CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne
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Supplementary health care insurance is the fastest growing segment of the insurance industry in Canada, but not because of a rise in the number of policy holders. Instead, revenue increase is primarily due to price increases for insured services, such as prescription drugs or semi-private hospital coverage, and the expansion of private coverage into areas vacated by public health insurance. The role of private insurance in the evolving Canadian health care system was debated during a recent conference sponsored by the Centre for Health Economics and Policy Analysis at McMaster University.
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Although it was well advertised, few Canadian physicians attended a recent conference on Lyme disease in Vancouver. The apparent lack of interest upsets the president of the Lyme Borreliosis Society, who says many patients have been misdiagnosed, mistreated or untreated and "are now chronically disabled." Interestingly, the disease seems to be much more common in the US than Canada. In New York State, for instance, more than 26,000 cases have been diagnosed, but in nearby Ontario the total is only 200.
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The CMA's General Council has decided to withhold its stamp of approval for a "private parallel" health care system by voting against a motion to remove legislative barriers to private insurance. However, General Council did call on the CMA to take the issue directly to Canadians and conduct a national debate. General Council did pass a "Blueprint for Action"--16 resolutions spelling out the CMA's views on ways to protect Canada's medicare system.
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Biography Historical Article
Forensic dentistry joins DNA analysis as important tool for police work.
A Vancouver dentist who works as a teacher, researcher and administrator at the University of British Columbia has a unique extracurricular interest. Dr. David Sweet, one of four forensic odontologists in Canada, has put names to unidentified bodies and the remains of car-crash victims, helped convict child abusers and provided evidence in robbery cases.
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To examine the type and number of interactions of psychiatry residents, interns and clerks with sales representatives of pharmaceutical companies and the attitudes of physicians-in-training toward these interactions. ⋯ Interactions between pharmaceutical representatives and psychiatry residents, interns and clerks are common. The physicians-in-training perceive little educational value in these contacts and many, especially clerks, interns and junior residents, disavow the potential of these interactions to influence prescribing. Therefore, supervisors of postgraduate medical training programs may wish to provide instruction concerning potential conflicts of interest inherent in these types of interactions.