Busy family doctor tops list of N.B. medical earners for first time
Forced out of Fredericton because of her large practice, Dr. Sunita
MacMullin continues to practise in Sussex
Robert Jones · CBC News · Posted: Dec 30, 2019 7:00 AM AT
216 Comments
Commenting is now closed for this story.
JJ Carrier
Dr. Roberts is worth more than $1.6-million to the literally thousands
of people, me included, who benefit every day from his skills he is
giving all of N.B. to keep the lights on, so to speak, for those who
are visually impaired...The cash he earns also goes towards his state
of the art facility and his tremendous staff...All in all, our
taxpayer money well spent...
David Raymond Amos
Reply to @JJ Carrier: Methinks you are fortunate to have a Medicare
Card so that you did not have to pay for his services N'esy Pas?
James Risdon
Reply to @David Raymond Amos: Medicare is a wonderful thing. Are you
against public healthcare?
David Raymond Amos
Reply to @James Risdon: What planet are you from?
JJ Carrier
Reply to @David Raymond Amos: Listen, if you ever find humanity in
your travels, please use it in future because you just disrespected
every patient in Dr. Ken's care since the start of the 2000s...In
2019, you still rank as one of the most cranially challenged and
increasingly foolish posters on these boards who was also rejected,
yet again, in a federal election in 2019 with one of the worst
percentage totals in provincial history...I, on the other hand, was
was elected to public office at the request of my home region, been an
award-winning reporter who has covered some 40,000 stories, for 37
years, and an anti-poverty and social justice advocate who, last I
checked, if I dropped dead tomorrow I know the people at my funeral
would say "hey, opinionated sure, but he was a good guy..." What will
they say at your funeral? "Ohh, that fool..." Nuff Said...Don't ask
James and I to tag team against your ego, because you might be scared
what you might find...Get the Messenger?
JJ Carrier
Reply to @David Raymond Amos: James and I are from Planet Bathurst,
centre of the Chaleur cerebral universe...Crackpot City is your
community it seems...
JJ Carrier
Reply to @James Risdon: He's not even a human being...Anyone who talks
like he does should study his Bible...
David Raymond Amos
Reply to @JJ Carrier: I shudder to think that you may be peering
through my brother's eyes
David Raymond Amos
Reply to @JJ Carrier: Deja Vu 4 U
David Raymond Amos
Reply to @JJ Carrier: BTW I know exactly who both of you are and you
have no clue who I am. However I will say one of the nicest things I
heard said about my brother at his funeral was his friends was
comforted by the fact he may get to look into my brother's eyes again
someday byway of the person who received the benefit from them after
his drowned.
David Raymond Amos
Reply to @JJ Carrier: BTW I checked out your YouTube Channel when I
read enough of your braggingMethinks you should check out mine in
order to figure out why a sued Cardinal Bernard Francis Law in
Beantown 2002 N'esy Pas?
People's Alliance to reflect on successes, challenges during AGM
Leader Kris Austin is proud of what his party has accomplished so far
but will push for 'language fairness'
CBC News · Posted: Jun 20, 2019 9:52 PM AT
97 Comments
Commenting is now closed for this story.
Matt Steele
Kris Austin has certainly accomplished more than the Green or Liberal
Party has ; but Austin certainly has an up hill battle ahead of him
David Amos
Reply to @Matt Steele: Say it ain't so
Josef Blow
Reply to @Matt Steele: There is plenty of room on this forum for you
to list the accomplishments of the People’s Alliance. GO AHEAD AND
ENLIGHTEN US ALL. If you and your comrade commentators at Tim’s took
on the task I’m sure it would “break the internet” as people say.
David Amos
Reply to @Matt Steele: Methinks it would not “break the internet” if
Mr Blow were to surf the web with our names in order to do a little
research for the benefit of the SANB N'esy Pas?
Marc Martin
Reply to @Matt Steele: And what did he accomplish again ?
Josef Blow
Reply to @David Amos: “TJ”, or “CBC employee” or “wannabe lawyer”
works for the SANB, Dave? I am neither of the aforementioned people.
I’m surprised that the internet ain’t broke what with the volume of
law suits and dresses (that’s a joke, Dave) you have brought in your
many years as an elder statesman. To research your name in the
internet has nonetheless proven to be difficult because there are no
hits when using the relevance filter.
JJ Carrie
Reply to @Josef Blow: Amos is not Famous in any sense of the word...I
have challenged him many time to a public debate but it seems I am
real and he is, well, a really overpriced cookie...I challenge any
person on these boards, BTW, to see the connection the PANB and SANB
have...they both are flawed groups with no credibility on how they see
the Charter...Same mother, but estranged...
David Amos
Reply to @JJ Carrier: "I have challenged him many time to a public
debate but it seems I am real and he is, well, a really overpriced
cookie."
NOT TRUE BUT Tell me where and when
Marguerite Deschamps
Reply to @JJ Carrier: it's not wise to get into a sissing contest with a pkunk!
---------- Original message ----------
From: Sylvie Gadoury <sylvie.gadoury@radio-canada.ca>
Date: Mon, 30 Dec 2019 14:05:49 -0800
Subject: Absence du bureau / Out of office Re: Methinks its only
proper Higgy and his cohorts go into the New Year still battling
greedy people within the Health Care system N'esy Pas?
To: david.raymond.amos333@gmail.com
*English follows*
Bonjour,
Veuillez prendre note que je suis présentement en vacances. De retour
le 6 janvier 2020.
Pour toute urgence, vous pouvez communiquer avec la réception des Services
juridiques au 514 597-4094.
Please take note that I am presently on Annual Leave. Returning on
January 6, 2020.
For any emergency, you could reach the Legal Services Reception at
514 597-4094.
Thank you,
Sylvie Gadoury
--
*Sylvie Gadoury*
Vice-présidente
Services juridiques, avocat-conseil et secrétaire générale
Vice-President
Legal Services, General Counsel and Corporate Secretary
Tel.: (514) 597-4069
Fax: (514) 597-4087
NOTE: Ce courriel est destiné exclusivement au(x) destinataire(s)
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---------- Original message ----------
From: "Murphy, Steve" <Steve.Murphy@bellmedia.ca>
Date: Mon, 30 Dec 2019 22:05:40 +0000
Subject: Automatic reply: [EXT]Methinks its only proper Higgy and his
cohorts go into the New Year still battling greedy people within the
Health Care system N'esy Pas?
To: David Amos <david.raymond.amos333@gmail.com>
Steve Murphy is away and will respond to your e-mail on or after
January 6, 2020. In the meantime, if you wish to contact CTV News
please e-mail atlanticnews@bellmedia.ca or call (902) 454-3200.
Thank you.
---------- Original message ----------
From: Newsroom <newsroom@globeandmail.com>
Date: Mon, 30 Dec 2019 22:05:41 +0000
Subject: Automatic reply: Methinks its only proper Higgy and his
cohorts go into the New Year still battling greedy people within the
Health Care system N'esy Pas?
To: David Amos <david.raymond.amos333@gmail.com>
Thank you for contacting The Globe and Mail.
If your matter pertains to newspaper delivery or you require technical
support, please contact our Customer Service department at
1-800-387-5400 or send an email to customerservice@globeandmail.com
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---------- Original message ----------
From: "Carr, Jeff Hon. (ELG/EGL)" <Jeff.Carr@gnb.ca>
Date: Mon, 30 Dec 2019 22:05:50 +0000
Subject: Automatic reply: Methinks its only proper Higgy and his
cohorts go into the New Year still battling greedy people within the
Health Care system N'esy Pas?
To: David Amos <david.raymond.amos333@gmail.com>
I will be away from the office until January 6th, 2020.
Je serai absent du bureau jusqu'au 6 janvier 2020.
---------- Original message ----------
From: NBEN RENB <nben@nben.ca>
Date: Mon, 30 Dec 2019 14:05:40 -0800
Subject: Away from office - hors du bureau Re: Methinks its only
proper Higgy and his cohorts go into the New Year still battling
greedy people within the Health Care system N'esy Pas?
To: david.raymond.amos333@gmail.com
Thank you for your message. The NBEN office will be closed for the
holidays until January 3, 2019. Happy holidays!
Merci pour votre message. Le bureau du RENB sera fermer pour les
fêtes jusqu'au 3 janvier 2019 Joyeuses fêtes!
--
New Brunswick Environmental Network
Réseau environnemental du Nouveau-Brunswick
(506)855-4144 nben@nben.canben@nben.ca
---------- Original message ----------
From: David Amos <david.raymond.amos333@gmail.com>
Date: Mon, 30 Dec 2019 18:05:36 -0400
Subject: Methinks its only proper Higgy and his cohorts go into the New Year still
Methinks its only proper Higgy and his cohorts go into the New Year
still battling greedy people within the Health Care system N'esy Pas?
----------Original message ----------
From: "Holder, Trevor Hon. (PETL/EPFT)" <Trevor.Holder@gnb.ca>
Date: Sat, 21 Dec 2019 17:49:25 +0000
Subject: Automatic reply: Methinks Higgy's political opponents may enjoy their email over the the Yuletide season N'esy Pas?
To: David Amos <david.raymond.amos333@gmail.com>
I am curretly out of the office during the holiday season, should you require immediate assistance, please email Wendy Brewer at wendy.brewer@gnb.ca.
Season's greetings and best wishes for a health, happy and peaceful New Year.
Je suis actuellement à l'extérieur du bureau pendant la période des Fêtes. Si vous avez besoin d'une assistance immédiate, veuillez envoyer un courriel à wendy.brewer@gnb.ca.
Salutations et meilleurs voeux pour une nouvelle année saine, heureuse et paisible.
Dr.
Sunita MacMullin, who has an office in Sussex, billed the province
nearly $1.7 million for medical services last year, more than any other
physician. (Facebook)
A
record 37 New Brunswick doctors were paid more than $1 million by the
province for medical services last year and for the first time a general
practitioner — not a radiologist — led the list of top billers.
Dr.
Sunita MacMullin, a family doctor from Fredericton who relocated to
Sussex after the size of her practice became a problem to manage, billed
just under $1.7 million during the fiscal year ended March 31, 2019.
She's also the first woman to lead the list of top billers.
MacMullin is away until the new year, according to her office and could not be reached for comment.
It's
just the fourth year the province has released amounts it pays medical
practitioners following a recommendation made in 2012 by Auditor General
Kim MacPherson.
Last year Dr. Martin Finnegan, a diagnostic
radiologist at the Dr. Georges-L.-Dumont hospital in Moncton led the
list, displacing Dr. Stewart MacMillan, a radiologist in Miramichi who
topped all earners in the first two years
This year, Finnegan
tied for third on the list and MacMillan tied for fifth, costing the
province just over and just under $1.5 million respectively.
Although
controversial in other provinces, including Ontario, where doctors have
fought to keep their billings secret, the public disclosure of doctor
pay in New Brunswick has the official endorsement of the local medical
community.
The province spent $666.6 million on medicare
last year and New Brunswick medical society president Dr. Chris Goodyear
said the public has a right to see where that money goes.
Dr.
Chris Goodyear, president of the New Brunswick Medical Society, says
taxpayers have a right to know how much doctors are paid by the
province. (New Brunswick Medical Society)
"The
New Brunswick Medical Society supports the publication of payments to
physicians," said Goodyear in a statement released by the society. "It
provides transparency and accountability to taxpayers on how their
provincial health-care budget is spent."
Goodyear
is a general surgeon at the Dr. Everett Chalmers Regional Hospital in
Fredericton and is himself part of the disclosure. He was paid just
under $750,000 by the province last year, in a group tied for 91st on
the province's list of medical earners.
New Brunswick has nearly
1,900 practising physicians. The majority earned less than $350,000
from the province last year but the number who make more than $1 million
continued to grow.
Former Fredericton doctor happy in Sussex
MacMullin's billings
have increased steadily over the four years from just under $1 million
in the 2016 fiscal year, when she was tied for 25th on the list, to her
current spot at the top.
MacMullin made news in 2017 when she
sent a letter to her Fredericton patients informing them she was leaving
the city for Sussex because other family doctors in the area complained
her practice had grown too large with too many patients in hospital for
them to cover for her during off-hours or vacations.
"Every
proposal I had was met with a simple, 'No, we're not going to give you
any backup,'" MacMullin wrote, in explaining her decision to relocate.
"This in itself is risky for me to be on 24 [hours], seven days a week and never having any vacation.
"Luckily,
my colleagues in Sussex … have welcomed my practice of medicine to the
area and have created a healthy system of "on-call" support for one
another."
MacMullin is one of several family doctors among the
province's top billing physicians. Dr. Luan Le of Saint John billed the
province just under $1.4 million last year and appears seventh on the
list, and Dr. Gerard Losier of Miramichi tied for eighth for billings of
just under $1.3 million.
Dr.
Gerard Losier, left, of Miramichi billed the province $1.3 million for
the year ended March 31, 2019. Losier has also given millions of
dollars over the last decade to the Miramichi Regional Hospital
Foundation. (Facebook/Miramichi Regional Hospital Foundation 2014 Gala)
Losier has
long operated one of the largest medical practices in New Brunswick but
is better known for donating much of what he earns back to the
community.
According to the Canada Revenue
Agency, Losier gave more than $625,000 to Miramichi medical charities in
2018 from his and his wife's foundation — most of that to the local
hospital and hospice.
The top-earning specialist in the province
last year — and second on the list to MacMullin — was Fredericton
ophthalmologist Dr. Kenneth Roberts. He was paid just under $1.6
million.
Roberts has been second on the list of top medical earners in New Brunswick all four years it has been published.
In total, 37 doctors were paid more than $1 million by the province last year, up from 31 two years ago.
New
Brunswick Auditor General Kim MacPherson called for public disclosure
of doctor billings and salaries in 2012 and for the last four years the
province has complied. (Jacques Poitras/CBC)
In
2012, MacPherson found doctor billings in New Brunswick operate mostly
on the honour system, and she recommended more attention be paid to the
issue, including the public disclosure of what doctors charge the
province for their services.
"In order for the department to
demonstrate proper accountability for over half of a billion dollars in
annual spending, we believe the distribution of this spending should be
publicly reported and subject to public scrutiny," MacPherson wrote.
216 Comments Commenting is now closed for this story.
David
Raymond Amos "In
order for the department to demonstrate proper accountability for over
half of a billion dollars in annual spending, we believe the
distribution of this spending should be publicly reported and subject to
public scrutiny," MacPherson wrote.
Amen
David
Raymond Amos
Methinks I should be
fair and disclose that whereas Higgy and his cohorts will not issue me a
Medicare Card I have had to pay for my health care and I have found the
doctor fees to be reasonable and their service is excellent. Obviously I
cannot say the same of the government denying me my right to free
health care N'esy Pas?
Chris McNee
Reply to @David
Raymond Amos: Hi David, by the number if posts you make online, surely
you could use your time better to find employment that offers benefits
like medical coverage?
David
Raymond Amos
Reply to @Chris McNee: Methinks your lawyer should check my work N'esy Pas?
Chris McNee
Reply
to @David Raymond Amos: I don’t know your situation, but witness
similar with knowing others who don’t have full medical coverage. Free
medical is the coverage of hospital care only (in a basic definition) I
feel all prescriptions should be covered, regardless of income. To
simply complain about the government and to throw around the word lawyer
seems like an idle threat and the government retains its own lawyers. I
hope you win your case, I really do. I did my full career in the army
as my parents drilled into me the importance of a pension (albeit a
small one, and lastly medical benefits)
David
Raymond Amos
Reply to @Chris
McNee: Methinks you should have read my lawsuit against the Queen
(Statement 83 in particular) before the ex army dude in you jerked my
chain N'esy Pas?
Chris McNee
Reply to @David
Raymond Amos: I have know idea what your referring to about a suit
against the crown? Reply with a link? I very much enjoy learning about
wrongs being righted!
Theo Lavigne
Reply to @David Raymond Amos: Cry me a river.
David
Raymond Amos
Reply to @Chris McNee: Ask the lawyers at NB Power to show you my file BTW I was accepted to RMC in 1970 but opted not to go
David
Raymond Amos Reply to @Theo Lavigne: What would you do without a Medicare Card?
Chris McNee Reply to @David Raymond Amos: you should have gone to RMC, it was free education, a touch of B.S. from time to time mind you :)
David
Raymond Amos Reply
to @Chris McNee: Thats what I smelled coming from the dudes trying to
recruit me Hence I did not go. However clearly you learned that portion
of your studies well. Why else would you try to recruit others?
Greg Miller I
presume comments will be limited on this subject for fear of reprisal
--such is the environment we find ourselves in with a doctor "shortage".
I find it difficult to believe we can't recruit doctors when some are
billing well over a million.
Zapata Rigoreto
Reply to @Greg
Miller: They're billing over a million because they work 80+ hours a
week. Doctors are private contractors paid by the job. Billing rates
are set by the province. The reason they can bill so much is that there
is a doctor shortage so plenty of work available.
Greg Miller
Reply to @Zapata Rigoreto: In the case cited that's $442.71 assuming 80 hours a week and some holidays.
Greg Miller
Reply to @Greg Miller: Figure above is per hour.
David Webb
Reply to @Greg Miller: Minus expenses don't forget. Hired a good lawyer lately?
David Raymond Amos
Content disabled
Reply to @David Webb:
Methinks many would agree that there is no such thing as a "good"
lawyer Some just charge more than others because they are better
connected within a corrupt justice system N'esy Pas?
David Raymond Amos
Reply to @Greg Miller: My doctor does not charge me that rate
David Raymond Amos
Reply to @David Raymond Amos: BINGO
Graham McCormack
Reply to @Greg Miller: That's not what they made, it's what they billed.
Donald Gallant
“
The average Physician - Family Practice salary in Maine is $196,599 as
of November 25, 2019, but the range typically falls between $173,162 and
$225,622.” (sic)
Billing’s of this kind especially for Family Doctors are suspect and need to be investigated.
David Raymond Amos
Reply to @Donald Gallant: Good point
Lou Bell
Much
more time spent in Med school these days on how to get top dollar from
their patients . One thing that they should be paid well for what they
do , but methinks some of these doctors REALLY , REALLY need to be
audited !!!!
Steve Kravcik
Reply to @Lou Bell: This is not true.
David Raymond Amos
Reply to @Lou Bell: Methinks you think it funny to mimic me N'esy Pas?
Bill Hamilton
Reply to @Lou Bell: Absolutely incorrect. Med students receive nothing about how to set up a practice.
James Risdon
I
wonder how how feminist groups are going to spin this to perpetuate
their fake narrative of women being paid less than men and to argue that
there is systemic discrimination in our society.
Aaron Morris
Reply to @James Risdon:
You are just as obsessed it seems.
David Raymond Amos
Reply to @Aaron Morris: I concur
Chris McNee
Reply to @James Risdon: oh ohh, now you’ve done it :)
David Raymond Amos
Reply to @Chris McNee: What is it you find so funny?
Chris McNee
Reply to @David
Raymond Amos: what I find funny is how this person will point out a
valid view and fact based claim only to potentially be word womped :)
(womp isn’t really a word I think)
Chris McNee
Reply to @James
Risdon: To say nothing of the fact that well over half of all
university degrees go to females. But that's okay!! lol
David Raymond Amos
Reply to @Chris McNee: Methinks this is an interesting quote N'esy Pas?
"Thank you for taking the time to review the most flexible and well
rounded person you might ever meet.I bring specialized skills that have
been developed and proven domestically"
Chris McNee
Reply to @David Raymond Amos: finally someone has read my resume :)
James Risdon Reply to @David Raymond Amos: What seems to be the issue, David?
David Raymond Amos
Reply to @James Risdon: DUHHH???
Chris
McNee
In
life you get what you pay for. I’m great full to have such a great
family Dr. Our dr is amazing, she makes in the $300 -$350 range and
after you subtract taxes, office fees and other things she is paying
out, it goes down quickly. Healthcare is so expensive on the province
but it’s a necessity for a fit community. If people could also keep in
mind to not miss appointments without real cause, as that’s also hurting
our bottom line. I’m so lucky and grateful to have our family dr.
David Raymond Amos
Reply to @Chris
McNee: Methinks you should be grateful to have a doctor who is well paid
by my tax dollars because you are lucky enough to have a Medicare Card
her services are free to you. I trust that your lawyer understands why I
will sue the government you adore to insure my right to the same health
care you enjoyN'esy Pas/
Mary MacKenzie Reply to @David Raymond Amos: Huh? What are you ranting about? You are making zero sense.
Ceci Toledo Reply to @Chris McNee: That sounds like you have a great doctor who takes time to do a good job.
David Raymond Amos
Reply to @Mary MacKenzie: Methinks you should read it again real slow N'esy Pas?
Matthew Locke
I'm familiar with Sussex NB. A fantastic community!
David Raymond Amos
Reply to @Matthew Locke: Me Too
Mike Connors
It
sounds to me like Dr. MacMullin should be thanked instead of vilified.
How many people would not have a doctor if she did not take them as
patients. If she made that kind of money, there is a problem with our
health care system. Surprised?? Nope.
Colin Seeley
Reply to @Mike Connors:
Seriously.
If there is a problem it lies with the regulators.
David Raymond Amos
Reply to @Mike Connors: I agree
KEVIN BOUCHER A
simple explanation as to why Dr MacMullin is the highest billing Dr in
NB is the fact she often works 6 days a week. She works long days and
many weekends. How many other Drs can say that? Remember she was
driven out of Fredericton for having too many patients. She is, in my
opinion the best Dr I have ever had, and I have had some great Drs over
the years. She seems to actually care about her patients and goes the
extra mile to ensure they are cared for. I worry that she may end up
burning herself out but I think she thrives on the challenge. At least I
hope so. In a nutshell she works hard for and deserves every penny she
earns!
Colin Seeley
Reply to @KEVIN BOUCHER:
Oh my. How come so many posters at Ratemd don’t share this opinion.
David Raymond Amos
Reply to @KEVIN BOUCHER: Good for you for posting something in the Lady's defense.
David Raymond Amos
Reply to @Colin Seeley: How come some people believe what people like you say of me?
James Risdon
Reply to @KEVIN
BOUCHER: I don't begrudge this doc her income but I also know there are
other docs who work very long hours, even we don't include their
professional development programs and volunteer work. Physicians are
generally a hardworking bunch.
JJ Carrier Dr.
Roberts is worth more than $1.6-million to the literally thousands of
people, me included, who benefit every day from his skills he is giving
all of N.B. to keep the lights on, so to speak, for those who are
visually impaired...The cash he earns also goes towards his state of the
art facility and his tremendous staff...All in all, our taxpayer money
well spent...
David
Raymond Amos
Reply to @JJ Carrier:
Methinks you are fortunate to have a Medicare Card so that you did not
have to pay for his services N'esy Pas?
James Risdon
Reply to @David Raymond Amos: Medicare is a wonderful thing. Are you against public healthcare?
David
Raymond Amos
Reply to @James Risdon: What planet are you from?
JJ Carrier
Reply to @David
Raymond Amos: Listen, if you ever find humanity in your travels, please
use it in future because you just disrespected every patient in Dr.
Ken's care since the start of the 2000s...In 2019, you still rank as one
of the most cranially challenged and increasingly foolish posters on
these boards who was also rejected, yet again, in a federal election in
2019 with one of the worst percentage totals in provincial history...I,
on the other hand, was was elected to public office at the request of my
home region, been an award-winning reporter who has covered some 40,000
stories, for 37 years, and an anti-poverty and social justice advocate
who, last I checked, if I dropped dead tomorrow I know the people at my
funeral would say "hey, opinionated sure, but he was a good guy..." What
will they say at your funeral? "Ohh, that fool..." Nuff Said...Don't
ask James and I to tag team against your ego, because you might be
scared what you might find...Get the Messenger?
JJ Carrier
Reply to @David
Raymond Amos: James and I are from Planet Bathurst, centre of the
Chaleur cerebral universe...Crackpot City is your community it seems...
JJ Carrier
Reply to @James Risdon: He's not even a human being...Anyone who talks like he does should study his Bible...
David
Raymond Amos Reply to @JJ Carrier: I shudder to think that you may be peering through my brother's eyes
David
Raymond Amos Reply
to @JJ Carrier: BTW I know exactly who both of you are and you have no
clue who I am. However I will say one of the nicest things I heard said
about my brother at his funeral was his friends was comforted by the
fact he may get to look into my brother's eyes again someday byway of
the person who received the benefit from them after his drowned.
David
Raymond Amos Reply
to @JJ Carrier: BTW I checked out your YouTube Channel when I read
enough of your braggingMethinks you should check out mine in order to
figure out why a sued Cardinal Bernard Francis Law in Beantown 2002
N'esy Pas?
Yves Savoie If
a guy like Thomas get's 575 000$ for sitting at NB Power and wasting
money!!! These doctors save lives, they are worth 5 times that!!!!
David
Raymond Amos
Reply to @Yves Savoie: You do have a point Sir
Larry
David This
explains why I constantly get phone calls from my family doctor's
office to come in or do tests I don't need, all I usually need is my
meds for 3 months thank you doc.
David
Raymond Amos
Reply to @Larry
David: My doctor does not behave in such a fashion. Even though he does
not understand why I don't a Medicare card I won't involve him in my
politicking because I am very grateful he was willing to become my
doctor.. At least you should be grateful that you don't have to pay for
the tests like I do Trust that I want to the tests to be done in order
to see what is up with my old ticker.
Colin Seeley Sharing a link to an article of interest.
David
Raymond Amos Reply to @David Raymond Amos: I said this about the constant spit and chew about our Health Care System Correct?
"Methinks its only proper Higgy and his cohorts go into the New Year
still battling greedy people within the Health Care system N'esy Pas?"
Why N.B. universities are graduating fewer nurses — despite demand and incentives
Emails show schools pleading for help with rising costs, and province saying nothing until it picked up an axe
Gabrielle Fahmy · CBC News · Posted: Dec 30, 2019 6:00 AM AT
New Brunswick Nurses Union president Paula Doucet has been trying to
find out why universities haven't been graduating more nurses. (CBC)
Internal documents, obtained by the New Brunswick Nurses Union
and shared with CBC News, show universities weren't trying to enrol more
nursing students all these years — they were trying to afford the ones
they already had.
Twenty per cent of those grads left to go practise in other
provinces, making it all a frustrating situation for the nursing union,
who has been pushing for more aggressive action for years.
"We're in the midst of the crisis," said Paula Doucet, president of the nurses union.
"Had
they listened to us many years ago and put precautionary measures in
place, we probably wouldn't be having this conversation today."
It was something that we needed to uncover."
- Paula Doucet, New Brunswick Nurses Union
With
a critical shortage already looming back in 2005, the province entered
an agreement with the University of New Brunswick and the University of
Moncton to graduate more nurses.
The province would give them
about $15,000 annually for each new nursing seat created. The
universities were to add 100 seats to their year one classes.
But
the number of students didn't rise. It fell — a puzzling outcome that
finally pushed the union to take the "extreme" step of making a right to
information request to get answers.
"We kind of questioned over
the years, because of the number of graduates that were coming out of
the program … the numbers weren't there," said Doucet.
The nurses union received hundreds of pages of documents related to the 2005 agreement through a right to information request. (CBC)
The union obtained several documents related to the 2005
agreement. They include emails between the universities and the
Department of Post-Secondary Education, starting in 2018.
In the
correspondence, the schools cite financial challenges related to the
nursing program and question their ability to increase enrolment. They
also express frustration at the lack of communication with government.
The documents also include the text of the 2005 agreement, which was never released publicly.
In
addition to the funding for new seats, the agreement recognizes the
high costs of training nursing students and says the province will give
universities $3,300 annually for each nursing student they already have.
But
in the emails, the universities tell government the costs to nursing
faculties have exploded in the past 15 years, and the funding hasn't
been sufficient.
"There is no way we could contemplate increasing enrolment," reads one message from UNB.
Why is teaching nursing so expensive?
Nursing
is one of the most expensive programs to run at any university, because
the costs increase rather than drop for each student taken on.
For
example, it costs $24,000 to offer nursing to one student for one year
at UNB, about three times the cost of a student in the arts and science
program.
The
University of New Brunswick and University of Moncton received
provincial money for years to address the nurse shortage and create more
seats for nursing students. But instead of creating seats, the
universities dropped some. What happened? 3:00
Even with tuition being slightly higher than for other
degrees— currently at $8,411 — the universities say they absorb an
annual deficit of about $12,000 per nursing student and have always had
to take money from other parts of their budgets.
What makes nursing so pricey is the hands-on training, which makes up more than a third of class hours.
It's
done in small groups of seven, which means rather than paying one
professor to lecture to an auditorium full of students, dozens of
additional experts have to be hired each semester.
Rising costs
The current nursing shortage has only compounded the problem, by driving up costs to hire those clinical experts.
Hospital nurses don't have time to train students the way they used to, so universities have to recruit more professors instead.
Over
the past 15 years, the costs to the faculty of nursing have risen twice
as fast as those of other programs, according to an email from U of M
to the province written in January 2019.
Equipment inside nursing labs, which mimics the hospital setting, is one of the reasons the program is so expensive. (CBC)
The emails show the universities expressing concern to the previous Liberal government.
Over
the years, as part of the 2005 agreement, both UNB and U of M had to
return money to the government when they missed targets for increased
enrolment. U of M had to repay all of it, UNB half.
In 2018, the
schools tell the province the agreement isn't working and ask that it
be revisited. They are told to wait until after the October election.
Then
in January 2019, after the Progressive Conservatives have come to
power, UNB submits a proposal to the province to address the nursing
shortage.
It would see the province cover the entire shortfall,
about $12,000 per nursing student, and UNB increase enrolment to full
capacity — 800 students in its four years of the bachelor program, up
from about 500 currently.
More than a third of class hours in the nursing program are done in groups of seven students. (CBC)
The university explains its costs rose from $16,800 per nursing student in 2011-2012, to $24,000 in 2017-2018.
That's a 43 per cent increase over six years — or six per cent annually.
"The
current provincial nursing shortage has magnified these costs since
floor nurses are unavailable to be released from regular duties to
supervise clinical training," UNB writes.
Poor communication
Around
the same time, UNB's nursing faculty was asking school administration
to scrap its licensed practical nurse bridging program because of money
struggles. The program had been created in 2013 as an effort to address the nursing shortage.
But
the school's emails to the Department of Post-Secondary Education, and
its request for a meeting to discuss the proposal, go unanswered.
"I
think this makes three requests for a reply, with none," George
MacLean, UNB's vice-president of academic, writes in March 2019.
The University of Moncton has several nursing labs. (CBC)
Then suddenly, the school learns of the cuts coming its way.
While
focusing on enrolment to defend the cut, Health Minister Ted Flemming
said nothing of the other consequence of ending the agreement: the
universities lost the $3,300 for each existing student to help with
clinical training.
They need to invest, but there needs to be some accountability.
- Paula Doucet, New Brunswick Nurses Union
"The
minister said funding was cut because we never met the seat target,"
wrote Karen Cunningham, UNB's vice-president of administration and
finance in an email.
"Absolutely no acknowledgement that clinical has a high cost and that is also cut in this decision."
The
cut, coupled with a PC-imposed tuition freeze, plunged UNB into a $2.5
million structural deficit, the emails reveal, with the university
contemplating its options.
"I fear that we will be unable to
continue to protect our people to the same extent now, however, with the
result that many essential services to students and administrative
support will suffer," Eddy Campbell, UNB president at the time, says in
an email.
Hundreds of future nurses turned down
All
this was happening as UNB continued to have long wait lists for its
nursing program, with hundreds of students being turned away each year.
Upon learning the 2005 agreement was being done away with, Campbell warns that nursing seats will decline in the fall.
Enrolment fell again this fall at the University of New
Brunswick in the bachelor of nursing program, despite hundreds of people
applying. (CBC)
Enrolment of first year nursing students fell to 136 in
September 2019, the lowest number in more than a decade, and some 20
students fewer than last year.
"Funding has never been
sufficient and this is part of the reason it became unsustainable and
enrolment caps became necessary," UNB wrote to the province when it was
pleading for more money.
"With reasonable funding, there is growth possible within UNB's structure."
Disheartening
For
Paula Doucet, it's been a frustrating process learning why more nurses
haven't been graduating from New Brunswick's universities.
"It was very disheartening, but it was something that we needed to uncover because the math didn't add up," she said.
In July, the Higgs government announced its 10-year nursing strategy,
with $2.3 million this year focusing on bringing nurses from other
countries and provinces, and $500,000 for the bridging program for
licensed practical nurses to become registered nurses.
To Doucet, those are Band-Aid solutions.
In July, Trevor Holder, minister of post-secondary
education, training and labor, and Health Minister Ted Flemming
announced a 10-year nursing strategy. (Hadeel Ibrahim/CBC)
"I really don't think they understand the complexity as to why we have the nursing shortage that we do."
Doucet
said nursing programs are underfunded, but she believes there needs to
be some accountability as well to make sure more nurses come through.
"The universities are not producing enough," she said. "For supply and demand, we are nowhere in the ballpark of doing that.
"They
need to invest, but there needs to be some accountability that the
money that the government is giving universities is earmarked
specifically for the faculty of nursing."
No plan for new seats
The government doesn't have any plans to increase funding for nursing faculties.
A
spokesperson for the Department of Post-Secondary Education said it has
asked the universities to fund their nursing programs within the
regular operating grants they receive each year.
UNB gets $115 million from the province and U of M gets $66 million.
When
asked why its nursing strategy didn't specifically target the issue of
nursing seats, the province said it was a question of efficiency.
"To
address the current and future nursing shortage in our province,
government is taking action to quickly train more registered nurses to
work in the health care system now, versus only relying on new graduates
in four years," said Leigh Watson, communications officer for the
department.
The bridging program that allows licensed practical
nurses to jump to year three of the bachelor of nursing program now has
26 registered students.
While the health authorities say they
need to hire 520 new nurses annually, the province disagrees with that
number, and has estimated an additional 130 a year will do.
The universities failed to create more nursing seats, despite an agreement that began in 2005 and provided some financial help. (CBC)
There are currently about 8,000 registered nurses in New Brunswick.
Earlier this month, the province's auditor general came down on the 2005
agreement, questioning why $96 millions in incentives had been handed
out to universities, without the promised increase in the number of
nursing students.
CBC News reached out to both UNB and U of M for an interview, but they did not make anyone available.
The
Nurses Association of New Brunswick, a regulating body for nurses, also
declined to be interviewed, saying that without details about funding
and the needs of the universities, it could not offer much to the story.
Kyle Woodman's
statement has stood undisputed all day other than one insult. it should
have been more than merely interesting to anyone bothering to read this
article and make comments about it. It certainly seems that the Premier
must know at least two nurses very personally Hence he can never deny
that he should know a lot more about this issue than his underlings
Trevor Holder and Ted Flemming could ever pretend to. Methinks Its
strange that Higgy does not speak up N'esy Pas?
Mo Bennett politicians
will never agree to something that costs more money, unless it's tax
breaks for them and their 1% pals. and increased expense accounts.
David Raymond Amos
Reply to @mo bennett:
YO MO Methinks they always agree on anything if means they won't get
elected again if they don't N'esy Pas?
Mo Bennett I
keep tellin' y'all politicians are not the brightest LED's. they just
keep on proving' my point like that bunny, over and over and over and
..............
David Raymond Amos
Reply to @mo bennett:
YO MO Methinks you know as well as I that nobody cares. Whereas apathy
rules the day folks get the governments they deserve N'esy Pas?
Daniel Toth Its how you attract the proffesional that matters. I suggest
Offer free housing ,food etc with the chance to incubate earnings and
people will come. Then add a few mandatory time frames 2-4 years to
locations needed in training programs with living assistance attached as
well.
David Raymond Amos
Reply to @Daniel Toth: I disagree
Kris Blun Hey nurses in Alberta
David Raymond Amos
Reply to @Kris blun: Heres hoping a lot of them are reading this nonsense
Patrick Blois Bring back the diploma RN programs.
David Raymond Amos
Reply to @Patrick Blois: Good idea However methinks there is no need to wonder why they won't N'esy Pas?
Graeme Duke-Gibbs 40
percent of 8000 is 3200? So it sounds like they need 420 nurses today
and then in each of the next 5 years they are going to need 600 more per
year, and that is if nobody falls ill or worse? This is definitely a
crisis if that is what is required as a minimum. How many hours of
overtime are being done now in the hospitals? I remember a few years
ago they were saying the money spent in overtime pay alone could hire
hundreds of nurses, now?
David Raymond Amos
Content disabled
Reply to @Graeme Duke-Gibbs: **** luck getting any answers that make sense from the lawyer who is the current Health Minister
David Raymond Amos
Reply to @Graeme Duke-Gibbs: Methinks lawyers don't like simple truths being published N'esy Pas?
Toby Tolly and they cant pass the nursing test cause theyre taught in chiac....
David Raymond Amos
Reply to @Toby Tolly:
Methinks its only proper Higgy and his cohorts go into the New Year
still battling greedy people within the Health Care system N'esy Pas?
Shawn Tabor This is Business or is it Political, too funny. Little NB, the place to be. Happy New year
David Raymond Amos
Reply to @Shawn Tabor: Both
Political
"All this was happening as UNB continued to have long wait lists for its
nursing program, with hundreds of students being turned away each year.
Upon learning the 2005 agreement was being done away with, Campbell warns that nursing seats will decline in the fall.
Enrolment fell again this fall at the University of New Brunswick in the
bachelor of nursing program, despite hundreds of people applying. (CBC)
Enrolment of first year nursing students fell to 136 in September 2019,
the lowest number in more than a decade, and some 20 students fewer than
last year."
Business
"Earlier this month, the province's auditor general came down on the
2005 agreement, questioning why $96 millions in incentives had been
handed out to universities, without the promised increase in the number
of nursing students.
CBC News reached out to both UNB and U of M for an interview, but they did not make anyone available."
Lou Bell
Patheticism
at it's finest ! Reeks of ACOA ! Give lots of money to a business who
DOES NOTHING to meet the goals set, and a Government Department that is
TOO LAZY to follow through with checks and balances to assure the
parameters are being followed !!!!!!!!!!
David Raymond Amos
Reply to @Lou Bell: Methinks you got the government you deserve N'esy Pas?
Claude DeRoche Virgin Kenney is firing thousands of nurses in Alberta, time to recruit!
David Raymond Amos
Reply to @Claude DeRoche: I agree
John
Montgomery
Give nurses a deal on school for a guarantee that they will stay in the province.
Fred
Brewer
Reply to @John
Montgomery: They are already getting a deal but this general idea is
what makes the most sense. The NB taxpayer is heavily subsidizing nurses
training and then after graduation most of the nurses leave NB. Nurses
who benefit from a taxpayer subsidy should be required to practice in
NB for a minimum of 5 years.
David Raymond Amos
Reply to @Fred
Brewer: Methinks they paid their tuition and got their degree In a free
world they should practice their profession anywhere they wish just like
all the foreign students who get their degrees here N'esy Pas?
Kyle Woodman
Maybe
Higgs should just ask his nurse daughters why they abandoned ship after
graduation. Could have something to do with wages. He probably told
them to leave because they would never make a go of it here.
Lou Bell
Reply to @Kyle Woodman: Your point ?? Or just " vacant musings" with no substance. Methinks the latter !!
Kyle Woodman
Reply to @Lou Bell: these are facts I'm relaying.
David Raymond Amos
Reply to @Lou Bell: Methinks you are just a bitter spin doctor who works within the health care system N'esy Pas?
David Raymond Amos
Reply to @Kyle Woodman: Well put
David Raymond Amos
Reply
to @Lou Bell: Methinks it was not a vacant musing if nobody disputed it
all day long.Hence no matter how often you mimic me as you insult
others the simple facts won't change N'esy Pas?
Paul Bourgoin
Well
Government can find subsidies money for New Brunswick Industries who
also are the first in line receiving tax breaks and grants. These same
employers eliminate jobs working short handed or replace the workers
with subsidized mechanization thus eliminating jobs then they bank their
profits in off shore banks not leaving much cash for New Brunswickers
who pay their taxes and we wonder why our hospitals are qualified labor
short handed !.\
Sergio LandZ
Reply to @Paul Bourgoin: Friggen right paul that's so true!
David Raymond Amos
Reply to @Paul Bourgoin: At least you have a Medicare Card
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