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

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

Amanda Parsons, a registered nurse on staff at the Northwood Care facility, administers a dose of the Moderna vaccine to Ann Hicks, 77, in Halifax on Monday, Jan. 11, 2021. THE CANADIAN PRESS/Andrew Vaughan-Pool
61 new COVID-19 cases, two more deaths in Interior Health

Twenty-nine people are in hospital, seven of whom are in intensive care

(Big White Ski Resort)
28 more cases of COVID-19 linked to Big White cluster

More than 200 cases have been identified since the cluster was announced

Community mental health workers are in high demand, and a new program at Selkirk College will provide opportunities in this field. File Photo
Selkirk College to train community mental health workers

Twelve students will complete two courses enabling them to work in health and human services

Dr. Cori Lausen, bat specialist, has questions about logging in an unusual bat habitat near Beasley. Photo: Submitted
Kaslo biologist questions logging at unique West Kootenay bat site

Dr. Cori Lausen, a bat specialist, studies a population of bats above Beasley

Robbie Campbell lost his livelihood when the pandemic shut down Shambhala Music Festival. Instead, he spent part of 2020 working on a children’s book called Tulip that is now available. Photo: Submitted
In a lousy year, a Kootenay man was saved by a pink T-rex

Robbie Campbell became a children’s author after the pandemic cost him his livelihood

Syringe is prepared with one of B.C.’s first vials of Pfizer vaccine to prevent COVID-19, Victoria, Dec. 22, 2020. (B.C. government)
B.C.’s COVID-19 caseload stays steady with 465 more Tuesday

No new outbreaks in health care facilities, 12 more deaths

New Westminster TV production designer, Rick Whitfield, has designed an office in a box for British Columbians in need of a private workspace. (BC Box Office photo)
PHOTOS: B.C. man designs ‘box office’ solution for those working from home

‘A professionally designed workspace on your property, away from the distractions of home’

Chilliwack ER doctor Marc Greidanus is featured in a video, published Jan. 18, 2021, where he demonstrates and describes effectiveness of various styles of masks. (Youtube)
VIDEO: Emergency room doctor runs through pros and cons of various masks

‘We’ve been asked to wear a mask and it’s not that hard,’ Greidanus says.

(Pixabay photo)
VIDEO: Tip to Metro Vancouver transit police helps woman 4,000 km away in Ohio

Sgt. Clint Hampton says transit police were alerted to a YouTube video of the woman in mental distress

A woman types on her laptop in Miami in a Monday, Dec. 12, 2016, photo illustration. THE CANADIAN PRESS/AP/Wilfredo Lee
British Columbia government lax on cybersecurity practices, auditor reports

The audit did not highlight a specific threat, but it found breaches in cybersecurity are increasing globally

Cranbrook Food Bank coordinator Deanna Kemperman, Potluck Cafe Society executive director Naved Noorani and Sunshine Coast Community Services Society executive director Catherine Leach join B.C.’s new Municipal Affairs Minister Josie Osborne on a video call about B.C. gaming grants, Jan. 19, 2021. (B.C. government)
B.C. gaming grants reorganized for COVID-19 priorities

Minister highlights community kitchens, food banks

(Pixabay photo)
‘Cocaine bananas’ arrive at Kelowna grocery stores after mix up from Colombia: RCMP

Kelowna RCMP recently concluded an international drug investigation after finding cocaine in local grocers’ banana shipments in 2019

A new video from NCCIH and BC Northern Health titled ‘Healing in Pandemic Times: Indigenous Peoples, Stigma and COVID-19’ was animated by Joanne Gervais. (Photo Provided By: NCCIH Archives)
VIDEO: Stigma against Indigenous people is a ‘social sickness’

A new short animated video is aiming to educate the public on the stigmatization

A pinniped was attacked by an unseen predator off the shores of Dallas Road Monday night. (Courtesy of Steffani Cameron)
VIDEO: Seal hunting, not being hunted in video shot off Victoria waterfront

Victoria woman captures footage of pinniped activity off Dallas Road

Most Read