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.
Reposted by Mark Roseman
What's the concern?
No viable plan evident to reach targets.
No apparent consequences for continued poor performance.
Are targets passé? Is "we're trying hard… good enough? acceptable to the public?
We expect out govt to deliver acceptable levels of health care. Not this.
No viable plan evident to reach targets.
No apparent consequences for continued poor performance.
Are targets passé? Is "we're trying hard… good enough? acceptable to the public?
We expect out govt to deliver acceptable levels of health care. Not this.
January 20, 2026 at 4:01 PM
What's the concern?
No viable plan evident to reach targets.
No apparent consequences for continued poor performance.
Are targets passé? Is "we're trying hard… good enough? acceptable to the public?
We expect out govt to deliver acceptable levels of health care. Not this.
No viable plan evident to reach targets.
No apparent consequences for continued poor performance.
Are targets passé? Is "we're trying hard… good enough? acceptable to the public?
We expect out govt to deliver acceptable levels of health care. Not this.
Reposted by Mark Roseman
What's the point of performance metrics and targets if you don't act on them?
Below are a few metrics tracked by Island Health (see islandhealth.ca/about-us/acc...) that have worsened over several years.
Below are a few metrics tracked by Island Health (see islandhealth.ca/about-us/acc...) that have worsened over several years.
January 20, 2026 at 4:01 PM
What's the point of performance metrics and targets if you don't act on them?
Below are a few metrics tracked by Island Health (see islandhealth.ca/about-us/acc...) that have worsened over several years.
Below are a few metrics tracked by Island Health (see islandhealth.ca/about-us/acc...) that have worsened over several years.
Reposted by Mark Roseman
Have to again applaud the situation in AB, where a myriad of outspoken doctors, the provincial medical association, and several media outlets are hamming the corrupt govt daily on healthcare failures.
Meanwhile in BC, we get the odd comment from someone that quickly disappears.
Meanwhile in BC, we get the odd comment from someone that quickly disappears.
January 20, 2026 at 4:02 PM
Have to again applaud the situation in AB, where a myriad of outspoken doctors, the provincial medical association, and several media outlets are hamming the corrupt govt daily on healthcare failures.
Meanwhile in BC, we get the odd comment from someone that quickly disappears.
Meanwhile in BC, we get the odd comment from someone that quickly disappears.
Reposted by Mark Roseman
Here are Island Health's own metrics on MRI's, showing a steady decrease in timeliness going on for years. At what point do you stop putting up with all the ribbon-cutting spin, and start demanding to see a concrete plan with metrics and accountability to restore services to acceptable levels?
January 23, 2026 at 2:44 PM
Here are Island Health's own metrics on MRI's, showing a steady decrease in timeliness going on for years. At what point do you stop putting up with all the ribbon-cutting spin, and start demanding to see a concrete plan with metrics and accountability to restore services to acceptable levels?
Here are Island Health's own metrics on MRI's, showing a steady decrease in timeliness going on for years. At what point do you stop putting up with all the ribbon-cutting spin, and start demanding to see a concrete plan with metrics and accountability to restore services to acceptable levels?
January 23, 2026 at 2:44 PM
Here are Island Health's own metrics on MRI's, showing a steady decrease in timeliness going on for years. At what point do you stop putting up with all the ribbon-cutting spin, and start demanding to see a concrete plan with metrics and accountability to restore services to acceptable levels?
Have to again applaud the situation in AB, where a myriad of outspoken doctors, the provincial medical association, and several media outlets are hamming the corrupt govt daily on healthcare failures.
Meanwhile in BC, we get the odd comment from someone that quickly disappears.
Meanwhile in BC, we get the odd comment from someone that quickly disappears.
January 20, 2026 at 4:02 PM
Have to again applaud the situation in AB, where a myriad of outspoken doctors, the provincial medical association, and several media outlets are hamming the corrupt govt daily on healthcare failures.
Meanwhile in BC, we get the odd comment from someone that quickly disappears.
Meanwhile in BC, we get the odd comment from someone that quickly disappears.
What's the point of performance metrics and targets if you don't act on them?
Below are a few metrics tracked by Island Health (see islandhealth.ca/about-us/acc...) that have worsened over several years.
Below are a few metrics tracked by Island Health (see islandhealth.ca/about-us/acc...) that have worsened over several years.
January 20, 2026 at 4:01 PM
What's the point of performance metrics and targets if you don't act on them?
Below are a few metrics tracked by Island Health (see islandhealth.ca/about-us/acc...) that have worsened over several years.
Below are a few metrics tracked by Island Health (see islandhealth.ca/about-us/acc...) that have worsened over several years.
Why George Abbott's Book on Indigenous Rights Matters via @thetyee.ca thetyee.ca/Analysis/202...
Why George Abbott’s Book on Indigenous Rights Matters | The Tyee
The former cabinet minister examines the bad decisions that got us here, and a path forward.
thetyee.ca
January 20, 2026 at 4:00 PM
Why George Abbott's Book on Indigenous Rights Matters via @thetyee.ca thetyee.ca/Analysis/202...
Reposted by Mark Roseman
This is actually the really simple story of the collapse of American democracy. You can explain America’s constitutional collapse in a single coherent sentence:
The Founders assumed that Members of Congress would jealously and zealously guard the powers and prerogatives of their branch of government against the grasping of an overweening Executive, and instead we got this supine GOP majority that yearns to lick the boot.
I would like to think the Mad King proclaiming “I will continue to illegally raise taxes on the American people until the NATO alliance collapses” would be the type of statement to cause Congress to act, but I’m not sure there’s any red line the GOP Congress has anymore.
January 17, 2026 at 7:39 PM
This is actually the really simple story of the collapse of American democracy. You can explain America’s constitutional collapse in a single coherent sentence:
Reposted by Mark Roseman
At least six preventable deaths and more than 30 “near-misses” occurred in Alberta ERs since the beginning of the year because of overcrowding, according to documents obtained by The Globe and Mail, by @alannasmith.bsky.social www.theglobeandmail.com/canada/artic... via @theglobeandmail.com
Preventable deaths, ‘near-misses’ caused by overcrowding in Alberta emergency rooms, documents show
Physicians in Edmonton’s major hospitals recently called on the province to declare a formal emergency due to overcrowding
www.theglobeandmail.com
January 17, 2026 at 4:28 PM
At least six preventable deaths and more than 30 “near-misses” occurred in Alberta ERs since the beginning of the year because of overcrowding, according to documents obtained by The Globe and Mail, by @alannasmith.bsky.social www.theglobeandmail.com/canada/artic... via @theglobeandmail.com
Reposted by Mark Roseman
"Munchausen by Nazi."
Trump causes the problem and then demands the Insurrection Act as a solution to the crisis of his own making which then leads to more conflict. I believe psychiatrists refer to this phenomenon "Munchausen by Nazi." www.childrensmn.org/educationmat...
The Sinister Reason Trump Is Itching to Invoke the Insurrection Act
An authoritarian’s dream, the Insurrection Act is ripe for abuse — and Trump’s Cabinet is already setting up his justification to use it.
theintercept.com
January 16, 2026 at 4:12 PM
"Munchausen by Nazi."
Reposted by Mark Roseman
Get your iron level checked. Google iron deficiency and The Vajenda and an article with the recommended tests will come up. Low iron is common in perimenopause and it is a cause of RLS. And don’t accept a ferritin level of 25 as normal!
Restless Leg Syndrome. It showed up when I hit perimenopause. You have my sympathies. Sleepless nights are so frustrating.
January 16, 2026 at 4:32 PM
Get your iron level checked. Google iron deficiency and The Vajenda and an article with the recommended tests will come up. Low iron is common in perimenopause and it is a cause of RLS. And don’t accept a ferritin level of 25 as normal!
Reposted by Mark Roseman
this article by @bethanylindsay.bsky.social is a searing indictment of the provincial government's response to the unregulated drug toxicity deaths emergency
its a comms strategy
a facade
theijf.org/bc-publicly-...
its a comms strategy
a facade
theijf.org/bc-publicly-...
One third of B.C.’s ‘publicly funded substance-use treatment beds’ don’t provide any treatment
Victoria advocate ‘furious’ to learn province includes low-barrier housing in its total
theijf.org
December 23, 2024 at 4:00 AM
this article by @bethanylindsay.bsky.social is a searing indictment of the provincial government's response to the unregulated drug toxicity deaths emergency
its a comms strategy
a facade
theijf.org/bc-publicly-...
its a comms strategy
a facade
theijf.org/bc-publicly-...
Reposted by Mark Roseman
I think I just died lauighing. This is perfection.
January 12, 2026 at 4:07 PM
I think I just died lauighing. This is perfection.
Reposted by Mark Roseman
More than 20 years ago, MPPs across all parties pledged to make Ontario completely accessible to people with disabilities by 2025. With that date past, advocates say the process has been a failure, by @jeffreybgray.bsky.social www.theglobeandmail.com/canada/artic... via @theglobeandmail.com
Ontario’s promise to people with disabilities left unfulfilled after more than 20 years
Sweeping 2005 legislation, supposed to make the province accessible by 2025, is being called a failure
www.theglobeandmail.com
January 10, 2026 at 7:30 PM
More than 20 years ago, MPPs across all parties pledged to make Ontario completely accessible to people with disabilities by 2025. With that date past, advocates say the process has been a failure, by @jeffreybgray.bsky.social www.theglobeandmail.com/canada/artic... via @theglobeandmail.com
Reposted by Mark Roseman
Trump Still Polling Well With Working-Class American Pedophiles https://theonion.com/trump-still-polling-well-with-working-class-american-pedophiles/
December 30, 2025 at 12:30 AM
Trump Still Polling Well With Working-Class American Pedophiles https://theonion.com/trump-still-polling-well-with-working-class-american-pedophiles/
Reposted by Mark Roseman
Congratulations to the indefatigable microbiologist Dr. Allison McGeer on her appointment to the #OrderofCanada. From SARS to flu to COVID and antimicrobial resistance, she is advancing science through her research, and promoting scientific literacy with her media appearances.
Andre De Grasse, Nardwuar, former Supreme Court justices among 80 new #OrderOfCanada appointees. www.theglobeandmail.com/politics/art... www.gg.ca/en/appointme... via @theglobeandmail.com
Former Supreme Court justices, Andre De Grasse, Nardwuar among 80 new Order of Canada appointees
Newly announced appointments include Rosalie Abella, Michael Moldaver and Terri Clark
www.theglobeandmail.com
January 1, 2026 at 9:00 PM
Congratulations to the indefatigable microbiologist Dr. Allison McGeer on her appointment to the #OrderofCanada. From SARS to flu to COVID and antimicrobial resistance, she is advancing science through her research, and promoting scientific literacy with her media appearances.
How Crowded Emergency Departments Impact Patients and Staff via @thetyee.ca thetyee.ca/News/2025/12...
How Crowded Emergency Departments Impact Patients and Staff | The Tyee
Overfull hospitals are worsening delirium, causing bedsores and leading to patient care in hospital bays and bathrooms.
thetyee.ca
December 19, 2025 at 2:20 PM
How Crowded Emergency Departments Impact Patients and Staff via @thetyee.ca thetyee.ca/News/2025/12...
Reposted by Mark Roseman
Why Are BC's Emergency Departments So Crowded? via @thetyee.ca thetyee.ca/News/2025/12...
Why Are BC’s Emergency Departments So Crowded? | The Tyee
How past policy decisions and the unmet needs of an aging population are pushing the system to the brink.
thetyee.ca
December 17, 2025 at 1:37 PM
Why Are BC's Emergency Departments So Crowded? via @thetyee.ca thetyee.ca/News/2025/12...
Super excited to see @tyolsen.bsky.social and @michellegamage.bsky.social @thetyee.ca dive into the data behind some of the problems in BC health care. First up, hospital surge beds and growing length of stay.
BC's Hospital Crowding Problem Isn't Improving, Data Shows thetyee.ca/News/2025/12...
BC's Hospital Crowding Problem Isn't Improving, Data Shows thetyee.ca/News/2025/12...
BC’s Hospital Crowding Problem Isn’t Improving, Data Shows | The Tyee
In the seven most overcapacity facilities, one in six patients was cared for in an unfunded ‘surge bed’ last year. First in a series.
thetyee.ca
December 15, 2025 at 2:00 PM
Super excited to see @tyolsen.bsky.social and @michellegamage.bsky.social @thetyee.ca dive into the data behind some of the problems in BC health care. First up, hospital surge beds and growing length of stay.
BC's Hospital Crowding Problem Isn't Improving, Data Shows thetyee.ca/News/2025/12...
BC's Hospital Crowding Problem Isn't Improving, Data Shows thetyee.ca/News/2025/12...
Reposted by Mark Roseman
Keep it real by fighting disinformation every day. That is The Tyee’s mission statement for 2026.
And it comes with a new initiative we’re eager to tell you about: The Tyee’s Reality Check Project. 🤖🔥🧵 (1/6) #CdnMedia
And it comes with a new initiative we’re eager to tell you about: The Tyee’s Reality Check Project. 🤖🔥🧵 (1/6) #CdnMedia
We Fight Disinformation Every Day. You Can Help | The Tyee
The Tyee’s keeping it real with the support of our readers. And now we offer tax deduction receipts.
thetyee.ca
December 8, 2025 at 4:42 PM
Keep it real by fighting disinformation every day. That is The Tyee’s mission statement for 2026.
And it comes with a new initiative we’re eager to tell you about: The Tyee’s Reality Check Project. 🤖🔥🧵 (1/6) #CdnMedia
And it comes with a new initiative we’re eager to tell you about: The Tyee’s Reality Check Project. 🤖🔥🧵 (1/6) #CdnMedia
A New Oilsands Pipeline? What Politicians Won't Admit via @thetyee.ca thetyee.ca/Analysis/202...
A New Oilsands Pipeline? What Politicians Won’t Admit | The Tyee
An energy expert lays out the risks and fallacies as Canada and the world fail to face the climate crisis.
thetyee.ca
December 1, 2025 at 1:46 PM
A New Oilsands Pipeline? What Politicians Won't Admit via @thetyee.ca thetyee.ca/Analysis/202...
Reposted by Mark Roseman
Residents in Port Hardy, B.C., rally against nearly 3-year overnight closure of ER
Island Health says it has invested $30 million in healthcare services across north Vancouver Island
www.cbc.ca/news/canada/...
Island Health says it has invested $30 million in healthcare services across north Vancouver Island
www.cbc.ca/news/canada/...
This rural ER has been closed overnight for nearly 3 years, and locals say it's time for change | CBC News
Island Health has closed the ER at the Port Hardy Hospital overnight starting in January 2023, citing a staffing shortage. Patients requiring emergency care are transported to Port McNeill — a 45-kilo...
www.cbc.ca
November 29, 2025 at 3:52 PM
Residents in Port Hardy, B.C., rally against nearly 3-year overnight closure of ER
Island Health says it has invested $30 million in healthcare services across north Vancouver Island
www.cbc.ca/news/canada/...
Island Health says it has invested $30 million in healthcare services across north Vancouver Island
www.cbc.ca/news/canada/...
Reposted by Mark Roseman
It's well past time to stop the fake debate about two-tier healthcare in Canada and have some honest conversations about THREE-tier healthcare.
We need to stop pretending Tier 0 doesn't exist and instead create a concrete, verifiable plan to eliminate it.
We need to stop pretending Tier 0 doesn't exist and instead create a concrete, verifiable plan to eliminate it.
November 27, 2025 at 6:15 PM
It's well past time to stop the fake debate about two-tier healthcare in Canada and have some honest conversations about THREE-tier healthcare.
We need to stop pretending Tier 0 doesn't exist and instead create a concrete, verifiable plan to eliminate it.
We need to stop pretending Tier 0 doesn't exist and instead create a concrete, verifiable plan to eliminate it.
It's well past time to stop the fake debate about two-tier healthcare in Canada and have some honest conversations about THREE-tier healthcare.
We need to stop pretending Tier 0 doesn't exist and instead create a concrete, verifiable plan to eliminate it.
We need to stop pretending Tier 0 doesn't exist and instead create a concrete, verifiable plan to eliminate it.
November 27, 2025 at 6:15 PM
It's well past time to stop the fake debate about two-tier healthcare in Canada and have some honest conversations about THREE-tier healthcare.
We need to stop pretending Tier 0 doesn't exist and instead create a concrete, verifiable plan to eliminate it.
We need to stop pretending Tier 0 doesn't exist and instead create a concrete, verifiable plan to eliminate it.