Health
Public coverage of cross-border health care would help reduce waiting times
News release from the Montreal Economic Institute and Second Street
450,000 European patients had surgery outside their country of residence in 2022
Allowing Canadian patients to get reimbursed from the government for care received outside the country – just like Europeans do – would help reduce waiting times, according to an economic note published jointly by the Montreal Economic Institute and SecondStreet.org this morning.
“Long waiting times for surgery in Canada have damaging effects on patients‘ health and quality of life,” says Frederik Cyrus Roeder, health economist and author of the study. “Allowing Canadian patients to seek treatment elsewhere would help them regain their health, while breaking the cycle of constant catching up in Canadian healthcare systems.”
Since 2011, European patients have been permitted to seek treatment in any EU member country and receive reimbursement of their medical expenses equivalent to what their national health insurance plan would have covered at home.
This mechanism is known as the “cross-border directive,” or the “patients’ rights directive.”
Thanks to this arrangement, 450,000 European patients were able to access elective surgery outside their country of residence in 2022. Nearly 80% of the requests submitted that year were approved.
The economist explains that a large part of the voluntary program’s success is due to the fact that it acts as a safety valve when healthcare systems are no longer delivering.
“Such a system is no more expensive for the public insurer, because the reimbursements provided cannot exceed the costs of delivering the same treatment in the local healthcare system,” explains Mr. Roeder. “Where this directive really comes into its own is when a healthcare system can no longer manage to treat patients within an acceptable timeframe.”
“Patients are then free to turn to other alternatives without having to pay a stiff price. It’s important to note that even patients who don’t want to travel for treatment still benefit from this as it helps shorten waiting lists.”
In 2023, more than four out of ten Canadian patients had to wait longer than the recommended time to obtain a knee replacement in Canada. For hip replacements, the figure was one in three.
The joint study by the MEI and SecondStreet.org is available here.
* * *
The MEI is an independent public policy think tank with offices in Montreal and Calgary. Through its publications, media appearances, and advisory services to policymakers, the MEI stimulates public policy debate and reforms based on sound economics and entrepreneurship.
SecondStreet.org launched in 2019 to focus on researching how government policies affect everyday Canadians. In addition to policy research, we tell short stories featuring Canadians from coast-to-coast explaining how they’re affected by government policies.
Competitive compensation for resident physicians
A new compensation agreement for resident physicians has been reached, which will help to retain and recruit more physicians throughout Alberta.
Alberta’s government, in partnership with Alberta Health Services (AHS), the University of Alberta, University of Calgary and the Professional Association of Resident Physicians of Alberta has reached a four-year agreement that provides competitive and fair-market compensation for physicians in training.
The negotiated agreement provides wage increases of three per cent in each of the first two years, and two per cent in each of the last two years. It also includes market adjustments that put Alberta on par with other western Canadian medical schools.
Ensuring resident physicians receive competitive, fair-market compensation while they train and provide services across the province will help stabilize and strengthen acute health care today while bringing medical students and ultimately more physicians to the province to support the province’s future health needs.
“Alberta’s government is grateful for all the hard work resident physicians put in as they complete their training. We are pleased to see that a new agreement has been reached and look forward to more physicians calling Alberta home.”
“We are extremely grateful to all of our resident physicians, who play a vital role in caring for Albertans and supporting our front-line physicians and health care teams. This agreement will help us recruit medical students and encourage them to practise in this province.”
Rural and Remote Family Medicine Resident Physician Bursary Pilot Program
The agreement builds on actions Alberta’s government is taking to make the province a more attractive place for medical students and resident physicians to study and practise. On Oct. 3, Alberta’s government announced measures to improve health care in rural and remote communities through the new Rural and Remote Family Medicine Resident Physician Bursary Pilot Program. The bursary program is part of the province’s Rural Health Action Plan.
The pilot program will provide up to $8 million annually for the next two years to medical students in their final year of an undergraduate medical program when they are matched with a family medicine residency program at the University of Alberta or University of Calgary, or to residents currently completing a family medicine residency at either university regardless of their year of study. In return, bursary recipients will commit to delivering comprehensive patient care in eligible communities for three years after completing their residency.
“With this agreement, Alberta strengthens its position as an attractive destination for resident physicians across Canada. By enhancing compensation, training and working conditions, we ensure Alberta recruits and retains the brightest medical talent to serve our communities and shape the future of health care.”
“The University of Alberta is pleased collaborations with our partners have resulted in an agreement that reflects the critical impact resident physicians make in our health care system so all Albertans receive the care they need.”
“Remuneration, respect, retention and recruitment of rural generalists are key to elevating rural hospitals to becoming rural centres of excellence. With this agreement and bursary pilot program, the Alberta government is recognizing rural health as being different, requiring separate and unique solutions for our communities that are mutually beneficial in enhancing the health of rural Albertans.”
Quick facts
- Resident physicians have graduated medical school but are completing post-graduate training in a residency program to obtain their licence to practise. With residency programs requiring an additional two to seven years of post-graduate training, most resident physicians spend more than 10 years training to become fully licensed physicians and surgeons.
- The Professional Association of Resident Physicians of Alberta represents more than 1,660 resident physicians in Alberta.
- The current agreement between AHS, the University of Alberta, University of Calgary and the association ended on June 30, 2024.
- The resident physician agreement is funded by Alberta Health through a grant to AHS and the universities.
Related information
Related news
- Improving health care in rural and remote Alberta (Oct. 3, 2024)
From the Frontier Centre for Public Policy
By John Carpay
As with the number of COVID-19 “cases,” the number of “Covid deaths” proclaimed by politicians, government health officials and government-funded media is also based on highly unreliable PCR testing, using an undisclosed number of cycles.
Fool me once, shame on you. Fool me twice, shame on me. How long will Canadians continue falling for the same media tricks that they fell for during the years of lockdowns and vaccine passports?
“Alberta’s COVID-19 death toll more than 4 times higher than flu over past year,” exclaimed the CBC on September 9. This was followed two days later by Global News exclaiming: “New Alberta COVID data highlights value of getting newly formulated vaccine once available: expert.”
These media stories claim there were 23,933 COVID-19 “cases” in the past year, with 6,070 people hospitalized “for COVID.” Media claim that 732 Albertans died of COVID-19 during the past year, compared to 177 from the flu. University of Calgary professor Craig Jenne describes this as “continual evidence that COVID-19 is not just another flu” and laments that viruses “continue to take lives at a really unacceptable rate.”
It’s the same narrative that we were fed in 2020 and the years that followed: creating and then maintaining unfounded fear of COVID-19. This unnecessarily high level of fear, in turn, generated support for the violations of our Charter freedoms of association, expression, religion, conscience, mobility, and peaceful assembly, and the right to choose freely what will or will not be injected into our bodies.
What is missing from these stories by government-funded media is significant and relevant.
Firstly, government-funded media make no mention of the number of cycles used in the PCR (polymerase chain reaction) testing that was used to generate these 23,933 so-called “cases” of COVID-19.
The percentage of people testing “positive” for COVID-19 by way of the PCR test depends on the number of times that a viral remnant in a person’s nose or throat is doubled (amplified). If a COVID-19 viral remnant is amplified 40 times, almost everyone will test positive for COVID-19. Conversely, if that very same viral remnant is amplified only 20 times, very few people will test positive for COVID-19. The PCR test does not and cannot determine whether someone is sick with COVID-19, or a spreader of COVID-19.
As explained by expert witness Dr. Joel Kettner in Gateway v. Manitoba:[1] “the outcome of a PCR test depends on Cycle thresholds (Ct), which is the number of cycles of amplification needed to strengthen a weak signal, so as to enable the identification of the amino acid sequence of the virus being tested for. The higher the Ct to obtain a positive signal, the lower the volume of genetic material in the sample.”[2]
In the same court case, expert witness Dr. Jay Bhattacharya explained that the unavoidable errors in PCR testing render the PCR test unfit for public health decision-making: “A reliance on a test that is run up to 40 cycles, (or any number of cycles higher than 30) — is certain to produce a very large proportion of false positive outcomes. Lockdowns that are imposed on the basis of ‘case’ counts derived from PCR tests will be only marginally related to the threat posed by the spread of the SARS-CoV-2 virus.”
Neither Alberta Health Services nor the media will inform the public about how many times a viral remnant was doubled to generate these 23,933 “cases” of COVID-19. A large but willfully undisclosed number of these COVID-19 “cases” pertain to people who are not sick with COVID-19 and not spreading COVID-19. This includes large numbers of people who have had COVID-19 and who have fully recovered, acquiring natural immunity along the way. Governments which claim to love science should freely and readily disclose this information to the public, as well as to each individual receiving her or his PCR test result. And yet, since 2020, Canada’s federal and provincial governments have kept this information a state secret, typically divulged only under duress in court, when governments get sued by Justice Centre lawyers who defend Charter freedoms.
In Gateway v. Manitoba, for example, government officials admitted under oath that at least 40% of their “Covid cases” were people who were not sick with COVID-19 and not spreading it. Governments and their health authorities can easily generate high numbers of “Covid cases” simply by running PCR tests at 40 (or more) cycles, and encouraging (or requiring) large numbers of people to take the PCR test.
As with the number of COVID-19 “cases,” the number of “Covid deaths” proclaimed by politicians, government health officials and government-funded media is also based on highly unreliable PCR testing, using an undisclosed number of cycles.
The second glaring omission from government-funded media reports is the relevant context. Over 33,000 Albertans die each year, which is what you might expect in a province of 4.8 million people. The leading causes of death in Canada are cancer, heart diseases, lung diseases and strokes. This fact did not change with the arrival of COVID-19 and lockdowns in 2020. If it’s true that 732 Albertans died of COVID-19 (and thanks to PCR testing we really don’t know) that would be just over 2% of deaths in Alberta, with 87% of these deaths among people 70 and over. Compare this 2% with the more than 10% of deaths in Alberta from “ill-defined and unknown” causes in 2021. Professor Craig Jenne states that viruses “continue to take lives at a really unacceptable rate.” The same could be said of cancer, heart diseases, lung diseases and strokes, not to mention suicides, alcoholism, obesity and car accidents.
The omission of relevant facts, combined with a blind and erroneous faith in the accuracy of PCR testing, is what government-funded media used in 2020 to spread unfounded fear. They are trying to do the same thing now. Will we fall for it again?
First published in the Western Standard here.
John Carpay, B.A., LL.B. is president of the Justice Centre for Constitutional Freedoms.
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