Health committee  It is an extrapolation from a number of studies, from American studies, from the Canadian study of health and aging, which is the largest study of dementia in the world. It is an extrapolation of those studies. But I agree, the next step is to do the neurological study you're t

Health committee  Like all physicians, I have a whole pile of articles that are sitting in my office. I actually have a whole box of articles on different systems, different approaches to dementia, different systems around the world. So I do have a collection. I haven't gone through them, so I don

Health committee  Absolutely.

Health committee  I will be very happy to share it. You have my card, and the box is ready to ship tomorrow. It will be one less thing in my office.

Health committee  Is it the CLSA, Canadian Longitudinal Study of Aging, you're referring to?

Health committee  Yes. I'm a bit of a pessimist and skeptic at heart. I think what we're going to find is all the old boring stuff—people who exercise well, who eat well, who follow their health conditions well, who avoid head injuries, have delayed onset of many of these conditions. So I don't th

Health committee  Once again, my CMA president is going to have more data than I will. Acute care is where I live. In acute care, seniors are the main clientele despite the fact that the posters describing our hospital don't have any seniors on them. The Canadian Geriatric Society is a very small

Health committee  I think the investment in terms of cognitive stimulation, exercise, etc., is useful all the way through one's lifespan. One, there's a lot of evidence now showing that all the stuff we've been talking about—exercise, nutrition—actually prevents dementia. Two, once you have dement

Health committee  I think there is some partial credibility. There's probably an education effect. Many people who are bilingual may have a different educational level. But there is also a possible cognitive stimulation level. As people switch back and forth between languages, they're cognitivel

Health committee  I can't point out one province. I don't know if anyone else on the panel can.

Health committee  No, we're the creatures of our environment. I'm an Ontario doctor, so all I know are the pros and cons of my system. Health care being a provincial mandate, I know my provincial environment. I don't know if anyone else has anything else to add.

Health committee  Number one, we have to strengthen community care. My area of expertise is in the realm of dementia. Many people with dementia get sick with minor illnesses—a bladder infection—that just brew and stew until they explode into a septic episode where they end up in hospital for a l

Health committee  Is that a question for me, or for someone else?

Health committee  Those are enormous questions, the kinds of questions the president of the CMA should be answering, as he's much more experienced than I am. I can only speak to a portion of that, and you might want to pass the question to John, if that's okay. Several links are not occurring. S

Health committee  I would be very careful about a full-salaried model. I know our geriatrics groups have been on full salary for dozens of years, and what you see over time is a loss of incentives to do more clinical work. What the Province of Ontario is now looking at is a blended model where you