Canadian Health Care and the Waiting Times

When the Commonwealth Fund surveyed Canadians a few years ago to find out about their experiences with wait-times in the Canadian Health Care System, some awkward home truths emerged.

As the results were analysed, what became clear was that waiting periods for doctors’ appointments and elective surgery are too long. They are long enough to cause alarm in those complacent Canadians who claim that our system is perfectly functional. The numbers tell a different story.

The Commonwealth Fund study took survey data regarding wait times from 12,000 people in the United Kingdom, the Netherlands, New Zealand, Australia and Germany. These countries, like ours, have universal health care systems. The parameters of the survey were therefore valid, rendering it a useful tool for comparing our country with the others surveyed.

Tony Peter Clement Was a Canadian Minister of Health Between February 6, 2006 and October 29, 2008, Photo by World Economic Forum, Wikipedia

Tony Peter Clement Was a Canadian Minister of Health Between February 6, 2006 and October 29, 2008, Photo by World Economic Forum, Wikipedia

And Canada came in dead last. We wait longer than the people in those other countries to see our doctors when we call for a doctor’s appointment. Thirty percent of Canadians surveyed, revealed that a six day wait is about average. And Canadians are the most likely of those surveyed to head to the Emergency Room as an expedient way to get medical treatment. Then, once we have a diagnosis of an operable disorder, fifteen percent of us wait for six months or more for elective surgery. Around sixty six percent of respondents reported difficulty in obtaining night, weekend and holiday care. When these findings were announced and discussed in Washington, there were some questions raised in Ottawa.

Canadian Health Minister Tony Clement commented, “The report indicates that Canadians are saying the same thing to politicians that they’re saying to the Commonwealth Fund: access to physicians and access to medical services has to improve.” That’s an encouraging sound byte until you hear another piece of Clements’ wisdom. When confronted with the dismal safety records of Canadian hospitals he says, “That bolsters my opinion that Canada does have to lay an emphasis on patient safety.” What passionate commitment to change! I’m sure that the 28% of Canadians surveyed who reported that they had suffered a medical mistake or medication error would echo that sentiment.

With about one eighth of Canadians surveyed, reporting that they had to spend over $1,000 annually on medical care, perhaps we should look again to the words of Tony Clement for hope of reduced personal medical expenses in the years to come.

On the plus side, when it comes to access to care without extra payment, Canada stands out very well among the top of the nations. That’s certainly a value that Canadians treasure.”

If it’s really such a treasure, why did 60% of the people interviewed say they felt that Canada’s Health System needs more than a check-up? They say it needs major surgery.

There’s no readily available “perfect example” of how to run an efficient health system. Those who jump on the privatization band wagon may not be aware that the other countries surveyed spend less than half of what the US spends on medical care. That’s a glaring example of how an almost totally privatized system will outspend all estimates, while under-serving the population.

I hope Mr. Clement remembered to pack a copy of the report with the rest of his belongings when he caught his flight home from Washington. Maybe he’ll re-read it at home, out of the spotlight, and resolve to address some of the alarming issues which it raises.

Ten Questions That Keep Me Awake at Night

#1 Question That Keeps Me Awake at Night

Why doesn’t the Flat Earth Society put up warning signs to prevent the rest of us from walking or sailing off the end of the world? If they truly believe the earth is flat, it seems like the least they could do for all the skeptics would be to ensure proper signage.

#2 Question That Keeps Me Awake at Night

Why don’t school boards provide crossing guards with cameras to snap pictures of vehicles driven by people who refuse to slow down and stop for kids trying to cross the road? Wouldn’t this reduce the number of close calls and accidents around schools?

Sleepless at Night, Photo by Hermes, Flickr

Sleepless at Night, Photo by Hermes, Flickr

#3 Question That Keeps Me Awake at Night

Why isn’t there an optional questionnaire attached to birth certificates to ensure that everyone knows who their parents are? Adoptions and sperm-donor babies would need to be handled differently, of course. Don’t worry that this would kill the popular hobby of genealogical research. There are always going to be huge gaps to be filled in, from years gone by.

#4 Question That Keeps Me Awake at Night

Why don’t the rocket scientists of the world get together and figure out one measurement system for use in the kitchen? It’s a struggle for the math-challenged among us to bake and cook when we’re constantly switching between the Metric and Imperial systems. Why can’t someone come up with a new, universal system, using a new measurement entirely? They could call it the Newly Ordained Fully Universal System (for) Simplifying Nutrition or No Fuss’n for short.

#5 Question That Keeps Me Awake at Night

Why can’t we end World Hunger? Everyone I know would happily give a sizeable, mandatory annual donation if they could only be guaranteed never to have to look at any more heart-rending ads about starving children at suppertime. This would need to be a new program which had been hammered out by the G7 nations and enforced by all. Surely it’s not impossible?

#6 Question That Keeps Me Awake at Night

Does anyone know if those little headlight “windshield wipers” really exist, or is it only in James Bond movies? Canadian Tire doesn’t have them! They’d be great in mud and snow, for rural dwellers.

#7 Question That Keeps Me Awake at Night

How can I legally drive my car into town? I bought an ’81 Honda at the car auction two years ago. I’m a short person, and I need the seat all the way forward. Seatbelts were shorter in 1981, and it won’t fit around me with the seat so far forward. I tried to buy a seatbelt extender but they are no longer sold because of liability concerns in case of lawsuits. I called all the body shops in town, and the wreckers. No luck. I even went into the Honda dealership, but they said there are none available from Honda. I thought I might drive it to the cop shop and throw myself on their mercy. But would they ticket me, as seatbelts are mandatory here? How did I get it home from the Auction? I’ll never tell!

#8 Question That Keeps Me Awake at Night

We’ve all heard of “boomerang kids” who find living on their own too expensive and opt to move back into the empty nest. But does anyone else have boomerang dogs? I sure do. These are the mutts which kids own before leaving home. They take the pooch with them when they go, but, for any number of reasons, they bring it back soon after. They assure their tight–lipped parents that this is only a temporary arrangement. When their circumstances allow, they’ll be back to pick up Rover. Then, after handing over a neatly printed sheet of instructions regarding feeding and exercise, (like we don’t know!) they’re off to get on with their lives. There are more baby-boomers out there struggling with geriatric dogs than you may have noticed. Just watch for frail elderly people struggling with 50 pound bags of dog food. Watch for middle agers being dragged through hedges by big unruly dogs. You’ll see seniors, wrangling unsuitable dogs, if you look. Anyone else dealing with this?

#9 Question That Keeps Me Awake at Night

Does anyone know of a Canadian webcam positioned to broadcast pictures of Bigfoot? Like the NessieCam in Scotland, you know.

#10 Question That Keeps Me Awake at Night

Who killed J. R.? No, really, I’ve forgotten.

Charles Stewart Parnell and the History Behind the Word Boycott

When you withdraw your support, patronage, respect, attention and involvement from an event, you are boycotting it. But where did that expression come from? What is the origin of and the history behind the word boycott?

The Irishman by the name of Charles Stewart Parnell (1846 – 1891) was a landowner and politician. He came from a distinguished family, even having links to royalty. Despite his comfortable personal background, he upheld the rights of the impoverished Irish tenant farmers. It was common in those days for absentee landlords to evict tenants when they were unable to pay the originally agreed-upon rent. These hard hearted managers would also announce huge rent increases and brutally enforce evictions when the tenants could not pay.

Charles Stewart Parnell, Photo by Mathew Brady and Levin Corbin Handy, Library of Congress ID cwpbh.03648

Charles Stewart Parnell, Photo by Mathew Brady and Levin Corbin Handy, Library of Congress ID cwpbh.03648

Charles Parnell was in favor of land reform. He advocated the strategy of refusing to leave when evicted, and of standing firm against all attempts to be dumped homeless into the countryside. Charles Parnell promoted the idea that landlords who refused to be fair enough to lower prohibitively high rents, should be ignored and cold shouldered by his supporters. Likewise, people who moved into the empty homes of evicted peasants were to be ostracized and ignored. These were strong tactics, and naturally there was much opposition to this system. Parnell’s words struck a chord with the tenants of the big estates. They extended their “cold shoulder” tactics to the agents who carried out the work of the absentee landowner.

The Earl of Earn in County Mayo was an absentee landlord who held vast properties in Ireland. In 1880 the Earl hired an experienced military man to act on his behalf on his Irish estates. That man was Charles C. Boycott. His dedication to his employer’s interests was such that he followed his instructions to raise rents and to evict tenants to the very letter. Parnell’s Irish Land League became involved, and Charles C. Boycott and his family soon found themselves completely isolated, and barely able to survive. Their servants all quit – both the farmhands and house staff. When Boycott tried to go and buy provisions for himself and his family, no one would sell to him. His household was even refused mail delivery.

This concerted ostracism of the Boycott family was further aggravated when the crops were ready for harvesting. The locals refused to do this seasonal chore. The landlord would have suffered financial consequences if the crops were left to rot in the fields. Although 50 men from outside the local area offered to harvest the crops, they had to be protected and escorted by a force of 1,000 policemen and soldiers. Parnell had specifically insisted that violence was not to be a part of the isolation tactic. We’ll never know if violence was ever likely. None took place. Needless to say, these security services cost more than the amount realized by the harvest.

Charles Cunningham Boycott (1832-1897), Caricature by Leslie Ward for Vanity Fair Magazine, Image in Public Domain

Charles Cunningham Boycott (1832-1897), Caricature by Leslie Ward for Vanity Fair Magazine, Image in Public Domain

The outrage caused by this entire episode was reported far and wide, and Boycott’s name began to be associated with the withdrawal of all social and business contact from a person or organization. By November of 1880, the Times used the term “boycott” with the meaning that it has today.

The term Boycott has now grown and widened to encompass many different situations. The boycott is used to make a point in labor disputes, as well as to highlight perceived social injustices. I’m sure the people who still bear this name look toward their famous ancestor with mixed emotions.

Robert Bateman – The Power of Negative Thinking

In Strathcona county, near Edmonton, the tar-sands are yielding to twenty-first century demands. The valuable fuel which has been present there for so long cannot fight back against investor hunger and consumer waste. Enter Gateway Initiatives. Their plan to ship oil from the Athabaska Region to Kitimat has prompted some near panic in the Environmental movement. Because the oil doesn’t stay in Kitimat. The plan is to ship it in oil tankers south through the Douglas Channel’s spectacularly awesome waterway.

Robert Bateman Unveiling a Sign Naming a Parkette in Toronto, Ontario After Him, Photo by Paul Henman, Flickr

Robert Bateman Unveiling a Sign Naming a Parkette in Toronto, Ontario After Him, Photo by Paul Henman, Flickr

People who care about preserving the pristine wilderness areas of Canada are worried that oil spills are inevitable, and following them, habitat comprise and wildlife extinctions are inevitable. Earth lovers have nightmarish visions of oil spills happening on average every three years. The Dogwood Initiatives website serves as the repository of much of the statistical and anecdotal pictures of the harm that could be unleashed by regular oil tanker traffic.

Robert Bateman is one of Canada’s treasures, blessed with the gift of bringing wild creatures and scenes to life on canvas. His pictures are stunning, as is the price of his creations. The public cannot ever get enough of his work, and many are willing to pay steep prices to acquire a genuine Bateman. So, when Bateman loaded up his black paintbrush on March 24th 2010, and obliterated a beautiful scene with orcas swimming freely, it made no sense to me. This was his protest against the proposed Gateway initiatives. He fears oil spills and their aftermath, and obliterated one of his pictures in protest. It was a sad sight.

Broadcast on the Dogwood Initiatives website, the video shows Bateman engaged in smearing his breathtaking artwork with stroke after stroke of ugly blackness. This form of protest is lost on many people who feel that two negatives do not make a positive. I am one of them. It just makes no sense.

Bateman wants to protest an action which he feels may harm the environment. So he destroys something that is a depiction of that environment in an effort to draw attention to his condemnation of the imminent threat. But the painting he destroyed was probably worth a considerable sum of money. If he had auctioned it, or raffled it, or simply sold it, he could have used the money to set up his own campaign against the Gateway Initiative. The result of this type of protest is usually lost on those not present when the deed was done. To counter this disadvantage, the whole thing can be seen on the Dogwood Initiatives site at any time. But it still rings hollow for me.

When all’s said and done about this protest, we’re left with an intact oil tanker shipping plan and a very ugly canvas. If the picture had been used as a money-making tool to swell the Anti-Gateway lobby’s coffers, we would still have the picture, and the funds to hold public information events, debates and presentations which would inform the public about the Dogwood agenda.

I feel that Bateman’s actions, though well-intentioned, were ultimately ineffective. I quite understand the symbolism involved in obliterating that lovely, natural scene with an oily overlay. I do not understand how Bateman’s actions will help change government minds or in what way it will increase public knowledge about a perceived environmental danger.

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How I Saved Water Using Dishwasher and Wasted it Attempting Hand Washing

Since Al Gore and others have become so vocal about global warming, we, the people roaming the earth feel responsible for the ecological sins of the previous inhabitants of Sun Planet Number Three. Apparently those uninformed wretches went around despoiling resources both knowingly and otherwise, reducing our planet to a mere husk. Species are disappearing, ice caps are melting, earthly resources are diminishing, and we humans are stuck with this dreadful knowledge.

Everyone who draws breath is being accused by everyone else of using up too much air, too much water and of creating outrageously huge ecological footprints. Anyone who claims to have an environmentally friendly idea is given a podium from which to chastise the rest of us. Enough, I say!

In My Case, Washing Dishes by Hand Wasted More Water than by Using a Dishwasher, Photo by Piotrus, Wikipedia

In My Case, Washing Dishes by Hand Wasted More Water than by Using a Dishwasher, Photo by Piotrus, Wikipedia

Let’s take a look at how some of these well intentioned save-the-planet ideas play out for the regular, everyday, guilt-ridden person.

The politically correct way of washing dishes is to soak them first, then wash them in one sink and rinse them in the other. To dry them, we are told to leave them on the draining board where they will air-dry. We must stop rinsing dishes under running taps then using dishwashers to wash and dry them. We’re asked to feel waves of smugness about being eco-friendly by doing the dishes the correct way. Two sinks full of water leave a fainter “footprint” than a dishwasher does when roaring through untold gallons in the wash cycle, and draining the power grid in an effort to dry and sterilize them. Theoretically, yes, washing dishes by hand makes sense. In the lab, possibly it would be a much superior idea. At my house… not so much.

I decided to try this system of dishwashing last week. On Sunday night I put the supper glassware and cups to soak in the left kitchen sink. I left them soaking in very hot soapy water. They were going to be the first of three loads. I planned to fill the right hand sink with fresh hot water for rinsing. The dishes were then destined to be air dried on the dish rack to the right of the right hand sink. I was pleased with the idea of such economy of water and effort. I stretched out on the couch to let the water cool off.

But I fell asleep. I awoke to the sweet sounds of a TV saleswoman who was suggesting that I should lose at least thirty pounds before Valentine’s Day. With that idea in mind I went to bed without seeing what snacks I could find in the kitchen. The dishes went undone, forgotten.

My morning routine barely allows time for getting dressed so dish-washing was hardly an option. Off I went to work, leaving others to fry up the bacon and eggs. In the evening I drained the soak water out and put in another sink full just before we sat down for supper. The meal done, the dishes in the sink were sitting in lukewarm water, with globules of breakfast fat floating on top. I hadn’t noticed that someone had put a bacon dish under the cups before leaving this morning.

So far I’d used two sinks full of water and I speedily drew another so that I could wash the first load. Everything went smoothly. I rinsed load one and put it onto the draining board to dry. With the fresh washing water and the first rinsing water, I was now up to four sinks full of water in total. Into the suds went load two. Wash, wash. Rinse, rinse. No problem.

Then a telephone call kept me out of the kitchen for half an hour. “With regard to your last bank visit, how would you rate your experience on a scale of 1 to 5 ———–?” I needed two more sinks full of water to do the platters, pots, and wipe the stove.

This dismal attempt to save water and time by hand washing my dishes was a failure on every front. I had used six sinks full of water instead of the four that I should have used. I had left particles of food decomposing in my sink for over twenty four hours. Heaven knows what life forms developed in our kitchen that day. I decided that the dishwasher was a much more sanitary way of doing dishes, and have no shame in admitting that in future I will stuff that machine full of dishes, as suggested in the eco-friendly literature. I will switch the machine off before the drying cycle, open the dishwasher door to let them air dry.

Does anyone manufacture pleasing, bio-degradable, inexpensive dishware, designed for one time use? Just asking!

5 Disasters to End the World

Why are we fascinated by apocalyptic stories? For some reason, we’re horrified and yet drawn to end-of-the-world scenarios. Here are five possible ways our planet will meet its doom.

Earth Tilt

Diagram of Earth's Axial Tilt, Image by Dna-webmaster, Wikipedia

Diagram of Earth's Axial Tilt, Image by Dna-webmaster, Wikipedia

Doomsday meteors have been part of our world’s myths forever. But what if a meteor hit earth that wasn’t large enough to cause complete devastation – but just big enough to change the tilt of the earth’s axis? Our solar system is very delicate balance: every body exerts a gravitational pull on every other body. If our planet’s axis shifts just a bit, it would soon wobble completely out of control, spinning towards the sun, the moon, another planet, or simply off into space. Not to mention the melting of the ice caps and death of nearly living thing in the interim.

Super Volcanic Eruption

Yellowstone Caldera - Supervolcano That Could End the World, Photo by Ed Austin/Herb Jones, US National Park Service

Yellowstone Caldera - Supervolcano That Could End the World, Photo by Ed Austin/Herb Jones, US National Park Service

Supervolcanoes are relatively new to scientists. There are only five known in the world. When the last supervolcano erupted in Indonesia in 1815, it changed the entire climate of the region, caused massive devastation, and killed nearly everyone in the area. That supervolcano is dwarfed by the one underneath Yellowstone National Park in California. Scientists predict when that volcano erupts, it will trigger the eruption of all the other supervolcanoes and a number of smaller ones. In other words, our planet will be one massive lava pool.

Nuclear Annihilation

Mushroom Cloud of the Atomic Bombing of Nagasaki, Japan, Image Source: US National Archives

Mushroom Cloud of the Atomic Bombing of Nagasaki, Japan, Image Source: US National Archives

Although the possibility of everyone dying in a nuclear winter seems remote, it wasn’t too long ago that it was a plausible scenario. The Zone of Alienation surrounding Chernobyl offers a chilling glimpse of what life after nuclear holocaust would look like. There are still nuclear warheads around the world unaccounted for, and terrorism is on the rise. Those quaint bomb drills of the 1960s don’t seem quite so antiquated now, do they?

Freeze to Death

Could Global Freezing Turn Whole World Into a Place Like Lake Fryxell in Antarctica? Photo by Joe Mastroianni, US National Science Foundation

Could Global Freezing Turn Whole World Into a Place Like Lake Fryxell in Antarctica? Photo by Joe Mastroianni, US National Science Foundation

There are two ways this scenario could come to pass. One is that our sun will eventually fizzle out. As it dies, our world will be become colder and colder, until eventually all life will die away. The other is that global warming will melt the ice caps, disrupting the natural heating and cooling flows of the planet. The results would be largely the same, but global warming would be much more likely to occur in our lifetime.

Biohazard

Could a Biological Disaster Bring Upon the End of the World as We Know It? Photo by William Rafti Institute, Wikipedia

Could a Biological Disaster Bring Upon the End of the World as We Know It? Photo by William Rafti Institute, Wikipedia

We may all die from an epidemic, triggered naturally or released by terrorists. There could be any number of diseases spread, from the mundane to the truly horrifying. Where nuclear wars were the fear of the Cold War, bio-terrorism is the fear in our era.

Victorian Christmas Without the Rose-Colored Specs

Every year around Christmas something which I find puzzling starts to happen to the otherwise urbane and unemotional people around me. They start to honor, mimic and well- nigh worship all things Victorian. But the Victorian England that they seek to recreate never existed. It is a product of their own imagination about how people acted in the last half of the nineteenth century. It is the result of some of the most maudlin of Dickens’ writings, of early Hollywood interpretations of those writings, and of the human tendency to yearn for an idealized past. The yearning is genuine, and it is perfectly true that Victorian society loved Christmas. But the idea that 19th century Londoners set unattainable standards for proper Yuletide behavior is not supported by the facts.

Victorian Christmas Card with Flower Design - Photo by Black Country Museums, Flickr

Victorian Christmas Card with Flower Design - Photo by Black Country Museums, Flickr

When Victoria became Queen in 1837, the celebration of Christmas in London was barely noticeable, and was mainly enjoyed by the victorious Captains of the Industrial Revolution. Everyday folks were too busy trying to eke out a living. There was no provision for the factory workers to have time off in order to celebrate the event. Christmas was largely ignored.

It took Queen Victoria many years to introduce many of the activities which we now think of as essential parts of the Festive Season. Gradually, with the introduction of Christmas trees, cards, gifts, carols and obligatory family gorge-fests, regular English people joined in with the popular new Christmas activities. They have repeated them ever since, adding to them and inventing more. So we tend to think that if we could be transported in time back to those merry times, our enjoyment would reach new heights. I have a different view, however.

If a person were to be transported from 2008 in North America to Victorian England between 1837 and 1901 (Victoria’s reign,) he would immediately become disillusioned about the pretty Christmas scenes that we so admire today. His senses and sensibilities would be offended by the unsanitary, disease-ridden people around him, and he would soon realize that his rose tinted glasses had obscured the truth about the lives of London’s inhabitants. The 21st century visitor would be assaulted by the information gathered immediately from his 5 senses.

He would see people with all manner of physical deformities and infectious diseases. The sights would include the war veterans who were missing limbs, the survivors of industrial accidents, children barely clinging to life because of poverty, starvation and lack. Also visible would be the prostitutes and other desperate beings, clinging to life by any means, enduring the cold shoulder of their more fortunate city dwelling contemporaries. But closing his eyes would not deliver him from his uncomfortable sensory experience.

He would still be able to hear the roar of the city, which ceased only for a few overnight hours. The roar would be partly caused by the shouts of carriage-drivers as they made their way through the muddy ruts and around jaywalkers and street vendors. The distant hum of factories and mills would add to the aural tapestry. Dogs and horses would add their voices to the uproar, protesting their place at the bottom of London’s food chain. Housemaids would be screeching at the street urchins who tried to hang around the well-to-do Londoners’ back doors.

The sounds would assault the visitor’s ears, and he may dive into a pub for some quiet. Yes, the sounds are more muted in here, except for the two old sailors in the corner who are arguing some point over a shared pint. As he sits in a corner, Mr. 2008 would become aware of the unpleasant odors around him. Although almost empty, the pub holds the left-over funk of the many unwashed bodies which have sheltered there from the dampness and noise over the last two hundred years. The sawdust on the floor is filthy enough to have been sprinkled on the floor on opening day! The traveler may feel his stomach heave, and taste the gall in his throat. He may rush outside where the noise, the sights and the smells would assail him anew. So much for those romantic Christmas cards showing snowy London streets where smiling ladies in fancy bonnets hurry up and down the row of shops, serenaded by carolers. They’d have needed earplugs. Oh! Maybe THAT explains ear-muffs!

In a final attempt to experience the wonder of a Victorian Christmas, the traveler may insert himself into a family Christmas dinner in progress. He probably would sense what seems like a vague decomposition taste in the turkey meat. This is because he cannot forget that it has hung in the butcher’s window, unrefrigerated, for a week. He finds a fingernail in his soup and an unidentified crusty spot on his wine glass. Oh, will this experience never end?

He would no doubt try to leave this cesspool of unidentified toxins but be obligated to shake the hands of all the gentlemen in the room. He feels that all of his handshaking has ensured that his palm is now crawling with bacteria, germs and general crud. How he would long to be back in his own time, away from the unsanitary Victorian environment. How he would crave the simple predictability of eating properly refrigerated foods off dishes fresh from the dishwasher.

Fearing that he’s about to have an all too personal an experience of Victorian funereal customs, he would wish himself back to the twenty-first century. Never again would he crave old London’s unsanitary, disgusting Christmas torture! Hurrah for our low- class, redneck Christmas ways. Beer and pork-rinds, coming right up!