Discover the latest in health: evidence‑based wellness tips, medical breakthroughs, nutrition guidance, fitness insights, and expert advice for a healthier, happier life.
The newspaper yesterday published a punchy text by Dr. Yves Lamontagne. Formerly president of the College of Physicians, author of a few hard-hitting books on health and society, the author brings a refreshing look at the Dubé reform.
Doc Lamontagne starts from a few simple observations to describe the evils that plague our health system. First, the scale of the bureaucracy. The comparison with Sweden strikes the imagination. Quebec has almost three times as many non-care workers as Sweden, despite a slightly lower population.
The finding is not new, but over the years and the accumulation of problems, we end up forgetting it.
A heavy bureaucracy and often far from the field, moreover. Since the Barrette reform, there was no longer the presence of a management in each establishment. A blunder hard noted during the pandemic, and which will be corrected.
However, it would be a mistake to conclude that there is a lack of administrative staff in the network. Poor distribution, lack of accountability, OK. But international comparisons show that our system is expensive, particularly because of the cost of its bureaucracy.
Loss of innovation
Dr. Lamontagne highlights another problem related to bureaucratic red tape: the loss of innovation. By definition, innovating means getting out of the norm. However, bureaucracy consists of the most uniform possible imposition of binding standards. Heavy bureaucracy enforces its standards with an even tighter straightjacket.
Without innovation, no SME might prosper, grow and stand out.
Bureaucracy also stifles initiative. Combined with rigid collective agreements, it tends to penalize efficiency. The model employee does not innovate or surpass himself. It stays in frame and does what is required, period. No more, no less, no better.
The most disturbing part of Yves Lamontagne’s shock text is his analysis of the forces involved. “David versus Goliath”.
Power struggles
Minister Dubé small once morest colossal forces of inertia. Despite a majority and stable government.
The considerable experience of veteran Lamontagne leads him to a certain pessimism.
Can certain trade union organizations or the Federation of Medical Specialists sabotage the success of any reform in the defense of their corporate interests? I hope not.
What scares me the most when analyzing these power struggles in major public services is the user’s weak position. In the capitalist economy, the customer has a certain power. In the case of a restaurant, store, or cell phone provider, the dissatisfied customer can take their dollars elsewhere next time. If everyone leaves the negligent trader, he will quickly be taken out of the picture.
Faced with a state monopoly that offers an essential public service, the citizen has a very weak balance of power. The great showdowns are being played out above our heads.
Elected officials from all parties need to keep this in mind and stand on the side of the patient when working on reform.
BAIE-COMEAU – The Baie-Comeau Drakkar missed their return home on Tuesday night when they lost 5-2 to the Moncton Wildcats in Game 3 of their Round of 16 series.
• Read also: Panthers defeat Devon Levi, near playoffs
• Read also: The Canadian humiliated and still whitewashed in front of his supporters
• Read also: Series once morest the Islanders: the Remparts one victory away from the sweep
Defeated at home a few days earlier, the visitors from New Brunswick bounced back in force to take a 2-1 lead and regain the advantage of the ice in this confrontation.
Much like the previous two games in the series, the matchup was hotly contested for more than two periods before the Wildcats sounded the charge with three goals in the final period.
The winners took advantage of a turnover in the enemy defensive zone to break a 2-2 tie thanks to Thomas Auger’s winning goal. They then added two more nets in empty cages.
“Once once more, the match was very tight. There was a lot of nervousness in the first period and puck management was more difficult. Things settled down a bit more followingwards,” commented driver Jean-François Grégoire.
Inspired by spectacular saves from goalkeeper Olivier Ciarlo, the hosts resisted a double penalty kill in the third period with flying colors, but mightn’t capitalize followingwards.
“We had good chances, but two players went into the void in front of their net. The command will not be easy, but it will be necessary to start the next game from the start and be more opportunistic in attack. »
very tight
Like his counterpart, Wildcats coach Daniel Lacroix also spoke of a very tight game. “It’s been like that since the beginning of the series. These are two very committed teams, who give their all on the ice,” acknowledged the manager.
After dropping a game at home, the Moncton skaters went for a big win. “The players reacted well. We tried to keep the momentum. Their keeper was good. Our goalkeeper was good and we are thinking regarding tomorrow’s game. »
And bref
Yoan Loshing, Connor Trenholm, Alexis Daniel and Charles Beaudoin scored the other goals for the winners…Louis-Charles Plourde and Charles-Antoine Dumont sounded the response for the Drakkar, who once more played the match with only five defenders. .The two teams meet at the Henry-Leonard center on Wednesday evening.
On Monday, oil was thrown on the fire once more: in a press release, Barça demanded the resignation of La Liga president Javier Tebas, following press reports that he had given the prosecution a letter implicating wronged two former presidents of the club in the “Negreira” affair.
A Barcelona court is still investigating on the basis of a complaint concerning suspicious payments of money, to the tune of 7.3 million euros, made by the Catalan club to companies belonging to the former N.2 of the Spanish referee, José Maria Enriquez Negreira.
On the same day, UEFA boss Aleksander Ceferin, who should be reappointed for a third term as head of European football at the Congress on Tuesday and Wednesday in Lisbon, said in an interview with the media Slovenian Ekipa that the scandal affecting Barça “is one of the most serious situations” he has “never seen in football”.
Ten days ago, on March 23, UEFA announced the opening of an investigation into a “possible violation of the legal framework” of the body by FC Barcelona, already charged since March 10 in Spain with some of its former leaders for “corruption”, “breach of trust” and “false business records”.
It is in this tense context, in addition to all the media attention focused on a possible return of Lionel Messi to the club this summer, that Barça, institutionally shaken but solid on the ground, approach their last clasico of the season.
The Catalans have won the last three clasicos to date (3-1 in the Spanish Super Cup final in January in Saudi Arabia, 1-0 in the Copa semi-final first leg in Madrid on March 2, and 2-1 at home March 19 in La Liga), and do not seem visibly affected by these legal turmoil.
“Extra-sporting matters don’t enter the dressing room. We talk regarding what we have to correct, how to position ourselves… We don’t talk regarding Negreira, Tebas, UEFA… We want just to prove that we can beat them once more,” Xavi said at a press conference on Tuesday.
Barça, which comes out of a resounding victory at the red lantern Elche on Saturday (4-0) having given the executives a break, already dominated Real two weeks ago at Camp Nou in an exciting La Liga return match , even as the “Negreira affair” exploded in Spain.
On Wednesday, Xavi still won’t be able to count on Ousmane Dembélé and Pedri, but will also have to do without Frenkie de Jong and Andreas Christensen, all injured.
At Real, the mood is optimistic. Brilliant Sunday once morest Valladolid (6-0), the “White House” was able to count on Karim Benzema, author of a hat-trick in six minutes and thirty seconds, including an acrobatic third goal.
“For me, the clasico is and will always be the most important match. We are very close to the final, so we will do everything we can to play it. But that does not mean that we will try to score like crazy. The idea is to play a complete match,” summarized Carlo Ancelotti on Tuesday at a press conference.
The Italian technician, who promised that Real would win a trophy this season, is up once morest the wall: in the event of elimination on Wednesday, he will have no other choice but to retain the Champions League title to hold on speak, given that the Merengues are twelve points behind the Catalans in La Liga.
Hosted by ByoHosting - Most Recommendeed Webhhosting. For complains, abuse, advertising contact:
[email protected]