Features
Former Winnipegger Philip Berger: from a dynasty of docs
By GERRY POSNER
Recently the book “Healing Lives, a Century of Manitoba Jewish Physicians” was published and in it are the names of all Jewish physicians who practiced medicine in Manitoba for at least five years over the past 100 years. What is not included, however, are those doctors who graduated from the University of Manitoba medical school who went elsewhere to practice their profession. One of those doctors is none other than a descendant of a longtime Winnipeg family who has made his mark in the medical world: Philip Berger.
The Berger family is right up there with the other Jewish families in Manitoba who have turned out doctors, the way the Howes have turned out hockey players. The names of Dr. Maurice and Saul (Shimmy ) Berger are recognizable to anyone with a passing interest in the medical community. Maurice Berger was a respected pediatrician practicing in the north end of Winnipeg for over 40 years. His brother Shimmy was a very well known and established dermatologist who practiced out of the Boyd Building for over 38 years. Shimmy’s daughter Lisa is a public health physician in Toronto and his son Shmuel, who lives in Tel Aviv, worked for many years doing emergency medicine locums in Northern Ontario each summer. And then there is son Philip. He is more than just a physician, as he has carved out a niche and a name as a family doctor who is involved in what might be termed human rights medicine.
For over 40 years, Philip Berger has been a leader in advocating for improving health care in Canada; at times he has done this against a stiff tide. Just take a look at his career and it speaks volumes about his commitment to changing the way medicine is delivered.
For starters, Berger has been an Associate Professor at the University of Toronto and was the Chief of the Department of Family and Community Medicine at St. Michael’s Hospital in Toronto from 1997-2013 (an interesting position for a Jewish guy at a Catholic institution).
Consider the people for whom he has fought and you will note that they are far from your ordinary patient base. The homeless, the poor, LGBTQ members are just a few of the groups for whom Berger has battled – and let’s not forget his tireless work AIDS patients.
Berger really went to bat for AIDS sufferers at a time when many doctors were afraid to deal with them. He was a founder of the Toronto HIV Primary Care Physicians Group and he later helped to create a mentoring program to educate doctors about HIV.
Probably the area where he became most visible in the public eye was his tireless effort to convince governments of the value of methadone and needle exchange programs.
As well, he was very active in promoting the AIDS clinic in Lesotho, Africa. He also helped to initiate the Amnesty International Canadian Medical Network and the Canadian Centre for Victims of Torture.
What separates Berger from most doctors is that he has been relentlessly unafraid to call out governments for cuts to refugee health programs. He has spoken out in his capacity as one of the co-founders of Canadian Doctors for Refugee Care. In short, Berger is not afraid to take out his stethoscope and stick it right in the chests of elected officials.
What made the 1974 graduate of the medical faculty of the University of Manitoba become such an outspoken advocate for the disadvantaged and disabled? This is not an easy question to answer. I sense there are many aspects to the triggers that have made Philip Berger the passionate physician he is on behalf of those who have difficulty raising their voices.
It may well be that Philip understood well the lessons his father Shimmy had absorbed as a young man trying to secure a medical position in 1943. At that time, Shimmy couldn’t secure an internship anywhere in Canada. A quota imposed on Jewish physicians was in place. It was an intervention by the female head of the Estevan Sisters of St. Joseph, a Catholic institution, that paved the way for Shimmy to get his internship at St. Michael’s Hospital in Toronto. That kind of assistance meant a lot to Shimmy Berger and perhaps in some way even influenced his son, Philip to embark on a path to aid those who needed aid in whatever way Philip could.
In 2017 Philip Berger gave up his regular practice, which was located at St. Michael’s Hospital. (Maybe his connection to that hospital was not so surprising after all). Since then, Berger has been doing locums in various shelters/hostels under the banner of Inner City Health Associates ( ICHA), which is a group of 90 doctors who serve homeless people (and there is no lack of that group in Toronto). Philip even serves as the Board Chair for ICHA. Moreover, Philip is today a Vice-Chair of what is known as Unity Health (formerly St. Michael’s Hospital) Research Ethics Board. And, if there isn’t enough on his plate already, he is completing his term as a Council Member of the College of Physicians and Surgeons of Ontario.
When I reflected on all of Philip Berger’s contributions as a physician, I lamented the decision (which I understand had to be made, otherwise the history of Jewish physicians in Manitoba might never have been completed) not to include in that book anything about Jewish doctors of Manitoba who had not practiced in Manitoba for at least five years. That decision eliminated any reference to the career of Philip Berger. The book, as I noted earlier, is called “Healing Lives” and that is what Philip Berger has done all his life as a doctor in Toronto.
Post script: In a follow-up to an earlier article I wrote about Dr. Richard Stall, in which I mentioned that Dr. Isaac Bogoch (who’s also become a prominent media personality as a go-to source for information about COVID-19), also has a Winnipeg connection, I promised that I would have something about Dr. Bogoch in a future article. Well, as you can imagine, he’s currently besieged with requests from all sorts of media, so we haven’t been able to interview him – yet. But, in response to readers’ curiosity about Dr. Bogoch’s Winnipeg connection, here’s some information about his Winnipeg roots: His mother is a former Winnipegger who knows both my wife and me. In fact she has been in touch with us lately. She tells me he is overwhelmed with emails in addition to all the demands that have been placed on his time as a result of his new very public persona. In fact, Isaac is from Calgary, but his mother is the former Renee Israels, sister to Hester Kroft, and daughter of the well known lawyer, A. Montague ( Monty) Israels. And – he has a long connections to BB Camp.
Features
Myths and Reality: Are There Winning Strategies at Online Casinos?
Ask around, and everyone seems to have a theory. Plenty of Turkish players hunting for a fast, stable way into their favorite games lean on Pinco giriş to sign in, poke around the lobby, and see which offers are live that week. Then comes the real question, the one nobody quite lets go of.
Can a person actually beat the house long term? Short answer, said plainly: not reliably. To back that up, Pinco Сasino breaks down how these games are wired and why clever-sounding systems keep falling apart the moment real money is involved.
Where the Myths Come From
Here is the thing about casino myths. They almost never start with data. Someone wins big on a random Tuesday, tells the story twice, and a lucky fluke quietly turns into a “method.” Ads nudge it along. Forums repeat it. Newcomers testing Pinco giris often show up already half-convinced of a few of these.
The usual suspects:
- A machine is “due” after a long cold streak.
- Doubling bets after a loss will win it all back.
- Some hours of the night pay out better than others.
- The last spin somehow hints at the next one.
Not one of them survives a close look. Every round stands alone. A clock does not care, and a losing streak has no memory. Players who accept that early tend to keep both their patience and their cash.
What the Math Actually Says
There is a number behind every game: the house edge. It is just the slice the operator expects to keep over time. One session? It predicts nothing. Ten thousand rounds? It shows up like clockwork. Folks who reach Pinco Сasino giriş usually relax and enjoy things more once that figure stops feeling like a trick.
House Edge in Plain Terms
The table gives a rough picture of how game types stack up. Exact numbers move around depending on the rules and the studio behind them.
| Game Type | Typical House Edge | Skill Involved |
| Slots | 3% – 10% | Very low |
| Roulette | 2.7% – 5.3% | Low |
| Blackjack | 0.5% – 2% | Moderate |
| Video Poker | 0.5% – 3% | Moderate |
So skill-based games attract strategic players, while slots remain a pure coin flip. Still, that edge never hits zero. The house keeps its sliver over the long haul, no exceptions. Reading the numbers first helps players expect the truth rather than a fairy tale.
Smart Habits That Reduce Risk
Real strategy has nothing to do with cracking the odds. It comes down to control, a budget, and picking games with a clear head. Some regulars keep the Pinco APK close so they can monitor spending and session time right from their phones.
A handful of habits actually move the needle:
- Decide on a budget before the first bet, then quit when it is gone.
- Lean toward lower-edge games when the plan is a long session.
- Think of bonuses as extra minutes, never as promised profit.
- Step away often, because tired choices get expensive.
A Pinco promosyon kodu might stretch a bankroll a bit, sure. It still does not touch the underlying math. What these habits really protect is the fun, so the whole thing stays a hobby and not a chase.
The Honest Bottom Line
No secret formula exists. Anyone peddling one is selling a story, nothing more. What Pinco pushes instead is calm, responsible play built on firm limits and goals a person can live with. That habit outlasts any hot streak.
For Turkish users, a solid Pinco oyun sitesi should feel simple: clear rules, quick access, fair terms. Good nights come. Bad ones come too. The players who last are the ones who know the odds cold, guard their budget, and refuse to mistake a bit of luck for a plan.
Features
The Blackjack Bet Behind the Everyday Phrase Double Down
Imagine sending a terrible pun to someone you fancy. They laugh, so you send another. Soon, the two of you have a running joke, and a friend says you have doubled down on the cheesy approach.
The words sound at home in that exchange. They also fit a chief executive’s plans or a politician’s speech. In each case, someone puts more weight behind a choice they have already made. Whether that sounds charming, sensible or stubborn depends on the choice, and on who is describing it.
How the Phrase Left the Card Table
Double down comes from blackjack, where it names a betting option recorded in print by the late 1940s.
Today, it appears in business talk, political speeches and dating conversations, far beyond any online casino. The gambling connection deserves a reminder: gambling involves financial risk, and anyone who participates should set spending and time limits and seek support if it causes harm.
By 1991, Joseph Epstein was using the expression figuratively in his essay collection A Line Out for a Walk. It offered a way to describe taking a further risk outside gambling.
The meaning continued to broaden. Merriam-Webster includes becoming more determined in a position or undertaking. Dictionary.com describes increasing effort or holding to an opinion, especially under pressure.
Those definitions cover actions as well as arguments. Someone might spend more time developing a promising project, or defend a disputed view more firmly. The words leave room for both.
A Business Reason to Keep Going
Jeff Bezos supplied an example in his 2016 shareholder letter, released in April 2017. Writing about patient experimentation and attention to customers, the Amazon founder advised readers to “double down when you see customer delight”.
In the published letter, that advice sits alongside accepting failures, planting seeds and protecting young ideas. The sequence gives the expression a purpose: allow ideas to develop, notice what customers appreciate, then give those ideas more support.
Here, doubling down sounds considered. A positive response supplies the reason for doing more.
The phrase also does useful work without attaching a figure to the decision. It conveys increased effort while leaving the details to the situation. Picture a team finding that customers value a particular service and deciding to develop it further. The expression gives that decision a sense of confidence.
Put the same decision in a political argument, though, and someone may question the direction.
When Determination Becomes a Criticism
In his January 24, 2012 State of the Union address, Barack Obama described other countries as doubling down on education. The official transcript places the phrase in a discussion of teachers, skills and preparation for future employment.
Education was something to back more strongly. Obama’s wording gave added effort an approving tone.
Later that year, Bill Clinton used the expression against an opposing economic approach. His prepared remarks for the Democratic National Convention included “double down on trickle-down”, a line whose repeated sounds helped carry the criticism.
The contrast is revealing. Obama presented greater commitment as desirable; Clinton made it part of his objection. Both used the expression to describe pressing further along an existing path.
That difference helps explain why the phrase works in news and commentary. It can describe what someone is doing while also suggesting how the speaker feels about it. The judgement comes through the surrounding words, something readers can recognise in personal conversations too.
What It Sounds Like in Dating
Bumble brings the expression into familiar dating territory in its guidance for people recovering after ghosting. It encourages readers to double down on self-care, directing their energy towards their own wellbeing.
Psychologist Cheryl Harasymchuk uses it differently in an article published by Carleton University. Discussing positive relationship experiences, she gives the example of a couple following an enjoyable date night with more opportunities to spend time together.
These are gentler uses than Clinton’s political jab. One concerns looking after yourself; the other concerns making room for something you enjoy as a couple. Both give stronger effort an everyday, recognisable purpose.
They also show why the words following double down matter. Self-care, education and a disputed policy lead the reader towards different judgements about persistence.
Back in that imaginary message exchange, another awful pun might be welcome because both people are enjoying the joke. The shared response makes continuing it feel playful and personal.
That brings the expression back to ordinary conversation. Double down tells us that someone is committing more strongly. The rest of the story tells us what to make of it.
Features
When a Partner’s Betting Becomes a Relationship Talking Point
You sit down to work out next month’s bills and realise you have different ideas about what is available to spend. One of you has been counting on a contribution to savings. The other assumed there was room for personal purchases. Suddenly, the conversation is about expectations as much as money.
That is often a useful place to start. Explaining what has worried you, and asking how your partner sees it, gives you something specific to work through together.
When Spending Starts Affecting Shared Plans
A habit becomes worth discussing when it affects plans or responsibilities you share. Perhaps a bill went unpaid, money was moved from savings or an activity has begun taking up time you usually spend together.
Habits such as online betting can come into that conversation through their effect on household finances, time and trust.
Start with one specific example that explains your concern. A missed payment and its consequences give you a clearer starting point than a broad judgment about someone’s spending.
Find Out What Money Means to Each of You
The numbers tell part of the story. Family experiences, financial worries and personal goals also shape how people spend and save.
Someone who grew up around financial uncertainty may feel reassured by having money set aside. Their partner may value being able to make personal purchases independently. Understanding those priorities helps explain why the same expense can produce different reactions.
Utah State University Extension’s guidance on discussing finances recommends talking about money experiences, fears and goals alongside practical plans. It also emphasizes honesty about purchases and debts, so each partner understands the commitments behind shared decisions.
Ask how money was handled in each person’s family, what feels stressful now and what you both want to save toward. From there, you can discuss the expectations affecting today’s decisions: which money is committed, what remains for personal use and which purchases need a conversation first.
Choose Your Moment, Then Be Specific
Once you know what you want to raise, find a private time when you can both pay attention. Keep the first discussion focused on one concern.
Explain what happened and how it affected you. If money moved out of savings, describe the purchase or payment you had expected it to cover. If a bill was missed, explain the worry that caused about the next one.
Then ask what happened. Allow time for an answer, and check that you have understood it before suggesting what to do.
The answer may bring up embarrassment, pressure or difficulty managing a habit. Give those feelings room while keeping the original concern in view. You can care about your partner’s experience and be clear about the effect on you.
Aim to leave with a better understanding of the situation and a practical next step.
Make an Agreement You Can Both Follow
Start with the next bill or other immediate expense. Decide who will pay it, when the money will be available and what each person will contribute.
Then look at spending decisions that affect you both. You might agree to discuss purchases above a chosen amount, or any use of money set aside for a shared goal.
The Financial Consumer Agency of Canada describes several ways couples can handle their finances, including separate accounts, pooled money or a household account alongside personal accounts. Whichever arrangement you choose, you still need to agree on contributions, payment dates and what happens if income changes.
Set a date to see how the agreement is working. Review the payments and discuss anything that proved difficult.
Get Support When the Same Concerns Return
If these patterns keep returning after an agreement is in place, professional support can help. Counselling can work through financial strain, hurt feelings and trust.
The concerned partner can seek help too, including advice about managing shared financial responsibilities and their own distress. Where threats or violence are present, get professional advice before raising financial limits.
In Ontario, ConnexOntario offers free, confidential information and help finding mental health, addiction and gambling services. Partners and family members can contact it for themselves or someone they care about. The service is available 24/7, call 1-866-531-2600, text CONNEX to 247247, or use live chat. Standard message and data rates may apply.
