By: Jacqueline St. Pierre, The Manitoulin Expositor<\/p>\n
MANITOULIN \u2014A town hall hosted by the Ontario New Democratic Party (ONDP) in Algoma-Manitoulin has brought the dire state of Northern Ontario\u2019s healthcare system into sharp focus. On Sunday January 12, the meeting, attended by healthcare professionals, policy advocates and community leaders, painted a stark picture of physician shortages, inadequate paramedic coverage, and systemic underfunding\u2014all exacerbated by provincial government policies seen as paving the way for healthcare privatization.<\/p>\n
Dr. Dannica Switzer, a rural generalist physician, opened the discussion with sobering statistics. \u201cIn Northern Ontario, we\u2019ve seen a 21 percent increase in physician shortages from 2021 to 2023. Over 400 doctors are needed\u2014200 of them rural family physicians\u2014and we\u2019re short more than 180 specialists, including psychiatrists, pediatricians and emergency medicine doctors,\u201d she explained.<\/p>\n
Dr. Switzer described how these shortages disproportionately affect rural and Indigenous communities. \u201cNorthern Ontario accounts for 90 percent of the province\u2019s landmass but only six percent of its population, with most residents concentrated in a handful of cities. When it comes to rural communities and fly-in Indigenous reserves, the challenges are even greater. Healthcare access here is not just a question of equity\u2014it\u2019s a matter of survival.\u201d<\/p>\n
Paramedic services in the region are also at a breaking point. \u201cThere are nights when only one crew is available to serve multiple communities, forcing patients to wait hours for transport,\u201d Dr. Switzer said. \u201cThis delay can mean life or death for emergency cases. We\u2019ve even seen volunteer firefighters and OPP officers stepping in to assist, which adds strain to already overburdened first responders.\u201d She also highlighted the disparities that women face saying that systemic bias against women\u2019s health is well documented. OBGYNs are the lowest paid specialized medicine and given lower proportion operating room time.<\/p>\n
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Kadean Ogilvie, CEO of Lady Dunn Health Centre in Wawa, highlighted the strain on small hospitals like hers. \u201cOur facility operates at 35-40 percent occupancy with patients who don\u2019t require acute care but have nowhere else to go. The lack of long-term care beds means our emergency services and acute care units are being used as stopgap solutions,\u201d he said.<\/p>\n
Ms. Ogilvie pointed to the systemic challenges highlighted in a recent Auditor General\u2019s report. \u201cNorthern Ontario residents have shorter life expectancies, higher rates of hospitalization due to injury, and limited access to affordable housing and transportation. Indigenous, racialized, and marginalized groups bear the brunt of these disparities. It\u2019s a vicious cycle that keeps these communities at a disadvantage.\u201d<\/p>\n
Natalie Mehra, executive director of the Ontario Health Coalition, delivered a blistering critique of the Ford government\u2019s healthcare policies. \u201cThe claim that Ontario is spending more than ever on healthcare is a lie,\u201d Ms. Mehra said. \u201cOn a per-person basis, public hospital funding in Ontario is the lowest in the country. Emergency rooms are closing at unprecedented rates, and hospitals are being driven into deficits, all while over $1 billion a year is funneled into for-profit clinics and staffing agencies.\u201d<\/p>\n
Ms. Mehra warned that these moves threaten the foundations of public healthcare, which was hard-fought and won by previous generations. \u201cOne generation ago, Canadians ensured healthcare was a right, not a privilege. Now, we\u2019re seeing seniors charged thousands for surgeries, patients being forced to pay deposits for cataract procedures. This is the direct result of underfunding public healthcare while shifting resources to private, for-profit entities.\u201d<\/p>\n
Algoma-Manitoulin MP Carol Hughes emphasized the urgent need for action on healthcare. \u201cOur healthcare system is in crisis, and rural communities in Northern Ontario are bearing the brunt. This impacts physicians, healthcare providers, municipalities, and most importantly, patients,\u201d she said.<\/p>\n
Ms. Hughes criticized both federal and provincial governments for failing to uphold universal access to public healthcare. \u201cSuccessive Liberal and Conservative governments have allowed the privatization of healthcare by redirecting public dollars to private services, eroding the public system. Health transfers must be increased, those funds must stay within the public system, and the Canada Health Act must be enforced,\u201d she stated.<\/p>\n
She also rejected privatization as a solution. \u201cPaying higher fees to private clinics only worsens the crisis by reducing our capacity to deliver care to patients through the public system.\u201d<\/p>\n
Carole Ann McGuinn of Evansville, who has more than a decade of experience in healthcare advocacy work, had this to say:<\/p>\n
\u201cOur hospitals are underfunded, and the current model is flawed. It doesn\u2019t account for the seasonal populations who access our services in ways that strain the system. Their contributions reflected here because their health card dollars are tied to their home addresses.\u201d<\/p>\n
Ms. McGuinn believes that community health hubs and family health teams are part of the solution\u2014not just for addressing wait times, but also for alleviating the overwhelming burden on our hospitals. These localized health hubs are better equipped to respond to the unique needs of our communities because they\u2019re in tune with the people they serve.<\/p>\n
\u201cGender-affirming care, cultural fluency for Indigenous populations, and trauma-informed practices are also key components to social determinants of health, which are clear indicators of not only individual well-being but also the health of entire communities. The misdiagnoses faced by people who live at the intersection of multiple marginalizations\u2014whether they are racialized, disabled, or part of the 2SLGBTQIA+ community\u2014are staggering. The quality of care is failing the most vulnerable in our society, and that needs to change.\u201d<\/p>\n
Dr. Switzer also argued that retaining healthcare professionals is key. \u201cWe need manageable workloads, supportive work environments, and financial incentives to keep experienced providers in the system. Recruitment alone won\u2019t solve this crisis.\u201d<\/p>\n
Ms. Ogilvie called for tailored equitable resource allocation and approaches to serve Northern communities. \u201cWe need long-term care solutions and a better-coordinated system that considers the unique challenges of rural and Indigenous populations.\u201d<\/p>\n
France Gelinas of the NDP sent in a video statement saying \u201cwhen thousands of people cannot gain access to primary care, when our hospitals are full to overcapacity, when women cannot give birth in their communities anymore because the obstetric department is closed when our emergency department keep closing. We are facing a crisis. But in Northern Ontario, we are resilient we know how to face crisis. There are models that work. Look at the group health centre in Sault Ste. Marie, at the community health center, at Indigenous Primary Healthcare, at nurse practitioner-led clinics, at family health teams that help get people access to primary care that means that they don\u2019t need to go to the emergency department as often. That means our hospitals are not as busy. But let\u2019s face it, small rural hospitals like Lady Dunn in Wawa hasn\u2019t received meaningful base budget increases\u00a0 in close to over a decade.\u201d<\/p>\n
Ms. Mehra also prioritized the need for a reversal of privatization trends. \u201cThe government must restore funding to public hospitals and stop subsidizing private clinics. The current trajectory is unsustainable and inequitable.\u201d<\/p>\n
Jody Wildman, mayor of St. Joseph Island, underscored the growing burden on municipalities. \u201cWe\u2019re being asked to fill gaps in healthcare funding, but we don\u2019t have the resources to do so,\u201d he said. \u201cThis isn\u2019t just a healthcare issue\u2014it\u2019s about ensuring the dignity and well-being of our communities.\u201d<\/p>\n
Ms. Wildman also criticized the Ford government\u2019s approach to social programs. \u201cThis government is starving public services so people start questioning their value. It\u2019s a deliberate strategy to pave the way for privatization.\u201d<\/p>\n
The town hall concluded with a resounding call for change. \u201cPublic healthcare is not just a policy\u2014it\u2019s a commitment to equity and human dignity,\u201d Ms. Mehra said. \u201cThe communities of Northern Ontario\u2014and marginalized groups across the province\u2014deserve better.\u201d<\/p>\n
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