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<title>Topic &#x27;Re: Quebec pharmacists granted more power by government&#x27; in forum &#x27;Canadian Chat&#x27; - dslreports.com</title>
<link>http://www.dslreports.com/forum/Re-Quebec-pharmacists-granted-more-power-by-government-30127447</link>
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<pubDate>Sat, 26 Mar 2022 03:42:46 EDT</pubDate>
<lastBuildDate>Sat, 26 Mar 2022 03:42:46 EDT</lastBuildDate>

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<title>Re: Quebec pharmacists granted more power by government</title>
<link>http://www.dslreports.com/forum/Re-Quebec-pharmacists-granted-more-power-by-government-30132730</link>
<description><![CDATA[Anav posted : An outcome when people think healthcare is free.  Unfortunately the huge debate on health care on rex murphy missed the most important point.  Our population is the unhealthiest its ever been and cannot be compared to when health care was started.   In fact, the costs of health care for our current bunch of lazy slobs is going to continue to outstrip our ability to pay for it.   Instead of calling people on their responsibilities to stay fit, successive govts have tried to cut services, reduce costs often at the expense of patient care and are , miserably failing.  Politicians don't have the guts to tell folks to buck up.   Either we all start to pay for all visits or we get people that don't care to opt out.  Sure you can smoke, but opt out.  etc etc...<br>If we don't see a drastic change, we will go down the budget toilet.  All this services manipulating is missing the real problem.<br><small>--<br>Ain't nuthin but the blues! "Albert Collins". <br>Leave your troubles at the door! "Pepe Peregil" De Sevilla.  Just Don't Wifi without WPA, "Yul Brenner"<br><br><A HREF="http://www.llamaworks.ca">LlamaWorks Equipment</a></small>]]></description>
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<pubDate>Wed, 24 Jun 2015 14:33:48 EDT</pubDate>
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<title>Re: Quebec pharmacists granted more power by government</title>
<link>http://www.dslreports.com/forum/Re-Quebec-pharmacists-granted-more-power-by-government-30132492</link>
<description><![CDATA[Relic posted : <div class="bquote"><said>said by <a href="/profile/1859671" onClick="this.blur(); return popup(event,'/uidpop?ajh=1&uid=1859671');">PX Eliezer1</a>:</said><p><div class="bquote"><said>said by <a href="/profile/431519" onClick="this.blur(); return popup(event,'/uidpop?ajh=1&uid=431519');">Anav</a>:</said><p>Governments will continue to unload services from doctors due to the bind they are in.  <br></p></div>We're seeing the same in the US.<br><br>California, like Quebec, is going to allow pharmacists to do much more.  In California they will be able to prescribe birth control, adjust BP and diabetes meds, order lab tests.<br><br>There's much more to come (and it will come to Canada too) regarding new powers for nurse practitioners, clinical psychologists, optometrists, and others.<br></p></div>It's not a case of doing much more, it's about basic services that normally are done at clinics. It's clearly aimed at reducing emergency wait times, because when the clinics are closed, basic services run up wait times. I'd love to see this in Alberta.]]></description>
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<pubDate>Wed, 24 Jun 2015 13:01:17 EDT</pubDate>
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<title>Re: Quebec pharmacists granted more power by government</title>
<link>http://www.dslreports.com/forum/Re-Quebec-pharmacists-granted-more-power-by-government-30132056</link>
<description><![CDATA[PX Eliezer1 posted : <div class="bquote"><said>said by <a href="/profile/431519" onClick="this.blur(); return popup(event,'/uidpop?ajh=1&uid=431519');">Anav</a>:</said><p>Governments will continue to unload services from doctors due to the bind they are in.  <br></p></div>We're seeing the same in the US.<br><br>California, like Quebec, is going to allow pharmacists to do much more.  In California they will be able to prescribe birth control, adjust BP and diabetes meds, order lab tests.<br><br>There's much more to come (and it will come to Canada too) regarding new powers for nurse practitioners, clinical psychologists, optometrists, and others.]]></description>
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<pubDate>Wed, 24 Jun 2015 10:03:12 EDT</pubDate>
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<title>Re: Quebec pharmacists granted more power by government</title>
<link>http://www.dslreports.com/forum/Re-Quebec-pharmacists-granted-more-power-by-government-30132044</link>
<description><![CDATA[Anav posted : Governments will continue to unload services from doctors due to the bind they are in.  They have created a fee for service model that promotes less than ideal medicine (for the patient) and does not address the increasing burden of documentation physicians must complete for every visit (legal protection, audits etc.....).   If they were to not use this crappy model, which they have not been able to ditch, they would have to compensate via another mechanism.  Any other mechanism would mean better patient care but the need for more doctors due to the length of time to it takes to do better first line care and the associated required documentation.  Thus the quandry, better patient care means more doctors and higher costs.   Go figure.   Thus lets look at vaccinations.  The governement pays doctors lets say $10 per visit for a shot.  By the way I sat in a doctors office during a shot session as an observer and witnessed that it indeed was relatively quick but for each patient there was an interchange about current ongoing care (quick followup or answer to any questions).   In other words a continuum of care  not covered by the fee code but done anyway.  Call it value for the fee if you will.<br>Now pharmacies can also give the shot.  The govt pays the pharmacist someting in the order of $5 dollars.   WOW, awesome, savings for the govt.  Agreed that if this encourages a higher percentage of compliance then that is a good thing.  Now here is where there are hidden costs to the physicians.  The pharmacist has to fax or inform the doctor of the vaccination.   The physician now has to enter into each patients record the vaccination.   The physician has not been paid to carry out this transaction.<br><br>The same BS occurs at a walk-in clinic.  If you have a regular physician, that clinic may fax over send over the visit information to family doctor, OR test results (if blood is drawn) may end up at the family physician.  All that information has to be documented and entered without any form of compensation.  The patient may have to be contacted and an appointment made.   All this takes time, time not available for other activities like actually seeing patients. <br><br>Just pointing out that there are consequences to the health care eco system for every decision made.<br><small>--<br>Ain't nuthin but the blues! "Albert Collins". <br>Leave your troubles at the door! "Pepe Peregil" De Sevilla.  Just Don't Wifi without WPA, "Yul Brenner"<br><br><A HREF="http://www.llamaworks.ca">LlamaWorks Equipment</a></small>]]></description>
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<pubDate>Wed, 24 Jun 2015 09:52:19 EDT</pubDate>
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<title>Re: Quebec pharmacists granted more power by government</title>
<link>http://www.dslreports.com/forum/Re-Quebec-pharmacists-granted-more-power-by-government-30132014</link>
<description><![CDATA[PX Eliezer1 posted : <div class="bquote"><said>said by <a href="/profile/1744712" onClick="this.blur(); return popup(event,'/uidpop?ajh=1&uid=1744712');">ekster</a>:</said><p>You can't really compare American pharmacists to pharmacists in Quebec. Rules and regulations are completely different.<br></p></div>Point taken, OTOH I am sure that many of the problems (and temptations) are the same.<br><br>As well, most likely the rules are 'somewhat' different, or 'fairly' different, but they are not going to be 'completely' different.<br><br>My main point is to say that not all pharmacists are saints, and not all doctors are quacks.<br><br><div class="bquote"><p>Mounties arrest pharmacist in alleged theft of prescription drugs<br><br>RCMP said an estimated 14,000 pills of the pain killer Dilaudid are believed to have disappeared from the pharmacy through the years.<br><br>Authorities are pursuing charges of fraud and illegal possession of a narcotic, but they cannot name the woman until charges are officially laid.<br><br>Investigators said they believe that the suspect also tampered with medication by removing 20% to 50% of the contents of some capsules before reassembling them and returning them to the shelf to be sold to customers.<br><br>Mounties said drug store officials began investigating the case upon reports from customers of the decreased efficacy of their medication.<br></p></div>&raquo;<A HREF="http://www.calgarysun.com/2014/02/13/innisfail-mounties-charge-pharmacist-in-alleged-theft-of-prescription-drugs" >www.calgarysun.com/2014/ &middot;&middot;&middot; on-drugs</A>]]></description>
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<pubDate>Wed, 24 Jun 2015 09:30:35 EDT</pubDate>
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<title>Re: Quebec pharmacists granted more power by government</title>
<link>http://www.dslreports.com/forum/Re-Quebec-pharmacists-granted-more-power-by-government-30131915</link>
<description><![CDATA[ekster posted : You can't really compare American pharmacists to pharmacists in Quebec. Rules and regulations are completely different.]]></description>
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<pubDate>Wed, 24 Jun 2015 08:24:08 EDT</pubDate>
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<title>Re: Quebec pharmacists granted more power by government</title>
<link>http://www.dslreports.com/forum/Re-Quebec-pharmacists-granted-more-power-by-government-30131897</link>
<description><![CDATA[PX Eliezer1 posted : <div class="bquote"><said>said by <a href="/profile/627680" onClick="this.blur(); return popup(event,'/uidpop?ajh=1&uid=627680');">Hydraglass</a>:</said><p>And you think a doctor at a clinic or a family doctor you've seen twice in 20 years does? HAH! Make me laugh more. My pharmacist has a far better record of my history than doctors... I've been to 4 different places for healthcare in 10 years and none of them know about the other it would seem.. but the same pharmacy every time. Pharmacist has a hell of a lot better idea of my medical history than some quack.<br></p></div>If you see doctors rarely (which might mean that you are in good shape, or quite the opposite) then how and why is that the fault of those doctors?<br><br>In particular, why does that make them into (to use your word) quacks?<br><br>A particular doctor might be a quack, a particular lawyer might be a shyster, a particular police officer might be on the take---but it would show bias to think that such is automatically and universally true.<br><br>-----<br><br>If you automatically call doctors "quacks" then someone else can automatically call pharmacists "junkies" and "pushers".<br><br><div class="bquote"><p>When I think back on my days back in pharmacy school, one thought about the students I hung out with comes to mind: What a bunch of criminals. We did a staggering amount of drugs in school.<br></p></div>&raquo;<A HREF="http://www.pharmacytimes.com/blogs/piller-of-the-community/0113/pharmacist-drug-abuse" >www.pharmacytimes.com/bl &middot;&middot;&middot; ug-abuse</A><br><br><div class="bquote"><p>Pacifica's owner, Thang Q. "Frank" Tran, sold pain medications in large quantities. Particularly popular with his customers were high-dose, 80-milligram tablets of OxyContin. Tran filled nearly twice as many of those prescriptions as did nearby Walgreens, CVS and Sav-On pharmacies combined, according to state records.<br><br>Many of his customers traveled long distances and paid cash. Rovero drove more than 350 miles from Arizona State University in Tempe to get his prescriptions in Rowland Heights and then 33 more miles to the pharmacy....<br><br>Rogue pharmacists are key enablers of drug abuse and an important source of supply for the illegal market.<br></p></div>&raquo;<A HREF="http://graphics.latimes.com/prescription-drugs-part-three/" >graphics.latimes.com/pre &middot;&middot;&middot; t-three/</A><br><br><div class="bquote"><p>Although the majority of pharmacists do not abuse prescription drugs, research has demonstrated fairly substantial rates of at least occasional misuse of opiates and anxiolytics among pharmacists, and past studies have estimated that 18-21% of pharmacists have misused prescription drugs.<br></p></div>&raquo;<A HREF="http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3756819/" >www.ncbi.nlm.nih.gov/pmc &middot;&middot;&middot; 3756819/</A>]]></description>
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<pubDate>Wed, 24 Jun 2015 07:59:39 EDT</pubDate>
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<title>Re: Quebec pharmacists granted more power by government</title>
<link>http://www.dslreports.com/forum/Re-Quebec-pharmacists-granted-more-power-by-government-30131884</link>
<description><![CDATA[Anav posted : <div class="bquote"><said>said by <a href="/profile/627680" onClick="this.blur(); return popup(event,'/uidpop?ajh=1&uid=627680');">Hydraglass</a>:</said><p><div class="bquote"><said>said by <a href="/profile/431519" onClick="this.blur(); return popup(event,'/uidpop?ajh=1&uid=431519');">Anav</a>:</said><p>You miss the point completely, on the first point they should both be equally aware of the interactions and current medicines available to their patients, otherwise they are both being negligent. I covered this in the above post.  What you fail to get is that the pharmacist has no idea of a patients medical history, history of compliance with medicines, past issues with drugs, family relationships that may or may not make taking medicines less or more risky.  In other words a whole slew of dynamics and I havent even covered all the medical problems a person may be having unrelated to the medicines being prescribed or filled on that very day.   <br></p></div>And you think a doctor at a clinic or a family doctor you've seen twice in 20 years does? HAH! Make me laugh more. My pharmacist has a far better record of my history than doctors... I've been to 4 different places for healthcare in 10 years and none of them know about the other it would seem.. but the same pharmacy every time. Pharmacist has a hell of a lot better idea of my medical history than some quack.<br></p></div>Your derogatry opinion of doctors is a strong indication of your bias in this thread.  In other words, it taints your opinions and adds nothing to this discussion.  If someone has only seen a doctor twice in 20 years, I dont think the person needs much in the way of medicines and has an amazing constitution.   I think it is wise to try to use the same pharmacy, assuming they keep patient records there, but that is no guarantee that the pharmacist is aware of your entire medical history or current status or family dynamics.     <br>In any case you only reinforce my disdain for walk in clinics as a crappy method of dispensing the first line of medical care in Canada.<br><small>--<br>Ain't nuthin but the blues! "Albert Collins". <br>Leave your troubles at the door! "Pepe Peregil" De Sevilla.  Just Don't Wifi without WPA, "Yul Brenner"<br><br><A HREF="http://www.llamaworks.ca">LlamaWorks Equipment</a></small>]]></description>
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<pubDate>Wed, 24 Jun 2015 07:42:25 EDT</pubDate>
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<title>Re: Quebec pharmacists granted more power by government</title>
<link>http://www.dslreports.com/forum/Re-Quebec-pharmacists-granted-more-power-by-government-30131190</link>
<description><![CDATA[telco_mtl posted : <div class="bquote"><said>said by <a href="/profile/510249" onClick="this.blur(); return popup(event,'/uidpop?ajh=1&uid=510249');">Guspaz</a>:</said><p><div class="bquote"><said>said by <a href="/profile/431519" onClick="this.blur(); return popup(event,'/uidpop?ajh=1&uid=431519');">Anav</a>:</said><p>As far as prescribing, pharmacists are very much working for the company they represent which can and does promote its brand of pharmaceuticals.</p></div>I can't name a single drug store company that also manufactures prescription medication. There is no Life brand prescription meds.<br></p></div>no but as this article states, the big chains limit who their franchisees can deal with, and that controls the brands that are behind the counter and some distributors own some of the smaller chains :<br>&raquo;<A HREF="http://www.journaldemontreal.com/2015/06/07/quebec-pourrait-economiser-des-centaines-de-millions" >www.journaldemontreal.co &middot;&middot;&middot; millions</A>]]></description>
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<pubDate>Tue, 23 Jun 2015 18:26:31 EDT</pubDate>
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<title>Re: Quebec pharmacists granted more power by government</title>
<link>http://www.dslreports.com/forum/Re-Quebec-pharmacists-granted-more-power-by-government-30130768</link>
<description><![CDATA[Guspaz posted : <div class="bquote"><said>said by <a href="/profile/431519" onClick="this.blur(); return popup(event,'/uidpop?ajh=1&uid=431519');">Anav</a>:</said><p>As far as prescribing, pharmacists are very much working for the company they represent which can and does promote its brand of pharmaceuticals.</p></div>I can't name a single drug store company that also manufactures prescription medication. There is no Life brand prescription meds.<br><small>--<br>Latest version of CapSavvy systray usage checker: &raquo;<A HREF="/forum/r29128976-CapSavvy-v4.3-released-">CapSavvy v4.3 released!</A></small>]]></description>
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<pubDate>Tue, 23 Jun 2015 14:40:34 EDT</pubDate>
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<title>Re: Quebec pharmacists granted more power by government</title>
<link>http://www.dslreports.com/forum/Re-Quebec-pharmacists-granted-more-power-by-government-30130163</link>
<description><![CDATA[Hydraglass posted : <div class="bquote"><said>said by <a href="/profile/431519" onClick="this.blur(); return popup(event,'/uidpop?ajh=1&uid=431519');">Anav</a>:</said><p>You miss the point completely, on the first point they should both be equally aware of the interactions and current medicines available to their patients, otherwise they are both being negligent. I covered this in the above post.  What you fail to get is that the pharmacist has no idea of a patients medical history, history of compliance with medicines, past issues with drugs, family relationships that may or may not make taking medicines less or more risky.  In other words a whole slew of dynamics and I havent even covered all the medical problems a person may be having unrelated to the medicines being prescribed or filled on that very day.   <br></p></div>And you think a doctor at a clinic or a family doctor you've seen twice in 20 years does? HAH! Make me laugh more. My pharmacist has a far better record of my history than doctors... I've been to 4 different places for healthcare in 10 years and none of them know about the other it would seem.. but the same pharmacy every time. Pharmacist has a hell of a lot better idea of my medical history than some quack.]]></description>
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<pubDate>Tue, 23 Jun 2015 10:19:58 EDT</pubDate>
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<title>Re: Quebec pharmacists granted more power by government</title>
<link>http://www.dslreports.com/forum/Re-Quebec-pharmacists-granted-more-power-by-government-30129925</link>
<description><![CDATA[Anav posted : <div class="bquote"><said>said by <a href="/profile/627680" onClick="this.blur(); return popup(event,'/uidpop?ajh=1&uid=627680');">Hydraglass</a>:</said><p><div class="bquote"><said>said by <a href="/profile/431519" onClick="this.blur(); return popup(event,'/uidpop?ajh=1&uid=431519');">Anav</a>:</said><p>Nothing makes sense without consultation with the physician, and is why walk in clinics are a joke and a product of lazy irresponsible governments<br></p></div>I'll have to disagree with this one wholeheartedly. Pharmacists today know far better what drugs do what, how they work, and how to prescribe them to patients than doctors do. People who are fully licensed pharmacists are better and more well prepared to deal with substituting one drug for another, what the proper prescription lengths and drugs are for common maladies, whether certain prescriptions can/should be extended for refill, etc.  More than once I've had a pharmacist refuse to fill a prescription from a doctor with their recommendation of "go to a clinic or another doctor - they are prescribing you the wrong thing - this will not work for you" - and sure enough with a stop at a clinic the doc says "what were they thinking? that's not right for you!". I'd trust a pharmacist 20 times before I'd trust a doctor once when it comes to drug choice.<br></p></div>You miss the point completely, on the first point they should both be equally aware of the interactions and current medicines available to their patients, otherwise they are both being negligent. I covered this in the above post.  What you fail to get is that the pharmacist has no idea of a patients medical history, history of compliance with medicines, past issues with drugs, family relationships that may or may not make taking medicines less or more risky.  In other words a whole slew of dynamics and I havent even covered all the medical problems a person may be having unrelated to the medicines being prescribed or filled on that very day.   <br><br><small>--<br>Ain't nuthin but the blues! "Albert Collins". <br>Leave your troubles at the door! "Pepe Peregil" De Sevilla.  Just Don't Wifi without WPA, "Yul Brenner"<br><br><A HREF="http://www.llamaworks.ca">LlamaWorks Equipment</a></small>]]></description>
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<pubDate>Tue, 23 Jun 2015 08:01:55 EDT</pubDate>
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<title>Re: Quebec pharmacists granted more power by government</title>
<link>http://www.dslreports.com/forum/Re-Quebec-pharmacists-granted-more-power-by-government-30129924</link>
<description><![CDATA[Anav posted : I can see the problems/challenges are uniquely different in Quebec and thus extrapolating to the rest of the provinces makes little sense.<br><br>As far as prescribing, pharmacists are very much working for the company they represent which can and does promote its brand of pharmaceuticals.  To have the pharmacist push their companies brand is a conflict of interest.   I have no doubt physicians that are not current on medicines, shame on them, will ask for advice from a pharmacist, even those that are current may doublecheck to ensure that they indeed have the latest information.  Both professionals have to keep current by reading journals, reports from studies etc............   Having the degree or profession means squat if one stops reading.<br><small>--<br>Ain't nuthin but the blues! "Albert Collins". <br>Leave your troubles at the door! "Pepe Peregil" De Sevilla.  Just Don't Wifi without WPA, "Yul Brenner"<br><br><A HREF="http://www.llamaworks.ca">LlamaWorks Equipment</a></small>]]></description>
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<pubDate>Tue, 23 Jun 2015 08:01:30 EDT</pubDate>
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<title>Re: Quebec pharmacists granted more power by government</title>
<link>http://www.dslreports.com/forum/Re-Quebec-pharmacists-granted-more-power-by-government-30129908</link>
<description><![CDATA[mr weather posted : <div class="bquote"><said>said by <a href="/profile/1744712" onClick="this.blur(); return popup(event,'/uidpop?ajh=1&uid=1744712');">ekster</a>:</said><p>While hospitals are not private, the doctor that do the actual prescribing are all private. Most of them even operate under a private corporation.<br></p></div>And many of them operate pharmacies out of their practises. They get paid both ways. <br><small>--<br>"It's all coming down!!" - Mike Holmes</small>]]></description>
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<pubDate>Tue, 23 Jun 2015 07:19:27 EDT</pubDate>
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<title>Re: Quebec pharmacists granted more power by government</title>
<link>http://www.dslreports.com/forum/Re-Quebec-pharmacists-granted-more-power-by-government-30129198</link>
<description><![CDATA[telco_mtl posted : <div class="bquote"><said>said by <a href="/profile/1744712" onClick="this.blur(); return popup(event,'/uidpop?ajh=1&uid=1744712');">ekster</a>:</said><p>While hospitals are not private, the doctor that do the actual prescribing are all private. Most of them even operate under a private corporation.<br></p></div>exactly, doctors in quebec are not "government employees" like the nurses. As well the bigger conflict i see is the doctors that work out of hospitals and own private (non ramq accepting) clinics. I once got dinged by a specialist who happened to have a stake in a private radiology clinic.]]></description>
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<pubDate>Mon, 22 Jun 2015 19:13:04 EDT</pubDate>
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<title>Re: Quebec pharmacists granted more power by government</title>
<link>http://www.dslreports.com/forum/Re-Quebec-pharmacists-granted-more-power-by-government-30129094</link>
<description><![CDATA[ekster posted : While hospitals are not private, the doctor that do the actual prescribing are all private. Most of them even operate under a private corporation.]]></description>
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<pubDate>Mon, 22 Jun 2015 18:24:32 EDT</pubDate>
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<title>Re: Quebec pharmacists granted more power by government</title>
<link>http://www.dslreports.com/forum/Re-Quebec-pharmacists-granted-more-power-by-government-30128989</link>
<description><![CDATA[PX Eliezer1 posted : <div class="bquote"><said>said by <a href="/profile/510249" onClick="this.blur(); return popup(event,'/uidpop?ajh=1&uid=510249');">Guspaz</a>:</said><p>Pharmacists specialize in this, doctors don't....Why shouldn't we give more flexibility to pharmacists? They're the experts on this stuff.<br></p></div>OTOH I could say this:<br><br>Pharmacists have to know all types of meds, from allergy to oncology to urology.<br><br>And you can say the same of a primary care doctor (eg family physician).<br><br>The pharmacological skills of those two groups are probably similar, although typically the family doctor has more opportunity to follow the patient.<br><br>But since you brought the US into this:  In the US system there is much more use of specialists.  And the cardiologist or endocrinologist or hematologist is going to know much more regarding the meds in their particular field than the pharmacist.<br><br>To the extent that specialist physicians are used in Canada, this will be true there as well.<br><br><div class="bquote"><said>said by <a href="/profile/510249" onClick="this.blur(); return popup(event,'/uidpop?ajh=1&uid=510249');">Guspaz</a>:</said><p>Doctors are (at least in the US) heavily lobbied/paid off by pharmaceutical companies, while pharmacists aren't. <br></p></div>Not true.<br><br><div class="bquote"><p>Drug companies&#146; gifts to pharmacists probed by Ottawa<br><br>The federal government is investigating Canadian pharmacists who received millions of dollars in gifts and payments from major pharmaceutical companies in return for stocking their drugs.<br><br>The payments, denounced by a judge in one case as &#147;kickbacks,&#148; include money, prepaid credit cards, concert tickets and trips.<br><br>The Canada Revenue Agency is probing whether drugstore owners reported the gifts as income, and has taken nearly 20 drug companies to court to try to get records of the payments.<br><br>So far, the agency has flagged more than $18 million in unreported drug company gifts and payments.<br></p></div>&raquo;<A HREF="http://www.thestar.com/news/canada/2014/12/11/drug_companies_gifts_to_pharmacists_probed_by_ottawa.html" >www.thestar.com/news/can &middot;&middot;&middot; awa.html</A><br><br><div class="bquote"><p>The Canada Revenue Agency has launched a countrywide probe into millions of dollars' worth of incentives and allowances &#151; including rebates, trips and concert tickets &#151; paid by generic drug companies to pharmacies....<br><br>So-called professional allowances have been standard for years in Canada. Because multiple generic manufacturers are often producing identical drugs, they battle to get their products stocked on pharmacy shelves.<br><br>Incentives and payments are used to persuade pharmacists to choose one company's generic drug over others....<br><br>The list of possible incentives includes money transfers, preloaded credit cards, gift cards, concert tickets, trips and traveller's cheques.<br><br>It's not clear how much is currently paid in incentives to pharmacies. In 2009, the Ontario government reported generic manufacturers had paid $750 million in professional allowances to pharmacists. The province has since banned professional allowances.<br></p></div>&raquo;<A HREF="http://www.cbc.ca/news/canada/nova-scotia/canada-revenue-agency-probes-pharmacy-incentives-from-drug-makers-1.2867194" >www.cbc.ca/news/canada/n &middot;&middot;&middot; .2867194</A>]]></description>
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<pubDate>Mon, 22 Jun 2015 17:35:08 EDT</pubDate>
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<title>Re: Quebec pharmacists granted more power by government</title>
<link>http://www.dslreports.com/forum/Re-Quebec-pharmacists-granted-more-power-by-government-30128971</link>
<description><![CDATA[EUS posted : Private clinics aside, CLSC's are not private businesses, neither are hospitals.<br>Every single pharmacy is.<br>You'll never convince me that allowing the changes I listed above is appropriate.<br>Expediency is not always the right answer.<br><small>--<br>"It is difficult to get a man to understand something, when his salary depends on his not understanding it."<br><b><A HREF="http://www.tdprojecthope.com/"> ~ Project Hope ~ </a></b></small>]]></description>
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<pubDate>Mon, 22 Jun 2015 17:27:57 EDT</pubDate>
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<title>Re: Quebec pharmacists granted more power by government</title>
<link>http://www.dslreports.com/forum/Re-Quebec-pharmacists-granted-more-power-by-government-30128932</link>
<description><![CDATA[Ian1 posted : Curious to know what the insurance companies behind pharmacists think about the expansion.  Doctors carry huge liability insurance against malpractice.  The standard model had the doctor carry the risk of prescribing the right things in the right dosage.<br><small>--<br>Any claim that the root of a problem is simple should be treated the same as a claim that the root of a problem is Bigfoot.  Simplicity and Bigfoot are found in the real world with about the same frequency.  David Wong</small>]]></description>
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<pubDate>Mon, 22 Jun 2015 17:07:47 EDT</pubDate>
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<title>Re: Quebec pharmacists granted more power by government</title>
<link>http://www.dslreports.com/forum/Re-Quebec-pharmacists-granted-more-power-by-government-30128879</link>
<description><![CDATA[ekster posted : Doctors are owners of private businesses as well, who try to increase their bottom line. If one has a conflict of interest, then so did the other the whole time.<br><br>And the pharmacist have to notify your doctor whenever they want to renew, change or give something new anyways (for anything serious. For other things like birth control, it's a real waste of time for the person and the doctor for no reason at all). There won't be any new medication flying everywhere like candy.]]></description>
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<pubDate>Mon, 22 Jun 2015 16:46:13 EDT</pubDate>
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<title>Re: Quebec pharmacists granted more power by government</title>
<link>http://www.dslreports.com/forum/Re-Quebec-pharmacists-granted-more-power-by-government-30128851</link>
<description><![CDATA[EUS posted : <div class="bquote"><said>said by <a href="/profile/1744712" onClick="this.blur(); return popup(event,'/uidpop?ajh=1&uid=1744712');">ekster</a>:</said><p>Funny story: friend works at a pharmacy and the main pharmacist gets a big amount of calls from doctors to get recommendations for different medications because something is showing no effect, or to ask questions about side effects of medication, to ask if certain medication can be mixed, etc.<br><br>Pharmacists are specialists when it comes to medication and actually know more than doctors.<br></p></div>They're also owners of a private business, who try to increase their bottom line, which is a conflict of interest.<br><small>--<br>"It is difficult to get a man to understand something, when his salary depends on his not understanding it."<br><b><A HREF="http://www.tdprojecthope.com/"> ~ Project Hope ~ </a></b></small>]]></description>
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<pubDate>Mon, 22 Jun 2015 16:33:56 EDT</pubDate>
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<title>Re: Quebec pharmacists granted more power by government</title>
<link>http://www.dslreports.com/forum/Re-Quebec-pharmacists-granted-more-power-by-government-30128735</link>
<description><![CDATA[Guspaz posted : Pharmacists specialize in this, doctors don't. Doctors are (at least in the US) heavily lobbied/paid off by pharmaceutical companies, while pharmacists aren't. Why shouldn't we give more flexibility to pharmacists? They're the experts on this stuff.<br><small>--<br>Latest version of CapSavvy systray usage checker: &raquo;<A HREF="/forum/r29128976-CapSavvy-v4.3-released-">CapSavvy v4.3 released!</A></small>]]></description>
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<pubDate>Mon, 22 Jun 2015 15:48:09 EDT</pubDate>
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<title>Re: Quebec pharmacists granted more power by government</title>
<link>http://www.dslreports.com/forum/Re-Quebec-pharmacists-granted-more-power-by-government-30128349</link>
<description><![CDATA[ekster posted : Funny story: friend works at a pharmacy and the main pharmacist gets a big amount of calls from doctors to get recommendations for different medications because something is showing no effect, or to ask questions about side effects of medication, to ask if certain medication can be mixed, etc.<br><br>Pharmacists are specialists when it comes to medication and actually know more than doctors.]]></description>
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<pubDate>Mon, 22 Jun 2015 12:43:57 EDT</pubDate>
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<title>Re: Quebec pharmacists granted more power by government</title>
<link>http://www.dslreports.com/forum/Re-Quebec-pharmacists-granted-more-power-by-government-30128322</link>
<description><![CDATA[Hydraglass posted : <div class="bquote"><said>said by <a href="/profile/431519" onClick="this.blur(); return popup(event,'/uidpop?ajh=1&uid=431519');">Anav</a>:</said><p>Nothing makes sense without consultation with the physician, and is why walk in clinics are a joke and a product of lazy irresponsible governments<br></p></div>I'll have to disagree with this one wholeheartedly. Pharmacists today know far better what drugs do what, how they work, and how to prescribe them to patients than doctors do. People who are fully licensed pharmacists are better and more well prepared to deal with substituting one drug for another, what the proper prescription lengths and drugs are for common maladies, whether certain prescriptions can/should be extended for refill, etc.  More than once I've had a pharmacist refuse to fill a prescription from a doctor with their recommendation of "go to a clinic or another doctor - they are prescribing you the wrong thing - this will not work for you" - and sure enough with a stop at a clinic the doc says "what were they thinking? that's not right for you!". I'd trust a pharmacist 20 times before I'd trust a doctor once when it comes to drug choice.]]></description>
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<pubDate>Mon, 22 Jun 2015 12:32:56 EDT</pubDate>
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<title>Re: Quebec pharmacists granted more power by government</title>
<link>http://www.dslreports.com/forum/Re-Quebec-pharmacists-granted-more-power-by-government-30128294</link>
<description><![CDATA[Anav posted : Nothing makes sense without consultation with the physician, and is why walk in clinics are a joke and a product of lazy irresponsible governments]]></description>
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<pubDate>Mon, 22 Jun 2015 12:20:40 EDT</pubDate>
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<title>Re: Quebec pharmacists granted more power by government</title>
<link>http://www.dslreports.com/forum/Re-Quebec-pharmacists-granted-more-power-by-government-30128233</link>
<description><![CDATA[AsherN posted : Part of the first one makes sense. I take a blood pressure med which is 2 meds in one tablet. They were out of stock one time. Pharmacist told me he had stock of the 2 individual meds but he was not allowed to change the prescription. Extending, depends on the med. ]]></description>
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<pubDate>Mon, 22 Jun 2015 11:49:37 EDT</pubDate>
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<title>Re: Quebec pharmacists granted more power by government</title>
<link>http://www.dslreports.com/forum/Re-Quebec-pharmacists-granted-more-power-by-government-30128159</link>
<description><![CDATA[EUS posted : QC's answer to a Doctor shortage is to allow the drug dealer to alter a prescription.<br>These 2 points from the article should not be in the dealer's hands.<br><br>- Extending or adjusting a prescription, as well as switching one medication for another if something's out of stock.<br><br>- Ordering and interpreting lab results.<br><small>--<br>"It is difficult to get a man to understand something, when his salary depends on his not understanding it."<br><b><A HREF="http://www.tdprojecthope.com/"> ~ Project Hope ~ </a></b></small>]]></description>
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<pubDate>Mon, 22 Jun 2015 11:16:34 EDT</pubDate>
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<title>Quebec pharmacists granted more power by government</title>
<link>http://www.dslreports.com/forum/Quebec-pharmacists-granted-more-power-by-government-30127447</link>
<description><![CDATA[jaberi posted : Starting today, Quebecers can skip the emergency room and go straight to their local pharmacist for some basic medical services in the province.<br><br>&raquo;<A HREF="https://ca.news.yahoo.com/quebec-pharmacists-granted-more-power-162731740.html" >ca.news.yahoo.com/quebec &middot;&middot;&middot; 740.html</A><br>-------------------------------------------------------------------------------<br>someone said we already have this in ALberta... maybe they are talking about gravol, people have to go to their doctor otherwise.]]></description>
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<pubDate>Sun, 21 Jun 2015 21:17:18 EDT</pubDate>
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