Primary care

Dr. Zafar Essak, MD - Vancouver, BC - October 6, 2024.

Part 1 in a series covering different aspects of our health care system and government. Let’s apply our thinking to the problems and solutions.

Part 1. How health care administration over took funding for doctors.

Every day we hear reports that our health care system is broken and having difficulty keeping up with the health needs of patients and people throughout BC and across the country. Politicians say it’s a lot of unexpected circumstances, they’re doing the best that can be done; they're following what the experts are telling them, and we should trust them to carry on with it.

Are these unexpected circumstances or are they foreseeable outcomes?

Dr. Zafar Essak, MD - Vancouver, BC - April 5, 2023

Having worked for 40 years as a family physician in BC, when I heard the media announcements recently: that on April 3, 2023 vaccine mandates will be lifted on BC public service government workers but not on health care workers until it can become a permanent condition of work in health care, and that we may see only combined vaccines in the fall; it struck me that it’s time we had a real chat. This can’t wait.

Politics is often seen as a glamorous, shiny and sometimes slimy affair. But, seriously, politics is about how we make collective decisions and manage the affairs of our society in our democracy.

There are three things I believe we need to talk about now:

Opinion

Dr Z. Essak, MD - Vancouver, BC - November 27, 2022.

The BC health care system continues to show larger cracks as it crumbles. Are patients and doctors to believe that the BC NDP Government and the Association of the Doctors of BC have a plan to fix it? You better think again. There is nothing in the Physician Master Agreement (PMA) that is going to fix our health care system. It is not going to restore longitudinal care. It doesn't even pretend to offer a GP for everyone, or even access to timely specialist care or surgery.

While patients are confused as to what will save health care, are doctors blinded by the glitter thrown in their faces? The only hope in sight is if the silent majority of physicians, the seventy percent who don't usually vote, decide this week to cast their vote against the PMA, to Vote "NO" to the PMA, and send a strong message to Government and their own leaders this is not a good fix.

Dr Ian R. McWhinney was an English physician and academic who moved to the University of Western Ontario as the first chair of family medicine in Canada where he started the country's first Department of Family Medicine in 1968. He became known in Canada and around the world as the "Father of Family Medicine".

He published over 100 articles during his lifetime and is well known for his influential book, Textbook of Family Medicine. The opening chapter: The Origins of Family Medicine, provides a brief history of medicine including the emergence and need for Family Medicine.