(Black Press Media file)

(Black Press Media file)

Key to keeping doctors from private health care is a strong B.C. Medicare: UBC prof

Quebec’s example could provide a guideline for B.C.

The battle over a private surgery centre in Vancouver could have big implications for physicians choosing whether to practice in the public or private system.

That’s according to Michael Law, a professor at the University of B.C.’s school of population and public health. Law partnered with University of Victoria researchers to look at how Quebec doctors left the public health care system after two policy changes. The first was a 2005 Supreme Court of Canada ruling on Chaoulli v. Quebec that found the province’s banning of private insurance for publicly insured medical services violated the Quebec Charter of Human Rights and Freedoms. The second was a regulatory clampdown forbidding double billing that was implemented by Quebec’s government in 2017.

In B.C., the issue of double billing is likely headed to the province’s top court, after the Cambie Surgery Centre lost a bid to double-bill patients at the B.C. Supreme Court. Double billing is when a health-care provide bills the patient and the government for the service. Owner Dr. Brian Day had claimed the B.C. government was denying patients the right to timely care by not letting them go private.

Day lost the ruling, but will likely appeal the decision.

Law said the decision of that ruling could have longstanding implications for B.C.

“British Columbia does not allow physicians to practice in both the public sector and private sector, you either have to be in or out,” he said. “One of the sections in the Medicare Act that was under challenge was that section.”

Law said that his team looked at Quebec doctors because unlike B.C., that province publishes a monthly list of physicians who have opted out of the public sector. In B.C. he said, while private surgery clinics are popular, it’s impossible to tell how many doctors are leaving the public system.

In Quebec, the number of doctors leaving is significant. For specialists, researchers found 23 doctors opted out in 1994, compared to 150 in 2019 – a 552 per cent increase.

For family doctors, the rise in those leaving the public system was even higher. In 1994, nine family doctors had opted out of the public system. By 2019, that number had grown to 347 – a spike of 3,755 per cent. If that trend is mirrored in B.C., where family doctors are already often lacking, the province could have a problem on its hands.

But Law said that regardless of the results of the Cambie Surgery Centre’s appeal, there are steps the province can take to make sure doctors stay in the public system.

“Don’t give people a reason to want to go to the private sector,” he said. “You need to maintain a level of quality and accessibility in the public sector that doesn’t make people feel the necessity of going private and paying to get things done.”

READ MORE: B.C. Supreme Court rules against private healthcare centre, sides with province


@katslepian

katya.slepian@bpdigital.ca

Like us on Facebook and follow us on Twitter.

Want to support local journalism during the pandemic? Make a donation here.

Healthcare

Get local stories you won't find anywhere else right to your inbox.
Sign up here

Just Posted

Mike Beaudoin, Cory Ross, Don Parker, Harpal Aulakh Bart Schneider, Charles McDevitt and Jordan Cook show off some of the equipment Aulakh donated to the Quesnel Fire Department (Karen Powell Photo - Quesnel Cariboo Observer)
Quesnel business donates rescue sled to fire department

The owner of AUL repair, Harpal Aulakh, supplied $5,000 worth of equipment

The City of Williams Lake is asking for public feedback on whether it should explore the opportunity to host a Greater Metro Hockey League team in Williams Lake. (Angie Mindus photo - Williams Lake Tribune)
City of Williams Lake seeks feedback on hosting junior hockey league team

A league expansion application in Quesnel is also pending

The campground will be inside Quesnel, where the public works building used to be. (City of Quesnel Riverfront Plan)
Quesnel municipal campground project receives $500K in provincial funding

$20 million in funding was given to shovel-ready tourism projects across the province

A timing board was set up so skiers could record their own times. Savannah Robinson, who competes in biathlon as well, got a chance to test her skiing power. She came in second in the 20km classic race. (Cassidy Dankochik Photo - Quesnel Cariboo Observer)
Cariboo Ski Touring Club ‘So-Lo-Ppet’ results

The Quesnel cross-country skiing group was forced to change because of COVID

Members of the Quesnel RCMP Detachment wore their best pink shirts to support anti-bullying efforts. (Back row – Constable Sean Terry, Sergeant Rirchard Weseen, Constable Bob Kalman, Constable Alyssa MacNeil Middle – Constable Doug Erickson, Patti Thompson, Cindy Osip, Constable Cody Brown Front – Dana Bouchard, Staff Sergeant Darren Dodge, Kellie Hipkin) (Karen Powell Photo - Quesnel Cariboo Observer)
Quesnel RCMP goes pink in effort to stop bullying

Officers and staff from the detatchment participated in Pink Shirt Day

Provincial health officer Dr. Bonnie Henry updates B.C.’s COVID-19 situation at the B.C. legislature. (B.C. government)
B.C. reports 10 additional deaths, 395 new COVID-19 cases

The majority of new coronavirus infections were in the Fraser Health region

A new survey has found that virtual visits are British Columbian’s preferred way to see the doctor amid the COVID-19 pandemic. (Unsplash)
Majority of British Columbians now prefer routine virtual doctor’s visits: study

More than 82% feel virtual health options reduce wait times, 64% think they lead to better health

Carolyn Howe, a kindergarten teacher and vice president of the Greater Victoria Teachers’ Association, says educators are feeling the strain of the COVID-19 pandemic and the influx of pressure that comes with it. (Nina Grossman/News Staff)
Stress leave, tears and insomnia: Island teachers feel the strain of COVID-19

Teachers still adjusting to mask and cleaning rules, pressures from outside and within

Captain and Maria, a pair of big and affectionate akbash dogs, must be adopted together because they are so closely bonded. (SPCA image)
Shuswap SPCA seeks forever home for inseparable Akbash dogs

A fundraiser to help medical expenses for Captain and Maria earned over 10 times its goal

The missing camper heard a GSAR helicopter, and ran from his tree well waving his arms. File photo
Man trapped on Manning mountain did nearly everything right to survive: SAR

The winter experienced camper was overwhelmed by snow conditions

Cory Mills, Eric Blackmore and A.J. Jensen, all 20, drown in the Sooke River in February 2020. (Contributed photos)
Coroner confirms ‘puddle jumping’ in 2020 drowning deaths of 3 B.C. men

Cory Mills, Eric Blackmore and A.J. Jensen pulled into raging river driving through nearby flooding

Castlegar doctor Megan Taylor contracted COVID-19 in November. This photo was taken before the pandemic. Photo: Submitted
Kootenay doctor shares experience contracting COVID-19

Castlegar doctor shares her COVID experience

Ashley Paxman, 29, is in the ICU after being struck by a vehicle along Highway 97 Feb. 18, 2021. She remains in critical condition. (GoFundMe)
Okanagan woman in ICU with broken bones in face after being struck by car

She remains in serious condition following Feb. 18 incident

Vancouver International Women in Film Festival kicks off March 5.
Women in Film Festival features two B.C. filmmakers

The 16th annual festival kicks off March 5, 2021

Most Read