Shona Holmes Health Care Incident
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Shona Holmes, or Shona Robertson-Holmes, (born ) is a Canadian woman who underwent treatment for a
Rathke's cleft cyst A Rathke's cleft cyst is a benign growth on the pituitary gland in the brain, specifically a mucin-filled cyst in the posterior portion of the anterior pituitary gland. It occurs when the Rathke's pouch does not develop properly and ranges in siz ...
in the
United States The United States of America (U.S.A. or USA), commonly known as the United States (U.S. or US) or America, is a country primarily located in North America. It consists of 50 states, a federal district, five major unincorporated territorie ...
, and claimed the condition threatened her life.San Diego Union Tribune http://www.utsandiego.com/news/2009/sep/30/us-fact-check-obama-opponents-093009/ Her cyst was removed August 1, 2005. Holmes sought treatment in the US claiming that she was unable to get timely treatment in Canada. Holmes sued the Ontario provincial government seeking payment for her medical and travel expenses. She has given testimony before members of the US Congress during a Republican-sponsored hearing about healthcare legislation, and has appeared in ads seeking to repeal the
Patient Protection and Affordable Care Act The Affordable Care Act (ACA), formally known as the Patient Protection and Affordable Care Act and colloquially known as Obamacare, is a landmark U.S. federal statute enacted by the 111th United States Congress and signed into law by Presi ...
and defeat President Obama in the 2012 presidential election. The facts surrounding her medical condition are controversial and cannot be independently verified because she has refused to release her medical records, citing her lawsuit. However, the Mayo Clinic, where the surgery was performed, has stated that she could have eventually lost her sight without surgery.SAINT JOHN'S HEALTH CENTER
(or ''John Wayne Cancer Center'') ''Occasionally, this remnant enlarges to form a cyst. RCCs can cause pituitary failure, headaches and in some instances, vision loss.''
She is a resident of
Waterdown Waterdown was a hardcore punk and post-hardcore band from Osnabrück, Germany. The band emerged onto the scene in 1999 under the formation of: Axel Pralat (guitar), Marcel Bischoff (vocals), Jörg Schwoeppe (drums), Christian Kruse (bass), Holger ...
,
Ontario Ontario ( ; ) is one of the thirteen provinces and territories of Canada.Ontario is located in the geographic eastern half of Canada, but it has historically and politically been considered to be part of Central Canada. Located in Central Ca ...
, a small community in the rural part of
Hamilton Hamilton may refer to: People * Hamilton (name), a common British surname and occasional given name, usually of Scottish origin, including a list of persons with the surname ** The Duke of Hamilton, the premier peer of Scotland ** Lord Hamilt ...
. In 2007, she described herself as a family mediator. In 2008, she described herself as a
patient advocate Patient advocacy is a process in health care concerned with advocacy for patients, survivors, and caregivers. The patient advocate may be an individual or an organization, concerned with healthcare standards or with one specific group of disord ...
.


September 2007 lawsuit

Holmes initiated a lawsuit against the Ontario government on September 5, 2007. The Canadian Constitution Foundation sponsored the lawsuit, which also included Lindsay McCreith, a
Newmarket, Ontario Newmarket ( 2021 population: 87,942) is a town and regional seat of the Regional Municipality of York in the Canadian province of Ontario. It is part of Greater Toronto in the Golden Horseshoe region of Southern Ontario. The name stems from the ...
resident, who traveled to the United States for timely treatment of a brain tumor. Her case cited '' Chaoulli v Quebec'', a
Supreme Court of Canada The Supreme Court of Canada (SCC; french: Cour suprême du Canada, CSC) is the Supreme court, highest court in the Court system of Canada, judicial system of Canada. It comprises List of Justices of the Supreme Court of Canada, nine justices, wh ...
ruling on direct billing filed by
Quebec Quebec ( ; )According to the Canadian government, ''Québec'' (with the acute accent) is the official name in Canadian French and ''Quebec'' (without the accent) is the province's official name in Canadian English is one of the thirtee ...
physician Jacques Chaoulli. As of September 2009, the lawsuit was still unresolved.


Youtube video

Holmes published a
YouTube YouTube is a global online video platform, online video sharing and social media, social media platform headquartered in San Bruno, California. It was launched on February 14, 2005, by Steve Chen, Chad Hurley, and Jawed Karim. It is owned by ...
video of her appearance on
Global TV The Global Television Network (more commonly called Global, or occasionally Global TV) is a Canadian English-language terrestrial television network. It is currently Canada's second most-watched private terrestrial television network after CT ...
in 2007. Holmes and her husband have two
YouTube YouTube is a global online video platform, online video sharing and social media, social media platform headquartered in San Bruno, California. It was launched on February 14, 2005, by Steve Chen, Chad Hurley, and Jawed Karim. It is owned by ...
channels (homiemagnum and shonaholmes3) where copies were placed for the Canadian Constitution Foundation. This group is backing the joint statement of claim, along with Lindsay McCreith of Newmarket, against the province of Ontario. In 2009, the Holmes story was publicized in the United States debates on
American health care reform Healthcare reform in the United States has a long history. Reforms have often been proposed but have rarely been accomplished. In 2010, landmark reform was passed through two federal statutes enacted in 2010: the Patient Protection and Affordab ...
. Holmes continued to participate in the US health care debate, publishing
op-ed An op-ed, short for "opposite the editorial page", is a written prose piece, typically published by a North-American newspaper or magazine, which expresses the opinion of an author usually not affiliated with the publication's editorial board. O ...
s in American papers.


US advertising controversy


2009 US television advertisement

In 2009 her story was presented in a US television advertisement as a cautionary tale of what Americans could expect if they were to adopt a
publicly funded health care Publicly funded healthcare is a form of health care financing designed to meet the cost of all or most healthcare needs from a publicly managed fund. Usually this is under some form of democratic accountability, the right of access to which are se ...
system like the
Canadian health care system Healthcare in Canada is delivered through the provincial and territorial systems of publicly funded health care, informally called Medicare. It is guided by the provisions of the ''Canada Health Act'' of 1984, and is universal. The 2002 Royal ...
. The advertisement was paid for by "Patients United Now," a project of
Americans for Prosperity Foundation Americans for Prosperity (AFP), founded in 2004, is a libertarian conservative political advocacy group in the United States funded by Charles Koch and formerly his brother David. As the Koch brothers' primary political advocacy group, it is one ...
, an
American conservative Conservatism in the United States is a political and social philosophy based on a belief in limited government, individualism, traditionalism, republicanism, and limited federal governmental power in relation to U.S. states. Conservative ...
political advocacy group Advocacy groups, also known as interest groups, special interest groups, lobbying groups or pressure groups use various forms of advocacy in order to influence public opinion and ultimately policy. They play an important role in the developm ...
. The ad featuring Holmes was broadcast at a cost of $1.8 million in eight US states. "We went 100 per cent into socialized medicine and we lost all our options," Holmes said recently of the Canadian system. After being told she would have to wait six months for treatment in Canada, she mortgaged her home to pay $100,000 for treatment at the
Mayo Clinic The Mayo Clinic () is a nonprofit American academic medical center focused on integrated health care, education, and research. It employs over 4,500 physicians and scientists, along with another 58,400 administrative and allied health staff, ...
. She is quoted as saying the Canadian health care system failed her. In an ad broadcast on American television she said, "If I'd relied on my government, I'd be dead." While Holmes referred to her condition as a "brain tumor,"
Ian Welsh Ian McWilliam Welsh (born 23 November 1953) is a former Scottish Labour politician who works as Chief Executive of the Health and Social Care Alliance Scotland. After a brief career as a professional footballer, he was an English teacher and ...
, writing in the ''
Huffington Post ''HuffPost'' (formerly ''The Huffington Post'' until 2017 and sometimes abbreviated ''HuffPo'') is an American progressive news website, with localized and international editions. The site offers news, satire, blogs, and original content, and ...
'', reports that while the Mayo Clinic characterizes Holmes's treatment as a success, they say she had "a
Rathke's Cleft Cyst A Rathke's cleft cyst is a benign growth on the pituitary gland in the brain, specifically a mucin-filled cyst in the posterior portion of the anterior pituitary gland. It occurs when the Rathke's pouch does not develop properly and ranges in siz ...
on her
pituitary gland In vertebrate anatomy, the pituitary gland, or hypophysis, is an endocrine gland, about the size of a chickpea and weighing, on average, in humans. It is a protrusion off the bottom of the hypothalamus at the base of the brain. The ...
". The
Canadian Broadcasting Corporation The Canadian Broadcasting Corporation (french: Société Radio-Canada), branded as CBC/Radio-Canada, is a Canadian public broadcaster for both radio and television. It is a federal Crown corporation that receives funding from the government. ...
(CBC) interviewed neurosurgeons in Montreal and Toronto who described her claims as exaggerated; they stated that her condition was a benign cyst, not a medical emergency. The Mayo Clinic has been cited as saying that the condition is "not known to be fatal" and makes no claim that her life was in danger, but it stated that she could have eventually lost her sight without surgery. As a result of publicity generated by the television ad, Holmes has been interviewed many times on American television, including five interviews on the
Fox Network The Fox Broadcasting Company, commonly known simply as Fox and stylized in all caps as FOX, is an American commercial broadcast television network owned by Fox Corporation and headquartered in New York City, with master control operations an ...
, and one interview on
CNN CNN (Cable News Network) is a multinational cable news channel headquartered in Atlanta, Georgia, U.S. Founded in 1980 by American media proprietor Ted Turner and Reese Schonfeld as a 24-hour cable news channel, and presently owned by the M ...
.


Canadian reaction

The use of her claims in the US stirred great controversy in Canada, where the Canadian health care system is popular across the political spectrum. The use of her claims triggered comments from
Ujjal Dosanjh Ujjal Dev Dosanjh ( pa, ਉੱਜਲ ਦੇਵ ਦੁਸਾਂਝ) (), (born September 9, 1947) is a Canadian lawyer and politician. He served as the 33rd premier of British Columbia from 2000 to 2001 and as a Liberal Party of Canada member of ...
, the
Liberal Party of Canada The Liberal Party of Canada (french: Parti libéral du Canada, region=CA) is a federal political party in Canada. The party espouses the principles of liberalism,McCall, Christina; Stephen Clarkson"Liberal Party". ''The Canadian Encyclopedia'' ...
's health critic, who called her case "an exception to the rule." Jim Meek wrote in the ''
Halifax Chronicle Herald ''The Chronicle Herald'' is a broadsheet newspaper published in Halifax, Nova Scotia, Canada owned by SaltWire Network of Halifax. The paper's newsroom staff were locked out of work from January 2016 until August 2017. ''Herald'' management con ...
'', commenting on the strength of Canadian reaction to the Holmes claims: :"Holmes attacked our medical system from inside the U.S., which is seen in this country as an act of High Treason." The late
Jack Layton John Gilbert Layton (July 18, 1950 – August 22, 2011) was a Canadian academic and politician who served as the leader of the New Democratic Party (NDP) from 2003 to 2011 and leader of the Official Opposition in 2011. He previously sat on To ...
, the leader of the
New Democratic Party The New Democratic Party (NDP; french: Nouveau Parti démocratique, NPD) is a federal political party in Canada. Widely described as social democratic,The party is widely described as social democratic: * * * * * * * * * * * * t ...
at the time, travelled to the United States, so he could appear on American television to rebut Holmes's claims.


Local reaction

On July 23, 2009, a few days following the publication of the ad, the ''
Hamilton Spectator ''The Hamilton Spectator'', founded in 1846, is a newspaper published weekdays and Saturdays in Hamilton, Ontario, Canada. One of the largest Canadian newspapers by circulation,''The Hamilton Spectator'' is owned by Torstar. History ''The Hami ...
'' reported on its front page the troubles faced by another resident of Waterdown, whose home phone was also listed under the name "S. Holmes". According to the ''Spectator'', Palmira Holmes was inundated by callers' wanting to chastise Shona Holmes, describing the volume of calls as "like being bombarded". The ''Spectator'' commented that the volume of angry calls Palmira was receiving was consistent with the large volume of comments left on Canadian media websites. The ''
Toronto Star The ''Toronto Star'' is a Canadian English-language broadsheet daily newspaper. The newspaper is the country's largest daily newspaper by circulation. It is owned by Toronto Star Newspapers Limited, a subsidiary of Torstar Corporation and part ...
'' published a
letter to the editor A letter to the editor (LTE) is a Letter (message), letter sent to a publication about an issue of concern to the reader. Usually, such letters are intended for publication. In many publications, letters to the editor may be sent either through ...
from another Waterdown resident, who had a true brain tumor. She described the care she received in the Canadian health care system as being of "exceptional quality". Her letter concluded with the comment: "I know our health care system works and if Holmes didn't have a problem with her physician what exactly are her motives for taking part in this media spectacle?"


Democrats Abroad reaction

The ''Hamilton Spectator'' interviewed Kenneth Sherman, a leader of a group of American expatriates who live in Canada. According to Sherman, Americans who lived in Canada, and received care under the Canadian health care system, recognized that if her account was accurate, her case was an atypical one. He challenged the accuracy of her account. He said the Americans who were members of his group,
Democrats Abroad Democrats Abroad is the official organization of the Democratic Party for United States citizens living temporarily or permanently abroad. The organization is given state-level recognition by the Democratic National Committee. Democrats Abroad ...
, received care under the Canadian health care system and were considering sponsoring a counterad to rebut Holmes' claims.


2012 political ad

Holmes was featured again in an advertisement targeting the 2012 United States presidential election. In the ad, placed by the political action committee "
Americans For Prosperity Americans for Prosperity (AFP), founded in 2004, is a libertarian conservative political advocacy group in the United States funded by Charles Koch and formerly his brother David. As the Koch brothers' primary political advocacy group, it is one ...
", Holmes refers to the condition treated as a "rare brain condition."


References

{{DEFAULTSORT:Holmes, Shona Healthcare in Canada