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To Your Good Health: Are Prunes Better Than OTC Remedies For Constipation?

Dear Dr. Roach: Several months ago, you had an article in the paper about an 82-year-old man who had a constipation problem. You mentioned a couple of medications to take. I am an 82-year-old man, and just shortly after that article I became constipated for a couple of days. My wife told me to take ex-lax; I took it for two or three days, and it worked. Three days later, I had it again, so I took another ex-lax or two, and it worked again.

I was sitting in my recliner a couple of days later when I remembered when I was in my late teens and had the same problem. My mother told me to eat some prunes — wow, does that work. Wouldn’t eating prunes be more healthy than taking drugs? My wife and I have been eating three or four prunes every evening since then, and I have had no problem. We read that eating prunes every day also makes our bones stronger. Is this really true, and how many should a person eat daily? — R.F.P.

Answer: Some over-the-counter constipation drugs used to contain phenolphthalein, which is not safe for long-term use. Occasional use of senna or docusate (the active ingredients in most OTC brands) is fine.

Prunes are a very effective treatment for constipation for many people. They are a fruit, but being dried, are higher in sugar than many others. Three to four prunes a day seems reasonable to me, and is effective for many people to treat constipation.

A recent review of studies on the effects of prune eating on bone mineral density suggested that there is some benefit. However, the studies were neither consistent nor of high-enough quality that I would recommend prunes solely for their purported benefit on bones.

Moreover, most of the studies used about 100 grams of prunes per day: 10-12 average-size prunes. This is a large sugar load (less than a typical soft drink, however), and it also might cause some abdominal distention, especially if a person started out eating 10-12 prunes a day; it’s smarter to increase fiber intake gradually.

Dear Dr. Roach: I am a 70-year-old senior in fairly good health, but I am losing my teeth and need many implants. I read in a well-known U.S. newspaper and on the internet that full-mouth X-ray can cause brain cancer. My dentist does not give me a direct answer, and I am afraid. Does the old-fashioned dental X-ray have a lower intensity? — K.L.

Answer: The amount of radiation in a dental X-ray is very, very low. The unit of radiation in this context is the millisievert (mSv), and a regular, old-fashioned bitewing X-ray in your dentist’s office is about 0.005 mSv. Just walking around in a day, we get about that amount from natural sources. A full-mouth or panoramic dental X-ray is about 0.01 mSv, but that is still less than a chest X-ray, which is 0.1 mSv. By comparison, a CT scan is equivalent to 4,000 or so dental X-rays.

While it is wise to be concerned about radiation from medical procedures, the radiation in dental X-rays is very small, and the risk of developing brain or other cancer is extremely small.

The thought should not keep you from getting the dental work that is so necessary for the quality of life of many people, including seniors. I’d advise taking whatever X-ray the dentist thinks is best.

Dr. Roach regrets that he is unable to answer individual letters, but will incorporate them in the column whenever possible. Readers may email questions to or at 628 Virginia Dr., Orlando, FL 32803.

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Effective addiction treatment requires good health coverage

The opioid crisis is a public health emergency that shows no signs of abating. In 2016, the most recent year with data, 63,600 people died from drug-related causes, a 21 percent increase from 2015. More recent data from the Centers for Disease Control and Prevention (CDC) reveal that emergency department visits for suspected opioid overdoses — including fatal and non-fatal apparent overdoses — increased by 30 percent from 2016 to 2017, an ominous sign that rates of drug overdose deaths are continuing to escalate. 

The federal response to the opioid epidemic has been sluggish and anemically funded going back several administrations since data on the dangers of opioid addiction have only started to become generally understood.

President TrumpDonald John TrumpPoll: Both parties need to do more on drug prices Senate approves .3 trillion spending bill, sending to Trump White House: Trump will delay steel tariffs for EU, six countries MORE this week unveiled a plan to address the opioid epidemic, coming nearly five months after the administration first declared the opioid crisis a public health emergency. Last month, Congress approved $6 billion over the next two years for the response, the first new federal money to combat the opioid epidemic since the Obama administration. The omnibus appropriations bill, released Wednesday, would supplement this amount with an additional $3.3 billion in opioid spending for 2018.


Congress is now tasked with developing a plan for how to spend this funding, which will likely go toward serving the17.2 million people needing but not receiving treatment for substance use disorders. Policymakers from both parties have proposed a wealth of policy instruments to achieve this, including deregulating the prescribing of medications to treat addiction, removing barriers to funding inpatient treatment facilities, and delivering treatment to vulnerable populations like prisons. Yet one of the simplest and most impactful tools for facilitating treatment and recovery for substance use has come under continuous political attack — access to Medicaid.

Medicaid provides coverage for four in 10 non-elderly Americans living with opioid use disorder. However, since last summer, some members of Congress have repeatedly asserted that Medicaid has fueled the opioid epidemic. Citing the low cost of prescription drugs for Medicaid patients, these members have accused patients of selling prescribed opioids for profit. After a Senate hearing these lawmakers released a report reiterating claims that “growing evidence” of fraud in the Medicaid program has worsened the epidemic and asserted that Medicaid caused the opioid epidemic. Some lawmakers have made spurious comparisons of opioid death rates in states that expanded and did not expand Medicaid eligibility. 

Our findings, published in American Journal of Public Health, show these claims have no basis in fact. By comparing states that did and did not expand Medicaid eligibility, we find that while opioid prescribing in the Medicaid population has increased in recent years, there is no statistical difference between states that did expand Medicaid and states that did not. The findings are in line with other assessments, including a recent Health Affairs blog describing that the trend toward higher drug-related deaths in expansion states came before the Affordable Care Act was even signed.  

In fact, the most profound effect of Medicaid expansion on the opioid epidemic is increased access to addiction treatment. Our analysis finds that per-enrollee rates of buprenorphine and naltrexone, two medications used to treat opioid use disorders, increased by more than 200 percent after states expanded Medicaid eligibility. By contrast, prescribing rates increased by less than 50 percent in the states that did not expand eligibility.

Coupled with the finding that opioid prescribing increased no more in expansion states than non-expansion states, this reveals that the expansion successfully opened up access to treatment for people with opioid use disorder. Trump himself acknowledged the importance of Medicaid in addressing the opioid epidemic by taking aim at the Medicaid Institutions for Mental Diseases (IMD) exclusion, which prohibits federal Medicaid funding from reimbursing large residential treatment facilities, in his recent opioid plan.

Americans do not experience substance use disorders in a vacuum. Nearly 40 percent of people with opioid addictions are also experiencing mental health disorders. Injecting drugs increases the chances that people will acquire infective endocarditis, HIV, or viral hepatitis. For those who developed an addiction through the misuse of drugs prescribed for chronic pain, injury, cancer, or other illnesses, those same underlying health conditions may require ongoing health care.

The rhetoric that substance use disorders can be addressed through siloed funding earmarked only for treatment, or worse, suggesting that expanding health care coverage is actually driving the opioid epidemic, fundamentally undervalues the holistic health needs of people experiencing addiction. For many, the complex health needs associated with addiction are best served by an integrated health system that is accessible and affordable.

As we map the way forward towards ending the opioid epidemic, we must not forget that Medicaid is one of the most powerful tools in our arsenal. Attempts to undermine or discredit the role of Medicaid in improving the lives of Americans living with substance use disorders are counterproductive and not supported by the best available evidence.

Alana Sharp is a policy associate for amfAR, The Foundation for AIDS Research.

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9 Comedy Podcasts to Download Right Now

What do comedy podcasts have to do with healthy living? Everything. Laughter is powerful medicine for your physical and mental health. When life is hard, comedy can be just the healthy release you need.

Laughter does more than just make you feel good. There’s evidence that laughter can help prevent or even dial back chronic disease, like dementia, and improve your relationships. So kick back with these podcasts, and prepare to LOL.

What do comedy podcasts have to do with healthy living? Everything. Laughter is powerful medicine for your physical and mental health. When life is hard, comedy can be just the healthy release you need.

Comedy Podcasts

I subscribe to way too many podcasts, and I’m not sorry! These are the comedy podcasts I turn to when I need a good laugh.

1. Lovett or Leave It

Jon Lovett is a former Obama speechwriter and co-founder of the media company Crooked Media. Each week, Lovett hosts a live political comedy game show (Yes, that’s a thing now!) with comedians, actors and politicians as the guests. If the news right now is getting you down, let the Rant Wheel make it better.

2. 2 Dope Queens

Comedians Phoebe Robinson and Jessica Williams host this WNYC podcast. Each episode is a recording from the weekly stand up comedy showcase they host in Brooklyn. What I love about 2 Dope Queens is that they focus on female comedians, comedians of color and queer comics. It’s a nice break from the very white, very straight, very male stand up comedy world you tend to find in more mainstream places.

3. Good One

Vulture senior editor Jesse David Fox hosts this in-depth interview show. In each episode, he invites one comedian to break down one of their most iconic bits. It’s a fascinating dive into how the pros approach joke-writing, and the conversations are often hilarious, too. Fellow comedy nerds, I see you.

4. Keep It

Every week, Ira Madison III, Kara Brown and Louis Virtel talk pop culture through a social justice lens. And they do it with jokes! Even if you could not care less about celebrity news, their hot takes will have you doing spittakes.

5. Put Your Hands Together

Like 2 Dope Queens, this is a recording of a live comedy show that bucks the straight-white-male tradition in American stand up. Cameron Esposito and Rhea Butcher host the weekly show at Upright Citizens Brigade in Los Angeles. You might know Cam and Rhea from their TV show, Take My Wife, which is a fictionalized version of their relationship and their journey into comedy.

6. Spontaneanation

If you love sketch comedy, you are going to love Paul F. Tompkins’ improv podcast, Spontaneanation. Each episode begins with Paul interviewing a comedian and then talking with that week’s group of improvisers. Paul and the improvisers then weave themes from those chats into an original scene.

7. Sooo Many White Guys

This show is a spin-off of 2 Dope Queens. In each episode, Phoebe Robinson does an in-depth, often-hilarious interview with an actor, comedian or other performer. It’s yet another podcast that steps outside of the straight-white-male world of celebrity. Sooo Many White Guys runs in seasons, and at the end of each season, Robinson has a “token white guy” as the guest.

8. The Hilarious World of Depression

“Is depression funny?” The answer to this question can be very personal. Host John Moe hopes that by talking openly about clinical depression in a sometimes-light-hearted way, he can help lift the stigma surrounding mental illness. Each episode features a personal, funny interview with a comedian who has dealt with mental illness.

9. Throwing Shade

Comedians Erin Gibson and Bryan Safi “take a weekly look at all of the issues important to ladies and gays and treat them with much less respect than they deserve.” But don’t worry – they still take issues surrounding feminism and gay rights seriously. They just talk about them in a way that makes you want to laugh instead of cry. You may still want to punch things, though. They’re comedians, not wizards with the power to instantly alter reality.

Which comedy podcasts turn you into the goofy person chuckling to herself in public?

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Repair potholes to promote healthy living, councils told | News | The …

Councils should repair potholes and pedestrianise streets to encourage walkers and cyclists, health experts say.

The National Institute for Health and Care Excellence (Nice) says that roads should be designed and maintained to help people to exercise.

Widening pavements, narrowing carriageways and imposing 20mph limits will help to get people out of their cars, as will banishing street clutter, the institute tells local authorities.

Parks with benches, flowers and lighting will also tempt people out for a walk, the guidance says. Councils said that the recommendations were unrealistic when they were so short of cash.

Doctors describe exercise as a “wonder drug” that can prevent cancer, diabetes and other diseases. Yet almost half of adults do not get the recommended two and half hours a…

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Healthy living program in Randolph County hosts diabetes prevention courses – WBOY

ELKINS, W.Va. – The Elkins-Randolph County Public Library and Davis Medical Center are hosting a Diabetes Prevention Program.  

The program is designed to teach lifestyle management skills for people who have prediabetes or who are at risk of developing type 2 diabetes.  Officials say the program can lower diabetes risk factors and improve overall health. Spots are still available to participate.

“Whether it’s a one-time session or year-long session, this is a lifestyle changing program.  So, looking at weight management and looking at fruits and vegetables and nutrition management, we want to make sure that that lasts through every season,” said AmeriCorps Vista Community Health Worker Madalyn Humphrey.

The program is hosted weekly to promote healthy eating and exercise habits to create a prevention lifestyle.  

For more information about the program and class times, visit the event online or call Madalyn Humphrey at (304) 940-6776.

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Preventative care tips for managing brain health

Police found a wanted Oglala man after he used a restricted computer. The case involved drugs, a weapon, and a Rapid City woman.

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Kate Hudson’s Six Health And Fitness Rules To Live By

Find a form of exercise that you really love

I’m a pilates person. I just love pilates, it’s so expansive. You can do so many different things. I love how it strengthens the body, because it feels very internal, I love how it lengthens the body… And cardio-wise, I mean I’ll do anything, I’ll try anything, but I always go back to my dance cardio. Things that are more fun than just pumping iron. Although once in a while pumping iron isn’t so bad. I sometimes go to this one place, Circuit Works, in Los Angeles. I actually like it because the sprints are short and hard and the circuits are intense. So when you’re done it’s the most amazing workout. My brother and I will do that and I’ve invited some people along with us and… I enjoy watching them struggle sometimes, it makes for a good laugh.

What’s Your Exercise Personality?

Get competitive

I was very serious about soccer, growing up. It was actually something that I could have pursued in terms of college, but I didn’t because I wanted to act and sing and dance. What really happened was I danced for a lot of my life. Then soccer got very competitive for me and so that kind of took over and I didn’t dance so much. But then I realised I didn’t want to seriously pursue soccer, because you sort of get to a point where you really have to commit if you want to go further with it. It was a really difficult decision for me because I love competitive sport. I miss it to this day. But playing with my kids it’s actually fun – it’s the one thing where I am the best! My son Ryder’s getting there with me now, he can just about get around me, but he still hasn’t hit that level yet where he can beat me.

Be resourceful, when travelling

I try to work out when I travel but hats off to people who wake up at four when they have a six o’clock call. I’m like… I think I’ll sleep. But I’ll always find something to do. There are so many apps that are like, five minute arms. Like we could be doing that right now, as we speak. There’s no excuses! Or I love swimming. I’ll always do something.

Find motivation (sometimes in unexpected places)

When you think about it, working out is something we have to do. We all know being active is good for our hearts, for our lungs, for our mental clarity. Everyone, whether they dread it or love it, know that it’s something they should be doing, but how do you motivate people? With a subscription model like we have at Fabletics, we constantly change patterns and colours, and bring in new ideas. So you get something new every month, if you choose. So it is kind of nice that you have something new to look forward to wearing. It keeps your brain in the world of wellness and being active. When we started there was an enormous white space in athletic wear for an affordable, good-quality but fashion-forward brand.

What Is Clean Eating, Anyway?

Look after your gut

For me, gut health is a focus. That is where I think all the science is leading towards. How to clean your gut and have a healthy gut and how that informs how you live and how your brain is functioning and how your body is functioning. There’s a wellspring of information out there. Even probiotics alone, I mean everyone should be taking a probiotic. We have to fill our gut with the good stuff and help it get rid of the bad stuff.

Make sure your skin gets a workout too

I really believe in facial massage. We can be so delicate with our faces but sometimes to get right in there, it really brings everything to the surface and is so great for the skin. I love it, but it’s so hard to get it. I’ll ask places, “do you do facial massage?” And they do, but like, only as part of some certain facial, for 15 minutes. And I wanna say “no, I want the whole thing to be facial massage!” But I do it at home. I have all these tools for it, all these wands. Ryder will be doing his homework and I’m there next to him, wanding!

Rosemary Ferguson On Everyday Supplements

Emilia Wickstead Launches Activewear With Bodyism

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Go-go-go leads to burnout


Do you ever feel you need to work extra hours just to get “what you need to” accomplished? Or, perhaps you complete a full day at work and then shift into 5th gear to meet the deadlines and needs in your home, at school, or in your personal life? Or, how about the necessity you feel to answer that email, respond to that text, or just quickly check on that “chime” that calls to you regularly from your phone or other tech devices? And, there is always more that you feel you could do, right?

So, the driving question is: Have you been feeling tired lately? Research shows that more people today “go-go-go” from early morning into the late evenings, trying to manage the “more and more” that is adding up on their plate. Research shows too that stress, depression, anxiety—burnout—is actually causing bone disease, cardiovascular disease, strokes, and diabetes (to mention a few). It’s having a devastating effect on our bodies, but insidiously, so that we hardly notice it.

All of what you do, and don’t do, can exhaust you mentally and physically. And what follows tiredness and exhaustion is burnout — a life hazard we all need to understand to navigate before it takes hold, whether you are young or old.

Dr. Nina’s What You Need to Know: About Burnout

Key Truths: Burnout is a state of emotional, mental and physical exhaustion that results from chronic, unrelenting pressure, work, overwhelming demands or stress.

People who experience burnout have often dedicated themselves completely to their work and tasks at hand. In fact, they likely push themselves, daily. However, at some point they begin to question that it is no longer possible because the demands of the ongoing work is too large, or greater than can be accomplished within reasonable resources. Burnout oftentimes drives people – through dedicated, tireless, exhaustive measures — to begin to question the demands.

It can result in a complete loss of enthusiasm for everything and detachment from people as well as feelings of being ineffective. Signs and symptoms develop gradually and often can be subtle at first. As well, they can relapse and remit, or even smolder; but with time, they can get worse and worse if they are not managed or addressed properly.

It is very important to understand that at this point you have pushed your body and mind to such an extent that both signal they cannot go further. Even the smallest thing becomes too much. During this stage you often get emotional about small things, because you are so exhausted. Both your body and mind need to relax.

Burnout is Dangerous Mentally, Emotionally, Physically and Spiritually. What’s happening with continuing high demands, stress and burnout is a constant fight-or-flight mode. You are living in “overdrive” with the heightened state. The body then produces chemicals and reactions, preparing for an event that should only last for a few minutes — but is stuck in “on” and continues to go on. This constant inflammation and chemical imbalance that is occurring in the body is unhealthy and impacts your emotions, thinking, output and overall, is unhealthy for every part of your being.

What are causes?
Burnout can take place at work, home, school, or even related activities, here are some common factors identified by experts in the field:
• Dedication to work (employment, home, school, community affiliation) to complete their tasks and goals with excellence – or, “all they have to give it.” Experiencing ongoing pressure, stress, demands with little to no relief. Add to this, it may be accompanied by a lack of appreciation, recognition, fairness, control, sense of community, or ethical behaviors by coworkers, associates, colleagues, administration or family members. And too, working, studying or giving excessive hours to the cause, or having excessive demands.
• Personal life and lifestyle: Working in overdrive, or not taking or having “me time” or time for family and friends. Alternatively, having excessive obligations to family and friends (e.g. being a caretaker); lacking a support system; being sleep deprived or having poor health habits.
• Personality: Very much aware of what you have to do along with great dedication and commitment to tasks. Gets a lot done and can take care of a lot of work. May even press the bar a little higher for themselves as they work tirelessly to accomplish all the work.

What are symptoms?
• Early on, those with burnout may feel less energetic, but over time, they experience constant weakness or fatigue. Fatigue is excessive tiredness and your body’s way of telling you to slow down.
• Fatigue, combined with the stress, pressure or demands that triggers burnout, makes it less likely that you will engage in routine physical activity, consume a nutritious diet, and get good, quality sleep. Together, this can enhance burnout.
• Forgetfulness, difficulty concentrating, and a lack of focus or difficulty coping
• Nervousness, worry, and anxiety. Over time, anxious thoughts can become debilitating, preventing you from performing optimally —and stealing your joy. Some people report having panic attacks—an abrupt onset of fear or discomfort.
• Detachment from friends, family, and job which can eventually lead to isolation
• Depression
• Sleep disturbances
• Physical manifestations such as headaches, fainting, chest pain, palpitations, shortness of breath, or nausea. And, too, increased susceptibility to germs due to a weakened immune system that results from stress, sleep deprivation, decreased physical activity, and poor diet.
• Resorting to unhealthy behaviors such as smoking, alcohol, drugs

While you may not be experiencing any of these, know that they are warning signs. Generally, burnout begins subtly, with mild symptoms, and gradually worsens.

How can you prevent burnout?
• It is important to recognize and acknowledge the signs and symptoms – to know how to manage your drive
• Take action, make the change or changes necessary
• Do not wait for someone or something to make the change for you—because chances are that it will not happen!
• Yes, change requires work. If we are nearing burnout or are burnt out, the last thing you want to do is just that—more work. But given the detrimental effects it can have on our health, relationships, and job, it is critical that we take the steps for healthy relief by reducing the stress and pressure in order to (re)invigorate ourselves.

What are some tips?
• Manage stress, reboot, recharge, rejuvenate. Take time and figure out ways to make changes, and where possible, enlist help. Utilize vacation days or sick leave to allow time to rest. If self-employed, take the initiative to work fewer hours or consider taking on less projects. Parents, consider getting a sitter, exchange system with another mom, part time daycare, or family members to get a break.
• Plan RR time, weekly
• Say goodbye to unnecessary obligations or deadlines – and be cautious about adding more to your “to do” list
• Reassess priorities with “me” and “family” time
• Set healthy boundaries with your job, career, school or special project, and make changes when needed. Talk with a trusted source about the realities and resources to get help (or extensions) for certain assignments or projects.
• Connecting with loved ones for support is important. They may pick up on signs and symptoms of your burnout before you do. Listen to them.
• Walk it off. Consider starting with a 15-minute walk or jog to relieve stress and release endorphins.
• Get a good night’s sleep. Set a bedtime and stick with it. It’s easy to stay up late so we can catch up with the million trivial things we need to do. However, being sleep-deprived can be a cause of burnout as well as slows efficiency and perpetuates the cycle of being burnt out.
• Unplug and find another outlet. Identify “counter-weights” to the stressors in our life. Some ideas include: listening to music, gardening, photography, yoga, prayer, meditation, cooking, reading for pleasure, spending time with family or friends, or exercising.
• Be specific, write it down, then tell others about it. Saying that we will work less, exercise everyday, and spend more time with the family and friends are great goals, but make them a reality. Being specific (e.g. stop work/project at 6 pm, exercise for 20 minutes, and Sundays are family time). You are more likely to adhere to our goals and less likely to cut corners.
• Take a technology break – while a useful tool, it can be also be a harmful disturbance.

Be vigilant: Your life demands and dedication to your work can add up and eventually lead to burnout. Pause. Navigate wisely.

Copyright © 2018 The Washington Times, LLC. Click here for reprint permission.

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Why It’s So Hard to Reform Canadian Health Care

In a paper recently published in The Lancet, my co-authors and I analyze the Canadian systems’ strengths and weaknesses, and we explore the obstacles to change. The weaknesses exist not because our systems are universal and centrally coordinated; rather it’s because they are often not universal or coordinated enough.

For example: Most provinces don’t cover prescription drugs for most people. Many people live in remote, sparsely populated areas where specialized care is hard to get. Indigenous peoples and many new immigrants and refugees face complex barriers to health care access.

And long waits for non-urgent services like hip replacements or M.R.I. scans for back pain are a genuine problem in many parts of our country. More than a third of Canadians wait more than two months to see a specialist, and 18 percent of Canadians wait at least four months for elective surgery.

But it’s important to recognize that long waits are not an inherent feature of all universal health care systems — many countries in Europe and elsewhere with strong universal systems don’t experience these problems. What’s different is that in Canada, doctors and hospitals have a high degree of autonomy, and don’t always participate in efforts to reduce waits. At times they have opposed attempts to have other professionals care for patients or to shift resources into needy communities.

And we have been slow to adopt virtual care, group-based care, and other models that would reduce waits. The solutions to delays in Canada lie in changing how we deliver health care services, not how we pay for them.

More robust dialogue is needed to really tackle these important problems — but the long American shadow chills our discussions. Fear of an American-style market-based system inhibits a national conversation about how to expand the breadth of coverage and increase the timeliness of services. Instead of talking about how to make our system better, we’re talking about how much worse things are in the United States.

And such behavior is evident on both sides of the border: Instead of closing their insurance coverage gaps, many Americans are busy pointing fingers at our difficulties. It’s an absurd habit that needs to end so that both countries can engage in more meaningful debate about how to fix our systems.

In truth, neither country performs as well as it should aspire to do. For our part, Canadians must tackle a culture of incrementalism that stops us from expanding services and improving how they’re delivered.


Continue reading the main story

I know many doctors in the United States who would say the same about your system. The opportunities and challenges of rapid technological advances and an aging population don’t respect international borders. It would help us all if both countries stopped making each other a boogeyman to excuse their own paralysis.

Danielle Martin is an associate professor of family and community medicine at the University of Toronto and the vice president for medical affairs and health systems solutions at Women’s College Hospital in Toronto.

A version of this op-ed appears in print on March 24, 2018, on Page A11 of the National edition with the headline: Canada’s health care puzzle.

Continue reading the main story

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University of Montana receives $1 million for health and medicine efforts

Whenever Keila Szpaller posts new content, you’ll get an email delivered to your inbox with a link.

Email notifications are only sent once a day, and only if there are new matching items.

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