Monday 12 December 2016

A hitchhiker's guide to Canada

Canada is big. Like, really big.

And also really small. There aren't many people. At last count, 36 million or so, for a population density of  4 per square kilometer  or 10 per square mile. In comparison, the UK, with 65 million or so souls (plus Nigel Farage) has a density of 269 per square kilometer  or 697 people per square unit of imperial measure. (Very happy this is a blog, not an academic paper, and I don't have to provide references.) But here in Canada we are not evenly spread, like well-buttered toast. Canada is bottom-heavy. An oft-cited statistic (oft-cited by me, anyway) is that 90% of the Canadian population lives within 100 km (65 miles) of the U.S. border (and not that sneaky one with Alaska). This fact is one of the several knock-on effects resulting from how the War of 1812 ended; I often fantasize, disloyally for an American citizen, about how the Eastern Seaboard right down to Florida could, in an alternate universe, have been Canadian. A further -- and related-- sequel to history as it really happened is the dire condition of Toronto's highways. More than 6 million people live in this area-- one-sixth of the entire nation-- and they all seem to be on the road at rush hour. I stay home then.





The other day I was consulting my family doctor about a back injury  (word to the wise: don't get one. Ow, ow, ow), and happened to mention a friend and colleague of mine, a general practitioner who works in a different city. I used only her first name. "Oh, I know her," said my doctor. And he did. In my academic research, where I do have to cite those pesky sources, we often discuss geographic disparities in access to health care. One of the first things I did when I settled into a desk of my own was to buy a map of the country and pin it to the wall. It's been ever so helpful keeping me oriented. Once I had to look up how many orthopaedic surgeons there were in each province and territory. In some, the number was zero. Another research project involves exploring the effect of big-city specialists holding telementoring sessions with family health teams, better to manage patients with chronic pain. It turns out that so many resources that the urbanites take for granted are simply not there in the vast space beyond. A public swimming pool. Physiotherapists.

Just as there are huge inequities in terms of access to health services,  other necessities are also in short, or expensive, supply. Food, for instance, costs more in the north (which is saying something, considering Toronto prices). Quite recently I learned from my children's piano teacher that music, too, may be considered a scarce resource in Greater Canada. This teacher grew up in Edmonton, Alberta, and was taught by a German immigrant. "I don't know how he ended up living there," the teacher mused, "but he is a wonderful teacher. He has a whole system for instruction that he learned from his father. I studied with him for years. He told his pupils who were going on to make music a career that he was offering us a scholarship for our final year of high school. Our parents would not be charged for lessons, on one condition."

With some trepidation, I asked what the condition was. "He said that when we left school, we had to also leave Alberta. If we stepped foot in the province for any of our higher education or training, we must give him back all the money for that last year. He said that there was just nothing going on musically in Alberta, and he wanted us out." Apparently, his prize students obliged him, scattering to the US or to Toronto. Only one returned, having completed her training out of the province. She came back to teach piano. The master did not make her repay the tuition.




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