Dr. Melissa Lem, a family doctor and board member of the Canadian Association of Physicians for the Environment, poses for a photograph in Vancouver on Thursday, Oct. 3, 2019. THE CANADIAN PRESS/Darryl Dyck

Canadian doctors say political activism part of their jobs on issues affecting health

Climate change has been associated with harms to physical and mental health

As a child growing up in Toronto, Dr. Melissa Lem was dubbed a tree hugger thanks to her passion for the environment. It’s a label she fully embraces as a family physician pushing for political action when it comes to the link between health and climate change, a major issue during the federal election campaign.

Lem, who now works in Vancouver and is a board member with the Canadian Association of Physicians for the Environment, said the group garnered support from the Canadian Medical Association and four other large health organizations before meeting with representatives of three major federal political parties in February as it called for a commitment to limit global warming.

Since then, the physicians’ association has bolstered its position and will be joinedon Thursday by 19 more groups representing hundreds of thousands of health-care professionals advocating for action, said Kim Perrotta, the association’s senior director of climate, health and policy, adding only the Conservative party has formally declined discussions with the group.

Lem said momentum for bold activism by doctors has built steadily, especially after warnings that climate change is the biggest threat to health in the 21st century, based on a major study published in 2018 in the journal The Lancet.

It’s hard to ignore recent marches around the world, with youth who fear for their future demanding politicians take decisive steps on climate change, she said.

“We have definitely stepped up our efforts to communicate with our members of Parliament,” said Lem, who carried a placard saying “Climate change harms our health” when she recently joined other doctors and medical students from the University of British Columbia to march among an estimated 100,000 people in Vancouver.

Climate change has been associated with harms to physical and mental health through issues including pollution, floods, wildfires and insect-borne diseases.

Lem said more doctors have become social activists in recent years because their patients’ health is affected by what’s going on around them.

Last week, some Toronto-area health-care professionals and trauma-care doctors called for a national ban on handguns after meeting with Liberal Leader Justin Trudeau, who later said he would give municipalities the authority to ban the guns in their communities.

Dr. Gary Bloch, a family physician at St. Michael’s Hospital in Toronto, said doctors who see the often terrifying impacts of social policies are increasingly choosing to get politically involved.

He joined Lem in denouncing a recent tweet by the Journal of the American Medical Association, which asked people to agree or disagree with the statement: “Medical school should produce physician scientists, not physician social justice activists.” Many other health professionals also disagreed with the tweet’s premise in their comments online, however the tweet’s poll showed 31 per cent agreed with the statement, and 69 per cent disagreed.

“I thought it was ridiculous,” Bloch said. “It comes from an extremely antiquated view of what medicine and being a physician is, one that somehow places a barrier between the idea of science and the idea of society. I do not see the divide. We cannot even begin to think about improving health without using the full context of how people live.”

Greater activism by physicians is “coming out of all corners right now,” Bloch said. “Doctors, on the one hand, sense their limits. But they are very aware that if they only use their traditional tool boxes they will only get so far in improving people’s health. And I think the other piece is that doctors are quite aware of their privileged voice and many physicians feel some responsibility to use that privileged voice for social good.”

Bloch said he wanted a career addressing poverty-related issues before deciding to go to medical school and has linked his scientific knowledge with intervention, often by connecting patients with a social worker so they can apply for disability or child-tax benefits, for example, or file their income-tax forms. His team also connects patients to a no-fee lawyer if necessary.

His work is based on a ”tool” he developed 10 years ago to screen all patients for poverty by asking about their living and employment situation as well as social supports, educating them about resources and linking them to services. It was initially used in Ontario but the College of Family Physicians of Canada has produced a version for doctors in every province and territory.

Children from low-income families are more likely to develop a condition that requires treatment later in life, even if their economic status improves, Bloch said, adding deprivation of food and housing are just some of the reasons poverty has such a high impact on health, Bloch said.

Countless studies have linked poverty as a risk factor for cancer, diabetes, cardiovascular disease and mental health problems and that has a direct hit on health-care costs that governments must consider in making policy decisions, he said.

Dr. Victor Do, president of the Canadian Federation of Medical Students, said social issues have become a greater part of the curricula across Canada, often through advocacy from students aiming for more awareness about a range of topics including health of Indigenous and LGBTQ patients, for example.

“Sometimes it’s been discussed that all physicians, and medical trainees for that matter, should stay in their lane but we know that social determinants make such a huge impact, probably more than the medical treatment that we give to our patients. So if we see things like climate change issues or gun violence they matter to us because they affect the patients that we care for and they affect our ability to do our jobs,” said Do, a fourth-year medical student at the University of Alberta.

“For me, being an advocate and a leader is core to being a physician.”

ALSO READ: Climate activists plan to close Vancouver bridge as part of Canada-wide protest

ALSO READ: Elizabeth May pledges to plant 10 billion trees by 2050

Camille Bains, The Canadian Press


Like us on Facebook and follow us on Twitter.

Get local stories you won't find anywhere else right to your inbox.
Sign up here

Comments are closed

Just Posted

Two rescued from tipped sailboat near Casa Loma

The two men were quickly brought to shore by a marine rescue crew

New cherry packing facility to open near Ellison Lake this weekend

Despite a lacklustre cherry crop this year, Jealous Fruits is opening its new state-of-the-art packing facility

Petition calling for Kelowna Mountie to be fired, charged nears 350K signatures

Const. Lacey Browning was caught on camera dragging a UBCO student down a hall during a wellness check

PHOTOS: Looking back at Central Okanagan Canada Day celebrations of years past

While there may not be many festivities to look forward to for Canada Day 2020, previous celebrations have been a real treat

Long-range transportation planning around Central Okanagan offers challenges

Work from home has upended traditional traffic patterns

North Okanagan man gives back for Canada Day

Food packages given away to those living on the streets in Vernon

Dog rescued from rocky ledge in Summerland

Penticton Search and Rescue members perform high angle rescue

PHOTOS: Dual rallies take over Legislature lawn on Canada Day

Resist Canada 153 highlighted colonization and genocide, Unify the People called COVID a hoax

Gov. General honours Canadians for bravery, volunteer service

Five categories of winners presented on Canada Day

COVID-19: Should non-medical masks be mandatory in Canada?

New poll shows Canadians are divided on the rules around mandatory masks

Okanagan mine makes way for industrial project

Council holds a special meeting to rezone property

In photos and video: Colourful Canada Day parade rolls through Sicamous

Patriotic procession allows community to celebrate together while maintaining distance

Okanagan arsonist sentenced to 3 years probation

Arsonist must pay $500 to each party affected, no access to drugs, alcohol or fire starters

Northbound lane of Coquihalla closed after vehicle incident near Hope

A northbound lane is closed just north of the Great Bear Snowshed, according to DriveBC

Most Read