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Mark Roseman Profile picture
Mark Roseman
@markroseman
Fighting systemic rot in healthcare. Independent and unapologetic generalist, writer, philosopher, entrepreneur. Recovering multidisciplinary technology geek.
Aug 21, 2025 • 6 tweets • 2 min read
For those who think "someone else" will step up to force politicians to do the right thing for our health system and for patients… forget it.

I keep hearing that doctors and other professionals should be counted on to take on this fight.

They can't. Here's why. 🧵 1. Most doctors believe in science, evidence, reality, and doing what's objectively best to help people. That makes it hard for them to understand political behaviour, which is about opinion, power, and influence… not facts. Many can't comprehend some politicians' motivations.
May 27, 2025 • 6 tweets • 2 min read
We should congratulate the BC NDP for greatly improving access to primary care for patients in BC.

They've made it possible to get same-day access to a primary care provider who can see you, order lab tests, refer you to specialists, and much more. How did they do it?

Not through their own UPCCs, which are impossible to get into. Or through people's own family doctors, who take weeks to get into for 5min appts. And not connecting people to docs, as people languish on the Health Connect Registry for years.
Aug 12, 2024 • 20 tweets • 9 min read
1/20 🧵BC NDP bet big on Urgent and Primary Care Centres (UPCCs). Critics say they're expensive, horribly managed, and don't deliver what they promised.

I reviewed the govt's own data, obtained via FOI.

The critics are right.

Strap in. Full details at takingaction.ca/upcc/
Image 2/20 If you're unfamiliar with healthcare alphabet soup…

UPCC = Urgent and Primary Care Centre
FOI = Freedom of Information
FP = family physician
NP = nurse practitioner
FFS = fee-for-service (pay model)
LFP = longitudinal family practice (pay model)
MSP = Medical Services Plan Image
Jun 24, 2024 • 6 tweets • 3 min read
1/6 🧵BC NDP bet big on Urgent and Primary Care Centres (UPCCs). Critics say they're expensive, horribly managed, and don't deliver what they promised.

I reviewed the government's own data, obtained via FOI.
The critics are right.

Here's just a taste of what I found. Image 2/6 Here's costs and visits at the Westshore UPCC (WUPCC) for one year (Apr/2022-Mar/2023).

Works out to $216 per UPCC “visit” on average.

That's SIX TIMES a Fee-For-Service family physician (FP) visit.

An LFP visit would need to be nearly 90min to match (not happening!). Image