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May 16, 2020 25 tweets 96 min read Read on X

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More from @John1MD

Jan 26
As many may know, family doctors are being asked to accept a new payment model from @ABDanielleSmith, @AdrianaLaGrange. What is it supposed to do? Its supposed to pay famdocs not only for the encounters they engage, but also the time they spend and patient complexity...2
2...But, if we look at the individual components:
a) encounter pay is 68% of what we were getting, so that's a cut
b) time-based pay is about on par with what we were getting before
c) complexity-stipends...well, that's a whole different kettle of fish...3
3...You see, we are being told that our complexity stipends are based on a matrix developed by the esteemed CIHI (Cdn Institute of Health Information). But, this involves proprietary algorithms and as such,...4
Read 16 tweets
Jan 23
People should read up on Austria's political history in the 1930s. For 2years+ before Germany rolled into Austria, pro-Nazi political parties were being groomed and pro-Nazi media outlets were being installed...2
2...The Austrian Nazi party KNEW about and assisted Hitler's flash decision to conquor Austria. He did it in 3 days, with help from his political allies within...3
3...Know this when you read articles being published by PP's con party, spinning how Canada is duty bound to accept US hegemony. Know this when you watch Alberta's premier come back to Canada private talks with Trump, and nothing to show for it for Albertans...4
Read 5 tweets
Sep 10, 2024
I have been fortunate to explore numerous corners of the western world. Early on I was advised to pay close attention to the people. No further guidance than that. I started looking through the lens of a physician. I saw history & geography determined the habits of the people...2
2...Europeans weren't nearly as obese, but they lived on 1000s yr old infrastructure. They were not a frontier. North America continues to be a frontier, and it shows in our houses, living rooms, pantries, fridges. Stock up, gun up, hunker down...3
3...There is no need for a neighborhood grocery store, so reject 15 min cities! You need a vehicle w 500km range so reject tech that works w a social grid. Be an individual, don't live in your community! Isolate yourself self-sufficiently, and soon there will be no community...4
Read 19 tweets
Aug 29, 2024
1...This is coming to your hospitals Alberta. With the faith-based ideology, Covenant Care will be looking to impose these doctrines:

"In vitro fertilization (IVF) is not permitted because it separates procreation from the personal, sexual act of love of the couple."...2
2..."Catholic health care organizations are not permitted to engage in immediate material cooperation in actions that are intrinsically immoral, such as abortion, euthanasia, assisted suicide, and direct sterilization."...3
3..."A female ...If, after appropriate testing, there is no evidence that conception has occurred already, those treatments that would prevent ovulation, sperm capacitation or fertilization are permitted." So, you can only prevent a rape pregnancy, not end one...4
Read 8 tweets
Aug 8, 2024
Dr Parks @PFParks, you have done great service in raising public awareness as to the plight of family medicine in Alberta. I salute you. This ad is an example of the value the UCP places in famdocs, and the games they are willing to play...2
2...@ABDanielleSmith @AdrianaLaGrange, if I am elected prez SFM (Section Family Medicine) on August 23rd...you are going to realize what its like to deal with a real SOB. I'm bringing new tactics, I am assuming you will be unreasonable, and the stakes are going to be raised...3
3...Board of the AMA (@Albertadoctors), I look forward to working with you. @ShellyDuggan, if I am so fortunate to work with you, lets bring hell to this uncooperative bunch. @gilmcgowan I hope to gain wisdom from you, Heather Smith (@UnitedNurses), Preston Quintin et al...4
Read 8 tweets
Jul 26, 2024
There is an all-time high amount of moral injury/burn out in the public health services. My family medicine colleagues are leaving. But of those that are not yet committed to leaving, they are all saying...in the clinics, in the symposiums, in the chatboxes...2
2...they are saying "what's the point? Why die on the sword of public health when purse holders insist on starving the system, us, our families, to death?"

You know what that leads to? Further obstructions of care. Family doctors are now trying to salvage their...3
3...Salvage their personal relationships with their friends, spouses, kids. Relationships that fell apart when those same docs took it seriously when they were asked to stand on the line when "we were all in this together". Not for a moment do I blame them...4
Read 14 tweets

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