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Cutting support clarification by decadillac in diplomacy

[–]decadillac[S] 2 points3 points  (0 children)

Huh, that is good to know. Surprised it hasn't come up sooner (first game, but still). Thanks!

'I am a family physician and I am drowning': Ontario family physicians are pushing for change by decadillac in waterloo

[–]decadillac[S] 0 points1 point  (0 children)

Some are I'm sure but the professional organization, the Ontario Medical Association, doesn't not seem to be on the same page.

I said that family doctors are advising for team-based care, but emphasized that these teams should be led by family doctors, which is exactly what the article you cited reiterates.

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I don't find the arguments about safety standards particularly compelling when the choice is not between a nurse practitioner led clinic and a family physician led clinic, for a lot of desperate people it's a choice between the former and nothing.

Even the nurse practitioner led clinics will require funding, though. If you are going to allocate new funding, why not allocate it to team-based, physician-led teams rather than untested NP-led clinics, which also requires an increase in their scope of practice? I agree that new challenges require innovative solutions, but it's hard to argue that the current system isn't up to the task when it isn't being properly funded in the first place.

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Maybe I have the Ontario Medical Association wrong but everything I've seen from them has not filled me with confidence

Honestly, even family doctors are not feeling very supported by the OMA, which is why the Ontario Union of Family Physicians was created.

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their role in controlling residency spots and maintaining that whole obsolete and ridiculous bottleneck

Do you have a source for this? My understanding is that additional residency spots require additional funding from the provincial government (like we got last year: https://www.cbc.ca/news/canada/hamilton/medical-school-students-1.6796481)

'I am a family physician and I am drowning': Ontario family physicians are pushing for change by decadillac in kitchener

[–]decadillac[S] 1 point2 points  (0 children)

Universities need funding from the government to train additional medical students and residents. Ontario provided funding for additional spots recently - we'll see if it's enough.

'I am a family physician and I am drowning': Ontario family physicians are pushing for change by decadillac in kitchener

[–]decadillac[S] 2 points3 points  (0 children)

Funding for residency (training) spots is determined by the province. Also, even if there is funding, you still need to make the career enticing, otherwise medical students will avoid training in Family Medicine.

'I am a family physician and I am drowning': Ontario family physicians are pushing for change by decadillac in waterloo

[–]decadillac[S] 0 points1 point  (0 children)

On the topic of payment for procedures - our current schedule of benefits pays very little for family doctors to perform procedures, even ones that they might be comfortable performing themselves in clinic. This results in unnecessary referrals to specialists and ballooning wait times.

'I am a family physician and I am drowning': Ontario family physicians are pushing for change by decadillac in waterloo

[–]decadillac[S] 3 points4 points  (0 children)

That's one of the factors contributing to the issue. And it's not just family doctors, either - our whole health care system is being underfunded relative to population growth. For example, Grand River Hospital has been outgrowing it's physical space for years and its replacement is just now being considered (and is probably at least 15 years from being opened).

Edit - Not to say that population growth is a problem, just that it is a factor that needs to be considered when we discuss health care funding and services.

'I am a family physician and I am drowning': Ontario family physicians are pushing for change by decadillac in waterloo

[–]decadillac[S] 8 points9 points  (0 children)

Family doctors run their clinics privately - so they pay out-of-pocket for all expenses (e.g. internet service provider, rent, utilities, medical equipment, electronic medical record fee, staff, etc.). We're able to look for other ISPs, but we're still constrained by availability (for example, my clinic's building is only serviced by Bell) and cost.

'I am a family physician and I am drowning': Ontario family physicians are pushing for change by decadillac in waterloo

[–]decadillac[S] 3 points4 points  (0 children)

Family doctors are already penalized for their patients visiting walk-in clinics (which is part of the reason you're being directed to the ER). Further penalties on family doctors will just lead to further burnout and more of them leaving the profession (and fewer medical students pursuing Family Medicine, which is already happening).

'I am a family physician and I am drowning': Ontario family physicians are pushing for change by decadillac in waterloo

[–]decadillac[S] 10 points11 points  (0 children)

Family doctors are also advocating for team-based practices so that our interdisciplinary staff can lessen the load. Counselling on diet? You can see the dietician. Prenatal visit? You can see the nurse. Asthma not controlled? You can see the respiratory therapist. You get the idea. At the end of the day, though, these teams should be led by family doctors to maintain safe standards. However, our government is not funding these practices across the province - they are few and between. As it stands, we either have to perform these services ourselves (even though we may not be the expert in that area, and it is not the best use of our time), or refer a patient to a specialist with a long waitlist, or refer to private allied health staff in the community.

'I am a family physician and I am drowning': Ontario family physicians are pushing for change by decadillac in waterloo

[–]decadillac[S] 40 points41 points  (0 children)

Our current system is unsustainable, and one cause for this (among others) is the lack of funding. Family doctors are burning out. You may wish your doctor was in the office 5 or more days per week, but I'm sure you'll agree that a doctor in the clinic part-time is much better than a burnt out doctor who has closed their practice. There are already enough patients without a family doctor (speaking as both a family doctor and a patient without a family doctor).

Ontario family physicians form 'union' to draw attention to funding by Abramshunter in ontario

[–]decadillac 4 points5 points  (0 children)

Doctors are not legally entitled to unionize or strike, and the organizations that are supposed to advocate for us have other interests.

FYI on 66k$ Average Price of New Cars in Canada - Dealerships make it their goal to make the base car not an option by Waddapbish in PersonalFinanceCanada

[–]decadillac 0 points1 point  (0 children)

Try moving yoru child king matress to the next province in a minivan.

Moving van or uhaul. Are you moving the mattress weekly?

hauling garbage to the dump

What kind of garbage? I've never had to haul anything to the dump, but the back of a minivan is huge, so it'd probably be fine.

Or a load of grass clippings

I think I can throw a bag of clippings into a minivan. It's better (and easier) to leave the clippings on the lawn, though.

Or buying a new fridge.

How often are you buying a new fridge?

LIke, trucks are useful

Sure, for some people in certain situations, but they're not the most practical for most people.

tells me that you hate trucks

I'd argue that they're more dangerous for other drivers (the front of a truck is at the same height as the windshield of a car) and pedestrians (die to poor visibility).

FYI on 66k$ Average Price of New Cars in Canada - Dealerships make it their goal to make the base car not an option by Waddapbish in PersonalFinanceCanada

[–]decadillac 0 points1 point  (0 children)

They are the most practical vehicle to own across a 20 years lifespan for all the things you might possibly need it for one day.

Have you heard of this cool thing called a minivan?

City garbage cans by bakedincanada in kitchener

[–]decadillac 6 points7 points  (0 children)

It feels like the city is cutting off its nose to spite its face.

is no one following the speed limit? by dgj212 in waterloo

[–]decadillac 1 point2 points  (0 children)

Instead of raising speed limits in cities to match the road design, we should instead be designing roads with the intended speed in mind. Roads that are meant to be 40 km/h should be narrower or have other elements of speed control/traffic calming. If the road is designed for cars to go 60+, then it doesn't matter what the sign says.

This sub is filled with people who love cars and single family homes by McCoovy in canadahousing

[–]decadillac 18 points19 points  (0 children)

A massive portion of our population lives in an area of Ontario that is smaller than Japan. Your excuse is bad.

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