and so have greater need for care if they are to achieve health outcomes equitable to the rest of the population. We have a system that is failing rural Canadians, and it must change. But what if we got it right?

Episode 44 – Tranexamic Acid in Non-Cardiac Surgery and Post-ICU Syndrome

New PSA has potential, but devil is in the capitation details

The new Physician Services Agreement adds a complexity modifier to capitation-based primary care models in Ontario, which could be an important step toward equity. Done right, it could incentivize physicians to serve those who most need care and address ongoing health gaps. But the devil is in the details.

Call the ‘brown doctor’: A case for language-sensitive delivery of health care

In a multicultural city like Toronto, it only makes ethical and financial sense to provide language-sensitive care in hospitals. Without it, culturally sensitive communication is incomplete.

‘Data is powerful’: Demographic questionnaire adds transparency to Match Day

This year, the Canadian Resident Matching Service (CaRMS) with the support of Dalhousie University, rolled out its pilot questionnaire to collect much-needed demographic data on residency placements across the country. Information gathered on race and Indigeneity, immigration, ability, gender, sexual orientation and household income of students could go a long way in ensuring equity among med students.

10 paid days of sick leave. A basic right for all workers

As a provincial election nears in Ontario, the Ontario Medical Students Association joins advocates across the province calling for a comprehensive paid sick-days program that supports all workers.

Improved paid sick leave, minimum wage necessary for our patients’ health

The public health order to “stay home when sick” without 10 paid sick days was impossible for countless workers. Precarious workers who perform essential, yet low-paying jobs shared the greatest burden of the pandemic. Now is the time for the government to act.

Long COVID – a public health crisis taking out women at the height of their lives

Long COVID symptoms now dominate my life, hopes and dreams. As soon as I realized that I wasn’t getting better after my COVID infection, I went looking for answers.

The right to die: Should MAiD apply to those whose sole condition is mental illness?

With the expansion of medical assistance in dying (MAiD) to include those whose sole condition is mental illness fast approaching, we asked a panel of experts whether they felt this was a move in the right direction — and what they hope to see moving forward.

Access to virtual care highlights urban/rural divide

The move to virtual care is leaving some communities behind. For rural Canadians, especially those in remote and Indigenous communities, there are obstacles to seeing a doctor both in person and online.

‘They’ve grown up disconnected’: Saskatchewan programs aim to reunite Indigenous families, support vulnerable mothers-to-be

The Cowessess First Nation's family care system reunites Indigenous parents with their children, restores cultural connections and helps expectant and new mothers gain labour skills, financial literacy and find housing.

Quit your job, go home and prepare to die: Surviving the AIDS epidemic

In 1986, I left Toronto and moved to New York. I fell head over heels for a man in 1988. We wanted to make sure we didn’t transmit HIV to each other, so we got tested. I felt healthy as ever. However, my test came back: HIV positive.

To tackle food insecurity, school adds hunting and fishing to reading, ‘riting and ‘rithmetic

Faced with rampant food insecurity in the Eel Ground First Nation, New Brunswick, one elementary school principal started the Kelulk Mijipjewe food program to provide nutritious meals and teach students about Indigenous food culture.