The promise that one tier healthcare would be the only option for Canadians has been broken. The evidence of two tier exists in a number of areas across Canada. We will not have to wait for Dr Brian Day’s trial to end in support of the private healthcare option for Canadians. Because two tier in […]
STRATEGIES TO PRESERVE UNIVERSAL MEDICARE FOR THE NEXT 100 YEARS. Raymond Rupert MD, MBA. Rupert Case Management Inc.
I was invited to be on a panel with four other doctors to discuss the “Future Of Healthcare” at the University of Toronto New College 2016 Alumni dinner. One of the topics discussed was “how to preserve universal medicare in Canada for the next 100 years”. Here is the gist of the discussion: When you […]
Matt Ridley makes the argument in The Evolution Of Everything that change in human institutions is incremental, inexorable, unplanned and inevitable. Change follows a narrative going from one stage to the next. It creeps rather than jumps. It has it own spontaneous momentum. It happens by trial and error- a version of natural selection. The […]
A COMPLEX CASE STUDY: An 81 year old female presented with a six month history of abdominal pain, vomiting, lethargy, depression and a 30 pound weight loss. She developed abdominal pain with vomiting each time that she ate food. PAST INVESTIGATIONS: All prior investigations including upper and lower endoscopy, CT abdomen and ultrasounds were normal. […]
Uber is changing my experience with taxis. I have used Co-op taxis for about 20 years. The wait was usually 10 to 30 minutes. The service was spotty. The dispatcher sometimes got it wrong. The cabs would show up and wait. Not the greatest experience. However, things have changed. Uber is a major threat to […]
In the 1920’s and 1930’s, the farmers got it right. They organized healthcare cooperatives to finance healthcare in their communities. There was no government involvement. This solution worked well for the community. Unfortunately, healthcare cooperatives did not scale up in Canada. In Spain, healthcare cooperatives started in the 194o’s and 1950’s. They did, however, scale […]