Winds of change in delivery of quality surgical care are not strong enough

There is no question Canada and other large parts of the world have difficulty providing adequate care. Rural and not so rural communities are lacking total health care coverage. The continual downgrading of resources to care for all patients in Canada has resulted in a lack of critical care coverage zones, increasing wait times for even prioritized procedures and rapidly rising numbers of underemployed surgeons and other physicians. The last issue of CJS included discussion of 2 options1,2 as well as a proposed plan3 to solve some of the issues at hand