The SHIN Saga of Health Reform: |
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Nipawin - December 19, 2000 - by: Mario deSantis | |
brain |
Our previous article dealt with the utter irresponsibility of the Saskatchewan Health Information |
Network (SHIN), a brain outburst of the big brain Neil Gardner(1) and his friends at | |
Saskatchewan Health and at the Saskatchewan Association of Health Organizations (SAHO). | |
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$40-million |
SHIN was hailed as the symbol of health care reform and the back bone of our health |
system(2). And this technological mind set has been responsible for today's dysfunctional | |
health care system. SHIN has been responsible for the mismanagement of some | |
$40-million(3), however nobody has to be blamed since our big brains share the same so | |
called democratic philosophy that if money has been democratically allocated for SHIN then | |
we are all democratically responsible for any related failure. | |
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no |
Our leaders follow the decrepit business philosophy that "an individual problem could be a |
problem; but a common problem is no problem." So, our health care leaders have been | |
continuing to lie on their policy problems by shifting the blame and saying that the shortage | |
of nurses is a world wide problem and that the shortage of doctors is a problem across Canada. | |
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this is |
In the meantime, our health care leaders have been constructing a political, bureaucratic, |
academic and business environment whereby all policy decisions are democratically | |
established, and where all these policies reward all the democratic stakeholders: politicians, | |
bureaucrats, researchers and businesses with the exception of the most important people, the | |
common people(4) (and doctors and health care workers). And this is why we have a | |
dysfunctional health care system. | |
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rules of |
In a more subtle way, we have a basic problem in health care because we apply the so called |
rules of the private market place for a supposed public health service, and the rules of the | |
private market place are set by corrupted politicians, bureaucrats, researchers and their allied | |
businesses(5). | |
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Big |
Going back to SHIN, well, SHIN has no problem, it gets along with Saskatchewan Health |
and SAHO. And now that SHIN has failed in its principle mandate to be our Big Brother | |
and set up the controversial computerized medical records for any resident in the province, | |
we have bigger bureaucratic organizations coming to assist the failing SHIN and dilute our | |
technological blunders across Canada. | |
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HL7 Canada |
As I was saying 'a common problems is no problem', and we now have the so called |
bureaucratic HL7 Canada outfit presenting itself as "the forum for Canadian health | |
information stakeholders ...HL7 Canada represents Canadian requirements and issues | |
in the international forum with a strong, single voice(6)" And, if HL7 Canada is not enough | |
to assemble all our technological blunders into a technological minestrone, we have another | |
specialized bureaucratic outfit mixing up and enriching our technological minestrone, it is | |
called the Western Health Information Collaborative(7) (WHIC). | |
morale |
The morale of this story is that a common problem is no problem, and SHIN is no problem, |
as our own government continues to break its own laws(8)! Do we have a problem Minister of | |
Health Pat Atkinson? | |
------------References/endnotes: | |
List of relevant political and economics articles http://www.ftlcomm.com/ensign | |
Associate Minister of Health Judy Junor: defending the SHIN flop at the Legislature, by Mario deSantis, April 13, 2000 | |
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Web site of the Saskatchewan Health Information Network (SHIN) | |
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Saskatchewan Health Information Network-SHIN: Ignoring its mandate and diverting money for the Y2K Nightmare, by Mario deSantis, November 3, 1999 | |
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Polls show mistrust of governments' medicare spending.Widespread dissatisfaction: Health care workers, Canadians want accountability. By Mark Kennedy, December 14, 2000, Ottawa Citizen | |
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A Partial Diagnosis of Health Care Corruption: The Quality Circle of the Big Brains Includes Our Renown Health Economists, by Mario deSantis, March 9, 2000 | |
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What is HL7 Canada? | |
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Western Health Information Collaborative | |
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Gov't, health districts fail accountability review: auditor. Minister admits problems exist in approving budgets, by Anne Kyle, December 15, 2000, The StarPhoenix, Saskatoon, Saskatchewan |