{"id":5389,"date":"2017-06-15T16:44:30","date_gmt":"2017-06-15T20:44:30","guid":{"rendered":"http:\/\/www.ontariohealthcoalition.ca\/?p=5389"},"modified":"2020-05-08T17:01:30","modified_gmt":"2020-05-08T21:01:30","slug":"jumping-the-queue-the-ontario-health-coalition-releases-report-on-escalation-of-health-care-privatization","status":"publish","type":"post","link":"https:\/\/www.ontariohealthcoalition.ca\/index.php\/jumping-the-queue-the-ontario-health-coalition-releases-report-on-escalation-of-health-care-privatization\/","title":{"rendered":"Jumping the Queue. The Ontario Health Coalition releases Report on Escalation of Health Care Privatization"},"content":{"rendered":"
\n
(June 14, 2017)<\/div>\n
<\/div>\n
By:\u00a0Lynne Brown<\/a>\u00a0– Sault Online<\/div>\n<\/div>\n

The Ontario Health Coalition has conducted a cross-Canada\u00a0study that includes the results of surveys of 136 private hospitals, diagnostic and \u201cboutique\u201d physician clinics, and with almost 400 individual patients in Ontario. The results of the survey are found in a recently released report titled \u2018Private Clinics and the Threat to Public Medicare in Canada\u2019. The entire report, released at a press conference in Toronto on Monday, June 12, 2017, \u00a0can be found here:\u00a0www.ontariohealthcoalition.ca<\/a><\/p>\n

From the autumn of 2016 to the spring of 2017, researchers at the Ontario Health Coalition called private clinics right across Canada. Included in the survey are private surgical clinics including cataract surgery clinics, MRI\/CT, colonoscopy\/endoscopy clinics and \u201cboutique\u201d physician clinics. In total, we surveyed a sample of 136 private clinics in 9 provinces. From our interviews, we found 88 clinics in six provinces that are charging patients extra user-fees and selling medically necessary services. In addition, we surveyed 400 individual patients about their experiences with user-fees.<\/p>\n

In response, 250 patients detailed extra charges that they faced when trying to access needed medical care in private clinics. Patients described these medical fees as \u2018a shock\u2019 and \u2018a hardship\u2019. A substantial number of those who participated are seniors \u2013 into their 80\u2019s and 90\u2019s who share stories that include their monthly pensions being wiped out due to fees for medical services.<\/p>\n

\u2018In Ontario, the most common complaint from patients regarding extra user-fees occurs in ophthalmology clinics. It is now common for seniors who need cataract surgery to be faced with charges of $150 \u2013 $2,000 or more. Patients, most of them seniors, report that these fees are a shock, a significant blow to their incomes, and result in hardship.\u2019<\/p>\n

\u201cSuch fees are unlawful under the Canada Health Act, which forbids extra-billing of patients and requires that all Canadians receive medical care based on need. Both clinics and patients were asked about extra user-charges for needed health care services. Under the Canada Health Act such user fees are forbidden. But we found evidence that at least 88 clinics in six provinces are charging extra user-fees. Two-hundred and fifty patients detailed instances in which they have been charged for care. Fees charged to patients were exorbitant, much higher than OHIP costs, ranging from hundreds to thousands of dollars per patient. Patients, many of them seniors, told us that the fees were a shock and caused them financial hardship.\u201d stated Ontario Health Coalition\u2019s Executive Director, Natalie Mehra.<\/p>\n

Health Coalitions and public-interest advocates across Canada are warning that challenges to public health care posed by private clinics have come to a head, and unless governments act to protect patients, public health care is at risk.<\/p>\n

Natalie Mehra is also the author of the substantive report, which outlines several examples of double-dipping by clinics, where the public medicare system is billed as well as the patient.<\/p>\n

\u2018Under Canada\u2019s Public Medicare system, provinces are responsible for meeting the conditions and criteria of the Canada Health Act, including the Act\u2019s prohibitions on user fees and extra-billing of patients that protect equity in access to care. Provincial governments have a duty, therefore, under Canadian law, to ensure that residents are not faced with user charges when they visit a doctor, a hospital or a clinic.<\/p>\n

The federal government has the power to investigate transgressions of these protections for patients, and should be penalizing provincial governments that fail to comply. Both levels of government also have an obligation to Canadians to engage in population health planning, to provide services to meet Canadians\u2019 needs.\u2019<\/p>\n

Located almost exclusively in the most affluent neighbourhoods of Canada\u2019s largest urban centres where there is a wealthy \u2018market\u2019 for their services, so-called \u2018boutique\u2019 clinics sell a variety of medically necessary tests and procedures co-mingled with medically unnecessary services in an attempt to sidestep the Canada Health Act\u2019s prohibition on user fees.<\/p>\n

\u2018As a rule, these clinics charge extremely high fees for access to their services, and, as per the Toronto Life story, are often marketed for their exclusivity. Some clinics require health cards and bill both the public health care system and patients. Other clinics do not require a health card and charge patients directly for all services.\u2019 The report especially provides investigation into Private MRI Clinics, Private Surgical\/Colonoscopy\/Endoscopy Clinics, and Private Cataract Surgery Clinics.<\/p>\n

Mehra states, \u201cOver the two decades or more in which Canadian provinces have experimented with privatization, the attempt to regulate private clinics has failed. Illegal billing, double-billing and quality problems have been widely reported. Having broken Canadian laws and charged patients \u2014 many of them seniors \u2014 thousands of dollars on top of the taxes that they already pay for these services, now that they are caught, clinic owners want to advocate to legalize extra-billing. They say that government should let it happen and just regulate the prices. So far, the record is not good.\u201d<\/p>\n

Mehra further said, \u201cThe solution to private clinics is to open unused capacity in our public operating rooms and diagnostic suites, use sound population planning processes to plan public hospital capacity to meet our communities needs, and roll contracts back in to our local public hospitals. Privatization is a failure. Its time to rebuild capacity in our community hospitals that operate on a non-profit basis in the public interest and insist that our governments plan for and resource our public hospitals to provide the services we need.\u201d<\/p>\n

\u201cIt is imperative that governments catch up to and rein in the private clinic industry. Canadian laws at the national and provincial levels are being contravened, largely unhindered by governments.\u201d Shared Mehra in the report. \u201cMedical ethics are being violated as physicians in some clinics have become modern-day snake-oil salesmen in a bid to sell medically unnecessary add-ons at exorbitant prices. The \u2018market\u2019 of private clinics has expanded and large chain companies are emerging, spreading extra user-fees across the country.\u201d<\/p>\n

\u201cPrivate clinics are using failures in public policy as cover for their unethical behaviour. But their critique of what is happening in our public system is not entirely wrong. The solution is not to throw out public medicare and the protections against user fees and financial hardship that it affords to patients. The solution is to open unused capacity in our public operating rooms and diagnostic suites, use sound population planning processes to plan public hospital capacity to meet our communities\u2019 needs, adopt innovations in wait time management and the organization of services to improve access, and\u00a0roll contracts back in to our local public hospitals.\u201d<\/p>\n

\u201cPrivatization is a failure. Its time to rebuild capacity in our community hospitals that operate on a non-profit basis in the public interest and insist that our governments plan for and resource our public hospitals to provide the services we need.\u201d Stated Mehra.<\/p>\n

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

(June 14, 2017) By:\u00a0Lynne Brown\u00a0– Sault Online The Ontario Health Coalition has conducted a cross-Canada\u00a0study that includes the results of surveys of 136 private hospitals, diagnostic and \u201cboutique\u201d physician clinics, and with almost 400 individual patients in Ontario. The results of the survey are found in a recently released report titled \u2018Private Clinics and the […]<\/p>\n","protected":false},"author":1,"featured_media":5401,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[21],"tags":[],"class_list":["post-5389","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-ohc-in-the-news"],"yoast_head":"\nJumping the Queue. 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