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Wednesday January 18, 2023

January 18, 2023 by Graeme MacKay

Editorial Cartoon by Graeme MacKay, The Hamilton Spectator – Wednesday January 18, 2023

‘Always an upsell’: health critic Gélinas pans Ford’s OHIP plan

Nickel Belt MPP France Gélinas says northerners won’t benefit from Premier Doug Ford’s plan to expand the range of medical procedures performed in privately-run clinics.

May 9, 2012

On Thursday, Ford and Health Minister Sylvia Jones announced the three-phase plan, beginning with surgical and diagnostic clinics in Ottawa, Kitchener-Waterloo and Windsor performing an additional 14,000 cataract operations each year, which represents about 25 per cent of the province’s current wait list for the procedure.

Next, more private clinics will be able to offer MRI and CT imaging, as well as colonoscopies and endoscopies.

The government intends that by 2024, the third phase will see hip and knee replacements performed at for-profit clinics.

“These procedures will be non-urgent, low-risk and minimally invasive and, in addition to shortening wait times, will allow hospitals to focus their efforts and resources on more complex and high-risk surgeries,” the province said in a news release.

But Gélinas said the plan is a long way from the original vision of Tommy Douglas, where case care is based on needs, not your ability to pay.

“It’s already happening,” Gélinas said. “If you look at the cataract surgery, you have your cataract surgery done in the hospital. Nobody pays anything. But you have the same ophthalmologist, same surgeon doing the same procedures in their private clinic, and there is almost always an upsell.”

November 19, 2020

“Another $150.00 to remeasure the eye, $400.00 to use a lens that they prefer, $1000 for this and that and the other thing,” Gélinas said. 

Gélinas estimates that most private facilities are located in southern Ontario, while only a handful have set up shop in the north.

Once the province gives cities in the north the green light to open more private clinics, patients who choose to use their services can expect to be pushed to spend more money, Gélinas said.

“They find ways to make you pay and it’s a barrier to care,” Gélinas said. The province’s motivation in permitting the clinics, Gélinas said, is for a handful of providers to make money.

“There is a lot of money in healthcare,” Gélinas said. “If you look at the budget, $76 billion in Ontario from taxpayers’ money goes toward healthcare.”

April 1, 2021

“A lot of people are interested in health care not because they want to help people, because they want to make money,” she said. “There is a lot of money to be made off the back of sick people and it attracts a lot of investors.”

But Dr. Stephen Cooper, District 9 chair of the Ontario Medical Association (OMA), said doctors have been expecting this move from the province for awhile, and for the most part, are welcoming the plan.

“Sudbury and the entire northeast are struggling with managing wait lists, particularly in some of the surgical procedures,” Cooper said. “So when it comes our way, I think it’ll be of great benefit.”

Cooper said the system, at its best, would allow private clinics to specialize, and help ease some of the congestion in hospitals. (CBC) 

 

Posted in: Ontario Tagged: 2023-02, clinic, for profit, funding, health, health care, Hip, knee, Ontario, orthopaedic, private, public, replacement, showroom, upset

Tuesday January 17, 2023

January 17, 2023 by Graeme MacKay

Editorial Cartoon by Graeme MacKay, The Hamilton Spectator – Tuesday January 17, 2023

Ontario expanding number and range of surgeries offered at for-profit clinics

Ontario is significantly expanding the number and range of medical procedures performed in privately run clinics as the province deals with a surgical backlog made worse by the COVID-19 pandemic.

November 9, 2022

The change will be introduced over three phases. The first will see surgical and diagnostic clinics in Ottawa, Kitchener-Waterloo and Windsor perform an additional 14,000 cataract operations each year, representing about 25 per cent of the province’s current wait list for the procedure.

Next, more private clinics will be able to offer MRI and CT imaging, as well as colonoscopies and endoscopies.

“These procedures will be non-urgent, low-risk and minimally invasive and, in addition to shortening wait times, will allow hospitals to focus their efforts and resources on more complex and high-risk surgeries,” the province said in a news release.

The government intends that by 2024, the third phase will see hip and knee replacements performed at for-profit clinics.

The impending changes were outlined by Premier Doug Ford and Health Minister Sylvia Jones at a news conference Monday.

December 1, 2021

Ford and Jones said several times the care will be covered by OHIP, and Ford stressed patients will “never use their credit cards” at the clinics. He didn’t directly answer a reporter’s question about whether or not clinics would be allowed to upsell patients on associated elements of care.

While the changes are needed because of the province’s long surgery wait lists, Ford said, they will be kept in place permanently even after the backlog is cleared.

There are currently about 900 privately operated surgical and diagnostic clinics open in Ontario, Jones added. The province plans to approve licences for additional clinics in the future, she said.

Legislation set to be introduced in February would “strengthen oversight” of private health facilities, the news release said, and the province will continue to update its standards for how they deliver care.

Various health-care professionals told CBC Toronto last week they are concerned that the plan would drain resources from publicly funded hospitals and benefit the owners of private-sector clinics without improving patient care.

May 13, 2021

Jones said the changes will not affect staffing levels at hospitals in the province, while Ford lamented “endless debates” about who should deliver health care.

“The way I can describe it, you have a dam, you have a log jam, are you going to just keep pouring the water up against the logs?” Ford said.

“Or are you going to reroute some of the water and take the pressure off the dam? You see what happens when the dam has too much water, it breaks.”

Speaking to reporters, presumptive NDP Leader Marit Stiles said MPPs should be called back to the legislature immediately so the details of the plan can be debated. Stiles accused Ford of manufacturing a staffing crisis in hospitals via his government’s wage restraint law and “following the privatization playbook to a tee.”

“Make no mistake, Doug Ford is misleading you when he says that funding surgeries in private, for-profit clinics won’t have an impact on Ontarians,” Stiles said at Queen’s Park, adding believes the changes mark early steps toward a two-tiered health-care system in the province. (CBC) 

 

Posted in: Ontario Tagged: 2023-01, cronies, developer, Doug Ford, for profit, funding, greenbelt, health, health care, Ontario, private, public

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This website contains satirical commentaries of current events going back several decades. Some readers may not share this sense of humour nor the opinions expressed by the artist. To understand editorial cartoons it is important to understand their effectiveness as a counterweight to power. It is presumed readers approach satire with a broad minded foundation and healthy knowledge of objective facts of the subjects depicted.

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