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.

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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'

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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.

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

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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 











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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