Dr. Alika Lafontaine MD

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Dr. Alika Lafontaine MD

Dr. Alika Lafontaine MD

@AlikaMD

In a world full of anger and outrage, human connection is more important than ever. Posts about medicine, tech, culture and the future of healthcare

Canada Entrou em Eylül 2010
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Dr. Alika Lafontaine MD
Dr. Alika Lafontaine MD@AlikaMD·
There are 3 truths about Canadian healthcare that the public will acknowledge in the next two years: 1. Healthcare is collapsing across Canada because of decisions to underfund it over the past two decades. For folks who say it’s unsustainable, we’ve been saying that for 30 years. Underfunding was not the solution to that problem. The solution was (and still is!) making deliberate choices of what public healthcare is and isn’t (which we haven’t done either), linked to what we publicly fund and what we don’t. We then have to regulate both of those markets effectively.
Canadian Medical Association@CMA_Docs

74% of Canadians say that health care in their province is in crisis. The CMA and its counterparts urge leaders to stabilize our #CDNhealth system for timely patient care and safe, well-resourced environments for health professionals. ctvnews.ca/politics/provi…

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Dr. Alika Lafontaine MD
Dr. Alika Lafontaine MD@AlikaMD·
@KashPrime At some point people aren’t going to tolerate this treatment anymore and I think that point is coming faster than the technocracy thinks.
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Kashif Pirzada, MD
Kashif Pirzada, MD@KashPrime·
AI related layoffs in tech are happening on a massive scale. How long until your industry is affected?
jack@jack

we're making @blocks smaller today. here's my note to the company. #### today we're making one of the hardest decisions in the history of our company: we're reducing our organization by nearly half, from over 10,000 people to just under 6,000. that means over 4,000 of you are being asked to leave or entering into consultation. i'll be straight about what's happening, why, and what it means for everyone. first off, if you're one of the people affected, you'll receive your salary for 20 weeks + 1 week per year of tenure, equity vested through the end of may, 6 months of health care, your corporate devices, and $5,000 to put toward whatever you need to help you in this transition (if you’re outside the U.S. you’ll receive similar support but exact details are going to vary based on local requirements). i want you to know that before anything else. everyone will be notified today, whether you're being asked to leave, entering consultation, or asked to stay. we're not making this decision because we're in trouble. our business is strong. gross profit continues to grow, we continue to serve more and more customers, and profitability is improving. but something has changed. we're already seeing that the intelligence tools we’re creating and using, paired with smaller and flatter teams, are enabling a new way of working which fundamentally changes what it means to build and run a company. and that's accelerating rapidly. i had two options: cut gradually over months or years as this shift plays out, or be honest about where we are and act on it now. i chose the latter. repeated rounds of cuts are destructive to morale, to focus, and to the trust that customers and shareholders place in our ability to lead. i'd rather take a hard, clear action now and build from a position we believe in than manage a slow reduction of people toward the same outcome. a smaller company also gives us the space to grow our business the right way, on our own terms, instead of constantly reacting to market pressures. a decision at this scale carries risk. but so does standing still. we've done a full review to determine the roles and people we require to reliably grow the business from here, and we've pressure-tested those decisions from multiple angles. i accept that we may have gotten some of them wrong, and we've built in flexibility to account for that, and do the right thing for our customers. we're not going to just disappear people from slack and email and pretend they were never here. communication channels will stay open through thursday evening (pacific) so everyone can say goodbye properly, and share whatever you wish. i'll also be hosting a live video session to thank everyone at 3:35pm pacific. i know doing it this way might feel awkward. i'd rather it feel awkward and human than efficient and cold. to those of you leaving…i’m grateful for you, and i’m sorry to put you through this. you built what this company is today. that's a fact that i'll honor forever. this decision is not a reflection of what you contributed. you will be a great contributor to any organization going forward. to those staying…i made this decision, and i'll own it. what i'm asking of you is to build with me. we're going to build this company with intelligence at the core of everything we do. how we work, how we create, how we serve our customers. our customers will feel this shift too, and we're going to help them navigate it: towards a future where they can build their own features directly, composed of our capabilities and served through our interfaces. that's what i'm focused on now. expect a note from me tomorrow. jack

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Robyn Urback
Robyn Urback@RobynUrback·
@SamHersh01 Did you read the column? Nowhere does it say that refugees are why our health care system is crumbling. Our health care system is suffering from decades of neglect that predate the surge in immigration
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Sam Hersh
Sam Hersh@SamHersh01·
Right-wing media pundits like @RobynUrback are telling us refugees are the reason our healthcare system is crumbling - Don't listen to them. Decades of underfunding and a massive onslaught of privatization has done this. There is more than enough wealth in Canada to fix it.
Robyn Urback@RobynUrback

It is the right time — socially and economically — to scale back extended health benefits for refugees theglobeandmail.com/opinion/articl…

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Andrew Boozary MD
Andrew Boozary MD@drandrewb·
Chantal Hebert is a national treasure.
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Dr. Alika Lafontaine MD
Dr. Alika Lafontaine MD@AlikaMD·
Live in rural Alberta w/ many Progressive Conservative friends quietly sharing they are voting Liberal today. Reform friends who also hear this tell me “those PCs weren’t REAL conservatives anyways.” If you want to win elections, that’s probably the wrong answer. #Election2025
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Alberta Medical Association (AMA)
Alberta Medical Association (AMA)@Albertadoctors·
The Canadian Medical Association (@cma_docs) has launched its National Physician Health Survey. With anxiety and burnout on the rise in our profession, the survey will provide information we need to build a stronger, safer, more inclusive health workforce bit.ly/4iRhjPw
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Peter Mansbridge
Peter Mansbridge@petermansbridge·
We’ve passed the halfway point in the campaign, and some Conservatives are questioning the validity of polls. Is it proof of trouble in Tory ranks? @ChantalHbert & Rob Russo discuss. Listen on @CanadaTalks167 & podcast platforms at noon EST. 📍youtu.be/0dNU729C8rQ
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Avis Favaro
Avis Favaro@Avis_Favaro·
Brain gain? Toronto's @UHN hospital system will announce a strategy to attract U.S. health scientists - plan to be unveiled Monday. Website isn't up yet, but U.S scientists interested check here Monday. Hopefully other hospitals & universities follow UHNCanadaleads.ca
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Anonymous
Anonymous@YourAnonCentral·
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Dr. Alika Lafontaine MD
Dr. Alika Lafontaine MD@AlikaMD·
There’s talented politicians and politicians who truly are terrible at their job. For anyone complaining about talented people not going into politics, this type of garbage is why. Agree with @RobynUrback, leave the kids out of it.
Robyn Urback@RobynUrback

Trash story, with zero public interest. Defenders will say it speaks to Carney’s “judgement” or something, but that’s a terribly weak way to defend publishing a story that cruelly targets a politician’s kid just to whip up fury

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