Band-Aid Advanced Healing occlusive bandage made in Denmark sold by Johnson & Johnson. Similar made by Elastoplast in Spain not as effective

More violent crime in Toronto. Police hampered by left-wing which prosecutes Officer for shooting a man waving a knife in a bus and refused to drop knife.

Private Wellness clinics Downtown Toronto. Investors invited

$25-mill condos in Downtown Toronto. Only 5 private clinics Cleveland clinic Canada; Medcan; Medisys(2) Virtual Wellness. "New" condo city near Lake Ontario. Aim 24/7/365. Long wait at hosptal ER.alternative is 2 hr Limo drive to Lewiston USA  Mt St  Mary Hosp

Toronto ENT A . OSBORN uses UK CELOX pads ( chitosan from shrimp shells) for epistaxis. Patients have to be told to compress the nasal TIP not the base.

COMMENT

One way of dealing with no-fee Socialist medicine is to have Specialists' private phone numbers

Top Toronto Specialists are often members of CALEDON SKI CLUB, GRANITE CLUB( badminton, curling, skating, squash, swimming, tennis),  ROSEDALE GOLF and ROYAL CANADIAN YACHT CLUB.( incl lawn bowling, squash, swimming) ,

COMMENT

ACCIDENT and EMERG. in TORONTO

Ambulances  have to take patient to nearest Hosp. If possible take a limo to Sunnybrook TEACHING Hosp in North Toronto multi-million home BAYVIEW area away from  downtown knifings, shootings.and drug overdoses. Next choice lakefront St.JOSEPH HOSP in West Toronto in Polish/Ukrainian area. Radisson Hotel ( lakefront) is nearest 4 star  hotel.

Triage is first done by a Nurse. Waiting can be several hours. to be seen first by am ER doc.

It can be quicker to take a limo to Lewiston, USA (approx 2 hours) Cost approx $300. NO WAITING.at
Mt St MARY HOSPITAL phone ahead for SPECIALIST CONSULT with CREDIT CARD number.

COMMENT

OTC meds not available in Ontario pharms probably due to cost.. Available online from USA without Rx.

BENZEDREX NASAL INHALER  propylhexidine
DELSYM COUGH SUPPRESSANT dextromethorphan polistrix (resin) 12-hourly

COMMENT

In ONTARIO "WELLNESS CLINICS" @ $3.500/yr per client bypasses Can Health Act by NOT billing OHIP for GP services and providing extra services e.g. diet; physio.etc. Unlike UK, in Canada private GP clients can still get free Specialist, Lab and Xray services.

Examples
CLEVELAND CLINIC CANADA(  300 LOBLAW grocery executives are members),
MEDCAN
MEDISYS

Average OHIP GP visit 10 min with usual clinic wait
Average WELLNESS GP visit 30 min. Appt usually on time.

COMMENT:

Socialist engineered Liberal Govt controlled-fee OHIP means 7 month wait for a top Toronto Endocrinologist.. Fee-paying forbidden if Canadian permanent resident... A money-maker for the three Mayo Clinics. More Canucks insuring up to $2-million for CRITICAL ILLNESS INSURANCE. that pays with a single cheque on diagnosis.

COMMENT

Medico-Legal risk of treating refugees. CPSO will accept complaints from ANYONE ANYWHERE in the WORLD at no expense  to the complainant. At present Ontario MDs are at RISK of  complaints from a`refugee in Ontario or a member of the family OUTSIDE CANADA.

COMMENT: $25-million condos for sale in Toronto Yorkville area. MD could receive CPSO complaint if $1 charged above OHIP fee now only 50% of OMA suggested rate.

COMMENT: Toronto Hospitals need SECURITY.  Hospitals often have shops and food courts which encourage high visitor flow. No metal detectors. No USA-style control of people wanting to visit Patient floors. Stethoscope and a bugus name tag allows easy access..

BASEBALL PITCHER PAID USA THIRTY-ONE MILLION A YEAR FOR SEVEN YEARS. No Liberal or NDP furore.

PRO/EDR> Scabies - Switzerland: (SG) asylum seekers

SCABIES - SWITZERLAND: (SANKT GALLEN) ASYLUM SEEKERS
****************************************************
A ProMED-mail post
<http://www.promedmail.org>
ProMED-mail is a program of the
International Society for Infectious Diseases
<http://www.isid.org>

Date: Thu 26 Nov 2015
Source: Obersee News [machine translation, edited]
<http://www.20min.ch/schweiz/ostschweiz/story/-Da-habe-ich-schon-ueble-Sachen-gesehen--20327357>


In a letter, the St. Gallen cantonal doctor Dr. Markus Betschart
[appealed] to all doctors in the canton that when asylum seekers
present with scabies and bacterial infections as skin problems they
should be especially observed.

"GPs increasingly treat asylum seekers, and we want to make them aware
of scabies and the treatment options," explained Betschart in his
letter.

An accumulation of scabies was confirmed by GP Reto Gross, who
regularly deals with refugees from the reception center Altstaetten.
In 2015 dozens of cases have been treated. And he sees only a fraction
of the asylum seekers, who seek out various other doctors in the
region.

Scabies is a parasitic skin disease that is caused by the scabies mite
(_Sarcoptes scabiei_). The female mites burrow into the skin, where
they leave droppings and lay their eggs, resulting in irritation.

Scabies is transmitted by intimate physical contact, such as when you
sleep in the same bed, but also in unhygienic conditions. "For an
infection you have to come very close," says Gross. He knew of no
cases of employees in the processing center having been infected. The
scabies mites also like to embed themselves in clothes and linens.

The skin disease [produces] an itchy rash. Particularly affected are
hands, nipples, armpits and genitals. It is especially unpleasant at
night. The problem arises when the patient scratches a great deal,
when the bubbles can open and become infected. "Because I've seen
severe cases," says Gross.

Treatment for scabies is a cream [that contains a pyrethroid
insecticide]. "You take a shower, apply the cream all over your body
and leave it for 8 hours, preferably overnight," says Gross. In
addition, clothes and bedding must be washed to at least 60 degrees
[centigrade] to kill the mites.

Scabies mites are not the only 'bugs' to be combatted; bed bugs are
also plaguing asylum seekers. The Migration Office of St. Gallen has
developed a containment strategy: "If we accept asylum seekers from
the federal government, we [require them] to leave all their clothes.
These we freeze for 48 hours," says Urs Weber, Head of the St. Gallen
Department of Migration Centres.

Inbox	x
promed@promedmail.org	17:06 (18 hours ago)
to promed-post, promed-edr-post

LOUSE-BORNE RELAPSING FEVER - NETHERLANDS: ASYLUM SEEKERS, ex ERITREA
*********************************************************************
A ProMED-mail post
http://www.promedmail.org
ProMED-mail is a program of the
International Society for Infectious Diseases
http://www.isid.org

Date: Thu 30 Jul 2015
Source: Eurosurveillance edition 2015; 20(30) [edited]
http://www.eurosurveillance.org/ViewArticle.aspx?ArticleId=21196


Louse-borne relapsing fever (_Borrelia recurrentis_) in asylum seekers from Eritrea, the Netherlands, July 2015
----------------------------------------------------------------------
[Authors: Wilting KR, Stienstra Y, Sinha B, Braks M, Cornish D, Grundmann H]

Two patients from Eritrea, recently arrived in the Netherlands, presented with fever and were investigated for malaria. Bloodfilms showed spirochetes but no blood parasites. Louse-borne relapsing fever caused by _Borrelia recurrentis_ was diagnosed. Treatment was complicated by severe Jarisch-Herxheimer reactions [inflammatory reaction observed after antimicrobial treatment of several infectious diseases] in both patients. Physicians should be aware of the possibility of _B. recurrentis_ infection in migrant populations who travel under crowded conditions, especially after passing through endemic areas such as Ethiopia and neighbouring countries.

_Borrelia recurrentis_ has for many centuries caused infections of often epidemic proportions known as relapsing fever. Since the infection is exclusively transmitted by body lice and humans are their only host, large scale outbreaks are only expected under circumstances conducive to louse infestation. We here report the 1st introduction of louse-borne relapsing fever into the Netherlands after World War II.

Case descriptions
-----------------
Patient 1
On 4 Jul 2015, a young adult from Eritrea was referred from the National Reception Centre for Asylum Seekers (Asielzoekercentrum, AZC) to a regional hospital in the northern Netherlands with a 5-day history of headache, dizziness, right upper quadrant pain, myalgia, and fever (39.3 deg C [102.7 deg F]). Malaria was suspected. The patient had been in the Netherlands for only 2 days after arriving in Europe 14 days earlier. En route to Europe, they travelled through Ethiopia, Sudan, and Libya. Previously, they had noticed chills while sheltering in an unofficial street camp in Rome where they stayed with a small group of fellow Eritreans before travelling to the Netherlands.

Thick and thin bloodfilms did not show malaria parasites and commercial malaria antigen tests were negative. However, filamentous unidentified structures were reported in the thick film by the laboratory of the peripheral hospital. The patient received empirical treatment with a single dose of ceftriaxone (2000 mg intravenously) for suspected bacterial septicaemia. After administration, their condition deteriorated and the patient was transferred within the next 2 hours to the University Medical Center Groningen (UMCG) where they arrived at the emergency department with headache, peripheral hypothermia (35.3 deg C [95.5 deg F]), hypotension (systolic/diastolic blood pressure 78/52 mmHg, heart rate of 106 beats per minute), abdominal pain but no hepatosplenomegaly, and shortness of breath (respiratory rate 23 breaths/min). Laboratory analysis showed leucocytopenia (leucocytes: 1.6 x 10(9)/L, norm: 4.5-10 x 10(9)/L), anaemia (haemoglobin: 6.5mmol/L, norm: 8.6-11.2 mmol/L) and thrombocytopenia (thrombocytes: 16x10(9)/L, norm: 150-450x10(9)/L). C-reactive protein (CRP) was 254 mg/L (norm: less than 1 mg/L). Kidney function was normal. The patient's liver function tests showed mildly elevated transaminases (alanine transaminase: 58 U/L, norm: 7-56 U/L; aspartate transaminase: 108 U/L, norm: 10-40 U/L; alkaline phosphatase: 124 U/L, norm 20-140 U/L; gamma-glutamyl transferase: 93 U/L, norm 0-51 U/L) and total bilirubin levels of 38 micromole/L (norm: less than 26 micromol/L) and direct bilirubin 35 micromol/L (norm: less than 7 micromol/L). Oxygen saturation was 91 percent (norm: 95-100 percent). Giemsa-stained thick and thin films revealed spirochetes in large numbers (Figure 1 [available at the source URL]) and no malaria parasites.

Given the patient's travel history, louse-borne relapsing fever was suspected. The clinical deterioration was provoked by the ceftriaxone administration leading to a severe Jarisch-Herxheimer reaction [1]. Treatment was switched to doxycyline 200 mg per day intravenously intravenously to reduce the risk of relapse [2]. The patient was transferred to the intensive care unit (ICU) for fluid resuscitation, cardiac support with noradrenalin, and supportive oxygen delivery via high flow nose mask.

_B. recurrentis_ was confirmed by 16S rDNA PCR and sequencing directly from blood 2 days later. The patient stayed at the ICU for 2 days, made a full recovery and was discharged after 6 days. The body louse _Pediculus humanus humanus_ was recovered from [the patient's clothing (Figure 2 [available at the source URL]).

Patient 2
On 9 Jul 2015, a 2nd young adult from Eritrea was directly referred by the responsible physician at the AZC to the UMCG. On arrival, the patient presented with general malaise, headache, fever (38.5 deg C [101.3 deg F]) and cough. Blood tests showed elevated inflammatory parameters (leucocytes: leucocytes: 12.7 x 10(9)/L, CRP: 320 mg/L), normal kidney function and slightly elevated transaminases, but the blood sample was haemolytic. Thick and thin films showed spirochetes and treatment was started with doxycyline 200 mg orally. 2 hours later the patient developed a severe Jarisch-Herxheimer reaction [that] required admission to intensive care where they received fluid resuscitation, inotropic treatment with noradrenalin, and oxygen via a face-mask. _B. recurrentis_ was confirmed by 16S rDNA sequencing.

The patient reported symptoms of chills and fever 2 weeks before presentation at our hospital. Their journey through North Africa followed the same route as that of Patient 1, but Patient 2 had arrived in Europe a week earlier. Patient 2 had camped out in the streets for 5 days in Rome (as had Patient 1). Patient 2 arrived in the Netherlands 2 weeks before presenting at our hospitals after travelling through Austria and Germany. The patient made a full recovery and was discharged after 5 days. Lice could not be recovered from the clothing.

Discussion
----------
_B. recurrentis_ should be suspected in patients presenting with fever and a recent history of migration from or through endemic countries (Ethiopia, Sudan, Eritrea, and Somalia). The infection is transmitted through body lice (_P. humanus humanus_, formally known as _P. humanus corporis_), which typically lives and breeds in the seams of clothes but can occasionally also be found in bed linens. Immigrants may share their clothing and that can pose an additional risk of transmission. The incubation period for relapsing fever is usually 4 to 8 days with a range of 2 to 15 days [3]. It should be noted that head lice (_P. humanus capitis_), which are not uncommon in Northern Europe, are incompetent vectors and cannot transmit _B. recurrentis_. The spirochetes are easily visible under a microscope in a Giemsa-stained thick or thin blood film as used for the diagnosis of _Plasmodium_ spp [4]. In our patients, the diagnosis was confirmed in both cases by 16S rDNA PCR and sequencing from blood.

Published evidence supports a single dose of tetracycline 500 mg intravenously as the conventional treatment, but considering the limited availability of this drug, doxycycline 200 mg can be used as an effective alternative [2,5]. In young children, pregnant women, or patients with a tetracycline allergy, erythromycin 500 mg can be used instead [6].

Both patients had travelled independently along a similar route before arriving in the Netherlands. Given the incubation period, it cannot be ruled out that the infection was acquired within Europe. Crucial information about risk factors such as exact travel history, recollection of louse infestation or bites and onset of symptoms was, however, impossible to obtain from our patients. Apart from being very sick and the fact that communication required an interpreter versed in Tigre our patients appeared to be traumatised and intimidated and not eager to volunteer information for fear of legal consequences.

Both patients developed a severe Jarisch-Herxheimer reaction after starting antibiotic treatment. _B. recurrentis_ evades host immune defences, resulting in very high bacterial loads (10(6)-10(8)/microl), and effective antibiotic therapy is followed by severe reactions characterised by sudden rigors, fever, and hypotension in virtually all treated patients [3]. Clinical symptoms are associated with increased plasma concentrations of tumour necrosis factor alpha (TNF-alpha), interleukin-6 and interleukin-8 [7]. Treating physicians should be aware of this complication and the chances that ICU admission may be warranted. It is advised that patients receive 2 well-placed intravenous lines for rapid fluid resuscitation. Treatment of Jarisch-Herxheimer reaction consists mainly of supportive care. Corticosteroids seem to have limited beneficial effect but studies suggests that TNF-alpha blockers may be useful [8].

An ad hoc survey at the AZC on [16 Jul 2015] found body lice on 2 newly arrived Eritreans. Since then, all asylum seekers arriving from endemic countries to the AZC have been segregated into a different compound, where they turn over all of their personal clothes in exchange for disposable overalls. Personal clothes are then washed and returned on the next day. Used overalls and bed linen are subsequently destroyed. In addition to delousing, all arrivals receive a single dose of ivermectin as pre-emptive treatment against scabies and Eritreans who arrive with clinically manifest scabies (about 80 percent of all new arrivals) receive a 2nd dose a week later. No new cases of _B. recurrentis_ infection have been identified since mandatory delousing was implemented.

Conclusion
----------
Because infections with _B. recurrentis_ pose a significant health risk to other migrants, aid workers, healthcare personnel, and arguably to the general population, screening and delousing should be considered for arriving migrants already at ports of entry into the European Union. Our patients may have acquired body lice before arriving in Europe but transmission of infected lice between migrants after arrival in Europe cannot be ruled out and could pose an additional public health challenge.

[Figures and references are available at the source URL above.]

--
Communicated by:
ProMED-mail
<promed@promedmail.org>

[Relapsing fever is a bacterial infection caused certain species of the spirochete _Borrelia_. These organisms are able to periodically change their surface protein molecules to evade the host's immune response, thus causing a relapsing illness. Following an incubation period of about 7 days, the illness is characterized by recurring episodes of high fever, headache, muscle and joint pain, nausea and vomiting, each episode lasting several days, followed by a several-day asymptomatic interval. There may be up to 3-4 recurrences. Complications may include involvement of the lungs (ARDS; acute respiratory distress syndrome), central nervous system, spinal cord, eyes, heart, and liver. The bacteremia is intense (more than 10 000 organisms per ml of blood) during febrile episodes, which allows detection of organisms on a Wright-Giemsa stained blood smear. Thick blood smears are more sensitive than thin smears.

There are 2 types of relapsing fever: Tick-borne relapsing fever (TBRF) and louse-borne relapsing fever (LBRF). LBRF is more severe than TBRF, with case-fatality rates without antimicrobial treatment of 30 to 70 percent in outbreaks. TBRF occurs in the Western hemisphere, Africa, Asia, the Mediterranean region and the Middle East. In the western United States, TBRF is usually associated with sleeping in rustic, rodent-infested cabins in mountainous areas. In the United States, 3 species, _Borrelia hermsii_, _B. parkerii_, and _B. turicatae_, transmitted by the bite of soft-bodied ticks (genus _Ornithodoros_) cause TBRF. A recently discovered _Borrelia_ species, _B. miyamotoi_, has been found in hard-bodied ticks (_Ixodes_) in regions where Lyme disease is endemic.

LBRF is caused by a single species, _B. recurrentis_, transmitted through abraded skin when the body louse is crushed during scratching. LBRF is endemic in Ethiopia, Sudan, Eritrea, and Somalia. Outbreaks are found in developing regions affected by war and in refugee camps characterized by overcrowding and poor personal hygiene. While mammals and reptiles may serve as a reservoir for tick-borne _Borrelia_ species, humans are the only host of _B. recurrentis_.

Treatment of relapsing fever consists of either a tetracycline (such as, doxycycline), a macrolide (such as, erythromycin), penicillin, or other beta-lactam antibiotics (such as, ceftriaxone). LBRF can be treated effectively with a single dose of the antibiotic (http://jid.oxfordjournals.org/content/137/5/573), whereas treatment of TBRF requires 7-10 days to prevent relapse. When initiating antibiotic therapy, all patients should be observed for a Jarisch-Herxheimer reaction. The reaction, caused by massive release of tumor necrosis factor alpha (TNF-alpha), interleukin-6, interleukin-8, and other cytokines, is manifest by a worsening of symptoms with rigors, tachycardia, sweating, hypotension, and high fever, occurs in over 50 percent of cases. The Jarisch-Herxheimer reaction can be fatal. Pretreatment with anti TNF-alpha antibody has been found to suppress Jarisch-Herxheimer reactions (http://www.nejm.org/doi/full/10.1056/NEJM199608013350503). Corticosteroids and antipyretic agents have little or no effect (http://jid.oxfordjournals.org/content/137/5/573 and http://www.ncbi.nlm.nih.gov/pubmed/6132178), whereas meptazinol, an opioid agonist-antagonist, has been reported to reduce the severity of the reaction (http://www.ncbi.nlm.nih.gov/pubmed/6132178). Treatment with intravenous fluids and vasopressors to maintain adequate blood pressure may be required. - Mod.ML

UK DAILY MAIL

Organs can be taken from the dead without any consent: Landmark law change in Wales gives doctors right to assume all adults have agreed to be donors

• New system means adults have to 'opt out' from the register to not donate
• Health officials argue the change of system will save hundreds of lives 
• Relatives will still have the right to object to a family member's donation
• 1,000 people in the UK die every year while they are waiting for a transplant

By Ben Spencer Medical Correspondent For The Daily Mail

Published: 00:25 GMT, 1 December 2015 | Updated: 00:31 GMT, 1 December 2015

Organs will be transplanted from the dead without consent for the first time in Britain from today.

A landmark law change in Wales gives doctors the right to assume that all adults consent to be organ donors after their death.

The new system means that adults have to ‘opt out’ from the register if they do not want to be donors - a dramatic change from the current ‘opt in’ system.

If they have not opted out, they will be treated as if they had given their approval, a principle known as ‘deemed consent’.

A landmark law change in Wales means that doctors have the right to assume that all adults consent to be organ donors after their deaths, and people will have to opt out of the register (file image)

Officials in England are carefully monitoring whether the new system is successful.

Some religious groups have criticised the move, but health officials argue that it will save hundreds of lives.

The Welsh Government predicts the new law could increase the number of organ donors by as much as a quarter.

Under the new system, relatives will still have the right to object to a family member’s organs being removed - but if they cannot be contacted a transplant will go ahead.

Share

According to the latest figures, 1,000 people in the UK die every year while waiting for a transplant.

Organ transplants dropped in number last year for the first time in a decade, NHS figures show.

The number of transplants fell from 4,655 in 2013/14 to 4,431 in 2014/15.

The 5 per cent decrease is the first drop in 11 years, meaning that 224 fewer people received an organ transplant.

The British Heart Foundation last night called for England to follow the Welsh lead.

Simon Gillespie, chief executive at the charity, said organ donation rates in the UK are 40 per cent lower than in other countries in Europe, such as Spain and Croatia, that already use the opt-out system.

According to the latest figures, 1,000 people in the UK die every year while waiting for a transplant (file image)

‘Sadly hundreds of people die every year waiting for a transplant because there is a desperate shortage of organ donors,’ he said.

‘Other European countries that already use an opt-out system have much higher donor rates than the UK.

‘We campaigned strongly in Wales to introduce soft opt-out and now it’s time for the rest of the UK to follow their lead.’

Wales’ health minister Mark Drakeford said: ‘The change to a soft opt-out system for organ donation will deliver a revolution in consent.

‘Organ donation saves lives; increasing the rate of organ donation allows us to save more lives. That’s the key motivation for this significant change.’

Under the new system, those over 18 will become potential donors either by registering their decision to opt in - as they do currently - or by doing nothing at all.

It will apply to adults who have lived in the country for more than 12 months.

Organs available will be the same as the ‘opt-in’ method - including kidneys, heart, liver, lungs and pancreas - and would go anywhere in the UK.

Some 8 per cent of eligible adults in Wales have decided to opt out ahead of the new law today.

Ahead of the new law coming into effect leading Welsh Christian, Jewish and Muslim clerics signed an open letter expressing their unease about the plan.

‘We remain opposed to any weakening of the principle the donation of organs should be free and voluntary,’ they said.

The Archbishop of Wales, Dr Barry Morgan, has warned that the scheme could turn ‘volunteers into conscripts’.

But in an open letter published today, Church of Wales bishops called on people to make a positive decision one way or the other.

It said: ‘As Bishops we are wholeheartedly in favour of organ donation.

‘It is love in action and a wonderful example of what it can mean to love our neighbours, especially those in need. Such generosity is a response to God’s generosity towards us.

‘We urge and encourage you to sign the Organ Donor Register, and tell your families, so that there can be no doubt about your wishes in the event of your death.’

A spokesman for the Department of Health said England had no plans to follow the lead set by Wales - but admitted officials would be watching closely.

He said: ‘Our opt-in system is working well. In 2008 independent experts advised against an opt-out system and recommended more specialist nurses, clinical leads and donation committees. This has seen organ donation rates increase by 60 per cent.

‘We are watching how the change in Wales impacts on donations and continue to work hard to build on the significant increase in organ donations achieved in recent years.’

Read more: http://www.dailymail.co.uk/news/article-3340374/Organs-taken-dead-without-consent-Landmark-law-change-Wales-gives-doctors-right-assume-adults-agreed-donors.html#ixzz3t2EzpMtw
Follow us: @MailOnline on Twitter | DailyMail on Facebook

TORONTO MEDICO-LEGAL SOCIETY reception ar ROYAL CANADIAN YACHT CLUB.

RCYC members who attended included Insurance broker and Pres.of STRUCTURED SETTLEMENTS GTOUP INC.(1933). Provides to the mentally & physically injured .an annuity:from the settlement  tax-free and creditor-proof.. Douglas J. MITCHELL BA(UWO-1972) www.structures.ca

When client dies annuity can betransferred to spouse or a payment to Estate depending on age.

(Comment: Stats Can. 46% Canadians are FUNCTIONALLY ILLITERATE.)

FROM D.MITCHELL BA

The only revision ... is that the person has to be mentally or physically injured by the WRONGFUL act of someone else;  who has an obligation to compensate the victim.

Examples are Car Accidents, Medical Malpractice, some Sports Injuries,  Sex Abuse,  Wrongful Imprisonment.

The tax-free creditor-proof annuity MUST be arranged during the settlement of the lawsuit, not by the claimant afterward.

The Canada Revenue Agency allowance for this is based upon the victim and the defendant ( by their insurance company )   agree on a series of payments. Their insurance company buys an annuity to fulfill the payment schedule, and IRREVOCABLY directs the Annuity company to make all payments directly to the Victim,  while all tax notices on the accumulating interest go to the original purchaser  ( for example, the car insurance company)

The ONLY Life Insurance Companies issuing these special annuities are a few Canada's largest and most stable:  Canada Life, Manulife etc.

A government monitored industry fund guarantees every payment,  and in 150 years has NEVER been called upon to fulfill a missed payment.

The original Defendant Insurance Company also guarantees every payment even though they paid the full cost of the annuity during the settlement.

CRA Bulletin   #365 R2   is an enabling document for those who wish to read about it.

On late night USA television you may have seen commercials about cashing in Structured Settlements.   That is only possible in the case of USA issued Structured Settlements where the law was poorly written.   Canadian Structured Settlements cannot be sold, cashed, pledged, garnisheed, changed, or lost in any way.

OMA COUNCIL MEETING Nov..21-22 at Toronto HILTON. About 250 delegates attended together with OMA non-voting member observers.

Smoked salmon breakfast on Saturday..Scrambled eggs .bacon and sausage on Sunday.. Meals by Ruth's Chris. restaurant..

Cost of Council meeting is approx. $2,000,000 includes Delegate daily payment + travel and hotel expenses.

NAVIGATOR Ltd. has been retained for MEDIA COMMUNICATION.regarding recent Liberal Prov. Govt 5% fee cuts.to MDs services.

OMA recommended fees are twice the Prov.Liberal Govt OHIP rate for non-Ontarians.A fall of over 50% in past 45 years since beginning of Ontario State medicine.

Council was concerned that 25,000 Mid-East refugees to be admitted to Canada in 2015 would have medical costs billed to the Provinces instead of the FEDERAL Liberal Govt. The Ontario Liberal govt has set a "cap" on MD fees. If expenses are above the cap there would be further reduction in OHIP fees

ELECT ION of DIRECTOR by COUNCIL (not by the District) from the GENERAL & FAMILY PRACTICE ASSEMBLY (includes Emergency  and Palliative Medicine(, Ottawa ER Dr.Atul Kumar KAPUR MD(UWO 1991) FRCPC-ER(1999) MSc(Ottawa 2002) won on second ballot.
On first ballot ( 6 men) North York Surgical assistant was eliminated.
Another 3 eliminated: Windsor Palliative medicine GP;  Richmond Hill GP & CPSO investigator;  Manotick GP.

ELECTION by COUNCIL of DIRECTOR from SURGICAL ASSEMBLY (3 men)
SUDBURY OPHTHALMOLOGIST Stephen Eugene KOSAR MD (U.tor. 1981) FRCSC (1990)
 Other two candidates Ottawa and Peterborough anaesthetists



 

OMA retains Toronto 69 Yorkville Av JEFF ANSELL & Assocs. to teach PUBLIC SPEAKING.

COMMENT: Rhetoric not taught in most schools. Pitch, Pace, Pause and Inflection make speech effective. Too many Anglophone Canucks speak in a flat monotone. Francophones are better speakers.

OMA selected JEFF ANSELL & Assocs to teach OMA members how to speak to the media.

www.jeffansell.com

UNIVADIS UK

Pharmacists to join GP surgeries in 2016 By next year more than 400 clinical pharmacists will provide support to almost 700 general practitioner surgeries and more than seven million patients.

Can Federal Liberal Govt to admit 25,000 migrants.from Middle -East.

COMMENT

Cost approx $100-million/year.for free medical expenses(including drugs) plus Social service payments.$6000 immediate payment = approx $150-mill. plus $1000/month = $300-mill/yr.

Federal Liberal Govt has not disclosed medical screening for Mental illness, Infectious diseases and Physical disorders.

Ontario docs will be at risk of complaints to College of Physicians and Surgeons from  Liberal Government Federally sponsored migrants living in Ontario.

Globe & Mail: LIBERAL MINISTER of HEALTH Bilingual Markham GP JANE PAULINE PHILPOTT (nee LITTLE) MD (UWO 1984) MPH(Tor.-Global health)

1989-1998 worked in Francophone NIGER where her eldest daughter died from Meningococcal meningitis(Waterhouse-Friderichsen syndrome).Member of pacifist Mennonite Church.

Retraction Watch (FREE ON-LINE)

Tracking retractions as a window into the scientific process

The Center For Scientific Integrity

without comments

The mission of the Center for Scientific Integrity, the parent organization of Retraction Watch, is to promote transparency and integrity in science and scientific publishing, and to disseminate best practices and increase efficiency in science.
The goals of the Center fall under four broad areas:

• A database of retractions, expressions of concern and related publishing events, generated by the work of Retraction Watch. The database will be freely available to scientists, scholars and anyone else interested in analyzing the information.
• Long-form, larger-impact writing, including magazine-length articles, reports and books.
• Scholarship on scientific integrity and incentives in science.
• Aid and assistance to groups and individuals whose interests in transparency and accountability intersect with ours, and who could benefit from shared expertise and resources.

The Center is a 501(c)3 non-profit. Its work is funded by generous grants from the John D. and Catherine T. MacArthur Foundation and the Laura and John Arnold Foundation.
Learn more about our Board of Directors here.

Comment: Garbage in; garbage out.. Good`example 1998 LANCET (1823) article on Autism & MMR immunization. Also CPSO Lawyers at CPSO Tribunal  confused about PEER REVIEW & COMMISSIONED article.

2015 LEGATUM PROSPERITY INDEX:

20 MOST PROSPEROUS COUNTRIES 

1 Norway

2 Switzerland

3 Denmark

4 New Zealand

5 Sweden

6 Canada

7 Australia

8 Netherlands

9 Finland

10 Ireland

11 United States

12 Iceland

13 Luxembourg

14 Germany

15 United Kingdom

16 Austria

17 Singapore

18 Belgium

19 Japan

20 Hong Kong

Read more: http://www.dailymail.co.uk/news/article-3301043/Norway-prosperous-country-world-UK-slumped-two-places-15th-league-table-doesn-t-make-ten-either.html#ixzz3qYRXF98z
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Personal communication. Anonymous family has donated Can $11.6 million to Toronto-West St Joseph Hospital aka"Health Centre".. Catholic Nuns-founded St Joseph is situated in strongly Polish and Ukrainian residential area.

Official Federal Bilingualism: The Curse on Canada.

COMMENT: Top Federal Medical jobs require COLLEGE-LEVEL French. to write speeches.in both Official languages,  Best for Canuck Anglophone Docs if Quebec separates.(Occupied since 1763 Treaty of Paris).

UK DAILY MAIL

Doctors threaten to strike as thousands of junior medics march over 'pay cuts' and changes to their contracts

• Junior doctors marched in London, Nottingham and Belfast on Saturday
• They were hitting back at earlier claims by Health Secretary Jeremy Hunt
• He said BMA 'misrepresented Government's position and caused anger'
• Hunt wants to turn weekends and evenings to regular hours for doctors

By Stephen Adams for The Mail on Sunday

Published: 00:00 GMT, 18 October 2015 | Updated: 00:00 GMT, 18 October 2015

Thousands of junior doctors took to the streets of Britain yesterday to protest against changes to their contracts, as the prospect of strike action moved closer.

The marches came as a British Medical Association spokesman issued a walk-out warning, saying: ‘We are preparing to ballot our members on industrial action if the threat of contract imposition is not lifted.’

The junior doctors marched through London, Nottingham and Belfast, hitting back at earlier claims by Health Secretary Jeremy Hunt that they had been ‘misled’ by the BMA over the contract proposals.

+5

These junior doctors, who joined the march from Waterloo Place, along Pall Mall and to Parliament Square, held banners saying they are 'overworked' and 'underpaid'

+5

Tens of thousands of junior doctors marched through central London today over new plans regarding evenings and weekends work

Yesterday morning, Mr Hunt said the doctors’ union had ‘misrepresented the Government’s position’ and ‘caused a huge amount of anger unnecessarily’. ‘We don’t want to cut the pay going to junior doctors,’ he told the BBC. ‘We do want to change the pay structures that force hospitals to roster three times less medical cover at weekends than they do in the week.’

Mr Hunt wants to raise doctors’ basic pay – but also turn weekend evenings from 7-10pm and Saturdays into ‘plain time working’ for which they would not be paid an anti-social hours supplement.

He sees the changes as crucial to boosting staffing levels outside ‘office hours’ and cutting deaths among patients admitted at weekends.

Earlier last week, the BMA was forced to remove a pay calculator from its website that had suggested some doctors’ pay would be cut by 30 per cent. But junior doctors on the marches said they believed the BMA and not the Health Secretary.

Dr Anna Warrington said she thought her £45,000 pay packet, a third of which comes from working anti-social hours, would be cut if the new contract came into force.

+5

Up to 20,000 demonstrators waved placards which said 'Save our NHS' and 'Protect patients' as they chanted 'Hunt must go' on the march

+5

The row continues between Mr Hunt and representatives of the British Medical Association (BMA) continues as junior doctors rallied today

‘For me, it would mean the number of anti-social hours I am paid for would go down by half,’ said the trainee anaesthetist, who organised the London march.

She added: ‘The vast majority of junior doctors live on the anti-social hours supplement. It represents a third of our salary.’

She said police estimates that 15,000 to 20,000 turned out to march through Westminster, showed ‘the degree of passion the issue excites’.

The doctors also claim the new contract will undermine patient safety by taking away punitive financial penalties for hospitals that make doctors work too many hours.

The marches were not organised by the BMA, which is currently refusing to return to the negotiating table with Mr Hunt, but they did receive its firm backing.

Mr Hunt is threatening to impose the new contract if no agreement can be reached.

Read more: http://www.dailymail.co.uk/news/article-3277550/Doctors-threaten-strike-thousands-junior-medics-march-pay-cuts-changes-contracts.html#ixzz3osSfuvoW
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Age of main candidates for PM Canada.

HARPER 56
TRUDEAU 43
MULCAIR 61

Rise and Fall of the Ontario GP

The OHIP fee schedule is now 50% of the OMA recommended fee schedule.
A fall of 50% in 45 years of State control.
The Liberal Provincial Govt has cut a further 5% this year.
The Liberal Provincial Govt. has given Diagnostic, Investigation  and Prescribing rights to REGISTERED NURSES & PHYSICIAN ASSISTANTS.
The Liberal Provincial Govt . has given PHARMACISTS the right to give immunizations and CHANGE MDs' prescriptions. without consultation
MDs still have to REGISTER DEATHS.

In the mid- 1970s the .slogan of the Left- wing Toronto School of Public Health was "BREAK THE MEDICAL MODEL"

Many Ont. GPs are leaving general practice for so-called "focused" practice known for years in the UK as "GPwSI" GP with SPECIAL INTEREST who often work in Community hospital clinics under the direction of a specialist.

Examples in Ontario
GP-psychotherapy = usually social problems. (Govt does NOT pay CLINICAL PSYCHOLOGISTS who are trained for the job). GP-psychotherapy a useful retirement job for Public Health doctors..Now also called Primary Mental Health care. Cheaper overhead.

SPORT MEDICINE with NON-OHIP physio.

ORTHOTICS ($400 an insole) NON-OHIP

GP-ANAESTHESIA

GP-REFRACTION (NON-OHIP from 20-64y)

GP-HOSPITALIST (NO OVERHEAD)

GP-mainly work in Home for Aged & Nursing Home

GP WELLNESS CLINICS : patient pays $3,500/yr  which includes extra services eg Dietitian & Physio).GP does not bill OHIP for patient  visits.Favoured by upper-middle classes.. In USA TRIO of INTERNIST + OB/GYN + PAED. often provide PRIMARY SERVICES.

GP in Ontario separating  into (NON-OHIP GP)  WELLNESS CLINICS for those willing to pay and increasingly RN & PA services for the rest.

Some pharmacy chains offer FREE RENT, STAFF & SUPPLIES  to eliminate 40% overhead.(Officially not allowed by CPSO but situation "tolerated")

Rural towns offering FREE HOUSING & OFFICE

A.Franklin 











-

OMA DISTRICT 11 (TORONTO) DIRECTOR OBS/GYN RACHEL ALIZON FORMAN MD (Tor 86) FRCSC(2004)

OMA needs a personable spokesperson.for media appearences.

Tall, stylish, well-groomed Dr Rachel FORMAN, mother of two , is the choice of many OMA members. for President.. Living in Toronto is an  advantage.

NATIONAL POST: CPSO drafts patients' Bill of Rights

Doctors object to ‘vague’ patient-first principle in medical regulator’s draft bill of rights

Republish Reprint

Tom Blackwell | October 1, 2015 8:52 PM ET
More from Tom Blackwell | @tomblackwellNP

Getty Creative ImagesThe catalogue of almost 50 patient rights and doctor responsibilities in the draft Ontario College of Physicians and Surgeons document begins with relatively basic statements, such as that doctors will “always put your needs first,” and “treat you with dignity, courtesy and respect.”

(COMMENT: This year's CPSO Pres. CAROL ANNE LEET  MD(Queen's 1983) FRCPC(Paediatrics)
Brampton Ont- a Western suburb of Toronto ,near the Int.Airport with 39% South Asian population.)

In an apparent first for Canada, the country’s largest medical regulator has drafted a patients’ bill of rights, but some doctors are objecting to its “vague” assertion that patients’ needs always be made paramount.
That and other rights outlined in the proposed Ontario College of Physicians and Surgeons document could create unrealistic expectations, some physicians suggested in feedback on the proposed manifesto.
“A patient reading this could call the college and say ‘My doctor didn’t put my needs first. I needed an hour and only got 10 minutes,’ ” one critic says. “Clarification is necessary.”
One commenter asks if always putting the patient first means “I will open up the office on a day the office is closed to accommodate this patient’s schedule … or bend backwards to accommodate the repetitive verbal abuse at staff by an uncompromising patient?”
Another physician simply called the outline of rights and responsibilities “ridiculous,” and added that it fails to respect medical professionals.
Some medical associations, patient groups and hospitals have created patient bills of rights in the past, but the college’s report would appear unique in that it comes from a body that governs and disciplines physicians.
The three-page list says patients have a right to be treated with dignity and respect, reject certain treatment if they disagree with it, be free of sexual advances and not face requests for personal favours or loans. As part of a professional relationship, patients should not even receive invitations from physicians “to their house for coffee.”

Getty Thinkstock“A patient reading this could call the college and say ‘My doctor didn’t put my needs first. I needed an hour and only got 10 minutes,’ ” one critic says.

The document stemmed out of the college’s efforts to combat sexual abuse of patients. But in putting together a statement that could be readily absorbed by the public, the agency decided to broaden the scope beyond just sexual misconduct, said Dr. Carol Leet, the regulator’s president.
While colleges in other provinces have done some work in the area, Ontario appears to be first to release such a document, she said.
“The more information the public has that’s easily understood, the more empowered they are and the less likely it is that someone is going to try to cross those boundaries,” she said.
The document is only a draft now, and may have to be adjusted in response to feedback, Leet said.
The catalogue of almost 50 patient rights and doctor responsibilities begins with relatively basic statements, such as that doctors will “always put your needs first,” and “treat you with dignity, courtesy and respect.”
It goes on to address possible unprofessional behaviour, saying doctors must never talk about their personal problems or sexual activities, ask for money, or make physical contact that is not medically necessary. Another section says doctors must explain the reasons for “physical or intimate” examinations and allow a third party to be present if requested.
A patient advocate said Thursday the document is positive as far as it goes, but neglects the most widespread concerns patients have about poor service.
The statement appears to address almost entirely the kind of serious misconduct the college handles in its disciplinary process, said Sholom Glouberman, founder of the Patients Canada advocacy group.

Those are important issues but affect relatively few patients, he said. The document could, but does not, tackle much more common issues for patients, such as receiving speedy, polite service, he sad.

“It’s all about what doctors shouldn’t do, rather than what doctors should do to improve relations with patients,” said Glouberman. “It says nothing about same-day service, it says nothing about patients being able to access doctors through email, it doesn’t say anything about the doctors being there for the patient.”
Some of the physicians who submitted comments, though, worried about unintended consequences of the rights package, which says patients can contact the college any time they have questions or complaints about their MD.
Others suggest doctors are hampered in offering the “best-quality health care possible” – the second listed right – by the system’s limited resources.
“The (health) ministry keeps cutting our fees and the (college) keeps raising the expectations,” writes one. “Is this dichotomy between resources and expectations sustainable in reality?”
National Post

OMA & Ont Govt impasse on Contract.

A suggested  response

"GO LEAN

1) NO appointments. First come... etc. Take a number

2) Only same gender patients . Avoids expensive  risk of sex abuse complaints to CPSO. . Chaperone RPN in exam room too expensive.
3) Agency receptionist. Fewer benefits, .Flexibility.. Avoids calculating pay deductions tax etc.

4) Diversify:Occupational portfolio:  Non-OHIP jobs e.g. MPP; Insurance medicine; Orthotics; Refraction 20-64y; Cosmetic medicine, develop Medical, Sport and Travel clinics. Non-OHIP Psychoanalysis ; Manipulation; Acupuncture etc

5) Get multiple provincial licenses for job mobility.

6) Ensure office can be sub-let.

UK DAILY MAIL

Rise of the GPs who retire in their 50s: Thousands hit £1.25million pension cap, then leave

• Pension changes have made it unprofitable for GPs to carry on working 
• 5,117 have left since 2012-13 and the average retirement age is now just 59 
• Accountants say the issue is a ‘ticking time bomb’ for GP provision 
• More younger doctors are moving to Australia, New Zealand and Canada

By Sophie Borland Health Correspondent for the Daily Mail

Published: 23:46 GMT, 2 October 2015 | Updated: 23:53 GMT, 

Soaring numbers of GPs are retiring in their fifties because pension changes have made it unprofitable for them to carry on working, experts warn.

A total of 5,117 have left since 2012-13 and their average retirement age is now just 59, and falling.

Accountants say there has been an ‘acceleration’ in the numbers retiring in their mid-fifties in the past 12 months and the issue is a ‘ticking time bomb’ for GP provision.

They put it down to the Government imposing a £1.25million cap on the amount all employees can put into their pensions over their careers.

+2

Soaring numbers of GPs are retiring in their fifties because pension changes have made it unprofitable for them to carry on working, experts warn

Although this seems high, many family doctors on six- figure salaries hit the limit by the time they reach their early to mid-fifties.

This means there is little incentive to carry on practising, especially if they are already demoralised by targets and rising patient demand.

Figures from the NHS Business Services Authority, which oversees pensions, show that in 2014-15, 1,697 GPs retired. This represents 5.2 per cent of the entire workforce of 32,628 full-time GPs in England.

The average retirement age was 59.16 but has decreased year on year from 59.46 in 2012-13 and 59.29 in 2013-14.

A separate Government-commissioned survey of 1,172 family doctors by the University of Manchester revealed this week that 60.9 per cent expected to quit ‘direct patient care’ in the next five years. The exodus is leaving surgeries desperately understaffed, with one in ten GP posts currently empty.

As a result, patients are finding it increasingly difficult to get an appointment and at many practices waiting times are longer than three weeks. Tim Godfrey, of Bishop Fleming, an accountant specialising in providing retirement advice to GPs, warned the exodus was ‘pervasive’ across the country.

He said that in the past 12 to 18 months, the number of GPs taking retirement in their mid-50s had accelerated and was likely to increase.

He added: ‘There’s this ticking time bomb of doctors in their early fifties who were planning to go on a few more years who are now saying, “Do you know what – 55 comes along, I’m going to be off… This is an opportunity for us to move on”.’

He said the NHS was losing their years of experience while surgeries were being left in the hands of young doctors, fresh out of training. ‘It’s almost a perfect storm,’ he added.

+2

Accountants put it down to the Government imposing a £1.25million cap on the amount all employees can put into their pensions over their careers. Pictured is Britain's Chancellor of the Exchequer George Osborne

Mr Godfrey blamed the trend on a new lifetime pension limit of £1.25million imposed by Chancellor George Osborne in April’s Budget.

This will be lowered even further next year to £1million as the Government tries to reduce the amount it pays to pension savers in tax relief.

The rules apply to all employees but only GPs and other high-earning professionals with good pensions are affected.

On top of the retirement surge, more younger doctors are moving to Australia, New Zealand and Canada, where they enjoy a better work-life balance while earning more.

The combined exodus is leaving surgeries understaffed. A snapshot survey of 549 of the 8,500 practices in England by the Royal College of GPs found 10.2 per cent of full-time roles are empty.

NHS England said there were 5,000 more GPs than ten years ago and the career remained ‘hugely rewarding.

Read more: http://www.dailymail.co.uk/news/article-3258310/Rise-GPs-retire-50s.html#ixzz3nQlJIKYx
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VIENNA DOCTORS" BALL

  

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1. Oktober 2015

66. Wiener Ärzteball am 30. Jänner 2016 ! 66th Vienna medical doctor's ball on January 30, 2016 ! Alles Walzer am Wiener Ärzteball! Der Ärzteball 2015 ist schon wieder sieben Monate her und die Highlights, wie zum Beispiel die italienischen Klänge zur Mitternachtseinlage oder die venezianischen Masken, sind uns allen noch gut in Erinnerung. Auch die Organisation für den Ärzteball 2016 ist bereits voll im Gange. Zum 66. Mal macht der Ärzteball den letzten Samstag im Jänner für unsere Gäste zu einem unvergesslichen Vergnügen. Das Motto des nächsten Ärzteballs wird "Belle Epoque - Sigmund Freud" sein, anlässlich Freuds 160. Geburtstages. An dieses Motto wird sich auch das "Casino für den guten Zweck" anlehnen, dessen Einnahmen an den Verein "Jojo - Kindheit im Schatten" (ein Verein für Kinder psychisch erkrankter Eltern) gespendet werden. Unser Reservierungssystem ist seit heute online. Reservieren Sie daher schon jetzt den 30. Jänner 2016 für Ihren Ballbesuch und feiern Sie mit uns in der Wiener Hofburg. Bitte merken Sie sich unsere E-Mail-Adresse reservierungen.aerzteball@aekwien.at für Reservierungsanfragen sowie Bestellungen vor. Auch dieses Mal haben wir für unseren Ball einige Hotel-Packages geschnürt, vielleicht ist das richtige Angebot für Sie dabei! Schauen Sie doch einfach einmal rein. Um Sie auf den Ärzteball einzustimmen, haben wir ein kleines Gewinnspiel für Sie vorbereitet. Beantworten Sie einfach folgende Gewinnfrage per E-Mail: "Wie lautet das Motto des Ärzteballs 2016?" Zu gewinnen gibt es 1 x 2 Sektgutscheine für den 66. Wiener Ärzteball. Der/die Gewinner/in wird per E-Mail verständigt. mehr Video vom Ärzteball 2015 mehr Einladungskarte mehr Online-Reservierungssystem mehr Häufig gestellte Fragen zum Ärzteball mehr Hotel-Packages All is waltz on "Vienna Medical Doctor's Ball"! Even it has already been 7 months since the 65th Vienna Medical Doctor's Ball, we all have the highlights like the Midnight-Show "Italian Nights" in lively memory. The Preparation for 2016 are already in full swing. On the last Saturday in January, the Medical Doctor's Ball will be an unforgettable delight for our guests for the 66th time. The motto of the next Medical Doctor's Ball will be "Belle Epoque - Sigmund Freud", on the occasion of Freud's 160 th birthday. According to the motto the revenues of the "Casino for Charity" will be donated to the society "Jojo - Childhood in the shadow" - for children with mentally ill parents. Our reservation system is already online. Save the date on the 30th of January 2016 to visit the Ball, and celebrate with us in the Viennese Hofburg. Please notice our E-Mail reservierungen.aerzteball@aekwien.at for reservation requests and orders. We also arranged some hotel packages. Maybe we have the right offer for you! Have a look at our arrangements. Setting the mood for the Vienna Medical Doctor's Ball, we have a little competition for you prepared. Simply answer the following question by e-mail: "What is the motto of Doctors Balls 2016?" You can win 1 x 2 champagne vouchers for the 66th Vienna Medical Doctor's Ball. The winner will be informed by e-mail. more Video of the doctor's ball 2015 more Information Brochure more Online Booking more Frequently Asked Questions more Hotel Packages Mit den besten Grüßen Kind regards Ihr Ärzteball-Team Your organizing committee Dieses Mailing ist eine elektronische Publikation der: Ärztekammer für Wien | Telefon +43 1 51501 1234 | Fax + 43 1 5126023 1444 | E-Mail: aerzteball@aekwien.at | 1010 Wien | Weihburggasse 10-12 | Web: www.aerzteball.at This mailing is an electronic publication of the: Medical Chamber of Vienna | phone: +43 1 51501 1234 | fax: +43 1 5126023 1444 | email: aerzteball@aekwien.at | 1010 Wien | Weihburggasse 10-12 | Web: www.aerzteball.at/english.htm Ich will die Ärzteball-News nicht mehr erhalten: aerzteball@aekwien.at I don't want to receive Ärzteball-News: aerzteball@aekwien.at

GLOBAL NEWS: ROGERS CENTRE BASEBALL PRICES. shows degree of disposable income for playtime

SINGLE  SEAT
$425
$80
$50

If Local team,"Blue Jays" goes to World Series: $1400.

Canada Health Act (CHA) forbids an Ontario MD to charge a dollar above the Provincial tariff. Does not differentiate between rent and taxes for an office in Central Toronto business area and a remote Rural practice.. Only Francophone QUEBEC allows private medicine.after the CHAOULLI CASE. Dr Chaoulli & (70y patient) G.Zeliotis vs Quebec 2005 Supreme Court Canada 35

(WIKI) Jacques Chaoulli is a physician best known for launching a Supreme Court challenge against the ban in Quebec on private health care.^[1] He has French and Canadian citizenship.

Chaoulli was born in France in 1952 and earned a medical degree from the Paris Diderot University. In 1978, he moved to Quebec to study medical education and earned a Master's degree from Université Laval in 1982. Chaoulli has practiced medicine in Quebec since 1986 and is now a general practitioner in Montreal.^[2]

In 2005, Chaoulli launched a court challenge against the Quebec government with the Supreme Court of Canada, arguing the Canadian implementation of publicly funded health care was not effective at delivering an adequate level of care.^[1][3] After losing in two lower courts, he won the Chaoulli v. Quebec (Attorney General), the Supreme Court's decision on the case, causing a change in the Quebec government's policy on wait times and privatization.
In 2006, he called for further privatization to improve wait times.^[4]
He currently serves as a special advisor to the Conservative Party of Quebec.