Mark Roseman
@markroseman.com
Fierce independent advocate for effective public health care. 🍁
Systems thinker. Recovering UX, collaboration tech geek.
Innovator, analyst, small biz guy, writer, philosopher, unfocused… 🤦🏻♂️
Victoria BC https://markroseman.com
Systems thinker. Recovering UX, collaboration tech geek.
Innovator, analyst, small biz guy, writer, philosopher, unfocused… 🤦🏻♂️
Victoria BC https://markroseman.com
Pinned
Mark Roseman
@markroseman.com
· May 24
Happy to see they published this. Govt needs to be reminded people expect more and that lies and misinformation shouldn't be okay.
Op ed: Our health-care system should focus on results www.timescolonist.com/opinion/comm...
Op ed: Our health-care system should focus on results www.timescolonist.com/opinion/comm...
Here’s a radical idea. Start making our public system work. Use the precious resources we devote wisely.
How? This is not an “ideas” problem, a “public vs. private” problem, a “funding” problem or, as our govt view it, a “communications” problem.
This is a management problem.
How? This is not an “ideas” problem, a “public vs. private” problem, a “funding” problem or, as our govt view it, a “communications” problem.
This is a management problem.
Reposted by Mark Roseman
Significantly fewer people are requesting government records in B.C., causing advocates to worry the decline signals eroding government transparency and a loss of trust in public institutions. @amandafollett.bsky.social reports. #bcpoli #foi
Are People Losing Trust in BC’s FOI System? | The Tyee
The province’s information commissioner says plunging numbers of requests should prompt questions.
thetyee.ca
November 7, 2025 at 3:11 PM
Significantly fewer people are requesting government records in B.C., causing advocates to worry the decline signals eroding government transparency and a loss of trust in public institutions. @amandafollett.bsky.social reports. #bcpoli #foi
Reposted by Mark Roseman
BC’s recent report into its administration of FOI laws shows that requests for general govt records has dropped below a third of what it was five years ago.
Experts worry what that could mean for govt transparency and trust in public institutions. @thetyee.ca thetyee.ca/News/2025/11...
Experts worry what that could mean for govt transparency and trust in public institutions. @thetyee.ca thetyee.ca/News/2025/11...
Are People Losing Trust in BC’s FOI System? | The Tyee
The province’s information commissioner says plunging numbers of requests should prompt questions.
thetyee.ca
November 7, 2025 at 3:20 PM
BC’s recent report into its administration of FOI laws shows that requests for general govt records has dropped below a third of what it was five years ago.
Experts worry what that could mean for govt transparency and trust in public institutions. @thetyee.ca thetyee.ca/News/2025/11...
Experts worry what that could mean for govt transparency and trust in public institutions. @thetyee.ca thetyee.ca/News/2025/11...
Reposted by Mark Roseman
The lesson of history is that tyrants cannot be appeased.
Appeasement only feeds their insatiable hunger for power.
Tyrants prey on people who feel unsafe and vulnerable.
But without mass submission, a tyrant is powerless.
Remember this.
Appeasement only feeds their insatiable hunger for power.
Tyrants prey on people who feel unsafe and vulnerable.
But without mass submission, a tyrant is powerless.
Remember this.
November 5, 2025 at 5:28 AM
The lesson of history is that tyrants cannot be appeased.
Appeasement only feeds their insatiable hunger for power.
Tyrants prey on people who feel unsafe and vulnerable.
But without mass submission, a tyrant is powerless.
Remember this.
Appeasement only feeds their insatiable hunger for power.
Tyrants prey on people who feel unsafe and vulnerable.
But without mass submission, a tyrant is powerless.
Remember this.
Reposted by Mark Roseman
NL patient says doctors and nurses lack training in POTS, dysautonomia https://www.saltwire.com/newfoundland-labrador/nl-pots-samantha-winsor
More news → CanadaHealthwatch.ca 🍁
More news → CanadaHealthwatch.ca 🍁
November 5, 2025 at 3:55 PM
NL patient says doctors and nurses lack training in POTS, dysautonomia https://www.saltwire.com/newfoundland-labrador/nl-pots-samantha-winsor
More news → CanadaHealthwatch.ca 🍁
More news → CanadaHealthwatch.ca 🍁
Reposted by Mark Roseman
What establishment Dems tried to do to Mamdani, the BC NDP successfully did to Anjali Appadurai.
She was poised to win the leadership race by actually getting people to join the party. The old guard didn't like that, so they crushed the next generation to maintain their grip on power.
She was poised to win the leadership race by actually getting people to join the party. The old guard didn't like that, so they crushed the next generation to maintain their grip on power.
David Eby to become next B.C. premier after NDP ousts leadership rival Anjali Appadurai | CBC News
The B.C. NDP executive has voted to disqualify Anjali Appadurai from its leadership race, effectively crowning David Eby as the next premier of British Columbia.
www.cbc.ca
November 5, 2025 at 4:59 AM
What establishment Dems tried to do to Mamdani, the BC NDP successfully did to Anjali Appadurai.
She was poised to win the leadership race by actually getting people to join the party. The old guard didn't like that, so they crushed the next generation to maintain their grip on power.
She was poised to win the leadership race by actually getting people to join the party. The old guard didn't like that, so they crushed the next generation to maintain their grip on power.
Reposted by Mark Roseman
Every. Single. Time I criticize the feds on health care someone shows up in my mentions to remind me of this basic fact about the industry in which I work.
Why the apologetics? Being loud about health care is the ONLY way we get anything done.
Speaking truth to power >>> party loyalty.
Why the apologetics? Being loud about health care is the ONLY way we get anything done.
Speaking truth to power >>> party loyalty.
November 1, 2025 at 5:34 PM
Every. Single. Time I criticize the feds on health care someone shows up in my mentions to remind me of this basic fact about the industry in which I work.
Why the apologetics? Being loud about health care is the ONLY way we get anything done.
Speaking truth to power >>> party loyalty.
Why the apologetics? Being loud about health care is the ONLY way we get anything done.
Speaking truth to power >>> party loyalty.
Government data on Health Connect Registry (wait list to be attached to family doctor or nurse practitioner) across the province.
healthdatabc.ca/primarycare/
In some areas, virtually everyone who wants to be is attached. Others have tens of thousands waiting… often for years.
healthdatabc.ca/primarycare/
In some areas, virtually everyone who wants to be is attached. Others have tens of thousands waiting… often for years.
November 1, 2025 at 5:17 PM
Government data on Health Connect Registry (wait list to be attached to family doctor or nurse practitioner) across the province.
healthdatabc.ca/primarycare/
In some areas, virtually everyone who wants to be is attached. Others have tens of thousands waiting… often for years.
healthdatabc.ca/primarycare/
In some areas, virtually everyone who wants to be is attached. Others have tens of thousands waiting… often for years.
Latest CIHI data for same/next day access to a health provider.
While the numbers are not good anywhere, BC scores lowest in the country for both adults and children/youth.
While the numbers are not good anywhere, BC scores lowest in the country for both adults and children/youth.
November 1, 2025 at 5:16 PM
Latest CIHI data for same/next day access to a health provider.
While the numbers are not good anywhere, BC scores lowest in the country for both adults and children/youth.
While the numbers are not good anywhere, BC scores lowest in the country for both adults and children/youth.
Why are there no nurses available to staff ERs?
Well, many have ended up at UPCCs. Far more than we need. Far more nurses than primary care providers.
Nursing spending nearly doubled(!) from 2023-2024, outpacing all other areas.
Best use of a scarce resource?
Well, many have ended up at UPCCs. Far more than we need. Far more nurses than primary care providers.
Nursing spending nearly doubled(!) from 2023-2024, outpacing all other areas.
Best use of a scarce resource?
November 1, 2025 at 5:15 PM
Why are there no nurses available to staff ERs?
Well, many have ended up at UPCCs. Far more than we need. Far more nurses than primary care providers.
Nursing spending nearly doubled(!) from 2023-2024, outpacing all other areas.
Best use of a scarce resource?
Well, many have ended up at UPCCs. Far more than we need. Far more nurses than primary care providers.
Nursing spending nearly doubled(!) from 2023-2024, outpacing all other areas.
Best use of a scarce resource?
Yet to see coverage of primary care wait list stats (~400k on HCR, wait times on list > 1-5 years) that were obtained by FOI from BC govt.
Details/data at healthdatabc.ca/primarycare/
Or the >20k ER closures: healthdatabc.ca/emrg/
Details/data at healthdatabc.ca/primarycare/
Or the >20k ER closures: healthdatabc.ca/emrg/
Primary Care Attachment | BC Health Data
Transparency Grade: D- Health Connect Registry What's the data showing? Primary care is the foundation of our healthcare system. With over a million people without a family doctor, there is very limit...
healthdatabc.ca
November 1, 2025 at 5:14 PM
Yet to see coverage of primary care wait list stats (~400k on HCR, wait times on list > 1-5 years) that were obtained by FOI from BC govt.
Details/data at healthdatabc.ca/primarycare/
Or the >20k ER closures: healthdatabc.ca/emrg/
Details/data at healthdatabc.ca/primarycare/
Or the >20k ER closures: healthdatabc.ca/emrg/
We're into another @doctorsofbc.bsky.social
election period.
Will we continue the current approach, where the GOVERNMENT provides 2/3 of the funding for this "member-funded society"?
More than likely.
BC physicians seem ok that govt has control of the organization that represents them.
election period.
Will we continue the current approach, where the GOVERNMENT provides 2/3 of the funding for this "member-funded society"?
More than likely.
BC physicians seem ok that govt has control of the organization that represents them.
November 1, 2025 at 5:13 PM
We're into another @doctorsofbc.bsky.social
election period.
Will we continue the current approach, where the GOVERNMENT provides 2/3 of the funding for this "member-funded society"?
More than likely.
BC physicians seem ok that govt has control of the organization that represents them.
election period.
Will we continue the current approach, where the GOVERNMENT provides 2/3 of the funding for this "member-funded society"?
More than likely.
BC physicians seem ok that govt has control of the organization that represents them.
So disheartening seeing patients who've been struggling with mental health problems for > 10 years, seen multiple psychiatrists, and put on numerous psychotropic medications.
But had their ferritin checked twice (both times low), B12 only once, and Vit D not at all.
But had their ferritin checked twice (both times low), B12 only once, and Vit D not at all.
November 1, 2025 at 5:13 PM
So disheartening seeing patients who've been struggling with mental health problems for > 10 years, seen multiple psychiatrists, and put on numerous psychotropic medications.
But had their ferritin checked twice (both times low), B12 only once, and Vit D not at all.
But had their ferritin checked twice (both times low), B12 only once, and Vit D not at all.
Say you're the BC government or Fraser Health. ER wait times at some of your hospitals are just becoming too embarrassing. What do you do about it?
Do you work to fix the problem, work with staff, and reduce wait times?
Or do you just stop reporting the wait times altogether?
Do you work to fix the problem, work with staff, and reduce wait times?
Or do you just stop reporting the wait times altogether?
November 1, 2025 at 5:12 PM
Say you're the BC government or Fraser Health. ER wait times at some of your hospitals are just becoming too embarrassing. What do you do about it?
Do you work to fix the problem, work with staff, and reduce wait times?
Or do you just stop reporting the wait times altogether?
Do you work to fix the problem, work with staff, and reduce wait times?
Or do you just stop reporting the wait times altogether?
Reposted by Mark Roseman
i will vote for anyone running on a platform of “FUCK THOSE GUYS”
www.cbc.ca/news/politic...
www.cbc.ca/news/politic...
Trump says Carney apologized for Ford's anti-tariff ad | CBC News
U.S. President Donald Trump says Prime Minister Mark Carney apologized for the Ontario government ad that used former president Ronald Reagan’s own words to spread an anti-tariff message to an America...
www.cbc.ca
October 31, 2025 at 8:15 PM
i will vote for anyone running on a platform of “FUCK THOSE GUYS”
www.cbc.ca/news/politic...
www.cbc.ca/news/politic...
Reposted by Mark Roseman
It increasingly feels like the Canadian electorate was tricked.
Health care is a consistently high voter priority. Kicking it down to the provinces after breaking the promises made in a federal election is shady af behaviour.
Health care is a consistently high voter priority. Kicking it down to the provinces after breaking the promises made in a federal election is shady af behaviour.
November 1, 2025 at 12:56 PM
It increasingly feels like the Canadian electorate was tricked.
Health care is a consistently high voter priority. Kicking it down to the provinces after breaking the promises made in a federal election is shady af behaviour.
Health care is a consistently high voter priority. Kicking it down to the provinces after breaking the promises made in a federal election is shady af behaviour.
BC Residents May Have to Cover a Property Tax Break for Pipelines via @thetyee.ca thetyee.ca/News/2025/10...
BC Residents May Have to Cover a Property Tax Break for Pipelines | The Tyee
After lobbying, BC Assessment slashed its appraisals of the industry’s infrastructure.
thetyee.ca
October 28, 2025 at 12:43 PM
BC Residents May Have to Cover a Property Tax Break for Pipelines via @thetyee.ca thetyee.ca/News/2025/10...
Reposted by Mark Roseman
TLDR; The PSF has made the decision to put our community and our shared diversity, equity, and inclusion values ahead of seeking $1.5M in new revenue. Please read and share. pyfound.blogspot.com/2025/10/NSF-...
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The official home of the Python Programming Language
www.python.org
October 27, 2025 at 2:47 PM
TLDR; The PSF has made the decision to put our community and our shared diversity, equity, and inclusion values ahead of seeking $1.5M in new revenue. Please read and share. pyfound.blogspot.com/2025/10/NSF-...
🧵
🧵
According to this FOI data, >30% of Westshore residents are not attached to primary care.
68% are attached.
Of the rest, 17% are on the govt's HCR (Health Connect Registry, i.e., waiting list). 18% are not on that waiting list for whatever reason.
Source: docs.openinfo.gov.bc.ca/Response_Pac...
68% are attached.
Of the rest, 17% are on the govt's HCR (Health Connect Registry, i.e., waiting list). 18% are not on that waiting list for whatever reason.
Source: docs.openinfo.gov.bc.ca/Response_Pac...
October 22, 2025 at 2:37 PM
According to this FOI data, >30% of Westshore residents are not attached to primary care.
68% are attached.
Of the rest, 17% are on the govt's HCR (Health Connect Registry, i.e., waiting list). 18% are not on that waiting list for whatever reason.
Source: docs.openinfo.gov.bc.ca/Response_Pac...
68% are attached.
Of the rest, 17% are on the govt's HCR (Health Connect Registry, i.e., waiting list). 18% are not on that waiting list for whatever reason.
Source: docs.openinfo.gov.bc.ca/Response_Pac...
Some FOI data on how many people are waiting on the Health Connect Registry to be attached to primary care.
(Attachment doesn't mean can reliably access, but it's a metric nonetheless).
FOI data: docs.openinfo.gov.bc.ca/Response_Pac...
(Attachment doesn't mean can reliably access, but it's a metric nonetheless).
FOI data: docs.openinfo.gov.bc.ca/Response_Pac...
October 22, 2025 at 2:36 PM
Some FOI data on how many people are waiting on the Health Connect Registry to be attached to primary care.
(Attachment doesn't mean can reliably access, but it's a metric nonetheless).
FOI data: docs.openinfo.gov.bc.ca/Response_Pac...
(Attachment doesn't mean can reliably access, but it's a metric nonetheless).
FOI data: docs.openinfo.gov.bc.ca/Response_Pac...
Government releases (via FOI) list of 1800+ unscheduled ER closures in BC.
Seven ER's w/ > 100 closures each.
Have we actually seen stats like this before?
Will we see these in the media anywhere?
Details: healthdatabc.ca/emrg/
Seven ER's w/ > 100 closures each.
Have we actually seen stats like this before?
Will we see these in the media anywhere?
Details: healthdatabc.ca/emrg/
October 22, 2025 at 2:35 PM
Government releases (via FOI) list of 1800+ unscheduled ER closures in BC.
Seven ER's w/ > 100 closures each.
Have we actually seen stats like this before?
Will we see these in the media anywhere?
Details: healthdatabc.ca/emrg/
Seven ER's w/ > 100 closures each.
Have we actually seen stats like this before?
Will we see these in the media anywhere?
Details: healthdatabc.ca/emrg/
This insanity repeats every day.
Independently-run health orgs are chewed up and spit out by VIHA bureaucrats, who need total control over everything.
www.peninsulanewsreview.com/local-news/7...
Independently-run health orgs are chewed up and spit out by VIHA bureaucrats, who need total control over everything.
www.peninsulanewsreview.com/local-news/7...
700 of Peninsula’s most vulnerable patients to lose clinic space in 2026
Island Health contract for outreach clinic serving marginalized patients ends; doctor says program is vital and should continue
www.peninsulanewsreview.com
October 22, 2025 at 2:15 PM
This insanity repeats every day.
Independently-run health orgs are chewed up and spit out by VIHA bureaucrats, who need total control over everything.
www.peninsulanewsreview.com/local-news/7...
Independently-run health orgs are chewed up and spit out by VIHA bureaucrats, who need total control over everything.
www.peninsulanewsreview.com/local-news/7...
Reposted by Mark Roseman
The seven OB/GYNs who tendered resignation their from a Kamloops hospital say they were routinely forced to choose which mothers and babies to treat as staff shortages and extreme burnout made conditions unsafe
www.theglobeandmail.com/canada/briti...
www.theglobeandmail.com/canada/briti...
Kamloops hospital OB/GYNs say they were forced to ration care between patients
The seven doctors who resigned earlier this month say they had to make ‘impossible choices’ about who they could tend to and who had to wait
www.theglobeandmail.com
October 20, 2025 at 5:48 PM
The seven OB/GYNs who tendered resignation their from a Kamloops hospital say they were routinely forced to choose which mothers and babies to treat as staff shortages and extreme burnout made conditions unsafe
www.theglobeandmail.com/canada/briti...
www.theglobeandmail.com/canada/briti...
Reposted by Mark Roseman
A certain segment of social media mis very focused on a letter sent out by the city of Richmond this weekend and what a recent court ruling means for the future of land ownership in B.C. Helpful to read measured and informed takes from people who specialize in that area of law (see next post)
October 19, 2025 at 8:50 PM
A certain segment of social media mis very focused on a letter sent out by the city of Richmond this weekend and what a recent court ruling means for the future of land ownership in B.C. Helpful to read measured and informed takes from people who specialize in that area of law (see next post)
Reposted by Mark Roseman
