Physician Cost-Cutting

[kertejud2]

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There was a SIGNIFICANT push at UofC to enroll people who were intending to do Family Med. In the end it really did help the province fill a void. Can't comment on pay but being a rural Family MD is busy, and well paying with other perks, particularly helping out with loans.

There was a big recruitment push to get South African doctors coming to Alberta (and Canada in general) and setting up in rural communities in the late 2000s. The GP pipeline was closed when, at the pleas of South Africa a deal was made where Canada would stop and GP credentials needed a lot more steps to transfer over. Still happens, still no restrictions on specialists so they're coming over at a similar rate. If it weren't for that steady stream of physicians being recruited and incentivized to come here (some communities were offering up cars and even houses), there'd be a noticeable shortage.

[Misterman]

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There was a big recruitment push to get South African doctors coming to Alberta (and Canada in general) and setting up in rural communities in the late 2000s. The GP pipeline was closed when, at the pleas of South Africa a deal was made where Canada would stop and GP credentials needed a lot more steps to transfer over. Still happens, still no restrictions on specialists so they're coming over at a similar rate. If it weren't for that steady stream of physicians being recruited and incentivized to come here (some communities were offering up cars and even houses), there'd be a noticeable shortage.

So basically we still have a massive shortage of quality GP's.

[Buster]

by and large, SA doctors are excellent

[killramos]

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by and large, SA doctors are excellent

Had some fun with a SA girl in HS, they are easy on the eyes too. Batshit crazy, but fun.

[ExtraSlow]

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Had some fun with a SA girl in HS, they are easy on the eyes too. Batshit crazy, but fun.

She's have to be to fool around with you.

[mr2mike]

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Keeping peoples homes heated, cars fueled, and plastics plentiful is overrated.

A lot of people are getting on board with voluntarily leaving their first world lifestyle behind for another country to take.

For that, Morneau will have some assistance for you.

[Misterman]

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by and large, SA doctors are excellent

If you compare them to WebMD, they are almost competent.

Although I should admit that I thought SA was South Africa. I could be way off base here, and maybe it means San Antonio?

[killramos]

I would be way less excited about a girl from San Antonio

[ExtraSlow]

Where do people think most family doctors in Canada are from? Judging from the accents I've heard, I'd say being born in Canada is a minority. This isn't a lethal weapon movie. South Africans aren't bad dudes.

[dirtsniffer]

We are starting to get to the bottom of the barrel regarding colonies to poach from though.

[mr2mike]

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I would be way less excited about a girl from San Antonio

[Misterman]

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Where do people think most family doctors in Canada are from? Judging from the accents I've heard, I'd say being born in Canada is a minority. This isn't a lethal weapon movie. South Africans aren't bad dudes.

I'd guess my GP is from India, and he is surprisingly awesome. Definitely a doctor that stays up to date on new information despite being done with school. Something not common in a lot of GP's.

I wonder if they have a way to rank these doctors at all before telling them where they are going to be stationed when they come to the country? My SA doctor was in Fort Mac, where I could see them sending the lower quality doctors. And that guy was fucking terrible. Just a pill prescribing doctor. Would literally google symptoms right in front of you. He almost killed my roommate due to some bad drug interactions he prescribed, roommate had to research himself to find out what procedures he needed to start getting fixed, then went in and told the doctor who he needed to write a referral for. Doctor didn't seem to think there was anything wrong with him randomly losing 60lbs in 5 months, and only wrote him the referral to a specialist to get him out of the office.

[kJUMP]

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Why wouldn't you break it down to it's simplest form? That's how you solve problems generally.

My response was tongue in cheek, which may have been missed. Either way, saying that the plight of the oil industry or climate change activists are attributable to the current state of the healthcare system is a bit basic, in my opinion. Complexities of the healthcare system aside, other major considerations such as an aging population, deployment of care outside of urban centres, bloated administration operations of AHS/AHW and dealing with "black swan" maladies like Covid 19 have huge repercussions on the system. Tackling these problems requires high levels of collaboration and insight across both the public and private sectors. Docs specifically have expertise in health and healthcare delivery so need to be part of the solution. Pulling the rug of funding out from under us because "cuts" undermines the work that a lot of us are doing.

Also just wanted to correct some misinformation in this thread. The AMA is not a union. The vast, vast majority of docs are independent contractors (as opposed to employees). The AMA is a professional association that represents physicians and has collective bargaining authority on our behalf. As a result, we don't have the ability to file labour grievances for example or strike; features that are typical of unions.

[Misterman]

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My response was tongue in cheek, which may have been missed. Either way, saying that the plight of the oil industry or climate change activists are attributable to the current state of the healthcare system is a bit basic, in my opinion. Complexities of the healthcare system aside, other major considerations such as an aging population, deployment of care outside of urban centres, bloated administration operations of AHS/AHW and dealing with "black swan" maladies like Covid 19 have huge repercussions on the system. Tackling these problems requires high levels of collaboration and insight across both the public and private sectors. Docs specifically have expertise in health and healthcare delivery so need to be part of the solution. Pulling the rug of funding out from under us because "cuts" undermines the work that a lot of us are doing.

Also just wanted to correct some misinformation in this thread. The AMA is not a union. The vast, vast majority of docs are independent contractors (as opposed to employees). The AMA is a professional association that represents physicians and has collective bargaining authority on our behalf. As a result, we don't have the ability to file labour grievances for example or strike; features that are typical of unions.

Sorry I must've missed the facetious tone of your post. But I do agree it is sad to see them cut the front line every time they are in a tight spot with budget. There are so many inefficiencies that can free up cash flow, but nobody wants to do the work to solve it.

I don't know if it is just GP's being affected by this? The surgeons I know seem to be completely brain washed into thinking that our health system is just the most amazing system in the world.

[ragu]

How is a thread on healthcare turning to oil and gas or resource development? Is an average voter really so thick not to understand the long term implications of healthcare related policy or the fact that resource development goes hand in hand with pricing. Ugh.

This obsession of UCP and traditional mindset will set the province back decades, real quick.

[The Cosworth]

https://omny.fm/shows/ryan-jespersen...he-patch?t=30s

[Tik-Tok]

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https://omny.fm/shows/ryan-jespersen...he-patch?t=30s

Is that an actual normal mentality for O&G workers though? I can't say I've ever heard anyone try and give that argument. Not that I know a lot of O&G people outside of Beyond, and the mentality here isn't "lets cut them because we're cutting", it's "let's cut them because they're paid more than the rest of Canada", or "let's cut them because I can afford the inevitable private health care Kenney is bringing in"

[Buster]

Same doctors whose education is highly subsidized by the taxpayer, and whose eventual salary is paid for by the taxpayer.

Taxpayers which look at lot like oil companies and oil workers.

[msommers]

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Is that an actual normal mentality for O&G workers though? I can't say I've ever heard anyone try and give that argument. Not that I know a lot of O&G people outside of Beyond, and the mentality here isn't "lets cut them because we're cutting", it's "let's cut them because they're paid more than the rest of Canada", or "let's cut them because I can afford the inevitable private health care Kenney is bringing in"

I'm sure there are lot of butthurt water haulers no longer making 150k+/yr that feel everyone else should suffer cuz they are and potentially who Mr. Jespersen is alluding to though he sounds like he's running his mouth for clicks more than anything. But to think anyone is genuinely comparing themselves, as a valuation for society, to a surgeon, is an argument that does not exist and therefore completely irrelevant to mention. His argument that length of schooling has anything to do with subsequent pay is laughable. Law and Medicine pay well regardless but to think a PhD with a post-doc in astrophysics is making Derm money makes my brain explode.

The more common argument is likely Alberta is running out of money and we all have to take a pay cut. The problem here isn't the pay cut (though it is to some lesser extent, let's be honest). It's the way the government has cut any discussion and forced a plan down Albertan's throats that is not a long-term solution and doesn't help anybody but the bean counter who came up with the idea.

[killramos]

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https://omny.fm/shows/ryan-jespersen...he-patch?t=30s

He had a point until about 1:30 when he just started started getting incredibly salty.

Oil and gas never saved someone’s life? Tell that to Quebec who started screaming bloody murder when they were low on propane for a few days. What’s the population of Canada that doesn’t die every year because they don’t freeze to death? lol

Hydrocarbons aren’t just some luxury we can do without.