Medicine is at a crossroads. Please read our piece on the pushback to challenging power when trying to centre equity in CanMeds and more. If we want to actually move towards anti-oppressive healthcare, we need action.
#meded
#MedTwitter
cc
@SarooSharda_MD
*Reading a kids book about gender to my 5-year-old*
Me: “Some people are girls, some are boys, some are neither, and some are both…”
5yo: “And mommy, if you don’t know, you can just say they.”
The kids are gonna be alright.
We are missing the point if this story becomes about Justin Trudeau being unveiled as "a racist". Here is an opportunity to think more deeply about the situation and what allows it to be so. I'm not in any way surprised by the image that has been circulated. /1
Sending love today to Jewish people for seeing images of Swastikas all week.
Sending love today to Black people for seeing images of Confederate flags all week.
Sending love today to Indigenous people for seeing appropriation and mockery of ceremonies all week. /1
As long as I have known
@yipengGe
, he has been committed to equity, anti-racism and justice. He has been unjustly suspended from residency, without due process, for supporting Palestinian human rights. Please tell
@OttawaU
this is not OK.
@JustinTrudeau
The problem is that this dichotomization of racist and not racist with good and bad causes huge barriers to very important conversations that must happen about how our whole society is racist, and we have all been taught and likely think and express racist feelings and ideas. /4
Ontario parents:
Doug Ford is NOT trying to keep kids in school, he is trying to deny their right to well-functioning schools.
I want the education workers keeping my kid’s school running to be appreciated and well compensated.
I support the strike.
#onpoli
North American society is quite focused on identifying people as 'racists' or 'not racists'. Being called racist is considered one of the worst labels you could apply to someone. And yet, we all live, breathe and swim in a soup of structural racism reinforcing racist beliefs. /2
In Ontario, to book a
#COVID19
vaccine you just need:
- An OHIP card
- High English fluency
- High Health literacy
- High tech literacy
- Access to Internet, a computer, a cellphone and ideally a printer
- Time to navigate websites
- Time off work
And... and...
#onpoli
Almost every new South Asian parent I know has named their child based on how the name will be pronounced in white Western society. I eliminated 1000s of names for this reason. This is what it looks like to have a dominant culture shape your every move. Our children’s very names.
BREAKING: Health care workers are currently blocking an intersection outside the Ministry of Health. We call on Doug Ford and Sylvia Jones to reverse their cuts to healthcare for uninsured people.
#healthcare4all
#onpoli
@JustinTrudeau
Talking about Trudeau being exposed as a racist completely misses the point. Instead, a conversation about the structural and interpersonal racism that exists in this country impacting the lives of racialized, especially black and indigenous people, is what we need. /8
@JustinTrudeau
This is not a means to excuse Trudeau's white privilege or ignorance. But rather an important reflection of the society we live in and has been intentionally created by those people in positions of power. Trudeau's action is a symptom of the much more dangerous disease. /7
The reason for the crisis is that
@JustinTrudeau
's image is one of being a 'good person' who identifies as feminist, welcomes immigrants, and reconciliation. So his defenders rush to say, he's not 'a racist' because this is impossible for someone who is a 'good person'. /3
@JustinTrudeau
And growing up as a cisgender, straight, able-bodied, white male who was the son of a prime minister is pretty much the epitome of privilege. This by definition means Justin Trudeau is probably the least surprising person to have engaged in something so insensitive. /6
If you take one thing from this incident, let it be a commitment to examine our history, reflect on the ways you benefit from the current systems, and commit to working with those marginalized by them to break them down. /24
#cdnpoli
#elxn43
#brownface
#BlackfaceTrudeau
I feel sick that I have received the
#COVID19
vaccine but teachers, daycare workers, factory workers, grocery store workers, retail workers continue to be without protection, and now are getting sick and ending up in ICUs.
@fordnation
has sold out our essential workers.
#COVID19
@JustinTrudeau
We are constantly exposed to films, shows, books, ads, magazines etc that portray racialized people in 2-dimensional ways (usually because people in positions of power in those institutions are unlikely to be themselves racialized). /5
Thinking about all the families with young kids living in small spaces without outdoor space, that will be incentivized to gather indoors to play rather than outside where it’s safer, for fear of police. So much privilege is built into today’s announcement.
#onpoli
#COVID19ON
Speaking to fellow non-Indigenous people in Canada today, including fellow racialized people and immigrants, because despite our own challenges, whether we like it or not, we all have and continue to benefit from the colonization of Indigenous Peoples' land. /1
Headlines focusing on AZ 1st doses being stopped due to blood clot risk are misleading and causing anxiety for those who got 1 dose.
AZ 1st doses are being stopped because we have a lot of Pfizer supply and can reduce a small risk of a serious event to even less.
#covid19
And while we’re at it, let’s talk about the flip side which is structural white privilege, which allows such actions, as it holds implicit in it an entitlement to the lives, culture, land and bodies of racialized people. (See: all of history). /9
#elxn43
#brownface
#blackface
Dr. Williams spent his presser blaming Ontario’s current state on individaual behaviour - literally the job of public health is to recognize that bhvr is shaped by public policy. DO YOUR JOB. Implement policy change like
#PaidSickDays
rather than gaslighting Ontario.
#onpoli
Canada Day can be meaningful for many immigrants who see it as a way to celebrate our new home. But we can’t pick and choose which parts of home we embrace.
We too are settlers and our lives here are built at the expense of Indigenous peoples’ lives.
#CancelCanadaDay
2. Disproportionately harsh sentencing for black and indigenous ppl.
3. Disproportionate rates of black and indigenous children apprehended from their families.
- The last two contribute to ongoing intergenerational trauma through family separation. /11
I am incredibly proud today to join over 1000 colleagues in the health community across Canada expressing solidarity with Palestinians living under occupation, and upholding human rights and international law. There is
#NoHealthUnderOccupation
.
/1
***Doug Ford's announcement is NOT paid sick days!*** Paid sick days come through legislation requiring employers to provide days where a worker can be off sick, and get paid. Ford is "working on" sick pay, which is something you would have to apply for and wait for.
#onpoli
In case it’s unclear where to begin, here are some things we can start to address to support the approx 20% of the Canadian population that is racialized.
1. Disproportionate policing of racialized communities leading to criminalization. /10
Tip: If you're not sure how to pronounce a name (this happens to me on the regular seeing patients) just say, "I'm sorry. How do you pronounce your name?" - while this may feel uncomfortable, it shows you're willing to prioritize someone else's dignity over your own comfort.
What we need is not more 'good intentions' and learning the rules of what 'is and is not offensive', but for all people, especially white people, to understand the history and structures on which this country (and others like it) are built. /22
4. Immigration policies that keep especially Latinx, black and Filipino migrants working in low wage precarious jobs with limited pathways to permanent immigration status and therefore 'membership rights' in our country. /12
#cdnpoli
Ask yourself why someone may choose to live in an encampment in our city. These are not irrational decisions given the options available to people. If we want no encampments, we need proper, safe, affordable housing.
#topoli
5. Political spaces that continue to be disproportionately white and male, thereby shaping policies impacting the lives of racialized people through privileged lenses that don't actually reflect our country.
/13
#elxn43
6. Media spaces that continue to be disproportionately white and male, especially in management, shaping the narratives we hear, often reinforcing harmful stereotypes thereby perpetuating interpersonal and structural biases. /14
#brownface
Today, as we drop off our kids worrying about
#COVID19
, remember that for 100 years, Indigenous parents had their kids taken by force “for their own good” to schools where they were denied their culture, insulted, beaten, not treated when sick and *half* died.
#OrangeShirtDay2020
Every fellow parent of school aged kids in Ontario has spent the last few days agonizing about delayed news about school plans, confusing news about severity in kids, distressing news about lack of testing and tracing. How is this where we are at two years in?
#COVID19
Power begets power. Structural racism in our society is not an accident. Any cursory look at the history of colonization, cultural genocide of indigenous ppl, restriction of immigration for 'certain groups', active efforts to criminalize certain communities demonstrate this. /21
7. Barriers to employment such as a lower likelihood of being interviewed if you have an 'ethnic' sounding name, requirements of 'Canadian experience', or barriers to career advancement because you don't look like or sound like the people at the top. /15
#cdnpoli
Today, I hugged my mother for the first time in a year. I had forgotten exactly how she fills every nook and cranny in my body and soul, just like I needed.
🙏🏽🙏🏽🙏🏽🙏🏽🙏🏽💉💉💉💉💉
Canada likes to present itself as a socially progressive haven for marginalized peoples. Let this weekend's events be a reminder of what lurks just beneath the surface.
11. Relationships with indigenous communities that continue to claim intents of reconciliation while not engaging with them as equal partners deserving of rights over their land and lives with dignity and basic services like clean water. /19
#cdnpoli
Health workers are putting this Conservative government on notice. You can’t vote against paid sick days *25 times* during a pandemic and NOT expect us to take action. This government is playing politics with people’s lives.
#healthworkersfightback
#onpoli
#COVID19
Doug Ford is trying to use our kids as pawns to bust unions.
Stop pitting families against education workers. We know who takes care of our children day in and day out.
Parents stand with education workers.
#onted
#onpoli
#39kIsNotEnough
8. Corporate boardrooms that are disproportionately white and male, and powerful special interest groups that lobby to maintain status quo or further entrench economic systems that disproportionately benefit white people due to a history of who has wealth. /16
#elxn43
9. Healthcare spaces rampant with implicit bias that endangers the lives of racialized people (among various groups) who may not feel they can trust providers or systems to heal or care for them as it does for others. /17
#cdnpoli
Those structures continue to exist and marginalize many among us - whether racialized ppl, immigrants, women, LGBTQ folks, ppl w disabilities, or ppl living in poverty. Until we lift the veil of these power structures and work to fight them, nothing can change. /23
#cdnpoli
I can not imagine ANY OTHER INDUSTRY where a worker is asked to continue to go to work while COVID positive (asymptomatic or not) - this is NOT because migrant workers are essential workers, but rather that their labour is essential, and their lives are not.
#sdoh
#COVID19
Here it is. Plainly stated: we are prepared to accept the deaths of migrant farm workers in order to maintain the “integrity” of the supply chain and the profits of a few.
Nine homeless shelters in Toronto have outbreaks with 69 known cases. Public messaging has told us all to stay home. But what if you have no home? We are told to stay 2 metres away from people. But what if you sleep less than 2 metres away from other people every night?
#COVID19
12. Barriers to higher education due to increasing tuition rates that disproportionately exclude racialized people from entering halls of power and professions such as medicine and law, continuing the cycle. /20
#brownface
10. Economic policies that continue to worsen income inequality through corporate and personal tax policies that benefit the wealthiest among us, who due to the history of this country, are disproportionately white. /18
#elxn43
There is so much privilege and contempt in this tweet. Do the daycare workers, transit workers, food service workers, healthcare workers, shelter workers, farm workers, grocery store workers, truck drivers and cab drivers have the choice to work from home? No.
#COVID19
Sending love today to all my fellow POC, migrants, Muslim folks, queer, trans and non-binary folks, disabled people and other minoritized people who are no doubt feeling terrorized knowing white supremacist neo-Nazis hate us too. /2
Why is if that doctors going on trips to work in low income countries from the West are lauded as great humanitarians while the doctors from these countries (who have arguably been doing the lion’s share of the work there), come here and face immense barriers to survive?
Rich countries are not used to seeing the effects of global inequities they have created coming back to hurt them.
Never forget that this inequity is why we have
#Omicron
today.
#onpoli
#COVID19Ontario
I’m so inspired by
@Simone_Biles
. Our world promotes toxic levels of “achievement” at the expense of our humanity, health and families which are disposable. The only way to survive is to value ourselves enough to say no. This is a radical act of self-love we can all learn fom.
Medicine is so unaware of entire fields of study that bring invaluable lenses and allow us to understand biases, root causes of ill health and also address them. It’s time we value history, critical theory, sociology, cognitive science, philosophy, literature, art.
#medtwitter
Only 11 residential schools have been searched.
Already 5000 graves of children have been found.
There were 1300 residential schools.
Just sit with that.
The scale of violence is truly beyond words.
Stats via Dr. Suzanne Shoush.
#OrangeShirtDay2021
We talk a lot about how hard health care providers work. But one of the hardest jobs I ever had was at Popeye’s.
Let’s talk more about how hard construction, retail, fast food, daycare, and farm workers work. And let’s appreciate them with good pay, sick days and benefits.
#sdoh
Huge 👏🏽👏🏽👏🏽👏🏽👏🏽 to the brilliant Muslim woman Aziza on
@TheCurrentCBC
calling out the need to constantly put their pain and trauma on display without naming the actual structures like the War on Terror and torture that creates Islamophobia that are left unchallenged.
I’m always jarred when I go to Tim Horton’s and see almost exclusively South Asian women staff. To be served coffee by your elders working low wage jobs is very uncomfortable. And it says a lot about who gets what work.
#sdoh
#cdnpoli
#elxn43
A global crisis sure has a way of highlighting the cracks in our system:
1. Uninsured migrants in Canada denied care at emergency rooms can not be screened.
2. People experiencing homelessness living in crowded shelters can not 'self-isolate'
#Covid_19
Don’t forget that the largest number of refugees always go to neighbouring countries. There are already 1.4mn Afghan refugees that have fled to Pakistan. Lower income countries always bear more of the burden while high income ones get international press for taking people in.
@Nate_Lajeunesse
No. I don't consider the genocide of a land's Indigenous peoples, uninformed consent in stealing their land, ripping generations of their children from their families, and denying others migration through racist policies to be how you create the greatest country on earth.
Thanks Twitterverse for all the lovely messages. I have also been getting a lot of hate, insults and personal attacks. Don't forget that this is also the reality of racialized people when we speak up about structural racism, giving us pause.
#blackface
#BrownFaceTrudeau
One group has simultaneously evoked terror in so many. This is how right wing extremism operates. They see us demanding our rights as a threat to their power. And remember that they ally with the political parties who most seek to end progressive policies of social solidarity. /3
Hundreds of doctors, nurses and health workers just went to Queen’s Park to tell Doug Ford to reverse his cruel cuts to healthcare for uninsured people that go into effect tomorrow. We cannot play with people’s lives. We need
#healthcare4all
.
#onpoli
A call to *centre* values such as anti-oppression, anti-racism and social justice *in the practice of medicine* means supporting MDs to obtain the knowledge and skills necessary to address the shameful chasm in health outcomes for Black and Indigenous peoples... /1
Warning ⚠️ EDI can be bad for your health!
In this internal document from the
@Royal_College
of Physicians and Surgeons of Canada, there is a proposal from the EDI group to prioritize social justice over medical expertise.
This is bonkers.
#Cdnpoli
@fordnation
#Onhealth
For those calling to
#BoycottCocaCola
and Delta in wake of Georgia voter suppression laws, we can never forget that racism and capitalism have always gone hand in hand.
Slavery, colonialism, imperialism, immigration controls have always been about money and power.
Whether we see it day to day or not, there is a growing extremist movement afoot in Canada. We win when we see this for what it is, and act in solidarity with one another. We win when we link our struggles together but always centre the margins. /4
Here's a photo of Doug Ford with the Proud Boys.
They once named Doug Ford the "Proud Boy of the month".
Earlier today, Proud Boys members joined a group of domestic terrorists that stormed the US Capitol with deadly weapons.
This is not okay.
And we win by staying vigilant. Between us and our allies, there are more of us than them. Pay attention to politicians giving oxygen to this violent behaviour and hold them accountable. We can turn this moment into a push to fight against oppression rather than furthering it. /6
@NeNe_LaShaun
Good to know. For me as a South Asian person who faces racism but not in the same way as Black and Indigenous people it has felt like a way of saying “when we talk about POC let’s make sure we recognize that the B & I experience is specifically important to name.”
Fascinating to listen to
@TorontoPolice
chief name that there is systemic racism in policing, then go on to show he doesn’t understand at all what that means or how it works.
Beware people in power who repeat the language of movements with no track record of supporting them.
Sending extra love today to my “woke social justice warrior” types in psychiatry, medicine, healthcare and beyond. You make the world a better place for so many, often in the face of much resistance. Don’t let these be insults. Wear it with pride.
#MedTwitter
#bootsnotsuits
Did you know that Canada was the LAST country in the world to officially adopt the UN Declaration on the Rights of Indigenous Peoples? This adoption came 9 years after the resolution was first passed with 144 countries for, 4 against (US, Australia, New Zealand and Canada).
Ontario’s enhanced restrictions were always intended to stop large gatherings where spread can happen.
Our regulations will be amended to allow playgrounds but gatherings outside will still be enforced. Play outside safely. Parents keep your distance & wear masks if you can’t.
The power dynamics between a 68-year old man who is the mayor of the largest city in Canada and your boss, and a 31-year-old woman employee are frightening. That is the lens we need to see this through.
True consent with such a power differential is very challenging.
I would love to see a shift in language away from that of “difficult patients”. Often folks who have experienced the most trauma in their lives have learned certain behaviours as a means of survival. Truly understanding this can go such a long way.
#MedEd
#MedTwitter
We win when we recognize that our identity-based struggles must be rooted in work to improve material conditions for those most marginalized among us - by calling for decent work, a living wage, affordable housing, accessible healthcare. /5
Twitterverse: Im very curious to hear about people’s experiences with virtual (phone or video) care.
My hypothesis: We need to integrate virtual care into our suite of options for comprehensive primary care, but offer patients a TRUE choice between virtual and in person.
Sending so much love to Indigenous people across Canada/Turtle Island today as this revelation once again will bring to the fore the un-ending painful legacy of the Indian Residential School System in Canada. I cannot, as a mother, bear to think about what this must feel like.
There is a huge amount of collective trauma and grief today across the country due to this discovery.
May the families, their nations and all survivors of residential schools be surrounded by love and support.
#AllOurRelations
I cannot begin to explain how much time I'm spending everyday in patients' appointments for their *other* health concerns trying to find out if they can get a vaccine, when and where, sometimes booking for them. I'm happy to support them, but this is *not* an accessible system.
Sending love to Ontario parents and education workers as we once again scramble at the last minute to sort out our lives and work. As always, this government’s ineptitude falls on feminized labour, paid and unpaid, to bear the burden.
#COVID19
#onted
Hundreds of doctors, nurses, lawyers, community workers, researchers joined migrants and refugees at Queen’s Park today to
#SaveLegalAid
.
@fordnation
’s cruel cuts ban immigrants and refugees from gaining representation which is a gross violation of their rights!
#sdoh
#onpoli
Today, Ontario health workers stood up to Doug Ford and demanded:
✔️ 10 employer provided paid sick days
✔️ Public health not policing
✔️ Vaccinating essential workers and marginalized communities
#HealthWorkersFightBack
#onpoli
#COVID19
Today, I saw a Pakistani man, with a medical student who spoke to him in Punjabi, as I spoke to him in Hindi, and the beauty of it all just blew my mind.
#MedTwitter
#meded
I’m afraid for my patients who may die because they were more worried about the vaccine than the real risk of
#COVID19
. I worry I will have failed at changing their minds and it will be too late. Every day these conversations haunt me.
Slavery happened here in Canada pre-confederation for over 200 years. Yes, that same slavery you’ve heard about in the US, and no, not a gentler version. We don’t like to talk about this brutal history so it’s good to see some formal acknowledgement.
I received my first dose of the
#CovidVaccine
yesterday. It has brought up many feelings - including the surreal thought that perhaps there will be an end to all this. /1
We need action now!
@fordnation
@celliottability
- if you want people to stay home when they’re sick, legislate 7 permanent paid sick days and 14 additional days during public health emergencies. Health providers across Canada - add your voices to the call!
#PaidSickDaysSaveLives