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Spotting the scammers

In Parkhurst Exchange magazine's cover story this month, Brampton GP Alan Russell details the . "I still wince," writes Dr Russell, "when I think of an empty bottle bearing my name that was found outside a school two days after being filled."

Also in the issue: a Q&A with undercover cop Dave Stinson, of the Toronto Police's prescription-drug trafficking and abuse squad. Mr Stinson -- who had to interrupt the interview at one point to follow a suspect and buy some heroin -- has investigated patient-scammers as well as corrupt doctors, and he helped put away Toronto physician John Kitakufe for eight years.

"I think doctors are in a tough spot. They have confidentiality issues at the highest level. That’s the way our country, our province approaches that, and that’s a good thing -- nobody wants their health records shared with law enforcement. By the same token, as a just society, to quote Trudeau, it shouldn’t and we can’t allow it to be used as a veil to hide criminality. What I'm seeing is an increase in criminality that not only involves the public getting involved -- there is a greater demand than ever before for prescription drugs -- but also healthcare professionals unfortunately acting in a criminal way themselves."
Read the .

The entire October issue is , save for a few pieces that you'll have to read in the print version.

Ontario health minister resigns over eHealth contract scandal

Ontario Health Minister David Caplan quit on Tuesday as the province's auditor general prepared to make public of his office's investigation into "favouritism" and "questionable procurement practices" at the eHealth Ontario agency in the form of contracts doled out without proper competitive bidding.

Deb Matthews (below right), who had been Children and Youth Services Minister and holds a PhD in social demography, has been named to replace Mr Caplan.

Mr Caplan's fall from grace has initiated some grumbling from within the Liberal Party ranks. "None of this happened on his tenure – it's all under George," an anonymous Liberal , referring to former health minister George Smitherman, who held the job from 2003 until 2008. "But with the report coming out, David takes the fall and is a good soldier."

Rumours have circulated already that Mr Smitherman was spared from accepting blame for the eHealth mess because he's a likely candidate (and likely winner) in the upcoming election for the Toronto mayoralty. And, as the rumours go, Premier Dalton McGuinty would benefit greatly from having an ally in Toronto City Hall.

But the auditor general's new report shows that theory of Mr Caplan's innocence and Mr Smitherman's guilt to be false. The vast majority of contracts awarded without competitive bidding were awarded by eHealth CEO Sarah Kramer, who ran the agency from November 2008, four months after Mr Caplan began as health minister, until she was booted from the job this past summer. The report also blames the health ministry for failing to provide proper oversight and direction in 2008 and 2009.

When in May about his work as minister of health, his ambition was clear. "I commented on June the 20th [in 2008], or around then when we had the swearing in, that my goal was to be the second best minister of health the province has ever had. I was not referring to Minister Smitherman, although he is a good friend and I have great admiration. My mother, 20 years ago, was a minister of health for the province of Ontario and, in my opinion, the very best one."

Although he surely wasn't the only one at fault for the eHealth scandal, Mr Caplan will now nevertheless have to resign himself to the idea that history won't see him quite as he had hoped.