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One of the unmentioned or seldom mentioned  attributes of socialized medicine in the US is the component that if US health care becomes socialized and further limited down the line either in actuality or if the comparison either in cost or absolute comparison leads to a decline in customer service levels then a major option and stop gap to those waiting in line in other countries , those who do not want to wait or those who wish a higher caliber of medical service at home – and are willing to pay or sacrifice to pay – becomes less if not available.

In socialized medicine what happens over time is that the system responds to itself , not to the ultimate customer.  The doctor , who was previously the head of the team , on in previous – pre team work times – was the absolute power and arbitrage.  Not so in socialized medicine.  The doctor answers to the clinic that employs him or her , or to bureaucrats not to the consumer.  On top of that it is not as if the medical consumer has a choice.  Imagine a medtravel tourist complaining in writing to an address .  The bureaucrat /s could care less.  Their concern is their budget , their charts and graphs.  On top of that their biggest responsibility is not to get their boss or themselves in trouble or draw attention to themselves.If a letter or email arrives – so what .  That person lives far away.  they cannot even vote or complain to the health minister or political party leaders – who cares.  Its a matter for the medical bureaucratic system to put in time for its pension , go to lunch go home at 3:30 – stop the work on the graphs and charts at 2:30 p.m.  Thats about it. On top of that to pretend and actually believe in their mind and heart of hearts that the world and especially the medical system functioning is dependent on them and their unique and powerful administrative skills.

After all the less resources available in the end after pilfering the medical system of funds , the more the need for more administration to parcel out those limited resources in the medical and healthcare systems.

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              ” Swine Flu”  specifically “Mexican Swine Flu”  is currently in the new.   The Wall Street Journal headline calls out

Mexico Races to Stop Deadly Flu

Swine Flu Influenza Possible World Epidemic – CDC recommends the use of oseltamivir or zanamivir for the treatment and/or prevention of infection with these swine influenza viruses. Antiviral drugs are prescription medicines (pills, liquid or an inhaler) that fight against the flu by … Wash your hands often with soap and water, especially after you cough or sneeze. Alcohol-based hand cleaners are also effective. * Try to avoid close contact with sick people. * If you get sick with influenza, CDC recommends that you …

Latin American Herald Tribune – Swine Flu Outbreak In Mexico Spurs … – Swine Flu Outbreak In Mexico Spurs Epidemic Fears in US 68 dead so far and over a 1000 cases as officials urge people to avoid public gatherings and most of Mexico City’s schools, museums, theaters and cultural institutions were all closed because of the outbreak. … In the event the disease is confirmed, in order not to infect others, we recommend going to the doctor for a check-up and treatment. Under no circumstances should people try to medicate themselves. …

CODE: RED – Final Notice: Swine Flu Outbreak In Mexico Spurs … – USA EPIDEMIC POTENTIAL UPDATE: It was reported on Michael Savage radio on 24 Apr 09, that 500 school students in New York City, who just returned from various cities in Mexico, have come down with this Swine Flu, and it has been reported the school has now closed down … In the event the disease is confirmed, in order not to infect others, we recommend going to the doctor for a check-up and treatment. Under no circumstances should people try to medicate themselves. …

Headlines You Should Know! – That is potentially alarming, experts said, because the 1918 influenza epidemic also struck the young and healthy. Besser said CDC researchers had so far analyzed 14 samples from seriously ill Mexican patients, but only eight of them tested positive for swine flu. ….. Gregg Magee, a deputy sheriff who testified against Sheriff Parker and three of the deputies said he witnessed Harkless being handcuffed to a chair by Parker and then getting “the water treatment.” …

               Should you as a medical tourist be concerned ?  Is the rate of infection or illness any more than at home ?  Or is it all the same ?

               Does “Typhoid Mary”  only live far away from your home and city only ?

chaotic compendiums: Typhoid Mary: An Urban Historical by Anthony … – She is Mary Mallon, the woman who would become known as Typhoid Mary. Soper, sanitary engineer turned sleuth, sees Mary as his Moriarty. He finds there has been an outbreak of typhoid fever in every household she has worked in over the …

Typhoid Mary – Typhoid Mary had no idea that she was infected with the disease yet her work as a cook infected many. Find out all about Typhoid Mary and why authorities had a difficult time capturing Mary.

HowStuffWorks “Who was Typhoid Mary?” – Typhoid Mary was a tough, Irish immigrant cook who, in turn-of-the century New York City, spread typhoid to many people. Get the real Typhoid Mary story.

TaggLines: Glenn Beck: The Typhoid Mary of BSC Disease…. – Glenn Beck: The Typhoid Mary of BSC Disease…. (BSC Disease: BatShit Crazy Disease). clipped from www.politico.com. By MICHAEL A. COHEN. Watching Fox News’ new sensation Glenn Beck is not for the faint of heart. …

It is true that hygeine overall may be not as good far away than at home – yet you may in compounds and areas with very high standards and standards that are maintained and ensured.  Its no secret that in North America and Canada – mistakes and even what might overwise be called “epidemics”  from poor practices and lack of attention to detail in water and sewage treatment plants.  It is no secret that often untrained yet highly paid staff , who more often than not have the same last name as people in power in the  muncipalities and cities are the cause but overall are never held fully responsible.  So travelling away from home for treatment is not necessarily a poor choice and a means of looking for trouble and health issues far away from home.

Water Quality Standards in the US – Can We Trust Them to Be … – Outbreaks of waterborne illnesses are considered far greater public health risks than cancer. Cancerous growths take a long time to form and some people are able to fight them off. So, as it is with most medical considerations, …

Raleigh restaurant Evoo possibly tied to food-borne illness … – Wake County health officials are trying to trace the source of more than eight possible cases of food-borne illness reported April 17, which may be connected to Evoo, a Mediterranean restaurant in Raleigh’s Five Points. …. Jordan Lake”: Perhaps the water treatment in Durham is not a contributor to the impairment of Jordan lake, but Northeast Creek and New Hope Creek that drain Durham and are in close proximity to 751 are the dirtiest of any water draining into the lake. …

HealthZone.ca – Diet & Fitness – Number of cases of food-borne … – Torontonians report more than a dozen different kinds of food-borne illnesses each year, according to Toronto Public Health. Campylobacter infections… … Infection of the intestine caused by Cyclospora bacteria, transmitted through food and water contaminated by human feces. Most cases involved unwashed fruit and vegetables that have been contaminated during cultivation, harvest, transportation, or handling by infected people. Hepatitis A (23) …

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            An example of why some seek medical tourism or “medtravel”  Tales from the “Que”.

            Recently a grassroots organization in Canada organized a public meeting.  The group noted ” We need accountability in healthcare”.

           ”The Winnipeg Regional Health Authority”  needs to be held accountable for its actions.  Remember the “Brian Sinclair” incident.   For over 34 hours Mr. Sinclair sat in the Health Sciences Center emergency ward ; he died a few hours before he was found that he needed help.  It became clear that he did not need to die.  Instead of being transparent with the public as to what took place, Winnipeg Regional Health Care authority appeared to mislead the public.”

              Over the last few of months we foundthta WHRA was receiving “brown envelopes’ in return for contracts.  Now , I understand the provincial auditor is investigating the issue.  Then there is that stupid decision to cut back on emergency EMO services at Seven Oaks Hospital.  Cutting back these emergency services ultimately goes against the concept of community based hospitals , which by the way , if managed properly , are more  cost effiecient and provide the same quality of care as the Health Sciences Center.

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                  We need accountability in health care  notes a grass roots Canadian campaign newsletter.

                   The self written and distributed newsletter notes that “….. then there is the “stupid”  decision to cut back on emergency services at the Seven Oaks Hospital in Winnipeg Canada.  It seems that after a major update to the emergency department of this major regional medical center’s emergency department that the working hours of the emergency department were cut back.  Talk about the left hand not knowing what the right hand was doing – in plain site.   The amazing part is that even with press releases on the openings of the updated unit complete with a ribbon cutting ceremony and a how to reach pdf being written and offered on the actual hospital website the cutbacks went into place.

Phase 1 of New Emergency Department is now complete!

Phase 1 of the new Seven Oaks Hospital Emergency Department is now complete.  A Ribbon Cutting Ceremony officially opening the new facility was held on August 19. 

 “This state-of-the-art department was designed to ensure we can provide our citizens with the best emergency care possible,” said Health Minister Theresa Oswald. “This expanded emergency department means improved care for patients and their families, and a better work environment for our health-care professionals.” 

Please see the attached .pdf files for information on the new facility and Press Release.

Phase 1 of New Emergency Department is now complete!

Attachment	Size
When To Go To The ER.pdf	91.71 KB
New Emergency Department Ribbon Cutting.pdf	297.45 KB
Press Release August 18 2008.pdf	100.58 KB

        If one looks at a map of the coverage area of the catchment areas of the Seven Oaks Hospital  (SOGH) is clearly visible.  There are no other major regional medical centers what so ever in the adjacent local and rural areas just north of the only major center in this very large geographic areas of the Province of  Manitoba.

”

source:  http://www.travelmanitoba.com/default.asp?page=130&node=585

      Further the writer of this article notes:  ” Cutting back these emergency services goes against the concept of community based hospitals, which if managed properly are more cost effective and can provide the same level of care as the Health Sciences Center ( the major teaching hospital and medical center in the major and dominant city  of Winnipeg in the whole Canadian Province of Manitoba ).

	820 Sherbrook Street Winnipeg, Manitoba, Canada R3A 1R9                                   telephone 204-787-3661

Search the HSC website

Tuesday, April 28, 2009

News Click for more news Patient & Visitor Info Well Wishes Visiting hours and other info Where to park Where to eat and shop Where to stay ATM locations Smoking policy Maps & Directions Directions to HSC Map of HSC Printable map HSC Retirees Welcome to Health Sciences Centre Winnipeg. Located in the heart of Winnipeg, Health Sciences Centre (HSC) is one of Canada’s largest tertiary care facilities. We play a unique role in providing health care services to residents of Manitoba, northwestern Ontario and Nunavut. We are a major referral centre for complex health problems that require expert consultation and management. We are also Manitoba’s designated trauma centre and the centre for transplants, neurosurgery, burns and most hospital-based pediatric care. Our highly skilled teams of patient care professionals provide acute and continuing care to the ill and injured. Our support teams ensure that visiting and receiving care at Health Sciences Centre is a comfortable and safe experience. May hope flourish in this place. source:  http://www.hsc.mb.ca/    The writer of the pamphlet goes on to say “  What I have found over the last few weeks , and time period,   is that many healthcare workers ( in the City of Winnipeg and Manitoba Canada areas), in general , are very opinionated  about the Winnipeg Regional Health Authority (W.H.R.A.). 287 Broadway Winnipeg, MB R3C 0R9, Canada (204) 926-6000? wrha.mb.ca Medical Tourism Medical Tourism http://unidrugs.com/ Unidrugs.com is an online pharmacy that provides cheap prescription drugs online with convenient ordering and confidential delivery www.mmedsolution.com 287 Broadway Winnipeg, MB R3C 0R9, Canada (204) 926-6000? wrha.mb.ca

Canadian Doctor: Shortages So Bad North Of The Border Some Towns … – Dr. David Gratzer, writing in the Wall Street Journal, also makes a good point about just how dependent the Canadian health care system is on America’s. Indeed, Canada’s provincial governments themselves rely on American medicine. …

Why we need a public options for health care and debunking … – Every time we try to have a discussion about a public single payer option we hear how we shouldn’t have it and Canada as used as an example of how bad public health care options are. This article debunks the myths surrounding Canadian health … As a Canadian living in the United States for the past 17 years, I am frequently asked by Americans and Canadians alike to declare one health care system as the better one. The article continues, debunking myths about Canadian …

Wash Park Prophet: Canadian Health Care Works – The things that work in the Canadian health care system are explained here. I suspect, although the article does not say so, that in addition to having lower administrative costs and saving money with preventantive care, that many providers are also paid less richly in Canada than in the United States (although providers in Canada have essentially no bad debt losses, while American providers are swimming in bad debt). Posted by Andrew Oh-Willeke at 6/09/2009 12:08:00 AM …

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US teens going to China to overcome obesity – Treatment Abroad … – Iowa based medical tourism agency China Connection Global Healthcare (CCGH), has launched an obesity-intervention plan designed to address the social, environmental and individual determinants of the disease. …

Medical Tourism: Vaccinated Against the Recession? – By Lorenza … – Medical Tourism: Vaccinated Against the Recession? – By Lorenza Alessie.

Medical Tourism: Vaccinated Against the Recession? | By Lorenza … – due to its vastly lower cost, but on the counter side, a lack of cash may impact offshore medical business since customers just don’t have the money for non life-threatening surgeries like cosmetic surgery, dentistry, and Lasik/laser …

Medical Tourism: Health Care Free Trade – Brief Analysis #623 – Insurers Aetna and Cigna both report growing interest in medical tourism among employers. Mercer Health, an employee benefits consulting firm, is helping several Fortune 500 employers use medical travel to help stem the rising cost of …

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Medical tourism in India, Singapore and Thailand – Travellers prefer to combine their medical treatments with a visit to the ‘exotic east’ with their families, visiting places like.

Self-insured groups may encourage medical tourism : Covering Health – Joy Robertson looked into medical tourism and posted her findings on Ozarksfirst.com, the Web site of Springfield, Mo.-based stations KOLR and KSFX. She found that self-insured entities like the Assemblies of God Missions can save …

Medical Tourism Expands « RxMike – An innovative medical tourism platform, Fly Free For Health, has taken the lead to revolutionize the way Americans and global travelers can adopt medical tourism. It is the first such program in the world that allows “medical butlers” …

Medical Tourism Or Health-Seeking Travel | Emaxhealth – Medical Tourism Traveling abroad for the purpose of improving one’s physical, mental, and spiritual well-being is increasing in popularity. Such “health tourism” includes, but is not limited to, traveling for alternative therapies, …

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It is an interesting point or points of view or what might call perspectives.

Medical tourism or “medtravel”  or  “medical tourism / medtravel”  often is not most times refers to people , patients or their families traveling to far off , what were once backward third world places , to get medical treatment or medical treatments which they either cannot afford to get “back home”  or are too far down the list or que.

Medical tourism can now refer to medical treatment in the good old USA.

It is now accident that often the most wealthy and powerful come to the US for treatment.

The choice of oil rich sheiks , with no shortage of cash and money to burn , – ever,  used to be “private British ” health care clinic or private British hospitals.  It was closer and more familiar to the colonial past .  However , or in spite of this many of the wealthiest people in the world now routinely , as a matter of course , to American hospitals for their medical care – be it John Hopkins , the Mayo Clinic , Sloane-Kettering or a myriad of others.

In addition to that many who holiday in the US – say for warmer Florida in the winter are already there , so to speak.  Travel costs are already covered , as well as a stay away from home in nice surroundings.  Even friends or family can visit for a stay – and have minimal costs .  Hence these areas , Florida included , have incurred a resulting boom in medical care to those who are not their direct population and citizenry.

These too can be termed “medical tourism”  or medical tourism medtravel even home in the USA.

Medical Tourism: World-class Medical Care at Affordable Rates … – Well-trained and experienced doctors, state of art medical facilities and personalized care have helped India to register the fastest growth rate in this Industry. The number of patients seeking treatment in India has gone up from 10000 …

Florida’s Tourism Addiction | Newgeography.com – Growth in medical research is already happening with the arrival of the Nemours Center for Pediatric Research. Both of these are happening because of internal decisions, windows of opportunity, and with mostly private, …

Kerala Medical Tourism – The government’s initiative to combine tourism along with medical practices at a cost which is comparatively very low as compared to U.S. or U. K , has contributed to the rapid growth of medical tourism in the state. …

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An interesting case in point regarding the concerns of the trending towards “Socialized Medicine” in America.   One of the major points of medicine in the United States it that it is still profit driven to a great degree.  This is true , however on the other hand there is feedback in the system leading to better care.  If I do not like the level of care – many patients can reason – I can go to another doctor / hospital / care provider.  The system is rewarded or punished for good or poor service levels or good or poor value.  There is a feedback system in check. Poor performers or poor providers are punished.

It is true that many patients who are in dire straights are not  given a choice.  They are deathly ill or without other access and must take what they are given.

In spite of its apparent costs the beauty of the American system is that is available.  Costs are what they are , however when oil sheiks need treatment – and money is no object – where do they run – its to the US.  Its not even to “private British hospitals ” nowadays.

Hence the American medical system remains an escape valve .  If a patient in dire straights in behind the ques in a country with socialized or limited medical care he or she can always go to the States for treatment.  Money has limited value if you are dead or in no shape to enjoy its mettle.

The interesting thing is that although Canada is held up as a model of available medical care with a socialized medical care system that when major political figures – not even the wealthy , have serious illness , its to the US that they run in a snap.  This is so widely reported and so common , Canadians ( who may well be in a treatment ques for an extended period for serious or debilitating medical illness )  do not even bat an eye towards this and question it.  Nothing much that can be done when it comes to the slowness of the medical system and all its bureaucracies .

Thus in spite of its failing , high costs etc the value of the American medical system , among other paradoxes is that it remains a good safety valve – available always when needed and in addition providing pressure as a good example in point to other less available or efficient medical systems of the world.

TheSpec.com – Local – Hotline will find you family doctor – A doctor shortage exists partly because in past years there were not enough students taken into medical schools to make up for those who were retiring. Also, Ontario’s population has grown, among other factors. …

HealthZone.ca – News & Features – New hotline to find MDs – A doctor runs through the medical history of a new patient on her first time visit to a health clinic in Toronto. Studies indicate that nearly one in every 13 Ontario residents does not have a regular family physician. … Natalie Mehra, director of the health-care advocacy group, the Ontario Health Coalition, said the doctor shortage is a “big problem” all over the province, particularly in Kingston, Windsor, Sarnia, Brockville and northern Ontario. …

Doctor Shortage? – We all know there is a doctor shortage in the US. There aren’t enough doctors to care for the patients. Especially, primary/family doctors. The bottleneck is said to be in the number of available residencies and rotations. …

Hospitalists,nocturnalists,admitologists,anyone rember personal … – A recent perceptive,poignant, essay has attracted the attention of two of my favorite medical bloggers. Dr. RW and DB have both blogged about this entry by Dr. Cherie Glazner. At least the patient described in the narrative saw a …

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It may seem to be an odd concern in relation to travel of the question of how your travel insurance does or does not protect you in the case of terror and terror attacks.

It can be said that overall your chances of being affected by a terror or terrorism attack are remote. This is true. However there may be additional effects of a terrorism attack not only on the direct victims but on travelers who are in the country of the place of attack or even other countries.

You, your travel companions or even the country that has the attack may not directly lie in your path. Yet your trip either at the point of destination or even way by points may be directly affected. You need not have been in Mumbai or even India itself to have had your travel plans greatly affected.

For example your medical treatment may have been assigned a certain date and yet due to the attacks you find that all air travel are grounded.

Does your travel insurance cover such for events for cancellations or delays? Are additional hotel and travel costs covered? Will any replacement travel fares or future trips for this purpose assigned covered or will it all come under the clauses of “not covered due to acts of war or terrorism “or some other “acts of …” coverage.

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