2019-08-01 from cbc.ca

I'm an emergency room physician in Ottawa. I may have even been working when CBC Opinion columnist Neil Macdonald presented for care, which he wrote about back in June. The scene he described of long wait times, fatigued staff, and bed shortages is, unfortunately, all too familiar to me.  

I have great empathy for what he experienced. It is a terrifying thing to be in a hospital, in pain, and unsure of what is wrong. However, I question his conclusion that the answer to this problem is lies in privatization of Canadian health care services. 

Universal health care is a defining trait of Canada, and one that we cannot take for granted. I take great pride in working in a system where everyone can get the care that they need, rather than only those who can afford it getting the care that they want. 

Those "Code Blue, Code White, Code whatevers" that Macdonald so casually referenced in his column are all critical patient emergencies, which require emergency staff to drop everything and run to the patient's side. 

In those situations, every possible measure will be taken to provide every patient with the highest quality of care, regardless of income status. Whether you are a member of parliament or a single parent who is out of work, you will leave the hospital with your cardiac stent, or your emergency surgery, or whatever other treatment is required to get you back to your life and your loved ones. And you will do so without ever opening your wallet. 

Universal health care also allows us access to primary care and preventative medicine to keep our population healthier and prevent those emergencies from developing in the first place. Much of the available evidence suggests that the failings in our health care system are due to a lack of sufficient public spending, not because there is not a private alternative.

In fact, the Scandinavian health care system that Macdonald touts in his column actually devotes a greater percentage of its annual health care spending toward its public systems than we do. According to the Canadian Institute for Health Information, Sweden devoted 84 per cent of its total health expenditure to its public sector in 2017, compared to only 70 per cent in Canada, while achieving higher average life expectancies and lower rates of mortality and morbidity in a population that is older than ours. 

That's not to say that our system doesn't have problems. Wait times for non-emergency procedures, such as joint replacements, are too long. Hospitals are overcrowded. Family doctors are hard to find. I don't deny any of this. But no Canadian will be denied time-sensitive or life-saving care because they can't afford it. Nor will they wake up to a lifetime of crippling medical debt in exchange for the privilege of being alive.

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