Health as out-of-labour electoral

La santé comme hors-d’œuvre électoral

Photo: Marie-France Coallier The Duty
Representatives of the four main political parties debated on the topic of health before the medical students at the University of Montreal.

It was a tough game on Wednesday, while representatives of the four main political parties debated on the topic of health before the medical students at the University of Montreal. The intention of the Coalition avenir Québec (CAQ) to reduce to 90 minutes, the average time to see a doctor at the emergency has occupied a lot of place in the exchanges, the opponents of the party saw it as a promise impossible to keep.

“Currently, the average time to see a doctor after the triage is two hours,” explained François Paradis, member of parliament for Lévis and spokesperson in the field of health and social services for the CAQ. To achieve the target of 90 minutes, we will establish arrangements with clinics to redirect people. “

“It is a promise to be impractical. Person in Quebec does not believe in it, ” said Gaétan Barrette, the minister of Health and social Services and candidate for the Quebec liberal Party (QLP). “If it was something feasible, I would have done myself. “”It is simplisme, from the populism of a right-wing party to attract votes,” he added.

“We are very excited to see how a government of the CAQ would fulfill that promise,” said, the cynical, the spokesman of the Parti québécois (PQ) in health, Diane Lamarre.

“We have a program of 25 pages with thirty measures, which will be further explained [in coming weeks], replied François Paradis. We are listening and we have to propose solutions. “

Amir Khadir, of Québec solidaire (QS), has stated that the problem of emergency was symptomatic of a health system that grossly under-funded for the last 25 years.

Salaries too salty ?

The thorny issue of physician remuneration is also back on the table. The CAQ, the PQ and SQ all offer to reopen the agreement, while Gaétan Barrette believes that this initiative is a loss of energy, because the agreements are firmly trussed. “Let’s hope that the signatures of MESSRS. Barrette and Couillard have not been made in a way that has us handcuffed,” said Mr. Khadir, member of parliament out of Mercier, who added that the agreement ” is of the order of a scheme between former doctors.”

At the CAQ, the re-opening of the agreement is crucial, because the financing of its program in health care would those dollars paid ” too much “. “We committed to re-open the agreement with the doctors and specialists. The government has given a billion too much, ” quipped Mr. Paradise. “This will not be easy, but we will negotiate “, he added.

“The doctors know well that, at some levels, the social contract with the population has been broken, said Ms. Lamarre. One of our candidates for the PQ, the doctor Éric Tremblay, vice-president of quebec Physicians for a public plan. It is part of the 1000 doctors who are willing to give back their salary increase. “

Mode of compensation

The mode of remuneration of physicians was also on the menu of the debate. For the CAQ, and QS, it is imperative to include a fixed component in the salary of doctors.

“We propose to modernize the remuneration of the doctors, wore on Mr. Khadir. The Commissioner of health has commissioned a report three years ago which reviewed best practices in the world. We are inspired to propose a plan of output of the compensation act. We want to accompany it with a measure of poll-tax [pay per patient] and a performance-based compensation. “

A debate before the succession

Organized by the Fédération médicale étudiante du Québec (FMEQ), the debate was also an opportunity for the spokesperson to speak to future physicians and to decide on issues related to medical education.

The moderator has also asked the debaters how they would increase the number of young doctors focusing on family medicine.

“It will be necessary to review the remuneration of general practitioners compared with specialists to make family medicine more attractive,” replied François Paradis. For Amir Khadir, it is necessary to make working conditions more pleasant to increase the cohort of family medicine.

The FMEQ represents all the medical students and the external in Quebec. It has 3700 members.