(June 10, 2017)<\/p>\n
By: Kathy Tomlinson, The Globe and Mail<\/p>\n
Regulators are doing little to stop doctor-owned clinics from quietly making desperate patients open their wallets to bypass long lines for everything from simple appointments to major surgery. Kathy Tomlinson<\/strong> reports<\/p>\n Rosalia Guthrie is still astounded that it cost her $4,350 to get her shoulder injury assessed by a surgeon who works in Canada\u2019s public health-care\u00a0system.<\/p>\n She had been waiting in agony for 16 months to see Dr. William Regan when she called his office, asking how much longer it would be. His secretary gave her the number of another clinic to call \u2013 so she did. That\u2019s when Ms. Guthrie learned there was another way in to see the surgeon \u2013 with no\u00a0lineup.<\/p>\n But it would cost her. \u201cThe woman there called me back \u2026 and gave me three [appointment] times \u2026 right away,\u201d says Ms. Guthrie, 67, of Salmon Arm, B.C., who was told that she had reached Dr. Regan\u2019s other, private clinic. \u201cThen she said, \u2018You have to\u00a0pay.\u2019\u201d<\/p>\n Ms. Guthrie is among 47 patients whose cases The Globe and Mail looked at as part of an investigation into the extent of unlawful extra-billing by Canadian doctors, who work on both sides of the health-care fence, in public facilities and private\u00a0clinics.<\/p>\n In theory, doctors who bill the public health-care system aren\u2019t allowed to charge patients a cent to get necessary medical treatment. It\u2019s illegal. If they do, Ottawa and the provinces are supposed to stop\u00a0them.<\/p>\n The Globe found the reality to be quite different. As health-care costs and wait lists grow, regulators are doing little to stop doctor-owned clinics from quietly and increasingly making patients pay for quicker access \u2013 for everything from appointments to surgery. Patients and doctors on all sides of the health-care debate agree on one thing: This is happening in part because the system is in what many call a \u201cmess,\u201d where some people suffering in pain aren\u2019t seen and treated quickly in public\u00a0facilities.<\/p>\n Enter the private clinics, whose numbers have crept up in the last decade or so. The Globe compiled data on 71 of them, across the country, almost all owned by physicians. Those clinics sell what some call \u201cprivate options,\u201d for which most of them charge patients hundreds, even thousands, of dollars. The data show that at least 63 per cent of 699 doctors listed as owning or working at those 71 private-pay facilities also work in the public system \u2013 an indication the rules against extra-billing are widely\u00a0ignored.<\/p>\n