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The world view from Mabel's Grill
There are people who will tell
you that the important decisions in
town are made down at the town
hall. People in the know, however
know that the real debates, the real
wisdom reside down at Mabel's
Grill where the greatest minds in
the town (if not in the country)
gather for morning coffee break,
otherwise known as the Round
Table Debating and Filibustering
Society. Since not just everyone
can partake of these deliberations,
we will report the activities from
time to time.
MONDAY: Billy Bean was talking
about the doctors situation this
morning and said he sure hoped
Murray Elston had had his appen-
dix out by now. If he hasn't, he
said, the health minister might get
some surgeon who had been told he
couldn't extra-bill and was stuck
getting only four-fifths of his old
fee and he might decide to take only
four-fifths of the appendix out.
Worse, said Julia Flint, he might
get an anaesthetist who is only
getting four-fifth of his old fee.
TUESDAY: What would the econo-
my of this country do without
murders, Hank Stokes wondered
this morning.
The paper is filled these days
with the latest from the Buxbaum
murder trial and the Jessop
murder trial in London. How would
they ever sell newspapers without
good scandolous murder trials, he
wondered? Then there'd be even
more unemployment in the forest
industry because they wouldn't be
using so much pulpwood for paper
and so on.
Julia pointed out that the local
community never seemed to bene-
fit from the crime, though. They
always moved the trial to some
other town. The Buxbaum murder
trial is in St. Catharines even
though the murder was near
London but the Jessop murder trial
was in London although the
murder was near Toronto.
That's free trade, Hank says.
Ward Black said that gave him
an idea. Maybe instead of building
an industrial park, the town should
build a courthouse with plenty of
room for spectators. Then they
could offer to host all the controver-
sial murder trials that had to be
moved out of any other city. With
all the reporters and lawyers and
hangers on and the jury being tied
up for months, it would mean we'd
have to build new hotels and
restaurants and there'd be hun-
dreds of new jobs.
WEDNESDAY: Tim O'Grady says
listening to all this fuss about
insurance and court settlements,
he figures he'd be smart to get into
litigation law, not just handling
wills and real estate and such like
he is now. If the settlements are as
big as all that, he says, the clients
THE EDITOR:
The concern expressed by most
of Ontario's 7,500 Family Doctors
who oppose the Peterson govern-
ment's proposed Health Care
Accessibility Act deserves special
attention. Unlike many of our
physician colleagues, most Family
Doctors (greater than 95 per cent
are not opted out, and do not "extra
bill". Our concern is for our
patients and the future of our
health care system, and our fight is
for the freedom of those of us living
and practising medicine in a
country which once took pride in
protecting the rights and respect-
ing the integrity of individuals such
as ourselves.
Over the past decade, the cost
involved in maintaining a quality
health care system has escalated
and the public purse has been
stretched beyond its capacity to
afford the resources required.
Rather than admitting its failure to
come to grips with this scenario,
govenments have found it politi-
cally expedient to create the myth
should be able to pay their bills at
least.
Ward Black says it's all the fault
of lawyers that the insurance rates
are high as it is. Tim says don't
blame him. He hasn't been lucky
enough to find a client who had a
good case that would bring a $6.3
million settlement. When he does,
he'll be glad to take the blame, and
the fee.
that paying doctors is the problem.
As Family Doctors whose role
each day is to act as advocates on
behalf of those for whom we care,
we are asking our elected officials
to review the facts and to address
the real issues of concern to our
patients. We applaud any discus-
sion which honestly addresses the
issue of "accessibility" -- but,
surely, when we speak of better
access, we must be speaking about
issues such as improving the
facilities and resources available to
care for the elderly, the disabled,
the abused, and the underprivileg-
ed; surely we must be referring to
the need for increased community
services, improved home care
programs, and more appropriate
utilization of our hospitals for both
in-patient and out-patientcare.
Surely we must recognize that it is
in areas such as these that the real
problems with accessibility to
health care exist.
For most Family Physicians,
passage of the Peterson govern-
Continued on page 7
°t izen
Letter to the editor
[640523 Ontario Inc.]
Serving Brussels, Blyth, Auburn, Belgrave, Ethel,
Londesborough, Walton and surrounding townships.
P.O. Box 152, P.O. Box 429,
Brussels, Ont. Blyth, Ont.
NOG 1H0 NOM 1H0
887-9114 523-4792
Subscription price: $15.00; $35.00 foreign.
Advertising and news deadline: Monday 4 p.m.
Editor and Publisher: Keith Roulston
Advertising Manager: Beverley A. Brown
Production and Office Manager: Jill Roulston
Second Class Mail Registration Pending
PAGE 4. THE CITIZEN, WEDNESDAY, JANUARY 22, 1986.
Everyone for himself
Pure economic theory is that people's self-interest will
govern their actions, that all that matters to the individual is
saving money (or making more of it). In the 1980's, despite the
complaints of ideologues that we've been slipping into the grips
of the socialists, we must be closer to pure economics than ever
before.
Never has self-interest ruled the actions of scrmany people to
the point where they ignore the effects of their actions on those
around them. Take for instance, the recent demand for changes
in legislation affecting Sunday and holiday closing laws. If the
demandfor shedding the shackles of Sunday closings came just
from the store owners, it might be ignored by government. But
the columns of the "letters to the editor" sections of
newspapers show that many people feel it is their right to be
able to shop whenever they please whether it is Sunday or not.
Likewise there were similar complaints of abridgement of
rights whenever there were suggestions we don't need
all-night stores, even in small towns.
These shouts don't come from people who are likely to be
asked to work Sundays, of course. There wouldn't be much to
gain if we all had to work Sunday because there'd be nobody
with free time to go shopping. But because those of us in
non-retail jobs have time to shop on Sunday, we feel that the
people who work in stores should have to work to accommodate
our "rights".
In an article in MacLean's Magazine, Peter C. Newman
wrote recently about the cost of inefficiency in the Canadian
textile industry. The quotas on imports that have helped protect
60,000 jobs in the textile industry have cost each of us
Canadians $14 in the last year, he remarked. What a scandal!
Fourteen dollars that we didn't have to spend on one case of
beer or five packs of cigarettes or one meal out at McDonald's
with the kids. Those people should be ashamed to keep their
jobs at such a tremendous cost to the rest of us.
The same attitude has been there with the demands by
Consumer groups to kill off marketing boards because chicken
or eggs are cheaper in the U.S. than here.
A century ago, a handful of very rich people didn't care how
many children died in mines or factories, didn't care if
machinery was safe as long as they could continue to live the life
of luxury they took as their right. Before that southern planters
felt it was perfectly right to keep slaves so they could have
mansions and servants.
The ordinary middle class in Canada today wouldn't compare
itself to the privileged of those times but we live in just as much
luxury and we take it just as much for granted. The difference
today is that it is no longer a minority that lives in luxury but a
huge part of the population. But the people who live the good
life today are just as close-minded, just as willing to see others
suffer so they can continue to lead their life of luxury as the
robber barons of a century ago.
Modesty problems
While Americans (and many Canadians) are gearing up for
the Super Bowl in the U.S. this week, the future of professional
football in Canada looks bleak. The contrast shows up once
again that the nicest thing about Canadians is also one of our
biggest problems.
Canadians as a lot are pretty humble, quiet people. You'd
never catch us calling something a "super" bowl. We'd never
call the professional hockey championship the "World Series"
even though we dominated the sport as long as the Americans
did baseball.
Canadians, however, love to be part of the hoopla. We went
gag at the thought of having a "World Series" played in
Toronto last year. Many Canadians who don't give a fig if the
Calgary Stampeders get trampled, would love to have a
National Football League team in Canada.
The biggest problem Canadians have is one of perception.
There are those who will tell you American Football is just so
much better than Canadian football but if the Grey Cup game
and the Superbowl were suddenly switched and the American
hype was put towork on the Canadian game, most people would
suddenly believe it was the better.
If you could get an objective reading on hamburgers, for
instance, a majority of people would tell you that Harvey's were
better than McDonald's yet Canadians flock to the U.S. chain in
far greater numbers because Americans know how to market
better: i.e. blow their own horns. (A survey of McDonald's
customers showed a large proportion of them didn't even think
the hamburgers were good but had been sold so well by the
advertising they came anyway.)
While government people talk about the need for more
research and development, the greatest strides Americans
have made in the last few years is in marketing, in creating a
sense of excitement even when there's nothing to get excited
about. That's why our newspapers and radio and television
stations still include only Hollywood gossip when they talk
about "entertainment" news, even though we now have a
vibrant theatre and movie industry in Canada.
What Canada needs more than research is a development of
an ability to put our natural modesty aside when it comes to
promoting things Canadian.