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The Huron Expositor, 1994-06-15, Page 15News and Views DHC members from Seaforth Brenda McIntosh: "I think everyone has to be con- cerned about health care. 1 sure warft the health care in our com- munity to improve and that we all get the care that we need." The following as a verbatim transcript of a interview between Ontario c:.alth Minister Ruth Grier and Signal -Star Editor, David Greenberg on occasion of the inaugural meeting of the Huron/Perth District Health :ouncil, in Seaforth, last week. Minister speaks GREENBERG: Emergency ser- vice is a big issue around here; at least one hospital has lost - or almost lost it. What is the govern- ment planning top do about it? GRIER: It's not a new issue. For a long time small hospitals have had to top up the salaries of physicians from their budgets, and I think the solution is finding a different way of compensating physicians. The fee-for-service system, espe- cially on emergency where there GRIER: Well, as part of our agree - may be only or one or two patients ment with the OMA, we established in a night, doesn't make it worth a committee with the OMA and the their while to work, and that's why Ontario Hospital Association last they haven't been willing to staff November to talk about this. In eme-r enc . February the OMA pulled out. I'm The Ontario medical asSpciation delighted now, since the end of May could change the schedule of bene- . they have now indicated a willing - fits in order to com-pensate them ness to come back and continue dis- more appropriately for emergency cussions on this issue. . hours. GREENBERG: Is the amount of We want to sit down and negoti- salary a problem? ate a way of paying them, not on the basis of the number of patients GRIER: I don't think we ever got to seen, but on a salary basis GREENBERG: For emergencies only? GRIER: For everything. So then they could schedule themselves, and not be dependent on the fee for ser- vice for that. GREENBERG: Has the OMA or anybody responded to the notion of salary? ` that point. We have an agreement with the physicians for $3.8 billion that we will pay the province's 20,000 physicians. Within that, we 47. CARDS OF THANKS 1 1 HUGILL I would like to thank Dr. Malkus, Dr. Rodney, Dr. Sharpe and the nurses of Seaforth and University Hospitals. Mso to my family, friends and neighbors for visits, cards and treats. - Doug Hugill Sr, 47-24x1 MCDOUGALL I would like to say thank you to all my Mends, relatives and neighbors for the cards, flowers, gifts and best wishes at my 90th birthday party. Thank you to Charterways and driver, to Elda and to the Pipers, and special thanks to my family for organizing this memorable event. - Nellie 47-24xlcc VAN AAKEN • COOMBS We would like to thank our family and friends for making our Buck and Doe a 'party' we'll never forget. Special 'thanks' to our wedding party and friends who did a fantastic Job organizing the evening. Your work is greatly appreciated and will always be remembered. Thanks again. - El and Brian 47-24xtcc CAMPBELL Thank you very much for your useful gifts received at Cavan United Church community shower. Special thanks to all those who helped to organize entertainment and lunch. - Beverly Campbell 47-24x1 CHESSELL Thank you to all of the playeres on the Seaforth Provincial A Dab foam for my new Jacket It'll get a lot of use as well as be a reminder of an exciting 93-94 Ringette season. Have a fun but safe summer and good luck next year In whatever new ventures you strike out on. Thanks again. -Coach, Val Cheese* 47-24x 1 cc DEARING-HAND We would Nke to thank everyone for making our Buck and Doe a great success. A special thanks b our wedding party, your hard work was greatly appreciated. Love to alt. - Susan and Joe 47-24x 100 FLYNN ' I would like to thank everyone who helped me make the Clinton Fair Youth South For Talent showsuch a success. It was tantastiol A special thanks to all the contestants, tab parents and the donors of prizes. Without you there wouldn't be a show. I'm really proud of our boat talent Bee you next year. - Mark Flynn 47- 24xioo Steve Vandendool Steve Vandendool, the son of Tony and Joanne Vandendool, graduated with honors from the University of Guelph on Friday, June' 3. with a Bachelor of Science degree. motoring in agricul- tural economics. Steve is currently involved as a part- ner in a dairy operation in Oxford County. Dr. Ken Rodney: "I am happy with the appoint- ment. I was reluctant initially when I was asked by the Huron County Medical Association to represent Huron County doctors. I was reluc- tant because I like to be my own person and I don't everything that the group says. So I have made up my mind that I will carry the points and take the information and con- cerns back and forth. But when I vote I will vote for what 1 think is /47. CARDS OF THANKS MCLEAN The family of the tate Larry McLean wish to express our thanks to all our reladves and friends for the donations, flowers, kind words and for all the mass and sympathy oards and food that we received. 011ier thank yous go out to Father Henry Cassano and to Ross Ribey for all their help and support; to the Royal Canadian Legion members, and the Ladles Auxiliary who provided family and friends with lunch. A special thank you goes out to University Hospital's Dr. Ebert, Dr. Shupe and Dr. Menkls for the warmth and compassion we reoeived. To ail the I.C.U. nurses, especially Pam. Joanne, Julie and all to other wonderful stall there. All of us will never forget all the support and kindness that we haw received from everyone during this time. Thank you alll - Mary, Todd, Angela and Patrick and McLean Family 47-24-1 best for the issues at hand. "I have been doing primary care delivery and secondary _care deliv- ery because I have been a family physician and a surgeon. So with the two things I think I have a better feel (for the issues). 1 �a been doing secondary in hospitals in the area as well as Seaforth. I have a good feeling about the area and the access to the system. " about services have to reallocate within the OHIP billings for the physicians in rural or remote areas and 1 think we can do that. GREENBJ~RG: Do you recognize a difference between a big city do- ctor and a rural doc-tor and the-ir different emergency requirem-ents? GRIER: The OMA could do that if they wanted to - today. That's the schedule of benefits. Rural doctors have been asking them to do that for a while and the OMA hasn't agreed. So now we have the OMA and the hospit-als all sitt-ing down to try and work out a way. It's not a problem i can ware a' magic wand and solve, or that the OMA can or that the hospital can. It has to be the kind of cooperative effort that we see here with a DHC (District Health Council). GREENBERG: What if the doctors just outright close emergency rooms down. Are you prepared to let them close? GRIER: I cannot stop a doctor from deciding where he will practice. And 1 think that if a doctor has priv- ileges at a hospital, then the hospi- tal and the physician have to work out an arrangement where there is coverage for emergency room ser- vice. GREENBERG: Do you think the hospital should be able to deny privileges to a doctor who does not stand emergency room service? GRIER: I think they should certain- ly talk very seriously to doctors who have privileges about responsi- bilities that go with these privileges. GREENBERG: But the ministry does not appear to be interested in getting into the fight, elbows up. GRIER: Well, The ministry just hires the doctors. They are indepen- dent practitioners, they are part of a self-regulating profession. They cannot, under their oath, delly emergency service to anybody. I believe that because they have the privilege of being self-regulat- ing and of having the use of the publicly funded hospitals of this province, with that goes responsibil- ities and we're simply talking to them about that. It's only since 1991 that there has ever been a formal agreement between the ministry and doctors. Our government signed that and we're taking our responsibilities very seriously. GREENBERG: I've heard it that the ministry would like to see 3,000 to 5,000 family physicians leave the province and then replace them with nurse practitioners... GRIER: i think that all health plan- ners, and it's not just in Ontario, as provinces across the country have looked at the future, they have real- ised that we have to for the first time get into some human resource planning, We have too many general practi- tioners in some parts of the province who are depending on the popula- tion, such as the Toronto area; we have too few in Huron and Perth and parts of northern Ontario and parts of downtown Toronto; we have too few physicians servicing clients with AIDS for example. So we've never had a mechanism for looking at how to appropriately distribute physicians. THE HURON P VPO91TOR, June 15, 19114-15 DRIVER TRAINING EST 1968 D.S.A.O. 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