Showing posts with label Community clinics. Show all posts
Showing posts with label Community clinics. Show all posts

Friday, July 20, 2012

Towards a New Understanding

THE RELATIONSHIP BETWEEN SASKATCHEWAN’S CO-OPERATIVE COMMUNITY CLINICS AND THE GOVERNMENT OF SASKATCHEWAN

By Rochelle Elizabeth Smith

This dissertation is a study of the public policy-making process, the role of ideas and ideology in this process, and their combined effect on the relationship between social economy enterprises, particularly co-operatives, and government. It is also concerned with a central problem for all social economy organizations today: the impacts of public policy on funding, decision-making and strategy.

The central focus of this research is the relationship between three of Saskatchewan‘s co-operative Community Clinics and the provincial Government of Saskatchewan. In spite of a seeming congruence between the goals of the Community Clinics and successive provincial governments, the Clinics have not played a significant role in the reform and restructuring of the delivery of health care services in the province. This study seeks to examine this paradox with specific focus on the following overarching concerns:

  • What role do ideas and ideology play in the policy-making process related to the co-operative Community Clinics? 
  • What accounts for the ambiguity in the relationship between the Clinics and the government?
  •  Under what conditions can the dominant paradigm in health policy, specifically regarding the co-operative Community Clinics, be changed?


Read this thesis HERE. (pdf)

Wednesday, July 4, 2012

Saskatoon community clinic marks 50 years

By Jeremy Warren
The StarPhoenix
July 4, 2012

People tour the Saskatoon Community Clinic. The small group of doctors and citizens established the member-owned clinic in 1962 and started seeing patients on July 3 of that year. On Tuesday, the clinic hosted a 50th anniversary event. Photograph by: Gord Waldner, StarPhoenix , The StarPhoenix

Fifty years ago this week the Saskatoon Community Clinic welcomed its first patients as hundreds of doctors across Saskatchewan went on strike to protest the province's new medicare plan.

A small group of doctors and citizens established the member-owned clinic in 1962 and started seeing patients on July 3 of that year. On Tuesday, the clinic hosted a 50th anniversary event to commemorate the opening and the people and places that played a role in its creation.

Bonnie Lawrence's parents were among the clinic's first supporters and patients, but she was too young at the time to understand the emotional debates going on around her. On Tuesday, she joined a walking tour organized by the clinic to visit the historical sites connected to those early battles.

Wednesday, March 21, 2012

"Medicare's 50th Anniversary" now a blog book

NYC
March 22, 2012

Don't want to spend time scrolling down this blog or searching for something? Check out the blog book below to see if assists you.

You can also download the book or embed it.

Saturday, March 3, 2012

Our History and the Struggle for Medicare

By Michael Finley
Focus
Saskatoon Community Clinic
Winter 2011

“The Community Clinics began as part of the struggle for Medicare. We should not forget that struggle, and the opposition to public health insurance.” That, according to Dr. John Bury, is one of the lessons we should carry forward from the history of our Clinic. “We should remember that victories for social justice always require struggle,” he said.

Dr. Bury was speaking at a forum on the “History of the Community Clinics and Medicare” at the at the Westside Clinic on October 19 and the Downtown Clinic on October 20. It was the first of three Community Clinic 101 sessions planned by the Member Services Committee. The session featured reminisces of the early years of the Clinic from Betsy Bury, the first Member Relations Director and Health Ombudsman; Dr. Bury, who came to the clinic in 1963, just one year after it opened its doors; and Joan Bell, who was active in the early years of the Prince Albert Community Clinic.

Friday, January 13, 2012

Health Care Accord: Provinces must take the lead

Health centres to Canada's First Ministers: "Collaboration can't wait. Let's achieve Second Stage of Medicare together."

CACHCA
January 13, 2012

The association representing Community Health Centres (CHCs) across Canada is again urging federal, provincial and territorial leaders to focus on collaboration and innovation to improve health care and Canada’s overall health system.

On the occasion of the upcoming meeting of Premiers from across the country in Victoria, BC, this week, the Canadian Alliance of Community Health Centre Associations (CACHCA) is calling on the federal government to take its seat alongside the provinces and territories in negotiating a meaningful health accord for Canadians. In the meantime, the association is urging the Premiers to use their time together in Victoria to carry this process forward, focusing on collaboration and priority-setting in health care across the country’s jurisdictions.

Tuesday, August 9, 2011

Unsung Heroes in Saskatchewan's Struggle for Medicare

By Jim Harding
No Nukes
August 29, 2010 

While mainstream discourse on the struggle for Medicare tends to credit the high-profile political leaders who fronted the movement, the struggle was in fact a collective one, won through popular grassroots support and the tireless work of countless community activists. These activists, whose combined voices were the real strength of the struggle, are however left out of the history books. They are systematically ignored in Saskatchewan’s Centennial Encyclopedia.

History is typically reconstructed by those currently in power, which serves to help stabilize the status quo. The idolization of Medicare’s political champions disregards the contributions of the popular grassroots movement to Medicare’s success across the country, which is disempowering and leaves us all more inclined to wait for the next Tommy Douglas to help us make history. In view of the imperative of tackling the climate crisis and moving towards sustainability we really can’t engage in such a waiting game. Remembering the grassroots history of Medicare is also a good first step toward reengaging to rejuvenate today’s deeply troubled healthcare system.

Monday, August 8, 2011

Saskatchewan's Community Clinics

By Dennis Gruending 
Encyclopedia of Saskatchewan

Saskatchewan’s community clinics were born amid turmoil and controversy in July 1962. Most of the province’s doctors withdrew services on July 1, and Saskatchewan was plunged into a bitter 23-day strike. The CCF government had introduced North America’s first public, tax-financed health insurance system, and the medical profession was opposed.

As the strike loomed, however, some doctors and consumers organized to provide Health Care during the crisis. In Saskatoon, doctors Margaret Mahood and Joan Whitney-Moore began to see patients on July 3 in a threadbare room in an office building. 

Dr. Samuel Wolfe, an internationally known physician and researcher, and a professor of medicine at the University of Saskatchewan, resigned his academic post to work at the clinic and was later to become its first medical director. Similar community health associations were organized in twenty-five centres, including Regina, Moose Jaw, Nipawin, Biggar and Wynyard. In Prince Albert, Dr. Orville Hjertaas was a Pioneer and enduring presence in the community health clinic. The strike ended with the signing of the Saskatoon Agreement on July 23. Under terms of that agreement, doctors were to be paid on a fee-for-service basis. That created immediate difficulties for the co-operative clinics, which would have preferred global budgets, encouraging a different relationship between medical professionals and their consumer boards.

There were continuing strained relations between doctors who had opposed Medicare and those who supported it, particularly those who chose to work in the clinics. A number of physicians new to the province, including Dr. Reynold gold of the Saskatoon clinic, were denied hospital privileges for months.
Despite these and other difficulties, community clinics have provided health services for forty years, and continue to exist in five Saskatchewan centres.

They offer a comprehensive range of services to 85,000 people in settings where medical professionals work in formal co-operation with citizen boards.

This type of practice has frequently been lauded by governments, but less often supported financially. With the endorsement of primary health care in 2003 by two prestigious government reports (the so-called Romanow Report, and the Senate report popularly known as the Kirby Report), community health centres or their equivalent may come into their own at last.

Thursday, July 28, 2011

Flying Together: CACHCA

Canadian Alliance of Community Health Centre Associations

CineFocus Canada short film telling the story of Canada's Community Health Centres (CHCs). CHCs are a key component of the Second Stage of Medicare and a health system solution for all Canadians.

Wednesday, July 27, 2011

The First Ten Years: Saskatchewan's Community Clinics

By Dennis Gruending

Two black telephones sitting in a bare room of the third floor of Saskatoon's old Avenue Building was hardly an auspicious beginning for two doctors and a small group ofcitizens to pioneer the community clinic on that warm, gusty morning of July 3, 1962, armed with only their medical bags, doctors Joan Witney-Moore and Margaret Mahood settled into''a new venture in health care" .

Executive members of the fledgling Community Health Services Association (CHSA) went scavenging for equipment. They found folding tables at the Union Centre and hauled them back. Covered with mattresses, they became examining tables.  The doctors were busy until midnight. 

Events in 1962 precipitating the opening of community clinics had . provoked deep and emotional rifts in Saskatchewan, grabbed head¬lines and filled newspaper columns throughout North America.

The Strike 

On July 1, 1962 a majority of Saskatchewan's 725 practising physicians went on strike opposing the CCF government's introduction ofthe first universal, tax-financed, medical care insurance plan in North America.

Saskatchewan Premier T. C. Douglas, speaking in a 1959 provincial by-election, announced his government's intention to introduce the plan, fulfilling a promise made before the CCF rise to power in 1944. "The Premier had fired the first volley."

Read this book HERE. (large PDF, will take a few minutes to download).

Or read the Ussuu flip page book below.