As a recently repatriated Canadian, I understand the pride that Canadians take in the single-payer healthcare system (really, it's split by province).

But I believe that pride sometimes interferes with people's ability to see how it has been crumbling and the urgency for fixes.
At this point, it should also be clear that Covid isn't a question of individual risk. It is a question of societal risk.

It's not about how mild Covid was for you and your friends. It's about how there's no hospital beds or staff left. We need more of both.
Here's a snapshot of how far behind Canada's healthcare system is. I am so confused about why people here accept this as status quo.
There is *so much finger-pointing* about who is to blame for the situation we're in. But I think the greatest blame goes to those who have facilitated the deterioration of the the healthcare system. This cost cutting is costing us. There need to be more than platitudes to fix it.
If you think that the lack of hospital beds (and staff) doesn't have anything to do with school closures you are wrong.

If we had the healthcare capacity to cover COVID, we'd be making different decisions as a society.

The defunding of healthcare is the root of our problems.
We can argue about N95s and rapid tests until the cows come home — and believe me, I am passionate about these things — but the truest and most foundational thing we should be talking about is healthcare capacity (along with paid sick leave and other protection for workers).
We're talking about people dying on waitlists — and yet politicians don't really seem to offer anything in the way of concrete plans. And these deaths were from before the pandemic. Don't even get me started on délestage. cbc.ca/news/canada/mo…
We're talking about people trying to get a diagnosis, and getting bounced around until the cancer has progressed. What if this was your daughter, or your neighbor, or you? This is a system in need of repair. montrealgazette.com/news/local-new…
When I got here, I wondered, has it always been this bad? The answer is no.

Specialist physicians in 2020 reported a median wait time of 22.6 weeks between referral from a general practitioner and receipt of treatment— compared with 9.3 weeks in 1993. fraserinstitute.org/studies/waitin…
And I have to confess my ignorance. I have been FLOORED at the number of people I know who have told me horror stories of getting sick in a different province from the one they live in and paying $$$$. healthydebate.ca/2015/07/topic/…
This story dates to 2016, but it found that #Quebec had the longest ER wait times in the Western world. Clearly Ça va bien aller won't be true with this situation, pandemic or not: globalnews.ca/news/2737837/q…
I have been overwhelmed with the brilliance of the people who work in healthcare here. I just wish the government would pay for more of them.

The public has been fighting about Covid interventions, but the most important of all is that *access * to healthcare is a human right.
Coda: @writeo notes rightly that @picardonhealth's writing on the healthcare system is a must-read. This one is a great summarization of the need for greater cohesiveness: theglobeandmail.com/opinion/canada…

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More from @rkhamsi

16 Apr 21
🚨 Rare clotting events are under investigation in connection to at least two brands of COVID-19 vaccines. Here’s my article for @TheAtlantic about the biological theories that might explain them: theatlantic.com/science/archiv…
Theory 1: the blood clotting issues arise because some part of the vaccine spurs the formation of rogue antibodies against a protein secreted by platelet cells, causing the body to mistakenly deplete platelet levels in a condition called VITT 2/n theatlantic.com/science/archiv…
Theory 2: (possibly connected to Theory 1) the spike protein employed by the vaccine to induce immunity might spur rogue antibodies either directly or indirectly 3/n theatlantic.com/science/archiv…
Read 8 tweets
5 Feb 21
🚨 We've been talking about tiny mutations in the coronavirus.

Scientists say we should be talking more about how the virus is a master of mixing *large* chunks of its genome. This might contribute to new and dangerous variation.

My latest, for @nytimes: nytimes.com/2021/02/05/hea…
Other RNA viruses make about 20-times to 100-times more tiny, single-letter mistakes in their genomes than coronaviruses do, according to Mark Denison of @DenisonLab. That's because coronaviruses have a fabulous 'proofreading' enzyme, called nsp14-ExoN. 2/n
So, tiny mutations are actually relatively *rare* in coronaviruses compared with many other viruses. One theory is that coronaviruses have this excellent proofreading because they are BIG among RNA viruses. They have around 30,000 'letters' in their genome. 3/n
Read 12 tweets
16 Nov 20
🚨 I’ve been reporting on this awful pandemic since February.

But this is the article I should have written months ago:

There’s a woeful lack of transparency in how governments decide their #Covid19 policies. It’s making this pandemic worse.

wired.com/story/a-lack-o…
If you’ve ever been dumbfounded by a Covid-19 rule that seems to go against everything you ever read in PubMed then this article is for you, Baby! 👆👆👆👆
Covid-19 policies have banned:

- open-toed shoes
- bars after 10pm (but not before)
- parks and playgrounds

Befuddling and dangerous inconsistencies plague policymaking:
wired.com/story/a-lack-o…
Read 4 tweets
17 Jul 20
📣 #THREAD: COVID-19 could be a double whammy for older people -- they're more likely to die from it and they might be less likely to respond to a vaccine. This might be due to "#immunosenescence" and "#inflammaging", as I describe in my latest story: nationalgeographic.com/science/2020/0…
Surprise! If you are reading this tweet and past puberty, your thymus gland -- which harbors the T cells that help train the body to make protective antibodies against new viruses (and respond to vaccines) -- is already shrinking: nationalgeographic.com/science/2020/0…
Almost a century ago, Edith Boyd helped confirm that the thymus shrinks with age. Boyd was an anatomist who combed through data from 10,000 autopsies collected at the University of Minnesota and compared them to similar findings from European scientists: nationalgeographic.com/science/2020/0…
Read 12 tweets
30 Mar 20
THREAD🧵--> For weeks, I've been tracking the scientific debate about whether we need masks to prevent transmission of the virus causing #COVID19 and whether it is #airborne. If you're confused, you are not alone. Stick with me here. Let's clear the air. 1/15
On Saturday, the World Health Organization used CAPS to say, "FACT: #COVID19 is NOT airborne." Here is the tweet. But keep reading this thread, because the wording is tricky.
As I wrote about 2 weeks ago, essentially, the word 'airborne' means something traveling in the air. But public health officials rely on a cutoff that any tiny bit of mucus larger than 5 microns in diameter that you cough out is called a 'droplet' 3/15 wired.com/story/they-say…
Read 27 tweets
25 Mar 20
THREAD --> In this time of #COVID19, I figured it might be handy to share some basics with other reporters who might be new to the health beat. What's an 'antibody'? What is 'viral load'? Here's a list of some things reporters might want to know. I'm adding to it slowly.
First off. A lot of the tests being discussed are looking for 'antibodies'. What the heck are those? In a nutshell, proteins made by certain immune cells that bind to particles in the body (usually foreign) that we call 'antigens'. Here's a 3:28min primer:
What's that? You're a reporter too busy to watch a 3:28min video? I understand. Here's a picture capturing pretty much the same thing 3/n (source: slideplayer.com/slide/9390892/)
Read 17 tweets

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