{"id":25922,"date":"2023-03-16T22:04:01","date_gmt":"2023-03-17T02:04:01","guid":{"rendered":"https:\/\/www.ontariohealthcoalition.ca\/?p=25922"},"modified":"2023-11-15T09:50:21","modified_gmt":"2023-11-15T14:50:21","slug":"philanthropist-aims-to-open-huge-surgical-centre-in-richmond-hill","status":"publish","type":"post","link":"https:\/\/www.ontariohealthcoalition.ca\/index.php\/philanthropist-aims-to-open-huge-surgical-centre-in-richmond-hill\/","title":{"rendered":"Philanthropist aims to open huge surgical centre in Richmond Hill"},"content":{"rendered":"

By: Jessica Smith Cross, NewMarketToday<\/p>\n

Editor’s note: This article originally appeared on The Trillium, a new Village Media website devoted exclusively to covering provincial politics at Queen\u2019s Park.<\/em><\/p>\n

A Canadian philanthropist is pouring a fortune into building a massive independent surgical centre in the Toronto area.<\/p>\n

Walter Schroeder\u2019s goal, he has\u00a0said, is for the not-for-profit clinic in Richmond Hill to perform triple the number of orthopedic day surgeries as a traditional hospital and ease the pain of thousands of Ontarians on surgical wait-lists.<\/p>\n

A Ford government spokesperson confirmed to\u00a0The Trillium<\/em>\u00a0Wednesday that the government is looped in on the plan.<\/p>\n

\u201cThe ministry has received draft plans from the Schroeder Clinic on how they can help reduce wait times for critical surgeries so Ontarians can receive the treatments they need sooner,\u201d said Hannah Jensen, a spokesperson for Health Minister Sylvia Jones.<\/p>\n

The centre\u2019s application will be considered under the Your Health Act if it is passed, said Jensen, referring to legislation before the house to establish a new licensing regime for private for-profit and not-for-profit surgical and diagnostic clinics.<\/p>\n

\u201cAs the province expands the types of surgeries and procedures being done in the community to include hips and knees and orthopedics, it will ensure the new community surgical and diagnostic centres have in place the highest quality standards with strong oversight,\u201d Jensen said.<\/p>\n

Meanwhile, the opposition NDP and public health-care advocates say they have concerns about the project and warn the new legislation, Bill 60, could usher in two-tier health care to Ontario.<\/p>\n

Walter Schroeder is a Manitoba-born self-made millionaire who founded the Dominion Bond Rating Service (DBRS). Today, he has a charitable foundation that has given generously to Ontario hospitals and hospital foundations.<\/p>\n

Schroeder wasn’t available for an interview with\u00a0The Trillium<\/em>\u00a0for this story but spoke to TVO about his plans in 2021. He told host Steve Paikin that, once complete, the centre would be able to perform 8,000 outpatient orthopedic surgeries a year, triple the capacity of a major hospital.<\/p>\n

He described buying\u00a0a massive medical building in Richmond Hill after its previous owner went bankrupt<\/a><\/span>\u00a0before the construction was finished. Property records show the Terra Hill Ambulatory Surgical and Medical Centre, a not-for-profit corporation linked to Schroeder, bought the property for $55 million, with a $25 million mortgage.<\/p>\n

In the TVO interview, Schroeder said he would put up to $150 million into the project in total, but it would probably require an additional $50 million to $80 million from the public purse.<\/p>\n

However, the treasurer of Schroeder Foundation, Michael McConnell, said that has changed and the project will no longer require public funding. In fact, the foundation is preparing to put up to $350 million toward the project, should it go ahead, and it would be \u201cthe largest donation in Canadian health history.\u201d<\/p>\n

Public-private debate<\/h3>\n

The opposition at Queen\u2019s Park opposes Bill 60, legislation that sets up a licensing regime for\u00a0for-profit and\u00a0not-for-profit, corporations to run surgical and diagnostic clinics.<\/p>\n

The NDP has warned it will bring the province \u201cone step closer to a two-tier health-care system, where those who can afford it will jump the queue and everyone else will be left waiting even longer.\u201d<\/p>\n

It\u2019s calling\u00a0on the government to expand operating hours at hospitals instead.<\/p>\n

The Registered Nurses\u2019 Association of Ontario CEO Doris Grinspun said she also has similar concerns about \u201cthe creation of a two-tier system with all kinds of gimmicks.\u201d<\/p>\n

She said she\u2019s concerned that independent ambulatory surgical centres will drain staff from public hospitals, but still require complex patients to be treated in hospitals that are suffering from a staffing crisis, and encouraged Schroeder to direct his philanthropy solely to the public system.<\/p>\n

The lead of the Ontario Health Coalition, a public health advocacy group, said much the same.<\/p>\n

\u201cWhy would we not have our public hospitals with their governance systems, and their expertise in providing public health care, provide those services?\u201d said executive director Natalie Mehra. \u201cWhy hand them over to a bunch of businessmen?\u201d<\/p>\n

\u201cI think the key thing for the public to understand in terms of what is the public interest, is the difference in governance between a private clinic and a public hospital is massive, there is a huge gulf, in terms of patient protections, in terms of quality control,\u201d she said.<\/p>\n

Mehra said she\u2019s extremely concerned about comments Schroeder had made in his TVO interview described payment for its services as only partially OHIP-paid. Mehra was also alarmed that one of the board members of the not-for-profit that owns the surgical centre building is an\u00a0advocate for two-tier health care<\/span><\/a>\u00a0and a fundraiser for the Cambie medical constitutional challenge, which seeks to allow Canadians to pay for necessary medical care when faced with long wait times in the public system.<\/p>\n

\u201cWhat commitment does this proposed facility have to single-tier public medicare?\u201d she asked.<\/p>\n

McConnell said the commitment is philanthropic and the plan is to run the medical centre through an operating charity \u201cfor the betterment of Ontario.\u201d<\/p>\n

\u201cWhat the people of Ontario need to know, anyone reading your article needs to know, is that this is not a for-profit, this is all not-for-profit,\u201d he told\u00a0The Trillium<\/em>. \u201cEverything would be through OHIP or (the Workplace Safety and Insurance Board), to support the military or supportive of Indigenous (people).\u201d<\/p>\n

As for the Ontario Liberals, they have also raised concerns about Bill 60, but are more open to the creation of non-profit surgical centres.<\/p>\n

The party\u2019s health critic, Adil Shamji, said that while he supports the creation of non-profit independent surgical sites, the legislation has given him \u201cno reassurances that our health-care system will not be surrendered to corporate, for-profit interests.<\/p>\n

\u201cIt does not give me reassurance that will protect health-care workers from being siphoned out of the public system. It does not reassure me that we will \u2026 ensure patient safety or protect upselling or up-charging.\u201d<\/p>\n

However, Shamji, who is also a medical doctor, said there\u2019s merit to moving day surgeries out of hospitals into specialized stand-alone centres.\u00a0He wouldn\u2019t be \u201cideologically opposed\u201d to Schroeder’s\u00a0plan if he could be convinced it would be run in a way that protects the public health-care system and protects patients, which could be accomplished if it were closely affiliated with a public hospital.<\/p>\n

Meanwhile, NDP health critic France G\u00e9linas\u00a0told\u00a0The Trillium<\/em>\u00a0there is a successful model for moving day surgeries into stand-alone facilities, bringing the same benefits of specialization,\u00a0within the public hospital model.<\/p>\n

\u201cThe difference is that they have the oversight and accountability of a hospital,\u201d she said.<\/p>\n

It’s not clear what role hospitals will have.<\/p>\n

In a statement to\u00a0The Trillium<\/em>, a spokesperson for the University Health Network confirmed it has discussed potential collaboration with Schroeder\u2019s not-for-profit, \u201cfor the benefit of patients and meeting the demands of a growing and aging population.\u201d<\/p>\n

\u201cMr. Schroeder has been a generous philanthropist at University Health Network for many years,\u201d said Gillian Howard, vice-president of public affairs for the hospital.<\/p>\n

\u201cWe share the view that we must experiment with new models and locales of care so that more patients might be rapidly treated \u2014 while ensuring we don\u2019t compromise staffing in the hospitals who care for our sickest patients.\u201d<\/p>\n

St. Michael\u2019s Hospital, which has been involved with the planning, told\u00a0The Trillium<\/em>\u00a0it is not currently involved in the project.<\/p>\n

\u201cWe will continue to look for new ways to collaborate with government and partners to get patients the care they need when they need it, including future opportunities to integrate ambulatory surgical centres into Ontario\u2019s health care system,\u201d a spokesperson for the hospital network said.<\/p>\n

Dr. Amit Atrey, a director of the not-for-profit that owns the medical building and an orthopedic surgeon at Michael\u2019s Hospital, said he worked with his hospital and the Schroeder foundation through the planning process.<\/p>\n

He said it would perform OHIP-funded surgeries and seek\u00a0quality-based procedure funding from the government, which pays hospitals to meet certain volumes of procedures. \u201cIt’s not necessarily a cash cow for surgeons like me, it’s just a way that we can cut our wait-list down and use some of those resources,\u201d he said.<\/p>\n

As for the public-private debate, Atrey said he wants to see Canada\u2019s universal system preserved.<\/p>\n

He\u2019s English and said the two-tier split in his home country doesn\u2019t help the patients who use the publicly funded National Health Service.<\/p>\n

But that doesn\u2019t mean there isn\u2019t a role for some companies to make a profit within Canada\u2019s system, he said.<\/p>\n

\u201cI think the phrase that the premier used was you shouldn’t need to open your wallet other than take your OHIP card out, which I think that works very well. But there is a profit to be made for private companies,\u201d he said.<\/p>\n

There\u2019s room for profit when a surgical centre can specialize in certain areas, such as hips and knees, and do procedures at scale, \u201clike a factory,\u201d Atrey said.<\/p>\n

\u201cNow, as far as I can see, it doesn’t matter as long as the money’s coming from the government and it’s going to do government work, and the patient doesn’t open their wallet \u2014 that’s OK for me,\u201d Atrey said.<\/p>\n

\u201cIf we can cut the wait lists down by any means, which doesn’t cause a two-tier system, I’m happy.”<\/p>\n

Click here for original article<\/a><\/span><\/p>\n","protected":false},"excerpt":{"rendered":"

(March 15, 2023) By: Jessica Smith Cross, NewMarketToday Editor’s note: This article originally appeared on The Trillium, a new Village Media website devoted exclusively to covering provincial politics at Queen\u2019s Park. A Canadian philanthropist is pouring a fortune into building a massive independent surgical centre in the Toronto area. Walter Schroeder\u2019s goal, he has\u00a0said, is […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[21],"tags":[],"class_list":["post-25922","post","type-post","status-publish","format-standard","hentry","category-ohc-in-the-news"],"yoast_head":"\nPhilanthropist aims to open huge surgical centre in Richmond Hill - Ontario Health Coalition<\/title>\n<meta name=\"description\" content=\"(March 15, 2023) By: Jessica Smith Cross, NewMarketToday Editor's note: This article originally appeared on The Trillium, a new Village Media website\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.ontariohealthcoalition.ca\/index.php\/philanthropist-aims-to-open-huge-surgical-centre-in-richmond-hill\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Philanthropist aims to open huge surgical centre in Richmond Hill - 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