Robb N
CMAJ. 1995 Sep 1;153(5):625-31.
When Nova Scotia elected a Liberal government in September 1993, a wave of optimism washed over the province's medical community. One of their own, Dr. John Savage, was now premier, and another, Dr. Ron Stewart, was minister of health. However, anticipation soon turned to anger as Stewart took aim at physician fees and hospital costs to help reduce the province's health care budget by $62 million. Last November, relations between him and the Medical Society of Nova Scotia (MSNS) hit bottom. In an uncharacteristically political move, the society launched an ad campaign featuring slogans such as "Death by 1000 cuts" and "Uncle Sam want me. Ron Stewart doesn't." Four months later, the health department and the MSNS called a truce, with an agreement that many physicians consider a positive step. Today the province and its doctors are speaking again, and the medical society is working hard to help define physicians' roles in a new, regionalized health care system. But has the mood of doctors really improved? Last spring, CMAJ interviewed a cross section of Nova Scotia physicians to find out.
1993年9月新斯科舍省选出自由党政府时，该省医学界一片乐观情绪。他们自己人之一约翰·萨维奇博士如今担任省长，另一位罗恩·斯图尔特博士则出任卫生部长。然而，当斯图尔特将削减医生诊费和医院成本作为目标，以帮助该省将医疗保健预算削减6200万美元时，期待很快转为愤怒。去年11月，他与新斯科舍省医学协会（MSNS）的关系跌入谷底。该协会采取了一项不同寻常的政治举措，发起了一场广告宣传活动，打出了“千刀万剐致死”和“山姆大叔需要我。罗恩·斯图尔特不需要”等口号。四个月后，卫生部门与MSNS宣布休战，达成了一项许多医生认为是积极举措的协议。如今该省和医生们又开始对话了，医学协会正在努力协助界定医生在新的区域化医疗保健系统中的角色。但医生们的情绪真的改善了吗？去年春天，《加拿大医学协会杂志》采访了新斯科舍省各领域的医生以一探究竟。
