Fighting systemic rot in healthcare. Independent and unapologetic generalist, writer, philosopher, entrepreneur. Not a doctor. Recovering technology/UX geek.
Victoria, British Columbia
Joined March 2008
- Tweets31K
- Following715
- Followers1.8K
- Likes19K
Pinned Tweet
I've been critical of many aspects of our health system and tried to gather data to support those criticisms.
Because I think it's not only important but possible for us to do better. What would I change? Glad you asked.
healthdatabc.ca/platform/
In 2025, there were more MRIs done at St. Paul's Hospital in Vancouver (18,276) than in all of Northern Health combined (12,699, across three sites).
Vancouver General Hospital came close at 12,530.
Mark Roseman retweeted
Thanks for your efforts and voice in this campaign @samchandola.
The timing wasn't right for CentreBC in terms of preparation and then the Conservative pivot from KLF-crazy to kindler-and-gentler Lorne decreased the perceived need for an alternative.
If the Cons are able to govern in a sane, moderate, and effective manner, there will be less impetus for a strong Centrist alternative.
If they revert to type (which I hope they don't), that changes things. And if so, I know we've learned our lesson on being prepared.
On a personal note, I'm looking forward to a bit of a social media "detox" and getting my diet and exercise routine back on track.
I'm hoping my future self will be smart enough not to injure both my forearm tendons and knee prior to an election campaign. 😉
I think the Conservatives don't yet have a real plan on health.
We'll see if they're open to listening to experts in the field who can guide them to build a better, accountable health system.
Or if they'll listen to others who are more ideological.
I'm hoping for the former.
p.s. and if they're looking for a starting point, I humbly submit the plan below
If they're serious about fixing health care in this province, I'd invite them to reach out.
xitter.cf/markroseman/status/211…
I've been critical of many aspects of our health system and tried to gather data to support those criticisms.
Because I think it's not only important but possible for us to do better. What would I change? Glad you asked.
healthdatabc.ca/platform/
Mark Roseman retweeted
Congratulations to Premier-designate Lorne Doerksen and the BC Conservatives on their decisive election victory.
As Mayor of Port Coquitlam, I look forward to working constructively with the new provincial government to address the challenges facing our communities.
I also want to congratulate Mike Farnworth on his re-election as MLA for Port Coquitlam.
People in Port Coquitlam, and indeed right across British Columbia, expect their elected representatives at every level of government to work together, find common ground and deliver more than just promises. They expect real results that make a meaningful difference in their everyday lives.
That’s the responsibility we all share, it’s the work that lies ahead, and I look forward to doing my part.
Very disappointed to see @BrennanDay4CV did not hold Courtenay-Comox.
For anyone from any party who was serious about accountability in health care, this is a loss.
I hope the Conservatives are smart enough to take advantage of his knowledge and expertise moving forward.
Mark Roseman retweeted
Literally have popcorn for a long night ahead. I've been all over this province. We have major challenges and I hope we end up with responsible people in office
Mark Roseman retweeted
Seems kinda trite to be using the "If BC NDP don't win it's going to hurt X groups of people." argument with not a word about who the @bcndp's been hurting through systemic human rights violations & violence.
"But it'll be worse!"
Y'all don't even care about people DYING lol.
Mark Roseman retweeted
As an Ontario cancer MD who orders CT scans like candy, these numbers are appalling.
At some BC hospitals, fewer than 1 in 3 urgent CTs meet the 7-day benchmark.
Is it a shortage of scanners, staff, or competent management?
Because throwing more money at healthcare without fixing the bottlenecks just buys us a more expensive waiting list.
Mark Roseman retweeted
Their platform was pulled out of their ass... it's a marketing document quickly slammed together to present the kind of image they wanted to run on to attract votes. I don't know what they'll do in government. Frankly, I don't think they do either.
The most honest part was the health care thing where it says they'll take 100 days to figure it out.
This election wasn't about policy. It's not ideal, but I'm ok with that.
Mark Roseman retweeted
Good on you for your lonely quest for actionable data. You can’t fix what you don’t measure.
Mark Roseman retweeted
The wait times for these are important markers but it's also important to remember they aren't the only ones. I got a CT fast, it identified 'issues', follow-up imaging confirmed same. I was deemed medically urgent for additional procedures. That was in spring.
Have previously reported on median wait times for CT and MRI across BC... see healthdatabc.ca/wait/imaging…
Got more detailed data including 90th percentile wait times, % within benchmark, and scan volumes. Just started putting it altogether, but here's a taste (CT, Island Health).
Light blue is the median waits. Darker is the 90th percentile waits. At the end of each bar is % within benchmark and scan volume. Red line is the benchmark.
Much more to come.
Mark Roseman retweeted
Politics is a tough job. I’m thankful people put themselves out there and run. Vote for change but the vile comments about Eby are not ok. We can all be better at constructive criticism. Democracy requires us to speak up. Debate. Civil society requires us well…to be civil.
Mark Roseman retweeted
MDs in BC will tell you they’ve had patients with undefined cancers who have had MAID while waiting for MRIs. The wait is that long.
Have previously reported on median wait times for CT and MRI across BC... see healthdatabc.ca/wait/imaging…
Got more detailed data including 90th percentile wait times, % within benchmark, and scan volumes. Just started putting it altogether, but here's a taste (CT, Island Health).
Light blue is the median waits. Darker is the 90th percentile waits. At the end of each bar is % within benchmark and scan volume. Red line is the benchmark.
Much more to come.
Mark Roseman retweeted
If you’ve ever worked on a campaign, you know EDay is organized chaos fueled by caffeine and adrenaline! To everyone who is gotv… breathe, hydrate, and eat a meal!And to everyone else, be kind to the volunteers and candidates. They’re running on nerves and zero sleep! #bcpoli
Mark Roseman retweeted
Nanaimo is still in the dark ages. I sat in a hallway for three days waiting to be shipped to Vic waiting to get a stint after waiting to be properly diagnosed by my Dr after 4 years and no answers.
#NEW another doctor speaks out about healthcare crisis. Dr Dave Forrest says people are dying because Nanaimo Regional General doesn’t have cardiac catheterization lab to open blocked arteries during heart attacks. 6pm @GlobalBC @jarmstrongbc @dockevinmcleod
Mark Roseman retweeted
It's telling that with all the public and private "well wishes" I've received by commenting on this issue, people think I want the clinic to shut down and the patients to be abandoned. Nobody has asked what I would do.
What I wouldn't do is cave to his demands to go back on the group fee codes again, for reasons I've already explained. And also, if it wasn't already clear, I blame the clinic management for what's happened, not the patients.
And for the record, I hope that all the patients in the clinic can access the full medical services they need meeting professional standards of care.
In the interim, I don't want patients to suddenly lose the health services (a subset of them medical services) that they have been depending on. So here's what I'd do.
The province should offer them a deal. Basically a one-time emergency bailout, as they've done for other clinics in the past. Somewhere under $1m. In return, they agree to continue operating the clinic as it has been with same level of services for one year, plus agree to secure additional funding to operate for a further one year.
In addition to strict conditions on what they can bill MSP for and service level guarantees (and auditing of same), it would also require a full accounting of expenditures. And a pre-determined cap on take-home fees for the clinic physicians (and close associates).
Mark Roseman retweeted
Now: BC healthcare crisis prompts Dr Kevin McLeod, internal medicine specialist to consider leaving Lions Gate Hospital, (North Vancouver).
"Change is desperately needed, he says. It really hit a breaking point for me last night. Sechelt phoning saying we need to send patients over to Lions Gate well you can imagine from a taxpayers point of view sticking patients on a helicopter and flying them over. Honestly it's ridiculous."
- report, Catherine Urquhart, Globaltv
"This month, five neurologists are resigning their positions with Interior Health
- Last October, all seven obstetricians and gynecologists at Royal Inland Hospital in Kamloops resigned
- That same month, four psychiatrists resigned from Vernon Jubilee Hospital
- Seven pediatricians also resigned from Kelowna General Hospital between 2023 and 2025"