Letters to the editor: ‘There will always be politicians like Danielle Smith who preach to the discontented with questionable promises … but promising and delivering are two separate issues.’ Alienation in Alberta, plus other letters to the editor for Oct. 4

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Letters to the editor: ‘There will always be politicians like Danielle Smith who preach to the discontented with questionable promises … but promising and delivering are two separate issues.’ Alienation in Alberta, plus other letters to the editor for Oct. 4
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‘There will always be politicians like Danielle Smith who preach to the discontented with questionable promises … but promising and delivering are two separate issues.’ Alienation in Alberta, plus other letters to the editor for Oct. 4

: As a medical oncologist at BC Cancer from 1982 to 2010 and as vice-president of cancer care from 2005 to 2010, I’ve observed the dislocation of expert oncology advice from clinicians to government since the inception of the Provincial Health Services Authority.

In my experience, its governance model has not supported multiyear planning to gradually grow specialized staff, investment in resources, capital equipment for radiotherapy and expansion of facilities. Instead, layers of bureaucracy have stifled the voices of experts and eroded clinical governance, cancer care and research, to the point where staff are under strain and patient wait times are unacceptable.

New funding for staff and proposals for investment cannot compensate for years of attrition. The demographics of an aging population drive predictable growth in cancer incidence, yet there was a failure to address inevitable demands for diagnosis and care in an increasingly complex therapeutic environment.

Malls are filled with well-clothed people carrying $500 clutch purses. Roads are filled with shiny, expensive cars and pickup trucks. Advertising for sports betting fills our television screens. Arenas charge $12 or more for a beer. No one, including members of my family, does their own nails any more.

Meanwhile, we don’t have enough hospital beds, nursing salaries are capped, roads everywhere are pot-holed, etc. Does that answer the question?

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