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Mark Roseman

@markroseman.com

2K followers 200 following 400 posts

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

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Mark Roseman @markroseman.com · May 24

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.

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...

Reposted by Mark Roseman

The Beaverton @thebeaverton.com · 22d

Mark Roseman @markroseman.com · 27d

Alberta's re(dis)organized health system is now hitting BC levels of dysfunction, confusion, redundancy, and politically-motivated data manipulation.

Hint: that's not good.

Plan to Ease Load on Alberta Paramedics Fell Short of UCP Claims via @thetyee.ca thetyee.ca/News/2025/09...

Plan to Ease Load on Alberta Paramedics Fell Short of UCP Claims | The Tyee

A majority of 911 calls diverted to Alberta’s non-urgent health line were returned to EMS.

Mark Roseman @markroseman.com · Aug 27

Or that PHSA's corporate expenditures for a week are about the same as OAGBC's annual budget for a year.

Salaries for the 70+ president/VPs of the 5 regional health authorities + PHSA? Also about the same as OAGBC
budget.

Not finding waste or inefficiency? We're not looking.

Mark Roseman @markroseman.com · Aug 27

Did you know that the Office of the Auditor General of BC's entire yearly spending (for all of BC) is about what Island Health spends on corporate expenditures (head office bureaucrats etc.) in 3 weeks?

If that doesn't say something about our priorities and why we're in the gigantic mess we're in…

Mark Roseman @markroseman.com · Aug 27

Make no mistake, with the resources available, our health system could work so much better.

It's failed for political reasons. And that failure has been covered up by deliberate failings in transparency and accountability.

If that's to change, it's up to us to force change.

Mark Roseman @markroseman.com · Aug 27

4. What about as a group? They're represented by Doctors of BC, a "member funded society." One that gets 2/3 of its funding directly from government, not its members. Doctors who've stepped up to bring change have been marginalized. They've learned what DoBC's priorities are.

Mark Roseman @markroseman.com · Aug 27

3. Doctors are risk adverse, which is good when your health is at stake. But also when their own careers are at risk. With the govt takeover of professional colleges, they know that speaking out puts their livelihoods at risk. And they've seen the consequences of speaking out.

Mark Roseman @markroseman.com · Aug 27

2. Doctors are used to being the smartest people in the room. And they often are… in some areas. But when it comes to others, they're novices, and many don't realize it. You only have to look at negotiations between govt and doctors to see areas where doctors are outsmarted.

Mark Roseman @markroseman.com · Aug 27

1. Most doctors believe in science, evidence, reality, and doing what's objectively best to help people. That makes it hard for them to understand political behaviour, which is about opinion, power, and influence… not facts. Many can't comprehend some politicians' motivations.

Mark Roseman @markroseman.com · Aug 27

For those who think "someone else" will step up to force politicians to do the right thing for our health system and for patients… forget it.

I keep hearing that doctors and other professionals should be counted on to take on this fight.

They can't. Here's why. 🧵

Mark Roseman @markroseman.com · Aug 27

Everyone—read this.

It lays out the root problem… we're letting our politicians get away with burning our health system to the ground.
They won't stop unless we force them.

Comment: It's up to us to fight for better health care timescolonist.com/opinion/comm...

Comment: It's up to us to fight for better health care

It is not for a lack of spending that our Medical Services Plan is in trouble.

timescolonist.com

Mark Roseman @markroseman.com · Aug 27

Everyone—read this.

It lays out the root problem… we're letting our politicians get away with burning our health system to the ground.
They won't stop unless we force them.

Comment: It's up to us to fight for better health care timescolonist.com/opinion/comm...

Comment: It's up to us to fight for better health care

It is not for a lack of spending that our Medical Services Plan is in trouble.

timescolonist.com

Mark Roseman @markroseman.com · Aug 27

But last week, they suddenly removed this data from the underlying data feed.

What changed? And why?

My best is that they finally got wise to the fact that the horrible wait times were actually still available, and closed the loophole.

In what world is this acceptable?

Mark Roseman @markroseman.com · Aug 27

But on March 31, they stopped reporting waits at Royal Columbian Hospital and Eagle Ridge Hospital.

The website shows "unable to display wait times"

Wait time data was still available. But they deliberately chose not to display it.

Mark Roseman @markroseman.com · Aug 27

Fraser Health and the BC government has been deliberately withholding data on ER wait times.

The edwaittimes.ca shows real-time waits for virtually all lower mainland ER's.

Mark Roseman @markroseman.com · Aug 1

BC citizens need an independent health data czar for BC. The current system, where the government (who provides the services) is responsible for reporting on the effectiveness of the services is simply not credible. No matter who is in government. The incentives to spin the data are far too strong.

Reposted by Mark Roseman

Shane🇨🇦 @shane555.bsky.social · Aug 1

BC has some of the highest costs for health system delivery in Canada.

No idea what the Premiers think the measurable benefit for all the duplicate health executives is.
@davidebybc.bsky.social

It’s like executive pay is priority 1, not actual delivery of hands on care.
#bchealth #bcpoli #bcleg

Mark Roseman @markroseman.com · Jul 30

No, it's not a scam. Group medical visit program offered through my wife's psychiatry practice.

Mark Roseman @markroseman.com · Jul 30

Mark Roseman @markroseman.com · Jun 21

I'd be enjoying this much more if the NDP weren't capitalizing on the incompetence of the opposition to expand their reign of authoritarianism, cronyism, and incompetence at the expense of people who need basic services. 🤬

Reposted by Mark Roseman

Jen St. Denis @jenstden.bsky.social · Jun 20

just wild 🙃 🍿 #bcpoli

The Tyee @thetyee.ca · Jun 19

You can’t really describe the warfare on B.C.’s right as a train wreck.

It’s way worse than that.

Imagine a train wreck where some survivors emerge and start kicking the injured. @pwillcocks.bsky.social writes. #bcpoli

Watching as BC’s Political Right Implodes | The Tyee

The vicious fighting between OneBC and Rustad’s Conservatives shows neither can be taken seriously.

Mark Roseman @markroseman.com · Jun 16

This is a great example of what we need to see more of… health care workers directly sharing their stories in media, their identities protected.

I Worked the ER During BC's Worst Heat Wave. One Shift Haunts Me via @thetyee.ca thetyee.ca/News/2025/06...

I Worked the ER During BC’s Worst Heat Wave. One Shift Haunts Me | The Tyee

‘That night could break people,’ recalls a health professional. A first-person account.

Reposted by Mark Roseman

Jen St. Denis @jenstden.bsky.social · Jun 13

“The Citizen Lab’s findings, released today, show that the use of spyware against journalists has continued, despite the backlash against NSO Group, and establish for the first time that Paragon was able to successfully infect Apple devices.” www.thecanadianpressnews.ca/science/us-b...

US-backed Israeli company's spyware used to target European journalists, Citizen Lab finds

ROME (AP) — Spyware from a U.S.-backed Israeli company was used to target the phones of at least three prominent journalists in Europe, two of whom are editors at an

www.thecanadianpressnews.ca

Mark Roseman @markroseman.com · Jun 13

This editorial could have been written by a govt flak—pushing recruitment, a new medical school, and cost cutting. Ignoring the real issues.

We could really use groups like @doctorsofbc.bsky.social @bccfp.bsky.social @bcfamilydocs.bsky.social
doing a better job of informing the public (+media).

Mark Roseman @markroseman.com · Jun 13

If the editorial is speaking for the view of the paper, and the paper feels it has some sort of role in engaging and informing the public, I weep.

No wonder we're in this mess. And not getting out anytime soon.

Our health system failed because govt can get away with it.

Mark Roseman @markroseman.com · Jun 13

You want to attract and keep family docs doing real family practice?

This editorial is not the place to look for answers.

Doctors don't want to be cogs in a broken system, begging for basic clinical needs, while money is siphoned off to unaccountable bureaucrats.

Fix that.