Big Brains Fyke and Rourke Have Spoken

Nipawin - December 31, 2000 - by: Mario deSantis

last six
of their

Today we have the one-man commissioner of medicare, Ken Fyke, who after spending more
and more and more money for further researches in health care, has come up with one root
problem of our health care system. He says, forty percent or more of the costs of the health
system is spent in treating patients in the last six months of their lives and that is a
tremendously complex issue. Fyke doesn't have an answer for this tremendous problem but
he has the big question "How does society decide?" We want to help Mr. Fyke and we have
the suggestion that he finds the answer by mailing another 400,000 questionnaires to
Saskatchewan families(1).




Mr. Fyke has a long history of expertise in health care, and I believe he had some role along
with the other expert Brian Rourke, fixed chair of the Saskatchewan Association of Health
Organizations (SAHO), in the digging of the hole in the ground for the closure of the Plains
Health Centre in Regina(2). Rourke and Fyke have a superior expertise in health care, however
while Rourke has stated that "there's a need for more money in the system," Fyke disagrees
and says that more money is not the answer.




Hypocritical Rourke and Fyke, along with any level of governments, have both supported the
blowing out of acute health care beds in order to downsize the medical and nursing expenses(3).
And today, Rourke says:
"the total per-capita spending on acute-care services is lower in Saskatchewan
than any other province." And Fyke says "A decade ago patients may have
spent a couple of weeks in hospital after surgery and received their prescribed
drugs at no charge. Now they are often discharged after twnty-four hours and
are required to pay for their own drugs... In the interest of fairness and equity
that can't continue."




Doctors have been downsized and excluded from participating in health reform and Fyke may
have another surprise for doctors. He says
"physicians have worked as private practitioners, and been solely responsible
for their decisions. In a new teamwork model, some may find it difficult to
change and share the responsibility with nurses and other professionals."




Fyke has also stated that there is a need for a national inquiry, and he would be delighted if
another commission follows in his wake. There is the fervent speculation that Roy Romanow
may head this commission. So after the Saskatchewan Way, Mr. Romanow could be building
another vision, the Canadian Way, and follows Mr. Fyke's approach to mail out questionnaires,
this time not 400,000 but millions of questionnaires.



fundamental shift

I agree with Mr. Fyke's assessment that the health care system needs fundamental shift
in thinking, and I suggest that this fundamental shift of thinking would begin with his
own big brain.
  Quote by Donella Meadows "challenging a paradigm is not a part-time job. It is not sufficient to make your point once and then blame the world for not getting it. The world has a vested interest in, a commitment to, not getting it. The point has to be made patiently and repeatedly, day after day after day" The Global Citizen,
  List of relevant social articles
  Lack of vision, unstable funds hurting health care: SAHO, by Barb Pacholik, December 5, 2000, The StarPhoenix, Saskatoon, Saskatchewan
  More money not answer: Fyke. Says health-care system needs fundamental shift in thinking, by Mark Kennedy, December 28, 2000, The StarPhoenix, Saskatoon, Saskatchewan


Fyke's Medicare Survey and the Psychology of Influencing People, by Mario deSantis, October 27, 2000




The closure of the Plains Health Centre: The $50 million overrun and the gimmick of saving money in health care, by Mario deSantis, December 19, 1999




Minister of Health Pat Atkinson:"Wellness Model" is outside the Canada Health Act, by Mario deSantis, March 7, 2000
  biography of Ken Fyke