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

Just Posted

City reviewing plans for huge Sandstone project in south Nanaimo

Seacliff Properties says it’s been told to be ready for a public hearing this fall

Ferry riders say lower fares are what’s most needed to improve service

Provincial government announces findings of public engagement process

COVID-19 isn’t cancelling this year’s Tour de Rock

Alumni riders will cycle relay sections in their own communities

POLL: Can B.C. hold a provincial election safely during a pandemic?

Can B.C. hold a provincial election safely during a pandemic?… Continue reading

Trail proposed to connect Cedar and Yellow Point

Regional director says project fits with active transportation goals

POLL: Can B.C. hold a provincial election safely during a pandemic?

Can B.C. hold a provincial election safely during a pandemic?… Continue reading

Nanaimo RCMP community policing needs a few good volunteers

Volunteers needed to help Nanaimo RCMP and city deliver crime prevention and safety programs

Protesters march in Nanaimo, calling for greater protection of forests and watersheds

March for the Forests happened downtown on Friday afternoon

City of Nanaimo begins project planning for multimillion-dollar public works yard upgrades

Councillors vote to reallocate $200,000 to develop architectural concepts and cost estimates

Nanaimo residents ticketed for putting out garbage bins the night before pickup

Conservation officers say they issued seven tickets this week, as warnings weren’t having an impact

Accused in Makayla Chang’s murder sees next court date in October

Steven Michael Bacon faces first-degree murder charge in killing of Nanaimo teen

Regional District of Nanaimo looks to create its own flag

Staff created makeshift flag earlier this year for a conference that ended up getting cancelled

Nanaimo senior defrauded out of $14,000 in ‘grandson scam’

80-year-old victim was told her grandson was out-of-province and in legal trouble

VIDEO: B.C. to launch mouth-rinse COVID-19 test for kids

Test involves swishing and gargling saline in mouth and no deep-nasal swab

Most Read