Features
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.
Features
Turkey’s Rising Power Worries Israel
By HENRY SREBRNIK It has long shared intelligence with Iran, and it remains the only NATO country to have refrained from sanctioning Russia after its 2022 invasion of Ukraine. It is, along with Qatar, the main international sponsor of the Muslim Brotherhood, including its Palestinian branch, Hamas. Its poor human rights record consistently stir unease among NATO allies.
This is President Recep Tayyip Erdogan’s Turkey. He wants his country to become the preeminent power in the Middle East. If Iran emerges from the current war with Israel and the United States weakened, whether politically, economically, or militarily, Turkey’s relative influence in the broader region will increase. Ankara has already consolidated significant influence in Syria and Azerbaijan, and it continues to pursue strategic connectivity projects across the South Caucasus.
Since Erdogan and his Justice and Development Party (AKP) came to power in 2003, relations have steadily deteriorated. The Hamas victory in a legislative election in Gaza in 2005 felt in Ankara like a personal win for Erdogan, who had advised Hamas on its electoral strategy.
Three years later came the Mavi Marmara incident. A Turkish ship chartered by the Humanitarian Relief Foundation (IHH) attempted to break Egypt and Israel’s blockade of Gaza. The vessel was boarded by Israeli commandos, resulting in nine deaths. Erdogan accused Israel of “state terrorism” and appealed to the “international community” in a speech to the Turkish parliament. Things kept going downhill and are now worse than ever.
Turkish Foreign Minister Hakan Fidan recently remarked that “the Israeli authorities are a burden that humanity can no longer bear.” Fidan’s words came in a TV interview July 2 following Israel’s recognition of the 1915 Armenian genocide: “Israel is not just Turkey’s problem, nor is it just the issue of our president, he said. “But everyone knows it, feels it, whispers it in hidden corners, and occasionally speaks openly. This is what we must call it.” True, he stepped back from those remarks in a later interview, contending that Turkey and Israel aren’t destined for conflict. Was this second comment perhaps made at Donald Trump’s urging?
After Hamas’s October 7, 2023, attack on Israel, Erdogan emerged as one of Israel’s most outspoken international critics, accusing Prime Minister Benjamin Netanyahu’s government of committing grave violations during the Gaza conflict and intensifying Ankara’s diplomatic support for the Palestinian cause. Israeli officials have interpreted this rhetoric as evidence that Turkey increasingly views itself as a political counterweight to Israel across the region.
Already in December 2023, Erdogan had compared Netanyahu to Adolf Hitler, and Israel’s actions in the Gaza Strip to those of the Nazis. In March 2024, he referred to Netanyahu and his government as “modern-day Nazis” and called for bringing these “murderers” to justice under international law.
He subsequently accused Netanyahu of committing “genocide” in Gaza, claimed that his actions “would make Hitler jealous,” and even described the situation in Gaza as “worse than Nazi camps,” while portraying the West as standing aside and enabling the continuation of the “brutality.” In a speech posted on X on March 30 this year, Erdogan called on “Allah” to “damn Zionist Israel.”
The narrative accusing Israel has become a structural component of Turkey’s domestic political discourse. What is new is not the use of extreme imagery and Holocaust terminology, but the role they play. Unlike in the past, the rhetoric is no longer merely an expression of political anger or protest; it has become a component of Turkish policy, intended to lay a normative foundation through which Ankara seeks to deny Israel the moral legitimacy of its actions.
Turkey portrays Israel not as a state confronting a grave security threat from a murderous terrorist organization but as an entity that has crossed the bounds of humanity, committing crimes it equates with those perpetrated by the Nazis. This framing intentionally downplays the severity of Hamas’s actions and prepares the ground for collective action against Israel, including exceptional punitive measures against it. At the same time, it depicts any Western hesitation or lack of restraint regarding Israel as a moral abandonment of Gaza’s residents, expanding responsibility and blame to the international community beyond Israel itself.
On November 7, 2025, the Istanbul Chief Public Prosecutor’s Office announced the issuance of arrest warrants against 37 Israeli figures, including Netanyahu and other senior officials, on charges of genocide and crimes against humanity. Although these domestic warrants lack practical enforcement, their significance lies in the ongoing legal threat they create. They limit the movement of senior Israeli officials, discourage other countries and institutions from engaging with Israel, and enhance the criminal framing of Israel in the international arena.
Its identity as a Muslim state and a NATO member, but critical of the liberal-Western order, has allowed Turkey to position itself as a leading moral voice, strengthening its regional and international standing. In addition to the importance the Turkish government attributes to the Palestinian issue and the broad support for the Palestinian position among the Turkish public in general, and Erdogan’s electoral base in particular, this issue serves as a platform for positioning Turkey as a voice challenging the West and speaking on behalf of “the oppressed in the world.”
Erdogan’s tenure has seen a systematic shift toward Islamization within Turkey. His government has expanded religious education, restricted alcohol sales, and promoted conservative social policies. These measures, coupled with the suppression of secular institutions, align with his stated goal of raising a “pious generation.”
Erdogan, from his comments, seems to consider himself the rightful leader of the entire Muslim world. In the interim, he evidently sees himself as the Middle East’s next great power broker, claiming leadership while chaos reigns.
Already entrenched in Syria, steadily expanding an indigenous defence industry capable of producing sophisticated drones, naval vessels, and eventually advanced fighter aircraft, while seeking a foothold in Gaza, Ankara increasingly appears intent on filling the regional vacuum Iran leaves behind. Tehran sought to surround Israel with a Shi’ite ring of fire. Ankara appears willing to create a Sunni one.
Henry Srebrnik is a professor emeritus at the University of Prince Edward Island
Features
Can Deni Avdija lead Portland to the title next year?
It is too early to say if Deni Avdija is ready to lead the Portland Trail Blazers to the NBA Finals in 2027, but it’s not too much to hope for. But the trade to Washington in 2024 is arguably a signature move for Portland. All those who followed him on basketball results on SportyTrader have seen him grow from an all-purpose prospect into an All-Star creator and a testament to the Blazers’ rebuild.
It is not Avdija’s question as to whether he can be a one-man savior. Whether his scoring and playmaking, defense and competitive edge can support a roster that’s become ambitious.
The catalyst: Avdija’s arrival and Portland’s new hope
Deni Avdija was traded to Portland on July 6, 2024, with Washington receiving veteran guard Malcolm Brogdon, the draft rights to No. 14 pick Bub Carrington, a 2029 first-round pick, a 2028 second-round pick, and a 2030 second-round pick in return. The cost seemed to be very high, but the deal with Deni Avdija is becoming more and more justified.
In the 2025-26 campaign, Avdija averaged 24.2 points, 6.9 rebounds and 6.7 assists in 66 games played, and had a shooting percentage of 46.2 percent on the field and 80.2 percent at the free throw line. He has made his first All-Star call-up, his first call-up as an Israeli player. That was a turning point in his career and catapulted him into one of the most prominent Israeli athletes.
One thing that is still being questioned is his perimeter efficiency. He was 36.5 percent on 3-pointers in 2024-25, falling to 31.8 percent with an average of six attempted three-pointers per game. However, his versatility to attack closeouts, get to the ball, rebound, play several positions defensively, and start transition offense means that he is valuable.
What does ‘leading a team’ truly mean for Avdija?
Avdija is not quite in the Nikola Jokic or Giannis Antetokounmpo class; he doesn’t dominate each possession defensively, nor is he a Giannis Antetokounmpo who sets a championship system in motion. He’s becoming a more realistic high-level foundational leader, a part scorer, a part connector and a part tone-setter.
Standards are as necessary as statistics are in Portland. Avdija is aggressive with the ball, physically in it and plays with his heart. Those habits can become the culture on a young team that will ultimately foster contention.
He could still keep on climbing his ladder. The leap from 16.9 and 3.9 assists in 2024-25 to 24.2 and 6.7 indicates that the new found creation is more than just additional minutes. Whether he will grow into an All-Star every year comes down to avoiding turnovers, being able to break from defenders with pull-up shots and providing reliability in the playoffs.
Analyzing his fit with the current Blazers roster
Earlier discussions about what Portland is to look for at Deandre Ayton and Anfernee Simons are now outdated. Then, the 2026-27 bunch now contains Ja Morant, Damian Lillard, Jrue Holiday, Scoot Henderson, Shaedon Sharpe, and Toumani Camara, and Donovan Clingan should be added as well.
That’s opportunity and tension. The combination of Morant’s rim pressure will be a gamebreaker, and if Lillard is able to come back from the Achilles, he can pose defenses a threat with his shooting. Avdija can be used as a backup secondary initiator, attack mismatches and cover a tough defensive task. Camara and Clingan provide volume and bulk following him.
But, ball placement will be key. Morant, Lillard, Henderson and Avdija are all in need of touches. New coach Micah Nori will have to find a way to build an offense that takes advantage of Avdija’s abilities without it becoming a ‘spot-up’ forward.
The reality check: Portland’s long road to contention
There are no signs of a championship next season. Portland reached the playoffs for the first time since 2021, but were eliminated by the San Antonio Spurs in the first round of the Western Conference playoffs, with Victor Wembanyama’s return from a concussion in Game 4 proving decisive in San Antonio’s series win. That’s good, but not good enough to prove that they are champions.
Blazers still have work to do in the scoring, line-up balance, and postseason experience departments, plus clarity on who they’re going to rely on to be their starting closer. Morant is packed with star quality, and some risk. Lillard is 36 and coming back from a major injury. In the younger core, the prospects are good but not certain.
The rebuilds that generally work the way they’re supposed to go, go through a number of phases: asset building, playoff success, series success, then placing a claim on the title. Although Portland is past the beginning stages, one successful season isn’t going to close the gap between the team and the NBA elite.
The verdict: Can Avdija be a champion in Portland?
Avdija likely will not be the man for Portland to win the title next year. But he can also be the invaluable asset to a future contender. With his shot accuracy back at three-point, the turnovers will come down, his decision-making in the playoffs improves, another All-Star season is possible.
He’s a Portland Trail Blazers development litmus test now. Maybe not the only superstar that brings a trophy, but he can be the multi-faceted cornerstone that makes a real title structure possible.
Features
The Spiritual Guide to Natural Mind-Body Relaxation
Modern life runs at a rapid pace, leaving many people feeling disconnected from their inner peace. Finding a way to quiet the mind and relax the body is no longer a luxury. It is a necessary practice for staying grounded.
True relaxation goes beyond taking a quick nap or sitting on the couch. It involves a deeper alignment of your physical form and your spirit. By exploring natural methods, you can build a sustainable routine that supports your entire well-being.
Setting the Space for Inner Peace
Finding true peace requires looking at how we live day to day. If you want to explore new methods of centering yourself, check it out when you have a quiet evening at home. This simple shift in environment can make a massive difference.
Your physical surroundings play a major role in how easily your mind settles. A cluttered room often leads to a cluttered mind, making it hard to unwind.
Clearing a small corner of your home for quiet reflection can serve as a physical cue – a simple signal to let go of tension. You do not need expensive $100 items to create this area. A simple cushion, a soft blanket, and dim lighting can transform any spot into a personal sanctuary.
Tuning Into Physical and Mental Harmony
Relaxing the body often starts with gentle, deliberate movement. When we hold stress in our muscles, our minds remain in a state of high alert. A government self-care guide suggests that individuals experiment with mind-body relaxation techniques like meditation, tai chi, or yoga. These practices teach us to focus on the present moment.
These activities do not require intense physical fitness. You can start with just 5 minutes of quiet breathing every morning. As you pay attention to your breath, you will notice your heart rate slow down. This physical change sends a signal to your brain that it is safe to let go of worry.
Restoring Hope and Inner Strength
Restoring peace is a holistic process that involves both your thoughts and feelings. When anxiety takes over, finding hope can feel incredibly difficult. An educational publication on anxiety notes that activities like yoga, meditation, visualization, tai chi, chi gong, prayer, and singing can help restore our bodies, minds, and hope.
You can choose whichever method speaks to your personal beliefs. Some people find comfort in silent prayer, and others prefer the vibration of singing. The key is to find an activity that allows you to feel connected to something larger than yourself. This connection can ground you when life feels unpredictable.
Simple Habits to Release Daily Stress
Small changes in your daily schedule can lead to significant improvements in your stress levels. You do not need to dedicate hours of your day to find relief. Instead, focus on quick, natural actions that you can perform anywhere. These habits help reset your nervous system when you start to feel overwhelmed.
Try some of these easy techniques during your busy day:
- Take 3 deep breaths before answering any phone call.
- Walk outside for 5 minutes without looking at your phone.
- Stretch your neck and shoulders at your desk every 2 hours.
- Drink a warm cup of herbal tea without any digital distractions.
Incorporating these practices can help you build resilience against daily pressures. They require very little effort but offer immediate benefits for your mental clarity. By practicing them regularly, you can maintain a calm demeanor even during hectic moments.
The Power of Mindful Breathing
Breathing is an automatic function, and it is one of our most powerful tools for relaxation. When we feel stressed, our breathing becomes shallow and fast. This shallow breathing reinforces our feelings of panic and unease.
By consciously slowing down your inhalation and exhalation, you can change your physical state. Try inhaling slowly for 4 seconds, holding for 4 seconds, and exhaling for 4 seconds. This pattern, known as box breathing, helps quiet the nervous system quickly. It is a simple way to regain control when your thoughts begin to race.
Connecting with the Natural World
Spending time in nature is another wonderful way to encourage relaxation. The natural world has a unique rhythm that operates far away from the screens and schedules of modern life. When you step outside, you allow your senses to expand beyond their normal limits.
Listen to the rustle of leaves, feel the wind on your skin, and watch the movement of clouds. These simple sensory experiences help pull your attention away from internal worries. Even a brief visit to a local park can lower your stress hormones. Making nature a regular part of your routine helps you stay balanced and connected.
By dedicating a few minutes each day to your well-being, you can build a strong foundation of peace. This inner calm will support you through whatever challenges life may bring, helping you live with greater ease.
