Health care in Canada may be on the verge of some of the biggest changes since former Saskatchewan premier Tommy Douglas was credited with fathering medicare The CBC on INDEPTH: HEALTH CARE
see also WN on Medical Notes


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Medi Care & Roy Romanow


CBC on Health Care

see also on W-N:
Health Care
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May27USrMedi

Health Globeandmail
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on Wednesday-Night.com see also Medical Notes. | Nursing | MUHC | see WN on the Shriner's hospital | Cancer &YMI | US Medicare from David Mitchell

W-Ns citings on Medicare | Think Tanks | Birth of Medicare

2008

Monday 09 June 2008 Health care's cure has failed
Five-and-a-half years ago, Roy Romanow's far-reaching recommendations for medicare were heralded as a blueprint for the 21st century.

Sunday 04 May 2008 MONTREAL: THOUSANDS MARCH IN SUPPORT OF PUBLIC HEALTH
Thousands of people marched through downtown Montreal on Saturday in support of a universal government health system that is coming under increasing pressure to permit privatization. The march brought together about 50 groups representing labour, students, women and academics. It was organized by a Quebec labour federation in connection with May Day festivities. The federation's president, Michel Arsenault, appealed to the provincial health minister, Philippe Couillard, to repeal a law passed two years ago that permitted doctors to withdraw from the public health system and open private practices. The demonstrators warned that the public health system is severely challenged by the tendency to privatize. The government has begun to embrace privatization as a way to relieve the financial strain on the medical system. Many of Canada's ten provinces are also struggling to maintain public health services.

Sunday Apr 20, 2008 Getting the okay for foreign treatment
When Quebec's medical insurance board refused to pay for a rare surgical treatment needed to extend ...When Quebec's medical insurance board refused to pay for a rare surgical treatment needed to extend Ella Marchildon's life, her husband took on the government - and won after news of her plight touched off a wave of sympathy and outrage.
,,,Montreal lawyer Julius Grey said no one expects the health board to cover every sickness and at any cost. Limitations are understandable, for example, when treatment is experimental or unscientific or is available at home within a reasonable delay. "You're not entitled to coverage of these things in private insurance," Grey noted. But access to therapy for a rare illness that is considered an insured service, Grey said, is the basis of our medicare system.

Friday 04 April 2008 At 3 p.m. Tuesday, Kirkland residents Ella and Joe Marchildon received word that the Régie de l'assurance maladie du Québec would fund life-saving cancer surgery for Ella, The Suburban has learned.Events took a dramatic turn in the past week, ever since the Marchildons came back from Washington, DC. Ella had been personally evaluated at the Sugarbaker Clinic for life-saving cancer surgery. The doctors, including world-renowned Dr. Paul Sugarbaker, concluded that she was an excellent candidate fo... Full Story

Thursday Apr 3, 2008 a class="t2" href="http://www.canada.com/montrealgazette/news/editorial/story.html?id=dc584dd1-876f-4183-a2a7-3bac9c3f76bd" onmouseover="return overlib('click to w-n ', LEFT);" onmouseout="return nd();" target="_"> Agonizing decision was the right one
Good news for Ella Shepherd Marchildon. The Régie de l'assurance maladie du Québec relented this week, after twice refusing to pay for treatment in the United States for the 44-year-old Kirkland mother's signet-ring-cell carcinoma, a rare form of cancer. The Régie now will, after all, foot the bill for her specialized surgery and chemotherapy in Washington, D.C. The cost, originally estimated at $60,000, could reach $240,000, we now know.
... Both legally and morally the Régie finally made the right decision in Marchildon's case, and we applaud it. But we also understand the health authorities' dilemma that led them to turn down her treatment in the first place.

Wednesday Apr 2, 2008 U.S. cancer surgery okayed
Quebec's health insurance board has finally authorized Ella Shepherd Marchildon's request to seek life...
The Régie de l'assurance maladie du Québec had twice refused to pay for specialized surgery and chemotherapy at the Sugarbaker Oncology Clinic in Washington, D.C., but yesterday reversed that position.
The RAMQ decision to underwrite treatment came after surgical oncologists at Montreal's Maisonneuve-Rosemont Hospital confirmed on Monday that they cannot treat the 44-year-old Kirkland mother of five.
The Marchildons said money raised by www.helpella.com fundraisers and other community events in anticipation that the family would seek the U.S. surgery without RAMQ assistance could go toward ancillary costs like transportation - depending on what health insurance pays for - or will be donated to someone else in need.
Yesterday, the RAMQ indicated it will pay in full for the U.S. treatment, which far exceeds original estimates of $60,000 and could reach $240,000. "If we have to borrow some money, that's okay," Joe Marchildon said.
Julius Grey, the lawyer who the Marchildons contacted after RAMQ first refused to authorize treatment in the U.S., said yesterday that Quebec's Public Health Act and jurisprudence make it clear that Quebecers are entitled to life-saving treatment even if it's not available in the province.
He pointed to a 1999 Quebec case involving Barry Stein, a man who sought colon cancer treatment at Memorial Sloan- Kettering Cancer Centre in New York when treatment here was not available quickly enough.
RAMQ was ordered to pay for that treatment, Grey said.

Thursday Mar 27, 2008Cancer patient waiting for treatment verdict
A Kirkland woman with a rare form of cancer must wait until at least Monday to learn if Quebec's health-insurance board will pay for a potentially life-saving treatment available only in the United States.
The Régie de l'assurance maladie du Québec has already twice refused to pay for the procedure in the United States, which could cost about $150,000.

Saturday Mar 22, 2008 Control of remote is a hot-button issue
It appears the refrain is no longer one you might hear only at home.

Friday Mar 21, 2008 Medicare refuses to pay for woman's life-saving surgery
Ella Shepherd Marchildon has been told she needs specialized surgery that's not available in Quebec
....The 44-year-old Kirkland mother of five, who suffers from signet ring cell carcinoma, has become the focus of an intense community campaign to raise $60,000, the amount the specialized surgery and chemotherapy would cost at the Sugarbaker Oncology Clinic in Washington, D.C. (The name reflects the fact the cancer cells resemble signet rings when examined under a microscope.
...With five children - 12-year-old twin boys, a 13-year-old daughter, a 14-year-old son and a 24-year-old daughter - the family has a long-standing involvement in West Island hockey, basketball and soccer leagues. Those people have rallied in support. >P> Mistake denied breast cancer patient chance for treatment, sister tells inquiry
A woman whose sister died after her breast cancer tests were misread says her sister told her she thought...

Thursday Feb 28, 2008 Our dentists fare better than Ontario's
Are Quebec dentists losing money when they fix the teeth of welfare recipients and children under 10...

Tuesday Feb 26, 2008 Quebec ready with own drill
The Quebec government will not allow dentists to carry through on a threat to resign en masse from the...

Castonguay has some good ideas for fixing medicare The report of Claude Castonguay's working group on health-care financing was released last week to a great hue and cry across Quebec. In the rush to sink the report like a stone, we might be overlooking the fact that a good portion of it actually addresses the organizational aspects of the health-care system. Regardless of where they stand on the issue of health-care privatization, most Quebecers would agree that organizational reform is very much needed.

Monday Feb 25, 2008 a class="t2" href="http://www.canada.com/montrealgazette/news/editorial/story.html?id=00ce3152-b5a0-4932-a3e4-1f3a8ed1e306" onmouseover="return overlib('click to w-n ', LEFT);" onmouseout="return nd();" target="_"> Castonguay is certainly right on this one
The debate about public vs. private financing in Quebec's health-care system rages on. But while it does, there are certain simple steps that could - and most definitely should - be taken without delay.

Saturday Feb 23, 2008 Concise comments on some current topics
Quebec Health Minister Philippe Couillard is doing what he can to make Quebec's 3,500 dentists look like bad guys in their dispute with the government over how much they're paid to treat children and welfare recipients. The dentists are about to opt out, en masse, of the government program to cover those people, saying government payments don't even cover costs, let alone leave any profit.

Friday Feb 22, 2008 Our march toward private health care
Here's my hypothesis on why Jean Charest ordered a report on health-care financing only to have his health minister shoot it down like an enemy plane.

Friday Feb 22, 2008 Dentists planning medicare pullout
Quebec's dentists are poised to pull out of the public health-insurance plan and start charging to fix..
The association, representing the province's 3,600 dentists, is seeking a 35-per-cent increase in the fees they can charge under the plan by the Régie de l'assurance-maladie du Québec. More than 3,200 dentists belong to the public plan and they have been without a contract since 2003.

Thursday Feb 14, 2008 MDs going private at faster rate
'A worrisome trend'; Charest Liberals have no interest in improving public system, expert says The number of doctors in Quebec who have gone private - opting out of medicare and billing patients directly - has more than tripled in less than a decade, The Gazette has learned.

Tuesday 05 February 2008 OTTAWA: CAMPAIGN LAUNCHED TO STOP EROSION OF MEDICARE
Labour unions representing health-care workers have launched a campaign to preserve the integrity of medicare. The unions are concerned that although governments are obliged to fund medically necessary services, patients nonetheless sometimes are charged. The president of the Canadian Union of Public Employees, Paul Moist, says charging for services guaranteed by the Canada Health Act is both morally wrong and illegal, accusing the federal Conservative government of undermining it by failing to enforce the law. Linda Silas of the Canadian Federation of Nurses says the fight against illegal fees is part of a bigger battle to maintain non-profit, high-quality and accessible health care for all. The groups have established a website to inform the public of their medicare rights.

Saturday Feb 2, 2008 Medicare board okays brokering plan
Quebec's medicare board has concluded that a private-for-profit medical brokering service by maverick...Quebec's medicare board has concluded that a private-for-profit medical brokering service by maverick physician Jacques Chaoulli has not violated the law because he backed down on having patients pay out pocket for medical care.....Chaoulli promised that patients paying a $150 annual fee would gain quick access to a physician. What's more, they would also have to pay do

Saturday Jan 19, 2008 Former Alberta premier Ralph Klein is set to call on Prime Minister Stephen Harper to soften the Canada Health Act.
John Mahoney, CanWest News Service File Photo
Former Alberta premier Ralph Klein is set to call on Prime Minister Stephen Harper to soften the Canada Health Act.

OTTAWA -Ralph Klein enjoyed 13 years of dictator-sized government majorities backed by billions of surplus dollars and the most enterprise-minded voters in the country.

2007

Tuesday 21 August 2007 VANCOUVER: NEW TOP PHYSICIAN WANTS STRUCTURAL CHANGE FOR HEALTH CARE
The upcoming president of the Canadian Medical Association says he plans to use the new post to lobby for changes to Canada's health-care system. Dr. Brian Day wants to inject market principles into the financing of taxpayer-funded hospitals and clinics to improve efficiency and to reduce wait times. Critics say his plan has already been tried and failed in Britain. After studying in Britain, Dr. Day took up medical practice in Canada in the 1970's. He founded a private clinic in Vancouver in 1995. The Canadian Medical Association began its annual meeting Monday and was to confirm Dr. Day as its new head.

Tuesday 14 August 2007 World’s Best Medical Care?
.....Michael Moore struck a nerve in his new documentary, “Sicko,” when he extolled the virtues of the government-run health care systems in France, England, Canada and even Cuba while deploring the failures of the largely private insurance system in this country. There is no question that Mr. Moore overstated his case by making foreign systems look almost flawless. But there is a growing body of evidence that, by an array of pertinent yardsticks, the United States is a laggard not a leader in providing good medical care.

Tuesday 14 August 2007 Dr. Google and Dr. Microsoft
By STEVE LOHR
The two leading candidates for Web supremacy are working up their plans to improve the nation’s health care.
In politics, every serious candidate for the White House has a health care plan. So too in business, where the two leading candidates for Web supremacy, Google and Microsoft, are working up their plans to improve the nation’s health care.

Dr Mark Roper Staring page

What happens to a sick medical system when the government takes over? Watch the trailer for Sick and Sicker and find out. Would you like to be the first to see the full movie when it is released in late July? Sign up for an e-mail alert at sickandsickermovie.com under the "Get Update" button
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  • Wed1299 24 Jan Private clinics and Québec healthcare

    It is unfortunate that the Québec health care system which is excellent in quality, lacks adequate access. The failure of the government to provide timely access to the system has led to a small but expanding number of private clinics, which, if left unchecked, will ultimately erode the public system. It is to be hoped that the message will become clear to the government and that steps will be taken to provide us with the accessible, quality medical care that we expect, deserve and pay for. It is indispensable that we learn how to harness ideas and practices from the private system to make the public sector work better (something that the McGill Faculty of Management is addressing). Patient-centered collective bargaining would contribute to an efficient system. There is much to be learned from both the British and Australian systems.

    2006

    Sunday 03 December 2006 VANCOUVER: FIRST PRIVATE ER OPENS
    Canada's first privately-owned emergency clinic opened its doors on Friday, despite a warning by the B.C. government that it faces legal and financial jeopardy for doing so. The Urgent Care Centre employs 24 physicians who work in public emergency wards and contains 10 beds. The clinic's operator, Dr. Mark Godley, says the facility will relieve overcrowding in public emergency rooms. On Thursday, B.C. Health Minister George Abbott said that says the cabinet had met in an extraordinary session to pass a law that empowers the Medical Services Commission to investigate its billing practices. The investigation will enable the government to seek in injunction in the event that the clinic is in violation of federal or provincial law by charging fees for service already underwritten by Medicare. Mr. Abbott says the process could days days or weeks, adding that the clinic incurs serious legal risk if it opens on Friday.

    Tuesday Sep 5, 2006 The CMA's new president
    With the news that Dr Brian Day has been elected to head the Canadian Medical Association , albeit not until August 2007, there is increasing concern about the direction of the organization in the debate over private health care.

    If Wednesday Night is a representative sample, the consensus is moving from nowhere, no-how to an embrace of a mixed public-private medical care system. (Scribe: While the enthusiasm appears to revolve around waiting times, great news of mixed systems abroad appears to be unsubstantiated, no mention by the enthusiasts is made of the cost of catastrophic illness versus that of annual checkups or Canadian health statistics versus those of countries presented as models. Your scribe dates back to pre-Medicare days when the mixed-care system very much resembled that now proposed and it wasn’t that great. hb)

    May 16 2006 Castonguay urges user fee for visits to doctor [$25 + gst?] Castonguay says a user fee is needed to keep the system running, "because the other options would mean in increase in taxation, and the level of taxation for individuals or for corporations in Quebec is already too high."
    But Quebec Health Minister Philippe Couillard dismissed the idea. He said it won't happen here, at least not for now.

    Friday Mar 3, 2006 ts Harper touts Quebec reforms
    Prime Minister Stephen Harper is encouraging the provinces to follow Quebec's ? and not Alberta's ? proposals for health care reform. Andrew Mills reports.

    Thursday Mar 2, 2006 ts Klein makes private health care move
    Alberta has launched a major test of medicare rules, with plans to allow private insurance, let patients pay for faster procedures and let doctors work in either the public and for-profit systems.

    Experts' free advice for PM
    Four leaders in Canadian health policy were asked: If you were Stephen Harper, how would you respond to Klein's so-called Third Way plan for health-care reform?

    Klein tosses book at page
    EDMONTON—Premier Ralph Klein has apologized for throwing a booklet at a teenaged page in the legislature during a debate yesterday over Alberta's health-care reforms.
    Klein tosses health bombshell into Harper's lap Only weeks into their mandate, the federal Conservatives face a major test of their election commitment to defend the Canada Health Act, which sets the rules for single-tier medicare.

    2005

    Sunday Dec 18, 2005 Montreal Children’s Hospital

    Tuesday Dec 6, 2005 ts Layton softens stand on clinics
    NDP Leader Jack Layton, who has portrayed himself as the lone champion of public health care, now admits he can't stop the growth of two-tier medicine in Canada, reports Bruce Campion-Smith.

    Monday Dec 5, 2005 nyt Health Coverage of Young Widens With States' Aid
    By JOHN M. BRODER
    Despite rising health care costs, the number of American children without health care coverage has been steadily declining.

    Sunday Dec 4, 2005 rci A new poll shows that many Canadian voters aren't opposed to a mix of public and private health care. The poll by the Decima Research firm last month found that one-half of respondents would vote for a party pledged to renewing medicare, yet allowing a mix of public and private services. A majority of Conservative or Bloc Québécois voters favoured that approach, but 46 per cent of Liberals also felt that way. However, 42 per cent of those asked also said they would be more likely to vote for a party which proposed a stronger public system without private services.

    Wednesday Sep 28, 2005 OPED: The world according to Marc
    Lessons learned from 45 years of insights into Canadian health care [thanks to Dr Alexandra]

    September 17, 2005 ts Romanow fears `end of medicare'
    The Supreme Court of Canada's 4-3 decision to strike down Quebec's ban on private health insurance could be "the end of medicare as we know it" and a "serious body blow" to the future of Canada, Roy Romanow says.

    from Wed 1237 Public/private healthcare and waiting times

    Dr.Mark Roper attended a three-day meeting in Ottawa of the CMA Health Council that is due to report on public/private interface by February. The Council looks at the existing variations on public/private healthcare delivery (i.e. private physician delivers services to patient with publicly-funded Medicare card) which, with the Chaouli decision of the Supreme Court, are expanding to include private delivery/private funding. The Council is to examine the interface between these options; secondly, the Council looks at the safety net - public safety net – a limited public fund that will assist (fund) patients to get access to needed care in another place. The private safety net is privately funded and designed to fill the breach when the public one runs out of money. Key to the safety net concept is wait times (another group looks at this subject) – but there is a small group of high-profile diseases that attract all the media attention. One technique to limit the measurement of wait times, is to limit access to family doctors, thus decreasing the number of referrals that might be subject to wait times analysis. The situation is worrisome and the solutions appear diabolical.

    Sunday Sep 11, 2005 ts Private sector to fund new mental health centre
    The long-awaited redevelopment of the Centre for Addiction and Mental Health will be bankrolled by the private sector.

    Friday Aug 19, 2005 ts Myopic on medicare
    Canada`s doctors have proven to be discouragingly myopic in the decision they took at this week`s meetings of the Canadian Medical Association to back a parallel, private health-care system. Their short-sightedness has produced a flawed diagnosis of what ails the system and a misguided treatment plan that is anything but a cure.

    Thursday Aug 18, 2005 rci Canadian doctors have given signs of being divided in their opinions about the future of the public health care system. Delegates to the Canadian Medical Association's annual conference voted on several resolutions on Tuesday concerning health care. They voted in favour of a resolution that said medical care should be based upon need not ability to pay. But they voted by a two-thirds margin against a second resolution that called on delegates to denounce a parallel, private health-care system as a solution to the problem of long waiting lists. Several physicians said during debates on the resolutions that more study of the problem of waiting times is needed.

    Wednesday Aug 17, 2005 ts Canada`s doctors must lead renewal
    As the gatekeepers of Canada`s health-care system, doctors are acutely aware of the problems that first show up in their overcrowded waiting rooms. Every day they must perform triage to help their sickest patients circumvent long wait times to see a specialist, or to find scarce hospital beds for those too ill to wait in line. And they must tell other patients to put up with delays.

    Wednesday Aug 17, 2005 rci EDMONTON: PHYSICIANS WEIGH PUBLIC VS. PRIVATE CARE
    The Canadian Medical Association on Monday has begun its annual meeting and the chief topic of debate will be the balance between public and private health care. Delegates heard a ringing defence of the country's public health care system from the federal health minister. Ujjal Dosangh says Canadians shouldn't be driven away from the public system by invidious comparisons with other countries or by a recent Supreme Court of Canada decision. The court ruled that it's unconstitutional to prevent Canadians from paying for private health care if the public system cannot deliver timely service. Mr. Dosangh pointed out that Canadians might be reluctant to accept solutions which other countries do. He noted that Norwegians pay higher taxes, the British accept lower health standards and Germans have unequal access. Earlier, the head of the CMA, Dr. Albert Schumacher, said participants may endorse resolutions that would urge federal and provincial governments to explore the expansion of privately-delivered medicine to alleviate the pressure on the public system. He cited as an example the difficulty of the country's 16 medical schools in training enough doctors. Dr. Schumacher says that since it will be hard to convince the federal and provincial governments to increase funding for medical schools, the intervention of the private sector may be a necessity.

    Monday Aug 15, 2005 idem The case for private care - Should the Supreme Court have dismissed Quebec's ban on private medical services?
    Was the Supreme court right to knock down Quebec's ban on private medical and hospital insurance for services covered by medicare and the ban on private medical services in private hospitals by physicians who are not participating in medicare? Débat (en anglais) entre le Dr. J. Edwin Coffey, Senior Fellow à l’IEDM, et le Dr. Gordon Guyatt, professeur de médecine à la McMaster University, publié le 19 juillet dans The Medical Post.

    Sunday Aug 14, 2005 rci OTTAWA: SHADOW OF PRIVATE INSURANCE FALLING ON PUBLIC HEALTH The head of the Canadian Medical Association, Dr. Albert Schumacher, has advised Canadians to think about getting private health insurance. He called the Canada Health Act a "monolithic dinosaur" carved in stone. The Act ensures that all Canadians have access to government-funded health care. But health-care costs have soared over the past several years, leading to long delays before some health services can be provided. Dr. Schumacher says that one option might be non-profit insurance co-operatives. Canadians could use them to upgrade their current coverage, and to pay for procedures not covered by medicare, he said. Many Canadians oppose greater private health care, saying that it threatens to end government-sponsored aid altogether.

    Friday Aug 12, 2005 ts Doctors demand $3B to cut delays
    OTTAWA—The federal and provincial governments must intensify their efforts if they`re going to stave off the privatization of Canadian medicare, a coalition of physicians says.

    A public opinion shows that millions of Canadian are interested in the idea of subscribing to a system of private health care. The survey by the Decima Research polling firm based its questions on a plan for private health care that a company will start offering in Vancouver in October. Under the plan, members would pay an initiation fee of $1,700 a year and a further cost of $2,300 per year. Five-per cent of respondents answered that they would be very likely and 18 per cent likely to subscribe. Decima extrapolates that to five-million Canadians nationwide.

    Aug 6 gaz Doctors approve of two-tier health
    Canada's doctors overwhelmingly believe the recent Supreme Court ruling which cleared the way for private health insurance will lead to shorter wait times and better patient care, a new poll has found.
    The Canada-wide survey by Ipsos-Reid was commissioned by the Canadian Medical Association and released yesterday.

    Monday Jul 18, 2005 nyt Unprepared for a Flu Pandemic
    Neither the United States nor international health authorities are prepared to cope with an avian influenza pandemic.

    Friday Jul 15, 2005 ts Quebec won`t face suit over hospital waiting lists
    OTTAWA—Barely a month after ruling that lengthy hospital waiting lists violate patient rights under Quebec`s Charter of Rights, Canada`s top court has decided not to hear an appeal from breast cancer sufferers in the province who argue they should have received speedier treatment.

    July 12, 2005 cbc  Click  for Alberta Premier Ralph Klein says the time has come to 'move from ideas to action' to change the health-care system.Alberta's Ralph Klein has launched his 'Third Way' healthcare proposal
    Albertans who are willing to pay will be able to get upgraded hospital rooms and surgeries such as hip replacements under the province's long-awaited "third way" health-care strategy.

    Financial Post, p. FP-21 / Norma Kozhaya, 16 juin 2005J45 million myths: Better Canada's frayed health care system than unbridled U.S. capitalism that leaves millions with no safety net, right? Well, take a closer look
    We hear constantly that 45 million Americans have no health insurance, that public health care spending is inadequate and that the U.S. system is characterized by unbridled capitalism. These perceptions, however, are urban myths. Article (en anglais) de Norma Kozhaya, économiste à l'IEDM, publié le 16 juin dans le Financial Post.

    Sunday Jul 10, 2005 ts Judgment should proceed, clinics say
    OTTAWA—Quebecers and perhaps all Canadians could be seriously harmed if the Supreme Court of Canada delays its judgment striking down a ban on private health insurance in Quebec, says a group of private medical clinics in British Columbia.

    Tuesday Jul 12, 2005 OTTAWA: FEDERAL GOVT. BACKS QUEBEC IN MEDICARE RULINGM The Canadian government has joined the Quebec government in requesting that implementation of a decision by the Supreme Court of Canada regarding health care be delayed by 18 months. Ottawa's submission to the high court notes that Quebec needs time to develop a plan to conform with the decision. On June 9, the court handed out a ruling which agreed with the suit by two Quebecers that contended that long waiting lists constitute a violation of the province's Charter of Rights and Freedoms. The Quebec government based its request for a delay in giving effect to the ruling on the danger that immediate implementation could lead to the creation of a separate "for-profit" private medical system and a consequent flight to it on the part of medical specialists. The ruling has caused worry among defenders of Canada's public health-care system that the high court ruling will lead to similar court rulings in the other provinces, thus paving the way for a "two-tier" system throughout the country.

    Sunday Jul 10, 2005 rci TORONTO: CANADIANS UNAVERSE TO HEALTH-CARE FEES
    A new public opinion survey suggests a majority of Canadians would be willing to pay the necessary fees to avoid waiting lists for medical procedures in the public health care system. And the poll also suggests Canadian politicians are out of touch with the public's feelings on private health care. But recently, Canada's Health Minister Ujjal Dosanjh said a private health system would not result in shorter wait lists. His statement has been supported by some of Canada's leading health policy experts. Mr. Dosanjh was commenting on the Supreme Court ruling last month which struck down the province of Quebec's ban on private health insurance for services covered under medicare.The ruling could lead to a so-called two-tiered health system, at least in Quebec. That means that those who can afford it, would be allowed to pay for quicker private medical services rather than accept the longer waiting time under the publicly-funded health care system.

    Tuesday Jul 5, 2005 rci The Canadian province of Quebec has asked the Supreme Court of Canada to suspend for 18 months the implementation of a landmark ruling on health care which it handed down on June 9. The high court agreed with the representations of a health-care user and his physician that the patient's rights under the Canadian Charter of Rights and Freedoms have been violated by long waiting times at public health-care facilities. The ruling applies only to Quebec but there has been considerable concern that the ruling will lead to parallel health-care systems in all of the provinces and thus the end of medicare. Quebec's motion to the court says that delay is needed to prevent the harmful effects of such a parallel system. The motion says such a system would inevitably draw medical personnel away from the public system, thus harming the quality of public health care. Quebec and the western province of Ontario are the Canadian provinces where private, for-pay clinics have multiplied the most.

    Tuesday Jun 28, 2005 bcma Although written prior to the decision of the Supreme Court, the Editorial from the BC Medical Journal raises some interesting questions:
    "In the interim the Chaouli case ruling will come down from the Supreme Court and the smart money is currently on the success of the applicants. If that is the case, the Canada Health Act will have to be amended in order to allow Canadians to purchase private medical care in this country and at the same time allow third party co-insurers to sell their product to Canadians for private Canadian health care. If that is the directive from the Supreme Court I can’t see the NDP or the Bloc allowing the Liberal minority to pass amending legislation to the Canada Health Act and the whole thing will likely languish in committee until another government is formed. What a prolonged amendment delay means as far as the legal status of the Act is concerned is a question for constitutional legal experts, but it will be an interesting question to have answered."

    Thursday Jun 23, 2005 Canada's Health Minister Ujjal Dosanjh says a private health care system would not result in shorter wait lists. He says it is NOT more efficient or less expensive. His statement has been supported by some of Canada's leading health policy experts. Mr Dosanjh was commenting on the Supreme Court ruling earlier this month, which struck down the province of Quebec's ban on private health insurance for services covered under medicare. The ruling could lead to a so-called two-tiered health system, at least in the province of Quebec. That means that those who can afford it would be allowed to pay for quicker private medical services rather than accept the longer waiting time under the publicly-funded health care system. The court ruling is clear for Quebec but not for the rest of Canada.

    June 9 The historic decision by the Supreme Court struck down a Quebec prohibition that banned the use of private health insurance and private financing of hospital services to provide medically necessary services. Although the ruling applies only in Quebec, since the prohibition was found to violate Quebec's Charter of Human Rights and Freedoms, it could open the door to similar litigation in other provinces.

    CMA moves to reassure patients following 'historic' medicare ruling. President Albert Schumacher commented "This represents a stinging indictment of the failure of governments to respond to the mountains of studies and years of research with real action [regarding wait times]. In essence, the court has agreed with our fundamental position that Canadians have the right to timely access to health services." ]

    June 14 ... the head of the Health Council of Canada ... Michael Decter said last week's decision by the Supreme Court of Canada casts new light on the staffing shortage problem his independent advisory agency has highlighted as a key priority to curing medicare's woes.

    Cutting pdf NHS waiting times: Identifying strategies for sustainable reductions:
    click Rex Murphy The sacred Charter cat is among the holy health care pigeons

    June 9th, 2005

    Friday Jun 10, 2005 ts
    Striking at the heart of medicare The Supreme Court has delivered a hammer-blow to medicare. Technically, yesterday`s 4-3 decision to allow full-scale private health insurance in Quebec affects only one province. But the implications are grave for a medicare scheme that — thanks in large part to years of government cuts and years more of federal inaction — is still badly strained.

    Friday Jun 10, 2005 ts
    Timely health care a basic right, Supreme Court says
    OTTAWA—The Supreme Court has handed down a landmark ruling that invalidates Quebec`s ban on private health insurance and delivers a caustic critique of the shortcomings of Canada`s public health system.

    Friday Jun 10, 2005 rci OTTAWA: SUPREME COURT HANDS DOWN MAJOR DECISION ON MEDICARE The Supreme Court of Canada has struck down a Quebec law banning private insurance for services covered under medicare. The high court ruled that the law violates Quebec's Charter of Rights. The ruling paves the way for a so-called two-tiered health-care system, at least in the province of Quebec. That means that those who can afford it, would allowed to pay for quicker private medical services rather than accept the longer waiting times under the publicly-funded health-care system. The ruling is clear for Quebec but not for the rest of Canada. However, the ruling could become a precedent for several provincial governments that are favourable to the expansion of private health care services.

    Friday Jun 10, 2005 PROVINCES DIVIDED OVER MEDICARE RULING Reaction to the high court health-care ruling is mixed. Quebec Premier Jean Charest says he needs more time to review it. But Alberta Premier Ralph Klein says the ruling means that Canadians have the right to spend their own money on health care. Alberta has been the province most in favour of private health care. But in the neighbouring province of Saskatchewan Premier Lorne Calvert says he's disturbed by the possibility that the decision will lead to an American-style system of medicare. In Ontario, Premier Dalton McGuinty says that his government's Future of Medicare Act is a guarantee of universal, public medicare.

    Tuesday May 24, 2005 irppMedicare, Quebec Style, Has Opened the Way for a Lot of Private Clinics and Quebecers Don't Seem Perturbed
    IRP cyber-column by James Ferrabee

    Wednesday Mar 16, 2005 cn
    Stats Can: Cdns using alternative health care
    OTTAWA (CP) - More Canadians used alternative health care such as chiropractors, massage therapists and acupuncturists in 2002, says Statistics Canada.
    "An estimated 5.4 million people, reported having used some type of alternative or complementary health care in the year before the (2003) survey, confirming a trend toward higher use," the agency said Tuesday. "An estimated 11 per cent of the population aged 12 or older had consulted a chiropractor - the most common form of alternative care."

    Monday Feb 14, 2005 ts
     CREDIT: PIERRE OBENDRAUF, THE GAZETTE John Pappas, president of Westmount Square Surgical Centre, shows off its operating room, used for arthroscopic surgery.  250x176Private clinics charge 'set-up' fees
    Executives insist they're legal; medicare officials say extra payments are forbidden 'user charges'
    by AARON DERFEL
    Two private medical clinics in Westmount are charging patients substantial fees for quick access to day surgery and other procedures while its doctors are billing the Quebec medicare board at the same time, a Gazette investigation has uncovered.
    The board questions whether this is levying "user charges" on patients - a practice that is illegal under both the Canada Health Act and the law governing medicare in Quebec

    Sunday Feb 13, 2005 gaz
    click for Three weeks after giving birth to Emilie, Donna woke up feverish, nauseated and shaking. She went to a CLSC and was told to call Info-Sante. She then went to a walk-in clinic and waited 21/2 hours as her condition deteriorated. In desperation, Donna went to a private medical emergency clinic, where it was suspected she might have streptococcus A, the bacterium linked to flesh-eating disease. Donna was taken by ambulance to the Royal Victoria, where blood tests confirmed the worst. =We've got it in time,= an MD told her.250x220 Montreal leads the country in offering private health care
    Parallel medical services a way to avoid long, sometimes dangerous, wait
    AARON DERFEL
    Montreal has become the private health-care capital of Canada, offering a wide range of diagnostic, surgical and therapeutic services to those patients willing to pay out of pocket to bypass the public system, a Gazette investigation has found.
    A parallel health network for the well-heeled and well-connected has emerged in the city in the past five years amid swelling waiting lists in hospitals for MRI scans, orthopedic procedures, almost every type of day surgery, and a shortage of family doctors. Montreal, in effect, is now the mecca of private health in Canada, attracting patients from as far away as Vancouver Island.

    Friday Jan 14, 2005 ts Look at medicare for what it is — insurance Public money won`t fix health care, Klein says

    Wednesday Jan 12, 2005 cp Klein proposes 'third way' for health care First major policy speech since re-election calls for public-private mix

    Wednesday Jan 12, 2005 ts Klein: Why we need more private health
    CALGARY - More private health care would be a good thing for his province, Alberta Premier Ralph Klein says.

    Friday Dec 10, 2004 nn
    Canada's health tab: $130B
    OTTAWA - Growing expenditures on private care are expected to push Canada's total health care spending to a record $130-billion this year, about $4,000 for every man, woman and child in the country. According to data compiled in the annual report of the Canadian Institute for Health Information it's among the highest national health bills in the world.

    Oct 17, 2004 HEALTH MINISTERS UPBEAT AFTER ANNUAL MEETING Canada's federal and provincial health ministers have wrapped up their annual conference and say they have now begun to work out the details of their one-year plan to strengthen health care.

    Monday Oct 18, 2004 ts Doctor fined for helping patients get cheaper drugs A Florida doctor licensed to practise in Ontario has pleaded guilty to professional misconduct for issuing prescriptions to U.S. patients, sight unseen, so they could obtain cheaper Canadian drugs over the Internet.

    Oct. 17, 2004. ts Drug supply `crisis` feared New battle lines are being drawn in the cross-border battle over prescription drugs, with federal Health Minister Ujjal Dosanjh assuring Canadians that our drug supply is safe even as a coalition representing 10 million Canadian patients, seniors and pharmacists warns of "a potential crisis" fuelled by price-conscious Americans shopping for their drugs here.

    Monday Oct 4, 2004 ts MD deal aims to trim drugs for poor Doctors and the Ontario government have agreed to try to cut the taxpayer-funded prescription drug costs of the poor and elderly by $200 million over the next four years, the Star has learned.

    Montreal, October 13, 2004 IEDM Public drug insurance plans not taking full advantage of new medication, according to the MEI
    The true value of new, patented medication will not be known as long as provincial governments limit their use within the public drug insurance plans, according to Montreal Economic Institute (MEI) research director Valentin Petkantchin.

    Montreal, September 8, 2004 IEDM Health Funding MEI
    The true value of new, patented medication will not be known as long as provincial governments limit their use within the public drug insurance plans, according to Montreal Economic Institute (MEI) research director Valentin Petkantchin.

    Friday Aug 20, 2004 cbc GOODALE COOL TO PHARMACARE PLAN
    The federal finance minister poured cold water on premiers' hopes for a pharmacare program, saying the expense would severely restrict funds for other priorities such as reduced waiting times.

    Friday Aug 20, 2004 ts What doctor shortage? There is a lot of talk about the need to boost the training and retention of Canada`s medical workforce.
    .... So the problem isn't a shortage of physicians, but rather a "licensing bottleneck" as the Association of International Physicians and Surgeons of Ontario puts it.

    Friday Aug 20, 2004 ts Pharmacare must be part of reforms Billions of dollars in additional public funding is not the solution according to the Montreal Economic Institute

    Monday Aug 16, 2004 ts Health care a sore point An increasing number of Canadians is giving the country`s health-care system a failing grade, according to an annual "report card" on health care done for the Canadian Medical Association.

    Monday Aug 16, 2004 ts Editorial: Premiers derail medicare debate Ever since former Saskatchewan premier Roy Romanow laid out his plan to reform medicare nearly two years ago, he has remained hopeful that Canada`s political leaders would get on with the job. But now a note of worry is sounding in his voice. And with reason.

    Monday Aug 16, 2004 ts Health care a sore point An increasing number of Canadians is giving the country`s health-care system a failing grade, according to an annual "report card" on health care done for the Canadian Medical Association.

    Monday Aug 16, 2004 There's another development in Canada's long-standing debate over the funding of the country's health-care system. Prime Minister Paul Martin says the federal government cannot accept a proposal by the country's 13 provincial and territorial premiers. The local leaders last month suggested that the federal government assume the total cost of a national program for pharmaceutical drugs. Mr. Martin says the federal government couldn't afford the cost of such a program. The premiers have acknowledged that they didn't know how much their suggested pharmacare program would cost. Experts have variously estimated the cost of such a program at between $7 billion and $12 billion. Mr. Martin says he's more interested in discussing funding for pharmaceuticals in cases where extremely sick patients risk bankruptcy by having to pay for their own medicine. The premiers made their suggestion in preparation for their meeting on health care with Mr. Martin next month. The federal and provincial governments have been arguing for years about how much each level