The non conformer's Canadian Weblog

October 31, 2010

What is driving Canada’s health costs? Bad doctors, bad Nurses, bad Adminstrators.

 

So how many of you do know that even medical personnel, hospitals  administrators, doctors, nurses, technicians, orderlies need to be still supervised daily, often? As there are really good hospitals and really bad ones..

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IT IS A SAD CANADIAN REALITY THAT TOO OFTEN THE HOSPITALS DO EVEN A PRETENTIOUS MEDICAL SERVICES, AND THE PEOPLE WHO COMPLAIN THE LOUDEST MAY TEND TO GET A BETTER SERVICE..  https://thenonconformer.wordpress.com/2010/12/19/season-greetings-and/  

 https://thenonconformer.wordpress.com/2011/02/23/the-unacceptable-realities/

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Unions, Medical Societies, Doctors and nurses falsely shut up cause they are part of the problem..    Dream all you want but next still when reality hits you it may hit you really hard.. Pie in the sky means pie in the face next likely too.. A rosy picture about doctors, nurse, medicine will not cover up the reality when you next need real medical care from the doctors, nurse,  hospitals and do personally find out too late what it is really like, too often poor and pretentious and why? Nurses, technicians, Physicians especially they generally don’t earn any more for working evenings or weekends so they choose to work only bankers’ hours  So much for the myth that Doctors became doctors cause they do care about people, they are merely greedy monetary pigs it still seems.. https://thenonconformer.wordpress.com/2010/12/09/all-of-the-governments-canada-wide-are-to-blame-for-perpetuating-the-health-care-mess-our-health-care-systems/

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 It is absolutely ludicrous as we often read for any news reporter to say that getting more doctors and pay them more money or privatization will basically solve our medical care problems. There are serious other medical management areas that continually need to be revied, looked into too.
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 As you get older you tend to have more medical sickness, problems and thus you tend to have more experiences with Hospitals, doctors, and nurses, emergency departments. For a start:
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1 Now undeniably garbage input in means garbage output as well. If you hired a bad medical director, bad ombudsman, a bad doctor, a bad nurse, bad worker, you will get bad results next still, which sadly often is still the case.Better management of our doctors and their monitoring their actual capabilities  is still need here firstly too. . While I  personally do hold doctors as one of the most essential medical professionals it is also still firstly still absurd to say that all doctors are equally competent, capable in fact. I can honestly , safely say that 80 percent of the doctors I had encountered, dealt with in the last 50 years  were incompetent, pretentious unable to specially help me with my serious medical problems, and I had too often resort to go to elsewhere, and that means a lot of wasted medical costs as well in the process.
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2 Now the doctors do really not only rely on their educations, experiences to adequately help their patients, but a doctor tends to be too often useless with out the proper medical support, medical laboratories personnel, and the related  medical testing now as well. And this is why most really sick people do even need to still go to the Hospital, emergency department to get the overall adequate medical services and that basic  fact will not change.
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3: As a doctor’s temporary replacement also the demand and expectations placed on the nurses now too is unrealistic, unacceptable. Too keep their jobs and to insure raises nurses may tend to go along with their unrealistic working conditions..
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Your basic general Hospital nurse has 3 functions.. to perform routine medical examinations on the patients, hand out their medications, and to act as orderlies meeting all of the patients needs as well.. a balancing act they find difficult to do given the number of patients they need to look after. They generally do not get adequate support personnel now in this area as well.
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4 Finally doing nothing good about any of this will insure that  Medicare will fail overall.. and that seems to be the approach of many of our provincial, federal health ministers still too and it is still always unacceptable.
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Useless Watchdog ready to handle ER probes
OTTAWA – A new survey says Canadians use emergency rooms more than people from 10 other countries, mainly because they can’t get access to their regular medical care during weekends and evenings.The survey — by the Health Council of Canada in conjunction with international groups — shows that nearly half the respondents who went to emergency rooms in the past two years could have been treated at their usual place of care, if service had been available.By contrast, in Germany, only a quarter of respondents said they were stuck going to emergency because no one else was available after hours.Canadians also rank at the bottom when it comes to landing a doctor’s appointment the same day or next day when they get sick or need quick attention.100 questions posed to about 20,000 randomly-selected people across 11 countries in the spring of 2010. The questionnaire was led by the Commonwealth Fund.
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Although Canadians take great pride in their country’s health-care system, they have a hard time accessing health care after-hours and are often forced to turn to emergency departments for care when their family doctors are unavailable, The Health Council of Canada’s survey, “How Do Canadians Rate the Health Care System,” used information from the Commonwealth Fund International Health Policy Survey to determine both Canadian views of their health-care system and how Canada’s health-care system compares with those of other countries surveyed http://www.torontosun.com/life/healthandfitness/2010/11/19/16221491.html
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You do not need health surveys, polls to confirm what I have been writing now about our Canadian health care system all year. There are too many incompetent quacks pretending to be doctors so people with serious sickness have to go to the emergency rooms at hospitals where they find out that the specialist, good doctors work generally 9-5 on weekdays only..
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Firstly It is misleading to say that the lack of Hospital beds is the sole problem..
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Do you even  know what the actual patient waiting time  is to see a cardiologist  for example outside of the hospital, or an eye doctor, or a  skin specialist, a knee specialist  for a start?
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Having been to the emergency about 7 times at least this year alone with my senior father there are 3 things essential for all for a start  to note..
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1 People who are seriously ill cannot generally  be helped by their family doctors, cause they  still generally  do not have the essential medical skills or even access to the essential medical tests..
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Only hospital tend to have the best, essential testing equipment, medical personnel .. so the lack of emergency room or hospital beds  here  now is not the sole problem..
in reality rather the root problem is the lack of hospital staff to test the sick people 24 hours per day and seven days a week since the good hospital staff, medical technicians and doctors  tend to work 9-5 and  five days a week only.. and this is the root problem
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Generally too many inadequate, pretentious medical test are also still being done initially too by the family doctors and emergency rooms one too.
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2 What the lack of emergency and hospital  beds now also means though is that the patient cannot firstly get medically diagnosed and get get their blood tests done within the first 4 hours..
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so they can if needed be put into an emergency bed for 48 hours and next if needed.. transferred to the Hospital bed for 10 days at the most where more medical  tests can be done…
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what we here also really still do need is not more beds.. but hospital medical testing facilities to be available 7 days a week, 24 hours per day..
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3 The lack of proven, skilled medical personnel is still problem especially, especially   in emergency rooms and elsewhere..
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for instance inexperienced, nurses and inexperienced  doctors should not be allowed to look after  the patients in the emergency room.. Reality   rather here  we need qualified and experienced medical personnel here and   24 hours per day and seven days a week here.. which too often is not the case too…
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4 Now I myself have been to the emergency room at least 5 times the last few years.. 
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Note this I had 5 different doctors at the same hospital give 5 different reason for my sickness initially and none of them were right.. the actual sickness was determined only after I was admitted and serious testing done..
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In many  other instances the emergency room could not help me or others cause they did not have at all the proper medical experts available at all in the emergency room.. since they tend to  too often concentrate, specialize in recognizing  heart attacks, cancer , broken bones mainly  it seems.
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> You make some excellent points here.

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So what then is really behind health-care inflation? The answer would seem to have more do with political decision-making than demographics. As Chris Kuchciak, CIHI’s manager of health expenditures puts it, provincial governments, afraid of runaway health costs, cut back in the early 1990s. Then, in the wake of widespread clamour over crowded emergency rooms and long waiting lists, politicians started pouring more and more money into health budgets in the late 1990s and early 2000s, he said. The fastest growing area of spending lately, by the way, is doctor incomes – projected to reach $26.3 billion this year – followed by drugs, now reaching $31 billion.  http://news.nationalpost.com/2010/10/29/maybe-the-aging-population-isnt-driving-health-costs-after-all/

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 SO WHO, WHAT ARE THE MAIN  CAUSES OF OUR INADEQUATE MEDICARE (CANADA)? Bad doctors and bad Nurses, bad Hospital administrators, bad health Ministers.. and Putting more money in an unsupervised bucket full of holes was a ludicrous management approach…

and what are the solutions.. from the sole called experts.. more money? REALLY you got to be kidding now

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Almost since my first job after graduating from university I had learned that people are not to be trusted, THEY ALL DO need to be supervised, even Professionals, cops, civil and public servants too now,  and corruption still exists in construction, universities, Hospitals, municipalities, governments, corporations, amongst professionals and politicians as well  WHEN IT COMES TO MY PERSONAL HEALTH OR ANYONE’S I STILL RIGHTFULLY DO NOT ACCEPT PRETENTIOUS, INADEQUATE MEDICAL SERVICES. Or any neglect, abuses!  ABUSES EXISTS. If they were hiring appropriately trained staff and providing ongoing staff training and support, including criminal PROSECUTIONS AS WELL  they are not going to have this many  reported incidents  IN HOSPITALS, OLD AGE HOMES.

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The adequate Treatment for Canada’s failing health system firstly is criminal prosecution and jail for the bad doctors, bad nurses for failing to help the sick people adequately and having enforced, Real management, supervision of doctors, nurses, medical and hospital workers.  One of the too many false reasons too many patients die in Hospitals is that almost none of the medical staff feel any personal, real, negative repercussions themselves.   

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Just the tip of the iceberg.. and bad Hospitals, bad doctors, bad administrators like this one abound in Canada in reality.. unacceptable. Fire them all.. Public exposure and rightful prosecution of the bad, guilty persons serves everyone’s best interest, the bad persons included. Unacceptable still 

https://thenonconformer.wordpress.com/2010/10/25/health-reform-merely-not-just-a-political-agenda/

 https://thenonconformer.wordpress.com/2010/06/14/professionals-what-a-joke/    

The adequate Treatment for Canada’s failing health system, Jail  

Too many Doctors are mainly selfish, self centered, want to get rich fast 

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 No one  really checks on the quality, essentialism, effectiveness  of the work provided as well..

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It is impossible to say whether Canada’s medicare system is providing value for money because governments are making little effort to measure performance, the federal Auditor-General says.  Nevertheless, she noted that there are “significant gaps in performance reporting so, no, we don’t know if we’re getting good value for money.” For example, Ottawa will transfer $25.4-billion to the provinces and territories this year through the Canada Health Transfer. (That accounts for a little less than 20 per cent of the $128-billion in public spending on health care; private spending accounts for another $55-billion annually.) Ms. Fraser noted that those massive cash transfers come with no strings attached and little monitoring.
 
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Citizens also now must have the right to sue the governments, and the Ministers, doctors, nurses, hospitals, administrators  for not meeting their own Health care obligations  even for their grossly inadequate provision of health care .
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When a Montreal Verdun Hospital doctors, nurse often says to the  patients as I have witnessed   I cannot do anything  to help you, go to your own doctor when you go home and tell him about it, that is not providing adequate medical aid.   Just the tip of the iceberg.. and bad Hospitals, bad doctors, bad administrators like this one abound in Canada in reality.. unacceptable. Fire them all.. Public exposure and rightful prosecution of the bad, guilty persons serves everyone’s best interest, the bad persons included. Unacceptable still http://thenonconformer2.wordpress.com/2010/05/30/a-pretentious-medical-care-system-in-quebec/
 
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Associated Press – November 13, 2010 11:35 AM ET RICHMOND, Va. (AP) – A Richmond hospital has reopened its neonatal intensive care unit after a staph bacteria outbreak that claimed the life of 1 infant and sickened 10 others. The Richmond Times-Dispatch reports that the MRSA outbreak shut down the newborn intensive care unit at CJW Medical Center’s Chippenham hospital for five weeks. Hospital spokeswoman Karen Nelson says one child died.  http://www.wset.com/Global/story.asp?S=13496645 
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Unnecessary B.C. hospital deaths Wed Apr 7, 9:02 PM  VANCOUVER (CBC) – Two patients at Nanaimo Regional General Hospital have died after an outbreak of the C. difficile bacterium. Thirteen other patients are also infected with the so-called superbug, according to the Vancouver Island Health Authority. The authority said Wednesday that the two patients who died were elderly and had underlying medical conditions. The latest death occurred Tuesday and is suspected to be due to the bacterium, while the other patient died April 1 from a confirmed C. difficile infection. The bacterium causes flu-like symptoms and severe diarrhea. This is the third outbreak of C. difficile at the hospital in the past two years. Hospital staff are now wearing protective clothing such gloves and gowns, and cleaners are using stronger disinfectants to try to contain the outbreak. http://ca.news.yahoo.com/s/cbc/100407/canada/canada_britishcolumbia_bc_c_difficile_nanaimo_deaths
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Now this too common still dark ages shit disease spreading in hospitals  is mainly due to poor housekeeping, the bad cleaning of the hospital toilets, one not washing one’s hand  and one using a contaminated phone  too. Clostridium difficile (C. difficile) is the one of the leading pathogens causing hospital-acquired infection  . It may cause diarrhea, colitis, sepsis and lead to prolonged hospitalization and death.
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PETERBOROUGH, Ont. – A hospital in Peterborough has stopped admitting patients to one of its units after an outbreak of three different bacteria. Peterborough Regional Health Centre is investigating several cases of C.difficile, MRSA and VRE. There have been 11 cases of MRSA since Nov. 5. The first of seven C.difficile cases dates back to Oct. 22. There are two cases of VRE.   Methicillin-resistant Staphylococcus aureus (MRSA) is a bacterium responsible for several difficult-to-treat infections in humans. It may also be called multidrug-resistant Staphylococcus aureus or oxacillin-resistant Staphylococcus aureus (ORSA).  http://ca.news.yahoo.com/s/capress/101113/national/bacteria_outbreak
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MRSA is, by definition, any strain of Staphylococcus aureus bacteria that has developed resistance to beta-lactam antibiotics which include the penicillins (methicillin, dicloxacillin, nafcillin, oxacillin, etc.) and the cephalosporins. MRSA is especially troublesome in hospitals where patients with open wounds, invasive devices and weakened immune systems are at greater risk of infection than the general public. MRSA strains of bacteria can be found worldwide. In general, healthy people with no cuts, abrasions, or breaks on their skin are at low risk for getting infected. However, the bacteria can be passed from person to person by direct contact with infected skin, mucus, or droplets spread by coughs. Indirect contact also can spread the bacteria; for example, touching items like towels, utensils, clothing, or other objects that have been in contact with an infected person can spread the bacteria to other uninfected individuals. One major problem with MRSA is that occasionally the skin infection can spread to almost any other organ in the body. When this happens, more severe symptoms develop. MRSA that spreads to internal organs can become life threatening. Fever, chills, low blood pressure, joint pains, severe headaches, shortness of breath, and “rash over most of the body” are symptoms that need immediate medical attention, especially when associated with skin infections.
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Normal skin tissue in people usually does not allow MRSA infection to develop; however, if there are cuts, abrasions, or other skin flaws such as psoriasis (a chronic inflammatory skin disease with dry patches, redness, and scaly skin), MRSA may proliferate. Many otherwise healthy individuals, especially children and young adults, do not notice small skin imperfections or scrapes and may be lax in taking precautions about skin contacts. This is the likely reason MRSA outbreaks occur in Hospitals and in diverse types of people such as school team players (like football players or wrestlers), dormitory residents, and armed-services personnel in constant close contact.  People with higher risk of MRSA infection are those with obvious skin breaks (for example, patients with surgical or traumatic wounds or hospital patients with intravenous lines, burns, or skin ulcers) and people with depressed immune systems (infants, the elderly, or HIV-infected individuals) or those with chronic diseases (diabetes or cancer). People with pneumonia (lung infection) due to MRSA can transmit MRSA by airborne droplets. Health-care workers as a group are repeatedly exposed to MRSA-positive patients and can have a high rate of infection if precautions are not taken. Consequently, health-care workers and patient visitors should use disposable masks, gowns, and gloves when they enter the MRSA-infected patient’s room.
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One of the too many false reasons too many patients die in Hospitals is that almost none of the medical staff feel any personal, real, negative repercussions themselves. One of the best way that I have discovered to get to know what a  person is really like, is work with him  just for one whole day,.. and   what   you now saw next.. lying, bullying, control freak..
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Many persons who are fed up with the APPARENT INADEQUACIES even in the socialized medicine would like us to believe that a private medical system is better… and that is mere wishful thinking.. for even in a private system there are too often the same inadequacies, even for the same reasons, the apparent lack of supervision of medical personnel and services, and   Profit-hungry hospitals are also overcharging consumers an estimated $10 billion a year in the US. Some deliberately work to keep bills indecipherable.  That’s what Nora Johnson found when her 56-year-old husband, Bill, underwent hip-replacement surgery in 1999. The cost of the operation was $25,000.   Knowing that her family would have to pay a percentage of the costs, she requested an itemized bill. $129 for a box of tissues. “Like the charge for newborn blood tests and a crib mobile. That stopped me in my tracks,” recalls Johnson. “As far as I know, my husband never had a baby.”  But making sure that you are charged correctly can be a daunting task. “That’s what Richard Clarke found out firsthand shortly after his father died in 2000. Despite the fact that he is a former hospital chief financial officer, Clarke admits, sorting through the bills took him a year. In the end he found $2,000 in errors. And, according to a 1998 study of hospital billing procedures, they go to extraordinary lengths to discourage patients from delving too deeply into their bills.”

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Yes, you can buy medical insurance to protect yourselves financially against medical emergencies. But will the services, coverage be there when you need it? Nevertheless, experts still do next say reviewing your bill for overcharges is vital. “For one thing, if you are required to pay some of your hospital expenses, either as a deductible or a co-payment, overcharges will come out of your pocket.   What’s more, most insurance plans have a cap, meaning, “Money siphoned off by errors or fraud can chip away at your lifetime total,” says Tom Brennan, Blue Cross/Blue Shield’s director of special investigations. Your credit rating may be at risk too. “Hospitals have become very aggressive about collecting money,” says Nora Johnson.”
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Now  we all have heard the phrase “here to serve”.. but dream on if you are dumb enough to believe that.. most people still are self serving to start of with.. The world is full of self serving persons and  Liars, who even  often lie to themselves too, there are too many persons  with a hidden agenda, sometimes not too hidden ones, such as self promotion, financial gains are too often amongst the top of their goals still. Most of us tend not to believe everything we hear, but most of us are still gullible and do too often get taken in Don’t Believe Everything You Read, or see, even if it is writing,  especially if it is a preacher or a politician it now seems.. not even too many of the so called professionals.. Not just in Churches, amongst the police, politicians, civil and public servants, I have never seem so many lying, mental people in one place like I have amongst the medical workers I have dealt with this year in  in Hospitals, convalescent, old age homes who really do delude themselves too often about their self importance and the positive role they are functioning in.  When a medical professional cannot see what they are doing now is simply  so wrong they themselves do now need real professional help too. 

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SO WHO, WHAT ARE THE CAUSES OF EVEN OUR INADEQUATE MEDICARE (CANADA)? Bad People AS WELL!

Do also see
National Health Care Anti-Fraud Association
http://www.nhcaa.org/eweb/StartPage.aspx 

What is Health Care Fraud 

Report Fraud 

Stop Medicare Fraud

http://moneycentral.msn.com/content/insurance/insureyourhealth/p74840.asp

Related posts from The non conformer’s Canadian Weblog

Canada Pretentious Medicare

The adequate Treatment for Canada’s failing health system, Jail 

Canadian Mortality rate – Death -Health – Heart disease – Cancer 

THE RIGHT OF SCRUTINY, ACCOUNTABILITY, OPPOSITION PARTIES IS A HISTORIC UNDENIABLE FACT,   

The public is also invited to share with the police anything they know about corruptions, abuses   

Welcome to not one big Canada but too many separate parts.. 

The Top Posts read here, ending February-14 -2010 

Hospital deaths account for half of deaths annually 

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More from this blog 

or But you know that already.. 

or Too often still a pretentious medical care system in Quebec 

or Report card: Failed- Canada’s hospitals and Health Ministers

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It is a sad fact of life that even in Quebec that unless you are murdered, violently treated, that when you are abused, robbed, slandered, mistreated, or whatever do not expect the pretentious governments to come to your help or the pretentious self servicing  police for generally you are on your own.. The governments and the police mostly will not solve any problems because for the most part they are the cause of the continuation of most of the problems. They and their related civil and public servants  are liars and thieves who even falsely do  take the tax payers pay, money for managing the heath care system but next instead do almost  nothing good in reality..
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Public spending on physicians has become the fastest-growing expense to Canada’s health-care system, a trend sparking growing calls for an overhaul to the payment system for doctors.” Doctors are paid for each consultation they provide or surgery they perform, which provides a perverse incentive to do more even when it may not be warranted, The incentive is to do the surgery, not necessarily to do the surgery on the person who really needs the surgery.” http://www.theglobeandmail.com/news/politics/payments-to-mds-to-top-26-billion/article1776182/  

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No one  really checks on the quality, essentialness, effectiveness  of the work provided as well..
 
 
  
           

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