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

LEFT: Krista Macinnis, with a red handprint across her face that symbolizes the silencing of First Nations people, displays the homework assignment that her Grade 6 daughter received on Tuesday. (Submitted photo)
RIGHT: Abbotsford School District Kevin Godden says the district takes responsibility for the harm the assignment caused.
Abbotsford school district must make amends for harmful residential school assignment: superintendent

‘The first step is to unreservedly apologize for the harm … caused to our community’: Kevin Godden

Chilliwack School District school bus outside Sardis elementary on June 11, 2014. (Jenna Hauck/ Chilliwack Progress file)
COVID-19 exposures on three school buses in Chilliwack

Exposure dates range from Nov. 13 to 19, according to letters sent out by Fraser Health

File photo
Outdoor recreation generates close to $1 billion annually in Fraser Valley: report

Camping, hiking and sportfishing generate the most spending, report finds

Chief Robert Gladstone of Shxwha:y Village at a federal flood funding announcement April 24, 2019. (Jenna Hauck/Chilliwack Progress file)
Consortium of Indigenous chiefs seeking a way to participate in cannabis economy

All Nations Chiefs from the Shxwha:y, Cheam, Soowahlie and Sq’ewlets holding online forum Dec. 2

The Santa Photos event will not continue at Highstreet Shopping Centre after Fraser Health asked organizers to suspend the event after new restrictions. (Highstreet photo)
Santa Photos at Abbotsford’s Highstreet Shopping Centre event suspended

Fraser Health Authority asked Highstreet to suspend event following new restrictions

Mary Cox and Jack Plant dance in their pyjamas and slippers at the morning pyjama dance during the Rhythm Reelers’ 25 Annual Rally in the Valley Square Dance Festival in Chilliwack on June 4, 2011. Sunday, Nov. 29, 2020 is Square Dancing Day. (Jenna Hauck/ Chilliwack Progress file)
Unofficial holidays: Here’s what people are celebrating for the week of Nov. 29 to Dec. 5

Square Dancing Day, Disability Day and International Ninja Day are all coming up this week

Black Press Media and BraveFace have come together to support children facing life-threatening conditions. Net proceeds from these washable, reusable, three-layer masks go to Make-A-Wish Foundation BC & Yukon.
Put on a BraveFace: Help make children’s wishes come true

Black Press Media, BraveFace host mask fundraiser for Make-A-Wish Foundation

Kevin Bieksa during his days playing with the Vancouver Canucks. (Photo: commons.wikimedia.org)
Bieksa to guest on free Canucks Alumni ‘Hot Stove’ on Zoom app

Former NHL player has become a game analyst on Sportsnet

Elissa McLaren broke her left elbow in the Sept. 20, 2020 collision. (Submitted)
Surviving victims of fatal crash in Fraser Valley asking for help leading up to Christmas

‘This accident has taken a larger toll financially, mentally and physically than originally intended’

Chilliwack school trustee Barry Neufeld (left) and former BCTF president Glen Hansman (right).
BC Court of Appeal left to walk tightrope of freedom of expression in Neufeld-Hansman case

Is defamation lawsuit aimed at stifling free expression or does the defamation hinder free speech?

114 Canadians were appointed Nov. 27 to the Order of Canada. (Governor General of Canada photo)
Indigenous actor, author, elder, leaders appointed to Order of Canada

Outstanding achievement, community dedication and service recognized

Screenshot of Pastor James Butler giving a sermon at Free Grace Baptist Church in Chilliwack on Nov. 22, 2020. The church has decided to continue in-person services despite a public health order banning worship services that was issued on Nov. 19, 2020. (YouTube)
2 Lower Mainland churches continue in-person services despite public health orders

Pastors say faith groups are unfairly targeted and that charter rights protect their decisions

Cannabis bought in British Columbia (Ashley Wadhwani/Black Press Media)
Is it time to start thinking about greener ways to package cannabis?

Packaging suppliers are still figuring eco-friendly and affordable packaging options that fit the mandates of Cannabis Regulations

A big job: Former forests minister Doug Donaldson stands before a 500-year-old Douglas fir in Saanich to announce preservation of some of B.C.’s oldest trees, July 2019. (B.C. government)
B.C. returning to ‘stand-alone’ forests, rural development ministry

Horgan says Gordon Campbell’s super-ministry doesn’t work

Most Read