My years in local government A few hundred yards from the shores of Lake St. Louis lies an island a third of a mile wide and half a mile long. On it are 54 cottages, but there is no possibility of staying there through the winter: the water system is above ground and ice prevents boats from docking. The year-round population is therefore zero, and on these grounds alone the claim that this is the smallest municipality in Canada seems incontestable. But town it is, with a mayor and council and town hall and town meetings at which the attendance is nearly 100% if contentious matters are to be discussed. We are even, by what had been admitted to be an administra¬ tive error, a part of the Montreal Urban Community, a mistake that still costs us $4000 or $5000 a year. I first set foot on this little paradise in 1956 to make a house call, the most profitable house call I ever made. The family I visited were tenants in an old and dilapidated mansion at the west end of the island, with a magnificent view up 10 miles reach of lake. It had spacious central rooms then used as a town hall, where 10 sets of square dancers might disport, and an apartment in each wing. I am not a man who can resist the chance to explore, and on another morning I made some excuse to come back. Everyone is struck, on disembarking from the little ferry, by the sensation of entering a

different world,

as

if

one

had been

transported instantly to the country. The island is largely unspoiled forest, and the rough single-lane gravel road is travelled by one vehicle only the island truck. The coming of golf carts for the invalid has slightly changed this, but their use is strictly controlled and has to be medically indicated. The truly extraordinary thing about the island is that it is just 5 minutes by ferry and 20 minutes by car from downtown Montreal. The ferry's timetable, every half hour on the dot, with some extra trips in peak morning and .

evening hours, punctuates one's day and has to be accepted. To use one's own boat is usually more trouble than it is worth, but I have rowed over in the night to make a house call and been amazed at the strength of the current. Indeed the centre of the channel never freezes, even at times when the island can be approached on foot across the ice by a wide sweeping detour from upstream. By far the biggest upheaval in recent history was a proposal to join the island by a bridge to the mainland. It was a bold scheme, urged by the mayor of Dorval (the towns are completely independent), to use one of two small islands downstream and downwind from ours as a sewage treatment plant. An all-weather service road would have been needed and would have joined us to the mainland by a bridge and causeway. It was feasible; and government money from higher levels would prob¬ ably have been made available, and

land values on the island would have shot up. But the islanders would have none of it, which shows that they valued the island for its unique self above sordid calculations of capital gain. The tumult over "The Bridge" led to the first electoral challenge within living memory, mayor and council being traditionally elected by acclamation. The ex-mayors are an informal senate and agree on a list of mayor and five councillors; the list is circulated to obtain the necessary nominating signatures, and when it is posted there are no other nominations. Indeed the prob¬ lem has rather been to find a quorum of interested and willing councillors. When I first came to the island the wealthy seemed to be in control either

directly or through friendly nominees, but nothing very terrible happened when power gradually slipped from their hands. I have never been on the council, so you can imagine my bewilderment when the spokesman of the ex-mayors asked

me

if I would become

thought it would be fun and accepted. There is no remuneration, open or concealed, but I had often

mayor. I

wondered what goes on behind the closed doors of council meetings and now was my chance to find out. The answer is, for the most part, business, drab and trivial, with an occasional nugget of information that is common property within a week. It is exciting to spend other people's money, but budgetary restraints preclude any adventures; for instance, it was painful at the end of the year to dig around even for an instalment towards the cost of our new ferry. At meetings with mayors of other municipalities one can be rather smug about their hopes and fears of re-election. The island tradition is of one term only. 1 dislike committee work in general because of the waste of time so often involved, but as chairman one

usually prevent things bogging keep the meeting going at a good clip. I suspect that all committee can

down and

business has much the same structure and flow, and I have learned about the conduct of larger affairs from hospital committees and now though to a lesser extent, for my council is so easygoing and agreeable from this muni¬ cipal work. I have seen how, when the going gets rough in implementing a decision, the fainthearted drop their support for action they have voted, sometimes even mustering opposition outside. I have noted how a small clique may easily decide in advance of a meeting how it will all go. I have seen how support by some persons may be the kiss of death to a motion that, however, if it has merit, will later be quietly carried into effect; and I have noted the power in the hands of a skilful chairman to force an issue or to

delay.

I have also confirmed the inverse law of time and importance: major

decisions are made in minutes, but dis¬ cussion bogs down for hours over some

CMA JOURNAL/JANUARY 25, 1975/VOL. 112 153

matter that

happens to touch pride or privilege. No one seems to compute the dollar cost of a 2-hour meeting of six people worth, petty

someone's

says, $30 each

hour, and to look back at the end to see what has been produced at such a cost. Indeed physi¬ cians, quite alert to the value of their an

professional time, seem utterly spendthrift of time in politics and meetings. Once, as part of our negotiations with the Montreal Urban Community, an¬ other councillor and I met with the chief of police and six senior members of his administration. It was in the evening, and their overtime must have been compensated in some way; ours was rewarded only by a glimpse of their palatial headquarters. They had sent a helicopter team that day to photograph the island, and a few months later I received a 150-page transcript of the discussion, which of course led to no decision, for the power to decide lay elsewhere. The whole exercise must have cost over $1000. Our own budget, and perhaps our sense of proportion, would not per-

MULTIDISCIPLINARY TRAINING PROGRAM IN SEXUALITY AND FERTILITY. Extension course. Mc¬ Master University, Hamilton, Ont. Feb. 7 June 11, 1975. information: Maureen Orton, Project Direc¬ tor, McMaster University, School of Adult Educa¬

ANESTHESIA FOR FAMILY PHYSICIANS. St. Mi¬ chael's Hospital Auditorium, Toronto. March 15, 1975. Information: Ontario Medical Foundation, 242 St. George St., Toronto, Ont. M5R 2P4

ext. 4325.

MONTREAL NEURO-OPHTHALMOLOGY CONFERENCE. Queen Elizabeth Hotel, Montreal. March 17-18, 1975. Information: The Secretary, Postgradu¬ ate Board, Royal Victoria Hospital, 687 Pine Ave. W., Montreal. Que. H3A 1A1

-

tion. Hamilton, Ont., telephone: (416) 525-9140, GYNEC0L0GIE-0BSTETRIQUE EN PRATIQUE GENE¬ RALE. Hdpital Notre-Dame, Montreal. Les 7-8 fevrier 1975. Renseignements: Directeur du Service d'education medicale continue, Universite de Mont¬ real, C.P. 6207, Succursale A, Montreal, Que. H3C 3T7 FAMILY PRACTICE DAY. Crown Rm., Prince Hotel.

Don Mills, Ont. Feb. 12, 1975. Information: On¬ tario Medical Foundation, 242 St. George St..

Toronto, Ont. M5R 2P4

HEARING MEASUREMENT AND CONSERVATION WORKSHOP. University of Toronto. Feb. 17-20, 1975. Information: School of Continuing Studies, University of Toronto, 119 St. George St., Toronto, Ont. M5S 1A9

OPHTHALMOLOGY FOR FAMILY PHYSICIANS. Uni¬ versity of Toronto. Feb. 20-21, 1975. Information: The Director, Division of Postgraduate Medical Education, University of Toronto, Toronto, Ont. M5S 1A8

.

.

Dorval, Que\

HYPERTENSION ET CONDITIONS ASSOCIEES. InstiCliniques, Montreal. Le 22 1975. Renseignements: Directeur du Service d'education medicale continue, Universite de Mont¬ real, C.P. 6207, Succursale A, Montreal, Que. H3C

tut des Recherches

REFRESHER COURSE FOR PRACTISING PATHO¬ LOGISTS. University of Toronto. Feb. 12-15, 1975. Information: The Director, Division of Postgraduate Medical Education, University of Toronto, Toronto, Ont. M5S 1A8

mit such extravagances. I have learned in minuscule the dif¬ OBSTETRICS AND GYNECOLOGY. Health Sciences Bldg., University of Saskatchewan, ficulties of dealing with a senior gov¬ PEDIATRICS, Saskatoon. Feb. 20-22, 1975. Information: Mrs. M. ernment in trying to find some way to P. Sarich. Continuing Medical Education, 408 Ellis of Hall, Saskatchewan, Saskatoon, Sask. University open the faucet of taxpayers' money S7N 0W8 for necessary projects that are beyond our municipal means. For example, our MEDECINE NUCLEAIRE EN PRATIQUE GENERALE. docks were carried away in exception- Hdpital Notre-Dame, Montreal. Le 22 fevrier 1975. Renseignements: Directeur du Service d'edu¬ ally high spring floods. The federal cation medicale continue, Universite de Montreal, C.P. 6207, Succursale A, Montreal, Que. H3C 3T7 controls waters government navigabje but the provincial government is RECENT ADVANCES IN THE MANAGEMENT OF responsible for municipalities. One ofALCOHOLISM AND DRUG ADDICTION. University Toronto. March 1, 1975. Information: The arouses a little interest, but then the Director, Division of Postgraduate Medical Educa¬ Legislative Assembly is dissolved and tion, University of Toronto, Toronto, Ont. M5S 1A8 an election seems to carry all away CORRESPONDENCE COURSE IN GENERAL SUR¬ like the spring floods. One starts again, GERY. Fifteen prepared weekly reading lists and but one's own term of office will soon weekly multiple-choice questionnaires to answer and submit for grading. March 1-June 13, 1975. expire. It is a miracle that anything The Registration closes March 15, 1975. Information: Board, The Montreal Scretary, Postgraduate gets done, but when it does, money General Hospital, 1650 Cedar Ave., Montreal, Que. down like some H3G 1A4 rain, pours perhaps even flowing into private channels. NEUROLOGY IN A CLINICAL SETTING. University My years in local government my and Victoria Hospitals, London. March 5, 1975. first 2 years have been easy, pleas- Information: Assistant Dean, Continuing Education, of Medicine, University of Western Ontario, ant and, I hope, productive for our Faculty London, Ont. N6A 3K7 idyllic little town. We bought a new DIALOGUE IN DIAGNOSIS VALUE AND REferry, brought a bulldozer over to im¬ LIABILITY OF SOME ENDOSCOPIC, NUCLEAR. prove our road, maybe started the pro¬ RADIOLOGIC AND ULTRASOUND TECHNIQUES. McMaster University Medical Centre, Hamilton. vincial government along a path that March 5, 1975. Information: Dr. W. P. Cockshott. will end with our getting a breakwater Chairman, Dept. of Radiology, McMaster Univer¬ Medical Centre. 1200 Main St. W., Hamilton, and new docks, and we may yet man- sity Ont. L8S 4J9 age to break loose from the costly grip of the Montreal Urban Community. FAMILY THERAPY MINI WORKSHOP. London Psy¬ Hospital, London, Ont. March 6, 1975. We cut down some diseased elms, kept chiatric Information: Assistant Dean, Continuing Education, of Medicine, The University of Western Faculty peace between dog owners and dog Ontario, London, Ont. N6A 3K7 haters, and patched up our aging com¬ munity pool. We balanced our budget, LA PSYCHIATRIE DU PRATICIEN. Hdpital Saint-Luc, Montreal. Le 8 mars 1975. Renseignements: Direc¬ or made it look balanced. We minded teur du Service d'education medicale continue, the store, we kept house, we saw to Universite de Montreal, C.P. 6207, Succursale A, the basic needs and left everyone free Montreal, Que. H3C 3T7 to pursue happiness in his own way. OPHTHALMOLOGY AND ENT. Health Sciences Isn't this what government should be? Bldg., University of Saskatchewan, Saskatoon. Elliott Emanuel, md 352 Dorval Ave.

SEVENTH ANNUAL POSTGRADUATE COURSE IN DRUG THERAPY. The Montreal General Hospital and McGill University. March 20-21, 1975. Informa¬ tion: Dr. R. I. Ogilvie, Division of Clinical Phar¬ The Montreal General Hospital, 1650 macology, Cedar Ave., Montreal, Que. H3G 1A4

March 13-15, 1975. Information: Mrs. M. P. Sarich, 408 Ellis Hall, Uni¬ Saskatchewan, Saskatoon, Sask. S7N versity 0W8 Medical Education, Continuing of

154 CMA JOURNAL/JANUARY 25, 1975/VOL. 112

mars

3T7

BASIC WORKSHOP CLINICAL HYPNOSIS. Audi¬ torium, St. Paul's Hospital, Saskatoon. March 2223, 1975. Information: Dr. K. S. Thakur, 102 Med¬ ical Arts Bldg., Saskatoon, Sask. S7K 3H3

ANTIBIOTICS IN CHILDREN. Main Lecture Theatre. Women's College Hospital, Toronto. March 26, 1975. Information: Ontario Medical Foundation, 242 St. George St., Toronto, Ont. M5R 2P4 SECOND ANNUAL DAY IN CLINICAL NEUROSCIENCES. McMaster University Medical Centre. Hamilton. April 2, 1975. For family physicians and internists. Information: Dr. Andrew Talalla, Dept. of Surgery, McMaster University Medical Centre, 1200 Main St. W., Hamilton, Ont. L8S 4J9 ESTHETIC PLASTIC SURGERY. The Wellesley Hospital, Toronto. April 4-5, 1975. Information: The Director, Division of Postgraduate Medical Education, University of Tomnto, Toronto, Ont. M5S 1A8 CLINICAL PHARMACOLOGY OF ANTIMICROBIAL AGENTS. Toronto Western Hospital. April 5, 1975. Information: The Director, Division of Postgraduate Medical Education, University of Toronto, Toronto, Ont. M5S 1A8 MEDICAL RECORD KEEPING. Victoria Hospital, London. April 9, 1975. Information: Assistant Dean. Education, Faculty of Medicine, Univer¬ Continuing of

sity

Western Ontario, London, Ont. N6A 3K7

PEDIATRIC OPHTHALMOLOGY. The Hospital for Sick Children, Toronto. April 10-11, 1975. Informa¬ tion: Dr. Clement McCulloch, Dept. of Ophthal¬ mology, University of Toronto, 1 Spadina Cres., Toronto, Ont. M5S 2J5 REFRESHER COURSE FOR PRACTISING OPHTHAL-

MOLOGISTS. gniversity of Toronto. April 10-11, 1975. Information: The Director, Division of Post¬

graduate Medical Education, University of Toronto, Ont. Toronto,

M5S 1A8

THERAPEUTICS. Saskatoon. Originally scheduled for April 10-12, 1975. Cancelled indefinitely.

TRAUMA TO THE UPPER LIMB. Four Seasons Sheraton Hotel, Toronto. April 10-12, 1975. Informa¬ Director, Division of Postgraduate Medi¬ cal Education, University of Toronto, Toronto, Ont. M5S 1A8 tion: The

FETAL MONITORING WORKSHOP. McMaster Uni¬

versity Medical Centre, Hamilton. April 11-12, 1975. Information: Dr. S. B. Effer, Associate Pro¬ fessor, Dept. of Obstetrics & Gynecology, Mc¬ Master University Medical Centre, 1200 Main St. W., Hamilton. Ont. L8S 4J9 ANESTHESIA FOR FAMILY PHYSICIANS. Univer¬

sity of Toronto. April 14-18, 1975. Information: The Director, Division of Postgraduate Medical Educa¬ tion, University of Toronto, Toronto, Ont. M5S 1A8

JOURNEES CHIRURGICALES DE LHOTEL-DIEU. Hdtel-Dieu de Montreal. Les 18-19 avril 1975. Renseignements: Directeur du Service d'education medicale continue, Universite de Montreal, C.P. 6207, Succursale A, Montreal, Que\ H3C 3T7

My years in local government.

My years in local government A few hundred yards from the shores of Lake St. Louis lies an island a third of a mile wide and half a mile long. On it a...
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