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B.C. government sends patients to U.S. while fighting private options in B.C.

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From the Fraser Institute

By Mackenzie Moir and Bacchus Barua

Among universal health-care countries, after adjusting for age, Canada ranked highest for health-care spending as a percentage of the economy in 2021 (the latest year of available comparable data). The problem is how we do universal health care

The recent ordeal of Allison Ducluzeau, a wife and mother from Victoria who spent more than $200,000 out of pocket to seek life-saving cancer treatment in the United States, has been widely shared on social media. Unfortunately, Ducluzeau’s story is not unique.

According to Second Street, a Canadian research organization, Canadians made approximately 217,500 trips abroad to seek health care in 2017, long before the pandemic (and related health-care backlogs and delays). To understand why this happens within our universal system, simply look at the data. In 2023, Canadians could expect a median wait of 27.7 weeks between referral to treatment across 12 medically-necessary specialities. In B.C., patients had to wait four weeks to see an oncologist, and another 5.9 weeks for treatment. In fact, the total wait between referral to treatment for oncology in B.C. (9.9 weeks) is now about twice as long as the Canadian average (4.8 weeks).

Moreover, the Canadian Institute for Health Information reported last year that, among provinces, B.C. was the second-worst performer in the country in meeting the national benchmark for radiation therapy (that is, receiving treatment within four weeks after seeing a specialist).

Why is this happening? Why do B.C. patients face such daunting wait times for potentially life-saving treatment?

For starters, compared to its universal health-care peers, Canada has fewer medical resources available. After adjusting for population age differences among high-income universal health-care countries, Canada ranked 28th (out of 30 countries) for the availability of doctors, 23rd (of 29) for hospital beds, 26th (of 30) for CT scanners and 19th (of 26) for PET scanner availability.

In response to B.C.’s long delays for cancer care, the Eby government recently instituted a cross-border initiative that sends patients to Washington State for treatment. Although this is good news for some patients, it’s not a long-term solution to our health-care woes. And this selective and short-term initiative is cold comfort to patients suffering from other medical conditions and who remain without local options as they endure long delays for medically-necessary care. Indeed, Allison Ducluzeau needed chemotherapy and could not take advantage of this initiative.

To be clear, Canada’s relative dearth of resources and long wait times are not due to inadequate funding. Among universal health-care countries, after adjusting for age, Canada ranked highest for health-care spending as a percentage of the economy in 2021 (the latest year of available comparable data). The problem is how we do universal health care. Unlike Canada, most other universal health-care countries fund their hospitals according to activity levels to incentivize treatment. And they understand that the private sector is a valuable partner in their universal health-care frameworks.

For defenders of the status quo, private involvement in the financing and delivery of health care within our borders remains out of the question. In fact, the same Eby government that sends B.C. patients across the border for care has fought against private options in B.C. And you can be sure that PeaceHealth St. Joseph Cancer Center and the North Cascade Cancer Center in Washington State—where the Eby government is sending cancer patients—will not be subject to the same limitations the Eby government imposes on private clinics in B.C.

If the provincial government is unable to deliver timely access to care through our publicly-funded health-care system, it should allow patients to pay privately for alternatives within our borders. By forcing patients such as Allison Ducluzeau to leave their loved ones and travel abroad to receive life-saving treatment, our policymakers yet again cling to a stubborn and failed approach to universal health care.

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Health

Trump picks Robert F. Kennedy Jr. to lead HHS

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From The Center Square

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“Mr. Kennedy will restore these Agencies to the traditions of Gold Standard Scientific Research, and beacons of Transparency, to end the Chronic Disease epidemic, and to Make America Great and Healthy Again!”

Robert F. Kennedy Jr. is president-elect Donald Trump’s pick to serve as U.S. Health and Human Services secretary.

“I am thrilled to announce Robert F. Kennedy Jr. as The United States Secretary of Health and Human Services (HHS),” Trump said in a statement. “For too long, Americans have been crushed by the industrial food complex and drug companies who have engaged in deception, misinformation, and disinformation when it comes to Public Health.”

The lifelong Democrat became an Independent during his presidential campaign and then endorsed Trump, helping propel Trump to victory.

Kennedy has been outspoken about the need to take on corporate food companies as well as the U.S. Food and Drug Administration to address the chronic health crisis in America.

“The Safety and Health of all Americans is the most important role of any Administration, and HHS will play a big role in helping ensure that everybody will be protected from harmful chemicals, pollutants, pesticides, pharmaceutical products, and food additives that have contributed to the overwhelming Health Crisis in this Country,” Trump said. “Mr. Kennedy will restore these Agencies to the traditions of Gold Standard Scientific Research, and beacons of Transparency, to end the Chronic Disease epidemic, and to Make America Great and Healthy Again!”

Kennedy is also known for his skepticism of some vaccines.

Kennedy has pushed his “Make America Healthy Again” movement in recent months, raising concerns about the chemicals in American food and how federal health agencies have either allowed harmful food and drugs or been coopted by corporations.

The MAHA website emphasizes regenerative agriculture, habitat preservation, combatting corporate corruption and removing toxins from the environment.

“Robert F Kennedy Jr will be The Secretary of Health and Human Services!” Donald Trump Jr. posted on X. “Promises Made Promises Kept.”

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TMU Medical School Sacrifices Academic Merit to Pursue Intolerance

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From the Frontier Centre for Public Policy

By Susan Martinuk

Race- (and other-) based admissions will inevitably pave the way to race- (and other-) based medical practices, which will only further the divisions that exist in society. You can’t fight discrimination with more discrimination.

Perhaps it should be expected that a so-obviously ‘woke’ institution as the Toronto Metropolitan University (TMU) would toss aside such antiquated concepts as academic merit as it prepares to open its new medical school in the fall of 2025.

After all, until recently, TMU was more widely known as Ryerson University. But it underwent a rapid period of self-flagellation, statue-tipping and, ultimately, a name change when its namesake, Edgerton Ryerson, was linked (however indirectly) to Canada’s residential school system.

Now that it has sufficiently cleansed itself of any association with past intolerance, it is going forward with a more modern form of intolerance and institutional bias by mandating a huge 80% diversity quota for its inaugural cohort of medical students.

TMU plans to fill 75 of its 94 available seats via three pathways for “equity-deserving groups” in an effort to counter systemic bias and eliminate barriers to success for certain groups. Consequently, there are distinct admission pathways for “Indigenous, Black and Equity-Deserving” groups.

What exactly is an equity-deserving group? It’s almost any identity group you can imagine – that is, except those who identify as white, straight, cisgender, straight-A, middle- and/or upper-class males.

To further facilitate this grand plan, TMU has eliminated the need to write the traditional MCAT exam (often used to assess aptitude, but apparently TMU views it as a barrier to accessing medical education). Further, it has set the minimum grade point average at a rather average 3.3 and, “in order to attract a diverse range of applicants,” it is accepting students with a four-year undergrad degree from any field.

It’s difficult to imagine how such a heterogenous group can begin learning medicine at the same level. Someone with an advanced degree in physiology or anatomy will be light years ahead of a classmate who gained a degree by dissecting Dostoyevsky.

Finally, it should be noted that in “exceptional circumstances” any of these requirements can be reconsidered for, you guessed it, black, indigenous or other equity-deserving groups.

As for the curriculum itself, it promises to be “rooted in community-driven care and cultural respect and safety, with ECA, decolonization and reconciliation woven throughout” which will “help students become a new kind of physician.”

Whether or not this “new kind of physician” will be perceived as fully credible, however, is yet to be seen. Because of its ‘woke’ application process, all TMU medical graduates will be judged differently no matter how skilled they may be and even when physicians are in short supply. Life and death decisions are literally in their hands, and in such cases, one would think that medical expertise is far more important than sharing the same pronouns.

Frankly, if students need a falsely inclusive environment where all minds think alike to feel safe and a part of society, then maybe they aren’t cut out to become doctors who will treat all people equally. After all, race- (and other-) based admissions will inevitably pave the way to race- (and other-) based medical practices, which will only further the divisions that exist in society. You can’t fight discrimination with more discrimination.

It’s ridiculous to use medical school enrollments as a means of resolving issues of social injustice. However, from a broader perspective, this social experiment echoes what is already happening in universities across Canada. The academic merit of individuals is increasingly being pushed aside to fulfill quotas based on gender or even race.

One year ago, the University of Victoria made headlines when it posted a position for an assistant professor in the music department. The catch is that the selection process was limited to black people. Education professor Dr. Patrick Keeney points out that diversity, equity and inclusion policies are reshaping core operations at universities. Grants and prestigious research chair positions are increasingly available only to visible minorities or other identity groups.

Non-academic considerations are given priority, and funding is contingent on meeting minority quotas.

Consequently, Keeney states that the quality of education is falling and universities that were once committed to academic excellence are now perceived as institutions to pursue social justice.

Diversity is a legitimate goal, but it cannot – and should not — be achieved by subjugating academic merit to social experimentation.

Susan Martinuk is a Senior Fellow with the Frontier Centre for Public Policy and author of Patients at Risk: Exposing Canada’s Health-care Crisis.

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