iiinova — where your digital self keeps evolving

If you were in charge of an organization's overhead costs… One year you were 18% over budget ($4M). The next 36% over ($11M). The next 55% over ($19M). What would your boss say to you? Would you still have a job? Under Eby's NDP and its bloated health authorities, no problem.

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Reposted by Mark Roseman

BC's UPCC's spend $52M a year (31.4% of total budget) on overhead. That's 55% over budget—at a time when they're spending less than expected on doctors and nurses. 11 UPCCs spend over double their budget on overhead.

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Reposted by Mark Roseman

All hospital emergency rooms in Fraser Health have stopped reporting estimated waiting times (via the edwaittimes.ca site). Comment from MOH or Fraser Health about this? The public's right to be informed on the state of our health system must be protected.

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Mark Roseman @markroseman.com · 25/06/2026

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Reposted by Mark Roseman

Look what Nova Scotia manages to PUBLICLY report about it's primary care waiting list. In BC? We get nothing. To get any data, we can wait for cherry-picked scraps from MOH or wait months for FOI requests. Widespread lack of transparency is enabling health system failure in BC.

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Mark Roseman @markroseman.com · 26/06/2026

BC CT and MRI waiting times for 2025, via FOI. The FOI unfortunately only includes median wait times (i.e. half the people waited longer than this), though best practice is to also report 90th percentile wait times and % meeting targets. More: healthdatabc.ca/wait/imaging...

Mark Roseman @markroseman.com · 27/06/2026

Reposted by Mark Roseman

Health system getting you down? Problem solved!

Amanda Follett Hosgood @amandafollett.bsky.social · 03/07/2026

Reposted by Mark Roseman

Patient Safety and Learning Systems are protected from public scrutiny so health care professionals have “full, open and candid discussions” on patient safety, according to BC’s health ministry. thetyee.ca thetyee.ca/News/2026/07...

thetyee.ca

How Many People Are ODing in BC Hospitals? It’s Still a Mystery | The Tyee

The Tyee just lost our last FOI appeal. Here’s what we can tell you.

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John Moxin @johnmoxin.bsky.social · 02/07/2026

I need more information. This seems damning, but I can't tell from an infographic.

karen ward @kwardvancouver.bsky.social · 29/06/2026

Reposted by Mark Roseman

its really important to recognize that the BCNDP government does not give the tiniest of fucks about the unregulated drug deaths emergency, unless it hurts them politically so what are some ways to hurt them politically look at examples of advocacy success ? what happened

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karen ward @kwardvancouver.bsky.social · 28/06/2026

its really important to recognize that the BCNDP government does not give the tiniest of fucks about the unregulated drug deaths emergency, unless it hurts them politically

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Reposted by Mark Roseman

Doctors for Safer Drug Policy @dsdp.ca · 28/06/2026

www.cbc.ca/news/canada/... “"It's really heartbreaking to read [Osborne's] advisers saying that they need to be giving her a briefing because there's been attention in the media and not because this is B.C.'s biggest public health crisis and loss of life that we've ever experienced in our history.”

cbc.ca

Internal documents show B.C. approved free nasal naloxone expansion after criticism over delays | CBC News

As the province continues to roll out broader access to free nasal naloxone in pharmacies this week, documents obtained by CBC News detail the B.C. Ministry of Health's behind-the-scenes discussions t...

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Mark Roseman @markroseman.com · 27/06/2026

Health system getting you down? Problem solved!

Mark Roseman @markroseman.com · 26/06/2026

Michelle Gamage @michellegamage.bsky.social · 25/06/2026

Reposted by Mark Roseman

I saw police detain a man and search his backpack. After, when I asked the police what happened, I was told the man had been “arrestable” and therefore could be searched. That’s not a thing. Here’s a refresher on what police can and can’t do. Procedure is important. thetyee.ca/News/2026/06...

thetyee.ca

What Are Your Rights When Police Detain You? | The Tyee

Two advocates warn detentions and bag searches are ‘common.’ Here’s what police are and aren’t allowed to do.

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Mark Roseman @markroseman.com · 25/06/2026

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Mark Roseman @markroseman.com · 21/06/2026

BC Greens used to be THE strongest party on health. They understood what was going on and how to fix it. Did the hard work, no cheap slogans. Now? If we hear anything, it's about CHCs (attached). Which I like, but I wonder how much of it is that they use the word "community."

Mark Roseman @markroseman.com · 21/06/2026

Mark Roseman @markroseman.com · 18/06/2026

When the government makes an announcement, it helps to have a guide to interpret it. Think all those health services promised are going to turn into reality? In your dreams. What's it actually costing, and what are you getting in return? Find out → healthdatabc.ca/upcc/

Mark Roseman @markroseman.com · 16/06/2026

Most discussion on mental health and psychiatry focuses on the vitally important issues related to involuntary care. But that's not what most people who need help deal with. The "system" is failing them too. You deserve an honest discussion of how, why, and what you can do.

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Mark Roseman @markroseman.com · 11/06/2026

In what kind of organization would this happen? You go 18% over budget on overhead. Nobody notices or says anything. The next year you go 36% over budget on overhead. Problem right? Nope. The next year you go 55% over budget on overhead. What's next?

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Reposted by Mark Roseman

11/11 This work is only one part of a larger conversation. It's not about blame but fixing what's broken. Delivering the health care we all need via an effective public system can happen. But only if we're honest and commit to real transparency and accountability. healthdatabc.ca

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Reposted by Mark Roseman

📢 BC NDP opened the first Urgent and Primary Care Centre (UPCC) 8yrs ago. We now have 48. Govt has given us only cherry-picked good news. No detailed accounting of performance. I reviewed their own data obtained via FOI. It's bad. Strap in. 🧵1/11 healthdatabc.ca/upcc/

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Reposted by Mark Roseman

Anyone want to take a shot at explaining/justifying this? 🤯

Mark Roseman @markroseman.com · 09/06/2026

Reposted by Mark Roseman

If you've seen my analysis of UPCC performance, would love your help spreading the word. Unfortunately, it's highly unlikely you'll see much (if any) coverage of this in the media, which limits its reach and impact. Why? Read on…

Mark Roseman @markroseman.com · 09/06/2026

Anyone want to take a shot at explaining/justifying this? 🤯

On the surface, UPCCs aren't seeing many patients given the number of staff. Maybe those visits are so much more in-depth that it justifies the numbers? If so, govt owes us some actual data to support that. If not, we need an explanation why those resources aren't better used.

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Mark Roseman @markroseman.com · 02/06/2026

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Reposted by Mark Roseman

Three words that are necessary (although not sufficient) to save health care in BC.

Mark Roseman @markroseman.com · 05/06/2026

Putting the finishing touches on my analysis of several years of FOI'd data on BC's Urgent and Primary Care Centres. Expect to release it on Monday. It's a stark lesson on why healthcare orgs—especially ones dependent on public opinion for survival—need independent oversight.

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Mark Roseman @markroseman.com · 02/06/2026

Three words that are necessary (although not sufficient) to save health care in BC.

Mark Roseman @markroseman.com · 26/05/2026

Reposted by Mark Roseman

We need a new position in B.C. — Minister of Health. Someone responsible for managing the health system and accountable for its performance. This would be distinguished from the Minister of Health Public Relations, which is what we have now. www.timescolonist.com/opinion/comm...

timescolonist.com

Comment: Good news in health care doesn’t tell whole story

Overall, the government does a tremendous job of message control, as failures stack up.

Reposted by Mark Roseman

Still crunching through FOI data on BC's UPCC's, which tend to be filled with too many nurses and administrators but not enough doctors. Effective cost per visits are insanely high—$185.74—on par with MSP fees for specialist consultations. Nobody is looking out for public $$$.

Reposted by Mark Roseman

I wonder how Consultant Specialists of BC (who along with rest of @doctorsofbc.bsky.social are currently voting on ratification of the next PMA outlining their fees) feel about this. Government throws hundreds of millions at UPCC's, yet the care delivered pales in comparison with alternatives.

Reposted by Mark Roseman

And if you thought the previous chart (showing UPCC visit costs vs. independent clinic family medicine and specialist visits) was scary, check this out. Per-visit OVERHEAD-ONLY costs at UPCC's and how they stack up against FULL VISIT fees for indie docs. 🤯

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Reposted by Mark Roseman

I would love for someone to explain to me why there are so many nurses in Urgent and Primary Care Centres, relative to family physicians and nurse practitioners. On average, it's a 2:1 ratio, in some much higher. What do they actually do that requires so many?