RSS Articles and Information
  • Hobby Lobby wins Supreme Court case, can opt out of mandate July 23, 2014
    The Supreme Court ruled in favor of Hobby Lobby and against Obamacare mandates.  They decided that the government cannot force employers to violate their religious beliefs.  Christian corporation Hobby Lobby did not want to have to cover certain types of …
  • Hundreds of Newborns to have Genomes Sequenced July 21, 2014
    Genome sequencing would not replace the newborn screening tests most states require. They are researching if sequencing is better than regular screening at detecting genetic disorders, immune function, as well as metabolic disorders. Researchers believe that cataloguing a newborn’s genome …
  • VA Seeks Help from Corporate Healthcare Giant HCA July 18, 2014
    The Department of Veteran’s Affairs has recruited the Chief Medical Officer of hospital giant HCA, Dr. Jonathan Perlin, to help them find solutions for all the problems of their mismanaged system. Dr. Perlin is known for being a leader in …
  • The Trap Known as Health Insurance July 16, 2014
    The cost of health care is on the rise and is continuing to grow exponentially. One of the biggest factors to this cost is health insurance. Third parties don’t care about quality or affordability. They are spending your money for …
  • Current Health System Provides No Privacy for Patients July 14, 2014
    Dr. Deborah Peel has advocated for patient privacy for over 20 years.  She explains to the tech community how breaches in computer systems using electronic health records destroy privacy.  When patients are in control of their own money and move …
  • Is There a Link Between Saturated Fat & Heart Disease? July 11, 2014
    For the last several decades, we have been taught that saturated fats in butter, cheese, and meat are dangerous for your health. The truth is that this has never been proven. Countries that have high fat diets do not have …
  • Wellness Health Check – July Special July 7, 2014
    Men and Women’s Health Check Blood Tests for $99! (Retail is $800) This is a good way to be proactive and keep up with your health and that of your loved ones. Women’s Test includes: The Comprehensive Wellness Panel(CWP) is …
  • Physicians’ Declaration of Independence July 4, 2014
    by Richard Amerling, MD A physician’s responsibility is to the patient. To protect the patient-physician relationship, payment should be decided between these two parties, assuring all information is kept confidential. Involving third parties is destructive to the patient-physician relationship. Physicians …
  • Ralph Weber: Healthcare with Transparency in Quality & Pricing July 2, 2014
    MediBid helps patients find the best treatment solution for them at the best quality and price. Physicians set their own prices and this transparency allows for competition. MediBid started as a means for Canadians on waiting lists to get timely …
  • Steps to Increase Price Transparency June 30, 2014
    Summary by The Market Institute The Center for American Progress recently published a brief detailing their opinion on how hidden health care costs are hindering market competition and ultimately making healthcare expensive for consumers. Unlike almost every other scenario in …
  • How Obamacare Affects the Affordability of Your Medical Care June 27, 2014
    Those who do not get health insurance from their employers or Medicaid/Medicare find their premiums increasing, some states more than others. While some people will be eligible for Obamacare tax credits, many will still have to pay these premium increases …
  • Canada needs a prosperous Ontario June 27, 2014
    Ontario’s poor economic performance is dragging down Canada’s economy.A Fraser Institute study, Can Canada Prosper without a Prosperous Ontario?, examines Ontario’s shift from the economic engine of Canada to a “have not” province that received $3.2 billion in equalization payments …
  • Why Coconut Milk Might Not Be Your Friend June 25, 2014
    Those following a Paleo diet get most of their fat from coconut milk. Coconut milk is great for making smoothies. Canned coconut milk may contain BPA, a chemical which can leach out of the metal and into acidic foods, such …
  • Increasing Cost of Medical Care Can Make You Sick June 23, 2014
    At the onset of an illness or serious injury, Americans are finding the costs too much to bear – even when they have insurance. Medical expenses are the biggest financial burden in American households today. Nearly 50% of Americans cannot …
  • Natural Alternatives for Sun Protection and Sunburn Treatment June 20, 2014
    With summer activities in full swing, many of them outdoors, it is important to remember to protect your skin from the damaging effects of the sun. Some exposure is beneficial, and can cause your skin to produce Vitamin D. Vitamin …
  • Your HSA Can Double as an IRA June 18, 2014
    Some Americans are supplementing thier retirement funds with a Health Savings Account. People with a high-deductible insurance plan can have an HSA to cover future medical expenses. There is a penalty to withdraw this money for nonmedical reasons, yet after …
  • OMTEC 2014 – The Past, Present and Future of the Implant Market: A Surgeon Inventor Perspective June 17, 2014
    What does the future hold for the orthopaedic implant market? Dr. Robert S. Bray, Jr., a globally recognized spine surgeon, entrepreneur and inventor, provides a look at the industry past and present and answers the question: How will the development …
  • Real Illness or Not? June 16, 2014
    by Sue Redmond Should Doctors prescribe for a “non-disease”? Infants spit up.  Many on a daily basis (some studies show as high as 40-70%).  Just one of the reasons may be that they drink a large volume of liquids and …
  • How Obamacare Impacts Small Businesses June 13, 2014
    Cost increases due to Obamacare will be sharp and immediate for small businesses. As they renew their group health plans, they are discovering an onslaught of new regulations which will also affect their future hiring and business growth. Over 60% …
  • B12 deficiency: a silent epidemic with serious consequences June 11, 2014
    Symptoms of B12 deficiency include: Alzheimer’s, dementia, other memory loss MS and neurological disorders mental illness (depression, anxiety, bipolar) heart disease learning disorders in children autism spectrum autoimmune disease cancer infertility   B12 deficiency is quite common, more so than …

Fired…By My Doctor in Canada!

As if it isn’t enough for Canadian patients having to deal with waiting lists for medical care, they also get to deal with the very real threat of being fired by their doctor. In a country where it’s difficult to find a doctor to begin with, (see Monday’s MediBlog), physicians can afford to be picky about who they see, and might have to do so out of necessity due to limited resources.

My doctor fired me – what can I do?

LISA PRIEST

From Monday’s Globe and Mail

Published Sunday, Apr. 17, 2011 4:00PM EDT

Last updated Monday, Apr. 18, 2011 5:49PM EDT

The question: I have had the same family doctor for 15 years whom I see four to six times annually. I recently received a registered letter from him stating I was too demanding a patient and that he will provide emergency service for the following 30 days only. Can doctors fire patients?

The answer: The short answer is yes, doctors can terminate relationships with their patients. But this case was handled in a callous way. I’m not alone in finding the doctor’s missive unsavoury. Sending a letter through the mail without any previous discussion was called as “tacky” and “not patient-friendly,” by Dennis Kendel, registrar of the College of Physicians and Surgeons of Saskatchewan.

In a telephone interview from Saskatoon he likened the doctor-patient relationship failure to that of a marriage, noting that “sometimes it just doesn’t work out between a physician and a patient.”

Here is what patients need to know: There are certain things that doctors are forbidden to do when selecting patients. And they have obligations to those patients whom they may want to eject from their medical practice.

The Canadian Medical Association code of ethics says physicians can’t discriminate based on age, gender, medical condition, sexual orientation and political affiliation, to name just a few. Doctors must provide “appropriate assistance” to any patient with an urgent need for medical care. Physicians should provide care until their services are no longer required, or until another suitable physician has assumed responsibility, or give a patient “reasonable notice” of the intention to terminate the relationship.

The provincial bodies that license and regulate doctors typically incorporate this code into their regulations.

If you get a letter like this patient did, chances are the relationship is too damaged to repair. You could contact the provincial college of physicians and surgeons and see if someone there can intervene, but think about it: Do you really want to force yourself on a doctor who doesn’t want you? If you get seriously ill, will you have confidence the physician will do everything possible to get you the best care?

If the relationship hasn’t soured too badly, see if that physician can help you locate another one who is a better match.

As a patient, you should reflect on what went wrong because you don’t want to go through this again. Were you too demanding on a doctor’s time? Did you keep going over the same issue repeatedly when the doctor felt it had been addressed? Were you going to the physician with a laundry list of medical ailments?

Physicians are paid a on a fee-for-service basis, which means they receive a fixed amount for each visit. Time is money. During a visit, they expect to hear one or two complaints; sometimes more if it’s an annual physical. The health-care system is flawed in that way, but it’s the best we’ve got.

That said, it’s a partnership, not a dictatorship. You have rights. If you go to your doctor with sheets downloaded from the Internet, does the physician bristle?

Dr. Kendel says patients have a right to ask questions about their condition. Some doctors welcome them but others “show antibodies” when presented with information culled from the Internet.

If you are not yet fired as a patient, but feel things are going off track, sometimes a call to the college of physicians and surgeons in your province may result in staff being able to broker a renewed relationship.

As Dr. Kendel points out, “Sometimes it succeeds, sometimes it doesn’t.”

Ultimately, no patient wants a doctor who doesn’t want them.

The Patient Navigator is a column that answers reader questions on how to navigate our health-care system. Send your questions to patient@globeandmail.com.

No related content found.



At MediBid, we restore market forces to medical care. Doctors get to set their own rates based on their training, experience, and outcomes, and patients get to shop for medical care across state lines and international borders. Many times with MediBid, you will find procedures that are more effective than procedures allowed, or covered by health plans. Transparency and competition are the only way to achieve reasonable costs. Many of our employer clients offering group health insurance through MediBid save $5,000 per employee per year. Those are substantial savings. Patients are saving an average of 48% vs. insurance discounted rates, or 80% vs. retail. Contact us for more information.
Share

Comments

This entry was posted in Canadian Healthcare and tagged . Bookmark the permalink.
Categories
Bulk Email Sender

Switch to our mobile site