When it comes to fixing health care, governance matters more than policy
Few voters had first-hand experience with hallway medicine or Canada’s world-famous wait times before the pandemic. Lockdowns changed everything. Health policy failure moved from fear-filled headlines into a tangible crisis everyone could feel. Failure begs for better, or even new policy, to fill gaps. Planners and policy writers jump to offer solutions: surgicenters, funding reallocation,…
The pandemic clearly taught us that Canada’s health-care system needs to reform
Indigenous communities across Canada should learn from an Alberta First Nation that’s establishing a private health clinic to provide services that will reduce the pressure on the public system. The Alberta government recently approved a plan by the Enoch Cree Nation, close to Edmonton, to build a private clinic specializing in hip and knee surgeries.…
More than 20 per cent of Quebecers currently don’t have a family doctor
By Krystle Wittevrongel and Maria Lily Shaw Quebec’s health-care system is suffering from poor accessibility. More than 20 per cent of Quebecers currently don’t have a family doctor. The overcrowding of hospital emergency wards and the long wait times that result are also notorious. A key to improving the health system’s capacity is to address…
The evidence is overwhelming: Canada needs more doctors
The coronavirus pandemic has accomplished what a multitude of government reports could not – that is, to draw Canadians’ attention to a faltering health-care system characterized by a chronic shortage of beds, overflowing emergency departments, and limited numbers of surgical personnel and operating suites. The flaws have been there for decades, but willful blindness on…
Politicians have to stop creating impediments to access
By Nigel Rawson and John Adams Macdonald-Laurier Institute On April 14, 2022, Health Minister Jean-Yves Duclos announced the federal government’s decision to cancel most of its plan for the Patented Medicine Prices Review Board (PMPRB) to regulate significantly lower prices for new medicines in Canada – a mess created five years ago by then Health…
Why the headlong rush into expansion while so many questions remain?
Just six years after legalization, the availability of assisted suicide in Canada is about to expand again. But members of Parliaments and senators who’ll tackle these life-and-death questions don’t have enough time to consider all the weighty matters before them. Much less have they taken stock of how assisted suicide has affected the entire health-care…
Government, medical professionals, and public-sector unions each hold veto power over any innovation
The Honorable Monique Begin wrote in 2009, “When it comes to moving health care practices forward efficiently, Canada is a country of perpetual pilot projects.” Governments need “financial control” and remain “leery” of committing to programs. Pilot programs are easy to shut down “to avoid criticism” or if “budget priorities shift.” At first glance, we…
Canada rations care with wait times, limited investment in technology, and by using family doctors as “gatekeepers” to service
Doctors frustrate governments. They think too little about how much health care costs and too much about their patients who need help. The government of Ontario and the Ontario Medical Association arrived at a mediated Proposed Physicians Services Agreement (PPSA) this month. Doctors started to vote on it yesterday, with voting ending on March 27.…
Dragging Quebec’s health care system into the 21st century
Calls for substantial health care reform have been ringing across the province of Quebec. It’s time to answer those calls and transform our monopolistic health care system into a mixed, universal system that embraces the value of parallel resources to improve both access and quality of care for patients. The good news is these solutions…
We all want a return to normality but that cannot hold true for our archaic health care system
Apparently, Canadians have a limit to the amount of unnecessary discomfort and ineffectual leadership they will suffer through. Polls, demonstrations, and now a convoy of truckers blocking streets in downtown Ottawa show that Canadians are fed up. Canadians want their society to go back to the pre-COVID norms. But while that may be true of…