Mark Roseman

Fighting systemic rot in healthcare. Independent and unapologetic generalist, writer, philosopher, entrepreneur. Not a doctor. Recovering technology/UX geek.

[Mark Roseman @markroseman]

There is NO single answer to save healthcare.

My priority is accountability for public spending on health care…

1️⃣ what we're spending on services
2️⃣ what we're getting
3️⃣ what we should expect

The "what" not the "how."

Private/public is important but at the same time it's also a distraction when we focus on it too much.

People who argue that more public control of health care will prevent further decline are kidding themselves. So are those who think private will save us.

No single action we can take is either "necessary" or "sufficient" to save health care. That speaks to the inherent complexity.

[Mark Roseman @markroseman]

Health authorities are starting to report annual PIDA (whistleblower) stats as required by law.

As in the past, factoring in the many thousands who work there, the number of disclosures and action is hugely underwhelming.

Whistleblower protection for HCWs is a sham.

[Paul Winston MD - Restoring Movement is the goal. @drpaulwinston]

Yes Family Doctors. It is a two-year waitlist to see Chronic back pain for me. Because absolutely no one else in the city is seeing outside two pain clinics. Rebalance MD full of sports medicine, doctors orthopedic surgeons, physiatrists rheumatologist, yet had to send out this statement. Of course you send us all the patients that have already been through the pain clinics and got no better. I cannot tell you the number of referrals I got from the clinics of dozens of Doctors rejecting the referral.
If the province wants better pain care, they really need to look at why they’re stopping care being provided and why they refuse to provide team based care.

[Paul Winston MD - Restoring Movement is the goal. @drpaulwinston]

Building a clinic for children and adults with disabilities in a province that doesn’t even believe they deserve a nurse or enough therapy supports is a never-ending struggle with never-ending Rewards. @EasterSeals kids are growing up differently now.

[ArianeK 💜 #Care4Complex (she/her) @arianek]

I am going to need EVERY person even tangentially working in medicine, healthcare, or even alternative medicine to read and DEEPLY UNDERSTAND this. Nervous system “dysregulation” is not what this is - it’s antibody driven dysfunction. You can’t think or behave it better.

[Dr. Michael Verbora @mverbora]

I started asking patients what they think I make for the service I provided during the visit and the discrepancy between perceived and reality is astounding.

Yesterday I had a man with impacted wax both ears couldn’t hear well. Took me 15 min to soften and clear it with syringe and water.

He estimated I got paid $150.

Reality: $13.50 for ear syringe $26.80
For assessment. Total - $40.30

The previous three doctors refused to clean his ears because the cost to store, clean, sterilize equipment is more than the code pays.

[Cdn Health Coalition @HealthCoalition]

The vast majority sees the problems but remains committed to public universal health care for all of us.. while seeing the need for changes to make care more accessible. Years of propaganda from governments and outfits that shall remain nameless has not substantially lessened Cdns commitment to health care as a Canadian value. #cdnpoli

[alan drummond @alandrummond2]

Still no triage liaison physicians in Alberta ERs, 4 months after province's pledge
AMA, government say talks to hire for the temporary safety measure are underway
https://t.co/mss3Vp8jrW

[𝙰𝚗𝚑𝚎𝚍𝚘𝚗𝚒𝚊 𝙾𝚊𝚔𝚕𝚎𝚢 @AnhedoniaOakley]

Not me being referred to a pain clinic only to find out that its main focus was lifestyle and behavioural; pain 101 style as if I was a babe in the woods who hadn't been living w/ severe pain since childhood. The whole point was that I exhausted my options and needed actual help.

[𝙰𝚗𝚑𝚎𝚍𝚘𝚗𝚒𝚊 𝙾𝚊𝚔𝚕𝚎𝚢 @AnhedoniaOakley]

I need consistent care b/c I'm very sick mentally. I even begged to just be seen by the same Dr. at the U&PCC as an accommodation so I don't just mask, script, and dissociate my way through appointments and bungle my own care. No dice. There's too many cracks to fall through. 2/2

[𝙰𝚗𝚑𝚎𝚍𝚘𝚗𝚒𝚊 𝙾𝚊𝚔𝚕𝚎𝚢 @AnhedoniaOakley]

🇨🇦 is NOT ready for #MAiD for mental illness. I've been in crisis since Jan. No family Dr.
Mental Health & Addiction Services basically said I'm outside of their scope because I need a Dr.
Urgent & PRIMARY Care Centre is "helping" me piece meal, also outside of their scope. 1/2

[Paul Winston MD - Restoring Movement is the goal. @drpaulwinston]

We don't have doctors because administrators treat them like unwanted bothers. Instead of headhunters, we have an army of people with hundreds of forms and documents so confusing every other department tells you to do the wrong thing. Instead of 1 point of contact there are 100s

[Paul Winston MD - Restoring Movement is the goal. @drpaulwinston]

Noticed to every public servant in BC.
No new resident of BC working in healthcare or education has a BC services card!
It’s unbelievable that you demand people upload documents. HOW CAN YOU NOT KNOW THEY DON’T HAVE THEM? It takes months to get one.
So they can’t work, they can’t get licenses. They can’t get upload documents because you refuse to accept emails.

[Torina @Torina1036429]

@markroseman @Kristy91808800 And the wait to see a specialist… better chance of winning the lotto first

[Mark Roseman @markroseman]

@ChristineGuent8 @bcndp No complaints, no action? No problem!
It's all appearances all the time!

[Mark Roseman @markroseman]

Health authorities are starting to report annual PIDA (whistleblower) stats as required by law.

As in the past, factoring in the many thousands who work there, the number of disclosures and action is hugely underwhelming.

Whistleblower protection for HCWs is a sham.

[Christine 🌻 Guenter @ChristineGuent8]

@markroseman Zero investigations/zero acted on? HPOA legislation as of April 1/26 will make things much worse. And @bcndp wonder why they have a problem with retention in healthcare…🙄😮‍💨

[Ryan Tompkins 🇨🇦 @ryantompkins_]

@markroseman Oh. I assure you.
PHSA and health authorities are ALL about retaliation.
I just went through it myself.
The main philosophy of all this is “you’re not allowed to rock the boat”.
So. Any work ethic, accountability, and actual work, is frowned upon and retaliated against

[Dr. Anna MD “In My Opinion” @drannamedical]

@markroseman Total smoke and mirrors … and doesn’t apply to doctors @sandyhermiston

[Heather Holmes 🇨🇦 @heather4OakBay]

@markroseman @redpoint511a @timescolonist Finding care is impossible. We are dying! I’m seriously thinking about placing an ad begging for a GP; one that plans to keep practicing for a long time.

[Paul Winston MD - Restoring Movement is the goal. @drpaulwinston]

Friday is #CrazySocks4Docs June 5.
In honor of mental health struggles for physicians. From medical students to those well in practice, depression and suicide are reality.
With no teams and healthcare resources across this province for most physicians, the stress has never been higher.