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Ian Shaffer: set the template for medical management
By GERRY POSNER I ask myself every time I come across yet another Jewish psychiatrist from Winnipeg. Did Winnipeg have a factory that produced Jewish shrinks? Recently I came across yet another name of yet another very accomplished psychiatrist with Winnipeg roots: Ian Shaffer, a former River Heights resident.
Ian and his brother Marvin were the sons of the late Saul and Molly Shaffer. From his beginnings on Queenston Street, Ian has ended up with two residences – one in New York City and the other in Fort Myers, Florida – but with a few stops along the way.
It all began in Winnipeg when Ian graduated from the University of Manitoba in 1968 with a medical degree in psychiatry. Today, in addition to the MD following his name, Shaffer also has an MMM (Masters of Medical Management), CPE (Certified Physician Executive), and LFAPA (Life Fellow of the American Psychiatric Association). Recite that a hundred times and you still might not get it right.
Shaffer’s career as a psychiatrist didn’t follow the the traditional path of most graduates. Although he did maintain a practice in Child, Adolescent and Adult Psychiatry, focusing on assessment, planning and pharmacotherapy for a period of his career, he veered into what might be called a more managerial mode of medicine. Keep in mind that his work has encompassed medical licenses in four differerent jurisdictions: California, Virginia, New York, and Florida. As well, Ian is board certified with the American Board of Psychiatry and Neurology, the American Society of Addiction Medicine, the American Board of Quality Assurance Utilization Review Physicians, (a mouthful at any time of the day), and the American Board of Medical Management.
In 1973 when Shaffer was in private practice in both San Marino and Encino, California. Between 1973-1989 he worked as a practicing psychiatrist. Around 1989, he became affiliated with a group called the Western Health Associated Medical Group in Los Angeles. It was there his career took a different route as he became not only a medical practitioner but, in addition, one of two managing partners in a large psychiatric group that directed care programs providing mental health care to over 70,000 people. That seemed to launch Ian into the role of management in different capacities.
In 1991, he and his wife (the former Reeva Wolk of Winnipeg) moved to the Metro Washington, D.C. area, where Ian assumed the position of Vice President, Medical Affairs/Chief Medical Officer, providing oversight of clinical care management for over 37 million people. He had to manage 30 physicians and other management personnel. I suggest that you have to be able to handle people well in a position like that and clearly, Ian Shaffer had that skill set.
From that time forward, Ian has been involved in significant management and consulting roles for various health care systems. In 2011, right up to the present, among his many responsibilities, Ian was the principal consultant to Behavioral Health Management Solutions – PLLC. Even before establishing himself in that role, as Vice President and Executive Medical Director – the go-to guy responsible for behavioral health program management, he had been actively involved in working on behavioral health issues confronting military and veteran populations, also their families.
Shaffer’s career has also included working closely with several Fortune 100 companies, including IBM, General Motors, Chrysler, Shell Oil, Chevron, and others. On three occasions, he served as chairman of the Association of Behavioral Health and Wellness (ABHW for those familiar with the acronym). He also served on several federal government committees, including a three-year term on the National Advisory Committee for the Center for Mental Health Services. To put it succinctly, Ian has been around the block in terms of his working with large companies and, moreover with government at many levels. He has focussed on redesigning health programmes regarding the delivery of those programmes, also reimbursement for those programmes. What does that mean?
What it means for Ian Shaffer is that he is responsible for the development of various behavioral health programmes to meet New York State requirements for health benefits for indivdiuals with serious mental illness and substance use disorders. That includes large numbers of people with persistent and significant general mental illness. What strikes me immediately is that even though Ian is retired now, living in New York City and Florida, he has still been a regular part of a team assisting the Government of New York State with the purpose of trying to improve the care for residents of the state who suffer from mental illness and substance use disorders. This particular appointment was from the New York senate, no less. I say those are lofty heights for a kid from River Heights in Winnipeg once a long time ago.
Clearly, one of Shaffer’s greatest assets – and a reason why he has been and still is in demand throughout his career, is that he epitomizes what it means to be a strategic thinker, not simply an operator. He sees the big picture and then hires the people to implement his vision. He is also quick to acknowledge the benefits of his growing up in Winnipeg – where he learned to form bonds, relationships, and the importance of commitment and following through with your commitment.
Ian puts it this way: “ Reeva and I lived in Los Angeles for twenty-three years where relationships are a mile wide and an inch deep, but in Winnipeg, my relationships were an inch wide and and a mile deep. “ He also credits the excellent training he received at the Manitoba Medical School (and later at the LA County University of Southern California Medical Centre.)
Reeva and Ian do leave Fort Myers, Florida to get back to Winnipeg (not likely in the winter) for important occasions, such as his medical school reunions. They are the parents of four children, ten grandchildren and , get this – eight great grandchildren. His story is one I hope his grandkids learn and appreciate as it reflects a remarkably satisfying career where Ian Shaffer made a difference to so many others.
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Mobile Casino Trends in 2026: Usage Statistics – What Casino Online Westace Says
Mobile technologies simplify everyday life. They are used for payments, regular conversations, photos, and even gambling. Sites like casino online Westace leverage modern trends and do everything possible to maximize engagement. Adapting familiar gambling games to smartphones makes them more convenient. Visitors can launch slot machines or other entertainment with just a few taps on the screen. Quick rounds let you instantly see the results and choose a different game type. Interactivity is the main approach to development in 2026.
Usage Statistics in 2026
Online casinos are using mobile development technologies to adapt gambling games to smartphones and tablets. Now, almost every user has the opportunity to launch games to test their features in a convenient format. Sites like casino online Westace are not far behind and adapt to various screen layouts. The latest industry news also indicates significant developments:
More than 75% of players use online casino services via mobile devices. Statistics show significant steady growth compared to the figure of 65% in 2023.
It is predicted that revenue from mobile casinos in 2026 will exceed the mark of $ 60 billion. The figure is two-thirds of the market. Thus, positive trends can be identified among gambling software developers.
The younger demographic aged 18 to 35 years old is the most active user of mobile devices. They have twice the level of involvement compared to other categories.
80% of new casino accounts were registered through mobile apps or mobile-optimized websites. This indicates their convenience and widespread use.
Mobile development is a priority for online casinos. Operators work closely with developers to adapt all games to the relevant requirements.
Features of Mobile Casino Growth
Mobile versions of sites like casino online Westace are dominating in 2026 for a reason. Players can enjoy games with real dealers even from small screens. At the same time, the broadcast quality remains at a high level without delays.
All games are designed for touch use. Players can easily use portrait mode and adaptive layouts to launch a comfortable gameplay format. Biometric login and two-factor authentication are essential tools that protect transactions and accounts from unauthorized access.
Mobile gaming encourages more frequent play in small sessions. For example, a player can play one or two games of baccarat, and then later return to play slot machines. All progress is saved on any device. Yes, a player can start playing on a smartphone, save the results, and return via a browser on a computer.
All Interesting Facts to Know
Recently, sites like casino online Westace have been paying more attention to mobility. For example, seasonal slots are launched first through mobile versions, and then move to desktop. Regulators have also introduced mandatory responsible elements for smartphone users for greater control. Mobile players spend 20% more time playing with real dealers. This emphasizes the close attention to interactive formats and communication.
Ultimately, mobile casino versions occupy their own niche in the industry. Most players use smartphones to play on the go and enjoy fast games. Developers adapt to these requirements and improve services, adding relevant options to games.
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Important Keno Rules: Explained by Casino Online Glorion
Keno is a lottery game that originated in China 2,000 years ago. At that time, it was called baige piao, which translates to “white pigeon ticket” in English. Keno rules on sites like Glorion Casino are similar to those of games like lotto. The game involves choosing numbers in the hopes that they will match randomly selected values. In this article, we will discuss the important rules of online keno.
Understanding Keno Rules at Online Casinos
Keno is a game of chance in which players select 1 to 10 numbers from a table of 1 to 80, similar to bingo. After this, the numbers are drawn. The player’s payout depends on how many figures they match.
In classic keno, the drawing is done using a ball machine. The same equipment is used in bingo and lotteries. The host randomly draws 20 numbered balls. Players win if at least one of their chosen numbers matches the dealer’s draw. The more matching numbers, the larger the payout.
Online keno is played using a random number generator (RNG). Keno payouts on sites like Casino Online Glorionare similar to those in the classic game. The differences are due to the drawing procedure and the properties of different versions.
After users select their 20 numbers, the gambling software publishes its 20 figures, which determine the winner. Payout amounts vary across platforms, so users should check them before playing.
Basic Keno Stages in Online Casinos
Users planning to play keno at sites like Casino Online Glorion should be familiar with the gameplay process. Typically, it includes the following stages.
- Select a keno card. The ticket displays numbers from 1 to 80.
- Choose your numbers. In different versions, users select 10, 15, or 20 numbers before each draw. Each number is called a ‘keno spot.’ You can set the same numbers for multiple draws.
- Check the payout table. In the online version of the game, the table appears after selecting the numbers. It displays information about the payout amount if you guess correctly. The more numbers you match, the larger the payout.
- Calculate your bet. Determine how much you want to bet on each draw. Remember that the bet size affects the final payout.
- Start the game. All the drawn numbers will appear somewhere on the screen. Users can also view the “cold” and “hot” keno numbers. Hot numbers have been drawn recently, while cold ones haven’t won for a long time.
- Match the numbers. Experienced players use the term “catching a spot” when their chosen number is drawn. The number of spots you catch affects your payout.
Keno at websites like Casino Online Glorion offers engaging gameplay. Players can get generous prizes. They should learn the rules, odds, and prize structures to make rational decisions and boost their chances of winning. Chase the thrill, but play it smart.
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Common Online Casino Mistakes To Avoid
Online casino games can be a brilliant way to bring excitement to life in your spare time. These games have become hugely popular in recent years, but you will find that people often make the same mistakes. These mistakes can lead to financial losses, cybercrime, and an inferior experience, so it is important to be aware of what these mistakes are so that they can be avoided. This post will outline a few of the most common mistakes people make when playing online casino games and explain how to avoid falling into the same trap. Interested? Keep reading to find out more.
Ignoring Terms & Conditions
One of the biggest mistakes players make with online casino games is ignoring the terms and conditions. You should always take the time to read through these, paying close attention to things like the conditions of bonuses and restrictions in withdrawals. This will help you avoid any nasty surprises when playing games.
Not Researching Casinos
Another common mistake people make is not researching casinos. There are endless options for online casinos, but not all are equal, and there are even many that are unlicensed. Therefore, you need to research casinos and find one that is fully licensed and has positive reviews. The best casinos will have a massive selection of games to choose from, including blackjack online. A wide selection of games means it is hard to get bored, and you can always find something to play.
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Chasing Losses
One of the most dangerous mistakes people make is chasing losses. This is where players will attempt to win back the money they have lost, which often means betting larger sums. This is a dangerous tactic and a slippery slope, so it is important to be aware of it and take measures to protect against it. The best way to avoid chasing losses is to set a budget before each session – if you spend that amount, you need to be able to walk away.
Not Understanding Games
It is always important to have a strong understanding of the game that you are playing. This will boost your chances of winning and your gaming experience. Therefore, you should always read the instructions when playing a game for the first time. For strategic games like poker, there is a lot of information online that will help you get to grips with the basics and learn strategies to use.
Weak Passwords
Cybersecurity needs to be a top priority when it comes to online casino games. The top casinos will have strong cybersecurity measures in place, but you also have a role to play. It is important to use strong passwords and multi-factor authentication to prevent hackers. It is also smart to avoid having large sums held in your online account in case someone hacks your account.
These are the most common mistakes that you will want to avoid when it comes to online casino games. By avoiding these mistakes, you can improve your experience and enjoy the excitement that these games can bring.