WOW, 3 billion borrowing this year! Going to hell in a hand basket? In a deep hole and just keeps on digging? 5. 6 billion on health care? And the system in a state of crisis on every front it seems, or actually? Lots of buildings and not not enough staff to operate. It there one area where we lead the nation in best outcomes? Ed, consider compiling a list of worst or near worst in Canada for the different things it covers, cancer, cardiac, lungs etc, different types of surgeries, wait times, nutrition, physio services etc, wait times at ER, those who refuse to go to ER, even when gravely ill, money spent per resident for health care through taxes, poor administration, transparency, numbers of scanners, and locations, distance from scanners from remote Labrador communites, locus payouts, people without doctors, restrictions on 811 NPs (restricted scope of practice), poor safety protocols, now no walk-in ECGs at the HSC (so no nearly access to ER or specialists then), cardiac patients needing urgent care, not triaged for hours at the ER, older people and those with disabilities on the back burned, patients discharged after major surgeries prematurely and then with no GP or proper follow up, requisitions sent to specialists but never received, not acknowledged, and sometime lost and having to start all over, as conditions worsening, people told they get treatment out of province, soon, and months or a year goes by and never can get an update on the status, as they deteriorate, GPs who have patients not getting a colon scope, then later finds out its Stage 4, TOOOOOOOO Late, 90 % chance of mortality in a year or so, ............ the list goes on. The arse is gone right out of her, h'ey b'y.
nurse practitioners have a limited scope of practice because their nurse practitioners. But understand that it’s limited in comparison to physicians who have a completely different form of training and a much broader scope of practice because they trained this physicians, not as nurse practitioners. This is not some kind of slight. It’s a reflection on what they do and what they can do.
The major problem in healthcare in Newfoundland and Labrador is in the administration, both in the massive bureaucracy running the actual health authority itself, and in the department of health.
And it is a completely sacred space that can never be touched by anything. It really went to hell under Andrew Furey who just simply started spending money wildly large because he was going back to work there and wanted to give himself a new office to work in and to make sure that everybody in the system loved him because he didn’t cut them at all. It was complete self interest on his part.
Many NPs under have a more limited scope with 811 as they told me, due to their contract with 811, generally NPs scope is otherwise pretty broad. I Googled for an AI answer to this question of standing as to other provinces , and the results is very very bad as to NL,
And as to LTC and PCH, regulations are 20 to 25 years old, long out of date as to good standards on many levels. What I found just adds a lot to items I listed.
You say the the administration is a sacred space, and can never be touched by anything, so that the new Minister of Health and the Premier cannot not and will not attempt to change anything ??? So , not far from third world country care in some respects and nothing will change? Maybe Patty Daley will change it !!!!!!!!!! Or some revolt by enough of caring professional is the system? Or we are doomed forever more?
No fixing,, can't put a new or better arse in the old boat? "Say it ain't so , Joe"
A good example of the admin problem in health care is roll-out of Corcare. 100% focused on the bricks and mortar of the bureaucratic outfit and absolutely no regard for the family docs and specialists operating their small businesses in the private sector. This is classic and as the beast has gotten bigger it has developoed less concern for anyone not inside the circle at the very top.
Health care at the front line remains as good as it gets anywhere, allowing constraints, all of which are the result of a shitty corporate attitude that has grown worse over time, all knowing they are politically protected just as NALCOR knew and knows *it* is politically protected from any consequences of its own decisions
Remember: you can kill hundreds through blind incompetence and get away with it if you are an administrator with NL Health. THAT is the lesson of the breast cancer inquiry. COVID just confirmed the immunity from consequences that comes from being politically essential regardless of how stupid and harnful your decisions are. The central nursing scandal shows you break the law and the top politivcians in the province will let you off with it.
Ed please clarify what you mean by front line care is as good as anywhere? Where is the front line? I do know there are many competent specialists and nurses and others, if you get on the list, and then the issue addressed in a timely fashion. But these have no pull to address the many road blocks to overall good care.
That many who oppose this roll out now, (this being 12 years after it was federally mandated for all USA states in 2014), being fearful for accountability as often they are lax in delays, as to their patients, lack of proper follow up.
And why suddenly is Ron Johnson and others, seldom seen, now able to speak and appear on TV on this? 600 million is over 10 years. This now being federally mandated in Canada and funds will not flow from Ottawas if it is not done timely, despite 12 years behind. There is a big story on how this has been mismanaged and also to cost so much. Can I engage your services to dig into this further?
When you have no hope of improvements to this stagnation, it suggests you are more depressed than me on this matter?!! Or just more realistic?
Frontline? If you include the auxillary staff or secretaries who cover for doctors and not getting answers for patients, many are not very competent as to even general medical issues and you get only answer machine and messages and often no way to leave a message. Not the same everywhere.
To your topic , yes a sad situation as to private companies and jobs from that, as so much is govn jobs and is top heavy with IBD (Inefficiency By Design), including how this Corcare will cost and problems not compatible with the Feds desires for universal compatible systems.
WOW, 3 billion borrowing this year! Going to hell in a hand basket? In a deep hole and just keeps on digging? 5. 6 billion on health care? And the system in a state of crisis on every front it seems, or actually? Lots of buildings and not not enough staff to operate. It there one area where we lead the nation in best outcomes? Ed, consider compiling a list of worst or near worst in Canada for the different things it covers, cancer, cardiac, lungs etc, different types of surgeries, wait times, nutrition, physio services etc, wait times at ER, those who refuse to go to ER, even when gravely ill, money spent per resident for health care through taxes, poor administration, transparency, numbers of scanners, and locations, distance from scanners from remote Labrador communites, locus payouts, people without doctors, restrictions on 811 NPs (restricted scope of practice), poor safety protocols, now no walk-in ECGs at the HSC (so no nearly access to ER or specialists then), cardiac patients needing urgent care, not triaged for hours at the ER, older people and those with disabilities on the back burned, patients discharged after major surgeries prematurely and then with no GP or proper follow up, requisitions sent to specialists but never received, not acknowledged, and sometime lost and having to start all over, as conditions worsening, people told they get treatment out of province, soon, and months or a year goes by and never can get an update on the status, as they deteriorate, GPs who have patients not getting a colon scope, then later finds out its Stage 4, TOOOOOOOO Late, 90 % chance of mortality in a year or so, ............ the list goes on. The arse is gone right out of her, h'ey b'y.
nurse practitioners have a limited scope of practice because their nurse practitioners. But understand that it’s limited in comparison to physicians who have a completely different form of training and a much broader scope of practice because they trained this physicians, not as nurse practitioners. This is not some kind of slight. It’s a reflection on what they do and what they can do.
The major problem in healthcare in Newfoundland and Labrador is in the administration, both in the massive bureaucracy running the actual health authority itself, and in the department of health.
And it is a completely sacred space that can never be touched by anything. It really went to hell under Andrew Furey who just simply started spending money wildly large because he was going back to work there and wanted to give himself a new office to work in and to make sure that everybody in the system loved him because he didn’t cut them at all. It was complete self interest on his part.
Many NPs under have a more limited scope with 811 as they told me, due to their contract with 811, generally NPs scope is otherwise pretty broad. I Googled for an AI answer to this question of standing as to other provinces , and the results is very very bad as to NL,
And as to LTC and PCH, regulations are 20 to 25 years old, long out of date as to good standards on many levels. What I found just adds a lot to items I listed.
You say the the administration is a sacred space, and can never be touched by anything, so that the new Minister of Health and the Premier cannot not and will not attempt to change anything ??? So , not far from third world country care in some respects and nothing will change? Maybe Patty Daley will change it !!!!!!!!!! Or some revolt by enough of caring professional is the system? Or we are doomed forever more?
No fixing,, can't put a new or better arse in the old boat? "Say it ain't so , Joe"
A good example of the admin problem in health care is roll-out of Corcare. 100% focused on the bricks and mortar of the bureaucratic outfit and absolutely no regard for the family docs and specialists operating their small businesses in the private sector. This is classic and as the beast has gotten bigger it has developoed less concern for anyone not inside the circle at the very top.
Health care at the front line remains as good as it gets anywhere, allowing constraints, all of which are the result of a shitty corporate attitude that has grown worse over time, all knowing they are politically protected just as NALCOR knew and knows *it* is politically protected from any consequences of its own decisions
Remember: you can kill hundreds through blind incompetence and get away with it if you are an administrator with NL Health. THAT is the lesson of the breast cancer inquiry. COVID just confirmed the immunity from consequences that comes from being politically essential regardless of how stupid and harnful your decisions are. The central nursing scandal shows you break the law and the top politivcians in the province will let you off with it.
Ed please clarify what you mean by front line care is as good as anywhere? Where is the front line? I do know there are many competent specialists and nurses and others, if you get on the list, and then the issue addressed in a timely fashion. But these have no pull to address the many road blocks to overall good care.
That many who oppose this roll out now, (this being 12 years after it was federally mandated for all USA states in 2014), being fearful for accountability as often they are lax in delays, as to their patients, lack of proper follow up.
And why suddenly is Ron Johnson and others, seldom seen, now able to speak and appear on TV on this? 600 million is over 10 years. This now being federally mandated in Canada and funds will not flow from Ottawas if it is not done timely, despite 12 years behind. There is a big story on how this has been mismanaged and also to cost so much. Can I engage your services to dig into this further?
When you have no hope of improvements to this stagnation, it suggests you are more depressed than me on this matter?!! Or just more realistic?
Frontline? If you include the auxillary staff or secretaries who cover for doctors and not getting answers for patients, many are not very competent as to even general medical issues and you get only answer machine and messages and often no way to leave a message. Not the same everywhere.
To your topic , yes a sad situation as to private companies and jobs from that, as so much is govn jobs and is top heavy with IBD (Inefficiency By Design), including how this Corcare will cost and problems not compatible with the Feds desires for universal compatible systems.