ROGAINE 5% Minoxidil for androgenic alopecia. OTC.

5% now sold in CANADA. Before only 2% available.  In UK 5% sold in 2010.(BNF p 722) In UK 5% licenced for men only.

Daily Mail: Rio- viral contamination of sea water

Virus level 1.7 Million times danger level in UK. Athletes advised to keep head above water.  Comment: Advice difficult to put in practice!

STATS CAN; Cost of Medical care in Ontario approx $3,600 per person.

Popn.ONTARIO approx. 14-million
Cost of Provincial Medical Insurance  $50.1-billion
(COMMENT:No general Dental coverage..Meds mainly free after 65y. Those on Welfare get free basic dentistry and most meds)

$3.600 per person average cost of medical care.

90,000 immigrants yearly. (COMMENT-Refugees get immediate Insurance cover. Other immigrants have to wait 3 months. Can buy private insurance to cover first 3 months.Benefits vary by Province. Ontario now paying for IVF and Surgical transgender change. Free Abortion on Demand  to 24 weeks.)

CIA: Hospital beds per 1000 population. MONACO & JAPAN top.

MONACO 2012 - 13.8                          89.7WHO: Life expectancy (2015 M & F)
JAPAN: 2009 - 13.7  .                            83,7

RUSSIA 2006 -  9.7                              70.5
GERMANY 2011- 8.2                           81      

SWITZERLAND 2011 - 5                     83.4

UK                                                          81,2
USA                                                        79.3
2011 both 2.9                                        
CANADA 2011 - 2.7                              82.2

( COMMENT :Patient is more scientifically observed and treated in Hospital. Diagnosis easier and faster.Post-op rehab more controlled. Hospital more expensive. Many patients now have private insurance plus Catastrophic medical insurance up to  $2-million. Example:Stem-cell transplant in Switzerland with month in hospital $250,000. Swiss hospitals have optional text in Russian.)

Cost of Defensive medicine: CPSO & Personal injury lawyers

Many investigations ordered to avoid CPSO complaints by patients and/or relatives. Anyone anywhere in the World can complain to CPSO about a member. The member has to respond. Personal injury lawyers often take no retainers bur charge 30 per cent of any award. Small claims court can award damages to $25,000 No lawyer needed. CPSO expensive; about $2,000 a year. Michigan Medical licencing dept charges about $290 yearly. MD can pay for 3 years in advance.

OMA members with MBA

There are a few OMA members with a MBA. It would be wise to include their knowledge in the group dealing with the Ontario Govt  (Comment by Dr A Franklin) OMA auditors KPMG should also be involved as well as the OMA Economics dept. KPMG LLP International could advise on Taxes ,Retirement and Estate planning.(KPMG has an Information service)

Daily Mail: UK NHS pays GP approx $Can 240 a year per registered patient ( tied to one GP).

Patient can change GP but can not wander from GP to GP as in Ontario. NHS pays whether patient attends or not. To avoid paying for dead patients, NHS now sends letters to those who have not visited their GP for 5 years. GP has a maximum number of registered patients approx 2200.. After reaching that number can accept private paying patients who have to pay for investigations as well.