As much (or perhaps more so) a book about policy and politics as it is about medicine, this was a surprisingly interesting read.
Since I’ve been old enough to care, elections have always seemed like some sort of high stakes reality show, with one politician throwing insults at the other and competing for who gets to sit in the chair for the next four years. And much like many high school student council elections, it often seems like more of a means to an end rather than a true desire to use the platform to carry out a vision. Isn’t it odd when you start thinking “who do I dislike less” rather than “whose vision resonates with me?”
In this book, Philpott, a family doctor turned politician describes her experience in medicine and as Minister of Health. It feels (is?) current, with references to COVID and Justin Trudeau, and takes you into things from a perspective I’ve never looked into - what governments actually do with their time and money, with an emphasis on healthcare. In addition, it makes me reflect why I didn’t pay more attention to it.
A rather practical guide, she outlines her vision for a primary care as a school execution. That is, much like every child has a school, every person should have a primary care “home” where they can rely on as a go-to for all things healthcare. They shouldn’t be struggling to find appointments with their own family doctors and juggling lengthy referrals with incompatible specialists, or sitting unattached in a packed emergency room as many without family doctors in Canada do right now. I’ve had a family doctor my whole life, and I didn’t even realize I was lucky until this year. I remember talking with someone, noticing she seemed visibly distraught one day. When I asked her what was wrong, she laughed in a wry way, admitting she was actually quite anxious after learning she might be removed from her family doctor after violating policy and visiting walk ins without notice several times. The irony of this worry and its legitimacy was humbling. When the topic was brought up, a family friend spoke with pride on how his own close relationship with his family doctor allowed him to “pull his relations onto the boat”, so to speak, where his niece, niece’s boyfriend, and niece’s boyfriends parents were accepted after an interview. An interview!
On a more general note, Philpott reflects that there is only so much an individual healthcare worker can do. The burnout we see in healthcare right now and the packed emergency are all symptoms of a system that needs a major reform rather than bandaids here and there.
There is some critique that the author still only sets an overarching skeleton without worrying about the details and necessary headaches of implementation. Overall though, I think she brings a clear and ambitious vision that is quite refreshing, and a realistic but hopeful view on what a government can do for the healthcare system.
Short and solid 4/5