Ranting time.
The Canadian medical system: what's happening and why are we in this handbasket?
I was in Nashville last year and a cabbie there chose to lecture my husband and I on how superior the American medical system is to the Canadian one. I had to work hard to hold back the snarky laughter. Since America doesn't seem, in fact, to have a medical "system" per se. At least not a state-sponsored one like ours.
Oh, how superior I felt. Poor little American cab driver, thinking they have it so much better with their pay-per-use hospital visits and people going bankrupt from lack of insurance.
Well, the smirk has been slapped from my face.
In Canada today, the only way to get to see a doctor quickly is to 1) go to the U.S., or 2) go to a clinic and wait for an hour to see a physician who knows nothing about you or your medical history.
In my experience, "family" doctors are a thing of the past. We recently moved from Ontario to Quebec and my husband happened to get in with a local family practitioner. When I called to book an appointment with the same physician, they refused.
Me: "Huh?I thought he is a 'family' doctor?"
Snarly secretary: "He is."
Me: "Well, my husband's one of his patients, and I'm my husband's family."
Snarly secretary: "That's not what family doctor means."
Me: "Excuse me, I'm holding the Oxford Canadian right here...let's see...
D...E..F...fairyland...fairy tale...fake...fall behind...fallacy...ah, here it is:
family. 'A group of people related by blood, legal or common-law marriage. Or adoption.'"
Snarkretary: "M'am, I'm very busy..."
Me: "Well, by that definition, wouldn't a 'family' doctor be one who treats....families?"
Hellion: "He's not taking any new patients, m'am."
Me: "But...but what if one of us has cancer? What if we have a venereal disease we're passing back and forth? What if we had a kid or were trying to get preggers? Wouldn't it make sense to have the same physician?"
Jerkass: "[dial tone]"
That has been the pattern for my relations with the Canadian medical community for the last decade or so. I know someone who couldn't get an appointment after she
miscarried, for God's sake. They promised to call her back with a time-slot, and just never did.
Now I've got a bit of a skin condition that I'd rather treat sooner than later (don't worry, nothing contagious), and I'm told I need a referral. But can I get in to see my physician (yes, I eventually found one...*) to get a referral? No. I'll have to go to a clinic, wait for 2 hours, see someone for five seconds who will look at me, see that I obviously have the skin condition, and set up a referral. Meantime, I've wasted HOURS of my time--not to mention precious moments of theirs.
And what, I ask, is the point of a "medical file" in such a system? Why waste the trees? My medical file is rotting in the back of some forgotten drawer, attracting dust mites.
*My search for a "family" physician has been a bumpy ride. First there was the time I got booked in at my mom's doctor, who made me wait an extra hour (standard in this "superior" medical system), then walked into the (cold) examining room, looked me up and down, and said "I'm not taking new patients. Why are you here? What is the problem?" To which, gobsmacked, I replied, "....?"
She: continuing to glare. Me: continuing to stand there in shock with my mouth opening and closing, trying to articulate something along the lines of "
...but doctors...they're supposed to help people...they're healers...they're heroes...nice to people...make booboos feel better...mommy don't let the bad lady put the bigneedle in me!!! mommy!!!! mommeeeeee!!!!"
I picked up my bag, blinked at her once, and left the room. I asked the secretary why she had booked me in if the doctor wasn't seeing new patients. To which she replied, "....?" So I told her they'd better not submit for OHIP funding (that's the way it works in our state-sponsored system...the doctor sees you, then submits a bill to the government instead of to you. The government uses your tax money to pay the doctor. See the potential for turnstile-like patient treatment there?). She said they would. I said I'm going home to report you to OHIP immediately. Which I did. And they never ended up getting paid, or so OHIP told me.
Finally, I found a new doctor. And by new, I don't just mean new to me. I mean "new" as in the stench of medical school is still hanging on his yet-unwrinkled doctor's coat. I mean about 28 years old. Male. Doing physicals. On me. Gawping at my bits and pieces. My first sexual experience was less awkward than my last pelvic exam. Let's just leave it at that.
Now, part of me feels guilty for complaining. Because we Canadians by nature don't want to 'rock the boat.' But you know what? We are taxed more exhorbitantly than every other people on Earth except the Swedes. I pay forty-two percent of my income back to the government. FORTY-TWO PERCENT. So screw guilt. I want some goddam results, here.
It's easy to run a medical system when you don't actually have to deal with those pesky patients. I've paid for the service, and I want what I paid for.
Now if you'll excuse me, I have to go to the clinic. I hear the line-up's still pretty short.