Here's an opinion piece from the Globe and Mail.
Now I'm proud of our health care system and I'm happy to be working within it. I have said before that I feel free to practice medicine in a way that is in line with my values. I don't feel restricted in any way at this point. Maybe that would be different as an independent doctor (rather than as a surgical trainee), but I doubt it.
One thing that I do want to point out from this article though is the lack of any reference to the Social Determinants of Health. I have talked about them in a previous blog. It's the whole idea that we should be looking upstream for the causes of medical issues rather than devising ways to treat the problems that result.
The article doesn't give Canadian government programs, education and support as a reason for improved life expectancy, child mortality and decreased health care costs. It's not just the medical system doing a great job...it's also the ability of our society to avoid a lot of the problems that come from a lack of programs that knit a safety net for members of society.
I think this may be a way to focus our future efforts too. We, as a society, should take on the challenge of identifying ways to further improve our support systems and see if we can further the inconvenient truth the republicans fear.