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

VIA Rail lays off 1,000 unionized workers across the country

Northern B.C. route Jasper to Prince George to Prince Rupert is not affected by VIA Rail layoffs

Man arrested in Vanderhoof in connection to Alberta mall shooting

Jacob Doubt, 23, is facing a number of firearms-related charges

Overall house sales drop in the northwest

COVID-19 pandemic slowed market activity

3 people dead in Prince George motel fire

Fire personnel believe the blaze was suspicious although investigation in early stages

Horgan says B.C. restart making gains as more people come out of their homes

B.C. announced the easing of more restrictions on businesses, recreation and travel last month

B.C.’s COVID-19 job recovery led by tourism, finance minister says

Okanagan a bright spot for in-province visitor economy

National Kitten Day aka the ‘purrfect’ day to foster a new friend

July 10 marks National Kitten Day, a special day to celebrate all things kittens

Lower Mainland YouTubers claim to be Kelowna display toilet ‘poopers’

RCMP can not speak to legitimacy of video, will be investigating

Haida matriarchs occupy ancient villages as fishing lodges reopen to visitors

‘Daughters of the rivers’ say occupation follows two fishing lodges reopening without Haida consent

RCMP confirm homicide investigation underway near Quesnel

Police releasing few details four days after homicide occurred Monday, July 6

Conservatives say police should be called into investigate WE charity scandal

Trudeau is already under investigation by the ethics commissioner for potential conflict of interest

Amber Alert continues for missing Quebec girls, 6 and 11, and their father

Police issued the alert for Norah Carpentier, 11, and Romy Carpentier, 6, from Levis, Que.

Limit police access to lethal weapons in Indigenous communities: Justice Summit

Grassroots-organized National Indigenous Justice Summit was a free-to-attend two-day videoconference

Most Read