Upsurge in movement against Bill 20

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Unionist
Upsurge in movement against Bill 20

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Unionist

In brief - the Couillard Liberals promised that every Quebecer would have access to a family physician. Their method of doing so is now revealed, via Bill 20, as forcing minimum patient quotas on doctors, or else they cut their pay by 30%. This cynical attack on patient care is additionally an attack on especially women physicians who "don't work enough hours", according to the scummy health minister "Dr." Gaetan Barrette, because they dare to want to have a life.

The protests are growing - and now, an unprecedented decision by McGill medical students, generally the slowest to join any student movement:

[url=http://www.mcgilldaily.com/2015/03/medicine-students-vote-for-one-day-st... students vote for one-day strike against Bill 20; McGill joins province-wide mobilization for March 30 demonstration[/url]

Yes!

Quote:

While the text of the motion makes no mention of the growing anti-austerity mobilization in the province, some attendees noted that Bill 20 is in fact deeply related to the Liberal government’s austerity policies.

“[Bill 20] denies the social and human role of the healer. It considers medicine as purely mechanic, but we don’t treat machines,” said M1 student Anne-Sara Briand. “The government has to stop burying its head in the sand. […]There will be less workers, less time for the patients, and hence, more distress. But the health of our patients will be harmed by many more cuts. The government’s austerity will have consequences on the health of the society.”

Mr. Magoo Mr. Magoo's picture

Quote:
This cynical attack on patient care is additionally an attack on especially women physicians who "don't work enough hours", according to the scummy health minister "Dr." Gaetan Barrette, because they dare to want to have a life.

Is this so-called "doctor" just making this up, and female physicians do work (on average) the same full work week as male physicians?

Unionist

I was a bit ambiguous there. He said doctors in general don't work enough hours, preferring to favour "lifestyle" etc. But it's a particular attack against the ability of younger women doctors to work partial weeks, and for older physicians to transition to retirement rather than quitting outright. There are in fact predictions that his heavy-handed attempt to force doctors to process patients faster and in greater volumes will lead to many exiting the profession earlier than they wanted.

There's lots of information, most of it in French however, such as from the family physicians federation. And here was [url=http://montrealgazette.com/news/local-news/doctors-upset-with-changes-pr... earlier article in English[/url] summing up some of the issues. I don't know the actual stats on hours worked by age or gender, but Barrette claims the "problem" is with younger doctors who feel entitled to have a life beyond making maximum money.

swallow swallow's picture

Their English web site is at http://www.iamnotanumber.ca/

So far, they have lots on "the problems" but under "the solutions" is only their video where doctors talk about how PL20 will affect them, which does not offer anything to the million-odd people in Quebec who lack access to a family physician. 

Residents without family physicians, 2005: Quebec 25%, rest of Canada 11% (http://www.cfp.ca/content/53/11/1858/T1.expansion.html

They seem to be suggesting some solutions (end "special medical activities" required of Quebec doctors, unlike all others in Canada, build more clinics, etc) and that's very welcome. http://www.cbc.ca/news/canada/montreal/bill-20-alternatives-proposed-by-...

 

Unionist

 

swallow wrote:

So far, they have lots on "the problems" but under "the solutions" is only their video where doctors talk about how PL20 will affect them, which does not offer anything to the million-odd people in Quebec who lack access to a family physician.

It's not their job to offer "solutions", any more than cleaners and cafeteria workers in health care institutions fighting for decent wages and working conditions owe "us" ways to improve the health care system. It is up to us, society as a whole, to discuss and study and implement the solutions.

And a great start has already been made by the only party which seems to care about consultation and consensus in the service of people's needs:

Quote:

Les propositions concrètes et précises que Québec solidaire entend mettre de l’avant au cours de la commission parlementaire s’inspirent des suggestions du Commissaire à la santé et au bien-être au sujet de l’amélioration de services de première ligne et qui devrait alimenter le débat alentour du retrait du PL20 et son remplacement par un projet de loi plus inspiré et mobilisateur:

 

  • Favoriser la pratique médicale de groupe ainsi que l’interdisciplinarité dans la pratique en première ligne
  • Soutenir l’implantation du dossier médical informatisé et du dossier de santé partageable
  • Explorer de nouvelles modalités de prestation de soins et agir sur les pratiques cliniques
  • Favoriser les pratiques d’autosoins et soutenir la contribution des proches aidants
  • Agir sur la planification et la gestion des activités cliniques
  • Revoir les responsabilités cliniques des médecins de première et de seconde ligne
  • Mettre au point des mécanismes de gouverne clinique en première ligne de soins
  • Implanter des mécanismes d’appréciation et d’amélioration continue de la performance clinique
  • Agir sur le financement des soins
  • Réaligner le mode de rémunération des médecins

And QS had already put forward much more specific proposals within those broad lines, such as extending the hours of the CLSCs (24 hours) and staffing them appropriately to as to ease recourse to emergency rooms. That's besides their years-long Pharma Québec and similar proposals, which thankfully are starting to get some attention now throughout the rest of Canada.

And there was this kind of initiative:

[url=http://tvanouvelles.ca/lcn/infos/national/archives/2015/02/20150201-1835... Khadir and five physicians oppose the 1500 patient quota[/url]

 

    lagatta

    As well as Pharma-Québec, the 24-hour CLSC proposal is especially important because it means resocializing at least part of a system that has become semi-privatized by default. There are so many private clinics now; we should be using CLSCs by default but expansion of the system has been blocked for decades.

    I can certainly see the efficiency in this one, but it scares the hell out of me:

    Soutenir l’implantation du dossier médical informatisé et du dossier de santé partageable

    And of course, doctors should be salaried like many other professionals, but I doubt they'd like that.

    swallow swallow's picture

    In the last election, I spoke to lots of people about the 24-hour CLSC plan and other QS health proposals. Everyone that I spoke to loved the QS ideas. They would have done a lot of great stuff. Unfortunately, most of those people voted Liberal anyway.

    Our system sucks. 

     

    Unionist

    [url=http://montrealgazette.com/news/local-news/quebec-medical-students-on-on... medical students stage one-day strike for Bill 20 protest[/url]

    Unionist

    The association representing 3,700 medical students fears that the patient quotas imposed by Bill 20 will lead to an exodus of young physicians toward other provinces.