MARCH 15, 2005
VOLUME 2 NO. 5
 

My doctor doesn't live here anymore

Geraldton, ON: a case study in Canada's rural doctor shortage


A small town in Northern Ontario could soon be left with no local physicians after all six doctors in the community recently announced they are leaving. The news of the exodus came in an advertisement in the local newspaper of Geraldton, ON. Now, the aging community of roughly 3,000 could be completely doctorless. But mayor Michael Power says he's confident that temporary doctors will be in place come moving day.

"We will have a full complement of doctors in place," Mr Power says. "As a first step, with the ministry of health's assistance, we will have doctors in place to ensure that the hospital, emergency room and basic healthcare will continue." He adds, "Step two is the recruitment of a longterm arrangement with doctors [for the community]."

The province's health minister, George Smitherman, recently spent a question period in the provincial legislature answering opposition critics' pointed questions over the loss of Geraldton's doctors. He said the province will replace them as soon as possible.

"This hospital is part of a five-hospital network, which means that there is other strength in the region that we can depend upon," he said. "The people of Geraldton will not be left abandoned."

A QUEEN'S PARK CARROT
Mr Smitherman is working on a plan to raise the pay of Ontario physicians by about $1 billion over four years. It would also boost the pay of doctors who work outside traditional hours in rural areas like Greenstone by up to 35%.

Mr Power says his community has always struggled to find and keep doctors, even though the six in the community were among the highest paid in the province, according to the Ontario Health Association. Power has set a deadline of March 10 for the health ministry to assure him that temporary doctors will be ready to care for the community until permanent physicians can be found.

"Because of our location being 14 hours north on Yonge Street [in Toronto], it means it has always been a bit of a challenge [to find doctors]," Power says. "To my knowledge, we've never had an emergency where every doctor said they would leave on the same day. It's an anomaly and it certainly jangled the nerves of our community, the health minister and the government."

DIRE COINCIDENCE
All six physicians, who will be gone by May 13, say they didn't plan to leave at the same time and were each leaving for personal reasons. Dr Saralaine Johnstone, one of the doctors packing up her practice, told the Canadian Press: "This is not how any of us wanted this to end. We've certainly expressed our regret on the impact that this is going to have on the community."

According to the Thunder Bay Chronicle-Herald one of the six physicians, Coroner Dr Roy Laine, would likely continue practising in Geraldton provided he's not the only doctor in town.

Premier Dalton McGuinty gave a speech where he told of 140 Ontario cities and towns which are short of doctors. The Coalition for Family Physicians in Ontario recently launched an ad campaign to draw attention to the fact that one in 10 Ontarians — that's a million people — are without a family physician. The Ontario Medical Association predicts that this number will just keep growing as hundreds of doctors retire over the next few years.

It's in small communities like Geraldton where the shortage of physicians is most acute. Geraldton is part of the amalgamated municipality of Greenstone. It's situated 100 kilometres north of Lake Superior, three hours drive from Thunder Bay. Thirty-five percent of its population is over 50 years of age, according to Mr Power.

 

 

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