If the government medical system does not function because of over inflated bureaucracy, patients will be killed. Unnecessarily. One of the biggest problems is the shortage of family doctors, or general practitioners, who are doctors with a medical degree. Specialists apparently we have. But wait times are years. For a large population of senior citizens this does not bode well. The system on Vancouver Island is driven by the Vancouver Island Health Authority, now operating within a so called electronic TRIAGE system.
[ https://www.viha.ca/about_viha/news/news_releases/psa_cdh_ed_24feb16.html ]
There are several “arms” to this triage system: One is a variety and number of Walk-in Clinics in various locations; the second is 911 Emergency for hopefully some hospital (preferably not on weekends when most accidents occur); the third is an Ambulance system operated by a private company. The last on this list is: See your doctor. Wishful thinking. I never found out in fifteen years in Victoria, Vancouver Island, which doctor they refer to.
Walk In Clinics: The majority I know and have seen sprouting up over time have closed down, moved, or when there really is an emergency, cannot accommodate patients, because of the absence of enough doctors. One of the now available services are http://www.ehealth.ca for patients to allow access to their lab results.
Besides managing myself and relying on medical study and information research, gathered from very reputable world class clinics
[ http://www.mastersinhealthcare.com/blog/2011/10-most-prestigious-medical-centers-in-the-world/ ], I have been let down too many times by clinicians at the local clinic that I had frequented now for ten years in Victoria, resulting in mostly self-management, as well as paying for (health care covered) treatments out of my own pocket.
Strangely enough, some of those nurse practitioners assume the title of Dr. without having any medical degree, or they are referred to as Medical Doctor (by the system) without correcting this. [Check with the College of Physicians and Surgeons, this is a No/No.]
Examples of personal horror stories over the years include: Fractured metatarsal foot — form for assistance to get to hospital DVT clinic/large blood clot, sent to Vancouver instead of Victoria where I reside. Severe osteoporosis needing every 3-year BMD test — form sent to Timbouktou ?, indicating low priority. Medical fitness form for Ministry of Justice for drivers license — exam paid by me $100 to doctor, but test done by some temporary nurse, who among others took one blood pressure only instead of several, while during the test try to chat with me and upset me, outcome was elevated blood pressure.
Rotator cuff and shoulder injury two years ago — getting me into a program of corticosteroid injections and see a physiatrist who suggested to sell me more of those steroids, after a large tear in my tendon had been confirmed. Thanks, but no thanks ! My right arm/shoulder is now disabled. I personally have yet to see the MRI images, showing the large tear in the supraspinatus/tendon, done June 2017.
Just recently, when mentioning that a certain condition that I have and am sure about (comparing the images on the Internet, published by the Mayo Clinic), I was told “Sorry, I am not familiar with this condition”, and next (and I quote): “I do not look at the Internet.”
It is appreciated that clinicians go by the health care rules. However, we all know that every minute of every day some new discoveries are being made especially in the medical field. We also all know that all useful information that has helped so many for so many years is coming to us via the Internet. One only needs to rely on all the NO FAKE news and research. I usually rely on the best world wide known and respected clinics, such as for example the Mayo Clinic, John Hopkins [ https://www.usnews.com/info/blogs/press-room/articles/2017-08-08/us-news-announces-2017-18-best-hospitals ]. (Myself having graduated from an old very reputable ivy league college in the USA, and specializing in information systems research.).
And today’s doctors whose main goal is to advance medical research in practice all use the Internet. To also inform the public. [ https://getreferralmd.com/2017/01/17-future-healthcare-technology-advances-of-2017-referralmd/ ]. So, if anybody tells me “I do not look at the Internet”, I am not only scared, but very sorry.
Again, what’s this Triage system about ? Regulations, forms, unavailability during weekends, or personal opinions by clinicians, or worse, yet, personal opinions about patients themselves ?
I wish I had studied medicine full-time, but still cannot look up my own behind, needing a medical professional and equipment for this.