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Reflections on fifteen years as a Family Practitioner in Thompson, Manitoba highlight some of the problems in providing health care to a regional population of 40,000. High turnover rates coupled with little or no prior experience create a constant challenge to the health and social service staff. Unimaginative government administrators and fragmented service structures add unnecessary impediments to quality care—problems which are less noticeable in times of expansion but become critical in times of constraints. Future planning should focus on comprehensive services, on stable administration and on efforts which maximize the positive aspects of “frontier towns.”

Psycho-Social Influences of Health Care Professionals in the Single Industry Mining City of Thompson, Manitoba