Surgery wait lists remain persistently long in B.C. (Black Press files)

B.C. health ministry moves to bar extra billing

Debate continues over role of private clinics, wait lists in B.C.

The B.C. NDP government is moving to crack down on extra billing by private clinics, while spending more to increase publicly funded surgeries to stem growing waiting lists.

Health Minister Adrian Dix put extra money into hip and knee replacement surgeries as well as dental surgery, aiming for an increase of more than 9,000 additional procedures in the public system between now and the spring of 2019. Magnetic resonance imaging scans got another $11 million to diagnose joint conditions for surgery.

Dix has also put private surgery clinics on notice that they will be subject to greater enforcement of extra-billing for medically necessary procedures. As of October 2018, provisions of provincial law enacted in 2003 are to be brought into force, with repayment orders and fines starting at $10,000 and rising for “wrongly charging patients” for medically necessary surgeries as defined by the Canada Health Act.

“The consequences of the failure of the previous government to enforce the law has cost patients millions of dollars,” Dix said when he announced the new enforcement in April. “This has to stop.”

Three clinics have been audited by the B.C. ministry, with six more to come this year. Based on the initial audits, Ottawa reduced B.C.’s health transfer payments by $15.9 million as of March 2018 for violating the Canada Health Act.

The B.C. Health Coalition, a union-run advocacy group, presented symbolic billings for the $15.9 million Tuesday to clinics in Kelowna and Vancouver.

RELATED: Protest staged at Kelowna surgical centre

Meanwhile, the Canadian Institute for Health Information’s latest wait time data found many people waiting beyond the target wait time for hip and knee replacements as well as cataract surgeries in Canada, despite an increase in the number of surgeries since 2015.

International measures consistently show Canada lagging other developed countries in health care performance, behind countries such as the Netherlands, the United Kingdom and Germany, where more than a third of hospitals operate on a for-profit basis while treating patients with public health insurance.

A study released Tuesday by the Fraser Institute argues that Ottawa’s interpretation of the Canada Health Act prevents provinces from pursuing European-style reforms that have produced much faster medical service at similar cost.

Critics of the Canadian system say governments ration care by leaving surgical facilities idle to stay within a public budget, but pay extra for faster treatment for RCMP officers, military personnel and workers’ compensation cases at private clinics.

Dr. Brian Day, a former president of the Canadian Medical Association, continues a lengthy lawsuit challenging the government’s ability to bar procedures from his Cambie Surgery Clinic in Vancouver.

BC HealthHealthcare

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

Comments are closed

Just Posted

Loaded gun, hundreds of rounds ammunition seized in Victoria

Victoria police focus on Project Burnside Gorge Connect

Saanich police break up Canada Day gathering of nearly 200 youth in Mount Douglas Park

Officers observed underage drinking, public intoxication, lack of physical distancing

UPDATED: Motorcyclist escapes fire uninjured after onlookers sound alarm in Sidney

First ride of the season ends in flames for one motorcyclist

Undercover operation exposes prominent human trafficking problem in Greater Victoria

VicPD’s Operation No More took place in mid-June at a local hotel

Sooke’s homeless reflect on housing situation

Ed MacGregor Park a new temporary home for Sooke’s homeless population

‘This year is unlike any other’: Trudeau delivers Canada day address

Sophie Gregoire Trudeau and the Prime Minister release video celebrating the national holiday

Nestle Canada selling bottled water business to local family-owned company

The Pure Life bottled water business is being sold to Ice River Springs

Major B.C. salmon farm tests new containment system to curb sea lice infestations

System “essentially eliminates” contact between wild and farmed fish stocks, says Cermaq

Major B.C. salmon farm tests new containment system to curb sea lice infestations

System “essentially eliminates” contact between wild and farmed fish stocks, says Cermaq

US unemployment falls to 11%, but new shutdowns are underway

President Donald Trump said the jobs report shows the economy is “roaring back”

Ottawa jail inmates argue anti-COVID measures a breach of charter rights

The prisoners allege guards did not wear masks until April 25

Epstein pal arrested, accused of luring girls for sex abuse

Ghislaine Maxwell was in an intimate relationship with Epstein for years

B.C. repairs COVID-19 emergency order for local government

Ombudsperson shut out as his recommendations implemented

No doctor assisted death allowed at Hamlets in Duncan

Faith-based company that owns facility believes in sanctity of life

Most Read