{"id":14740,"date":"2022-08-07T15:14:05","date_gmt":"2022-08-07T19:14:05","guid":{"rendered":"https:\/\/www.bygeorgejournal.ca\/?p=14740"},"modified":"2023-07-24T20:39:46","modified_gmt":"2023-07-25T00:39:46","slug":"the-public-health-care-system-is-canadas-gordian-knot","status":"publish","type":"post","link":"https:\/\/www.bygeorgejournal.ca\/?p=14740","title":{"rendered":"The public health care system is Canada\u2019s Gordian Knot"},"content":{"rendered":"<p><em>The Niagara Independent, August 5, 2022 \u2013<\/em> On July 15, a B.C. Court of Appeal delivered a decision that tightens the country\u2019s Gordian Knot: our revered public health care system. The court\u2019s decision rejected user-paid medical care, even if the patient must wait an unreasonable and potentially harmful amount of time for care. For defenders of the public system, this edict pulled taut those Canadian ties that bind us to an increasingly strained (and some will describe as \u201cbroken\u201d) care system.<\/p>\n<p>The B.C. court justices upheld a lower provincial court decision which rejected arguments made by Dr. Brian Day that Canadians\u2019 right to life was being violated by not being able to receive timely medical attention. Dr. Day, an orthopedic surgeon, argued that where the public health care system fails to meet the needs of an individual, the individual should have the ability to access personal care at their expense. But, the court ruled against the individual in favour of the common good, rationalizing the necessity of banning private health care in order to protect the public system.<\/p>\n<p>In their written decision, the justices went so far as to say that, even though long wait times may risk poor health outcomes \u2013 in some cases denying patients their charter right to life and security of the person \u2013 these violations are within \u201cprinciples of fundamental justice\u201d as they assure the sustainability of Canada\u2019s public health system.<\/p>\n<p>The subtext to the court decision was the justices\u2019 recognition of the ailing state of public health care in B.C. where it is appreciated that wait times can be excessive and increase risks to patients. In March 2018, almost 33,500 adults were waiting for necessary medical care beyond the maximum wait time \u2013 and since the COVID pandemic this number has grown. On this point, the court admitted the lower court judge had erred by minimizing the harm to patients and failing to acknowledge that wait times could even lead to death.<\/p>\n<p>In the weeks following this notable decision, Canadians learned of the extreme harm our public health care system can inflict. In New Brunswick, a patient in pain and visible discomfort died while sitting for hours in the waiting room of a Fredericton hospital ER. In Vancouver, an elderly woman died while laying on a stretcher in a hospital waiting room for two days without attention.<\/p>\n<p>A 76-year-old Ontario man made national news when he was left for four days on a stretcher in a hallway of a Wiarton hospital. He had shattered his femur in a cycling accident and required transportation and surgery in a London hospital.<\/p>\n<p>The Ontario care system is in critical care this summer.<\/p>\n<ul>\n<li aria-level=\"1\">There are now 13 ERs \u2013 from Wingham to Perth to Huron County \u2013 forced to close because of staff shortages.<\/li>\n<li aria-level=\"1\">The Ontario Nurses\u2019 Association reports that 25 hospitals were forced to make changes over the Civic holiday weekend due to staff shortages.<\/li>\n<li aria-level=\"1\">In the hospitals opened, the average wait time to be admitted has climbed to an unprecedented 20.1 hours.<\/li>\n<li aria-level=\"1\">People needing an ambulance must wait longer due to ambulance offload delays that keep paramedics in ER departments with their patients waiting for admission to the hospital.<\/li>\n<li aria-level=\"1\">In May, patients waited an average of 2.1 hours for a first assessment by an ER doctor. They remained waiting after the assessment as beds were simply unavailable due to lack of staff.<\/li>\n<\/ul>\n<p>Registered Nurses Association of Ontario President Claudette Holloway sounded the alarm bells in a recent Toronto CP24 news interview this week, \u201cI have not seen it this bad\u2026 this is certainly a dire and a dangerous situation that needs drastic responses from our politicians.\u201d<\/p>\n<p>In another frank interview, ER doctor Raghu Venugopal stated the health system has collapsed.<\/p>\n<p>\u201cNurses and doctors across Ontario and Canada who are working in emergency departments are greatly dismayed, honestly, by the human situation that patients and families have to face on a daily basis\u2026 There is no metric or no nothing that your eyes can\u2019t see as a patient or family member in the ER that says the system has not anything but collapsed as we know it.\u201d<\/p>\n<p>The mounting pressure on the public health care system has Ontario Premier Doug Ford calling for the federal government to provide financial support to help an impossible situation for existing hospital staff and medical professionals. Premier Ford assessed, \u201cIt\u2019s not sustainable that the federal government is giving us 22 per cent. We\u2019re paying 78 per cent. And that\u2019s across the country. Unacceptable. We\u2019re going to continue asking the federal government to step up and do their fair share. There\u2019s never been a more important time to do so.\u201d<\/p>\n<p>These comments echo the repeated requests made by premiers in March 2021 when they wanted the federal government to expand its share of health care costs from the current rate of 22 per cent to the historically agreed upon share of 35 per cent. That sizable increase would see an additional $28 billion poured into the public system.<\/p>\n<p>This federal cash would allow provinces to increase training positions for staff, hire nurses and PSWs, increase pay to retain staff, increase the number of doctors, open and support more beds, and keep ERs open.<\/p>\n<p>Yet, to date, the plea for financial assistance has fallen on deaf ears. The federal budgets in 2021 and 2022 were silent on the subject of health care transfers. Instead, the Trudeau government touted investments of $3 billion for mental health services, $3 billion for long-term care, $3 billion for home care and $2 billion to help provinces address surgical backlogs. Some of these investments are spread over three to five years and all come with an understanding that there will be federal regulatory strings attached.<\/p>\n<p>The federal government\u2019s offerings is not enough to begin to address the foundational cracks in the country\u2019s health care system. According to the Organization for Economic Cooperation and Development (OECD), Canada has the fourth-lowest number of funded acute care beds per capita among its member countries. The Commonwealth Fund\u00a0has ranked\u00a0Canada\u2019s\u00a0health system second-last among 11 rich countries.<\/p>\n<p>The bottom line is that without the federal government increasing the health transfers, the provinces remain cash-strapped. This leaves Canadians with a threadbare public health care system that will remain strained in meeting even the most critical health care needs.<\/p>\n<p>Health care analyst Susan Martinuk of the Frontier Centre for Public Policy reflects, \u201cEvery province is paying more than 40 per cent of its revenues into health care. And it\u2019s still not enough. We\u2019ve got a million people on waiting lists. In my mind, it\u2019s time to stop talking about who\u2019s going to pay for health care, and start talking about how we\u2019re going to change health care.\u201d<\/p>\n<p>This is the very discussion Dr. Day intends to take to the Supreme Court of Canada. Those justices will need to consider whether a public health care system that is consistently proving to be inadequate requires a new approach \u2013 perhaps akin to Alexander\u2019s legendary sword stroke that cut free the knot.<\/p>\n<p><strong><em>Chris George<\/em><\/strong><em>\u00a0is an Ottawa-based government affairs advisor and wordsmith, president of\u00a0<a href=\"https:\/\/cgacommunications.com\" target=\"_blank\" rel=\"noopener\">CG&amp;A COMMUNICATIONS<\/a>. Contact:\u00a0<a href=\"mailto:ChrisG.George@gmail.com\">ChrisG.George@gmail.com<\/a><\/em><\/p>\n<p>LINK: <a href=\"https:\/\/niagaraindependent.ca\/the-public-health-care-system-is-canadas-gordian-knot\/\" target=\"_blank\" rel=\"noopener\">https:\/\/niagaraindependent.ca\/the-public-health-care-system-is-canadas-gordian-knot\/<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>The Niagara Independent, August 5, 2022 \u2013 On July 15, a B.C. Court of Appeal delivered a decision that tightens the country\u2019s Gordian Knot: our revered public health care system. The court\u2019s decision rejected user-paid medical care, even if the patient must wait an unreasonable and potentially harmful amount of time for care. For defenders&#8230;<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[85],"tags":[76],"_links":{"self":[{"href":"https:\/\/www.bygeorgejournal.ca\/index.php?rest_route=\/wp\/v2\/posts\/14740"}],"collection":[{"href":"https:\/\/www.bygeorgejournal.ca\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.bygeorgejournal.ca\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.bygeorgejournal.ca\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.bygeorgejournal.ca\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=14740"}],"version-history":[{"count":3,"href":"https:\/\/www.bygeorgejournal.ca\/index.php?rest_route=\/wp\/v2\/posts\/14740\/revisions"}],"predecessor-version":[{"id":15293,"href":"https:\/\/www.bygeorgejournal.ca\/index.php?rest_route=\/wp\/v2\/posts\/14740\/revisions\/15293"}],"wp:attachment":[{"href":"https:\/\/www.bygeorgejournal.ca\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=14740"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.bygeorgejournal.ca\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=14740"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.bygeorgejournal.ca\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=14740"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}