Mark Roseman
@markroseman.com
Fierce independent advocate for effective public health care. 🍁
Systems thinker. Recovering UX, collaboration tech geek.
Innovator, analyst, small biz guy, writer, philosopher, unfocused… 🤦🏻♂️
Victoria BC https://markroseman.com
Systems thinker. Recovering UX, collaboration tech geek.
Innovator, analyst, small biz guy, writer, philosopher, unfocused… 🤦🏻♂️
Victoria BC https://markroseman.com
Pinned
Mark Roseman
@markroseman.com
· May 24
Happy to see they published this. Govt needs to be reminded people expect more and that lies and misinformation shouldn't be okay.
Op ed: Our health-care system should focus on results www.timescolonist.com/opinion/comm...
Op ed: Our health-care system should focus on results www.timescolonist.com/opinion/comm...
Here’s a radical idea. Start making our public system work. Use the precious resources we devote wisely.
How? This is not an “ideas” problem, a “public vs. private” problem, a “funding” problem or, as our govt view it, a “communications” problem.
This is a management problem.
How? This is not an “ideas” problem, a “public vs. private” problem, a “funding” problem or, as our govt view it, a “communications” problem.
This is a management problem.
A hybrid system with a functioning public tier is worth considering. That's NOT what we're talking about here.
If there's no floor on public system performance (access to ER's, primary care, other basic services), we don't have a health system. We have a fucking lottery.
If there's no floor on public system performance (access to ER's, primary care, other basic services), we don't have a health system. We have a fucking lottery.
November 22, 2025 at 5:11 PM
A hybrid system with a functioning public tier is worth considering. That's NOT what we're talking about here.
If there's no floor on public system performance (access to ER's, primary care, other basic services), we don't have a health system. We have a fucking lottery.
If there's no floor on public system performance (access to ER's, primary care, other basic services), we don't have a health system. We have a fucking lottery.
Step 1. Remove all metrics from public system that would allow tracking effectiveness. ✔️
Step 2. Replace with cherry-picked political spin. ✔️
Step 3. Migrate workforce away from public system.
Step 4. Claim no evidence that public system was hurt from loss of resources.
Step 2. Replace with cherry-picked political spin. ✔️
Step 3. Migrate workforce away from public system.
Step 4. Claim no evidence that public system was hurt from loss of resources.
November 22, 2025 at 5:11 PM
Step 1. Remove all metrics from public system that would allow tracking effectiveness. ✔️
Step 2. Replace with cherry-picked political spin. ✔️
Step 3. Migrate workforce away from public system.
Step 4. Claim no evidence that public system was hurt from loss of resources.
Step 2. Replace with cherry-picked political spin. ✔️
Step 3. Migrate workforce away from public system.
Step 4. Claim no evidence that public system was hurt from loss of resources.
Reposted by Mark Roseman
In extremely unsurprising news, Shoppers Drug Mart and other large pharmacy chains continue to pressure pharmacists to churn out low value MedsChecks on the public dime.
Shoppers Drug Mart billed $81M for MedsChecks in 2 years when COVID services waned https://www.cbc.ca/news/canada/toronto/shoppers-drug-mart-medscheck-billing-9.6981970
𝗠𝗼𝗿𝗲 𝗻𝗲𝘄𝘀 ⇢ CanadaHealthwatch.ca 🍁
𝗠𝗼𝗿𝗲 𝗻𝗲𝘄𝘀 ⇢ CanadaHealthwatch.ca 🍁
November 19, 2025 at 2:06 AM
In extremely unsurprising news, Shoppers Drug Mart and other large pharmacy chains continue to pressure pharmacists to churn out low value MedsChecks on the public dime.
Reposted by Mark Roseman
“Under B.C.’s Freedom of Information and Protection of Privacy Act, public bodies such as government ministries and policing agencies are not only required to comply with FOI requests, but to do so within a reasonable timeframe.”
the VPD refuses to observe the law
www.ctvnews.ca/vancouver/ar...
the VPD refuses to observe the law
www.ctvnews.ca/vancouver/ar...
November 17, 2025 at 10:23 PM
“Under B.C.’s Freedom of Information and Protection of Privacy Act, public bodies such as government ministries and policing agencies are not only required to comply with FOI requests, but to do so within a reasonable timeframe.”
the VPD refuses to observe the law
www.ctvnews.ca/vancouver/ar...
the VPD refuses to observe the law
www.ctvnews.ca/vancouver/ar...
Reposted by Mark Roseman
Our health "system" is largely built on individual docs and other health practitioners doing their own thing.
That may have worked when most weren't burned out, there were adequate resources, and they could devote the needed time to patients.
Time to admit that day has passed?
That may have worked when most weren't burned out, there were adequate resources, and they could devote the needed time to patients.
Time to admit that day has passed?
November 14, 2025 at 8:18 PM
Our health "system" is largely built on individual docs and other health practitioners doing their own thing.
That may have worked when most weren't burned out, there were adequate resources, and they could devote the needed time to patients.
Time to admit that day has passed?
That may have worked when most weren't burned out, there were adequate resources, and they could devote the needed time to patients.
Time to admit that day has passed?
Reposted by Mark Roseman
“I am not working in those facilities because I find it morally inappropriate.”
A Tyee investigation found that Calgary anesthesiologists are being scheduled by managers, in response to government directives, to work in for-profit chartered surgical facilities, sometimes against their will. #abpoli
A Tyee investigation found that Calgary anesthesiologists are being scheduled by managers, in response to government directives, to work in for-profit chartered surgical facilities, sometimes against their will. #abpoli
Insiders Detail Ways Alberta’s For-Profit Surgery Push Is Failing | The Tyee
The shift strong-arms doctors but hasn’t saved money or shortened waits for critical operations, sources say. A Tyee investigation.
thetyee.ca
November 17, 2025 at 3:23 PM
“I am not working in those facilities because I find it morally inappropriate.”
A Tyee investigation found that Calgary anesthesiologists are being scheduled by managers, in response to government directives, to work in for-profit chartered surgical facilities, sometimes against their will. #abpoli
A Tyee investigation found that Calgary anesthesiologists are being scheduled by managers, in response to government directives, to work in for-profit chartered surgical facilities, sometimes against their will. #abpoli
Our health "system" is largely built on individual docs and other health practitioners doing their own thing.
That may have worked when most weren't burned out, there were adequate resources, and they could devote the needed time to patients.
Time to admit that day has passed?
That may have worked when most weren't burned out, there were adequate resources, and they could devote the needed time to patients.
Time to admit that day has passed?
November 14, 2025 at 8:18 PM
Our health "system" is largely built on individual docs and other health practitioners doing their own thing.
That may have worked when most weren't burned out, there were adequate resources, and they could devote the needed time to patients.
Time to admit that day has passed?
That may have worked when most weren't burned out, there were adequate resources, and they could devote the needed time to patients.
Time to admit that day has passed?
Why Is It So Hard to Fix a Wheelchair in BC?
(hint: an unaccountable government plays a big role)
via @thetyee.ca thetyee.ca/News/2025/11...
(hint: an unaccountable government plays a big role)
via @thetyee.ca thetyee.ca/News/2025/11...
Why Is It So Hard to Fix a Wheelchair in BC? | The Tyee
Disabled people say companies are struggling to service their equipment, which can trap them in bed or at home.
thetyee.ca
November 13, 2025 at 1:48 PM
Why Is It So Hard to Fix a Wheelchair in BC?
(hint: an unaccountable government plays a big role)
via @thetyee.ca thetyee.ca/News/2025/11...
(hint: an unaccountable government plays a big role)
via @thetyee.ca thetyee.ca/News/2025/11...
Reposted by Mark Roseman
Significantly fewer people are requesting government records in B.C., causing advocates to worry the decline signals eroding government transparency and a loss of trust in public institutions. @amandafollett.bsky.social reports. #bcpoli #foi
Are People Losing Trust in BC’s FOI System? | The Tyee
The province’s information commissioner says plunging numbers of requests should prompt questions.
thetyee.ca
November 7, 2025 at 3:11 PM
Significantly fewer people are requesting government records in B.C., causing advocates to worry the decline signals eroding government transparency and a loss of trust in public institutions. @amandafollett.bsky.social reports. #bcpoli #foi
Reposted by Mark Roseman
BC’s recent report into its administration of FOI laws shows that requests for general govt records has dropped below a third of what it was five years ago.
Experts worry what that could mean for govt transparency and trust in public institutions. @thetyee.ca thetyee.ca/News/2025/11...
Experts worry what that could mean for govt transparency and trust in public institutions. @thetyee.ca thetyee.ca/News/2025/11...
Are People Losing Trust in BC’s FOI System? | The Tyee
The province’s information commissioner says plunging numbers of requests should prompt questions.
thetyee.ca
November 7, 2025 at 3:20 PM
BC’s recent report into its administration of FOI laws shows that requests for general govt records has dropped below a third of what it was five years ago.
Experts worry what that could mean for govt transparency and trust in public institutions. @thetyee.ca thetyee.ca/News/2025/11...
Experts worry what that could mean for govt transparency and trust in public institutions. @thetyee.ca thetyee.ca/News/2025/11...
Reposted by Mark Roseman
The lesson of history is that tyrants cannot be appeased.
Appeasement only feeds their insatiable hunger for power.
Tyrants prey on people who feel unsafe and vulnerable.
But without mass submission, a tyrant is powerless.
Remember this.
Appeasement only feeds their insatiable hunger for power.
Tyrants prey on people who feel unsafe and vulnerable.
But without mass submission, a tyrant is powerless.
Remember this.
November 5, 2025 at 5:28 AM
The lesson of history is that tyrants cannot be appeased.
Appeasement only feeds their insatiable hunger for power.
Tyrants prey on people who feel unsafe and vulnerable.
But without mass submission, a tyrant is powerless.
Remember this.
Appeasement only feeds their insatiable hunger for power.
Tyrants prey on people who feel unsafe and vulnerable.
But without mass submission, a tyrant is powerless.
Remember this.
Reposted by Mark Roseman
NL patient says doctors and nurses lack training in POTS, dysautonomia https://www.saltwire.com/newfoundland-labrador/nl-pots-samantha-winsor
More news → CanadaHealthwatch.ca 🍁
More news → CanadaHealthwatch.ca 🍁
November 5, 2025 at 3:55 PM
NL patient says doctors and nurses lack training in POTS, dysautonomia https://www.saltwire.com/newfoundland-labrador/nl-pots-samantha-winsor
More news → CanadaHealthwatch.ca 🍁
More news → CanadaHealthwatch.ca 🍁
Reposted by Mark Roseman
What establishment Dems tried to do to Mamdani, the BC NDP successfully did to Anjali Appadurai.
She was poised to win the leadership race by actually getting people to join the party. The old guard didn't like that, so they crushed the next generation to maintain their grip on power.
She was poised to win the leadership race by actually getting people to join the party. The old guard didn't like that, so they crushed the next generation to maintain their grip on power.
David Eby to become next B.C. premier after NDP ousts leadership rival Anjali Appadurai | CBC News
The B.C. NDP executive has voted to disqualify Anjali Appadurai from its leadership race, effectively crowning David Eby as the next premier of British Columbia.
www.cbc.ca
November 5, 2025 at 4:59 AM
What establishment Dems tried to do to Mamdani, the BC NDP successfully did to Anjali Appadurai.
She was poised to win the leadership race by actually getting people to join the party. The old guard didn't like that, so they crushed the next generation to maintain their grip on power.
She was poised to win the leadership race by actually getting people to join the party. The old guard didn't like that, so they crushed the next generation to maintain their grip on power.
Reposted by Mark Roseman
Every. Single. Time I criticize the feds on health care someone shows up in my mentions to remind me of this basic fact about the industry in which I work.
Why the apologetics? Being loud about health care is the ONLY way we get anything done.
Speaking truth to power >>> party loyalty.
Why the apologetics? Being loud about health care is the ONLY way we get anything done.
Speaking truth to power >>> party loyalty.
November 1, 2025 at 5:34 PM
Every. Single. Time I criticize the feds on health care someone shows up in my mentions to remind me of this basic fact about the industry in which I work.
Why the apologetics? Being loud about health care is the ONLY way we get anything done.
Speaking truth to power >>> party loyalty.
Why the apologetics? Being loud about health care is the ONLY way we get anything done.
Speaking truth to power >>> party loyalty.
Government data on Health Connect Registry (wait list to be attached to family doctor or nurse practitioner) across the province.
healthdatabc.ca/primarycare/
In some areas, virtually everyone who wants to be is attached. Others have tens of thousands waiting… often for years.
healthdatabc.ca/primarycare/
In some areas, virtually everyone who wants to be is attached. Others have tens of thousands waiting… often for years.
November 1, 2025 at 5:17 PM
Government data on Health Connect Registry (wait list to be attached to family doctor or nurse practitioner) across the province.
healthdatabc.ca/primarycare/
In some areas, virtually everyone who wants to be is attached. Others have tens of thousands waiting… often for years.
healthdatabc.ca/primarycare/
In some areas, virtually everyone who wants to be is attached. Others have tens of thousands waiting… often for years.
Latest CIHI data for same/next day access to a health provider.
While the numbers are not good anywhere, BC scores lowest in the country for both adults and children/youth.
While the numbers are not good anywhere, BC scores lowest in the country for both adults and children/youth.
November 1, 2025 at 5:16 PM
Latest CIHI data for same/next day access to a health provider.
While the numbers are not good anywhere, BC scores lowest in the country for both adults and children/youth.
While the numbers are not good anywhere, BC scores lowest in the country for both adults and children/youth.
Why are there no nurses available to staff ERs?
Well, many have ended up at UPCCs. Far more than we need. Far more nurses than primary care providers.
Nursing spending nearly doubled(!) from 2023-2024, outpacing all other areas.
Best use of a scarce resource?
Well, many have ended up at UPCCs. Far more than we need. Far more nurses than primary care providers.
Nursing spending nearly doubled(!) from 2023-2024, outpacing all other areas.
Best use of a scarce resource?
November 1, 2025 at 5:15 PM
Why are there no nurses available to staff ERs?
Well, many have ended up at UPCCs. Far more than we need. Far more nurses than primary care providers.
Nursing spending nearly doubled(!) from 2023-2024, outpacing all other areas.
Best use of a scarce resource?
Well, many have ended up at UPCCs. Far more than we need. Far more nurses than primary care providers.
Nursing spending nearly doubled(!) from 2023-2024, outpacing all other areas.
Best use of a scarce resource?
Yet to see coverage of primary care wait list stats (~400k on HCR, wait times on list > 1-5 years) that were obtained by FOI from BC govt.
Details/data at healthdatabc.ca/primarycare/
Or the >20k ER closures: healthdatabc.ca/emrg/
Details/data at healthdatabc.ca/primarycare/
Or the >20k ER closures: healthdatabc.ca/emrg/
Primary Care Attachment | BC Health Data
Transparency Grade: D- Health Connect Registry What's the data showing? Primary care is the foundation of our healthcare system. With over a million people without a family doctor, there is very limit...
healthdatabc.ca
November 1, 2025 at 5:14 PM
Yet to see coverage of primary care wait list stats (~400k on HCR, wait times on list > 1-5 years) that were obtained by FOI from BC govt.
Details/data at healthdatabc.ca/primarycare/
Or the >20k ER closures: healthdatabc.ca/emrg/
Details/data at healthdatabc.ca/primarycare/
Or the >20k ER closures: healthdatabc.ca/emrg/
We're into another @doctorsofbc.bsky.social
election period.
Will we continue the current approach, where the GOVERNMENT provides 2/3 of the funding for this "member-funded society"?
More than likely.
BC physicians seem ok that govt has control of the organization that represents them.
election period.
Will we continue the current approach, where the GOVERNMENT provides 2/3 of the funding for this "member-funded society"?
More than likely.
BC physicians seem ok that govt has control of the organization that represents them.
November 1, 2025 at 5:13 PM
We're into another @doctorsofbc.bsky.social
election period.
Will we continue the current approach, where the GOVERNMENT provides 2/3 of the funding for this "member-funded society"?
More than likely.
BC physicians seem ok that govt has control of the organization that represents them.
election period.
Will we continue the current approach, where the GOVERNMENT provides 2/3 of the funding for this "member-funded society"?
More than likely.
BC physicians seem ok that govt has control of the organization that represents them.
So disheartening seeing patients who've been struggling with mental health problems for > 10 years, seen multiple psychiatrists, and put on numerous psychotropic medications.
But had their ferritin checked twice (both times low), B12 only once, and Vit D not at all.
But had their ferritin checked twice (both times low), B12 only once, and Vit D not at all.
November 1, 2025 at 5:13 PM
So disheartening seeing patients who've been struggling with mental health problems for > 10 years, seen multiple psychiatrists, and put on numerous psychotropic medications.
But had their ferritin checked twice (both times low), B12 only once, and Vit D not at all.
But had their ferritin checked twice (both times low), B12 only once, and Vit D not at all.
Say you're the BC government or Fraser Health. ER wait times at some of your hospitals are just becoming too embarrassing. What do you do about it?
Do you work to fix the problem, work with staff, and reduce wait times?
Or do you just stop reporting the wait times altogether?
Do you work to fix the problem, work with staff, and reduce wait times?
Or do you just stop reporting the wait times altogether?
November 1, 2025 at 5:12 PM
Say you're the BC government or Fraser Health. ER wait times at some of your hospitals are just becoming too embarrassing. What do you do about it?
Do you work to fix the problem, work with staff, and reduce wait times?
Or do you just stop reporting the wait times altogether?
Do you work to fix the problem, work with staff, and reduce wait times?
Or do you just stop reporting the wait times altogether?
Reposted by Mark Roseman
i will vote for anyone running on a platform of “FUCK THOSE GUYS”
www.cbc.ca/news/politic...
www.cbc.ca/news/politic...
Trump says Carney apologized for Ford's anti-tariff ad | CBC News
U.S. President Donald Trump says Prime Minister Mark Carney apologized for the Ontario government ad that used former president Ronald Reagan’s own words to spread an anti-tariff message to an America...
www.cbc.ca
October 31, 2025 at 8:15 PM
i will vote for anyone running on a platform of “FUCK THOSE GUYS”
www.cbc.ca/news/politic...
www.cbc.ca/news/politic...
Reposted by Mark Roseman
It increasingly feels like the Canadian electorate was tricked.
Health care is a consistently high voter priority. Kicking it down to the provinces after breaking the promises made in a federal election is shady af behaviour.
Health care is a consistently high voter priority. Kicking it down to the provinces after breaking the promises made in a federal election is shady af behaviour.
November 1, 2025 at 12:56 PM
It increasingly feels like the Canadian electorate was tricked.
Health care is a consistently high voter priority. Kicking it down to the provinces after breaking the promises made in a federal election is shady af behaviour.
Health care is a consistently high voter priority. Kicking it down to the provinces after breaking the promises made in a federal election is shady af behaviour.