Doctors’ Protest Misguided?

bc-health-clinics29Doctors take an oath to work for patients’ needs. Doctors advocate when no one else will…at least docs like to think they do.

Most people probably don’t associate physicians with public demonstrations, marches or chanting.  When physicians finally get inflamed enough to walk the streets waving placards, what do they protest?

Probably some terrible patient suffering, right?

Guess which of the following problems pulls physicians into a protest march:

Current Problems Doctors Could Protest

No, doctors do not march against any of these.  Many would argue that protest marches don’t help, but some doctors think they do.

So what makes doctors-who-march angry enough to protest?

Last week some Canadian physicians joined a protest march because patients paid for medical care in Canada:

B.C. doctors urge provincial ministers to take a stand on public health care.

“…urging [politicians] to protect medicare…”

Protesters allege “…the profit that you can make from illness and suffering is absolutely tremendous.” The “absolutely tremendous profits” some make in Medicare were not mentioned.

Dr. Vanessa Brcic of the B.C. Health Coalition admits “Wait lists are unacceptably long in some cases… but for-profit health care is not the answer.” As if profit does not exist in the current system.

A Personal Story

My friend living out west needed spine surgery.  He couldn’t work and suffered daily.  He got referred to an Orthopedic surgeon (orthopod).

He waited for an appointment.  And waited.  And waited…

Finally, he paid for spine surgery at the Cambie clinic.  His financial losses from disability dwarfed the surgical fee.  He went to work pain free soon after surgery.

Much later – after being back at work for weeks – a secretary called with an appointment for the orthopod.

Blind Numb Misguided

Patients at the Cambie clinic get pain relief, go back to work and return to normal life.  They access care on their own terms.

Why will some physicians march against clinics like Cambie but say little about patient suffering due to system failure?

Have we become blind or numb to morbidity caused by Medicare malfunction?  After 45 years of rationing and controlled services, have we forgotten outrage when it causes patient harm? How will those in the future view our complacency when they look back on us now?

What do you think: Does it seem misguided when doctors protest to protect a system that pays them well but lets patients suffer?

photo credit: Globe and Mail

Big Business Created Big Labour

unionistsBig Labour wouldn’t exist if big business hadn’t incited it.  The balance of power swings back and forth between them.

Before big business, peasants’ labour made wealthy Lords richer.  They say the feudal manor system grew by robbery and usurpation.

The industrial revolution widened the gap between owners and peasants creating Dickensian dystopia.  The state supported concentration of power and enforced work discipline.

Unrestrained greed kept workers under heel.  It’s no wonder Marx’s ideas flourished.

Finally workers united.

They struck back with clenched fists.  Workers fought against greed and usurpation.  They held high moral ground.

They got laws changed.

Big Labour Won!

Unions gave us 

  • Weekends
  • All Breaks at Work, including your Lunch Breaks
  • Paid Vacation
  • Sick Leave
  • Social Security
  • Minimum Wage
  • Civil Rights Act/Title VII (Prohibits Employer Discrimination)
  • 8-Hour Work Day
  • Overtime Pay
  • Child Labor Laws
  • Occupational Safety & Health Act (OSHA)
  • 40 Hour Work Week
  • Worker’s Compensation (Worker’s Comp)
  • Unemployment Insurance
  • Pensions
  • Workplace Safety Standards and Regulations
  • Employer Health Care Insurance
  • Collective Bargaining Rights for Employees
  • Wrongful Termination Laws
  • Age Discrimination in Employment Act of 1967
  • Whistleblower Protection Laws
  • Employee Polygraph Protect Act (Prohibits Employer from using a lie detector test on an employee)
  • Veteran’s Employment and Training Services (VETS)
  • Compensation increases and Evaluations (Raises)
  • Sexual Harassment Laws
  • Americans With Disabilities Act (ADA)
  • Holiday Pay
  • Employer Dental, Life, and Vision Insurance
  • Privacy Rights
  • Pregnancy and Parental Leave
  • Military Leave
  • The Right to Strike
  • Public Education for Children
  • Equal Pay Acts of 1963 & 2011 (Requires employers pay men and women equally for the same amount of work)
  • Laws Ending Sweatshops in the United States

“History became legend.  Legend became myth…”

Time has passed.  Society changed.

Today, Big Labour acts like manor Lords.  Closing factories means nothing if Labour doesn’t get its way.  Unionists inflame workers with Dickensian tales.  Unions control politicians even more than the industrialists before them.

Big Labour appeals to envy and greed.

“Not fair!” comes out of a child’s mouth hardly a year after learning “No!” and “Mine!”  Unions appeal to atavistic passion inciting guttural cries over our peers.

Another Revolution?

Like so many revolutions before – Russian, French, Cuban – despots get dispatched to make room for dictators.

Do we need a movement to limit Big Labour?

Who will save us?  Who will restore balance to the insatiable greed driving unions to put self before customer?  Who will speak for patients?

Baby Boomer Healthcare

baby boomer protestWill Baby Boomers bring down Medicare? A cottage industry runs on blaming Boomers for everything (Boom Bust & Echo: Profiting from the Demographic Shift in the 21st Century).

The logic for blaming Boomers goes like this: Boomers make a population bulge.  Boomers are aging.  Old people get sick.  Ergo, old Baby Boomers will overwhelm Medicare.

Despite everything they’re blamed for, old people do not guarantee system failure (and Baby Boomers are not old!…yet).  Age might be one factor.  But many old, sick people access the system less than the young worried well. Of course, most healthcare spending occurs in the last 6 months of life.  An aging population will drive change, but there might be an even bigger factor.

Baby Boomer Attitude

Demographers believe Baby Boomers have attitude.  Not just ‘an’ attitude but attitude.  They know what they want.  They change things they don’t like.

  • They won’t put up with waits.
  • They won’t put up with no choice.
  • They won’t put up with hordes of patients jammed into hallways and EDs because no beds are available.
  • They will demand efficiency.
  • They will demand great patient service.
  • They will want medical experts leading healthcare, not inexperienced bureaucrats and allied health providers.

Boomers expect to stay active, healthy and productive for as long as possible.  They want control.  If early retirement doesn’t impress them, they want to stay fit and working long past 65.  They accept the responsibility of choice and ownership.

Here’s what other’s are saying:

Baby Boomers in 10 Years

When we look back, people might ask, “Hey, weren’t you involved back then?  What did YOU do to improve things?”

We can advocate for change now.

  • Fly patients to the USA when wait times exceed a limit….say, 4 weeks?
  • Reward hospitals only when they see patients, instead of before they see patients (block funding), or only when they follow recipe care (QBPs)?
  • Ask patients what Canadian healthcare could learn from other industries, other countries?
  • Ask patients whether they think healthcare should be as good as pet care or prisoner care?

What do you think?  Baby Boomers have reshaped everything they’ve ever come up against.  How will they reshape healthcare?

 photo credit: check out Swimsuit protest from feistysideoffifty.com