22 May 2015

CMAJ: May 19 Obit Dr E.C.EATON aet 104. Prof.Colleen FLOOD LLM Graduate Tor.Institute for Contemporary Psychoanalysis.

Elizabeth Corrie EATON Shediac,NB. Died Jan 31,2015. MBBS(Lond.1935)  Married to Late Dr .Robert EATON. Moved to Canada in 1938. Passed Canadian exams aged 60.. 5 children.

Univ.Ottawa Prof. Colleen M FLOOD LLM et al.
RESTRICTING PRIVATE-SECTOR PRACTICE USING CONTRACTS.pp583-586

COMMENT by Dr.A.Franklin MBBS(Lond) FLEX(USA) LMC(Can.) D.Phys.Med(UK) DPH & DIH(Tor.)

Left-wing medical activists worried about rise of private doctors' offices and private hospitals e.g. Montreal Rockland MD.and Vancouver Cambie Surgical Centre.. In Toronto: "Wellness" GP clinics ; Cleveland Clinic Canada;  MedCan;  MediSys (Montreal,Toronto,Calgary,Vancouver).  Usual fees are $3,500 a year. GP visits NOT billed to OHIP.;.

(Article attempts to review ways that EU & Anzac countries deals with the problem).

Since 1947 UK has had private and public medicine. Population increasingly insured privately e.g. with BUPA Many private hospitals including private mental hospitals..

Specialists who wish to work for NHS sign a 9/11 sessions a week contract. 9 x 3.5 hr sessions. Leaving two half-days for private practice at market price. Get pension at 65y.when compulsory retirement.from NHS. Can then practice 100% privately according to market demand.

Some UK specialists.work entirely outside NHS.. Can perform surgery in private hospitals.

Unlike Ontario, talent is rewarded by A,B,C, Distinction awards. A= Doubles NHS rate for FULL-TIME
academics with NO PRIVATE PRACTICE. B & C depend on Research & Teaching. In Ontario all Specialists are paid the same. by OHIP.. In Ontario Medical Specialists supplement their income through Drug Trials.Some surgeons commute to USA & UK.Can also bill market rates to non-Canadians..

Naive to believe that Ontarians paying millions for a condo or home; who pay upto $50,000/yr for private schools (not tax deductible) and are members of expensive private sport and social clubs will  accept  OHIP standard of medical care.. Prefer luxury of private clinics which are disguised as "WELLNESS CLINICS" & offer extra services such as Dietitian +/- Physiotherapist..Cardiologists have combined to open elegant offices with advanced imaging.billing OHIP and accepting private out-of-Province clients.

Footnote:: Toronto Institute for Contemporary Psychoanalysis does NOT require a  personal analysis. unlike the Toronto Institute for Psychoanalysis., 40 St.Clair West, @ Yonge St. 416 922 7770

WIKIPEDIA: The Capio Group, based in Gothenburg, Sweden, is one of Europe's leading[citation needed] healthcare companies. Via hospitals, specialist clinics and primary care units Capio offer a broad range of medical, surgical and psychiatric healthcare. The operations and more than 11,000 employees are located in Sweden, Norway, France and Germany.[1] In 2013 Capio received more than 4.3 million patient visits.
Capio is owned by private equity firms Nordic Capital and Apax Partners. (Scandinavia moved from State to Private admin of  hospitals.)