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Social Determinants of Health

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From:
Linda Lalonde <[log in to unmask]>
Reply To:
Linda Lalonde <[log in to unmask]>
Date:
Wed, 21 Aug 2013 10:11:33 -0700
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The article states "She could not move him because there is a three-month waiting period for medicare eligibility when moving from one provincial or territorial jurisdiction to another and there are no private nursing homes in the Northwest Territories." This implies that there would have been a three month period when her father would have had no medicare coverage and that is what I was responding to. I understood Dr Reid to be saying that, had she been able to move her father to Yellowknife, that would have been her first choice. In order to get appropriate care in the same community and continue her practice, both Dr Reid and her father relocated.
 
The issue of availability of publicly-funded long-term care is, unfortunately, an issue everywhere in Canada regardless of your resources or level of need. For those with limited resources including family support and linguistic abilities in addition to economic and social issues, this is a serious concern.
 
Linda.
 

________________________________
 From: Danyaal Raza <[log in to unmask]>
To: Linda Lalonde <[log in to unmask]> 
Sent: Wednesday, August 21, 2013 12:36:34 PM
Subject: Re: [SDOH] "social determinants of health"
  
I believe the issue isn't coverage for care, but access to a publicly funded bed. Many Ontarians are on wait lists for long-term care, with the sickest amoung them waiting in acute-care hospital beds. Dr. Reid was caught in that dilemma for her father.  

The reason her father was relocated was not because of appropriate medical services, but so that they could provide additional caregiver support while being in the same city.  
On Wed, Aug 21, 2013 at 10:24 AM, Linda Lalonde <[log in to unmask]> wrote: 
Unless things have changed, medicare is portable between Canadian provinces and territories - there is a three-month wait to get onto the program in the new community but it is covered by the program in the province of origin. Her father's OHIP coverage would have remained in force during the transition. That Canada's head doctor doesn't know that is concerning - how many other doctors are giving patients and families similar misinformation?  I'm surprised that Andre didn't check the facts before printing that - although, given the source of the information, perhaps he can be excused. 
> 
>It is pretty scary that someone with her position and resources felt she and her partner had to move half way across the country to have appropriate medical services provided for a family member. If she's falling through the cracks, what hope is there for the rest of us?!?
> 
>Linda. 
>
> 
> From: Dennis Raphael <[log in to unmask]>
>To: [log in to unmask] 
>Sent: Wednesday, August 21, 2013 4:51:04 AM
>Subject: [SDOH] "social determinants of health"
> 
>
>
> 
>How the CMA president's health care fight was shaped by her father's dementia 
>Globe and Mail
>She said that if political leaders are serious about reducing health costs, then they should ensure that all Canadians have an adequate income, housing and education (commonly called the social determinants of health), in addition to access to medical ...
>
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