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Re: off topic postsFrom: Barbara Nicol MD (blnicol@ix.netcom.com)Thu Sep 1 18:21:00 2005
So can we have a link to the article in Der Spiegel? - Barb Nicol (who is tired of Euro-prejudice about US citizens never having languages. Though it does provide its amusing moments, like when the tourists talk loudly in front of you in what they fondly seem to believe is a secret code. However, I do admire you for being able to post professionally in a third language. (Am I correct in thinking that English is a third language for you?) I think it's not too unusual to handle 2 professional languages (English/Spanish and English/Cantonese are the usual combinations locally, but other US physicians will have different populations) but I am still impressed by 3. I find that I only have one "slot" for other languages so that whichever I have recently used the most is the one that I can speak and write - though reading and, to some extent, listening, are different. All the Canadian obs I've ever spoken to seem to feel underpaid - if you read their news, provincial limitations on fees seem to be a regular issue for them. In addition to competing with the US for salaries, Canada has difficulty competing with Europe's pensions for docs. (I'm told Canadian docs can't get pensions because they're - get this - "self-employed" - in a single payer system!) The Canadian physician work force is aging every year as docs vote with their feet. It's sad to hear about this, because it's a health care system with many aspects that are more functional than the US system.) Okay, so I've committed a parenthetical ending twenty times longer than my original post. The things Europeans say about US abuse of the English language, they are all true, I'm afraid, and my grade school teacher would shoot me if she could read this. But it would, honestly, be interesting to hear/read _your_ complaints about the issues where you work - preferably with some other local docs on-line as well - it would give perspective on our US complaints. I don't think the best answer is to stop us from complaining about lawyers, US state law, etc - or from "laughing" at us for sympathizing with a list-member affected by a natural disaster in a culturally appropriate fashion - but instead to broaden the conversation by supplying your own complaints, new laws from your local situation, etc. - Barb Nicol
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-- Barbara Nicol MD St. Luke's Health Care Center San Francisco CA USA
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