You would be assuming wrong.
My uncle is in Quebec City, my friend practices at the largest cancer center in Alberta, my wife's biopsy wasn't done at a hospital, but a regional lab. The big issue with looking at the reported wait times, is that it lumps everyone together. Delivery in Canada is largely based on priority and urgency, not how much money you have, or how gold plated your insurance is. If you have a minor blockage in your heart, you may wait 2-3 months for surgery (or longer), but if you have a major blockage you'll be in surgery within a week. Same with cancer, my friend treats more aggressive lung cancers so there is more urgency to see his patients.
Health care delivery is an individual Provincial responsibility and each province sets their own drug formulary. While some provinces do group together to purchase drugs, there is no requirement to do so. For example BC and Alberta work together, Quebec does it's own thing.
Is the system perfect, absolutely not, but it does a far better job in allocating resources to where they are most needed. As of 2015 the US spends almost twice as much per capita on healthcare vs Canada. Yet Canada has better overall healthcare outcomes, and its easy to see why from just a few interactions my close friends and family has had with the US system
1. My friend, before coming back to Canada, practiced in Boston. In Canada his hospital has 4 MRIs that run almost around the clock (you can get in pretty quick if you're willing to get your MRI done at 3:30am), at the hospital in Boston (which was half the size), they had 5 MRIs that only ran 9-5 and included one within the cancer center portion that was used at most 2 hours a day (they didn't want to share their MRI with the general hospital population)
2. While in Boston he was instructed by management to personally attend MRI scans for people with insurance. This not only allowed the hospital to bill insurance for a "doctor supervised scan" at 3 times the price, but it "looked good" to the patients improving their satisfaction scores that were used by marketing. He's not a radiologist, he didn't run the MRI, he just stood there in his white coat. In Canada, he enters the MRI prescription into the system, the patent goes down to radiology and he gets the results. He can see 2 times the patients here since he doesn't have to do a whole raft of pointless things that had zero to do with healthcare delivery while in Boston
3. My wife, while in the states had to take my son to the hospital for a minor respiratory infection (thankfully we had travel insurance). After the free valet parking took care of the rental car, my son had a chest x-ray and MRI of his chest. When we got home, our family doctor was dumfounded as simply listening to my sons chest with a stethoscope would have been sufficient to diagnose the infection and prescribe an antibiotic. Insurance paid out almost $10k for what should have been a trivial diagnosis
Firstly because its not true
My uncle just had a heart attack, had his bypass surgery 3 days later. My best friend is a radiation oncologist, he typically sees patients within days of their diagnosis. My wife just had a biopsy to check out her thyroid, had to wait 2 weeks. Yes, you're going to wait for something that isn't going to kill you (my Dad had to wait 9 months for a hip replacement) and it's true that medication outside the hospital aren't covered, but provincial governments negotiate substantial discounts with big pharma so drugs are much cheaper here.
It's part and parcel to the whole approach to health care in Canada. If you're diagnosed with cancer, or need a heart bypass, you'll be treated within days. Have something that isn't going to kill you (knee replacement, cataract etc), you're going to wait (or pay
Unlike how Congress has handcuffed Medicare, provincial health systems are allowed to study the efficacy and cost effectiveness of various treatments and medications and negotiate bulk discounts with big pharma.
You just said the government shouldn't be investing in private companies, yet just indicated you're fine with handing billions to a private company to manage (and invest in private companies). This is actually the case for most government pensions which are handled by supposedly "arms length" organizations
The whole of question of public sector unions is a completely different topic
Ironically, then lions share of the stabilization and reduction in global carbon footprint are the result of switching from coal to natural gas. Solar and Wind make up a pretty small component
Canada does not subsidize its softwood lumber industry, and the WTO has agreed with this assessment time and time again. It's just that the lumber industry in Canada operates under a very different model. Most forestry takes place on Crown Land in Canada (except on Vancouver Island), companies are charged stumpage fees and required to restore the land once they are done. This means the whole capital structure of Canadian lumber companies is totally different from those in the US.
It wasn't just out of the goodness of your heart. It was In exchange for much of the British gold reserve and military basing rights all over the world. The USSR shipped billions in gold, platinum and diamonds to the US. It was pure "cash and carry" until March 1941
It also highlights the main issue, how can you have a rationale discourse and negotiate a workable agreement, when the other side is willing to just make shit up. At the core of negotiations is the concept of "meeting of minds" to understand and discuss interests. If one side is telling you that the sky is red and clouds are orange, and that yes means no and no means yes where do you go? You can't negotiate with crazy
I'm surprised that Trump doesn't understand how these things work, this is literally first year global business and trade strategy. So much for the quality of a Wharton education. Its simple, go and look for vulnerable Republican politicians, districts that could easily flip, look at the key industries in those districts and target those. This either forces those politicians to push back against their own party, or the district goes to the Democrats diluting Trumps ability to maintain these tariffs. This is why you're seeing tariffs on such odd things like felt markers and motorcycles and bourbon. As per usual the Trump administration is being outplayed by people who actually know this stuff
"Not like the brazen giant of Greek fame,
With conquering limbs astride from land to land;
Here at our sea-washed, sunset gates shall stand
A mighty woman with a torch, whose flame
Is the imprisoned lightning, and her name,
Mother of Exiles. From her beacon-hand
Glows world-wide welcome; her mild eyes command
The air-bridged harbor that twin cities frame.
"Keep, ancient lands, your storied pomp!" cries she
With silent lips. "Give me your tired, your poor,
Your huddled masses yearning to breathe free,
The wretched refuse of your teeming shore.
Send these, the homeless, tempest-tost to me,
I lift my lamp beside the golden door!"
So what you're saying , it's time to send Lady Liberty back to France
Part of the supply system is also to protect the Canadian industry from the ~$40 billion in dairy subsidies that US producers receive. In fact the US dairy market is so distorted that they over produce and end up dumping vast quantities of milk. Canada dropping its tariffs would open the flood gates to cheap, low quality (Canada's has much higher dairy standards), subsidized dairy products that would destroy the industry. Get rid of the subsidies and we can talk.
The reason that the "national security" angle is bogus is that you're looking at a country that the US shares the worlds longest undefended border, has an integrated continental defense system (NORAD), has a joint intelligence sharing agreement (5 Eyes) and have been close allies for 150 years. A decent chunk of the Uranium in the US nuclear arsenal was mined in Canada. Canadian military officers walk the halls of the Pentagon and sit at the consoles of the infamous "War Room". Can you, with a straight face seriously consider Canada a national security threat?
Trump could start WWIII, murder Malala Yousafzai on national TV and sell national secrets on Ebay and the right would still support him. There is literally no way for him to be a failure in their eyes
Canada isn't claiming its supply system for Dairy is for national security reasons (the rationale that Trump is using to justify the steel and aluminum tariffs)
It's not a process issue, its a case of potentially adding a whole bunch of extraneous and erroneous data into a trial that could derail, or delay the introduction of a new treatment
E.g.
A team is in the process of trialing a new treatment for pancreatic cancer. A desperate patient suffering from stage 4 pancreatic cancer wants access to the treatment because, after all, what have they got to lose. The patient gets the treatment, but they still unfortunately die. Now the trial team has a problem. Did the treatment kill the patient? Did they just get the treatment too late? Was their some other factor?. Since much of the data generated during a trial is statistical in nature, you can't just say, "well ignore this guy" because maybe it did identify a legitimate issue with the treatment.
The problem is that depending on the stage of a trial, a single death (regardless of it being caused by the new medication/procedural or just the fact that the patient is already dying from the condition), can derail the entire trial and prevent or delay a new treatment from coming to market (did patient X die from the treatment or the condition). Yes the person is rolling the dice hoping that it comes up box cars, but if it comes up snake eyes thousands of others can be affected
This is one element that most people miss. Love or hate Elon, the truth is global demand for fossil fuels are driven by consumption. That's you, me, the person down the block, the guy around the world. Oil and gas companies don't force this stuff down our throat, each and everyone of us through our purchasing decisions, merrily and happily purchase processed crude, barrel after barrel each and every day.
Slashdot Mirror
The LES is specifically designed to work in the event of a catastrophic booster failure
3rd
SCE to Aux
How much do you cool down? 30 bpm? 20 bpm? 10 bpm? It's not like her heartbeat went from steady healthy 60bpm to 0 when she dropped dead
You would be assuming wrong. My uncle is in Quebec City, my friend practices at the largest cancer center in Alberta, my wife's biopsy wasn't done at a hospital, but a regional lab. The big issue with looking at the reported wait times, is that it lumps everyone together. Delivery in Canada is largely based on priority and urgency, not how much money you have, or how gold plated your insurance is. If you have a minor blockage in your heart, you may wait 2-3 months for surgery (or longer), but if you have a major blockage you'll be in surgery within a week. Same with cancer, my friend treats more aggressive lung cancers so there is more urgency to see his patients. Health care delivery is an individual Provincial responsibility and each province sets their own drug formulary. While some provinces do group together to purchase drugs, there is no requirement to do so. For example BC and Alberta work together, Quebec does it's own thing. Is the system perfect, absolutely not, but it does a far better job in allocating resources to where they are most needed. As of 2015 the US spends almost twice as much per capita on healthcare vs Canada. Yet Canada has better overall healthcare outcomes, and its easy to see why from just a few interactions my close friends and family has had with the US system 1. My friend, before coming back to Canada, practiced in Boston. In Canada his hospital has 4 MRIs that run almost around the clock (you can get in pretty quick if you're willing to get your MRI done at 3:30am), at the hospital in Boston (which was half the size), they had 5 MRIs that only ran 9-5 and included one within the cancer center portion that was used at most 2 hours a day (they didn't want to share their MRI with the general hospital population) 2. While in Boston he was instructed by management to personally attend MRI scans for people with insurance. This not only allowed the hospital to bill insurance for a "doctor supervised scan" at 3 times the price, but it "looked good" to the patients improving their satisfaction scores that were used by marketing. He's not a radiologist, he didn't run the MRI, he just stood there in his white coat. In Canada, he enters the MRI prescription into the system, the patent goes down to radiology and he gets the results. He can see 2 times the patients here since he doesn't have to do a whole raft of pointless things that had zero to do with healthcare delivery while in Boston 3. My wife, while in the states had to take my son to the hospital for a minor respiratory infection (thankfully we had travel insurance). After the free valet parking took care of the rental car, my son had a chest x-ray and MRI of his chest. When we got home, our family doctor was dumfounded as simply listening to my sons chest with a stethoscope would have been sufficient to diagnose the infection and prescribe an antibiotic. Insurance paid out almost $10k for what should have been a trivial diagnosis
Firstly because its not true My uncle just had a heart attack, had his bypass surgery 3 days later. My best friend is a radiation oncologist, he typically sees patients within days of their diagnosis. My wife just had a biopsy to check out her thyroid, had to wait 2 weeks. Yes, you're going to wait for something that isn't going to kill you (my Dad had to wait 9 months for a hip replacement) and it's true that medication outside the hospital aren't covered, but provincial governments negotiate substantial discounts with big pharma so drugs are much cheaper here.
It's part and parcel to the whole approach to health care in Canada. If you're diagnosed with cancer, or need a heart bypass, you'll be treated within days. Have something that isn't going to kill you (knee replacement, cataract etc), you're going to wait (or pay Unlike how Congress has handcuffed Medicare, provincial health systems are allowed to study the efficacy and cost effectiveness of various treatments and medications and negotiate bulk discounts with big pharma.
You just said the government shouldn't be investing in private companies, yet just indicated you're fine with handing billions to a private company to manage (and invest in private companies). This is actually the case for most government pensions which are handled by supposedly "arms length" organizations The whole of question of public sector unions is a completely different topic
Ironically, then lions share of the stabilization and reduction in global carbon footprint are the result of switching from coal to natural gas. Solar and Wind make up a pretty small component
One word, pensions
It's being launched on an Ariane 5
Canada does not subsidize its softwood lumber industry, and the WTO has agreed with this assessment time and time again. It's just that the lumber industry in Canada operates under a very different model. Most forestry takes place on Crown Land in Canada (except on Vancouver Island), companies are charged stumpage fees and required to restore the land once they are done. This means the whole capital structure of Canadian lumber companies is totally different from those in the US.
It wasn't just out of the goodness of your heart. It was In exchange for much of the British gold reserve and military basing rights all over the world. The USSR shipped billions in gold, platinum and diamonds to the US. It was pure "cash and carry" until March 1941
It also highlights the main issue, how can you have a rationale discourse and negotiate a workable agreement, when the other side is willing to just make shit up. At the core of negotiations is the concept of "meeting of minds" to understand and discuss interests. If one side is telling you that the sky is red and clouds are orange, and that yes means no and no means yes where do you go? You can't negotiate with crazy
Or they buy A319's
I'm surprised that Trump doesn't understand how these things work, this is literally first year global business and trade strategy. So much for the quality of a Wharton education. Its simple, go and look for vulnerable Republican politicians, districts that could easily flip, look at the key industries in those districts and target those. This either forces those politicians to push back against their own party, or the district goes to the Democrats diluting Trumps ability to maintain these tariffs. This is why you're seeing tariffs on such odd things like felt markers and motorcycles and bourbon. As per usual the Trump administration is being outplayed by people who actually know this stuff
"Not like the brazen giant of Greek fame, With conquering limbs astride from land to land; Here at our sea-washed, sunset gates shall stand A mighty woman with a torch, whose flame Is the imprisoned lightning, and her name, Mother of Exiles. From her beacon-hand Glows world-wide welcome; her mild eyes command The air-bridged harbor that twin cities frame. "Keep, ancient lands, your storied pomp!" cries she With silent lips. "Give me your tired, your poor, Your huddled masses yearning to breathe free, The wretched refuse of your teeming shore. Send these, the homeless, tempest-tost to me, I lift my lamp beside the golden door!" So what you're saying , it's time to send Lady Liberty back to France
So only educated and literate people are allowed to claim asylum now?
Part of the supply system is also to protect the Canadian industry from the ~$40 billion in dairy subsidies that US producers receive. In fact the US dairy market is so distorted that they over produce and end up dumping vast quantities of milk. Canada dropping its tariffs would open the flood gates to cheap, low quality (Canada's has much higher dairy standards), subsidized dairy products that would destroy the industry. Get rid of the subsidies and we can talk. The reason that the "national security" angle is bogus is that you're looking at a country that the US shares the worlds longest undefended border, has an integrated continental defense system (NORAD), has a joint intelligence sharing agreement (5 Eyes) and have been close allies for 150 years. A decent chunk of the Uranium in the US nuclear arsenal was mined in Canada. Canadian military officers walk the halls of the Pentagon and sit at the consoles of the infamous "War Room". Can you, with a straight face seriously consider Canada a national security threat?
Trump could start WWIII, murder Malala Yousafzai on national TV and sell national secrets on Ebay and the right would still support him. There is literally no way for him to be a failure in their eyes
Canada isn't claiming its supply system for Dairy is for national security reasons (the rationale that Trump is using to justify the steel and aluminum tariffs)
The biggest contributor to decarbonizing our energy supply in 2017 was the displacement of coal by natural gas (
It's not a process issue, its a case of potentially adding a whole bunch of extraneous and erroneous data into a trial that could derail, or delay the introduction of a new treatment E.g. A team is in the process of trialing a new treatment for pancreatic cancer. A desperate patient suffering from stage 4 pancreatic cancer wants access to the treatment because, after all, what have they got to lose. The patient gets the treatment, but they still unfortunately die. Now the trial team has a problem. Did the treatment kill the patient? Did they just get the treatment too late? Was their some other factor?. Since much of the data generated during a trial is statistical in nature, you can't just say, "well ignore this guy" because maybe it did identify a legitimate issue with the treatment.
The problem is that depending on the stage of a trial, a single death (regardless of it being caused by the new medication/procedural or just the fact that the patient is already dying from the condition), can derail the entire trial and prevent or delay a new treatment from coming to market (did patient X die from the treatment or the condition). Yes the person is rolling the dice hoping that it comes up box cars, but if it comes up snake eyes thousands of others can be affected
This is one element that most people miss. Love or hate Elon, the truth is global demand for fossil fuels are driven by consumption. That's you, me, the person down the block, the guy around the world. Oil and gas companies don't force this stuff down our throat, each and everyone of us through our purchasing decisions, merrily and happily purchase processed crude, barrel after barrel each and every day.