To bad, we don't want him any more. He needs to stay the fuck out and enjoy his progressive 'utopia'.
Seriously, he sounds like a picture-perfect example of why people think 'the experts' are complete retards. He's a gun enthusiast and didn't know Canada's take on firearms? Christ.
Oh, I bet he wanted to move to Canada for those free bandaids they give out. Top quality health care, so great that if you start costing any money for health they voluntarily “euthanize” you.
Hey now, if your deemed "worthy" youll get the care you need.
I was reading a r/canada thread one day and this person was like, "I dont know what you guys are talking about, I get physical checksup every year and im only 32, bla bla"
Just casually drops at the end of a 1200 word rant, im a pilot for a major airlines.
Your list barely even touches on the actual working conditions of a GP in Toronto.
On top of being knee deep in treating all this "diversity" on the frontlines, you also get crushed as a family doc having to manage cases way above your paygrade because of the insane wait times for specialist consultations, surgeries, cancer care, imaging, psychiatrist assessments, etc.
You're trained as a GP to essentially be a switchboard, assessing undifferentiated patients off the street, starting investigations, directing people to the right specialists, treating minor ailments.
But when the switchboard model breaks down because "calls" are waiting in the queue for months & years while still holding you as the Most Responsible Person when they are on hold in an endless queue, it is thankless, underresourced and full of liability.
This is rapidly becoming the norm in the USA as well, especially where I live. I work as an RN in the hospital of a semi major urban area and the workload is wild for most doctors. You honestly can't pay me to do that.
I will be attending NP school soon in order to write my own orders and Rx for my family etc because healthcare is becoming a waste of time and it costs an insane amount for nothing most of the time. My coworkers pay like 500$ a month for the "Gucci" hospital offered insurance that they hate and have to pay more.
My advice is just quit ur job and go on medicaid if you get really sick.
even +20 years ago, i knew someone in toronto who's dad died waiting. his dad had a stroke and ambulance got him to hospital in like 15minutes. but there apparently wasnt any stroke specialists at the hospital to treat him. the dad waited for like +3 hours. there was a doctor that knew how, but he wasn't authorized or licensed/permitted to do it or something like that. the dad just died waiting.
The collapse of the promise of modern medicine is, I think, the hardest one to deal with, compared to the promise of college leading to a career or the promise of having a family.
Dying at home, surrounded by family, is dignified. You have the fear of the unknown, but that's it. Whereas in situations like what you're describing, there's the fear that hope induces. "Will they get to me in time?" And you're in an ugly location, surrounded by strangers that won't risk their loicense to help you.
GPs and plenty of other health services are overpaid and underperforming to the point a half decent computer system could do the same job with a few clinicians.
As the health service crumbles further any half aware person should be demanding the ability to deal with their own health issues as best they can.
That's why so many black Americans have their tour of duty in Africa and then head on home to bad ol' racism and inequality.
Maybe if he flew himself out to India and some of the other places he'd see what an upgrade Canada is to them.
There's a reason people want to come to the West and benefit from all the hard work people have put into the land - and there's nothing wrong with that.
But neglecting the children of those who died for this prosperity is a kick in the face to civilisation.
Charity begins at home, it doesn't invite people in.
There's a reason people want to come to the West and benefit from all the hard work people have put into the land - and there's nothing wrong with that.
I had a similar experience when I was offered a job in the US. Not only is my salary basically double for the same work, but I will be taxed about a quarter of what I am currently taxed in the UK. AND the cost of food, fuel, and sundries is cheaper.
People in America really don't realise how good they have it in a lot of cases, I think. That's probably why they're so flippant about giving it away to every Tom, Dick, and Harry that holds out his hat.
As a nurse I am always laughing when I hear the woke nurses threaten to move to the UK or Canada. The only places that are even close, like 75% of US salaries for an RN, are Norway and Australia, ans their taxes and cost of living wipes out the extra.
I've been all over the world, Europe and Asia, accompanied with 5000 of my closest friends. I know how good we have it in the US, I've seen it first hand.
My uncle back in Ye Olde Country likes to poke fun at me and my parents for how spoiled we are in the US: central AC, 24/7 hot water, a clothes dryer, etc. It was certainly an adjustment to live in his house when we visited.
Then again, he grew up without indoor plumbing and had to carry water from the town well every day, so he admits he's grown spoiled as well.
Numbness is a pretty useless bedside self-reported symptom at this point because it's way overreported and pretty much impossible to objectively prove with the tools available most of the time.
Complete paralysis is a medical emergency and is easier to assess at the bedside on physical exam. The problem is that complete sudden paralysis is also exceedingly rare. What most people describe as "paralysis" is actual muscle weakness with preserved function. Which like above, is way overreported and a nothingburger to investigate usually even if you could.
Peripheral cyanosis (limbs turning blue) is more of an objective clinical sign than a self-reported one. But also is one that people tend to exaggerate.
Having cyanosis in all 4 limbs is a systemic issue varying from nothing to something.
Having localized peripheral cyanosis limited to one limb is probably more significant. But again it's only a small clue in context that's hard to investigate unless you have other compelling factors that make you want to go down the rabbit hole as an investigator (pain out of proportion, complete inability to feel peripheral pulses whatsoever, VERY sluggish capillary refill, extreme pain with passive extension of some of the muscles in specific compartments, etc).
And in the case of both ER and GP situations, patients are handled with a triage mentality.
In the case of an ER I suppose it can be a "little" more understandable, but with GP's it's less about time/manpower constraints and instead seems like it has more to do with keeping on friendly terms with insurance companies (costs, etc). Since they have to justify anything they do to insurance companies.
It's honestly a fucking joke. In a big book full of horrible jokes.
Your first half definitely describes a lot of the reality.
But another huge factor as I mentioned elsewhere in the thread is that the "universal healthcare" model in Toronto where the OP talks about maxes out at about a $35 dollar cap that the government will pay out to a GP for a visit.
So the GP can't set their prices for the value of their labour or to keep pace with rising CoL, inflation, overhead, etc. The only way they can make the numbers work is to increase patient volumes and continually shorten visits and quality.
In general, they can't even hire more staff to streamline things because staffing only adds salary costs while the rate-limiting step is the doctor's face-to-face time (at $35 a pop and the government will only pay out for physician one-on-one time, not those of extenders).
This is on top of ever increasing liability, more & more diversity with non one speaking English, more forms, paperwork & more BS non-medical demands, more automated requests from the pharmacy, the lab, the patient portal (all unpaid but more liability), longer wait times to see specialists, more BS astroturfed campaigns from your betters such as screening for poverty, for DV, for guns in the home, for new cancer screening, new STI screening, pushing the new jab, screening for the latest Public Health scare disease, screening for early childhood developmental problems, etc.
The heartless, entrepreneurial shitbags thrive off the high volume by being reductionist, ruthless & pushing whatever is The Current Thing and new Big Pharma New Product.
Anyone with any introspection or qualms quickly gets crushed by the Leviathan and either finds a small niche to fill to get off the conveyor belt or burns out.
I'm going to take a wild guess and say that he still thinks Canada is soooooo much better than AmeriKKKa and that orange man bad, he just did some mental gymnastics to allow himself to move back anyway?
TL;DR: Your friend is a massive retarded faggot. He voted against MAGA--he doesn't deserve to live under its success--so it's a damn travesty that he can even come back.
Definitely an issue with socialist universal healthcare.
The payer, the government sets the rates and makes it illegal to work outside their underfunded system.
So a GP makes the same $35 gross for your average visit no matter if they are downtown Toronto or some podunk forestry town. No matter your rent or overhead.
In fact, the rural forestry town is better because there's more chance of grants & subsidies.
My cousin was an ER doctor in Sault St. Marie, Ontario (many years ago). She wanted a small city to raise her 3 kids in. Her husband was a "house husband" and loved every minute of it. The people adored her, her co-workers adored her, she really did well! They moved to a bigger city (not Toronto!) after the kids went to University.
SSM is a cool town. Very far removed from Toronto. Nice to be able to cross the river into the US as needed as well.
If you don't mind the terror that is being in charge when shit is going down (and the monotony of dealing with the refuge that shows up at your door with the druggies, the poor, the homeless, the mentally ill, the frequent flyers and people without a family doc), being a ER doc in some way is one of the sweetest jobs in medicine.
It pays pretty well and it's truly shift work with no call.
The best part of being an ER doc is that you walk away once your shift is done. There's no follow-up or obligations (besides maybe following up on a few tests done if there's no handoff).
That really can't be said about almost any physician position.
iirc, they actually lived just outside of town right beside the Indian Reservation. 80% of their neighbors were natives. It was like a 10 minute drive to the hospital.
She was on call though, they didn't have much staff and usually there was just 1 doctor in the ER at any given time. She'd work 50-60 hours in a typical week, but the pay was fantastic. That's why her husband stayed home, she made like 5X what he would have, and he was an electrician. That was her plan from a young age, she's that smart, eh? :>
Good pay, great place to live & raise kids and being adored by the entire community = nice work if you can get it!
Do you know why his housing costs are 30% of his net? Who do you think owns most of the private land and rental properties in Canada and in the U.S.? The people who love making money from doing absolutely nothing of value for anyone else, investment bankers Americans I like to call them. A large nosed breed
Amazes me how these supposedly "smart" people keep being so stupid. The last 100+ years of academic achievement has been attributed to the people who can memorize the most facts and regurgitate them when needed.
Tell him he's a deluded faggot and Florida doesn't want him. Make something up about floridian maga pirates putting gators in people's cars or something.
Leftist faggots need to stay in the shitholes they vote for.
Toronto and Vancouver are not normal. Most of Canada is somewhat better but still way worse than the US.
My buddy (a chef! in Winnipeg) was offered a position in a Toronto restaurant with a 50% pay boost. He ran some numbers and concluded he'd need a 100% increase just to break even, they didn't offer it :/
To bad, we don't want him any more. He needs to stay the fuck out and enjoy his progressive 'utopia'.
Seriously, he sounds like a picture-perfect example of why people think 'the experts' are complete retards. He's a gun enthusiast and didn't know Canada's take on firearms? Christ.
Oh, I bet he wanted to move to Canada for those free bandaids they give out. Top quality health care, so great that if you start costing any money for health they voluntarily “euthanize” you.
Hey now, if your deemed "worthy" youll get the care you need.
I was reading a r/canada thread one day and this person was like, "I dont know what you guys are talking about, I get physical checksup every year and im only 32, bla bla"
Just casually drops at the end of a 1200 word rant, im a pilot for a major airlines.
Just stfu bro.
Yeah, they don’t understand that only the privileged can get “regular checkups”.
Guarantee he'll "vote blue no matter who" then be shocked when the same thing gets the same results.
Your list barely even touches on the actual working conditions of a GP in Toronto.
On top of being knee deep in treating all this "diversity" on the frontlines, you also get crushed as a family doc having to manage cases way above your paygrade because of the insane wait times for specialist consultations, surgeries, cancer care, imaging, psychiatrist assessments, etc.
You're trained as a GP to essentially be a switchboard, assessing undifferentiated patients off the street, starting investigations, directing people to the right specialists, treating minor ailments.
But when the switchboard model breaks down because "calls" are waiting in the queue for months & years while still holding you as the Most Responsible Person when they are on hold in an endless queue, it is thankless, underresourced and full of liability.
This is rapidly becoming the norm in the USA as well, especially where I live. I work as an RN in the hospital of a semi major urban area and the workload is wild for most doctors. You honestly can't pay me to do that.
I will be attending NP school soon in order to write my own orders and Rx for my family etc because healthcare is becoming a waste of time and it costs an insane amount for nothing most of the time. My coworkers pay like 500$ a month for the "Gucci" hospital offered insurance that they hate and have to pay more.
My advice is just quit ur job and go on medicaid if you get really sick.
even +20 years ago, i knew someone in toronto who's dad died waiting. his dad had a stroke and ambulance got him to hospital in like 15minutes. but there apparently wasnt any stroke specialists at the hospital to treat him. the dad waited for like +3 hours. there was a doctor that knew how, but he wasn't authorized or licensed/permitted to do it or something like that. the dad just died waiting.
The collapse of the promise of modern medicine is, I think, the hardest one to deal with, compared to the promise of college leading to a career or the promise of having a family.
Dying at home, surrounded by family, is dignified. You have the fear of the unknown, but that's it. Whereas in situations like what you're describing, there's the fear that hope induces. "Will they get to me in time?" And you're in an ugly location, surrounded by strangers that won't risk their loicense to help you.
Just another casualty of mass-immigration.
GPs and plenty of other health services are overpaid and underperforming to the point a half decent computer system could do the same job with a few clinicians.
As the health service crumbles further any half aware person should be demanding the ability to deal with their own health issues as best they can.
Everything would magically be solved if there were less patients, which would mean a massive repatriation scheme.
Ah, the old comparison epiphany.
That's why so many black Americans have their tour of duty in Africa and then head on home to bad ol' racism and inequality.
Maybe if he flew himself out to India and some of the other places he'd see what an upgrade Canada is to them.
There's a reason people want to come to the West and benefit from all the hard work people have put into the land - and there's nothing wrong with that.
But neglecting the children of those who died for this prosperity is a kick in the face to civilisation.
Charity begins at home, it doesn't invite people in.
It's not wrong that the 3rd world wants to be here. It's wrong that we let them in.
That's my point.
Educate the Third World, let their best come and share their stories and that's how we all get better.
Kicking the offspring of those who died for that ability is not respectful of the lives given for what is available now.
Inverse colonialism needs to be halted.
How is there nothing wrong with that?
Shut the fuck up and get back to Europe you scrounging bastard!
I had a similar experience when I was offered a job in the US. Not only is my salary basically double for the same work, but I will be taxed about a quarter of what I am currently taxed in the UK. AND the cost of food, fuel, and sundries is cheaper.
People in America really don't realise how good they have it in a lot of cases, I think. That's probably why they're so flippant about giving it away to every Tom, Dick, and Harry that holds out his hat.
More like every Ranjeet, Jamal, and Mohammad.
As a nurse I am always laughing when I hear the woke nurses threaten to move to the UK or Canada. The only places that are even close, like 75% of US salaries for an RN, are Norway and Australia, ans their taxes and cost of living wipes out the extra.
You have my sympathy. I bet that industry is fully compromised with the woke.
Where I'm at its pretty low key thank God. Mostly just normies. I did have to erase a gay ass pride message from our breakroom but it didn't reappear.
I've been all over the world, Europe and Asia, accompanied with 5000 of my closest friends. I know how good we have it in the US, I've seen it first hand.
My uncle back in Ye Olde Country likes to poke fun at me and my parents for how spoiled we are in the US: central AC, 24/7 hot water, a clothes dryer, etc. It was certainly an adjustment to live in his house when we visited.
Then again, he grew up without indoor plumbing and had to carry water from the town well every day, so he admits he's grown spoiled as well.
User name checks out.
And yeah, I’ve also been to poor countries courtesy of Uncle Sam and it makes you really appreciate the USA.
Because we are not quiet Communists like most of the world.
Imagine the smell 🤢
The smell of curry mixes with the smell of B.O. 🤮
Curry mixes with all the smells that a human body produces.
The smart one lives in the bathroom so he doesn't have to deal with the other 8.
Still doesn't use the loo
He sounds like a retard.
The system was already dysfunctional & collapsing long before it was stress tested even more with infinity Indians since COVID.
The only thing they've improved is access to MAiD. At least that's mostly targeted at old White boomers.
Numbness is a pretty useless bedside self-reported symptom at this point because it's way overreported and pretty much impossible to objectively prove with the tools available most of the time.
Complete paralysis is a medical emergency and is easier to assess at the bedside on physical exam. The problem is that complete sudden paralysis is also exceedingly rare. What most people describe as "paralysis" is actual muscle weakness with preserved function. Which like above, is way overreported and a nothingburger to investigate usually even if you could.
Peripheral cyanosis (limbs turning blue) is more of an objective clinical sign than a self-reported one. But also is one that people tend to exaggerate.
Having cyanosis in all 4 limbs is a systemic issue varying from nothing to something.
Having localized peripheral cyanosis limited to one limb is probably more significant. But again it's only a small clue in context that's hard to investigate unless you have other compelling factors that make you want to go down the rabbit hole as an investigator (pain out of proportion, complete inability to feel peripheral pulses whatsoever, VERY sluggish capillary refill, extreme pain with passive extension of some of the muscles in specific compartments, etc).
And in the case of both ER and GP situations, patients are handled with a triage mentality.
In the case of an ER I suppose it can be a "little" more understandable, but with GP's it's less about time/manpower constraints and instead seems like it has more to do with keeping on friendly terms with insurance companies (costs, etc). Since they have to justify anything they do to insurance companies.
It's honestly a fucking joke. In a big book full of horrible jokes.
Your first half definitely describes a lot of the reality.
But another huge factor as I mentioned elsewhere in the thread is that the "universal healthcare" model in Toronto where the OP talks about maxes out at about a $35 dollar cap that the government will pay out to a GP for a visit.
So the GP can't set their prices for the value of their labour or to keep pace with rising CoL, inflation, overhead, etc. The only way they can make the numbers work is to increase patient volumes and continually shorten visits and quality.
In general, they can't even hire more staff to streamline things because staffing only adds salary costs while the rate-limiting step is the doctor's face-to-face time (at $35 a pop and the government will only pay out for physician one-on-one time, not those of extenders).
This is on top of ever increasing liability, more & more diversity with non one speaking English, more forms, paperwork & more BS non-medical demands, more automated requests from the pharmacy, the lab, the patient portal (all unpaid but more liability), longer wait times to see specialists, more BS astroturfed campaigns from your betters such as screening for poverty, for DV, for guns in the home, for new cancer screening, new STI screening, pushing the new jab, screening for the latest Public Health scare disease, screening for early childhood developmental problems, etc.
The heartless, entrepreneurial shitbags thrive off the high volume by being reductionist, ruthless & pushing whatever is The Current Thing and new Big Pharma New Product.
Anyone with any introspection or qualms quickly gets crushed by the Leviathan and either finds a small niche to fill to get off the conveyor belt or burns out.
That's horrible but probably doesn't begin to cover what they're really doing.
I'm going to take a wild guess and say that he still thinks Canada is soooooo much better than AmeriKKKa and that orange man bad, he just did some mental gymnastics to allow himself to move back anyway?
TL;DR: Your friend is a massive retarded faggot. He voted against MAGA--he doesn't deserve to live under its success--so it's a damn travesty that he can even come back.
What where you doing with his wife?
It's Canada, he needed to get his cuckold license.
In Florida did he live in a a comparably sized city? I'm told Toronto is massive and big cities are expensive.
The difference is that big cities pay premiums for GPs, based on the salary he was making as a younger GP I’d bet he lived somewhere like Miami.
Definitely an issue with socialist universal healthcare.
The payer, the government sets the rates and makes it illegal to work outside their underfunded system.
So a GP makes the same $35 gross for your average visit no matter if they are downtown Toronto or some podunk forestry town. No matter your rent or overhead.
In fact, the rural forestry town is better because there's more chance of grants & subsidies.
My cousin was an ER doctor in Sault St. Marie, Ontario (many years ago). She wanted a small city to raise her 3 kids in. Her husband was a "house husband" and loved every minute of it. The people adored her, her co-workers adored her, she really did well! They moved to a bigger city (not Toronto!) after the kids went to University.
SSM is a cool town. Very far removed from Toronto. Nice to be able to cross the river into the US as needed as well.
If you don't mind the terror that is being in charge when shit is going down (and the monotony of dealing with the refuge that shows up at your door with the druggies, the poor, the homeless, the mentally ill, the frequent flyers and people without a family doc), being a ER doc in some way is one of the sweetest jobs in medicine.
It pays pretty well and it's truly shift work with no call.
The best part of being an ER doc is that you walk away once your shift is done. There's no follow-up or obligations (besides maybe following up on a few tests done if there's no handoff).
That really can't be said about almost any physician position.
iirc, they actually lived just outside of town right beside the Indian Reservation. 80% of their neighbors were natives. It was like a 10 minute drive to the hospital.
She was on call though, they didn't have much staff and usually there was just 1 doctor in the ER at any given time. She'd work 50-60 hours in a typical week, but the pay was fantastic. That's why her husband stayed home, she made like 5X what he would have, and he was an electrician. That was her plan from a young age, she's that smart, eh? :>
Good pay, great place to live & raise kids and being adored by the entire community = nice work if you can get it!
How the hell are his taxes that low here without kids?
See, this is why canada should be conquered. It's a scam call center hell just waiting to happen.
Its already been conquered, didn't u read the post regarding all the diversity?
(comedic german accent) The other way! THE OTHER WAY!
But yeah, it's an infection. A plague if you will.
I don’t need any more Pajeets.
I like ethically sourced biodiesel.
Fuck that, just wall them off. We don't even want it. Better yet, wall off the populated strip and claim their northern territory as greater Alaska.
They'll probably breed enough to climb walls like that zombie movie. Gotta do some creative chemistry to turn them into gasoline or something.
Let's keep in mind that's Toronto, they have such good plans that there's bags of milk. Then people in Toronto think it's all of Canada.
The most ridiculous thing is that the milk bags supposedly started because of the switch to metric.
So rather than just labelling the existing jugs 3.78L, they decided to redesign the entire jug, failed, and just started putting in bags.
No, they had milk bags back in the 60's too. Source: I remember them! 😸
Do you know why his housing costs are 30% of his net? Who do you think owns most of the private land and rental properties in Canada and in the U.S.? The people who love making money from doing absolutely nothing of value for anyone else, investment bankers Americans I like to call them. A large nosed breed
Amazes me how these supposedly "smart" people keep being so stupid. The last 100+ years of academic achievement has been attributed to the people who can memorize the most facts and regurgitate them when needed.
Tell him he's a deluded faggot and Florida doesn't want him. Make something up about floridian maga pirates putting gators in people's cars or something.
Leftist faggots need to stay in the shitholes they vote for.
At least he gets to have his daily fix of poutaine? :')
Toronto and Vancouver are not normal. Most of Canada is somewhat better but still way worse than the US.
My buddy (a chef! in Winnipeg) was offered a position in a Toronto restaurant with a 50% pay boost. He ran some numbers and concluded he'd need a 100% increase just to break even, they didn't offer it :/