Canada is the one of the other places with Socialized medicine held up as Nirvana. It isn’t always so good. Faced with doctor shortages, some emergency rooms struggle to stay open.
The Glace Bay Hospital in Cape Breton, N.S., shut its emergency department from 4 p.m. until 7 a.m. the next morning for three days this month. The Pasqua Hospital in Regina avoided a similar fate this week after doctors agreed to work additional shifts – its emergency doors were slated to shut between 7:30 p.m. and 8 a.m. And, in Thunder Bay, home to Canada’s second-busiest emergency department, the hospital has been hit with an exodus of doctors. Six of the 27 emergency doctors resigned from Thunder Bay Regional Health Sciences Centre this summer. Another three retired over the past 16 months.
It isn’t just emergency medicine – known for long hours and tough conditions – that is having trouble with staffing. Alberta Children's Hospital Surgeries Cancelled Due To Staff Shortages, Wildrose Say. Doctors say that the surgeries were postponed due to staff shortages. But don’t worry the bureaucrats have another explanation.
AHS medical director Dr. Francois Belanger says six surgeries had to be postponed this month, but not because of a staff shortage.
He says it has to do with how the operating room is managed on a day-to-day basis, as well as the patients’ medical condition, type of procedure, and what kind of recovery bed is required.
So the surgeries were postponed, but it was mostly due to lack of resources aside from staff.
And when the government sets the pay rates for doctors, there may be a disincentive for the doctors to practice at all, or to take your insurance. Plenty of job vacancies for dermatologists in BC; uncompetitive pay to blame, doctors charge | Vancouver Sun.
In Kamloops, for example, the home base of health minister Terry Lake, there’s only one dermatologist, but he’s de-enrolled from the Medical Services Plan which means all patients must pay out of pocket if they want to see the lone specialist.
In Prince George, the only dermatologist in town serves a population of 300,000. But he’s retiring next month, so by the end of the year, there will be no MSP-billing dermatologists between Kelowna and Prince George.
Now you may think dermatology is a low-priority, but if you ever had to consult one you might feel differently.
And shortages of doctors is only one form that this phenomenon takes. Rationing in the form of waiting is pretty common in Canada. Canada's costly health care wait times – Winnipeg Free Press.
Waiting has become a defining characteristic of the Canadian health care experience, but the consequences imposed on patients by delayed access to universally accessible care are too often ignored in the health care debate.
It isn’t just waiting to get expensive, specialized treatment. Canadians wait to see their family doctor. Doctor bookings backlog system | Chatham Daily News.
Their practices are driving wait times that pushed Canada’s ranking in access to family doctors to dead last in an international survey.
Say it again: Dead Last. I wonder if that pun was intended.
Waiting for staff. Waiting for equipment (e.g. an available MRI or operating room). Waiting. Waiting and the long wait times were actually central to why Canada’s Supreme Court struck down the public-monopoly on health care and reinstated the idea of private medicine. Waiting can kill you if you have the wrong disease. Waiting can condemn you to disability where prompt treatment would yield a better outcome. Waiting in medicine is bad.