Quote:
Originally Posted by I-Hate-Hulse
Yes but in rural areas with their ONE obligatory South African Doctor, they stand a good chance to lose that one doctor to the bright lights, big city, big dollars clinics. Then they're left with a NO -tier health care system in their local area. I suppose some doc could setup their own private GP in a rural center but Ted kept promising us we wouldn't pay more from our pockets right? Uh huh....
That depends on the treatment in question - minor outpatient procedures perhaps, but in a cardiac ward, I want the best experienced and trained nurse standing watch. That said, your RN/LPN ratios could also be applied to the public health care model with similar savings, if it weren't for the nice folks at the United Nurses of Alberta.
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Per the first point, I would also make it mandatory for any medical student who recieves their training in Alberta, be forced to work for 10 years in Alberta because of the subisidized education recieved. Maybe I have a different idea of what a 2 teir system would look like than others but I dont think it would be this golden parachute for doctors that people think. Its like dentists - those with the entreapaneurial spirit would start their own practicies and reap the rewards, those who just want the "9-5" job would work public system. The only way I see doctors making more money than in the public system is either as buisness owners or non union doctors working say 60 hours a week - I dont see a regular "9-5" doctor making more in the private practice than in public on a per hour basis.
I see the same number of hospitals in the cities with the towns reduced to directed medical care centres - maybe 10-20 beds for every 10K people - the rest shipped to Edmonton/Calgary/Red Deer/Lethbridge etc - emergency situations only, where I grew up the hostpital acts more like a seniors home than an actual hospital.
As per the "Ted kept promising us we wouldn't pay more from our pockets right? Uh huh...." - I think he is right. Ted isnt an idiot, for all his RIGHT RIGHT wing policies he knows he has to still abide by the Canada Health Act - the only way around that is separation and not enough people (including myslef) would vote for it (I am alot closer after hearing what Chirac had to say about the Afghan mission - can the TV show's "Unit" not take him out - geesh
) I still see 2 teir as being more 2 different distribution channels rather than queue jumping.
As per the RN/LPN ration - that is just an obvious example I gave and no I dont think it can be done in the public sector given the militant unions. I look at 2 teir as kind of like Chapter 7 bankruptcy protection for the province. It allows you to legally skirt union contracts and change the game.
I am sure there are alot of other synergies that could be realized with 2 competing distribution channels - the problem is only the blatently obvious ones are known as every politician is ***** ass afraid to actually take a constructive look at it.
MYK