Stockwell Day holds up a new sign


Five and a half months removed from cabinet, Stockwell Day says we must summon the courage to consider two-tier health care.

By stubbornly refusing to allow the development of a modern system that allows those who can willingly afford it to buy services, while still providing properly for the rest of us, we are dooming every provincial budget … if we continue to demonize every MLA or MP who wants to at least look at the options and possibilities then we condemn ourselves to higher costs, higher deficits, higher taxes and lower levels of care. Even the socialized systems of European nations allow for fee for service (translation: two tier) systems.

“Two-tier health care” is a rather fraught phrase that can be interpreted variously, but the idea of “fee for service” health care is seemingly what Mr. Day rejected when confronted with this issue in 2000.


Stockwell Day holds up a new sign

  1. Can somebody kindly let Mr. Day know private clinics already operate freely and under the law in Canada.

    It’s despairing that this man was ever elected when he has such a complete lack of understanding of the basic facts that he’s talking about.

    • Despairing, Yes, but it seems to be a proudly proclaimed prerequisite nowadays.

  2. We already have a two-tier system.  Day wants a two-class system.

  3. Who is the government to tell me how to spend my own money?

    Why can’t I pay for services if I can afford it?

    • You can. That’s the kicker. He’s just plain ignorant.

      • Actually, for most medical services, you can’t. Unless you mean going to the U.S. for treatments, then yes, I can do that. But wouldn’t it be better if that money stayed in Canada?

        • I don’t believe there’s any legislation that prevents any medical services from being offered on a completely private basis. So if you can’t, that’s a fault of the marketplace, not the government.

          • There’s so much politicking and disinformation, and I would like someone to correct me if they think I’m wrong on this, but my understanding is that you can’t buy private insurance to pay for private medical services that are covered by medicare.  But you can always pay out of your own money to buy those private medical services, here or in the US or wherever – and yes, there is no marketplace for it.  The people I know who have tried US medical care gave up, opting to remain with the Canadian medicare system which they found just as good : they were not millionnaires for nothing.

            To practise medicine in Canada you have to be registered with the governing body of your province, the College of Physicians and Surgeons of Ontario in mine.  Nothing prevents a duly registered-doctor from practising outside of the medicare, except economics. And nothing stops a citizen from getting care outside of medicare, except economics. It can certainly be argued that medicare is hampering the free marketplace in medical services in Canada.

          • That is not true. It varies by province, but generally a private clinic cannot duplicate medical services publically covered. In most provinces you are free to setup a private medical clinic so long as you deliver services through the public funding model (i.e. you can only charge the provincial gov’t the going rate for the service, you cannot charge the patient directly).  There are some exceptions, e.g. in Ontario MRI and CAT scans can be billed privately, but only with a doctor’s referral and only outside of regular business hours.  Beyond a few similar exceptions, medical clinics can only bill for services not covered publically.

          • This is news to me. My understanding was that you could deliver duplicate services if, and only if, you did not do both public and private services within the clinic.

            That is, if lung transplants are covered, you can set up a clinic to do lung transplants privately, but within that clinic you cannot get any sort of public funding for anything.

            I think I heard that both BC and Quebec, at least, do this.

            If you could point me to the relevant legislation, I’d be most happy to read it.

  4. Stock never saw a third rail he didn’t grab.

  5. I personally stopped counting current Canadian health care tiers at 5.  Don’t tell the Friends of Medicare.

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