{"id":18570,"date":"2022-03-08T14:02:41","date_gmt":"2022-03-08T19:02:41","guid":{"rendered":"https:\/\/www.ontariohealthcoalition.ca\/?p=18570"},"modified":"2022-03-08T14:12:55","modified_gmt":"2022-03-08T19:12:55","slug":"fact-sheet-the-privatization-of-ontarios-public-hospital-services1","status":"publish","type":"post","link":"https:\/\/www.ontariohealthcoalition.ca\/index.php\/fact-sheet-the-privatization-of-ontarios-public-hospital-services1\/","title":{"rendered":"<FONT COLOR=\"#E00000\">FACT SHEET:<\/FONT> The Privatization of Ontario&#8217;s Public Hospital Services"},"content":{"rendered":"<p>(March 8, 2022)<\/p>\n<h4><span style=\"color: #000000;\">The Ford government\u2019s privatization plans<\/span><\/h4>\n<p>The Ford government has continued <span style=\"color: #3366ff;\"><a style=\"color: #3366ff;\" href=\"https:\/\/pressprogress.ca\/doug-fords-government-wants-to-privatize-parts-of-the-health-care-system-to-reduce-covid-19-surgical-backlog\/\">plans<\/a><\/span> to privatize health care by contracting private facilities to perform surgeries and other procedures such as diagnostic imaging.<\/p>\n<p>Taking it further, on Tuesday, February 1, the Ford government\u00a0<span style=\"color: #3366ff;\"><a style=\"color: #3366ff;\" href=\"https:\/\/www.cbc.ca\/player\/play\/1998422595853\">announced its plans<\/a><\/span>\u00a0to allow private clinics (called \u201cIndependent Health Facilities\u201d) to operate private hospitals. Private hospitals are currently banned in Ontario. Under the Private Hospitals Act, which was amended in 1971, the then-existing private hospitals were grandfathered in and no new private hospitals have been allowed since. There are only three private hospitals left in Ontario, two of which do limited amounts of surgeries. Our hospital system is public and all other hospitals in Ontario operate on a non-profit basis.<\/p>\n<p>Additionally, instead of resourcing public hospitals and public health units to increase efficiency in labs and testing procedures, the government <span style=\"color: #3366ff;\"><a style=\"color: #3366ff;\" href=\"https:\/\/www.ontariohealthcoalition.ca\/index.php\/release-ontario-budget-health-coalition-is-watching-for-sufficient-health-funding-strings-attached-in-for-profit-ltc-a-stop-to-the-ford-governments-privatization-of-health-care\/%20%5b5%5d%20https:\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3378609\/\">has given contracts<\/a><\/span> to private lab companies and for-profit pharmacy chains.<\/p>\n<ul>\n<li>Constrained hospital budgets and reduced public funding have diverted more and <span style=\"color: #3366ff;\"><a style=\"color: #3366ff;\" href=\"https:\/\/pressprogress.ca\/doug-fords-government-wants-to-privatize-parts-of-the-health-care-system-to-reduce-covid-19-surgical-backlog\/\">more laboratory work to private laboratories<\/a>.<\/span><\/li>\n<\/ul>\n<h4><span style=\"color: #000000;\">Quality Issues<\/span><\/h4>\n<p>The evidence on poorer quality in for-profit clinics and hospitals is clear:<\/p>\n<ul>\n<li>Less qualified staff are used to replace more qualified staff<\/li>\n<li><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/33323016\/\"><span style=\"color: #3366ff;\">For-profit clinics<\/span><\/a> and hospitals cut corners, <span style=\"color: #3366ff;\"><a style=\"color: #3366ff;\" href=\"https:\/\/pnhp.org\/resource\/for-profit-hospitals-cost-more-and-have-higher-death-rates\/\">resulting in higher death rates<\/a><\/span><\/li>\n<li>There is less effective <span style=\"color: #3366ff;\"><a style=\"color: #3366ff;\" href=\"https:\/\/www.ontariohealthcoalition.ca\/index.php\/fact-sheet-comparison-of-public-hospitals-act-to-independent-health-facilities-act\/\">regulatory oversight<\/a><\/span> &amp; serious quality breaches<\/li>\n<li>Revenues are directed into the profits away from care and for-profit hospitals have <span style=\"color: #3366ff;\"><a style=\"color: #3366ff;\" href=\"https:\/\/pnhp.org\/resource\/for-profit-hospitals-cost-more-and-have-higher-death-rates\/\">higher costs<\/a><\/span><\/li>\n<li>Private facilities are less <span style=\"color: #3366ff;\"><a style=\"color: #3366ff;\" href=\"https:\/\/www.ontariohealthcoalition.ca\/index.php\/briefing-note-new-legal-regulations-planned-by-ontarios-liberal-government-to-cut-community-hospital-services-and-expand-private-clinics\/\">accountable to the public<\/a><\/span><\/li>\n<\/ul>\n<h4><span style=\"color: #000000;\">Why Not Privatize?<\/span><\/h4>\n<ol>\n<li>Expanding the private sector <strong>increases <\/strong><span style=\"color: #3366ff;\"><a style=\"color: #3366ff;\" href=\"https:\/\/pressprogress.ca\/doug-fords-government-wants-to-privatize-parts-of-the-health-care-system-to-reduce-covid-19-surgical-backlog\/\"><strong>staffing shortages<\/strong><\/a><\/span> by driving highly skilled professionals in public hospitals to private clinics.<\/li>\n<li>Private facilities take the easier and less complex cases, leaving patients with more complex and urgent medical needs waiting longer in <span style=\"color: #3366ff;\"><a style=\"color: #3366ff;\" href=\"https:\/\/pressprogress.ca\/doug-fords-government-wants-to-privatize-parts-of-the-health-care-system-to-reduce-covid-19-surgical-backlog\/\"><strong>underfunded<\/strong><\/a> <\/span>and <strong>understaffed<\/strong> public hospitals<\/li>\n<li>Private facilities charge user fees and <span style=\"color: #3366ff;\"><a style=\"color: #3366ff;\" href=\"http:\/\/www.ontariohealthcoalition.ca\/wp-content\/uploads\/Eroding-Public-Medicare.pdf\">extra bill patients<\/a><\/span> for medically necessary services <strong>violating the Canada Health Act <\/strong><\/li>\n<\/ol>\n<h4><span style=\"color: #000000;\">Violation of the Canada Health Act<\/span><\/h4>\n<p>Our research shows that a majority of for-profit hospitals\/clinics are <span style=\"color: #3366ff;\"><a style=\"color: #3366ff;\" href=\"https:\/\/www.ontariohealthcoalition.ca\/index.php\/private-clinics-the-threat-to-public-medicare-in-canada-results-of-surveys-with-private-clinics-and-patients\/\">charging patients<\/a><\/span> user fees in violation of the Canada Health Act which states that patients have the right to services without user fees and extra billing.<\/p>\n<ul>\n<li>88 out of 136 private clinics surveyed by Ontario Health Coalition in 2017 were found to be charging patients extra user-fees and selling medically necessary services<\/li>\n<li>250 out of 400 patients surveyed detailed facing extra charges when trying to access needed medical care in private clinics<\/li>\n<\/ul>\n<p>The Canada Health Act requires healthcare services to be provided based on need, whereas private\/for-profit centres provide services based on an individual\u2019s ability to pay. This is a violation of the foundational principles of our public health care system which is based on compassion and equity \u2013 health care is to be provided based on medical need, and patients are to be protected from financial ruin when they get sick, disabled, or elderly.<\/p>\n<h4><span style=\"color: #000000;\">Gaps in Health Equity<\/span><\/h4>\n<p>Rather than having patients of equal need wait their turn on a \u2018first-come, first-served\u2019 basis, <span style=\"color: #3366ff;\"><a style=\"color: #3366ff;\" href=\"https:\/\/www.theglobeandmail.com\/opinion\/canada-must-address-theproblem-of-long-waits-for-medical-care\/article34056251\/\">waiting times are not equitable<\/a><\/span> as wealthier patients can jump the queue and pay out-of-pocket at private clinics, leaving individuals who cannot afford these services behind.<\/p>\n<table width=\"302\">\n<tbody>\n<tr>\n<td width=\"151\"><strong>Procedure<\/strong><\/td>\n<td width=\"151\"><strong>Cost in private for-profit clinics<\/strong><\/td>\n<\/tr>\n<tr>\n<td width=\"151\">Knee Surgery<\/td>\n<td width=\"151\"><span style=\"color: #3366ff;\"><a style=\"color: #3366ff;\" href=\"http:\/\/www.ontariohealthcoalition.ca\/wp-content\/uploads\/MEDIA-RELEASE-October-6-2008.pdf\">$13,000-$20,000<\/a><\/span><\/td>\n<\/tr>\n<tr>\n<td width=\"151\">Cataract Surgery<\/td>\n<td width=\"151\"><span style=\"color: #3366ff;\"><a style=\"color: #3366ff;\" href=\"http:\/\/www.ontariohealthcoalition.ca\/wp-content\/uploads\/MEDIA-RELEASE-October-6-2008.pdf\">$1,200-$2,000<\/a><\/span><\/td>\n<\/tr>\n<tr>\n<td width=\"151\">MRI<\/td>\n<td width=\"151\"><span style=\"color: #3366ff;\"><a style=\"color: #3366ff;\" href=\"http:\/\/www.ontariohealthcoalition.ca\/wp-content\/uploads\/MEDIA-RELEASE-October-6-2008.pdf\">$700-$1.200<\/a><\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>Providing services based on ability to pay is especially concerning as populations with lower incomes are the same populations that are most in need of healthcare services and have more illness or disease due to associated factors such as poorer living and working conditions.<\/p>\n<p><span style=\"color: #3366ff;\"><a style=\"color: #3366ff;\" href=\"https:\/\/www.ontariohealthcoalition.ca\/wp-content\/uploads\/privatization-of-public-hospital-services-fact-sheet.pdf\">Click here for printable version<\/a><\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>(March 8, 2022) The Ford government\u2019s privatization plans The Ford government has continued plans to privatize health care by contracting private facilities to perform surgeries and other procedures such as diagnostic imaging. Taking it further, on Tuesday, February 1, the Ford government\u00a0announced its plans\u00a0to allow private clinics (called \u201cIndependent Health Facilities\u201d) to operate private hospitals. [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":18571,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[18,89,16,75,9,60],"tags":[],"class_list":["post-18570","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-cuts-restructuring","category-cutsrestructuring-backgrounders-fact-sheets-briefing-notes","category-hospitals","category-hospitals-backgrounders-fact-sheets-briefing-notes","category-privatization","category-privatization-backgrounders-fact-sheets-briefing-notes"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>FACT SHEET: The Privatization of Ontario&#039;s Public Hospital Services - Ontario Health Coalition<\/title>\n<meta name=\"description\" content=\"(March 8, 2022) The Ford government\u2019s privatization plans The Ford government has 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