Who or what report advised Canadian provinces to cap the number of medical admissions in the 90s?

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Sharppoint
Who or what report advised Canadian provinces to cap the number of medical admissions in the 90s?

I'm trying to find out what report the provinces relied on to cap medical school admissions in the 90s?  I can't seem to find where the advice, followed by virtually all provincial leaders... originated from.  Call me paranoid, but it somehow smells of think tank  psilosophy.

Sineed

I don't think there was any one report.  It has been suggested that the medical profession deliberately maintains a shortage of physicians in order to boost their wages & bargaining power with the provincial health ministries.  Myself, I'm skeptical - I'm a pharmacist, and there was a critical shortage of pharmacists for years for various reasons, and it takes many more years to build up the infrastructure - like bigger schools and more instructors - to respond to a need.

Sharppoint

Thanks for replying. 

I remember reading somewhere about some report they all depended on.  It may have been from the Canadian Medical Association....I'm not sure...   

CYS

Probably dogma straight out of an economics textbook: supply fuels demand--i.e., if you reduce the number of cardiologists, fewer people will 'decide' to get angioplasty. Don't laugh, as this is the logic behind most of the 'experts.' Similar arguments are used to promote copayments, since, health economists argue, people would just be popping cholesterol medication like candy, and getting colonoscopies and root canals willy-nilly, if they didn't have to pay part of the cost. France is one country where, by law, patients have to pay for some of the cost of their medical care.

This supply=demand thing MAY have been why they imploded the General in Calgary, though a little bird told me it was to cover up problems with post-tensioned floors in parts of the hospital (the cables were rusting and the floors were sagging).

Another example of this is the "if we build it, they will come," which is why certain municipal politicians in Calgary keep pushing for Transit Oriented Developments and the like, along with creating artificial scarcity in parking, even though the condo market has crashed and there are holes and heaps of rebar all over town from abandoned condo and apartment projects, since newcomers largely prefer detatched homes to high-density living, and cars to public transit.

Of course, that dictum is conveniently forgotten, when somebody like Pave Bronconcrete insists that there HAS to be another eight-lane road, in order to ease traffic. At that point, the Mayor and his contractor donors insist, there won't be a traffic problem. Of course, with more lanes to use, all that happens is that you have a gridlocked eight-lane road, instead of a four-lane one. Cornell University recently published a study confirming this, which was greeted with shock in urban planning circles.

The point is, DON'T TRUST 'EXPERTS!' These people have their own agendas, and sugar-coat them in social science gobbledygook to make people buy their BS. Whether it's the 'necessity' of healthcare privatization, the 'logic' of Daylight Savings Time, the 'need' for a quarter million permanent immigrants annually during a recession, the 'superiority' of roundabouts, the 'efficiency' of sales taxes relative to income taxes, the 'safety' of nuclear power and sour gas wells, or utility deregulation, globalized trade and supply-side economics, moneyed interests keep economists, social scientists, urban planners and other 'experts' as their pet shills.

CYS

Sineed wrote:
Myself, I'm skeptical - I'm a pharmacist, and there was a critical shortage of pharmacists for years for various reasons, and it takes many more years to build up the infrastructure - like bigger schools and more instructors - to respond to a need.

I've known physicians who have been desperately waiting years to get children and siblings into med school, so this doesn't seem to be a deliberate policy on their part. And the 'infrastructure' is already largely there, just misused. Peruse a university calendar and be amazed at the basket-weaving programs offered and the incredible porkbarrel building sprees (Stampede Studies? a HOTEL on the university campus?!). Keeping would-be med students dithering in pointless studies, as they wait for med school admission, inflates university revenues and staffing. And, no, we don't 'need' to keep importing foreign medical professionals, when so many young Canadians want medical/paramedical careers, and many of these foreign credentials are pretty dubious (bribery and fraud are rife in some countries). My mother had a foreign phlebologist, who could barely speak English, make such a mess of her arm that the hematoma lasted for weeks. And I've encountered pharmacists' assistants whose English was so bad they couldn't destinguish between teens and tens. Real confidence-inspiring. Canada should be training its own young people in careers. We don't need to keep poaching the third world for doctors and other professionals. And we DON'T need privatization.

 

Sharppoint

my deepest...boohoos...to those  "physicians who have been desperately waiting years to get children and siblings into med school"  As long as a doctor is qualified and can write in english/french, I really don't care what country a doctor comes from, or how bad a doctor's english pronounciation is....I'm hard of hearing anyway.   If I can't understand I usually ask them to type a summary....I guess I'm lucky cause I was taught how to read. No doctor has ever given me a hard time about it, then again, I've never been rude to someone because of their accents. . I see people as humans, not third world people or whatever humanity demeaning right wing catchy phrase is popular. I don't have a problem spending a few extra seconds trying to figure out what a person is trying to say..... and really, I've never thought WAAAAAAAAA, "I'm waaaay to stupid to ever understand bad prounounciation, I'm not even gonna twy"

As for university students dithering in other subjects...the last thing we need is streamlined education... only produces robots, and right wing think tank employees....oh and creationists. Streamlining education is repressive. It limits ideas. Sir Alexander Fleming had an interest in art and used to make pictures out of his lab experiments....microbial art....since he had to leave them hanging around to do this...they got moldy...he discovered penicillin...The principle of limited sloppiness..This is the principle that has led to the greatest medical and scientific breakthroughs. Who would ever have thought that taking a class in oragami (not so different from basket weaving) would further understanding in quantum physics?

So anyway...obviously you don't know the answer to my question.

ygtbk

Although I don't know exactly what Bob Rae (for example) was thinking, this may be what you're looking for:

http://www.chspr.ubc.ca/files/publications/1991/hpru91-06D.pdf

It's a huge file so be patient (sorry). Page 6B-3 (page 247 in the PDF) talks about setting a domestic medical school enrolment target of 1600 per year.

Sharppoint

Thank you very much ygtbk

ygtbk

Sharppoint wrote:

Thank you very much ygtbk

You're very welcome.

Fidel

Bob Rae was not responsible for physician shortages nation wide. Blame the CMA/PMAs and the gutting of federal funding for post-secondary ed by 1995.

ygtbk

Fidel wrote:

Bob Rae was not responsible for physician shortages nation wide. Blame the CMA/PMAs and the gutting of federal funding for post-secondary ed by 1995.

I didn't say that Bob Rae was responsible for physician shortages nation-wide. And I'm sure that cuts to post-secondary education funding were not helpful.

However, the decision to reduce medical school enrolment by 10% was made in 1992, and the Barer-Stoddart report influenced this decision. See:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1295026/pdf/jrsocmed00060-0038.pdf

See especially page 2, "National Policy Directions". Note that Michael Decter was Bob Rae's deputy health minister.

Sharppoint

All the provinces were fooled at the time....I remember coming across an article which stated the American Medical Association, who's reports were used to back the too many doctors nonsense was under investigation for making it up, under pressure from big pharma and HMOs...just can't remember where...will find though.