Background

NSAID-exacerbated respiratory disease (NERD) is a non-IgE hyper­sensitivity reaction that causes a spectrum of symptoms, including chronic rhinosinusitis with nasal polyposis, asthma, and hypersensitivity reactions to NSAIDs (e.g., aspirin, ibuprofen, naproxen).[1] The triad of symptoms is also referred to as Samter’s triad and aspirin-exacerbated respiratory disease. The pathophysiology is thought to be due to abnormalities in arachidonic acid biosynthesis.

In fall 2022, in response to progressively worsening difficulty finding a family physician in British Columbia, the Ministry of Health announced the Longitudinal Family Physician Payment Model, developed in consultation with BC Family Doctors and Doctors of BC.[1] It addresses the lack of adequate paid time per patient encounter as a possible cause of the difficulty finding a family physician.

A collective effort is required to deliver safe, effective, and affordable health care. Challenges to health care delivery in Canada include the country’s population distribution: more than 70% of the population is concentrated in 5% of the land mass.[1] People living in rural and remote communities often have to travel long distances and contend with difficult weather to access the care they need. This results in higher negative impacts on social determinants of health in at-risk populations, including Indigenous people, who have a higher rural representation.

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In February 2023, the Parliament of Canada’s Special Joint Committee on Medical Assistance in Dying released its second report, recommending, among other things, “that a person of full age and capacity be permitted to make an advance request for medical aid in dying following a diagnosis of a serious and incurable illness leading to incapacity.”[1] Persons suffering solely from a mental illness who meet all other eligibility criteria will become eligible for medical assistance in dying (MAID) in Canada as of 17 March 2024.[2] Regrettably, neither of these

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