Main conclusions: It is not free! Canadians often misunderstand the true cost of our public health care system. This occurs partly because Canadians do not incur direct expenses for their use of health care, and partly because Canadians cannot readily determine the value of their contribution to public health care insurance. In 2016, the estimated […] Read More
CREATING PATIENT SOLUTIONS IS THE KEY OBJECTIVE: Raymond Rupert MD, MBA. Rupert Case Management Inc.
At the World Congress digital health meeting in Boston, there was consensus that the focus of health system planners should be on creating patient solutions not on serving up slices of access to care. Here’s A Case Study: After 50 years of walking one hour per day, the meniscus in my left knee gave out. […] Read More
The World Congress July 2016 meeting on telehealth in Boston brought the heavy hitters together to compare notes. Here are some nuggets: Millennials want the delivery of healthcare services to be different. They have used Uber and that is what they want. Electronic delivery of services will be key for millennials. Healthcare is undergoing a digital […] Read More
Some locker room chatter: A country wedding. About 80 guests. The groom was a senior resident doctor in a Detroit hospital. He was in his fourth year of residency. He had brought a small group of his doctor friends from Detroit to his wedding. The mood was festive. It was a great sunny day in […] Read More
Canadians pride themselves on their individual and collective freedom of choice. It is enshrined in our Charter. It is inherent in our culture. Unfortunately, the freedom of choice in purchasing healthcare services is very limited. Some might say that it is non existent. That’s not consistent with the rest of our society. We can choose […] Read More
SARCOMA COULD NOT BE TREATED IN CANADA BUT WE FOUND THE SOLUTION IN THE U.S.A.: Raymond Rupert MD, MBA.
RCM’s mission is to find solutions in Canada for our patients with complex problems. Unfortunately, for some complex patients, there are no solutions available in Canada or the waiting lists are so long that the patient is at risk. The only option for these patients is for us to find the treatment at a centre […] Read More
Noise can make you sick. The sounds of nature and silence can be healing. My brother in law enjoys the sounds of nature on his rural property in Haliburton, Ontario. I used to think that he was obsessed with the rumble of the trucks on the nearby highway or the seadoos racing up the lake. […] Read More
IMMUNOTHERAPY AT THE LEADING EDGE: The new cancer treatment developed at Penn uses gene-editing to modify T cells so they more effectively target certain cancers other than leukemia. Penn appears to have filed a patent on the idea last October, according to European patent records. A proposal for a small safety study will be […] Read More
Published 05/18/2016 Introduction: Lemonade’s stated vision is “to harness the power of behavioral economics and the sharing economy, delivering to consumers an insurance experience that is instantaneous, unconflicted, and downright delightful.” For a high-profile startup, Lemonade has been a bit quiet lately as it prepares for launch, but the self-proclaimed “world’s first peer-to-peer insurance carrier” […] Read More
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 […] Read More
A SURGICAL SURPRISE WHEN IT WAS LEAST ANTICIPATED: Raymond Rupert MD. MBA. Rupert Case Management Inc.
Medical mistakes are common. Research suggests that about 70,000 patients a year experience preventable, serious injury as a result of treatments. A landmark study published a decade ago estimated that as many as 23,000 Canadian adults die annually because of preventable “adverse events” in acute-care hospitals alone. The rate of errors may be even higher […] Read More
HOW THE GUT IMPACTS THE BRAIN – EXPLAINED. Lab Chat: Bacteria in the gut can affect the brain A BRAIN LESION IN A PATIENT WITH MULTIPLE SCLEROSIS. (IMAGE COURTESY OF JORGE IVAN ALVAREZ) Bacteria residing in your gut might be controlling the activity of some cells in your brain. New evidence from mice and samples taken […] Read More
The process of ordering an air ambulance for a patient has always been an inefficient process that wastes a lot of time. Air ambulance travel is very expensive. It constitutes a significant part of a travel health insurance claim. Now the air ambulance industry has met its UBER. I learned about this disruptive innovation at […] Read More
A real estate broker told me about the wild speculation in houses in mid town Toronto. This speculation is pushing homes beyond the reach of young families. One solution that is old but new again is the intergenerational home. More than one generation living in the same home. One advantage of intergenerational homes is to […] Read More
THE PROBLEM WITH CANADA’S UNSUSTAINABLE HEALTHCARE SYSTEM: Natasha MacDonald-Dupuis – Huffington Post
A little over 2 months ago, the Society of Actuaries and the Canadian Institute of Actuaries released their “Sustainability of the Canadian Health Care System and Impact of the 2014 Revision to the Canada Health Transfer,” report, outlining the viability of our health care system over a 25-year horizon. While the report seemed to […] Read More
MIT biological engineers have created a programming language that allows them to rapidly design complex, DNA-encoded circuits that give new functions to living cells. Using this language, anyone can write a program for the function they want, such as detecting and responding to certain environmental conditions. They can then generate a DNA sequence that will […] Read More
There are promising new highly targeted therapies called antibody drug conjugates, or ADCs. Currently being investigated by several companies, including Pfizer, these medicines may be more effective in targeting and destroying tumors when used in combination with current therapies, such as chemotherapy. ADCs represent a continuing shift in the cancer treatment landscape toward personalized medicines […] Read More
Longitudinal Study Evaluating the Association Between Physician Burnout and Changes in Professional Work Effort: Tait D. Shanafelt, MD; Michelle Mungo, MBA; Jaime Schmitgen, MPA; Kristin A. Storz, MA; David Reeves, PhD; Sharonne N. Hayes, MD; Jeff A. Sloan, PhD; Stephen J. Swensen, MD; and Steven J. Buskirk, MD
Abstract Objective: To longitudinally evaluate the relationship between burnout and professional satisfaction with changes in physicians’ professional effort. Participants and Methods: Administrative/payroll records were used to longitudinally evaluate the professional work effort of faculty physicians working for Mayo Clinic from October 1, 2008, to October 1, 2014. Professional effort was measured in full-time equivalent (FTE) […] Read More