DOCSLIB.ORG

His Own Private Hospital

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
His Own Private Hospital 14828 August 1/97 CMAJ /Page 297 His own private hospital Deborah Jones Features In brief Chroniques DR. BRIAN DAY HAD A SIMPLE SOLUTION when it became increasingly difficult to book operating room time in Vancouver. He built his own hospital. The Cambie Surgical Deborah Jones is a freelance Centre, which treats patients from BC and around the world, has 2 main operating writer living in Vancouver. rooms, 10 recovery beds and 5 private rooms for extended stays. “What I’ve done,” says Day, “is say that if there are no operating rooms at UBC, I’ll build my Can Med Assoc J 1997;157:297-300 own.” En bref LE DR BRIAN DAY A TROUVÉ UNE SOLUTION SIMPLE lorsqu’il est devenu de plus en plus difficile de réserver du temps à la salle d’opération à Vancouver. Il a construit son propre hôpital. Le Centre chirurgical Cambie, où l’on traite des patients de la Colombie-Britannique et du monde entier, compte 2 salles d’opération principales, 10 lits de réveil et 5 chambres privées de séjour prolongé. «Ce que j’ai fait, affirme le Dr Day, c’est dire que s’il n’y a pas de salle d’opération à UBC, je vais construire la mienne.» he sky is darkening and evening rush hour fading on Vancouver’s West Side. Orthopedic surgeon Brian Day steers his Jeep off the Uni- T versity of British Columbia campus and soon arrives in the city’s bustling hospital district. At the spanking new Cambie Surgery Centre, a private hospital unique in Canada, he parks in the loading bay and heads to the third floor, where he helps himself to a cart loaded with $15 000 in the latest high-tech equipment used for arthroscopic surgery. With practised efficiency and barely a nod from nursing staff tending an overnight patient from Japan, Day wheels the cart into an ele- vator and makes off with the gear. Back at UBC, he unloads it at the hospital and heads to an operating room where a patient is already prepped. With state-of the-art equipment now at hand, he performs arthroscopic surgery on the patient’s shoulder, then sends the man packing to resume normal activities in 6 weeks. Had he used the hospital’s existing equipment he’d have saved himself the bother of playing courier, but it is older and requires a 15-cm incision. That would not only put the patient out of commission for 4 months, but would also have offended Day’s sensibilities: he wants to work at the highest possible level in his field. A bizarre convergence In a different world, all public hospitals would purchase all available state-of- the art equipment for each surgical specialty. Alternatively, surgeons like Day would book wealthy patients into well-equipped private hospitals. Instead, in BC’s version of Canada’s Byzantine medicare system, Day spends hours shuttling pri- vately owned equipment about for publicly funded surgery. It’s a bizarre example of the convergence of infinite technological development and the finite pool of public health care dollars. In particular, that convergence puts the squeeze on specialists like Day, who perform mostly elective procedures in an atmosphere of constraint in which critical procedures soak up the available funding. CAN MED ASSOC J • AUG. 1, 1997; 157 (3) 297 © 1997 Deborah Jones 14828 August 1/97 CMAJ /Page 298 Jones But Day’s way of addressing this convergence is $450 an hour for an OR unique. With some 20 partners, he has built his own pri- vate hospital. The promotional Web site (www.csc- The original concept was simple. Cambie would surgery.com) for the centre puts it this way: “Cambie charge customers facility fees ($450 per hour for rental of Surgery Centre can proudly boast that it is Canada’s an operating room, including staff and dressings). Doctors most modern surgical unit. It is the first facility of its who provided services would collect their fees from kind to be built in Canada, and it is located in the beau- medicare, in the case of BC residents, or directly from the tiful West Coast city of Vancouver, British Columbia.” patient, in the case of visitors. Why did he do it? Maybe he got tired of performing The target market was to be a range of short-stay sur- surgery at 2 am, the period when he gical procedures: cosmetic surgery, could obtain access to an operating Lesley Burke photo sports injuries, cholecystectomies and room at the UBC campus hospital. oral surgery. “Essentially,” says Day, Maybe it was watching his col- “the kinds of procedures that get put leagues move to the US to work at the bottom of the waiting list in with the latest equipment in accessi- terms of priority of patients requiring ble operating rooms. Maybe it was treatment.” having his OR hours trimmed to 6.5 Execution of the concept, how- per week, down from 15, and seeing ever, was anything but simple. It took his patients wait-listed for longer years of political manoeuvring, raising and longer periods. Maybe it was his financing through 22 owner-investors political conviction that some pri- (including 15 physicians) and navigat- vate health care should coexist with ing red tape, permits and approvals. Canada’s publicly funded system. More significantly, plans pro- Whatever the cause, he decided that gressed amid the ongoing furore over he could no longer live entirely privatization of medicine in Canada. within the existing system, and with For much of the past 2 years, Day a group of like-minded physicians was in the thick of that ongoing de- the 1970 graduate of the University bate. As president of an association of Manchester began bucking it with representing about 30 private clinics epiphanic zeal. in BC, he appeared on local and na- The result is the $4-million Dr. Brian Day: wanted to provide the tional media to debate privatization latest equipment and abundant operat- Cambie Surgery Centre, which ing room time with government officials and others. Day, the president, has referred to “If there were no waiting lists in the as a pilot project. A tidy, square 3- public sector, there would be no need storey building on a corner lot, Cambie sprang up un- for a private facility,” he stated. “But what has happened is obtrusively in a neighbourhood of hospitals, laborato- Canadian politicians have promised the public a complete ries, apartment buildings and malls. It is bordered by a smorgasbord of health care and no limits on expenditures. busy thoroughfare and shopping area on one side and In the 1990s that is a promise they cannot fulfil. We have homes in the process of gentrification on the other. to step in or see patients wait in line.” On the outside Cambie is neat and simple, unostenta- Nationally and in BC, at least so far, Day’s side has tious, very Canadian. Inside the scene changes, with es- failed to sway public officials and others intent on protect- thetic touches such as elegant wood furnishings and fine ing medicare. UBC health care economist Robert Evans area rugs differentiating it from the area’s more Spartan voiced a common concern — that private clinics will public facilities. erode funding and support for the public system. “A lot As its Web site states, the centre’s goal is to develop depends on whether these clinics are really private, or are and maintain a centre of excellence in surgery. It can they parasitical in the private system?” he says. “There is provide plastic and cosmetic surgery, as well as dental, little private care in the world — typically you find a oral, orthopedic (including arthroscopic and sports in- blend of the two. It’s that mix of private and public that’s juries), general, laparoscopic, gynecologic, ophthalmo- been a thorn in the heel of every system in the world.” logic, urologic and otolaryngologic procedures. “Most Indeed, as ground was broken and construction pro- of the medical staff hold faculty positions at the Univer- ceeded on the Cambie Centre, the federal government sity of British Columbia,” the Web site says, “and many cracked down on private facility fees and the provincial are national and international leaders in their specialty.” government passed legislation that forced doctors to opt 298 CAN MED ASSOC J • 1er AOÛT 1997; 157 (3) 14828 August 1/97 CMAJ /Page 299 Private medicine out of medicare entirely if they charged BC residents facil- surgeons. They are backed up by 3 administrators and the ity fees for provincially insured services. Day considers the full-time equivalent of 12 nurses. legislation overkill. “Bill 54 infringes on citizens’ rights,” During a recent week the centre was home to several he says angrily. “The government is controlling citizens.” British Columbians undergoing cosmetic surgery, as well as The legislation seems to be effective at holding privatiza- patients from other provinces, the US, Japan, United King- tion plans at bay, at least for now. However, Evans questions dom, Russia, Cyprus and Argentina. The out- whether future governments will agree with the pro-privati- of-province visitors were receiving procedures that are pub- zation argument that public licly insured in BC; this money can be saved by let- means BC residents couldn’t ting wealthy patients pay for “How can it be that foreigners receive them — they must ei- insured services rather than ther travel out of province standing in the queue. come into Canada, have medical themselves, or queue for While the plans for Cam- treatment at a public hospital. bie proceeded and the debate treatment by the best doctors Thus far most interna- continued, provincial officials in our city right away, and as tional and local customers pointedly and publicly stated have been referred to the that investors in private clin- a BC patient I would have centre by word-of-mouth ics were risking their money.
Load more

Recommended publications
  • Dr. Brian Day and Dr. Robert Woollard on the Future Role of Privatized For-Profit Medicine in the Canadian Healthcare System
    NEWS AND LETTERS Dr. Brian Day and Dr. Robert Woollard on the Future Role of Privatized For-Profit Medicine in the Canadian Healthcare System Marko Yurkovich, BSca aMD Class of 2013, Faculty of Medicine, University of British Columbia he Canadian healthcare system faces many challenges. access to care is not equal across the country and those that are rich Unequal access, bed shortages, long waitlists, and risings will go to the United States if they need to. (Dr. Brian Day, oral Tcosts are all cited amongst the top issues facing the system.1,2 communication, April 17, 2012) One proposed solution is to allow privatized delivery of health care Regarding the argument that private for-profit healthcare delivery according to a for-profit model: allowing patients to pay out of results in poorer care, Dr. Woollard cites a systematic review and pocket or with private insurance for their own health services with meta-analysis of studies comparing mortality rates of private for- prices set according to the market forces of supply and demand. profit and private not-for-profit hospitals.4 The study by Devereaux This suggestion is highly contentious because of legalities in the et al. found that private for-profit ownership of hospitals results in Canada Health Act and complex issues associated with equality and higher risk of death for patients. When this study was discussed privatization of a government service.3 with Dr. Day, he responded to this study by stating that the data is I met with two prominent leaders on this issue: Dr. Robert flawed: Wollard and Dr.
    [Show full text]
  • RNAO Vision – Strengthening Our Publicly-Funded, Not-For-Profit Health-Care System
    Strengthening our publicly funded, not-for-profit health-care system RNAO Vision backgrounder April 2014 RNAO VISION RNAO’s vision for the future of nursing can only be realized if our publicly funded and not-for-profit health-care system is strengthened. Nurses want to see renewed emphasis on the principles laid out in the Canada Health Act: public administration, comprehensiveness, universality, portability and accessibility.1 Expanding Medicare We know that the health-care system has to adapt to meet changing needs. That’s why it should be expanded to include a pharmacare program and home care services. The Canada Health Act (CHA) is a valued tool to deliver health care to all Canadians in an equitable way. It guarantees universal access to hospital and medical care via first-dollar coverage. Unfortunately, omitted are key health-care services, including home care, pharmacare, long-term care, physiotherapy, and dental care. The omissions lead to very uneven access to the uncovered services across the country. They also result in inefficient overuse of covered services and underuse of uncovered services. The time to expand medicare through parallel legislation to the CHA is long past. Tommy Douglas’ vision of Medicare was to cover drugs, dentistry, vision, home care and most other health services.2 In 1997, the National Forum on Health called for protection of the single-payer model and “expanding publicly funded services to include all medically necessary services and, in the first instance, home care and drugs”.3 In 2002, the Romanow
    [Show full text]
  • Medicare on Trial Cambie Surgery Centre
    Early release, published at www.cmaj.ca on August 11, 2014. Subject to revision. Medicare on trial Cambie Surgery Centre A legal showdown between the British Columbia government and private clinic owner Dr. Brian Day may decide the future of Medicare in Canada. Lauren Vogel, CMAJ August 6, 2014 ritish Columbia’s top court will hear a constitutional challenge in September that may set the legal precedent for two-tier health B care in Canada. The two-month trial, which starts Sept. 7, will test whether laws restricting extra billing and patient access to private health care violate Canadians’ charter rights to “life, liberty and security of the person.” Interveners in the case say it’s the biggest threat to Medicare in this generation, and likely headed to the Supreme Court of Canada. With few exceptions, federal and provincial laws currently prohibit doctors from providing — and patients from purchasing — medically necessary services outside the public system. These laws include bans on extra billing for services covered by public health insurance and user fees for facility costs. “We believe governments act unlawfully when they promise but fail to deliver timely care, and at the same time outlaw other options,” says key plaintiff Dr. Brian Day, co-owner of the for-profit Cambie Surgery Centre in Vancouver and former president (2007/8) of the Canadian Medical Association. Day launched the case against the BC government in January 2009, at the same time provincial auditors were investigating billing practices at his clinic. The audit uncovered more than 200 cases of extra billing and double-billing in a 30-day period.
    [Show full text]
  • Canada Should Not Allow Two-Tiered Practicing for Medically-Necessary Services Sara Husni, Zoha Khan, Russell Macmillan, Emma Pearson, and Jovana Sibalija
    Canada should not allow two-tiered practicing for medically-necessary services Sara Husni, Zoha Khan, Russell MacMillan, Emma Pearson, and Jovana Sibalija The Current State of Canadian Health Care In 2009, Dr. Brian Day, owner of a for-profit surgery clinic in Vancouver, launched a constitutional challenge against the condition of the Canada Health Act (CHA), which specifies that medically-necessary services cannot be delivered on a for-profit basis. Dr. Day claimed the condition violates section 7 of the Canadian Charter of Rights and Freedoms (i.e., the right to life, liberty, and security of the person). He argued the CHA prevents individuals from accessing the care they need, as prolonged waiting for medical procedures often puts individuals at an increased risk of adverse outcomes. Dr. Day’s case went before the Supreme Court of British Columbia. While the Supreme Court of BC has yet to issue a ruling, the case has sparked a heated debate about Canada’s health care system; specifically, focused on whether or not the introduction of a two-tier system would be beneficial. Currently, Canada has a universal single-payer system. Medically-necessary services are publicly funded and doctors are prohibited from charging user fees and extra-billing. However, certain services including pharmaceuticals, optometry and dentistry are paid out of pocket or funded through private insurance. One of the biggest critiques of the current system is that wait times for elective surgeries and primary care services are continually increasing. In 2016, 36% of respondents in the Health Care in Canada survey reported wait times as the largest issue facing the health care system, a 16% increase from 2007.
    [Show full text]
  • Affidavit #4 of Dr. Brian Day Sworn October ~ 2012 No. S090663 Vancouver Registry in the SUPREME COURT of BRITISH COLUMBIA BETWE
    Affidavit #4 of Dr. Brian Day Sworn October ~ 20 12 No. S090663 Vancouver Registry IN THE SUPREME COURT OF BRITISH COLUMBIA ~~. BETWEEN: CAMBIE SURGERIES CORPORATION, CHRIS CHIAVATTI by his litigation guardian RITA CHIA VATTI, MANDY MARTENS, KRYSTIANA CORRADO by her litigation guardian ANTONIO CORRADO and ERMA KRAHN. PLAINTIFFS AND: MEDICAL SERVICES COMMISSION OF BRITISH COLUMBIA, MINISTER OF HEALTH SERVICES OF BRITISH COLUMBIA AND ATTORNEY GENERAL OF BRITISH COLUMBIA DEFENDANTS AND: SPECIALIST REFERRAL CLINIC (VANCOUVER) INC. DEFENDANT BY COUNTERCLAIM DR. DUNCAN ETCHES, DR. ROBERT WOOLARD, DR. GL YN TOWNSON, THOMAS MCGREGOR, THE BRITISH COLUMBIA FRIENDS OF MEDICARE SOCIETY, CANADIAN DOCTORS FOR MEDICARE, MARIEL SCHOOFF, DAPHNE LANG, JOYCE HAMER, MYRNA ALLISON, and CAROL WELCH INTERVENORS AFFIDAVIT #4 OF DR. BRIAN DAY AFFIDAVIT I, DR. BRIAN DAY, Physician, of 2836 Ash Street, in the City of Vancouver, Province of British Columbia, MAKE OATH AND SAY AS FOLLOWS: 1. I am an orthopedic surgeon and the President of Specialist Referral Clinic (Vancouver) Inc. (herein referred to as "SRC"). I am also the President of Cambie Surgeries Corporation (herein referred to as "CSC"). As such, I have personal knowledge of the matters hereinafter deposed to except where stated to be on information and belief, in which case I believe them to be true. 2. I make this affidavit in support of SRC's opposition to the injunction sought by the Medical Services Commission to prohibit SRC from continuing to provide medical services to British Columbia residents in a manner which allegedly contravenes certain provisions of the Medicare Protection Act (the "Act") (specifically sections 17(1) and 18(3), which relate to billing practices for benefits under the Act) prior to a ruling on the constitutionality of these provisions in the Action commenced by CSC in August 2009 (the "Constitutional Challenge").
    [Show full text]
  • A Typology of Canadian Health Rights Litigation Colleen M
    Annals of Health Law Volume 19 Article 5 Issue 3 Spring 2010 2010 Charter Rights & Health Care Funding: A Typology of Canadian Health Rights Litigation Colleen M. Flood University of Toronto Y.Y. Brandon Chen Canadian Civil Liberties Association Follow this and additional works at: http://lawecommons.luc.edu/annals Part of the Health Law and Policy Commons Recommended Citation Colleen M. Flood & Y.Y. B. Chen Charter Rights & Health Care Funding: A Typology of Canadian Health Rights Litigation, 19 Annals Health L. 479 (2010). Available at: http://lawecommons.luc.edu/annals/vol19/iss3/5 This Article is brought to you for free and open access by LAW eCommons. It has been accepted for inclusion in Annals of Health Law by an authorized administrator of LAW eCommons. For more information, please contact [email protected]. Flood and Chen: Charter Rights & Health Care Funding: A Typology of Canadian Heal Charter Rights & Health Care Funding: A Typology of Canadian Health Rights Litigation Colleen M Flood YY. Brandon Chen** I. INTRODUCTION As biomedical technologies continue to advance, Canadian Medicare, like other health care systems around the world, faces an ever more difficult task of meeting rising consumer expectations with finite resources. Although it is commonly accepted that some limits on the coverage of the public health care system are necessary in the interest of sustainability, there is as yet no consensus among the Canadian public on where those limits should be drawn. While the Canada Health Act mandates public funding for "medically necessary" hospital services and "medically required" physician services,' it offers no definition of what constitutes medical necessity.
    [Show full text]
  • View a PDF of This Issue
    June 2020: 62:5 Pages 153–184 An unusual finding from fecal immunochemical testing: A case report IN THIS ISSUE Novel website connects general surgeons during COVID-19 crisis Epidemiology of COVID-19 in BC Medical education during COVID-19 Obesity: A risk factor for severe infection with coronavirus bcmj.org BC MEDICAL JOURNAL VOL. 62 NO. 5 | JUNE 2020 153 You can now use Dr. Bill absolutely free. Use our powerful billing software to submit as many claims as you want at no charge. Focus on patient care. Let us handle your billing for you. Register today for FREE at dr-bill.ca 154 JUNE 2020 VOLUME 62 | NO. 5 PAGES 153–184 “Medical education during COVID-19: Lessons from a pandemic” by Dr Roger Wong begins on page 170. n 157 Editorials Corporatization of family medicine 170 Special Feature A conversation from sometime in the in BC, Robert H. Brown, MD Medical education during n future, David R. Richardson, MD Search engine to identify the most COVID-19: Lessons from a Is there a new, better normal? affordable drug, coverage availability, pandemic, Roger Y. Wong, MD Cynthia Verchere, MD and special authority resources, Anthony Chiam, RPh 172 Special Feature 160 President’s Comment UBC Reticulum: A novel website 165 BCCDC Forever changed, Kathleen Ross, MD connecting general surgeons in BC Epidemiology of COVID-19 in during the COVID-19 crisis, Hamish 161 Letters BC: The first 3 months, Caren Rose, Hwang, MD, Shiana Manoharan, n COVID-19 pharmacologic therapy PhD, BCCDC Surveillance Team, MD, Taryn Zabolotniuk, BSc, guidance for BC, British Columbia Kate Smolina, PhD S.
    [Show full text]
  • Reducing Wait Times for Health Care: What Canada Can Learn from Theory and International Experience / Steven Globerman (Editor)
    Reducing Wait Times for Health Care for Health Times Reducing Wait Reducing Wait Times for Health Care What Canada Can Learn from Theory and International Experience edited by Steven Globerman edited by Steven Globerman Copyright ©2013 by the Fraser Institute. All rights reserved. No part of this book may be reproduced in any manner whatsoever without written permission except in the case of brief quotations embodied in critical articles and reviews. The authors of this publication have worked independently and opinions expressed by them are, therefore, their own, and do not necessarily reflect the opinions of the Fraser Institute or its supporters, trustees, or staff. This publication in no way implies that the Fraser Institute, its trustees, or staff are in favour of, or oppose the passage of, any bill; or that they support or oppose any particular political party or candidate. Date of issue: October 2013 Printed and bound in Canada Cover design and artwork Bill C. Ray Library and Archives Canada Cataloguing in Publication Data Reducing Wait Times for Health Care: What Canada Can Learn from Theory and International Experience / Steven Globerman (editor) Includes bibliographical references. ISBN 978-0-88975-269-6. Contents 1 Introduction / 3 Steven Globerman 2 Measuring How Long Canadians Wait for Health Care / 15 Nadeem Esmail 3 The Consequences of Waiting / 45 Dr. Brian Day 4 The Inefficiency of Health Care Rationing—and a Solution / 77 David R. Henderson 5 Health Status of the Workforce and Economic Growth / 95 Steven Globerman 6 Understanding
    [Show full text]
  • Case 16-11452-KJC Doc 129 Filed 06/20/16 Page 1 Of
    Case 16-11452-KJC Doc 129 Filed 06/20/16 Page 1 of 474 Case 16-11452-KJC Doc 129 Filed 06/20/16 Page 2 of 474 Draw Another Circle, LLC - U.S.Case Mail 16-11452-KJC Doc 129 Filed 06/20/16 Page 3 of 474 Served 6/16/2016 1 ON 1 SPORTS 1 STOP GRAPHICS & DISTRIBUTION. LLC 1 STOP GRAPHICS & DISTRIBUTION. LLC 22416 DEE MACK ROAD 5002 MARTIN LUTHER KING JR BLVD ATTN: MICHAEL PHILLIPS, DEER CREEK, IL 61733 HOUSTON, TX 77021 5002 MARTIN LUTHER KING JR BLVD HOUSTON, TX 77021 1022 OAK CREEK DRIVE 108 STITCHES, LLC 1340 EAST 9TH ST REALTY CORP (9606) SPARTANBURG, SC 29302 1900 A SOUTH JEFFERSON 1340 EAST 9TH ST REALTY CORP SAINT LOUIS MO 63104 DEPT 96-0344 OKLAHOMA CITY, OK 73196-0344 1666 N AVALON LLC 1666 N AVALON LLC (9672) 1800 KIRKSVILLE LLC (9879) C/O HALSEY THRASHER HARPOLE LLC C/O HALSEY THRASHER HARPOLE LLC 12121 WILSHIRE BLVD STE 900 4200 SOUTH CARAWAY ROAD 4200 SOUTH CARAWAY ROAD LOS ANGELES, CA 90025 JONESBORO, AR 72404 JONESBORO, AR 72404 2020 S GEORGIA ST LLC (9604) 230 BEACH STREET LAND TRUST DBA PR 230 BEACH STREET LAND TRUST DBA PRP 301 S POLK STE 320 C/O ICORR PROP INTL LLC C/O ICORR PROP INTL LLC LB 37 2 N. TAMIAMI TRAIL, SUITE 100 2 N. TAMIAMI TRAIL, SUITE 100 AMARILLO, TX 79101 SARASOTA, FL 34236 SARASOTA, FL 34236 3 D ART LLC 30 WATT 30 WATT 2323 RAVINE WAY 600 WASHINGTON AVE N #203 ATTN: KORY LINDBERG, GLENVIEW, IL 60025 MINNEAPOLIS, MN 55401 600 WASHINGTON AVE N #203 MINNEAPOLIS, MN 55401 303 MARKETING 47 BRAND / TWINS ENTERPRISE 47 BRAND / TWINS ENTERPRISE 187 ARTHUR STREET 15 SOUTHWEST PARK ATTN: TRACEY ROSTOSKY, OSHAWA,
    [Show full text]
  • Cambie Corp. Goes to Court the Legal Assault on Universal Health Care
    Canadian Centre for Policy Alternatives April 2015 Cambie Corp. Goes to Court The Legal Assault on Universal Health Care Colleen Fuller www.policyalternatives.ca RESEARCH ANALYSIS SOLUTIONS About the Author Colleen Fuller is a research associate with the CCPA who has written extensively on health and pharma- ceutical policy in Canada. She is the author of Car- ISBN 978-1-77125-193-8 ing for Profit: How Corporations Are Taking Over Canada’s Health Care System (New Star Books This report is available free of charge at www. and the CCPA, 1998), and a co-author of The Bot- policyalternatives.ca. Printed copies may be or- tom Line: The Truth Behind Private Health Insur- dered through the CCPA National Office for $10. ance (NeWest Press and Parkland Institute, 2006) and Push to Prescribe: Women and Canadian Drug PleAse mAke A donAtIon... Companies (Women’s Press, 2010). Fuller is a co- Help us to continue to offer our founder of PharmaWatch Canada and a member of publications free online. the Expert Advisory Committee on the Vigilance of With your support we can continue to produce high Health Products (Health Canada). quality research — and make sure it gets into the hands of citizens, journalists, policy makers and progres- Acknowledgements sive organizations. Visit www.policyalternatives.ca Jennifer Whiteside, Tom Sandborn, Steven Shryb- or call 613-563-1341 for more information. man, Greg Marchildon, Cheryl Stadnichuk, Adrienne The CCPA is an independent policy research organ- Silnicki, Wendy Armstrong, Natalie Mehra, John Cal- ization. This report has been subjected to peer re- vert, Govind Rao, and two anonymous reviewers.
    [Show full text]
  • CURRICULUM VITAE Brian
    CURRICULUM VITAE Brian Day ADDRESS: 2836 Ash Street, Vancouver, B.C., Canada V5Z 3C6 TELEPHONE: (604) 874 1349; FAX: (604) 874 1549; EMAIL: [email protected] EDUCATION 1970 University: Manchester, M.B., Ch.B. 1970 ­ 1972 Internship: United Manchester Hospitals and Hammersmith, London 1972 ­ 1978 Other: UBC: Teaching Fellow, Anatomy; Resident III­VI (Orthopaedics) M.Sc. (UBC), MRCP (UK), FRCS (Eng), FRCS (C). 1974 ­ 1976 Licensed CPS (BC), LMCC, FLEX and Washington State Licence 1978 Trauma Fellowship: Basel (Switzerland), Oxford (UK), Los Angeles (US) HONOURS AND AWARDS 1979 ­ Edouard Samson Award (COA): (outstanding orthopaedic research by a young investigator) 2001 ­ 80th Annual Osler Lecturer, Vancouver Medical Association 2004 ­ Honorary Member Cuban Orthopaedic Association EMPLOYMENT/PROFESSIONAL EXPERIENCE 1987 ­ 2005, Associate Professor (P/T), UBC 1995 ­ 2005, President, Cambie Surgeries Co., Medical Director, Cambie Surgery Centre 1978 ­ 2005, Active Staff, Orthopaedics, Vancouver General Hospital and UBC 2002 ­ 2005, Medical Director of Specialist Referral Clinic 2005 ­ Consultant staff, Vancouver Hospital 2005 ­ President, Canadian Independent Medical Clinics Association (CIMCA) 2004 ­ Member, Board of Trustees, Journal of Arthroscopy 2003 ­ Honorary editor: Revista de Artroscopia Latinoamerica 2002 ­ Member Editorial Advisory Board, “Clarity” (a health policy journal) 1978 ­ 2002, Multiple UBC Faculty of Medicine committees, including Nominating Committee President’s Committee, Animal Care, Departmental Committees 1993 ­ 2001
    [Show full text]
  • A Conversation with Dr. Day: the Joys of Notoriety
    News A conversation with Dr. Day: “I’m not the voice for private medi- cine. I believe in a strong public sys- the joys of notoriety tem,” he adds, while arguing for a sys- tem in which hospitals receive funding ew will likely ever assume the directly proportional to the number of Canadian Medical Association patients they treat, rather than a block F (CMA) presidency with such ad- grant. “I’d like to see hospitals compet- vance notoriety. ing with one another for patients.” “Dr. Profit” and “Darth Vader” are Founder of Cambie Surgeries Co. among the tags that have been attached and medical director of the for-profit to Vancouver-based orthopedic sur- Cambie Surgery Centre since 1985, Day geon Dr. Brian Day for having founded says his practice now routinely attracts and continued to operate a successful elite athletes from the National Basket- private surgical facility. He’s become ball Association and various European embroiled in a public mudslinging professional soccer leagues. He began match with federal New Democrat practising at the Vancouver General leader Jack Layton over whether the lat- Hospital in 1978, and eventually de- ter paid for hernia treatment at a private cided to focus his efforts on the embry- Toronto clinic with a credit card. And onic field of orthopedic sports medi- the Ottawa-based Canadian Health cine and arthroscopy. “I liked sports Coalition has installed a “Fact check on and I liked dealing with sports injuries Courtesy of Dr. Brian Day Brian Day, MD” section on its Web site. and they’re great patients because they Shortening wait lists is the priority for Day, All this before Day even assumes the all are motivated.
    [Show full text]