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More money needed to recruit doctors to London, task force head tells councillors

More money needed to recruit doctors to London, task force head tells councillors

CBC18-03-2025
London lags behind other municipalities in recruiting family doctors and needs to increase funding for a task force working to combat a physician shortage in the city as thousands of Londoners remain without primary care, the group's head told a council committee on Monday.
The Middlesex-London Ontario Health Team (MLOHT) has hired six doctors to clinics over the last year but needs $80,000 this year to continue its primary care recruitment program, aimed at attracting more doctors to the region, said recruitment lead Andrea Loewen.
"The money is used for the salary for this [MLOHT] role, plus travel and hosting events for doctors and residents which is really important for building relationships and helping them," Loewen told city hall's community and protective services committee.
"This is what the city needs right now. We need this role to continue and we need to continue to get at the provincial level."
About 118 doctors are needed to meet the needs of some 140,000 residents in London-Middlesex who don't have a family doctor. Demand is especially high in south and east London, Loewen added.
Loewen asked the city for $80,000 over three years, but council ultimately agreed to pay $50,000 for the program's first year. London Health Sciences Centre covered the remaining $30,000 but Loewen said the hospital network is unable to provide that additional amount this year.
Other funding partners include: London Economic Development Corporation, St. Joseph's Health Care, and Schulich School of Medicine and Dentistry.
Last October, the Ontario government appointed former Liberal health minister Dr. Jane Philpott to lead a primary care team with a mandate to connect all Ontarians with primary care providers.
On Jan. 27, the province announced $1.4 billion in new funding, on top of $400 million in previously-approved money, to provide two million more people with a family doctor over four years.
'Slippery slope into backfilling health care'
Deputy Mayor Shawn Lewis said the funding request "will absolutely be a no" for him at council because funding for health care initiatives is the provincial government's responsibility.
"At the end of the day, this is a slippery slope into backfilling health care," said Lewis, adding that he believes this will eventually bankrupt property taxpayers.
But Coun. Sam Trosow said putting $80,000 from a reserve account toward the MLOHT program will be money well-spent.
"Londoners need this. We need family doctors and I understand the argument because I think the province has really dropped the ball on this but we need to do this," said Trosow.
Other councillors said while they agree the funding should come from the province, they will support it due to the dire need.
Hundreds wait in the snow to get a family doctor in rural Ontario
2 months ago
Duration 2:03
More than 1,000 people lined up in the snow in Walkerton, Ont., on Wednesday to try to get a family doctor — but only the first 500 would be successful.
Regions such as Niagara have offered doctors incentives such as a $100,000 relocation allowance, leading to 28 doctors hired in 2024 — almost five times more than what London recruited, Loewen said.
Although Mayor Josh Morgan said he supports funding the program, he pushed back on the idea of financial incentives, arguing that they're out of municipal jurisdictions and pit cities against each other.
"I will never get behind throwing municipal property taxpayer dollars into incentive programs that should frankly be illegal by the province of Ontario," said Morgan.
"It is totally a race to the bottom with property tax dollars that were never meant to be spent on incentives for family doctors. We all need family doctors. All the communities do. It is a problem for the province to solve."
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This cancer survivor celebrated her birthday by paying strangers' hospital parking fees
This cancer survivor celebrated her birthday by paying strangers' hospital parking fees

CBC

timea day ago

  • CBC

This cancer survivor celebrated her birthday by paying strangers' hospital parking fees

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London cancer survivor celebrates birthday by covering patients' parking
London cancer survivor celebrates birthday by covering patients' parking

CTV News

time2 days ago

  • CTV News

London cancer survivor celebrates birthday by covering patients' parking

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Former B.C. health ministers weigh in on expensive drugs for rare diseases
Former B.C. health ministers weigh in on expensive drugs for rare diseases

The Province

time7 days ago

  • The Province

Former B.C. health ministers weigh in on expensive drugs for rare diseases

Brineura, the drug used to treat 10-year-old Charleigh Pollock's neurodegenerative Batten disease, costs more than $800,000 a year. George Abbott, pictured in 2012, when he was a member of the B.C. Liberal government. Photo by NICK PROCAYLO / PROVINCE PNG Former B.C. health minister George Abbott says he probably would have made the same decision as the current NDP government to continue expensive drug coverage for a 10-year-old girl suffering from a rare disease, against the recommendation of a provincial advisory group. This advertisement has not loaded yet, but your article continues below. THIS CONTENT IS RESERVED FOR SUBSCRIBERS ONLY Subscribe now to read the latest news in your city and across Canada. Exclusive articles by top sports columnists Patrick Johnston, Ben Kuzma, J.J. Abrams and others. Plus, Canucks Report, Sports and Headline News newsletters and events. Unlimited online access to The Province and 15 news sites with one account. The Province ePaper, an electronic replica of the print edition to view on any device, share and comment on. Daily puzzles and comics, including the New York Times Crossword. Support local journalism. SUBSCRIBE TO UNLOCK MORE ARTICLES Subscribe now to read the latest news in your city and across Canada. Exclusive articles by top sports columnists Patrick Johnston, Ben Kuzma, J.J. Abrams and others. Plus, Canucks Report, Sports and Headline News newsletters and events. Unlimited online access to The Province and 15 news sites with one account. The Province ePaper, an electronic replica of the print edition to view on any device, share and comment on. Daily puzzles and comics, including the New York Times Crossword. Support local journalism. REGISTER / SIGN IN TO UNLOCK MORE ARTICLES Create an account or sign in to continue with your reading experience. Access articles from across Canada with one account. Share your thoughts and join the conversation in the comments. Enjoy additional articles per month. Get email updates from your favourite authors. THIS ARTICLE IS FREE TO READ REGISTER TO UNLOCK. Create an account or sign in to continue with your reading experience. Access articles from across Canada with one account Share your thoughts and join the conversation in the comments Enjoy additional articles per month Get email updates from your favourite authors Abbott was health minister in 2007 under the B.C. Liberals when the expert group was established to provide advice to the then-Liberal government on treating patients with expensive drugs for rare diseases. It was created because the government was starting to have to make difficult decisions on approving the use of the expensive drugs coming onto the market, said Abbott, who retired from provincial politics in 2013. 'It's one of those difficult situations where you can never really get enough good advice on whether to fund or not,' said Abbott, who was asked by Postmedia to comment on the issue. 'If you're the sufferer, obviously you want access to the drug regardless of the price. For the broader system, there's always a challenge finding enough dollars to provide timely and effective service to patients,' he said. This advertisement has not loaded yet, but your article continues below. Abbott said the advisory group is 'absolutely necessary' but added there may be cases where the government does not accept their advice after weighing evidence about whether the drug has a benefit and confronting the pain and suffering the patient is going through. Brineura, the drug used to treat 10-year-old Charleigh Pollock's neurodegenerative Batten disease, costs more than $800,000 a year. Paul Ramsey, former health minister under the NDP during the 1990s, agreed such decisions are difficult. But he said the government must have the ability to say no to treatment, and should do so even when faced with extreme negative publicity. He stressed that decisions about somebody with a serious illness are made every day by physicians and institutions. 'And people die or get well. So the idea that every medical decision should be public is just counter to the way the system works, and the way I think people want it to work,' said Ramsey, who retired from provincial politics in 2001. Essential reading for hockey fans who eat, sleep, Canucks, repeat. By signing up you consent to receive the above newsletter from Postmedia Network Inc. Please try again This advertisement has not loaded yet, but your article continues below. Abbott and Ramsey's observations come as B.C. Premier David Eby has called for an overhaul of the province's process to determine coverage for expensive drugs for rare diseases after 10 advisory group members quit over the government's decision to not follow their advice. Eby said there needs to be some changes to improve transparency and to better serve the public. Initially, the government backed the advisory group's decision to halt coverage, saying it should not interfere politically, but then restored coverage in the face of significant public backlash. The advisory group said they recommended stopping treatment because discontinuation criteria was met, beyond which the benefits versus risks of the drug were not believed to be favourable. Pollock's parents, her physicians, and doctors researching and treating Batten disease in the U.S. disagreed with the B.C. advisory group's decision. This advertisement has not loaded yet, but your article continues below. Ramsey said introducing transparency may be challenging because these decisions conflict with patient confidentiality. He added the members of the advisory group are also not likely to want to have their names made public and have their inboxes filled up with letters and threats. 'It they were to provide good advice, they don't want to be part of a public dialogue or debate,' he said. Ramsey was health minister when pharmaceutical companies sued the B.C. government, and him personally, for introducing a so-called reference-based pricing system that limited pharmacare coverage. It essentially designated a reference drug within a class. If a patient chose a more expensive drug, they paid the difference. The province established the Therapeutics Initiative — comprised mostly of practising physicians and pharmacists — to help select the reference drugs. This advertisement has not loaded yet, but your article continues below. Ramsey said the profit-incentive of the drug companies and their relationship to patient advocacy groups also makes decisions on government drug coverage difficult. Abbott noted the only time decision making on expensive rare disease drugs would likely be able to become public is if the patient makes it so. He said the advisory group system was established after the government had to make some difficult decisions on expensive rare disease drugs, including funding Naglazime for more than $1 million a year for a young patient suffering from a progressive condition that causes many tissues and organs to enlarge, become inflamed or scarred, and eventually waste away. Abbott said the government decided to fund the treatment, calling it a 'heart-wrenching decision.' This advertisement has not loaded yet, but your article continues below. While the patient's family advocated for the treatment, it did not become public as far as he could remember, he said. Abbott noted the government also took heat for a decision not to fund a cancer drug. He said he believes these decisions are becoming more difficult because there are more expensive rare disease drugs and they will eat up more of the provincial health budget. Postmedia reported earlier that spending last year had reached just under $200 million for treatment for 600 people with rare diseases, up from $22 million eight years ago. In response to Postmedia questions on how the province might make the system more transparent, including how that could happen given it involves medical patients, Health Minister Josie Osborne said this week it's too early to say what changes may be implemented. 'Our goal is a system that is more transparent and responsive, where patients and families feel supported and understand the process, and where committee members have the tools and resources they need,' Osborne said in a written statement. This advertisement has not loaded yet, but your article continues below. Dr. Sandra Sirrs, one of the advisory group members that quit, said while she agrees that transparency is important, for privacy reasons there cannot be transparency about individual patient decisions. There can be more transparency about the process in choosing which drugs to list and which patients will be eligible for those drugs, she said. ghoekstra@ Read More Vancouver Whitecaps GlobeNewswire Local News Local News Local News

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