Fee-for-service dispute

Posted on March 6, 2018 by

The government only pays doctors who paid fee-for-service (FFS) and who bill the government for a medically necessary physician or hospital service for that services. Therefore, patients are not involved in paying for that Fee-for-service. In general, FFS encourages doctors to move patients through quickly, which can decrease the quality of care, especially for sicker patients. For a better quality health care, some patients are willing to pay an out-of-pocket for FFS. So saying that patients decide to pay out-of-pocket for a service offered by an FFS doctor for better quality service, they choose the fully private clinics. The fully private clinics which provide private delivery and private payment (i.e., payment from patients, not government) are not allowed to bill the public plan unless they would take 100% of the payment from the government (i.e., not extra bill patients on top of the government payment) because extra billing is against the law under the universal public insurance plans in each province. However, this situation is confusing who is paying the doctor that FFS because that the public insurance covers the medically necessary physician or hospital service for the services is also ascribed to the Canada Health Act.  Likewise, I believe what the most fully private clinics want is to take the government payment and bill the patients on top of that. The same thing also applies to doctors who are paid under capitation by the government, because there is no patient payment involved in capitation either. The capitation is the agreement that the government pays a set of an amount by enrolled patients assigned to them per period. The capitation does not just allow doctors to build better relationships with patients; capitation also frees doctors up to concentrate on the sicker patients because they get paid for all patients each month even if the patient doesn’t come in, it allows doctors to make money as crazy from the enrolled patients assigned to them.

By the way, I refer the doctors to GPs only…





Canadian health care providers

Posted on February 7, 2018 by

In Canada Health Act(CHA) design,  the system is predominantly public financed and privately delivered. The Canada Health Act combined and replaced the Hospital and Diagnostic Services Act and the Medical Services Act in 1984.  The event in Saskatchewan (SK) such as the famous 23 day’s strike just prior to creating public insurance for physicians (which then was followed by the federal Medical Services Act). It mainly results from that physicians didn’t want to be working with the government, so they went on strike to remain autonomous. SK government thought it would be much easier to only have public payment and allow physicians to still function as private forms of delivery. By the time the Canada Health Act replaced the other two Acts, physicians were even more powerful and even less likely to want to change their status. The government wanted physicians’ willingness to accept Fee-for-service(FFS) remuneration method. The CHA allows physicians to choose their own medical practice locations and facilitators  in exchange for the FFS remuneration method. Intuitively, the Canada Health Act is the inception of the current Medicare approach. The current Medicare approach in Canada leads physicians to have a chance to create the long waiting time.



Read more about the history of the Canadian health system:


ICBC Financial Troubles

Posted on February 2, 2018 by

ICBC is not broke.  According to the Globe and Mail.

In a written statement, ICBC spokesman Adam Grossman said the insurer still has claims reserves of $11.7-billion, but that ICBC is losing money at an unsustainable pace.

Globe and Mail

Than why is the government asking to increase the insurance premiums of every driver by $400 and blame everyone else but bad management.  If this was a publicly traded company, the CEO would be fired already along with senior management.

Smoking talk in adolescences

Posted on January 25, 2018 by

Adolescents’ attitude towards smoking is found to an important determinant of smoking intentions. Evidence supporting this point has largely been based on a research by Grogan et al. that explores how young people recognize smoking behavior and consider social role of smoking. There are 12 group interviews, with 47 high school children and 50 university undergraduates in Yorkshire, UK. The study examined how the participants ascribe their smoking behaviour. (Fry, Grogan, Gough, & Conner, 2008).
Some participants in the study demonstrated that smoking allows them to present the desirable appearance to others. For instance, some male participants claimed that smoking would show ‘cool’ and ‘macho’ appearance. Besides, some participants claimed that the brands of cigarette revealed their social identities. For example, ‘Marlborough Light’ may refer to the identity of ‘young’ (Fry, Grogan, Gough, & Conner, 2008).

Many smokers also used cigarettes as a ‘social tool.’ Some participants claimed that they smoked cigarettes for engaging themselves with others, meeting for the first time for example. Many participants claimed that young people manage to smoke together when they get alone in a fixed space. Smoking helps to avoid the ‘awkward’ quiet and ease the dull feeling during in a conversation (Fry, Grogan, Gough, & Conner, 2008).

Also, some participants described that smoking allows them to integrate into a specific social group. When the smoking become normative in the group, they are more likely to conform to the group and become the leaders of the groups later. Later, they will suggest others in the peer group to adapt to the collective behavior such as smoking. Similarly, adolescents would gain indicators of power and status by the smoking behavior in school. For instance, many participants described hands gesture as being ‘demonstrative,’ smoking seemed to be crucial to control others when in company with papers (Fry, Grogan, Gough, & Conner, 2008).



The findings fit in existing psychological approaches as the TPB (Theory of Planned Behavior) and SNT (Social Network Theory). The TPB explores the relationship between behavior and beliefs, attitudes, and intentions, and it assumes behavioral intention is the most important determinant of behavior. According to the research, the purpose of smoking is to capture others’ attentions and present their desirable appearance; the smoking serves as a visible indication of a desirable identity such ‘cool’ and ‘young’ identities. Those young people are more likely to agree with the benefit values of smoking. The social network theory exploring the influence of social relationships on health decision making and behavior. SNT suggests that the individuals’ bahaviours are reciprocity of relationships derived from social environments. When people want to centralize them in the environments, they smoke and engage others in smoking as default behaviour. The study shows cigarettes can function not only as a marker of collective identity, but also as a device employed to render social interactions more manageable as a communication pattern in the environment. Namely, they maintain the relationship by smoking together, both the in the group and meeting young people. The expectation among young people to smoke makes it difficult to avoid either becoming a smoker or being encouraged to be one. Also, the study argued that adolescents are more likely to mimic parental smoking behavior if they perceive parents as being more engaged, especially they are congruent with parent gender This also fits with the SNT. The theory suggests that they learn not only from their own experiences, but by observing the actions of others and the benefits of those actions.

Fry, G., Grogan, S., Gough, B., & Conner, M. (2008). Smoking in the lived world: how young people make sense of the social role cigarettes play in their lives. British Journal of Social Psychology, 763-780.

Drive a Tesla and save the world

Posted on January 20, 2018 by

Co2 gases from automobile pollution is the driving factor in climate change.
Electric car such as the Tesla Model S, X and 3 are 100% pure electric vehicle.
There is nothing more annoying when a Plug-in hybrid that is taking up an electric car charger. Oil companies will tell you electric cars are not practical and we continue to rely on their products.

Get your very own Tesla Model S or X with unlimited Supercharging and $700 credit until  April 30, 2018

Free Tesla SuperCharging and $700 credit

Feeling anxious?

Feeling anxious? It isn’t always a wonderful sensation to be feeling. Although anxiety is condition that affects mental health, it should still be cautiously looked over because it could lead to depression, creating a higher chance for committing suicide. These steps can be avoided if we take more interest in others who may seem to be showing these qualities.

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One way to ease stress is to write down your worries as it may relieve some “thoughts” from your mind, reducing the amount of worrying that occurs in your brain. This does not benefit from everyone who have anxiety as this is only found from studies that writing thoughts down can help. There has also been other studies regarding probiotics to help with depression and anxiety, however the conclusions are still unknown but there is no harm in taking them as they are beneficial for your gastrointestinal system.

Trying to help someone with their anxiety or depression requires more effort and time than you would expect, as there is something referred as “postpartum depression“. There could always be moments where the person can go back to their anxious lifestyle even if they had been treated for their anxiety. If you knew someone who has anxiety or depression, please show care for them as it is a long process for them to handle and knowing others in their life show that they care, can really help someone overcome depression and anxiety.

Drink Responsibly as Christmas is Approaching!

Christmas is approaching faster than expected! With final exams ending and people going on vacation and enjoying the holidays, it can be quite easy to consume more alcohol than you may have wanted to.

How should you be careful about your alcohol consumption this holiday? Here are some tips that may be helpful.

As alcohol is considered as a diuretic, meaning it causes the body to lose more water than usual, it is important to stay hydrated to prevent your body from poor performance. You can always try to have a mocktail once in a while.

There has been studies that that alcohol may be associated with increasing chances of developing skin cancer. This is due to alcohol forming reactive oxygen species and the metabolic process to break down alcohol produces a by-product which may be harmful to the body. It’s okay to drink on occasional events but take caution of signs your body is telling you such as vomiting, headaches, upset stomach, etc. These can lead to more serious problems such as ulcers.

Alcohol could be a great beverage to have during soial events but it is always safer to listen to your body than having fun!

Shoveling and Low Back Pain

December is approaching and snowy weathers could be coming your way! With every snowfall, comes with shoveling and keeping your street free from snow turning into ice and avoiding others to fall on the street. If you are helping others preventing injuries, shouldn’t you be taking care of yourself as well?

Shoveling can put a lot of strain on your back muscles so you may need to take caution of how much stress you are actually applying to these muscles. Here are 4 tips you can follow to reduce your chances of injuring your lower back.

  1. Warm up your muscles first. Try to do some stretches  as warming up your muscles can be less susceptible to injury.
  2. The method you use to shovel. Bending at the knees and hips and using your leg muscles instead of your back, it can relieve stress off your back muscles and reduces risks of straining them.
  3. If you are already experiencing low back pain, avoid the job. Try and see if it’s possible to find another volunteer, who doesn’t have back pain, to shovel the snow.
  4. Use a different shovel. Try a shovel with a curved handle which provides you with an upright stance with adjustable length.

Try and experiment with these tips and your back muscles will definitely thank you!

Alcohol and Aging

It is very common to head to a restaurant and order an alcoholic drink from time to time or pour some red wine to pair with that home cooked steak meal however can this amount of moderate drinking be harmful for you?

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A published study involved researchers looking at the cognitive functions of the brain and see how alcohol affects it. Presently, it has shown that there is an increased atrophy in the brain’s hippocampus which functions as a memory storage in the brain. As you age, your bones’ and muscle’s ability to support you decreases and consuming alcohol can impair your balance and lead to falls and possibly bone fractures. Individuals who have diabetes should be careful when consuming alcohol as it can affect blood sugar levels and impair liver function.

If you do plan to drink on special occasions, it can be healthy to do so. If you do drink quite moderately or on a regularly basis, it is always safer to have regular check ups with your general physician to ensure your body is still healthy and working optimally.

High Blood Pressure?

High blood pressure is a condition that can be common, especially in the older generation however the symptoms of this condition can be quite asymptomatic so you may not know if you have high blood pressure until you have a visit with your general physician.

Image result for high blood pressure

For an individual to be diagnosed with high blood pressure, their readings should be between 130/80 to 139/89 for stage 1 high blood pressure. For stage 2 high blood pressure, the systolic and diastolic readings would be over 140/90. However, this condition is not completely irreversible. If you can manage and make changes to your diet and lifestyle then this condition can be controlled and you can still maintain a healthy lifestyle and continue working and playing but with some caution.

There are some tips to help reduce or manage your chances of getting high blood pressure:

  1. Watching or losing your weight as well as keeping an eye out at your waistline can be helpful as weight increases the chances of getting high blood pressure increases also.
  2. Doing physical activity or exercise daily can greatly impact the chances of developing high blood pressure.
  3.  Changing up your diet and consuming healthier and smaller meals can lower your risks.
  4.  Lowering the amount of sodium and alcohol in your diet
  5. Lowering the amount of caffeine you consume as well as reducing your stress levels are beneficial to reducing high blood pressure.

As many individuals do not know how high their blood pressure is currently, it is always safe to do regular checkups in order to prevent having high blood pressure and continue living an optimal lifestyle daily!