Wait times for surgery and diagnostic scans are a continuing problem in B.C., and pressure on health care system is increasing. (Black Press files)

B.C. VIEWS: Private health care crackdown touches painful nerve

Many people are no longer prepared to suffer in silence

Responses are still coming in about my recent column on the B.C. NDP government’s effort to crack down on people paying for their own health care.

It seems many people are tired of waiting in pain while Canada maintains its socialist vision in the face of a surging senior population, rapid advances in medical technology and the collapse of the family doctor model.

Today’s medical school graduates are reluctant to set up an office and plug into a pay-per-visit system where patients must be run through quickly in order to cover the overhead. Some doctors put up signs warning patients to discuss only one problem per visit, the very opposite of holistic health care.

Some doctors take shifts at a walk-in clinic to avoid the 365-day demands of a family practice, in a society where people are taught that the government must solve all problems. The annual rush of influenza-infected people into our overcrowded emergency rooms is but one example.

“As a retired family doctor, I despair at anything changing for many more years,” a Vancouver Island reader writes. “I really fear for my grandchildren as the tsunami of grey-haired Canadians overwhelms the resources that our government is willing to commit.”

Others cling to the old U.S. comparison. “Tom, why don’t you do Canadians a favour and move to Trump territory,” advises another reader.

Fortunately, not everyone is trapped in this blind alley. Several readers pointed to the World Health Organization’s ranking of national health systems, which currently has Canada in 30th place. The good news is we are ahead of the U.S., which is number 37 despite a vastly greater total expenditure on health care.

The top 20, in order of performance: France, Italy, San Marino, Andorra, Malta, Singapore, Spain, Oman, Austria, Japan, Norway, Portugal, Monaco, Greece, Iceland, Luxembourg, Netherlands, United Kingdom, Ireland and Switzerland. The common feature is a mix of public and privately funded care.

Here is how now-Health Minister Adrian Dix put his position to me 10 years ago: “What we do here in Canada, it seems to me, is we combine social justice and administrative efficiency.” Regarding efficiency, see list above. And “social justice” is NDP code for sticking it to the rich, or pretending to. Dix hasn’t changed, but the world has.

One angry reader informs me that there is a Vancouver hospital that posts the cost of emergency visits. Somehow this negates my argument that our system doesn’t know its costs, because Canada is one of the last countries in the world that still funds hospitals in a single block payment.

Ottawa enforces this system, with Dix its enthusiastic cop. Extra-billing audits are underway at six private clinics, with the total amounts to be deducted from federal transfer payments to B.C., and fines plus repayment to be imposed starting this fall. All essential service must be paid by the B.C. Medical Services Plan, soon to be funded by a job-killing payroll tax.

The tide may be changing. Seeing the federal-provincial legal machine stretching out Vancouver surgeon Brian Day’s case to extend a 2005 Quebec win to B.C., a judge adjourned to allow Day to fundraise. The Canadian Constitution Foundation has taken on the project.

As Beverley McLachlin, now retired as Chief Justice of the Supreme Court of Canada, wrote in the Quebec decision: “Access to a waiting list is not access to health care.”

Tom Fletcher is B.C. legislature reporter and columnist for Black Press. Email: tfletcher@blackpress.ca


@tomfletcherbc
tfletcher@blackpress.ca

Like us on Facebook and follow us on Twitter.

Just Posted

Where to store Valley’s history

A proposed temporary museum space solution to protect the Bulkley Valley’s history.

Time to decide your leaders

Where to vote Saturday and voting machine explained.

Million-dollar culture centre donation

Harvey and Corry Tremblay pledge up to $1 million towards Smithers library/gallery project.

Six cattle killed on Hungry Hill

After a brief closure Friday the highway is now open to traffic.

Cod Gone Wild brings its ‘Celtic fusion’ to Glenwood Hall

Okanagan-based band celebrates release of its newest album The Islander

Tommy Chong says cannabis legalization makes him proud to be a Canadian

Legendary marijuana advocate and comedian celebrates cultural milestone at Kelowna event

Prank pizzas delivered to B.C. mayor on election night

The fake orders happened throughout Victoria mayor’s re-election campaign

MLA to become Nanaimo’s next mayor, could weaken NDP’s grasp on power

Leonard Krog’s win will trigger a byelection when he gives up his provincial seat

Horvat nets OT winner as Canucks beat Bruins 2-1

Young Vancouver star had spirited scrap earlier in contest

Team Canada gold medal winners for first time in world curling championship

Team Canada earned gold in Kelowna at the 2018 Winn Rentals World Mixed Curling Championship

B.C. passenger caught smoking weed in a car issued $230 fine

Saanich police did a field sobriety test on the driver and deemed it safe for him to drive

Payette invites critics to ‘come and spend a few days’ with her

Governor General Julie Payette made her first official to B.C. back in March

More pot stores expected in B.C. in coming ‘weeks and months’: attorney general

Attorney General David Eby and Public Safety Minister Mike Farnworth visited the new BC Cannabis Store in the province’s Interior

Telus launches charitable foundation to help vulnerable youth

The Telus Friendly Future Foundation complements other social initiatives by the company, including Mobility for Good

Most Read