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The beginning or private health care?

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HRM Resident

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Mar 27, 2023, 8:37:17 PM3/27/23
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https://tiasante.com/online-clinic-locations/online-doctor-halifax/

What is this all about? The beginning of two tiered
health care in NS? This is the first time I heard of it
in Halifax. My daughter sent me the link from BC. She
said she used them once out there to get antibiotics
for a sore throat without any charge.

At first read, it claims to be free. There has to be a
catch.

--
HRM Resident

James Warren

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Mar 28, 2023, 9:23:54 AM3/28/23
to
I'm gonna guess that this might be the new model of physician
access for the future. The old model of a doctor with a certain
number of patients may be changing. The doctor visit will become
an online interaction, possibly with video. Office visits will be only
for actual physical examinations. It will take a significant load
off the system if it works.

It is not private because MSI is still the payer.

HRM Resident

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Mar 28, 2023, 11:00:47 AM3/28/23
to
That was my take. It works for me as long as it's not the slippery
slide into a UK-like two-tied system. I never need to be in my doctor's
office chit-chatting. There's little value added by a face-to-face
visit as they can do 95% of the stuff by video link.

My "retiring in 10 months NP" and I have not seen each other in
person in 4 years, and thus I have become accustomed to telephone/video
appointments.

If you have a lump somewhere, they can feel it and either send you
for a scan or tell you it's nothing, but generally, they don't add much
value as you usually need a specialist. We just got used to the "see
your family physician" model. Virtual works.

If they can get medical records, all security digitized and
accessible by any healthcare professional, the need to visit a
doctor's office will disappear. Of course, most people can't take
their own BP, but other than that, what value does seeing a "family
physician" add?

--
HRM Resident

James Warren

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Mar 28, 2023, 12:43:38 PM3/28/23
to
It adds something when an examination is needed, otherwise, nothing.
Most office visits are just scrip renewals or requests - no visit required
most of the time.

HRM Resident

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Mar 28, 2023, 2:12:24 PM3/28/23
to
James Warren <jwwar...@gmail.com> writes:

>snip<

>> If they can get medical records, all security digitized and
>> accessible by any healthcare professional, the need to visit a
>> doctor's office will disappear. Of course, most people can't take
>> their own BP, but other than that, what value does seeing a "family
>> physician" add?


>
> It adds something when an examination is needed, otherwise, nothing.
> Most office visits are just scrip renewals or requests - no visit required
> most of the time.

>snip<

That's what I said, more or less. Mostly they don't examine you. You
got a purple wart with hairs growing out of it? Go see a specialist.
That can be done by video. Do you just want to whine? They can say,
"There, there, it's not so bad. I'll send a prescription for Prozac
to your pharmacy" by video.

I wonder if these doctors at that Tia health get paid the
same as the ones in the public system. Let's say Joe Doc in the
public system gets paid $75 a visit, and Tia health pays $100 a visit?
Even if MSI pays for both, the better doctors will get sucked out
of the public system. Sooner or later, someone like PeePee will
modify the Canada Health Act to allow extra billing. So MSI pays
$75, and you give Tia health the additional $25. Just like Jolly
Old England!

--
HRM Resident

James Warren

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Mar 28, 2023, 2:29:26 PM3/28/23
to
That is a risk. You can't create doctors out of thin air.
However many doctors there are they will just redistribute
themselves in the new system.

HRM Resident

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Mar 28, 2023, 2:38:10 PM3/28/23
to
James Warren <jwwar...@gmail.com> writes:
>
> That is a risk. You can't create doctors out of thin air.
> However many doctors there are they will just redistribute
> themselves in the new system.
>
It's more than a risk. It's gonna happen. Poor old Tommy
Douglas will be spinning in his grave. But we'll pretty much
all be dead, and it'll be someone else's problem.

We lived through the best time in recorded history. Luck of
the draw.

--
HRM Resident

James Warren

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Mar 28, 2023, 2:57:36 PM3/28/23
to
On Tuesday, 28 March 2023 at 15:38:10 UTC-3, HRM Resident wrote:
> James Warren <jwwar...@gmail.com> writes:
> >
> > That is a risk. You can't create doctors out of thin air.
> > However many doctors there are they will just redistribute
> > themselves in the new system.
> >
> It's more than a risk. It's gonna happen.

Fortune telling again? >)

> Poor old Tommy
> Douglas will be spinning in his grave. But we'll pretty much
> all be dead, and it'll be someone else's problem.
>
> We lived through the best time in recorded history. Luck of
> the draw.
>
> --
> HRM Resident

More fortune telling? :)

Maybe so. :)

HRM Resident

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Mar 28, 2023, 4:03:20 PM3/28/23
to
James Warren <jwwar...@gmail.com> writes:
>
> More fortune telling? :)
>
> Maybe so. :)
"There there. It's OK. You perscription is ready to pick up." :-)
--
HRM Resident

HRM Resident

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Apr 1, 2023, 1:26:21 PM4/1/23
to
James Warren <jwwar...@gmail.com> writes:
>
> I'm gonna guess that this might be the new model of physician
> access for the future. The old model of a doctor with a certain
> number of patients may be changing. The doctor visit will become
> an online interaction, possibly with video. Office visits will be only
> for actual physical examinations. It will take a significant load
> off the system if it works.
>
> It is not private because MSI is still the payer.

Today I had time to investigate this thing - it's been a busy
few days. So I tried the link and reached the part where you booked
an appointment. Unfortunately, while it says "free" at the beginning,
when you start the booking process, a $65 to $100 charge pops up. A
"free" estimate of shingling your roof doesn't mean anything is free.
This is the same thing. MSI doesn't cover it, so it's user pay.

That is in violation of the Canada Health Act. Therefore, people
with $65-$100 (like us here) can jump the queue. Those not very well
off have to pay. A typical right-wing Conservative solution. Why is
no one screaming about it?

Maybe because it's unavailable here (it's all in French, and you
must go out of your way to get the English version.) Also, all the
"doctors" are in Ontario or BC.

The mention of Halifax must be a mistake because of the above.

--
HRM Resident

James Warren

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Apr 1, 2023, 2:20:41 PM4/1/23
to
I guess it isn't what it seemed at first sight. It is a violation of the Act.

You are screaming about it and if it comes here others will no doubt
scream too.

lucr...@florence.it

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Apr 1, 2023, 2:53:37 PM4/1/23
to
You must be talking about that place mentioned about a month ago. I
was surprised there was no outcry. This is very definitely the thin
edge of the wedge and so typically Conservative, well Conservative of
the type they are now, they are not like the old style 'Progressive'
Conservatives. These want it back to a money maker, for them.

Just four or five years ago politicians believed healthcare was
untouchable, the times they have changed!

James Warren

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Apr 1, 2023, 3:04:11 PM4/1/23
to
If I were a conspiracy type I might be inclined to say that it is part of
a plan to reduce usage of the health care system. But I wouldn't say
anything like that.

HRM Resident

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Apr 1, 2023, 3:43:23 PM4/1/23
to
I'm not screaming because I don't thinh it's availabe in NS. (1) It
defaults to French and is hard to switch to English and (2) all the
doctors listed are in upper Canada or BC. My understanding from talking
to my daughter about it is it's available in BC, ON and PQ because their
equivalents of MSI are paying for it. If the patient is charged, then
it violates the CHA.

Maybe we could book an appointment with a doctor in Toronto and fly
there for it. However, taking this TIA thing out of the equation, if I
go to ON to see a doctor, OHIP won't pay my costs under their good, old
public system because I don't have an OHIP card. My wife was in exactly
that situation around 1980 and the doctor she say said "No charge
. . . I'll do it for free as a favour."

The CHA allows private health clinics as long as the province pays
for them. Timmie is likely champing** at the bit to get this going, but
he doesn't dare because Ottawa will claw back millions of dollars in HC
money. That's our salvation.

** Yes, champing, not chomping. Ask Mike!

--
HRM Resident

lucr...@florence.it

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Apr 1, 2023, 4:48:42 PM4/1/23
to
On Sat, 01 Apr 2023 16:43:20 -0300, HRM Resident <hrm...@gmail.com>
wrote:
No, there is a place here, Dartmouth I think. Monthly fee to be a
member, another fee when you see the doctor etc. At the time I felt
the monthly fee excluded many people, especially families as it was
per person.

HRM Resident

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Apr 2, 2023, 9:14:07 AM4/2/23
to
lucr...@florence.it writes:
>
> No, there is a place here, Dartmouth I think. Monthly fee to be a
> member, another fee when you see the doctor etc. At the time I felt
> the monthly fee excluded many people, especially families as it was
> per person.
>
Some Googling shows you are right. It's called "Scotia Surgery." It
is as you describe, except they don't do any "serious" stuff as far as I
can tell. Cosmetic "plastic surgery", some dental surgery, and maybe a
few other things that MSI wouldn't cover. I think it favours those will
money who simply do not want to wait their turn. It must be legal or
they'd have been shut down.

I *think* every province is pushing the envelope to see how far they
can go to sneak in private health care. The show stopper is you can't
make extra doctors and nurses out of thin air, no matter how they spin it
as "shortening wait times."

--
HRM Resident

HRM Resident

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Apr 2, 2023, 9:19:52 AM4/2/23
to
James Warren <jwwar...@gmail.com> writes:
>
> If I were a conspiracy type I might be inclined to say that it is part of
> a plan to reduce usage of the health care system. But I wouldn't say
> anything like that.
>
But don't you agree the moon landing was fake and Earth is a cube?
:-) I think you are a closet conspiracy theorist, that's what I
think! :-)

I have to go destroy an old hard disk. A lot of people root through
recycled electronics and read a person's data and steal their identity! :-)

--
HRM Resident

lucr...@florence.it

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Apr 2, 2023, 9:57:09 AM4/2/23
to
On Sun, 02 Apr 2023 10:19:49 -0300, HRM Resident <hrm...@gmail.com>
wrote:
Talking of that, how do you wipe a cell phone once you're done with
it?

James Warren

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Apr 2, 2023, 10:24:58 AM4/2/23
to
On Sunday, 2 April 2023 at 10:19:52 UTC-3, HRM Resident wrote:
> James Warren <jwwar...@gmail.com> writes:
> >
> > If I were a conspiracy type I might be inclined to say that it is part of
> > a plan to reduce usage of the health care system. But I wouldn't say
> > anything like that.
> >
> But don't you agree the moon landing was fake and Earth is a cube?
> :-) I think you are a closet conspiracy theorist, that's what I
> think! :-)

Plastic space ships. It's a dodecahedron fool! :)

>
> I have to go destroy an old hard disk. A lot of people root through
> recycled electronics and read a person's data and steal their identity! :-)

Oy yeah, I was out doing just that yesterday. Found a couple of good ones. :)

>
> --
> HRM Resident

James Warren

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Apr 2, 2023, 10:26:15 AM4/2/23
to
Have you tried a sledge hammer?

Donna Whitman

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Apr 2, 2023, 10:34:46 AM4/2/23
to
That's what I'm scared of. I have an old Dell desktop that's not worth repairing. Had it waiting to go to electronic recycling for 2-3 years now because I don't know how to wipe the HD. What are you doing? Taking the HD out and hammering it into oblivion? Apparently doing a factory restore doesn't erase EVERYTHING

HRM Resident

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Apr 2, 2023, 11:16:37 AM4/2/23
to
lucr...@florence.it writes:
>
> Talking of that, how do you wipe a cell phone once you're done with
> it?
>
Based on the previous chiding about me using all Apple gear, I know
you use an Android-based device, likely a Samsung. Unfortunately, I
know very little about Android besides its loosely based on Linux. I
suspect there is a way to "factory reset" it. I wouldn't smash it
because there's a significant demand for used phones at charity places, etc.

If it's a Samsung Galaxy, these guys say how:

https://www.samsung.com/us/support/answer/ANS00062029/

The second option, "Factory reset to erase all apps and data,"
seems the best. Then donate it to a local charity.

--
HRM Resident

lucr...@florence.it

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Apr 2, 2023, 11:29:59 AM4/2/23
to
Not likely! I shall sell it.

lucr...@florence.it

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Apr 2, 2023, 11:31:12 AM4/2/23
to
On Sun, 2 Apr 2023 07:34:45 -0700 (PDT), Donna Whitman
<nsboo...@gmail.com> wrote:
Did you know Richard Bonner will do it for you? He will also reload a
basic system and donate it to a needy person.

lucr...@florence.it

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Apr 2, 2023, 11:33:47 AM4/2/23
to
On Sun, 02 Apr 2023 12:16:34 -0300, HRM Resident <hrm...@gmail.com>
wrote:
I googled and found the 'factory reset' and used that, took it a fair
amount of time but everything seems to be gone. I intend to find out
what that store at the Halifax Shopping Centre will give me, depending
on that, it may go to charity.

HRM Resident

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Apr 2, 2023, 11:37:55 AM4/2/23
to
Donna Whitman <nsboo...@gmail.com> writes:>
>
> That's what I'm scared of. I have an old Dell desktop that's not worth
> repairing. Had it waiting to go to electronic recycling for 2-3 years
> now because I don't know how to wipe the HD. What are you doing?
> Taking the HD out and hammering it into oblivion? Apparently doing a
> factory restore doesn't erase EVERYTHING
Nope, it doesn't. A "quick format" sets a flag indicating whatever
is there can be overwritten . . . nothing is "erased." A full format
writes binary 1s and 0s over the disk. That's good enough for most
people.

However, around 1998-1999 when I was doing IT security, the RCMP
forensic team told me they could read 6-7 layers "deep" under
overwrites.

Of course, the average Joe doesn't have the equipment to do
this, but that was about 25 years ago. I don't know what's on the
market these days or how "deep" a real forensic team can go in 2023.

I take my drives out, rub them with a strong magnet for a while, and
then drive a cold chisel through them. That's (a) overkill and (b) not
easy with laptops as they are hard to get apart. But I am 100% sure no
one will ever read anything on my old gear.

If it's running Windows, do a full format. That will stop almost
anyone other than geeks with much spare time and special equipment
from getting at it. Or, if you are terrified, smash the whole laptop to
bits with a hammer!

--
HRM Resident

Donna Whitman

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Apr 4, 2023, 6:51:17 AM4/4/23
to
Not worried about what the authorities might find on it (no porn or other shady stuff) but I do online banking and then there's the password issue for. At this point, it won't turn on and operate (power supply issues) so I can't format it. In the wrong hand for someone with computer knowledge, it likely wouldnt be hard to get it up and running again. It was 7-8 years old at the time of its demise. Just didn't think it was worth paying to have it fixed .

I'm tired of having it taking up space so I might end up taking the HD out and taking a hammer to it and disposing of it separately. With no HD in it, would the RAM hold onto anything that's a security risk?

Donna Whitman

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Apr 4, 2023, 6:54:22 AM4/4/23
to
That would work but it's non-functional. I knew it was on its way out but, when the power supply went, I just decided it wasn't worth anything to anyone so want to take it to the electronics recycling depot once I know the HD can't reveal personal information. THAT'S why it's still sitting here.

lucr...@florence.it

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Apr 4, 2023, 7:28:21 AM4/4/23
to
On Tue, 4 Apr 2023 03:54:21 -0700 (PDT), Donna Whitman
<nsboo...@gmail.com> wrote:
I'm sure Richard would revive it while you wait and let you see the
new system start to load. There is such a call for computers with so
many kids needing to do lessons on line unexpectedly.

The two I gave him had my banking stuff on it (won't do on cell phone
in case I forget where I put the phone!!) and there have been no
repercussions and that must be about two years ago now.

HRM Resident

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Apr 4, 2023, 9:09:55 AM4/4/23
to
Donna Whitman <nsboo...@gmail.com> writes:
>
> Not worried about what the authorities might find on it (no porn or
> other shady stuff) but I do online banking and then there's the
> password issue for. At this point, it won't turn on and operate (power
> supply issues) so I can't format it. In the wrong hand for someone
> with computer knowledge, it likely wouldnt be hard to get it up and
> running again. It was 7-8 years old at the time of its demise. Just
> didn't think it was worth paying to have it fixed .
>
> I'm tired of having it taking up space so I might end up taking
> the HD out and taking a hammer to it and disposing of it separately.
> With no HD in it, would the RAM hold onto anything that's a security risk?

No. RAM is "wiped" once the system is powered off. The HD is the
only risk.

You have to get it to power up somehow. Anything that generates
the same voltage should work if it's an external power supply with a
"wall wart" or similar. Look at it and see what the DC output specs
are. Richard or someone with a similar system would likely loan you one
for an hour.

Once it's bootable, you can try a full format of the C: drive,
although that's where the O/S lives (i.e. the format command, for
example.) I don't know if Microsoft will let it "commit suicide"
because loading the format command into RAM and erasing the C: drive
is just that.

If it has a CD reader (some old laptops do), I'd set the BIOS to
boot from it (or a USB flash drive) and "install" Linux or even a
fresh copy of Win-10 on the C: drive from there. That will guarantee
there is no recoverable data left.

If you are stuck with no way to boot it (no power supply of any
kind), I can only think of smashing it up with a hammer. While it's
true charities would love to have it, identity theft is something
people want to avoid at all costs. LB's experience with a smartphone is
not a good example because they don't have a HD. and once their RAM and
ROM is reinitialized, there's no way to recover data. A real computer
with a HD is the danger if it's not overwritten.

--
HRM Resident

axemen99

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Apr 4, 2023, 11:47:26 PM4/4/23
to
On Tuesday, April 4, 2023 at 7:28:21 AM UTC-4, lucrxx wrote:
> On Tue, 4 Apr 2023 03:54:21 -0700 (PDT), Donna Whitman
> >> >That's what I'm scared of. I have an old Dell desktop that's not worth repairing. Had it waiting to go to electronic recycling for 2-3 years now because I don't know how to wipe the HD. What are you doing? Taking the HD out and hammering it into oblivion? Apparently doing a factory restore doesn't erase EVERYTHING
> >> Did you know Richard Bonner will do it for you? He will also reload a
> >> basic system and donate it to a needy person.
> >
> >
> >That would work but it's non-functional. I knew it was on its way out but, when the power supply went, I just decided it wasn't worth anything to anyone so want to take it to the electronics recycling depot once I know the HD can't reveal personal information. THAT'S why it's still sitting here.
> I'm sure Richard would revive it while you wait and let you see the
> new system start to load. There is such a call for computers with so
> many kids needing to do lessons on line unexpectedly.
>
> The two I gave him had my banking stuff on it (won't do on cell phone
> in case I forget where I put the phone!!) and there have been no
> repercussions and that must be about two years ago now.

You cannot get anything out from the HD, once full format is used.

Does full format write zeros?
By default in Windows Vista and later versions, the format command writes zeros to the whole disk when a full format is performed. In Windows XP and earlier versions of Windows, the format command doesn't write zeros to the whole disk when a full format is performed. (Feb 23, 2023)

HRM Resident

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Apr 5, 2023, 8:30:30 AM4/5/23
to
axemen99 <axem...@gmail.com> writes:
>
> You cannot get anything out from the HD, once full format is used.
>
Wanna bet? Writing a 0 over whatever was there might erase 90% of
the original bit's magnetic flux. An analysis program with the proper
hardware can look at the 10% remaining.

Format it again, and it's 99% gone, but 1% remains. Again, an
analysis of this will get this 1%. And so on. In 1998 the RCMP
forensic specialists in Ottawa told me they could get data 6-7 levels
"deep." They gave us a program that wiped the disk 8-9 times and
recommended we run it on all disks prior to disposal. If they could go
6-7 levels deep in 1998, it's hard to imagine they can't go "deeper" in
2023.

Having said this, in 2023 most "disks" used in the past 5 years are
SSDs. They use NAND-based flash memory. I don't think recovering
overwritten data from an SSD is generally feasible due to the way SSDs
handle data storage, wear levelling, garbage collection, and features
like TRIM.

I would think the disk Donna asked about is the traditional magnetic
platter type, but as discussed elsewhere in this thread, a single full
format would likely be good enough. The average Joe, scrounging old
disks for data, would not have the hardware or software the spies
have. Thew depend on people sending them to be recycled without
formatting the disks. My guess is most people don't bother because
they are unaware of any of this.

--
HRM Resident
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