doctor – mackaycartoons

Thursday May 13, 2021

May 20, 2021 by Graeme MacKay

Editorial Cartoon by Graeme MacKay, The Hamilton Spectator – Thursday May 13, 2021

On Doug Ford’s watch, a new health crisis looms

A soaring backlog of surgeries and medical tests is shaking Ontario’s health-care system to its core. And Doug Ford needs a second opinion on how to deal with it because nothing he’s done so far has worked.

April 1, 2021

In struggling with the crisis unleashed by COVID-19, the premier and his government have created a new one that could result in even more suffering and death than we’ve been witnessing. Simply put, people aren’t getting the care they need when they need it.

To be fair, Ontario’s health-care system had to implement major changes over the past year as it battled the pandemic. Public health officials had to redeploy finite resources — including doctors, nurses and hospital beds — so people who had fallen sick with COVID-19 could be treated.

But three weeks ago, Dr. David Williams, Ontario’s chief medical officer of health, shifted course in a more worrisome way. He ordered hospitals across the province to halt all non-emergency surgeries and non-urgent procedures. That didn’t impact only people waiting for hip or knee surgery, it also affected people needing cancer and cardiac treatments.

Now, a rising chorus of doctors is warning Dr. Williams’ order is too restrictive. They insist the system could expeditiously treat more patients with serious medical conditions without weakening the fight against COVID-19. One of the people speaking out is Dr. Robert Nam, a Toronto surgeon who says he’s “had to turn away referrals to help patients with cancer because of the provincial order to cancel elective surgery.”

January 16, 2021

“For cancer patients waiting for treatment … their hopes of being able to beat their disease have been severely harmed by the stroke of a pen,” he added.

What makes the situation even more frustrating for Dr. Nam is that it doesn’t have to be this way. He argues hospitals have the capacity to deal with COVID-19 but also other illnesses because they’ve “developed efficiencies and surgical techniques for cancer operations that do not require a hospital bed.”

But it’s not just where the health system is today that’s alarming; it’s where the province is headed that demands immediate action. According to Ontario’s science table, the pandemic-related surgical backlog had grown to 257,000 cases as of April. As if that wasn’t bad enough, the province’s Financial Accountability Office now predicts wait-lists of 419,000 surgeries and 2.5 million diagnostic tests and procedures by the end of September.

July 27, 2019

As it stands today, people aren’t getting the timely MRI tests that might reveal a serious medical condition. And as many as 500,000 women have had their breast-cancer screening delayed. But while some of those women might have developed breast cancer, they’ll have to wait for it to be diagnosed, then treated.

Even if the health-care system can offer surgeries, tests and procedures well above pre-pandemic levels for an extended period of time, it will take the province three and a half years to clear this backlog, the Financial Accountability Office said.

Given such numbers, it’s hard to believe Health Minister Christine Elliott when she says the government is on top of this problem. While the last provincial budget committed $610 million to clear the projected surgery and diagnostic procedures backlog, the Financial Accountability Office estimates it will cost $1.3 billion to get the job done.

Somewhere, this government must come up with $700 million to deal with the systemic backlogs that are increasing by the day. Somehow, it must find the staff and resources needed to confront two separate health-care crises. And somehow, it must learn to fight a health-care battle on two fronts and at the same time. (Hamilton Spectator Editorial)

Friday December 11, 2020

December 18, 2020 by Graeme MacKay

Editorial Cartoon by Graeme MacKay, The Hamilton Spectator – Friday December 11, 2020

Act now to stop anti-vaccine misinformation, says Ottawa researcher

December 1, 2020

Canadian regulators have approved Pfizer’s COVID-19 vaccine, and one Ottawa researcher is urging public health authorities to start addressing false anti-vaccination information now to combat potential vaccine hesitancy.

Maxime Lê, a master’s candidate at the University of Ottawa who recently completed his thesis on anti-vaccine arguments in Canada, said now is the time to get ahead of conspiracy theories and misinformation around the COVID-19 vaccine.

One of the best weapons is answering people’s questions in a way that builds trust, he said.

“A lot of people are focusing on the logistical issues of vaccine delivery but the focus should indeed rely on that open and transparent communication,” Lê told CBC Radio’s All in a Day on Tuesday.

“Perhaps one of the reasons why people are so afraid is because their questions are not answered at all.”

A recent poll suggests that a fifth of Canadians are undecided about whether to get vaccinated while 16 per cent are against vaccination. Among the majority who said they wanted to get vaccinated, 15 per cent said they would wait several months before the shot and 38 per cent said they would wait one or two months, to make sure everything’s going well.

July 21, 2020

Lê said there are many themes that come up among people who question vaccines, from questioning the toxicity of ingredients, suggesting natural remedies or immunity as superior to vaccines, to the persistent myth that vaccines cause autism.

“People might be hesitant to vaccinate because they have unanswered questions, they have fears, they have concerns that public health authorities aren’t exactly addressing in their communications,” he said.

Lê suggests public health authorities begin consultations now to hear from residents about why they might be hesitant to get a COVID-19 vaccine to ensure they answer people’s questions and concerns, whatever they may be.

He recently met with Ottawa Public Health (OPH) who he said was very receptive to his ideas. CBC reached out to OPH Tuesday but the agency was not able to provide information about its vaccine communications strategy by publishing time.

April 11, 2019

Lê said it’s important that organizations like OPH foster a trusting relationship with the public before anti-vaccination theorists have time to propagate misinformation.

“Anti-vaxxers position themselves as defenders of Canadian civil rights and liberties, and they’ll start to say these unscientific claims which, to everyday people, kind of make sense,” he said.

“It’s a fundamental misunderstanding of what exactly is good science.”

Earlier this week Prime Minister Justin Trudeau said 249,000 COVID-19 vaccine doses could arrive in Canada by the end of the year. The first shots will likely be distributed to long-term care home residents and staff.

Documents released by U.S. regulators Tuesday confirmed that Pfizer and BioNTech’s COVID-19 vaccine strongly protects against COVID-19. (CBC)

Tuesday November 5, 2019

November 12, 2019 by Graeme MacKay

Editorial Cartoon by Graeme MacKay, The Hamilton Spectator – Tuesday November 5, 2019

Wexit group applies to become federal political party

A separatist group calling for Alberta to leave Canada has begun the process to become a federal political party.

October 22, 2019

Wexit Alberta’s application arrived on Monday at Elections Canada, which has begun the verification process, according to a spokesperson for the federal agency.

The group, led by Albertan Peter Downing, aims to do “for Western Canada what the Bloc Québécois did for Quebec,” Downing said.

Downing ran federally with the Christian Heritage Party in 2015. He said he’s since been involved with federal Conservative Party boards, and as a campaign manager with the former provincial Wildrose Party.

Before that, he was an RCMP officer and during that time was suspended for uttering threats against his ex-wife — according to both National Post and a now-deleted article in the St. Albert Gazette. Downing has denied the allegations and says he left the force with a clean record.

Wexit Alberta has been accused of allowing conspiracy theories or other harmful rhetoric to circulate online.

Wexit (“Western exit”) supporters are scheduled to hold rallies across Alberta this month, and the sentiment has gained support in the wake of the federal election, which saw the governing Liberals shut out of Alberta and most of the west.

Western Alienation, by Arch Dale, 1915

Announcing the party’s application, Downing wrote on Facebook that Premier Jason Kenney “needs to become the VERY FIRST PRESIDENT OF ALBERTA.”

Kenney has called separation “irrational,” but is also planning a referendum on equalization and is appointing a panel to discuss the province’s place in the federation.

Many politicians are being careful to hedge their words on the topic, says political scientist Jared Wesley.

“This is a different kind of movement. We’ve seen it generate success south of the border and in Europe. I think political elites ignore it at their peril but they have to be very careful when they provide legitimacy to what, right now, is a pretty fringe movement,” he said.

Seceding could also be difficult, experts say. Any provinces looking to leave Confederation would have to address First Nations treaties and other complications like trade, national defence and amending the country’s constitution. (CBC)

Saturday August 5, 2017

August 4, 2017 by Graeme MacKay

Editorial Cartoon by Graeme MacKay, The Hamilton Spectator – Saturday August 5, 2017

This health-care crisis is growing

Hospitals — running over budget, operating beds they don’t have funding for. Emergency rooms — patients stacked up in hallways. Acute care beds — too many blocked, occupied by people waiting to leave hospital but with no place to go. Ambulances — stretched to the limit, often not available at all.

December 21, 2016

It’s an old story. One we would rather not argue about again. But here’s the problem. Things are not getting better, they’re getting worse. And so this old story appears here yet again in hopes it will take on a new sense of urgency.

Hamilton Health Sciences needs to cut $20 million from its budget, St. Joseph’s Healthcare $7 million. In both cases, staffing will be affected, stretching already thin human resources even thinner. Executive staff are being cut as well as front line. In the case of HHS, three senior executives are leaving. And that’s at a hospital system that already spends below the provincial average on administration, according to the Canadian Institute for Health Information. HHS spends 4.9 per cent on administration, higher than the national average of 4.3 per cent but well below the provincial average of 5.6 per cent. Keep that in mind next time someone declares hospitals would be fine if only they cut senior management costs.

May 10, 2016

Hospitals have seen provincial funding cut repeatedly. The province provided some relief this year with a two per cent increase. That doesn’t even cover inflation.

That’s why it’s so frustrating when Health Minister Eric Hoskins says he doesn’t expect funding to impact patient care. What world do Hoskins and other politicians live in? It’s already affecting patient care. In Ontario, you’re not supposed to spend 48 hours on a bed in a hallway awaiting admission. You shouldn’t expect to wait double-digit hours in the ER. You shouldn’t expect to be told there’s no acute care bed for a sick relative. You shouldn’t expect years-long waiting lists for aging relatives waiting for long-term care. All these are happening and getting more common. (Source: Hamilton Spectator Editorial)

Tuesday June 7, 2016

June 6, 2016 by Graeme MacKay

Editorial Cartoon by Graeme MacKay, The Hamilton Spectator – Tuesday June 7, 2016

Missed deadline on medically assisted dying leaves doctors divided

June 6 was the last day for Parliament to pass legislation governing medically assisted dying before a deadline imposed by the Supreme Court. It won’t happen.

On Friday, the Senate sent the bill to its legal affairs committee for study. The committee meets today but won’t be able to report on the bill until the full Senate resumes Tuesday. And it still could be weeks before any federal law is in place.

That means on Tuesday, the Supreme Court’s original ruling becomes the law, which means doctors can’t be prosecuted under the Criminal Code if they help a patient suffering from a “grievous and irremediable” illness to die.

So, what does that mean?

The medical community is divided.

Dr. Gus Grant, with the Federation of Medical Regulatory Authorities of Canada, believes doctors are better off without a new law.

“Many voices have created June 6 to be a deadline. It’s not a deadline. It’s simply the day (the Supreme Court’s Carter decision) becomes the law of the land,” Dr. Grant said on CBC News Network’s Power & Politics last week.

April 18, 2002

“And the language that said it’s a deadline creates the brinksmanship type mentality, a false sense of urgency, which is what is motivating people to pass legislation that is flawed,” he added.

Grant argued the condition in the government’s legislation that requires a patient’s death to be “reasonably foreseeable” is meaningless to physicians.

But Dr. Jeff Blackmer, Canadian Medical Association’s vice-president of medical professionalism, argues the exact opposite, saying the federal government’s language needs to be more precise than simply a “grievous and irremediable illness.”

“I have spoken to hundreds and hundreds of physicians. We have done the work on this. We have gone out to our membership and said, ‘Does this make sense to you? Can you incorporate this at the bedside?’ And they have unequivocally told us ‘No.’

“So they are looking to the federal law for guidance on this.” (CBC News)

Published in the Regina Leader Post, June 8, 2016