Important Crime British Columbia

Finding a family doctor: An orphan’s journey

By R.A. Garber I found her in a far corner of the emergency department, in a bed, railings up. No nursing staff nearby. No bell to ring; no bedpan... L’article Finding a family doctor: An orphan’s journey est apparu en …

Finding a family doctor: An orphan’s journey
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By R.A. Garber I found her in a far corner of the emergency department, in a bed, railings up. No nursing staff nearby. No bell to ring; no bedpan... L’article Finding a family doctor: An orphan’s journey est apparu en premier sur Sherbrooke Record .

By R.A. Garber I found her in a far corner of the emergency department, in a bed, railings up. No nursing staff nearby. No bell to ring; no bedpan at hand.

An old woman. My mother-in-law. She’d arrived by ambulance after a fall.

Her first urgent request: get a bedpan for her. I was able to obtain a bedpan and also a bell. I admonished her to ring it immediately if she ever needed a bedpan or anything else.

“Non, non, je peux le toffer,” she said. I’d never heard the expression before in French, but I knew immediately she was saying she could tough it out; she would endure to the point of desperation before disturbing the staff. She was a tough lady.

If you’re a wheel, squeak That was 20 years ago, and I still remember it vividly, not just for my enriched French vocabulary, but for the poignant taste of an overburdened medical system, from the bedside of someone bearing the brunt of it. Those, like our oldest generation, who had learned to “tough it out.” Our health care system tries to prioritize care to those who need it most; triage based on need, not on wealth.

But we have progressed to a severe shortage of family doctors. Figures vary among different reports, but as of early 2026, at least 1.5 million Quebecers, or 17 per cent of the population, are “orphans,” not having a family doctor. I’ve been an orphan for three years.

First, I received a notice I’d been registered with the Quebec Family Doctor Finder (GAMF, Guichet d’accès à un médecin de famille). This was done on my behalf by the GACO, or Guichet d’accès pour la clientèle orpheline (access desk for orphan clients).

All I had to do was wait. If I needed help for a non-urgent medical or psychosocial problem, I could call the GAP at 811, option 3, or take an online questionnaire at Quebec.ca/GuichetAcces. GAP stands for Guichet d’accès à

la première ligne, or Primary Care Access Point. The agent there can refer you to an available nurse practitioner, pharmacist, or general practitioner (family doctor). I believe in our system of “universal” health care; I don’t want preferential treatment.

I told myself I could tough it out. Things came to a head about a year ago. I’d been feeling gradually worse, but couldn’t put my finger on a particular problem.

Maybe I was just getting old? Then one day, I accompanied a loved one to their appointment. As I entered the room, the doctor asked me how I was doing.

In that moment, I could “le toffer” no longer. “Well, I’m still here,” I said. That’s how I got an appointment at the “mini-emergency clinic” of the health centre.

My secret

Source and reference

source explained that their directives are to no longer make an active offer of care; for example, to schedule an annual check-up. (Remember those?) It is incumbent on the patient to notice problems and ask for an appointment. This is especially true for orphans. Being on a waiting list also means being on a problems list. Yes, you advance closer to being assigned a family doctor over time. (A year after she moved out-of-province, my friend received a notice that she now had a Quebec doctor!) But primarily, your name moves up the list based on your health problems. In short, if you never call the GAP (811), the GACO (orphan’s access) will not be aware of your problems and your name will not move up the GAMF (family doctor finder) list. Here’s the dilemma for many of us: Sometimes health problems are silent, without noticeable symptoms. You might feel fine, but all the while the...

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Published
Jul 15, 2026
Updated
Jul 15, 2026
Source
Sherbrooke Record
Category
Crime
Read time
6 min
Key facts

Key facts

SectionCrime
Open
SourceSherbrooke Record
Open
PublishedJul 15, 2026
UpdatedJul 15, 2026

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PublishedJul 15, 2026, 3:45 PMThis story was published by BC Post.
ImportedJul 15, 2026, 6:00 PMThe item entered the BC Post source pipeline.
UpdatedJul 15, 2026, 6:00 PMThe article record or local context was updated.
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Sherbrooke Record Published Jul 15, 2026 Imported Jul 15, 2026
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Sherbrooke Record Jul 15, 2026
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