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Old 03-03-2023, 03:31 PM
 
72 posts, read 59,101 times
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I'm surprised this isn't being discussed. It's a big issue.
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Old 03-03-2023, 04:26 PM
 
Location: Montreal/Miami/Toronto
3,195 posts, read 2,649,705 times
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Nothing wrong with some privatisation, we still have a public system and you can get partial reimbursements tax time for medical expenses. There's a huge backlog in the public system and this way will help minimise that faster. It also does not help that Provincial governments wants healthcare funds with no strings attached, that's a bigger issue than privatisation.

Regardless, it's not "American style" healthcare and we have laws that will prevent that from happening. I use private clinics, it costs less than in the U.S, I have coverage, can get tax reimbursements and the quality is much better.
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Old 03-04-2023, 11:24 AM
pdw
 
Location: Ontario, Canada
2,674 posts, read 3,090,748 times
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Starving the beast. Deliberately underfunding public programs to push for privatization due to public outrage. Straight out of the Mulroney/Thatcher/Reagan playbook. Ends up costing taxpayers more as well as you now have to fund shareholder profits for private businesses as a taxpayer expense.
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Old 03-05-2023, 04:54 PM
 
72 posts, read 59,101 times
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Quote:
Originally Posted by pdw View Post
Starving the beast. Deliberately underfunding public programs to push for privatization due to public outrage. Straight out of the Mulroney/Thatcher/Reagan playbook. Ends up costing taxpayers more as well as you now have to fund shareholder profits for private businesses as a taxpayer expense.
Mulroney didn't starve the beast though. He didn't even like Thatcher after a personal confrontation with her that had her trying to corner and intimidate him. He didn't budge though.
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Old 03-05-2023, 06:16 PM
pdw
 
Location: Ontario, Canada
2,674 posts, read 3,090,748 times
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I think Mulroney’s actions with CN rail and business deals with the trucking companies are good comparison. It’s all part of the same neoliberal conservatism that emerged under the Mulroney, Thatcher and Reagan eras
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Old 03-07-2023, 03:53 AM
 
Location: Hawaii.
4,859 posts, read 450,201 times
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Quote:
Originally Posted by pdw View Post
Starving the beast. Deliberately underfunding public programs to push for privatization due to public outrage. Straight out of the Mulroney/Thatcher/Reagan playbook. Ends up costing taxpayers more as well as you now have to fund shareholder profits for private businesses as a taxpayer expense.
Exactly. Precisely. Spot-on. Correct.
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Old 03-07-2023, 05:17 PM
 
2,208 posts, read 1,318,769 times
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Not sure how the provinces pay the GPs per patient visit, C$25? C$29?
But in BC, dental specialists (such as orthodontists, endodontists, periodontists, oral surgeons, etc) charge C$260 upwards for first face-to-face chat that does not include x-rays scanning etc. that could come up with another C$300+. Could even be more if the patients have dental insurance coverage.

In the US, a visit to a GP's office is around US$300-ish.
https://www.city-data.com/forum/heal...g-doctors.html

Vancouver family doctor speaks out (email received this afternoon)
https://i.redd.it/hz7u8ilkq7ma1.png
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Old 03-08-2023, 11:41 AM
 
Location: Vancouver
18,504 posts, read 15,536,880 times
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Quote:
Originally Posted by orbiter View Post
Not sure how the provinces pay the GPs per patient visit, C$25? C$29?
But in BC, dental specialists (such as orthodontists, endodontists, periodontists, oral surgeons, etc) charge C$260 upwards for first face-to-face chat that does not include x-rays scanning etc. that could come up with another C$300+. Could even be more if the patients have dental insurance coverage.

In the US, a visit to a GP's office is around US$300-ish.
https://www.city-data.com/forum/heal...g-doctors.html

Vancouver family doctor speaks out (email received this afternoon)
https://i.redd.it/hz7u8ilkq7ma1.png
No name on the letter rings alarm bells as to the intent of the letter.

That said, it does sound rather dramatic to me.

Doctors do work hard, but it's up to them how many patients they see. However the call of duty may make many to overwork.

GP's in BC currently make around $250,000 on average. With the new changes in the pay schedule that will rise up to $385,000 per year.

As for paperwork, I have a friend who just retired from practice. I'll ask them next time I see them. Very curious as to what that means. I can't see the paperwork being billing.

I did see an article though that BC is lessening the paperwork to attract more doctors, so there must be something to it.

Here is BC billing charts. It may look complicated to the layman, but I'm sure medical clerks know their way around it quite well.

https://www2.gov.bc.ca/assets/gov/he...e-may-2021.pdf

Comparing a GP visit in the US to Canada is tricky. GP's in the US and Canada actually make fairly similar annual earnings. US offices tend to have more staff because of complicated billing, plus malpractice insurance costs are also higher.

Last edited by Natnasci; 03-08-2023 at 11:51 AM..
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Old 03-08-2023, 09:15 PM
 
2,208 posts, read 1,318,769 times
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Quote:
Originally Posted by Natnasci View Post
No name on the letter rings alarm bells as to the intent of the letter.

That said, it does sound rather dramatic to me.

Doctors do work hard, but it's up to them how many patients they see. However the call of duty may make many to overwork.

GP's in BC currently make around $250,000 on average. With the new changes in the pay schedule that will rise up to $385,000 per year.

As for paperwork, I have a friend who just retired from practice. I'll ask them next time I see them. Very curious as to what that means. I can't see the paperwork being billing.

I did see an article though that BC is lessening the paperwork to attract more doctors, so there must be something to it.

Here is BC billing charts. It may look complicated to the layman, but I'm sure medical clerks know their way around it quite well.

https://www2.gov.bc.ca/assets/gov/he...e-may-2021.pdf

Comparing a GP visit in the US to Canada is tricky. GP's in the US and Canada actually make fairly similar annual earnings. US offices tend to have more staff because of complicated billing, plus malpractice insurance costs are also higher.
Thanks for the feedback. I am clueless about the US healthcare system, other than what others said here.
This morning on my way to an appointment, heard it over the radio. Good to know that the community is aware of it. Couldn't reply earlier as I was out whole day.

https://vancouver.citynews.ca/2023/0...-medicine-pay/
Mar 8, 2023, 3:38PM PST.
A Vancouver doctor has informed his patients he’s leaving family medicine, suggesting recent provincial changes to the compensation model don’t go far enough to address his concerns.
One of his patients, Jon Girard, shared the physician’s letter online. It outlines a number of concerns, including the assertion that B.C.’s new pay model “still promotes quantity over quality to professionally survive,” adding, “the proverb ‘trying to get blood out of a stone’ seems to describe the situation painfully well.”
Girard shared the letter on Reddit, with the post generating hundreds of responses.
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Old 03-09-2023, 09:57 AM
 
Location: Vancouver
18,504 posts, read 15,536,880 times
Reputation: 11937
Quote:
Originally Posted by orbiter View Post
Thanks for the feedback. I am clueless about the US healthcare system, other than what others said here.
This morning on my way to an appointment, heard it over the radio. Good to know that the community is aware of it. Couldn't reply earlier as I was out whole day.

https://vancouver.citynews.ca/2023/0...-medicine-pay/
Mar 8, 2023, 3:38PM PST.
A Vancouver doctor has informed his patients he’s leaving family medicine, suggesting recent provincial changes to the compensation model don’t go far enough to address his concerns.
One of his patients, Jon Girard, shared the physician’s letter online. It outlines a number of concerns, including the assertion that B.C.’s new pay model “still promotes quantity over quality to professionally survive,” adding, “the proverb ‘trying to get blood out of a stone’ seems to describe the situation painfully well.”
Girard shared the letter on Reddit, with the post generating hundreds of responses.
Thanks for the article, it fleshes out the story much more.

My takeaway form the link you provided, is what Dr. Joshua Greggain, president of Doctors of BC, said.

"But, in his view, this doctor’s situation does not represent the mainstream view of physicians in the province."

Doctors are human, some see things differently than their peers, some like to over complain and make dramatic exits.
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