Life

My Turn in the Scanner

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Still, I saw some aspects of the system that need improvement. At LGH, the woman in the bed next to mine had a full colostomy bag: "I stink!" she declared. The nurse attending her couldn't do much about it because no replacement bags were available, but he tried to reassure her that the smell wasn't so bad.

At Burnaby I again found the involuntary intimacy that patients must often share. Some were lying on gurneys in a main corridor just steps from the cafeteria. Others, some in hospital gowns, waited their turns for a CT scan; they looked either grim or anxious as they contemplated what the scan would tell them. As I learned only later, Burnaby has had recurring problems with outbreaks of Clostridium difficile, an antibiotic-resistant bug that's believed to have been a contributing factor in the deaths of 13 people from 2010-2011.

While we all faced our own mortality, we were not, at least, wondering how the hell we were going to pay for all this treatment.

Counting the cost

Politicians moan about the growing burden of old folks on our healthcare system, not to mention the way we soak up CPP and OAS. So I wondered how much I was costing the system. What, for example, was the cost of my afternoon in LGH emergency? And what about those three CT scans?

Considering the politicians' angst about health costs, the numbers were hard to find. I finally got some from a very nice PR person at Vancouver Coastal Health. She couldn't estimate an average cost for a visit to emergency; "That comes out of block funding."

But uninsured and out-of-country persons who show up in a Vancouver emergency department are looking at a per-visit fee of $500, plus an emergency doctor's fee of up to $500 more. These rates are closely aligned with those in Washington state hospitals, to discourage uninsured Americans from crossing the border in search of a bargain.

As for CT scans, she told me that they range from $650 each for an uninsured resident to $1,325 for a nonresident. So if I'd been a foreigner, diagnosing my mini-stroke would have cost me around $5,000 -- not counting whatever the neurologist would have charged me.

I'm aware that fewer workers are available to cover the costs of more seniors. Back in the 1980s, I was writing articles and giving speeches about just this demographic crunch. I don't feel remotely guilty about imposing this burden on younger taxpayers.

After all, I've been paying taxes for almost half a century to cover their education costs (and their parents'), not to mention their own medicare. My own demands on the system over that time have been few and far between.

The value of young Canadians

Sure, older folks will need more support as the baby boomers retire. The answer is not to cut back on seniors' pensions and healthcare, but to ensure that young workers are as productive and well-paid as possible. Young Canadians have the value of scarcity, and we shouldn't let a single one drop out or drift into a dead-end job.

That means (as I used to say in the 1980s) that they need a major investment in their education, so they can earn high incomes. After all, they won't just be supporting the old folks. They'll have to support themselves while bringing up children whose education will be equally critical.

We can and should bring down healthcare costs wherever possible: using generic drugs, limiting needless tests, and especially practicing preventive medicine.

But we should never simply "cut costs," least of all on the pretext of a generation war against seniors who live inconveniently long. That doesn't make the costs go away. It only downloads them onto the old, the young, the sick, and the poor -- and those remarkable healthcare professionals who look after us all.

We need to remember that -- sooner than we expect -- it will be our turn in the scanner.

[Tags: Health.]  [Tyee]

17  Comments:

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  • Jeffrey J.

    1 year ago

    A Lovely Meditation

    What a lovely meditation on a significant health event, coupled with the experience of BC's health care system. Written by one of the Tyee's own great authors. Who like so many seniors, actually served in Canada's armed forces.

    Mr. Killian is a perfect symbol of those who helped build the Canada we know and love. And he proposes that Canada in turn continue to show the respect and dignity to our elders that most other cultures embrace with pride.

    But are the Harper/Campbell/Clark neocons listening? Sadly, no. Instead, for them, there is no concept of respect, of history, of human dignity. Its all about mammon. Its all about business. People, not so much.

    This was a heartfelt and poignant account that works on multiple levels.

    Thank you Mr. Killian.

  • Mr. Gimpy

    1 year ago

    Thanks Crawford

    As you frequently do with your pieces, you provide some insight into the issue of healthcare so often smothered in tired rhetoric.

    Specifically:
    1. Governments have known what our current demographics would be for years and have done very little. They've failed to realign our education system to value trades and they have not made the strategic investments in healthcare needed. Many of us have been pointing this out for many, many years. Instead we've transferred wealth either out of the country or to the wealthy.
    2. As a society far too many of us continue to devalue taking care of our own health in favour of entertainment and consumption.
    3. Finally, the solution can't always be to "cut costs". Yes there are new ways of doing things which can reduce costs. At the same time we need to make budget allocations based on inclusive and compassionate values, not on expediency and the long discredited belief that we must transfer our common wealth to corporations so that they will use it to benefit society.
    4. And finally, let's celebrate the women and men who work in our healthcare system! Dedicated and compassionate they are. As are the vast majority of our "civil servants" who are routinely maligned these days.

  • freewilly

    1 year ago

    Mr Killian is very lucky

    Great article! Mr Killian is very lucky. Strokes are a major killer.
    Everyone should have some basic First Aid training and should be able to recognize and respond to the symptoms of stroke or heart attack.
    Maybe some training could be rolled into the BC drivers liscence testing.(maybe thats the case now?) Even the manditory boating liscence requires some basic first aid.

    I have a friend in the local hospital. What bothers me is the number of elderly, stuck on crowded wards, waiting for space in nursing homes. Some of them have been there for over a year. Theres no respect for our seniors. Its a crisis in healthcare and worthy of a story.

  • Perry

    1 year ago

    crisis in the medical system

    "... by now I suspected that the major problems in Canadian healthcare are TV and parking."

    Crawford, I'm glad you had a positive, helpful experience, and I realize that your comment above is simply a flippant aside not to be taken seriously, but the reality for many people is quite different. The speed with which you were cared for, the good communication between your doctors, the willingness of a doctor to actually listen to you, all that sounds like you are describing a different medical system than the one I and many others have encountered.

    I personally know people, and have read of many others, who did not receive good care at an emergency ward, who were misdiagnosed, neglected, or turned away. There is a real crisis many people feel completely abandoned by the medical system.

  • jimmmmy

    1 year ago

    sorry to here about your

    sorry to here about your health problems get well soon. great personal testament, but where were you when brian baloney started stripping funding and started deliberately mismanaging health care. you get the government and in canadas caae the health care you voted for,so most of us old farts deserve what we get . stripped pensions and poor if any health care.

  • marcerickson

    1 year ago

    Lions' Gate Hospital emergency dept. service

    Lions' Gate Hospital has the best and quickest emergency dept. of any I've visited - this includes VGH, St. Paul's, and Mt. St. Vincent. Jim Pattison's large donation for the emerg's reconstruction has made it deluxe looking also.

  • rantnic

    1 year ago

    When it works!

    I myself have had some good and bad experiences with the medical system in B.C. When it is good the medical system works very well, But when! I had an unfortunate encounter with a delta drainage ditch that resulted in my obtaining a broken neck. The day after the accident after seeing my doctor and getting x-rays I was sent by taxi to Burnaby General emergency. After being admitted at 1:30pm I waited without any attendance or help until 11:30pm when they decided that the specialist was not going to show up. Only then did they give me something for my now excruciating pain. At 7:30am the next morning the specialist showed up as I was sitting up in bead having breakfast. He looked at my chart, looked at me and said "Do you realize that you have a broken neck?" I said yes. He then said that I was lucky that the hospital had not killed me, I was imediatly immobilized and moved to Lions Gate Hospital where my story took a turn for the better. Now almost 30 years later I am still most thankful for that specialist and his team at Lions Gate Hospital.

    The level of care is often dependent on the wealth of the neighborhood or town you live in. After all that is where the best surgeons and doctors will always gravitate to?

  • rob777

    1 year ago

    Mr. Gimp 1. Governments have

    Mr. Gimp

    1. Governments have known what our current demographics would be for years and have done very little. They've failed to realign our education system to value trades and they have not made the strategic investments in healthcare needed.

    A. What do trades have to do with anything in this article. And no one values trades it is a means to an end, making money

    B. Judging by the amount of commercials i hear about with money being thrown at tradesmen, and the amount of white trash with money trashing the wilderness on various motorized nightmares they do not need any help

  • frank2

    1 year ago

    Killian is a star patient --

    Killian is a star patient -- he is following the advice to exercise and improve his diet. If were all as diligent, there would be fewer demands on the "system." How can "the system" induce more folks to take charge in this way?

  • snert

    1 year ago

    Very lucky man

    First rule when suspecting stroke, either have someone drive you or call an ambulance to go to emergency. Do not waste time going to see your doctor.

    GPs can no longer admit patients to hospital in any event so you might as well skip that part of the process. All they can do is call to say you are coming and the hospital might well say "send them somewhere else".

    I think the old system was better where at least one had continuity under your doctors care.

  • Vox.Pop

    1 year ago

    The BC Health System usually

    The BC Health System usually works very well for serious, acute care situations, like strokes & heart attacks - especially if you get to the hospital quickly. It's the chronic situations that are still a problem - there's no easy answer for those except moving long-term care oldies into the appropriate facilities. One technique all hospitals could introduce is setting up a clinic next to the emergency department so that the non-emergency patients who treat the hospital like a clinic also get directed away from expensive hospital resources.
    Oh, and the senior administrators could be drastically reduced in numbers & salaries.

  • b.egan

    1 year ago

    Thanks Crawford

    Thanks Crawford for this well-written piece. I appreciate your clear-eyed and up-close observation of BC's health care system. You paint a generally positive picture. With aging parents (and aging parents-in-law) who have required medical care on several occasions over the past few years, both in BC and in Ontario, I too have been impressed by the dedication and professionalism of almost all of the medical personnel I have encountered. In the case of my family, the system has worked quite well, providing appropriate and timely medical care. There are plenty of challenges and difficulties, of course, and care is much better for those who can strongly advocate for themselves or who have family who can advocate for them. But there are lots of great people in the system, people who genuinely care for their patients, and for that I am grateful.

  • carfreecity

    1 year ago

    oas

    I do not agree with the almost universal dishing out of OAS .
    There are people getting OS who have incomes of over $50,000
    Their houses were paid for a long time ago, when housing was not so expensive. They drive new cars, travel at every whim,eat out frequently,the OAS is a drop in the bucket for them but for someone on OAS/GIS,
    even an extra $50 bucks a month helps alot

  • helena_tyee

    1 year ago

    Nice to hear something positive

    I would like to make one correction. The people who are taking your imaging tests are not "techies" or technicians. We are technologists who have extensive training and skills. We know what we are scanning for and why and are an integral part of the health care team.

  • skyhunk

    1 year ago

    I can't help but get perturbed...

    when I hear the youngsters complain about how they have to pay for the pensions and health care costs of today's seniors. I get perturbed because the complaints are directed at the seniors.
    Newsflash: the governments of the day have known for two generations that this day was coming. We didn't just suddenly appear and start making demands on the system. There has been ample time to plan and prepare for today. The problem is that governments only think as far ahead as the next election. And of course no ruling party likes to mention that maybe, just maybe they would have to make a small increase in taxes. My final point is that if governments hadn't given huge tax cuts to very profitable mega-corporations over the years we would all be better off today. But when you starve the system of funds you also increase the argument for privatization - Harper's real agenda.

  • North of Hope

    1 year ago

    BC Seniors

    BC Seniors have been paying into the health care system all their lives. They will finally use use it in their old age. To say they are a drain on it is incorrect, as for 50 years, they have kept it operational. And this will continue to occur for generations to come.

  • ireckon

    1 year ago

    Fish Oil

    What the medical system failed to tell you is that there are often safe natural products that perform better than drugs. In Crawford's case Fish Oil in correct dosage will protect him from strokes and heart attack without the risk of ulcers as associated with Aspirin.

    What is it with doctors and drugs? Is it ignorance or do they just love the drug industry?

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