Do We Care?: Renewing Canada’s Commitment to Health : by Ont.) Directions for Canadian Health Care Conference 1998

By Ont.) Directions for Canadian Health Care Conference 1998 (Toronto, John Ralston Saul, Richard Cruess, Bob Rae

Examines the results of health and wellbeing coverage on 5 key components: medical perform, politics, economics, ethnics and legislation, and proposes new instructions for Canadian healthiness care. one in all Canada's preeminent social thinkers, John Ralston Saul, starts the publication with a reminder that public coverage should be profitable simply while pushed through the humanistic ideas which fueled its formula. as soon as saving cash turns into a aim in itself, instead of "something we do at the side", public coverage has little likelihood of survival. "Do We Care?" is the results of a convention entitled "Directions for overall healthiness Care: A framework for Sound judgements" held in Toronto in October 1998.

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Among other things, he set up perhaps the first free public medicine hospital in Canada. He was the first major public figure to show that medicine could be other than an interest-based system. And he was the "godfather" of the democratic reforms of the 1830s and '40s. Dr. Wo If red Nelson, military leader of the Patriots in 1837, was later the first popularly elected mayor of Montreal and the first doctor to carry out an operation under anaesthetic in Canada. Nova Scotia's Dr. Charles Tupper was the father of public education, of universal male suffrage, not to mention of confederation.

Study by David Eisingcr, published in the New England Journal of Medicine, estimated that one out of every three Americans used unconventional treatments. The study indicated that one in four medical patients used alternative therapies, and that seven out of ten did not discuss the use of these therapies with their physician. , three quarters of it paid out of pocket. One explanation for the large-scale use of unproven alternative therapies by otherwise savvy consumers is that patients often resort to healers because the latter introduce a note of caring and validation into treatment in ways that contemporary physicians do not.

1 The word "profess" is important. For a physician, the Hippocratic Oath represents a public profession of commitment which cannot be ignored. However, lor those of us working in the Anglo-American tradition, this dictionary definition does not include important characteristics of what we understand a profession to be. The core of every profession contains two major elements: possession of a specialized body of knowledge and a commitment to service. From these core values follow all others. Self-regulation is granted to those who have specialized knowledge because that knowledge is not really available to society, and it is felt that the quality of service will be assured by the process of self-regulation.

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