I guess your friend better thank GOD (or the US)
that her Son was saved by Mt. Sinai (one of the finest
hospitals in our country). She's not even a fricken citizen
and we saved her Son for FREE!!! What if they'd said:
you ain't got American medical insurance,
you ain't a citizen and you sure haven't got 2.3 Million dollars!!!
Get the hell outta here and go back to Turkey!
Let the doctors that get paid as much as a Walgreens
employee save him.
No they saved her Son and let her skip back across the border lollolololol
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Canadas doctors flock south
Culture/Society Front Page News Keywords: HILLARY MEDICAL PLAN CANADA DOCTORS
Source: MS-NBC
Published: June 2000 Author: DR. TOMMASO FALCONE
A REPORT last month by the federal government agency, Statistics Canada, said that employees of hospitals (as well as universities) were among the most likely public sector employees to emigrate. And, studies conducted by the Canadian Medical Association said that in the mid- to late-1990s, on average about 400 doctors a year left Canada for the United States — triple the rate a decade earlier.
“In 1996, for example, 731 physicians left Canada. Although another 218 doctors returned, the net loss was 513 physicians,” the CMA said in an October report. That number decreased in 1998 to a net loss of 248 Canadian doctors, the report continued, but that still is a sizeable chunk of the 1,600 annual graduates of the country’s 16 medical schools.
The exodus of nurses was even more striking, with over 800 departing annually in 1996 and 1997, up from 330 in the late 1980s, medical experts say.
Indeed, experts say physicians and nurses represent one of the biggest brain trade imbalances between the two countries, with nearly 20 doctors and more than 15 nurses, heading south for every one of those professionals who heads north from America to Canada.
Dr. Tommaso Falcone, a gynecologist, left his staff position at Montreal’s Jewish General Hospital in 1995 when he was recruited by the Cleveland Clinic Foundation to be part of their new, high tech surgery team.
“Doctors are well-trained in Canada, and patients get uniform, excellent care,” he explained, “but there are very few opportunities to do high tech research. That’s what attracted me,” he said.
Providing uniform, government-financed, free care for all, particularly at a time when governments are striving to cut costs and taxes, means the Canadian system is always straining under a financial choke collar, he said.
Dr. Kirk Anderson has developed a slight Texas twang since he began working at the Four Oaks Medical Center in Columbus, Tex. in 1980. But Texans, he said, still think he “talks funny” because his native accent comes from Nova Scotia.
Anderson said he’s “not the kind of guy who ever thought I’d leave my country, but I could no longer practice in the Canadian system.”
While most emigrating doctors, including Anderson, cite the lack of resources available in the Canadian system to properly treat their patients as the main reason for heading south, money is also a factor.
‘Doctors are well-trained in Canada, and patients get uniform, excellent care... but there are very few opportunities to do high tech research. That’s what attracted me,’
— DR. TOMMASO FALCONE
In Canada, virtually all the country’s physicians are paid by the universal, government-operated health insurance system in each of the 10 provinces, and each provincial government sets its own fee schedule. Back in Nova Scotia, Anderson said he was paid US$4.42 if he saw a patient in his office, $3.06 if he did the exam in a hospital emergency room, and $10.20 if he did “a complete work up.” But if another doctor had done a similar work-up in the previous 12 months, the fee dropped back to $4.42.
His average annual income then was $28,500 compared to the $120,000 he earns now.
The dismal payment structure, he explained, is because Nova Scotia is one of Canada’s poorer provinces, although the higher pay scale in provinces like Quebec only amount to a few dollars more.
Because of this, recruitment of Canadian doctors by U.S. healthcare providers has become very aggressive, he said, noting that when he left Canada, “out of the 1,800 people who graduated medical school that year, 600 left” Canada for the United States.
Since then, he added, “things have gotten worse.”
Dr. Hugh Scully, president of the Canadian Medical Association, said Canada is suffering “a very serious” brain drain of doctors, with 50 percent of medical school graduates leaving the country within 10 years of graduation and 25 percent more leaving within 15 years of earning their medical degree.
Of those, 75 percent cite the lack of proper resources available to do their jobs as the main reason, he said. Government cut-backs in health care funding in the past decade, he explained, have left the nation with shortages in everything from hospital beds and operating rooms to CAT scans and Magnetic Resonance Imagers.
Canada now has “fewer MRI scanners per capita than Turkey,” said Dr. Albert Schumaker, president of the Ontario Medical Association.
In addition to lacking medical hardware, the country is also “desperately short” of pediatricians, anesthesiologists, obstetricians, psychiatrists and radiologists, Scully added.
The problem, Schumaker said, will likely get worse in the coming years because of government short-sightedness. In an effort to cut medical spending, which amounts to about one-quarter of every province’s budget, medical school spaces were cut by 17 percent even as Canada’s population was growing by more than 250,000 people a year, and baby boomers aged into the medical high-use years.
“That reduction left Canadian students with the fewest opportunities to enter medical school in the developed world,” Scully said.
While Canadians still rank their health care system as their most cherished government program, Scully, citing an OECD study, said the nation’s shortage of modern technology now ranks it dead last among the eight wealthiest industrial nations, and 13th among the top 17 developed countries in the availability of modern diagnostic equipment.
Another area of concern to medical planners is that 50 percent of Canadian medical school graduates are women under 35 years old. Along with the likelihood these women will eventually take time off to bear and raise children, until recently, most Canadian recruitment efforts, unlike their American counterparts, ignored the need to find jobs for the doctors’ spouses.
In an attempt to redress the physician outflow, Canada has been drawing doctors from other countries. But even in this effort, cut backs in positions of those able to monitor the academic abilities of potential immigrant physicians, has slowed this alternative, Scully explained.
Despite this, Scully insisted he is “optimistic” about the future of Canada’s health care system, noting federal and provincial governments are moving to address the problem and some provinces are finally starting to open up more spots in medical schools.