Category Archives: VanRamblings

The Job of a Journalist, to Comfort the Afflicted and Afflict the Comfortable

For journalists covering politics, and this very much includes VanRamblings, few tasks are more fraught than writing critically about political figures they have come to know well, respect, or even like.

In recent days, VanRamblings has been critical of Mayor Ken Sim, who we know and — to be perfectly frank, we — like (in the days to come, we will publish a supportive story of Mayor Sim). VanRamblings take no great pleasure in writing critically, or negatively, about a political figure, be it Mayor Sim, or Premier David Eby.

The above said, we acknowledge that the craft of political journalism demands objectivity, independence, and an unwavering commitment to the public interest.

Yet, the human element of this work cannot be denied. Political reporters often spend years in the company of the same politicians — interviewing them in hallways and offices, sharing off-the-record conversations, and at times even developing bonds of mutual trust. Against this backdrop, when a journalist is faced with reporting something unflattering, or deeply critical about a politician with whom they have built a rapport, the weight of the responsibility can feel crushing.

The essence of the journalist’s dilemma is a tension between personal loyalty and professional duty. On one hand, the journalist is human, and to knowingly cause another person pain — especially a hard working public figure who has chosen a career in public office — can feel cruel. On the other hand, journalism’s higher calling is to serve democracy by ensuring that those in power are held accountable.

As Finley Peter Dunne memorably wrote in his 1902 book Observations by Mr. Dooley, the role of the press is “to comfort the afflicted and afflict the comfortable.” That phrase has endured because it distills the moral purpose of journalism: to give voice to the powerless while scrutinizing the powerful. Political figures, by definition, fall into the category of the comfortable.

This mission often collides with the personal relationships that naturally develop between journalists and politicians. When a journalist covers a politician for years, the proximity can foster understanding and even admiration. A journalist may see the long hours, the sacrifices of family life, and the sincere desire by the political figure to substantively improve the lives of constituents who placed them in office.

Such observations humanize politicians, stripping away the caricatures often presented in the media. In turn, politicians may confide in journalists, trusting them with context, nuance, and moments of vulnerability that rarely make it into print, or onto your screen. Out of this closeness, empathy grows. And empathy, while essential in making reporting fair and textured, can also — from time to time — soften a journalist’s willingness to strike hard when the facts demand it.

To manage this tension, ethical journalists rely on principles that act as guardrails.

The first is the unwavering primacy of the public interest. However difficult, the journalist (and that includes VanRamblings) must remember that their ultimate loyalty is not to politicians, but to readers, viewers, and the democratic system itself. The second is transparency: by disclosing potential conflicts of interest and being open about their methods, journalists reinforce their credibility. The third is fairness. Criticism need not be cruel; it must be grounded in facts, and contextualized with nuance. In this way, the journalist can both honour their human empathy and fulfill their professional obligation.

Still, even within ethical frameworks, the emotional toll for the journalist is real.

Journalists who publish critical stories about politicians they respect may face strained relationships, loss of access, or even feelings of guilt. Yet this hardship is part of the profession. Indeed, it is in navigating these very difficulties that journalism earns its claim to being a cornerstone of democracy. If members of the press flinch from their duty, those in power would operate with impunity, and the public would be left in the dark.

The adage attributed to Dunne — “comfort the afflicted and afflict the comfortable” — serves as a guiding light precisely because it acknowledges the discomfort inherent in journalism. It is easier to flatter than to confront, easier to protect relationships than to risk them. But journalism is not meant to be easy. It is meant to be honest, courageous, and unyielding in the face of power.

For the journalist who must write critically about a political figure they admire, the pain is real, but the obligation is greater. In choosing to afflict the comfortable, even when it means hurting someone they know and admire, the journalist ultimately fulfills the noblest promise of their profession.


VanRamblings Weighs In On Raymond’s Health. Pt. 3

To access Part One of my 2025 health update click here.

Part Two of my three-part health update may be found here.

I left you hanging yesterday. Sorry.

March and the early part of April this year proved to be the most painful period I have experienced in my life since October 2016, with my first cancer.

In early March, upon arriving home from a week’s vacation in Halifax visiting her mother, Kelly texted me from the airport to ask how I was doing. I told her I was in a great deal of pain, but I was going to tough it out. Despite having been up since 4:30am that morning, flying across the country, arriving back in Vancouver at 4pm, rather than drive home to be with her children, Kelly drove directly to my home, telling me, “Get in the car. I’m going to take you to UBC Hospital,” which she did.

UBC Hospital Admitting considered my situation to be an emergency, proceeding to immediately wheel me onto an emergency room bed, where I was seen by a doctor, who ordered the first of many CT scans, diagnosing me with a particularly severe case of diverticultis — which had hospitalized me in the autumn of 2023.

Diverticulitis can be, and proved to be in my case, a particularly painful gastrointestinal disorder characterized by inflammation of abnormal pouches — diverticula — that develops in the wall of the large intestine, causing severe lower abdominal pain, and could and would in my case worsen in intensity over the next week.

By the time I was diagnosed — with a distressingly painful catheter now inserted (which would remain in place for 6 weeks), I suggested to Kelly, as she sat by my side, that she must be beat, it was 1:30am Nova Scotia time, over the past 15 hours she’d flown across the country, and spent the last 5 hours by my side.

Given that I was now admitted to hospital, I assured Kelly that I’d be fine, and well cared by the attending physician, nurses, hospital staff and by my family doctor, who would visit me the next morning. As the hospital had provided with me with medication to lessen the pain, now was the time, I suggested to her, she return home to her family, and we’d talk the next morning.

Over the next two weeks, following a series of new CT scans, UBC Hospital changed its diagnosis to nephrolithiasis.

Nephrolithiasis specifically refers to calculi in the kidneys, commonly referred to as kidney stones. Renal calculi and ureteral calculi (ureterolithiasis) are often discussed in conjunction. Ureteral calculi originate in the kidneys, and as they grow can be lodged in the ureter. Genetic, metabolic, and environmental factors can contribute to stone formation. The majority of renal calculi contain calcium. The pain generated by renal colic is primarily caused by dilation, stretching, and spasm because of the acute ureteral obstruction.

I was told I would need surgery to remove a plethora of large kidney stones that were not only lodged in my intestines, but impacted and in my urethra, as well. That surgery occurred on April 9th at the Vancouver General Hospital. The attending surgeon removed a large kidney stone lodged in my uretha. Within the next hour, I passed 20 large kidney stones, and 20 somewhat smaller kidney stones.


Ocean Dental in Cancún, Mexico, providing high-quality dentistry (considered to be the best in North America) at a fraction of the cost, from 50% to 70% lower than in the United States and Canada.

The next day I got on a plane to fly to Cancún, Mexico for dental surgery, as I had arranged months earlier, that in Canada would cost me between seven and nine thousand dollars, but in Mexico — including air fare, accommodation, dental surgery preparation, X-Rays and examinations, extraction of an infected molar, periodontal surgery to repair infected gums, and the insertion of a state-of-the-art titanium tooth implant, the total came to $2700, while my companion, Nick Ellan and I, enjoyed wonderful four or five star Mexican cuisine each morning and evening. Although not particularly restful, I was grateful for the cost saving.

Note in passing: yes, I know many would consider it near insane for me to get on a plane, fly to another country for invasive dental surgery, following six weeks in bed / in hospital in Canada, and surgery to remove very painful kidney stones, that while still in pain, and very weak, nowhere near recovered, I would travel 6,333 kilometres away from home, from my doctors in Vancouver, and from safety.

I will write about my incredibly wonderful experience in Cancún, and a first rate relationship with Ocean Dental in another post. Suffice to say, I was very pleased.

In the months since mid-April, I have continued hormone treatment for my prostate cancer, with Jonathan Ma, and my uro-oncologist, Dr. Miles Mannas, had another biopsy (I’m still recovering), have worked with my skilled dentist / dental surgeon, Dr. Sandy Ko, who last month built a bone graft to facilitate the placement of another tooth implant this upcoming January — as a 31 year very appreciative patient of Dr. Ko, and given my impecunious circumstance, Dr. Ko is matching the price for the tooth implant charged by the UBC Dental Clinic. Next month, Dr. Ko will place a crown over the tooth implant I received in Mexico. Next June, I will have a crown placed over the tooth implant that will be inserted in January.

In addition to the above, I suffer from debilitating neuropathy, that makes it both difficult to walk, and to keep my balance (I have an almost complete loss of balance, standing in the shower is difficult, I am unsteady … no fun, let me tell you); have arthritis in my hands that makes it difficult to type; my Type 2 diabetes and once high A1C / blood sugar count is now pretty much under control; high blood pressure that is, for the most part, now under control; my two concerning heart conditions; and the ever concerning cancerous state of my prostate, with attendant constant fatigue and woeful lack of energy, intermittent pain — gastrointestinal distress (a near constant upset stomach leading to an utter lack of appetite, a concerning weight loss, a 60 pound weight loss in the past year) — such that I have to force myself to eat in order to remain healthy, headaches, hives, gastroesophageal reflux disease (GERD), ever worsening atopic dermatitis, and more. 

Let me leave you with two thoughts, one quite bracing, the first one from my daughter Megan, the person who loves me most in this world.

Any discussion of your health is nothing more than a morbid plea for undeserved sympathy.

From my friend, Vancouver School Board trustee, Christopher Richardson …

“Raymond, you and I suffer from the same malady. On the surface, both of us look healthy, when that is far from the case. From my COPD — which often makes it hard for me to breathe, or catch my breath, and the lack of energy attendant to my health disorder — and your prostate cancer and heart conditions, the two of us couldn’t look more healthy, when both of us know that is not our reality.

Both of us are high energy men, we’re driven, in our daily lives we set about to accomplish much, to contribute. But we do that because that’s who we are, despite our various debilitating health issues that make our work in the community ever more difficult. Still, how spiritually satisfying it is for the both of us that we can, and feel we must continue in our work to make a difference for the better.”

This year I am seventy-five years of age. At one time that was considered old. But not any more. Dr. Brad Fritz tells me I’ve got another 15 good years in me, that I will make it through my current troubling health circumstances to live a long and productive life, I should not worry, that I am in good hands, receiving the best of care, whether it’s with him, Dr. Miles Mannas or Dr. Sandy Ko. Vivas tempore et bene sit.

VanRamblings Weighs In On Raymond’s Health. Pt. 1

One year ago today I was diagnosed with prostate cancer by my family physician of 42 years, the phenomenally skilled Dr. Brad (“call me Brad”) Fritz, who in 2016 also diagnosed me with my first rare form of terminal cancer, hilar cholangiocarcinoma, more commonly known as Klatskin’s tumour, a type of bile duct cancer.

My latest cancer diagnosis arose from a concerning PSA — prostate-specific antigen — blood test, an early detection of prostate cancer, that would require an MRI, followed by a biopsy of my prostate, to confirm Dr. Fritz’s diagnosis. 

At the time, I was told that there would be a 3 month wait for an MRI (magnetic resonance imaging) test. By month’s end, I was told that the wait for an MRI was one year, and offered the opportunity to have a $2500 MRI at a privately operated clinic, not covered nor funded by the province’s public medicare system.

My annual income is $25,000. I would require more than one MRI. Paying privately for an MRI was simply out of the question.

I thought to myself, as a long time supporter of the NDP, “If David Eby or Adrian Dix were diagnosed with prostate cancer, would they have to wait a year for an MRI?” Not likely,  I thought. Neither did I believe that either of these two gentlemen would avail themselves of a private MRI, given the optics of the situation.

As such, my coverage of last autumn’s provincial election took on a distinctively — and utterly out of character — harsh tone on VanRamblings.

Note should be made that prostate cancer is the most common form of cancer for men, with a five year survival rate of 90% for most forms of prostate cancer, and 37-50% for Stage 4 cancer. I kept thinking to myself, “What if I have Stage 4 cancer —which proved to be the case — if I have to wait a year for an MRI, and longer than that for a prostate biopsy, what are the chances I would even be around for an MRI appointment a year from the date of my original diagnosis?”

I spoke with the constituency staff in David Eby’s officehe’s my MLA, I’ve worked on all of his campaignswho shrugged when I told them of my dilemma, telling me there was nothing they could do for me, I’d just have to wait.

I will note that the response of David’s constituency staff on this occasion was completely out of character for any of his past, or present, constituency staff, a one time aberration for an overworked constituency staff, too often subject to concerning — often fear inducingprotests outside of his constituency office.

My friend Kelly Ryana one-time host of CBC’s As It Happenswas none-too-pleased with the response of David Eby’s constituency staff. Neither was she overly pleased with the level of Dr. Fritz’s advocacywho I believe and know to be the best, most caring, most skilled and most competent doctor in the city, who has always been an advocate of the first order for me, dating back to 1983.

As the weeks went by, Kelly (“Men! They just don’t know how to take care of themselves. They require a strong woman to advocate for them”) insisted I make a follow up appointment with Dr. Fritz, which occurred on December 5th, an appointment to which she accompanied me, none-too-happy about the circumstance, nor Dr. Fritz. I had a PSA test conducted at the LifeLabs clinic across the street from Dr. Fritz’s office, the week before my December 5th appointment.

Sitting in Dr. Fritz’s office, he expressed alarm. The results of my PSA test was off the charts, requiring immediate emergency action on his part. Right then and there, he contacted VGH and attempted to make an emergency MRI appointment for me. Fortunately, there was a cancellation in the prostate clinic biopsy clinic at VGH the next morning at 3:35am, which I was more than happy to attend.

The three MRI technicians who performed the MRI were outstanding. Dr. Fritz received the results of the MRI later that week, and made an early January appointment with uro-oncologist Dr. Miles Mannas (“Raymond, he’s the best. That’s why I’m referring you to him. If, as I believe will prove to be the case, you require surgery to remove your prostate, he’s the most skilled surgeon, and will provide you with the very best care. You’ll be in good hands with Dr. Mannas”).

Dr. Fritz made an appointment for me with Dr. Mannas for early January of this year. Dr. Mannas, in turn, made an appointment for me for a bone scan at VGH, to determine if the prostate cancer had spread. Even before my appointment with him, and the biopsy he would conduct, Dr. Mannas believed that I had prostate cancer. The only question was, how severe was the prostate cancer?

The good news. The bone scan indicated the prostate cancer had not spread into my bones, unlike poor Joe Biden (who, given the results of his bone scan, indicating spread, has 5 – 7 years to live). The not-so-good news: my Gleason score was 9, as bad a score as is possible (no one has a Gleason score of 10). The prostate cancer was so severe that neither radiation nor chemotherapy would be offered. The only route: surgery, preceded by months of hormone therapy. Surgery to remove my prostate is schedule for mid-November.

One of my concerns about the surgery — my second surgery ever, my first surgery the removal of my tonsils at age 4 — was the loss of my sexuality, long an important part of my life. That concern was soon put to rest. With the 4 apalutimide tablets I take each morning, along with 4 Zytiga tablets — each of the tablets is huge, and hard to swallow — as well as the prednisone tablet Dr. Mannas has prescribed that I take each morning, all of the testosterone in my body has been knocked  out, my sexuality gone, obliterated.  And you know what: it’s no big deal, I had nothing to fear or be concerned about. In fact, it’s kind of a relief. I have been very, very lucky in my love life to have been loved by strong, beautiful women of accomplishment and great intelligence, and consider myself to have been very, very fortunate in my romantic and sexual life.

The other salutary result of the medication I’m on: my latest PSA test indicated a negligible result, perfect for my upcoming prostate surgery.

The down side to all the medication I’m on (more on that tomorrow) is that I am constantly fatigued, have a difficult time getting out of bed in the morning, and conducting the affairs of my life. To some great extent, I have become incompetent in the conduct of my life, when for many years I considered myself to be “a man’s man,” able to take on any chore, with a ready approach to any challenge.

No more.

Fortunately, in addition to acting as the best possible advocate for me lo these many months, my friend (and saviour) Kelly Ryan has afforded me the opportunity to “co-parent” Teague the dog, only the friendliest, most loving waggly tail dog in the whole world, a loyal companion who I take for several walks a day most days, when I might otherwise remain prone on my bed fatigued and lifeless all day long, my iPad by my side, who resides with me on occasion — as he did for most of July and early August, and for much of this past week.

Writing on VanRamblings, keeping up with daily posting has become all but impossible. The only things that keeps me active on VanRamblings are the prospect of Kareem Allam becoming Vancouver’s next Mayor — a man I believe to be brilliant, skilled, humane and well-schooled, the most sophisticated political operative I have met in the 60+ years I have covered politics, a charismatic political figure — who believes in and practices the politics of joy — who fills me with hope for our world, who I believe will emerge as a transformational Mayor for our city next year, as well as our nation and perhaps beyond in the years to come, our best Mayor since Philip Owen, or going back to the 70s, Art Phillips.

And for the next six weeks, writing about the Vancouver International Film Festival, long our window on the world, and most cherished arts festival.

In the past, whether covering municipal, provincial or federal politics, or my most beloved VIFF, it was not unusual for me to dedicate 20 hours a day attending political events or festival screenings, arriving home to write about each until 5am, creating videos, or transcribing interviews. No more.

I am all but bereft of energy.

I have 8 weeks remaining on my daily regimen of apalutimade, Zytiga and prednisone — which Dr. Mannas tells me is at the seat of my daily fatigue / lack of energy  — in the lead up to my mid-November prostate surgery. Post surgery, it will probably be another 6 to 8 months before any semblance of energy returns.

How do I feel? I feel lucky. I feel fortunate to have a roof over my head within a housing co-op I have called home for 41 years this year. I feel fortunate to be surrounded by my Co-op neighbours, the finest people it has ever been my good fortune to work and enjoy life with, who couldn’t be more supportive and caring. I feel gratitude to VanRamblings’ many readers who hang in with me despite all.

Now, Dan Fumano — PostMedia’s first rate civic affairs reporter — will be disappointed with me (as will Charlie Smith, the once upon a time superb editor of The Georgia Straight) for writing at too great a length today. “Raymond, keep your columns at 750 words. Any longer than that and you’ll lose readers.” I proffer an apology to Dan, to Charlie and to you.

Sadly, my prostate cancer is the least of my health woes. More tomorrow.

VanRamblings Makes Its Triumphant Return, Again

After an interregnum of some 284 days since VanRamblings published last, today — Monday, August 18th, 2025 — marks VanRamblings inglorious return.

In the coming days, weeks and months, as per usual, most Mondays, Tuesdays, Wednesdays and Thursdays, we will publish our thoughts on all things municipal, provincial and federal politics, interspersed with columns on cinema (such as this Friday’s column on film festival season), and on the occasional Saturday, return to our semi-regular feature, Stories of a Life, and on Sundays, Sunday Music, where we will continue writing about our favourite 100 albums of all time.

Most of the next two weeks will be given over to writing about Vancouver’s municipal political scene, this week and part of next focusing on the probable Mayoral aspirants seeking office in order that they might install themselves in the spacious offices and luxurious living quarters located on the third floor at Vancouver City Hall (thank you, Dr. Penny Ballem), a home away from home for the Mayor.

In tomorrow’s column, VanRamblings’ focus will be on who, only a month ago, seemed to be the serious-minded Mayoral aspirants. Much has changed, though, over the past month, and the list of Mayoral aspirants has winnowed considerably, although a few of the usual suspects for Vancouver Mayor remain serious about making a bid for office on Saturday, October 17th, 2026.

A major focus of VanRamblings’ writing beginning next week through until October 12th will be, what for us, is the première arts event of the autumn season, the 44th Vancouver International Film Festival, which this year will run, in a somewhat truncated form, from Thursday, October 2nd through until Sunday, October 12th.

As far as we are able, we’ll attempt to keep the columns short, pithy, informational and full of our somewhat out on the edge opinions, bound to make some folks (usually the ones being written about) unhappy, while enlightening others in what we hope is an entertaining and provocative manner. As far as possible — given our advanced age (we’re 75 years of age now) and our general ill state of health (alas) — we’ll try to stay away from what once was our stock and trade: hyperbole, always fun to write but, perhaps now, a thing of VanRamblings’ ignominious past.

With the exception of Friday, September 5th — when, in the first person, we’ll write about our various health travails — we’ll continue to employ the third person voice on VanRamblings, which we know drives some people crazy, but there it is.

We look forward to your return tomorrow, and in the days, weeks and months hence, as we once again seek to build our loyal, and just plain great, readership — who want to know just what is going on in our municipal, provincial and federal governance, and the who, what and why of the decisions that impact our lives.