Health Care

This entry is part 2 of 13 in the series health care

It might become boring, but I think I am on a personal crusade, in regards to health care.

There are many who believe in Private Health versus National Health, versus Univeral Health. And there is a difference between National & Univeral Care, in case you were wondering.

Why?

I suppose the simplest answer is, that I am now 54 years old, and mother is 92 years old. And HER health is not getting better, so my inter action with our health services is growing. In other words, I am not a Doctor, nor a Nurse, and my involvement with our Health Care is from the perspecitive of one using it

Maybe that makes a difference, maybe not. The point is, at some point in everyone’s life, they are going to need health care. If you are young, just starting out, you may not think you will, but rest assured, YOU WILL.

For example did you know that Canada is ranked  THIRTY (30) in the world, and the giant to the south of us, the United States is ranked THIRTY SEVEN (37) ? ( source )

After spending some time just yesterday, in our emergency care system, I can honestly tell you, that growing old, is not something our health services knows how to deal with. And let us be honest, WE ARE ALL GOING TO REACH THAT STAGE OF LIFE.  The point is, we do not treat our Seniors with respect, with dignity. We treat them, and most other patients, BY THE NUMBERS.

To me, that somehow seems wrong.

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Balanced Health Budgets

This entry is part 1 of 13 in the series health care

It amazes me how Politicians cannot see the trees, because of the forests. To them, balanced books, seems to mean that each department has to be balanced. And yet, that is really an impossibility, given that any budget, is a forecast of expenses & revenues.

No budget can truly take into account the future, or we’d all be millionaires, by playing the stock market. Oh wait, isn’t that what caused all this crapola in the first place? Greedy stock brokers, pushing corporate interests ahead of real facts, & figures? Or maybe it was just, well, the poor slob who didn’t read his mortgage document carefully, or realize that the price of gas would climb by 300% in a blink of an eye?

Up here in Lotus Land, the VIHA ( Vancouver Island Health Authority ) announced that we can expect higher user fees, greater wait for elective surgeries like gall bladder, and the selling off of selected assets. ( see Times Colonist for details ) Course, they say it won’t affect patient wait times, like at emergency waiting rooms.

I suppose that is because the chairs are already filled, & they simply don’t want to buy more dumb ass metal benches for patients to wait on, until treated.

The longer this ‘downturn‘ continues, the greater the demand will be for health care. It is a simple fact, & yet our elected leaders believe that cutting costs, selling off assets, is how to solve our fiscal crisis. It makes NO SENSE to sell off lands, adjacent to hospitals, that WILL be needed for expansion, as the population increases.

It is this so called ‘Conservative Fiscal Policy’ that leads to long term debt, and increased operating expenses. If we OWN the land now, selling it off to meet current shortfalls means, that when it comes time to expand, WE WILL PAY MUCH MORE.

True fiscal responsibility means in protecting our current investment, and in insuring we get value for every single dollar spent. Now I don’t know about you folks, but I want physicians & support staff to GIVE A DAMN ABOUT THE PATIENT.

It is nice to socialize on the job, nice to be busy too, but not at the price of the patient. Too much is being spent on fancy new gizmos, new forms and paperwork, while the patient is left out in the cold.

Cut the remodel of cabinet ministers offices, cut the paint job for buildings, but to sell off land, is just plain stupid. It is reckless, and frankly, smacks more of a political payoff, than of prudent fiscal policy.

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Beacon Community Services

This entry is part 3 of 13 in the series health care

Who are they? 

I haven’t a clue really, but they are the firm contracted by the Government of British Columbia, to provide in home support for elderly people. You know, the workers who come in to help a person get a bath, get dressed if they can’t do it.  Depending on your income level, the services are paid for by the Government.

This is the case with my 92 year old mother, Annice.

For some time now, we have had them send someone to help her wash up, twice a week. Every Tuesday & Friday. The permanent worker on Friday, was super, and Mom looked forward to her arrival. She was good, knew her job and did it well. The one’s showing up Tuesday were a bit less than ideal, but on July 14th, things got more complicated.

Mother broke her wrist in a fall in the home.

At the Royal Jubilee Hospital, the community laison worker suggested we get home support in for the mornings and night, to help mom dress & get ready for bed. It was a helpful suggestion, because frankly, a woman of 92 with a cast, isn’t going to do all that on her own. She is frail as it is.

And that worked out good. Each morning, someone has shown up and helped, at night the same thing. Today was bath day, and Mom was once again looking forward to Wanda coming, to help her afternoon bath.  Eager is the word I’d use, because as a son, I can only do so much. A woman’s touch, voice, all helps.

1:30pm and NO Wanda.

In contacting the people at Beacon, they claim the service was cancelled. Like isn’t that nice to suddenly find out. A phone call would have hurt?  But hey, it gets worse, because they say it was cancelled by the Hospital Laison worker.  In reading me the notes of the call, there is NO MENTION of such cancellation. Nor did I instruct the laison officer to make any such cancellation.

In the meantime, I also find out that each worker is supposed to be here for an hour, and that it is for 2 weeks only. So that is interesting, given that I would expect a 92 year old to heal in 2 weeks from a displaced fracture of her wrist.  After all, don’t us younger folks heal faster? Bet if you broke your wrist, you’d be able to use it in what, a few days, week tops?  NOT!

There is a community case worker as well, who I was in touch with on Wednesday, the day after the experience at the hospital. Strange, but no return call from her either, as she was going to check with the hospital laison worker, and get back to me. And yes, I know they are busy, but this is now Friday.  Enough time to call to say she is working on it, or something.

But then again, maybe not, given that her voice message today, said she’d be out of the office July 10 to July 13.  Funny, today is July 17th. You would think, that any service being cancelled would be made known to the client. And that too, irks me. Why are they calling them clients, when they are patients? So it is easier to disassociate one’s self from the fact that these are elderly people, who need compassion, as well as care?

Elderly people have trouble enough maintaining their dignity. Now here comes the B.C. Government and foists its care of elders, onto a private firm, whose bottom line is, to make money. That is so wrong, in so many ways, that I won’t even begin to detail it, yet.

Fact is, that Beacon Community Services made an assumption, or if they didn’t, then the Laison worker did, who doesnt have her case history. I rather doubt that a Laison Officer in the hospital even has the authority to cancel existing services, unless the patient is being admitted to hospital. So to my warped mind and some common sense, the problem is at Beacon.  Naturally they won’t admit to that.

Reality is, that our society today doesn’t seem to give a damn about the older generation, and the real problem is, WE ARE ALL GOING TO BE OLDER, THINK ABOUT IT.

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Cost Sharing Means

This entry is part 4 of 13 in the series health care

I think that is the new buzz word, for politicians.  COST SHARING.

Just WHO is going to SHARE in the COST?  Local Governments? Federal Government? OR US, THE USER?

The stink about proposed health services cuts, in the Fraser, and elsewhere, has resulted in where the Fraser Health Authority is saying that first, they look for Cost Sharing & Administrative Effeciences, before looking at cutting services.  Fancy talk, but what does it really mean? 

SELLING OFF OF ASSETS?

Cost-sharing and administrative efficiencies are the first place the health authority will look for savings, but he can’t rule out cuts to services, said Murray. ( CBC News )

To begin with, as I have said, since when does HEALTH CARE need to show a profit? I agree, it needs to be effecient, but what we have now, is far from that. We have a system that is constantly growing, while we shrink offered service. Like casts for those with a broken bone or two. Oh sure, we can give them the heavy plaster cast, but the new lightweight one, that makes it easier to use, is even more waterproof, COSTS EXTRA

I don’t know, if the patient is the center of the system, for health, why are their needs ignored, and yet staff, administration, all take front row? Why does it come down to how many paper clips are used, or saved, before the comfort of the patient?

In my opinion, we are approaching health care the wrong way. We are looking at how to save money, instead of how to improve the system. We need to committ to either National Health Care, or to Private Health Care, which is for the rich. Private Health seems to be the way Government is trending, not because it is more effecient, not because it is better, but because it satisfy their need for campaign funds.

IF we truly want our system to work, we need to make Nursing a profession again, a calling. Same goes for Physicians, and other Health Related Jobs, like lab technicians, and yes, even Orderlies.

Today, these are simply jobs, categorized as high paying, so that is where the bean counters go to cut corners. They don’t realize that cutting out a lab technician, means 10 or 20 less patients can be xrayed, or have their bone denisty measured. They don’t realize that cutting an orderly down per shift, means Nurses have to change bedpans, or make beds. TODAY taking a few years to get a degree, isn’t a free ride either, to a huge bank account, to buy a new car every year, and have a summer home and winter home.

TIME TO CHANGE OUR ATTITUDES PEOPLE, WE ARE ALL GOING TO NEED HEALTH CARE.

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Impact of Money Over Health

This entry is part 5 of 13 in the series health care

The news is full of it here, today, about the announcement of deep cuts into the services being provided by VIHA (Vancouver Island Health Authority) which is responsible for the National Health Plan, for Vancouver Island. The cuts include more PRIVATIZATION OF SERVICES, FACILITIES, along with staff cuts, restrictions, and oh yeah, selling off of assets.

Things like cuts to how many MRI’s will be performed, is one thing, while now the Meals on Wheels program will see people, who got it for free, pay $6 a meal.

This is not a new issue, really, but since the rise to power of people like George W. Bush in the USA, and our own Stephen Harper, we have moved away from being a ETHICAL SOCIETY,  to one that is now driven by CORPORATE PROFITS.

Maybe that is a good thing, maybe not, but when a society ignores its obligation, to its people, removes its responsibilities to them, then it is no different than being a pack of wild animals. It becomes a jungle, where survival of the fittest, translates into survival of the richest.

It takes away a lot more too, because how can one maintain independence, when they are forced to struggle with just maintaining their health. And that too becomes even more difficult when we rely on trust, to insure our food supply and other essentials are not tainted. Yet, as Government moves from being ETHICAL to being PROFIT BASED, those areas of trust become weakened, become even dangerous.

Don’t believe me? Look at the number of recalls of food, PRIOR to the rise in power of Stepehn Harper & his profit driven party.  Then look at how, as he has dismantled our safety nets, the number of deaths and recalls, has risen.

Now we are also seeing it on a local level, where greed has replaced the need to protect the most vulnerable of our society, the sick and infirm, the elderly, the very young, and the poor.

There is a need to insure services are cost effective, but at the expense of providing those services? I DON’T THINK SO, BUT THEN, I BELIEVE IN VALUES AND ETHICS.

GUESS THOSE IN POWER NO LONGER DO.

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