> Canadian doctors have been going to the US to practice for years. I'm told
> some of these doctors are coming back to Canada. From what I understand,
[quoted text clipped - 9 lines]
> > > Can someone give me the name of the best Neurologist in the U.S. for
> > > treating seizures? Thanks for your help.
You're mistaken about Canada medical stuff below. (post at bottom).
The place where we're having trouble is getting enough Senior Doctors to
handle the Residency Requirements and Training of the Doctors about to
graduate. If they don't have somewhere to 'practice', they are going to
the U.S. to complete their "Licensing" (or whatever it's called)
requirements -- like a Lawyer Articling... Once they're working in the U.S.
for U.S. Dollars (about $1.44 Canadian) there's no incentive for them to
return to Canada, since (I THINK) the Doctors here are Capped at how much
they can BILL PER *YEAR based on experience, etc.
That might be what you meant (below) in para.1 i.e. Once he's billed
160,000 Dollars a year he 'can no longer bill' .... But Dave or I would
take $160,000. each and manage to Squeak by if we had to....
Second, our biggest problem is getting Doctors graduating being willing
to go work in 'remote' areas.... Near the U.S. border but in Towns of under
200,000 people... Canada Government is considering altering the Pay Scales
to encourage graduating Doctors to move to the Smaller Communities (for
example) at 25-30% premium over the 'Caps' they might have in Toronto or
Montreal (That would explain your Para. 3 below-- 'what you heard' / The
biggest demand for 'Walk in Facilities' are in the Smaller towns further
north and outside the major Centres.)
Last time I thought I might have to see my Neuro, from 1994 when I could
see him within 5-10 days, I now need a 'new referral' from my Family
Doctor, then the wait period was up to 6 weeks. That was in Toronto.
Anything more severe is being handled now in 'Emerg.'
After SARs and other things we had at start of summer, there is
increasing unrest in the WHOLE Medical Community, about 'Hazard Pay' for
more severe Job Areas by All Staff -- Janitors through Nurses through
Doctors, because of the extreme containment and isolation that was necessary
to Trap all of the SARs Virus.... It made some of the computer ones look
like 'the flu', and we *Lost some Major Neurologists, Nurses and Teachers at
the Research Hospitals during that outbreak.
All of above are also combining with the Aging Baby Boom to produce a
High Doctor Burnout rate, where Doctors who might have worked to age 65 or
beyond, are now leaving at 55 or earlier... Another Demographic reversal
that is affecting patient staff ratios here, and likely in the U.S. too.
G.R./
**I can't speak to where 'hillary' stands, I don't remember seeing her
say anything substantive that made any news up here, OR on CNN. Impression
I had was the U.S.viewed socialized medicine as a first step into Communism
and thought market forces should determine who gets treated and who
doesn't. Sometimes it's hard to differentiate that attitude from a third
world country.. ? /
*********
> I am not totally educated in the matter, but from what I understand, the
> Canadian only provides a certain amount of money per doctor... so if the
[quoted text clipped - 16 lines]
>
> > Canadian doctors have been going to the US to practice for years. I'm
told
> > some of these doctors are coming back to Canada. From what I understand,
> > Doctors in the US are paid very well but they also pay out a huge amount
to
> > malpractice insurance. The grass isn't always greener on the other side
of the fence.
> > Rob
> >
> > > Sooner or later, if the trial lawyers arnt stopped, there arnt going
to be
> > > ANY doctors to visit.
> > >
> > > > Can someone give me the name of the best Neurologist in the U.S. for
> > > > treating seizures? Thanks for your help.
gaross - 15 Sep 2003 19:04 GMT
I missed one (or more). The part about choosing a second Doctor and
'being fined' is Not Correct. G.R.
"gaross" wrote in message
You're mistaken about Canada medical stuff below. (post at bottom).
> > I am not totally educated in the matter, but from what I understand, the
> > Canadian only provides a certain amount of money per doctor... so if the
> > doctor runs out of funds (tax dollars) then he can no longer practice
> > (reason why they take off to the US for a while).
> >
> > I was told that the largest number of surgeries in Canada are done at
around
> > August-September. And then the rest of the year, nothing else can be done
> > except build up a waiting list and then just stake out for more funds from
> > the government. Seems kind of risky to need treatment in Canada (I guess
if
> > you are healthy, free health care is great. But if you have seizures and
> > need brain surgery... goodness, Canada might be the LAST place you need
to be).
*****************************************************
> > Is it correct that a doctor is assigned to you via the region you are
> > located (in canada)? And if you decide to visit another doctor, both him
and
> > you can be fined?
> >*******************
PeptoP - 16 Sep 2003 03:37 GMT
Thanks for the clarification. This was 2nd hand information (I had).
Definitely wasnt sure abouth the 2nd doctor and fines. Sounds like something
that could make it's way through legislation though.
> I missed one (or more). The part about choosing a second Doctor and
> 'being fined' is Not Correct. G.R.
[quoted text clipped - 25 lines]
> > > you can be fined?
> > >*******************
gaross - 16 Sep 2003 03:49 GMT
Not here. We don't legislate like that. (We have both Federal and
Provincial elections within 3 months. Federal Government funds healthcare,
Each Province administers it locally, under the Canada Health Act.) G.
> Thanks for the clarification. This was 2nd hand information (I had).
> Definitely wasnt sure abouth the 2nd doctor and fines. Sounds like something
[quoted text clipped - 8 lines]
> > >
> > > > I am not totally educated in the matter, but from what I understand,
the
> > > > Canadian only provides a certain amount of money per doctor... so if
the
> > > > doctor runs out of funds (tax dollars) then he can no longer practice
> > > > (reason why they take off to the US for a while).
> > > >
> > > > I was told that the largest number of surgeries in Canada are done
at around
> > > > August-September. And then the rest of the year, nothing else can be
done
> > > > except build up a waiting list and then just stake out for more
funds from
> > > > the government. Seems kind of risky to need treatment in Canada (I
guess if
> > > > you are healthy, free health care is great. But if you have seizures
and
> > > > need brain surgery... goodness, Canada might be the LAST place you
need
> > to be).
> > *****************************************************
> > > > Is it correct that a doctor is assigned to you via the region you are
> > > > located (in canada)? And if you decide to visit another doctor, both
him and
> > > > you can be fined?
> > > >*******************