Matters of Life and Death

Matters of Life and Death
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Health issues have long occupied top headlines in Canadian media, and no journalist has written on public health with more authority or for as many years as André Picard. Matters of Life and Death collects Picard's most compelling columns, covering a broad range of topics including Canada's right-to-die law, the true risks of the Zika virus, the financial challenges of a publicly funded health system, appalling health conditions in First Nations communities, the legalization of marijuana, the social and economic impacts of mental illness, and the healthcare challenges facing transgender people. The topic of health touches on the heart of society, intersecting with many aspects of private and public life—human rights, aging, political debate, economics and death. With his reporting, Picard demonstrates the connection between physical health and the health of society as a whole, provides the facts to help readers make knowledgeable health choices, and acts as a devoted advocate for those whose circumstances bar them from receiving the care they need. Providing an antidote to widespread fear-mongering and misinformation, Matters of Life and Death is essential reading for anyone with an investment in public health topics—in other words, everyone.

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André Picard. Matters of Life and Death

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Matters of Life and Death

Public Health Issues in Canada

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The idea of building a Montreal “super-hospital”—merging archaic institutions scattered around the city into one state-of-the-art facility—was first floated in 1991. It was an eminently wise plan, particularly in a city where most health-care facilities were built decades and in some cases centuries ago. But in the health field there is no idea, however sensible, that cannot be bogged down by bureaucracy and perverted by politics. The Quebec super-hospital saga is a case in point. (In the interest of brevity, let’s leave out names and political affiliations: suffice it to say that six premiers and ten ministers of health have been involved in the file to date, and the Liberals and Péquistes have handled it in equally bumbling style.)

In 1995, Quebec’s health minister announced a merger of the three “French” hospitals—Hôtel-Dieu, Notre-Dame and Saint-Luc—to create CHUM. A similar process happened with the “English” hospitals—Montreal General, Royal Victoria, Montreal Chest Institute, Montreal Neurological Hospital and Lachine Hospital—and that was called the McGill University Health Centre (MUHC). In 1999, it was finally decided that CHUM and MUHC should be more than virtual institutions. They would become bricks-and-mortar “super-hospitals.”

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