this post was submitted on 18 Sep 2023
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You know... this one is really complex.
Nobody feels hesitation to seek the help they need based on funds, but now due to access or wait times.
It wasn't always like this, in the 2000s it was marvellous, I remember having a medical scare, showed up at the ER, got triaged right into a doctor because it was time sensitive, saw the doc, got an examination, got cleared, and discharged $0.
Now I feel apprehensive about seeing my local clinic for a sprained ankle.
Now you may wonder why? Is the system failing? Well...yes, and no.
In the last decade or so, we've seen a strong ultra-right push to "prove" the system is broken and we need to copy the way the US has it (so the politicians friends that own pharma services etc... get lucrative deals from the govt) by sabotaging it directly and saying "look, it's broken"
One very clear instance, in my province (AB) during the biggest health emergency we've seen in our life time (COVID) our health minister made it his life's mission to piss off the medical community, under funding programs, firing component leaders in health and replacing them with yes men, and ripping up the doctor/nurse contracts.
What we've seen is docs and nurses leaving on droves as we doubled down on COVID hardship and squeezed the money out of frontline workers instead of going after the real problem which was lazy/corrupt middle management and supply chain problems.
To make things worse, our lab services was a crown-run (means it's a govt funded business, which can think bigger because they don't have to seek profits so hard, just efficient use of government funds) and they cancelled that contract to replace it with a private sector business.
Since this wait times for lab services have multiplied 10x, costs to consumers became a thing (it was free before) and all that government funding has disappeared.
So lose, lose, lose for the People.
So it's gotten worse, because the people in charge at the government are gifting, and killing it on purpose.
Would I trade it for your system? Not in a heartbeat, never, we just need to solve our fucked up politics and get people who care in power.
Yeah, that lab situation is something else.
What's funny, assuming I'm remembering things correctly, is that a big chunk of lab services started out private in AB, then were taken over by the province, and now they're private again, and overseen by slightly reorganized version of the same initial private players.