When Doctors Get Sick

Download When Doctors Get Sick PDF Online Free

Author :
Publisher : Springer Science & Business Media
ISBN 13 : 1489920013
Total Pages : 445 pages
Book Rating : 4.4/5 (899 download)

DOWNLOAD NOW!


Book Synopsis When Doctors Get Sick by : H.N. Mandell

Download or read book When Doctors Get Sick written by H.N. Mandell and published by Springer Science & Business Media. This book was released on 2013-11-11 with total page 445 pages. Available in PDF, EPUB and Kindle. Book excerpt: When a doctor gets sick, his status changes. No longer is his role de fined as deriving from doctus, i. e. , learned, but as from patiens, the present participle of the deponent verb, patior, i. e. , to suffer, with all the passive acceptance of pain the verb implies. From pass us, the past participle, we get the word passion, with its wide gamut of emotional allusions, ranging from animal lust to the sufferings of martyrs. It is the connotation, not the denotation, of the word that defines the change of status. When a doctor is sick enough to be admitted to a hospital, he can no longer write orders; orders are written about him, removing him from control of his own situation. One recalls a sonnet from W. H. Auden's sequence, The Quest, which closes with the lines: Unluckily they were their situation: One should not give a poisoner medicine, A conjuror fine apparatus, Nor a rifle to a melancholic bore. That is a reasonable expression of twentieth-century skepticism and ra tionalism. Almost all medical literature is written from the doctor's point of view. Only a few medically trained writers-one thinks of Chekhov's Ward Six-manage to incorporate the patient's response to his situa tion. Patients' voices were not much in evidence until well into the twentieth century, but an early example is John Donne's Devotions upon Emergent Occasions (1624).

When Doctors Get Sick

Download When Doctors Get Sick PDF Online Free

Author :
Publisher :
ISBN 13 : 9781489920027
Total Pages : 488 pages
Book Rating : 4.9/5 (2 download)

DOWNLOAD NOW!


Book Synopsis When Doctors Get Sick by : H. N. Mandell

Download or read book When Doctors Get Sick written by H. N. Mandell and published by . This book was released on 2014-01-15 with total page 488 pages. Available in PDF, EPUB and Kindle. Book excerpt:

An American Sickness

Download An American Sickness PDF Online Free

Author :
Publisher : Penguin
ISBN 13 : 0698407180
Total Pages : 434 pages
Book Rating : 4.6/5 (984 download)

DOWNLOAD NOW!


Book Synopsis An American Sickness by : Elisabeth Rosenthal

Download or read book An American Sickness written by Elisabeth Rosenthal and published by Penguin. This book was released on 2017-04-11 with total page 434 pages. Available in PDF, EPUB and Kindle. Book excerpt: A New York Times bestseller/Washington Post Notable Book of 2017/NPR Best Books of 2017/Wall Street Journal Best Books of 2017 "This book will serve as the definitive guide to the past and future of health care in America.”—Siddhartha Mukherjee, Pulitzer Prize-winning author of The Emperor of All Maladies and The Gene At a moment of drastic political upheaval, An American Sickness is a shocking investigation into our dysfunctional healthcare system - and offers practical solutions to its myriad problems. In these troubled times, perhaps no institution has unraveled more quickly and more completely than American medicine. In only a few decades, the medical system has been overrun by organizations seeking to exploit for profit the trust that vulnerable and sick Americans place in their healthcare. Our politicians have proven themselves either unwilling or incapable of reining in the increasingly outrageous costs faced by patients, and market-based solutions only seem to funnel larger and larger sums of our money into the hands of corporations. Impossibly high insurance premiums and inexplicably large bills have become facts of life; fatalism has set in. Very quickly Americans have been made to accept paying more for less. How did things get so bad so fast? Breaking down this monolithic business into the individual industries—the hospitals, doctors, insurance companies, and drug manufacturers—that together constitute our healthcare system, Rosenthal exposes the recent evolution of American medicine as never before. How did healthcare, the caring endeavor, become healthcare, the highly profitable industry? Hospital systems, which are managed by business executives, behave like predatory lenders, hounding patients and seizing their homes. Research charities are in bed with big pharmaceutical companies, which surreptitiously profit from the donations made by working people. Patients receive bills in code, from entrepreneurial doctors they never even saw. The system is in tatters, but we can fight back. Dr. Elisabeth Rosenthal doesn't just explain the symptoms, she diagnoses and treats the disease itself. In clear and practical terms, she spells out exactly how to decode medical doublespeak, avoid the pitfalls of the pharmaceuticals racket, and get the care you and your family deserve. She takes you inside the doctor-patient relationship and to hospital C-suites, explaining step-by-step the workings of a system badly lacking transparency. This is about what we can do, as individual patients, both to navigate the maze that is American healthcare and also to demand far-reaching reform. An American Sickness is the frontline defense against a healthcare system that no longer has our well-being at heart.

When Doctors Become Patients

Download When Doctors Become Patients PDF Online Free

Author :
Publisher : Oxford University Press
ISBN 13 : 0195327675
Total Pages : 344 pages
Book Rating : 4.1/5 (953 download)

DOWNLOAD NOW!


Book Synopsis When Doctors Become Patients by : Robert Klitzman

Download or read book When Doctors Become Patients written by Robert Klitzman and published by Oxford University Press. This book was released on 2008 with total page 344 pages. Available in PDF, EPUB and Kindle. Book excerpt: For many doctors, their role as powerful healer precludes thoughts of ever getting sick themselves. When they do, it initiates a profound shift of awareness-- not only in their sense of their selves, which is invariably bound up with the "invincible doctor" role, but in the way that they view their patients and the doctor-patient relationship. While some books have been written from first-person perspectives on doctors who get sick-- by Oliver Sacks among them-- and TV shows like "House" touch on the topic, never has there been a "systematic, integrated look" at what the experience is like for doctors who get sick, and what it can teach us about our current health care system and more broadly, the experience of becoming ill.The psychiatrist Robert Klitzman here weaves together gripping first-person accounts of the experience of doctors who fall ill and see the other side of the coin, as a patient. The accounts reveal how dramatic this transformation can be-- a spiritual journey for some, a radical change of identity for others, and for some a new way of looking at the risks and benefits of treatment options. For most however it forever changes the way they treat their own patients. These questions are important not just on a human interest level, but for what they teach us about medicine in America today. While medical technology advances, the health care system itself has become more complex and frustrating, and physician-patient trust is at an all-time low. The experiences offered here are unique resource that point the way to a more humane future.

How We Do Harm

Download How We Do Harm PDF Online Free

Author :
Publisher : St. Martin's Press
ISBN 13 : 1429941502
Total Pages : 320 pages
Book Rating : 4.4/5 (299 download)

DOWNLOAD NOW!


Book Synopsis How We Do Harm by : Otis Webb Brawley, MD

Download or read book How We Do Harm written by Otis Webb Brawley, MD and published by St. Martin's Press. This book was released on 2012-01-31 with total page 320 pages. Available in PDF, EPUB and Kindle. Book excerpt: How We Do Harm exposes the underbelly of healthcare today—the overtreatment of the rich, the under treatment of the poor, the financial conflicts of interest that determine the care that physicians' provide, insurance companies that don't demand the best (or even the least expensive) care, and pharmaceutical companies concerned with selling drugs, regardless of whether they improve health or do harm. Dr. Otis Brawley is the chief medical and scientific officer of The American Cancer Society, an oncologist with a dazzling clinical, research, and policy career. How We Do Harm pulls back the curtain on how medicine is really practiced in America. Brawley tells of doctors who select treatment based on payment they will receive, rather than on demonstrated scientific results; hospitals and pharmaceutical companies that seek out patients to treat even if they are not actually ill (but as long as their insurance will pay); a public primed to swallow the latest pill, no matter the cost; and rising healthcare costs for unnecessary—and often unproven—treatments that we all pay for. Brawley calls for rational healthcare, healthcare drawn from results-based, scientifically justifiable treatments, and not just the peddling of hot new drugs. Brawley's personal history – from a childhood in the gang-ridden streets of black Detroit, to the green hallways of Grady Memorial Hospital, the largest public hospital in the U.S., to the boardrooms of The American Cancer Society—results in a passionate view of medicine and the politics of illness in America - and a deep understanding of healthcare today. How We Do Harm is his well-reasoned manifesto for change.

Never Be Sick Again

Download Never Be Sick Again PDF Online Free

Author :
Publisher : Health Communications, Inc.
ISBN 13 : 1558749543
Total Pages : 418 pages
Book Rating : 4.5/5 (587 download)

DOWNLOAD NOW!


Book Synopsis Never Be Sick Again by : Raymond Francis

Download or read book Never Be Sick Again written by Raymond Francis and published by Health Communications, Inc.. This book was released on 2002-09 with total page 418 pages. Available in PDF, EPUB and Kindle. Book excerpt: Presents a practical theory of health and disease that aims to revolutionize the way we look at illness. This book provides readers a holistic approach to living that will empower them to get well - and stay well.

Why We Get Sick

Download Why We Get Sick PDF Online Free

Author :
Publisher : BenBella Books
ISBN 13 : 1950665178
Total Pages : 186 pages
Book Rating : 4.9/5 (56 download)

DOWNLOAD NOW!


Book Synopsis Why We Get Sick by : Benjamin Bikman

Download or read book Why We Get Sick written by Benjamin Bikman and published by BenBella Books. This book was released on 2020-07-21 with total page 186 pages. Available in PDF, EPUB and Kindle. Book excerpt: A scientist reveals the groundbreaking evidence linking many major diseases, including cancer, diabetes, and Alzheimer's disease, to a common root cause—insulin resistance—and shares an easy, effective plan to reverse and prevent it. We are sick. Around the world, we struggle with diseases that were once considered rare. Cancer, heart disease, Alzheimer's disease, and diabetes affect millions each year; many people are also struggling with hypertension, weight gain, fatty liver, dementia, low testosterone, menstrual irregularities and infertility, and more. We treat the symptoms, not realizing that all of these diseases and disorders have something in common. Each of them is caused or made worse by a condition known as insulin resistance. And you might have it. Odds are you do—over half of all adults in the United States are insulin resistant, with most other countries either worse or not far behind. In Why We Get Sick, internationally renowned scientist and pathophysiology professor Benjamin Bikman explores why insulin resistance has become so prevalent and why it matters. Unless we recognize it and take steps to reverse the trend, major chronic diseases will be even more widespread. But reversing insulin resistance is possible, and Bikman offers an evidence-based plan to stop and prevent it, with helpful food lists, meal suggestions, easy exercise principles, and more. Full of surprising research and practical advice, Why We Get Sick will help you to take control of your health.

What Doctors Feel

Download What Doctors Feel PDF Online Free

Author :
Publisher : Beacon Press
ISBN 13 : 0807073334
Total Pages : 232 pages
Book Rating : 4.8/5 (7 download)

DOWNLOAD NOW!


Book Synopsis What Doctors Feel by : Danielle Ofri

Download or read book What Doctors Feel written by Danielle Ofri and published by Beacon Press. This book was released on 2013-06-04 with total page 232 pages. Available in PDF, EPUB and Kindle. Book excerpt: A look at the emotional side of medicine—the shame, fear, anger, anxiety, empathy, and even love that affect patient care Physicians are assumed to be objective, rational beings, easily able to detach as they guide patients and families through some of life’s most challenging moments. But doctors’ emotional responses to the life-and-death dramas of everyday practice have a profound impact on medical care. And while much has been written about the minds and methods of the medical professionals who save our lives, precious little has been said about their emotions. In What Doctors Feel, Dr. Danielle Ofri has taken on the task of dissecting the hidden emotional responses of doctors, and how these directly influence patients. How do the stresses of medical life—from paperwork to grueling hours to lawsuits to facing death—affect the medical care that doctors can offer their patients? Digging deep into the lives of doctors, Ofri examines the daunting range of emotions—shame, anger, empathy, frustration, hope, pride, occasionally despair, and sometimes even love—that permeate the contemporary doctor-patient connection. Drawing on scientific studies, including some surprising research, Dr. Danielle Ofri offers up an unflinching look at the impact of emotions on health care. With her renowned eye for dramatic detail, Dr. Ofri takes us into the swirling heart of patient care, telling stories of caregivers caught up and occasionally torn down by the whirlwind life of doctoring. She admits to the humiliation of an error that nearly killed one of her patients and her forever fear of making another. She mourns when a beloved patient is denied a heart transplant. She tells the riveting stories of an intern traumatized when she is forced to let a newborn die in her arms, and of a doctor whose daily glass of wine to handle the frustrations of the ER escalates into a destructive addiction. But doctors don’t only feel fear, grief, and frustration. Ofri also reveals that doctors tell bad jokes about “toxic sock syndrome,” cope through gallows humor, find hope in impossible situations, and surrender to ecstatic happiness when they triumph over illness. The stories here reveal the undeniable truth that emotions have a distinct effect on how doctors care for their patients. For both clinicians and patients, understanding what doctors feel can make all the difference in giving and getting the best medical care.

Fallible

Download Fallible PDF Online Free

Author :
Publisher :
ISBN 13 : 9781684334551
Total Pages : 348 pages
Book Rating : 4.3/5 (345 download)

DOWNLOAD NOW!


Book Synopsis Fallible by : Kyle Bradford Jones

Download or read book Fallible written by Kyle Bradford Jones and published by . This book was released on 2020-04-02 with total page 348 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Many physicians think they need to be infallible to be successful, but no one is immune from mental illness."

What to Do when Your Child Gets Sick

Download What to Do when Your Child Gets Sick PDF Online Free

Author :
Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (277 download)

DOWNLOAD NOW!


Book Synopsis What to Do when Your Child Gets Sick by : Gloria G. Mayer

Download or read book What to Do when Your Child Gets Sick written by Gloria G. Mayer and published by . This book was released on 2004 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt:

The End of Illness

Download The End of Illness PDF Online Free

Author :
Publisher : Simon and Schuster
ISBN 13 : 1451610173
Total Pages : 352 pages
Book Rating : 4.4/5 (516 download)

DOWNLOAD NOW!


Book Synopsis The End of Illness by : David B. Agus

Download or read book The End of Illness written by David B. Agus and published by Simon and Schuster. This book was released on 2012-01-17 with total page 352 pages. Available in PDF, EPUB and Kindle. Book excerpt: Challenges popular conceptions to outline new methods for promoting wellness and longevity, arguing that traditional medicine has not been successful in treating serious illness while urging readers to embrace a systemic understanding of the body that incorporates the use of revolutionary technologies.

Why We Get Sick

Download Why We Get Sick PDF Online Free

Author :
Publisher : Vintage
ISBN 13 : 0307816001
Total Pages : 304 pages
Book Rating : 4.3/5 (78 download)

DOWNLOAD NOW!


Book Synopsis Why We Get Sick by : Randolph M. Nesse, MD

Download or read book Why We Get Sick written by Randolph M. Nesse, MD and published by Vintage. This book was released on 2012-02-08 with total page 304 pages. Available in PDF, EPUB and Kindle. Book excerpt: The next time you get sick, consider this before picking up the aspirin: your body may be doing exactly what it's supposed to. In this ground-breaking book, two pioneers of the science of Darwinian medicine argue that illness as well as the factors that predispose us toward it are subject to the same laws of natural selection that otherwise make our bodies such miracles of design. Among the concerns they raise: When may a fever be beneficial? Why do pregnant women get morning sickness? How do certain viruses "manipulate" their hosts into infecting others? What evolutionary factors may be responsible for depression and panic disorder? Deftly summarizing research on disorders ranging from allergies to Alzheimer's, and form cancer to Huntington's chorea, Why We Get Sick, answers these questions and more. The result is a book that will revolutionize our attitudes toward illness and will intrigue and instruct lay person and medical practitioners alike.

A Better Death

Download A Better Death PDF Online Free

Author :
Publisher : Simon and Schuster
ISBN 13 : 1925750965
Total Pages : 352 pages
Book Rating : 4.9/5 (257 download)

DOWNLOAD NOW!


Book Synopsis A Better Death by : Ranjana Srivastava

Download or read book A Better Death written by Ranjana Srivastava and published by Simon and Schuster. This book was released on 2019-06-01 with total page 352 pages. Available in PDF, EPUB and Kindle. Book excerpt: A powerful, timely exploration of the art of living and dying on our own terms by one of Australia’s most respected voices Of all the experiences we share, two universal events bookend our lives: we were all born and we will all die. We don't have a choice in how we enter the world but we can have a say in how we leave it. In order to die well, we must be prepared to contemplate our mortality and to broach it with our loved ones, who are often called upon to make important decisions on our behalf. These are some of the most important conversations we can have with each other - to find peace, kindness and gratitude for what has gone before, and acceptance of what is to come. Dr Ranjana Srivastava draws on two decades of experience to share her observations and advice on leading a meaningful life and finding dignity and composure at the end. With an emphasis on advocacy, leaving a legacy and staying true to our deepest convictions, Srivastava tells stories of strength, hope and resilience in the face of grief and offers an optimistic meditation on approaching the end of life. Intelligent, warm and deeply affecting, A Better Death is a passionate exploration of the art of living and dying well. Dr Ranjana Srivastava OAM is a practising oncologist, award-winning writer, broadcaster and Fulbright scholar. See www.ranjanasrivastava.com

The Doctor Is Sick

Download The Doctor Is Sick PDF Online Free

Author :
Publisher : MPH Group Publishing Sdn Bhd
ISBN 13 : 9674154574
Total Pages : 140 pages
Book Rating : 4.6/5 (741 download)

DOWNLOAD NOW!


Book Synopsis The Doctor Is Sick by : Idayu Maarof

Download or read book The Doctor Is Sick written by Idayu Maarof and published by MPH Group Publishing Sdn Bhd . This book was released on 2016-06-01 with total page 140 pages. Available in PDF, EPUB and Kindle. Book excerpt: General practitioner Dr Idayu Maarof thought she was just suffering a run-of-the-mill fever. So she never expected to be diagnosed with a stroke-causing heart tumour. Thus, began a roller coaster of emotional highs and lows through what seemed like a never-ending battery of tests and, finally, major surgery. Yes, doctors get sick, too. Upon reflection, her ordeal provided an opportunity for post- traumatic growth. The illness opened her eyes, mind and heart to the real priorities in life. She also provides a medical practitioner's insights and points of view of what it is like to be on the hospital bed and not beside it, taking notes and asking questions. This book chronicles the traumatic journey that began with her diagnosis, followed by treatment and the path towards recovery, accompanied by a loyal husband, her loving children, and her supportive family and friends.

Chasing My Cure

Download Chasing My Cure PDF Online Free

Author :
Publisher : Ballantine Books
ISBN 13 : 1524799629
Total Pages : 256 pages
Book Rating : 4.5/5 (247 download)

DOWNLOAD NOW!


Book Synopsis Chasing My Cure by : David Fajgenbaum

Download or read book Chasing My Cure written by David Fajgenbaum and published by Ballantine Books. This book was released on 2019-09-10 with total page 256 pages. Available in PDF, EPUB and Kindle. Book excerpt: LOS ANGELES TIMES AND PUBLISHERS WEEKLY BESTSELLER • The powerful memoir of a young doctor and former college athlete diagnosed with a rare disease who spearheaded the search for a cure—and became a champion for a new approach to medical research. “A wonderful and moving chronicle of a doctor’s relentless pursuit, this book serves both patients and physicians in demystifying the science that lies behind medicine.”—Siddhartha Mukherjee, New York Times bestselling author of The Emperor of All Maladies and The Gene David Fajgenbaum, a former Georgetown quarterback, was nicknamed the Beast in medical school, where he was also known for his unmatched mental stamina. But things changed dramatically when he began suffering from inexplicable fatigue. In a matter of weeks, his organs were failing and he was read his last rites. Doctors were baffled by his condition, which they had yet to even diagnose. Floating in and out of consciousness, Fajgenbaum prayed for a second chance, the equivalent of a dramatic play to second the game into overtime. Miraculously, Fajgenbaum survived—only to endure repeated near-death relapses from what would eventually be identified as a form of Castleman disease, an extremely deadly and rare condition that acts like a cross between cancer and an autoimmune disorder. When he relapsed while on the only drug in development and realized that the medical community was unlikely to make progress in time to save his life, Fajgenbaum turned his desperate hope for a cure into concrete action: Between hospitalizations he studied his own charts and tested his own blood samples, looking for clues that could unlock a new treatment. With the help of family, friends, and mentors, he also reached out to other Castleman disease patients and physicians, and eventually came up with an ambitious plan to crowdsource the most promising research questions and recruit world-class researchers to tackle them. Instead of waiting for the scientific stars to align, he would attempt to align them himself. More than five years later and now married to his college sweetheart, Fajgenbaum has seen his hard work pay off: A treatment he identified has induced a tentative remission and his novel approach to collaborative scientific inquiry has become a blueprint for advancing rare disease research. His incredible story demonstrates the potency of hope, and what can happen when the forces of determination, love, family, faith, and serendipity collide. Praise for Chasing My Cure “A page-turning chronicle of living, nearly dying, and discovering what it really means to be invincible in hope.”—Angela Duckworth, #1 New York Times bestselling author of Grit “[A] remarkable memoir . . . Fajgenbaum writes lucidly and movingly . . . Fajgenbaum’s stirring account of his illness will inspire readers.”—Publishers Weekly

What's Making Our Children Sick?

Download What's Making Our Children Sick? PDF Online Free

Author :
Publisher : Chelsea Green Publishing
ISBN 13 : 1603587578
Total Pages : 282 pages
Book Rating : 4.6/5 (35 download)

DOWNLOAD NOW!


Book Synopsis What's Making Our Children Sick? by : Michelle Perro

Download or read book What's Making Our Children Sick? written by Michelle Perro and published by Chelsea Green Publishing. This book was released on 2017 with total page 282 pages. Available in PDF, EPUB and Kindle. Book excerpt: Exploring the links between GM foods, glyphosate, and gut health With chronic disorders among American children reaching epidemic levels, hundreds of thousands of parents are desperately seeking solutions to their children's declining health, often with little medical guidance from the experts. What's Making Our Children Sick? convincingly explains how agrochemical industrial production and genetic modification of foods is a culprit in this epidemic. Is it the only culprit? No. Most chronic health disorders have multiple causes and require careful disentanglement and complex treatments. But what if toxicants in our foods are a major culprit, one that, if corrected, could lead to tangible results and increased health? Using patient accounts of their clinical experiences and new medical insights about pathogenesis of chronic pediatric disorders--taking us into gut dysfunction and the microbiome, as well as the politics of food science--this book connects the dots to explain our kids' ailing health. What's Making Our Children Sick? explores the frightening links between our efforts to create higher-yield, cost-efficient foods and an explosion of childhood morbidity, but it also offers hope and a path to effecting change. The predicament we now face is simple. Agroindustrial "innovation" in a previous era hoped to prevent the ecosystem disaster of DDT predicted in Rachel Carson's seminal book in 1962, Silent Spring. However, this industrial agriculture movement has created a worse disaster: a toxic environment and, consequently, a toxic food supply. Pesticide use is at an all-time high, despite the fact that biotechnologies aimed to reduce the need for them in the first place. Today these chemicals find their way into our livestock and food crop industries and ultimately onto our plates. Many of these pesticides are the modern day equivalent of DDT. However, scant research exists on the chemical soup of poisons that our children consume on a daily basis. As our food supply environment reels under the pressures of industrialization via agrochemicals, our kids have become the walking evidence of this failed experiment. What's Making Our Children Sick? exposes our current predicament and offers insight on the medical responses that are available, both to heal our kids and to reverse the compromised health of our food supply.

Selling Sickness

Download Selling Sickness PDF Online Free

Author :
Publisher : Greystone Books
ISBN 13 : 1926706684
Total Pages : 272 pages
Book Rating : 4.9/5 (267 download)

DOWNLOAD NOW!


Book Synopsis Selling Sickness by : Ray Moynihan

Download or read book Selling Sickness written by Ray Moynihan and published by Greystone Books. This book was released on 2008-09-01 with total page 272 pages. Available in PDF, EPUB and Kindle. Book excerpt: In this hard-hitting indictment of the pharmaceutical industry, Ray Moynihan and Allan Cassels show how drug companies are systematically using their dominating influence in the world of medical science, drug companies are working to widen the very boundaries that define illness. Mild problems are redefined as serious illness, and common complaints are labeled as medical conditions requiring drug treatments. Runny noses are now allergic rhinitis, PMS has become a psychiatric disorder, and hyperactive children have ADD. Selling Sickness reveals how expanding the boundaries of illness and lowering the threshold for treatments is creating millions of new patients and billions in new profits, in turn threatening to bankrupt national healthcare systems all over the world. This Canadian edition includes an introduction placing the issue in a Canadian context and describing why Canadians should be concerned about the problem.