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

Hockey Days in Clearwater have begun

There’s more stuff coming up, so check out the community events and North Thompson Sportsplex

UPDATE: Hwy. 5 open south of Blue River following ‘vehicle incident’

Social media reports say a semi-truck lost its load

This morning’s road conditions

Watch for slippery sections on much of Highway 5

Editor, The Times:

District of Clearwater invites local organizations to participate in Hockey Days

Playing Pickleball could be your New Years resolution

Pickleball is instrumental in helping with both physical and mental health

Canada’s archive buys rare book that hints at Nazi plans for North America

The 1944 book may have served as a blueprint for a Nazi purge

Advocate hopes B.C. legislature scandal leads to more transparency

‘Depressing’ that it takes a scandal to inspire freedom of information reform, says Sara Neuert

‘Dr. Lipjob‘ avoids jail, gets 30-day suspended sentence

She will have to serve the 30 days in prison if she commits a breach during her two-year’s probation

Widow’s petition demands mandatory training for truckers

Truck driver Stephen Babij was killed in a head on semi truck collision on Highway 1 in 2017

Ex-Mountie involved in Taser death at Vancouver airport sues government

Kwesi Millington claims he acted in accordance with RCMP training

LETTER: Seniors home care, day programs expanding, Adrian Dix says

B.C. health minister responds to latest Seniors Advocate report

B.C. woman wins Instagram celebrity’s boob job contest

‘Kirill was here’ held a contest for women to win a boob job and a trip to Miami

Man pulls over to help injured owl, gets hit by SUV

Chase RCMP say owl flew away while they were on scene

Most Read