Offence, Free Speech and a Code of Conduct

I’m offended.

You’re offensive.

I’m offended that you are offended!

Two train wrecks have collided around free speech in medical politics right now.

The first has to do with the politically correct/social justice warrior/virtue signalling/identity politics movement.

Proclaiming personal offence has replaced sticking out one’s tongue in the schoolyard of adult conversation. Signalling solidarity with every oppressed group is the new morality.

Thou shalt show empathy.

Thou shalt not ask rational questions such as, “Why can’t you afford meds, but you upgrade your iPhone every 6 months?

Brace yourself. People will take offence. Listeners will join a mob to signal their own virtue at your malfeasance.

There is only one accepted view. Questions are out. Debate is unwelcome.

The second train wreck has to do with the Summer of 2016. It was a dark and nasty time for doctors in Ontario. Continue reading “Offence, Free Speech and a Code of Conduct”

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Moral Hazard and OHIP+

We scrambled to book massages and orthotics for our children.

The year was almost over. We had unused health benefits.

Did they need a massage?

Who determines need versus want?

Do need and want overlap? If not, where does one end and the other start?

Economists teach us that demand for free products and services is infinite.

Voters experience the limits of free government products and services as rationing. Stuff runs out. Wait lines form. Continue reading “Moral Hazard and OHIP+”

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What’s so Special About Northern Medicine?

Everyone is special, some more than others.

Need trumps merit in our socialized healthcare system. So naturally, we all compete to be the most needy. It’s in our best interest.

Appearing needy maximizes the chance of getting funding. Strength invites scrutiny or funding cuts.

Is the whole thing a sham?

Should all stakeholders get identical gifts?

Despite cynicism about interests and special favours, small towns have unique needs. Northern medicine is truly special. The big issues are, for the most part, the same as everywhere else:

Funding cuts cause decreased access to care.

Overcrowded hospitals leave patients in hallways.

Lack of long-term care beds exacerbates hospital crowding.

Bad management makes everyone suffer.

The issues are identical. The impact is unique. Continue reading “What’s so Special About Northern Medicine?”

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