we are all looking to the covid-19 vaccine as a way out of this challenging time. vaccine rollout, however, raises a slew of questions. across the country – from large urban hospitals in edmonton, winnipeg and montreal, to inner-city toronto and vancouver shelters, to rural family medicine clinics in brighton or dartmouth, and to remote nursing outposts in pangnirtuuq and fort simpson – the question on our minds is: who is the priority for their jab and how will it be delivered?
health, as we know, is a provincial/territorial mandate. vaccination strategies therefore vary from one region to another (even within a province or territory), exacerbating geographic, racial, socio-economic and other disparities in access to health care across canada.
as primary care providers, family doctors have trusting relationships with our patients; we are the ones you turn to with your questions, we immunize everyone from infants to seniors, and we are angry that we were excluded from decision-making tables and strategic task forces. despite the roadblocks, we continue to advocate strongly for you.
this past weekend, i helped to immunize people in ottawa who are over the age of 80 and live in designated high-risk neighbourhoods. this week, i am going back into retirement homes to give residents their booster doses. the teams of family doctors doing this agreed that we would do so without receiving our own vaccines, even as we watched our colleagues in hospitals rolling up their sleeves. however, i know that in our city there will be an online registration system for all health-care providers and other high-risk essential workers so they can get their vaccines.
before you throw down the paper or yell at your computer screen, “but when am i going to get my vaccine?” i am writing to reiterate that – although we are
not
impressed with how this has rolled out chaotically and unevenly across canada, and we are going to keep speaking out about health-care disparities – the bottom line is this: your turn will come.