Sunday 29 September 2019

Doctors group calls on federal election candidates to put health care back on the agenda

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Replying to @alllibertynews and 49 others
How can my doctor bill the system when the mindless lawyer Teddy Baby Flemming who is the latest Minister of Health ONCE AGAIN and his many evil minions won't give me the Health Care Card I am entitled to?


https://davidraymondamos3.blogspot.com/2019/09/doctors-group-calls-on-federal-election.html







https://www.cbc.ca/news/canada/new-brunswick/province-phase-out-physician-billing-system-1.5301606




Province to eliminate physician billing number system

New Brunswick Medical Society working on alternative


The provincial government has announced it is eliminating the physician billing number system.
"The physician billing number system no longer works for the province," Health Minister Ted Flemming said in a media release Saturday.

"It is flawed because it restricts the number of physicians practising, restricts the mobility of physicians and impedes recruitment."



Flemming made the announcement during the New Brunswick Medical Society's annual general meeting in Moncton.

During the throne speech in November, Premier Blaine Higgs said one of his major commitments while in government was to eliminate the physician billing number system.
The billing number system was introduced in 1992 and controls where and how many physicians can practise in the province.

Doctors are assigned a billing number as a way to maintain an even distribution of doctors throughout the province, specifically in rural areas.

"After 30 years, we've come to understand that it's a failed experiment," said Dr. Serge Melanson, the president of the New Brunswick Medical Society, in an interview.

"By removing it, we're essentially streamlining the process such so we can recruit physicians to the province faster and actually give more flexibility and options to physicians who are looking to set up practice in the province."


Melanson said he hopes this change will provide New Brunswickers with more access to doctors.


Dr. Serge Melanson, president of the New Brunswick Medical Society, said he hopes the elimination of the billing number system will improve access to health care. (CBC News)

"We're hoping this will increase recruitment which will, in turn, improve access to health care to our patients," he said.

The system is expected to be phased out by mid-December.

The New Brunswick Medical Society is working with the regional health authorities and the Department of Health to develop an alternative to the billing number system that works on rural recruitment and access to primary care.

"We're empowering the regional health authorities, Vitalité and Horizon, which already have mandates and abilities to hire physicians," Melanson said. "We're actually providing them with more tools to do so in an effective manner."


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David Raymond Amos
How can my doctor bill the system when Flemming and his many minions won't give me my Health Care Card?






https://www.cbc.ca/news/canada/new-brunswick/removing-physician-billing-numbers-1.5302113


Removing physician billing numbers a forward step, says former health executive

The current system is an 'obstacle' in recruiting physicians to New Brunswick



The province's decision to phase out the physician billing number system is a step in the right direction, says longtime health executive Ken McGeorge.

McGeorge was CEO of Region 3 when the system was introduced in 1992.

He said it was originally brought in to save the province money.


"All the provinces and the federal government were really panicked about the rapid growth of health-care costs going at like three-to-four times inflation annually," McGeorge said.
He said it was a good idea at the time and it was part of broader health-care reforms that included regionalization.

Bringing in the system was a way for the government to control how many doctors were in the province and where they were located.

Supply-side economics


McGeorge says the health-care system is supply-side economics: "If you provide it, it will be used," he said.

Government's response to that was to control the situation and introduced the current billing system as a way to reduce the supply to help contain costs, McGeorge said.

"Everything in health care starts with a physician. They order the tests and they admit patients and they do the surgery."

The system proved to be a challenge for physicians wanting to set up practice in the province.


Health Minister Ted Flemming announced on Saturday that the province will phase out the physician billing number system. (CBC)
"In any given year, there may be no billing numbers in Fredericton, for instance, and so they either have to go somewhere else in the province or go somewhere else in the country."

McGeorge said the system has been a point of contention for as long as it's been around and doctors have pushed for change for at least a decade.

"Nothing in health care happens very quickly," McGeorge said.

He figures the system has stayed in place because the government didn't know any other way to control program growth, so the simple answer was to control numbers

McGeorge doesn't know what the new system will look like but said the onus will be on health authorities to plan programs, services and establish the number of physicians they need based on the programs they are going to offer.

He said government's decision to phase out the current system is a step in the right direction.

"Recruitment of physicians is a very complex thing, but is it enough? It's not at the end of the day but it's certainly a major start."

About the Author

 


Gary Moore
CBC News
Gary Moore is a video journalist based in Fredericton.
CBC's Journalistic Standards and Practices




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