Health
52-year-old grandfather the latest Canadian to choose euthanasia while waiting for cancer treatment
From LifeSiteNews
Dan Quayle’s wife believes that she could still have her husband today if he’d gotten the treatment he needed. In fact, wait times for cancer patients in Canada who are literally dying while waiting for treatment keep getting worse.
On October 7, 2023, Dan Quayle – a British Columbian, not the former vice president of the United States – turned 52. He was hoping to be told that he could begin chemotherapy after being diagnosed with esophageal cancer. It was not to be. “After 10 weeks in hospital, Quayle, a gregarious grandfather who put on his best silly act for his two grandkids, was in so much pain, unable to eat or walk, he opted for a medically assisted death on Nov. 24,” the National Post reported. “This was despite assurances from doctors that chemotherapy had the potential to prolong his life by a year.”
Throughout the agonizing wait, his family “prayed he would change his mind or get an 11th-hour call that chemo had been scheduled,” but were instead told consistently by the hospital that they were “backlogged.” The family is speaking out now “following the stories of two Vancouver Island women who went public with their decisions to seek treatment in the U.S. to avoid delays in B.C.” – and Dan’s wife believes that she could still have her husband today if he’d gotten the treatment he needed. In fact, wait times for cancer patients who are literally dying while waiting for treatment keep getting worse.
When Dan Quayle died by lethal injection, he still hadn’t been given a timeline for when he might get chemotherapy. It reminds me of the posthumously published obituary written by a Winnipeg woman who chose to die by assisted suicide after being refused the treatments she needed: “I could have had more time if I had more help.”
Indeed, one of the reasons Quayle felt that a lethal injection was his only option is because he didn’t have the financial resources to get help that was available elsewhere – but as a price. “If we had more money, we could have gone to the States,” his wife told the National Post sadly. “But we’re just regular people.”
She is likely referring to the two Vancouver Island women who decided to go public with their own experiences with the BC health care system. Global News published one story with the headline “B.C. woman gets surgery in U.S., says wait times at home could have cost her life” about Allison Ducluzeau, who paid $200,000 for surgery in the United States after she was told by a BC oncologist that she was not a candidate for the treatment that saved her life. After successfully getting treatment in the U.S., she recently got married – and is appalled by how she was treated in BC. In fact, she wasn’t offered life-saving treatment – but she was offered assisted suicide.
“There’s a lot of promises I’m hearing,” she told Global News. “But, you know, we need boots-on-the-ground action right now. What can you do to shorten these wait times? How can you prioritize cases so that people with aggressive stage four cancer get seen by someone and when they do get seen, they get offered treatment and not MAID like I was the first time?”
Another woman, 43-year-old Kristin Logan of Campbell River, was diagnosed with Stage 4 ovarian cancer – but faced a three or four month wait for treatment in British Columbia. She went to Washington State for chemotherapy, instead – she could afford it because the treatment was covered due to her dual citizenship and veteran status. When the health minister responded to her case by saying that the system “doesn’t always get it right,” she responded with fury: “To suggest that the system merely ‘doesn’t always get it right’ is a gross understatement, bordering on denial. Our healthcare system isn’t tripping over minor hurdles; it’s plummeting off a cliff. We’re not dealing with ‘occasional misses’; we’re grappling with a chronically diseased system where inefficiency and neglect have become the norm.”
What does this mean? It means that people are dying on waitlists – and while they suffer, often horribly, they are offered assisted suicide when they are their most vulnerable. And if the Trudeau Liberals get their way, in March of next year the floodgates will open and assisted suicide will also be available to those suffering with mental illness. Waitlists for mental health assistance and psychiatric care are even longer – I know people who have waited for years merely for an appointment. Many Canadians simply do not have access to this care. And so not only will Canadians die on waitlists; many will be offered assisted suicide while they are on waitlists, and many will, out of desperation, say yes.
Fraser Institute
Canadians want major health-care reform now
From the Fraser Institute
Tragic stories of multiyear waits for patients are now a Canadian news staple. Is it any wonder, therefore, that a new Navigator poll found almost two-thirds of Canadians experienced (either themselves or a family member) unreasonably long for access to health care. The poll also found that 73 per cent of respondents agree the system needs major reform.
This situation shouldn’t surprise anyone. Last year Canadians could expect a 27.7-week delay for non-emergency treatment. Nearly half this time (13.1 weeks) was spent waiting for treatment after seeing a specialist—that’s more than one month longer than what physicians considered reasonable.
And it’s not as though these unreasonable waits are simple inconveniences for patients; they can have serious consequences including continued pain, psychological distress and disability. For many, there are also economic consequences for waiting due to lost productivity or wages (due to difficulty or inability to work) or for Canadians who pay for care in another country.
Canadians are also experiencing longer delays than their European and Australian universal health-care peers. In 2020, Canadians were the least likely (62 per cent) to report receiving non-emergency surgical treatment in under four weeks compared to Germans (99 per cent) and Australians (72 per cent).
What do they do differently? Put simply, they approach universal care in a different way than we do.
In particular, these countries all have a sizeable and well-integrated private sector that helps deliver universal care including surgical care. For example, in 2021, 45 per cent of hospitals in Germany (a plurality) were private for-profit. And 99 per cent of German hospital beds are accessible to those covered under the country’s mandatory insurance scheme. In Australia, governments regularly contract with private hospitals to provide surgical care, with private facilities handling 41 per cent of all hospital services in 2021/22.
These universal health-care countries also tend to fund their hospitals differently.
Governments in Canada primarily fund hospitals through “global budgets.” With a fixed budget set at the beginning of the year, this funding method is unconnected to the level of services provided. Consequently, patients are treated as costs to be minimized.
In contrast, hospitals in most European countries and Australia are funded on the basis of their activity. As a result, because they are paid for services they actually deliver, hospitals are incentivized to provide higher volumes of care.
The data are clear. Canadian patients are frustrated with their health-care system and have an appetite for change. We stand to learn from other countries who maintain their universal coverage while delivering health care faster than in Canada.
Author:
Alberta
Alberta aggressively recruiting resident physicians from across Canada
Competitive compensation for resident physicians
A new compensation agreement for resident physicians has been reached, which will help to retain and recruit more physicians throughout Alberta.
Alberta’s government, in partnership with Alberta Health Services (AHS), the University of Alberta, University of Calgary and the Professional Association of Resident Physicians of Alberta has reached a four-year agreement that provides competitive and fair-market compensation for physicians in training.
The negotiated agreement provides wage increases of three per cent in each of the first two years, and two per cent in each of the last two years. It also includes market adjustments that put Alberta on par with other western Canadian medical schools.
Ensuring resident physicians receive competitive, fair-market compensation while they train and provide services across the province will help stabilize and strengthen acute health care today while bringing medical students and ultimately more physicians to the province to support the province’s future health needs.
“Alberta’s government is grateful for all the hard work resident physicians put in as they complete their training. We are pleased to see that a new agreement has been reached and look forward to more physicians calling Alberta home.”
“We are extremely grateful to all of our resident physicians, who play a vital role in caring for Albertans and supporting our front-line physicians and health care teams. This agreement will help us recruit medical students and encourage them to practise in this province.”
Rural and Remote Family Medicine Resident Physician Bursary Pilot Program
The agreement builds on actions Alberta’s government is taking to make the province a more attractive place for medical students and resident physicians to study and practise. On Oct. 3, Alberta’s government announced measures to improve health care in rural and remote communities through the new Rural and Remote Family Medicine Resident Physician Bursary Pilot Program. The bursary program is part of the province’s Rural Health Action Plan.
The pilot program will provide up to $8 million annually for the next two years to medical students in their final year of an undergraduate medical program when they are matched with a family medicine residency program at the University of Alberta or University of Calgary, or to residents currently completing a family medicine residency at either university regardless of their year of study. In return, bursary recipients will commit to delivering comprehensive patient care in eligible communities for three years after completing their residency.
“With this agreement, Alberta strengthens its position as an attractive destination for resident physicians across Canada. By enhancing compensation, training and working conditions, we ensure Alberta recruits and retains the brightest medical talent to serve our communities and shape the future of health care.”
“The University of Alberta is pleased collaborations with our partners have resulted in an agreement that reflects the critical impact resident physicians make in our health care system so all Albertans receive the care they need.”
“Remuneration, respect, retention and recruitment of rural generalists are key to elevating rural hospitals to becoming rural centres of excellence. With this agreement and bursary pilot program, the Alberta government is recognizing rural health as being different, requiring separate and unique solutions for our communities that are mutually beneficial in enhancing the health of rural Albertans.”
Quick facts
- Resident physicians have graduated medical school but are completing post-graduate training in a residency program to obtain their licence to practise. With residency programs requiring an additional two to seven years of post-graduate training, most resident physicians spend more than 10 years training to become fully licensed physicians and surgeons.
- The Professional Association of Resident Physicians of Alberta represents more than 1,660 resident physicians in Alberta.
- The current agreement between AHS, the University of Alberta, University of Calgary and the association ended on June 30, 2024.
- The resident physician agreement is funded by Alberta Health through a grant to AHS and the universities.
Related information
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- Improving health care in rural and remote Alberta (Oct. 3, 2024)
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