Imagine my surprise when I opened the City & Region section of the Calgary Herald to see the face of my new boss/colleague staring back at me. Publicity for our new clinic? Nope, "Private clinic eroding health care, say critics"
Before I begin answering to these critics, let me just say that yes, I am coming from a biased position. I work in a semi-private clinic, but even before that, I've always been pro-two-tiered health care. It's hard not to be when you came into the world in a private hospital in Hong Kong.
Some of you might be wondering, in the land of universal health care, how do "private" clinics get approved in the first place? Well technically, the physicians are still being paid by Alberta health, while the annual fee covers the services of the allied health professionals - at my clinic we are going to have a full-time psychologist, kinesiologist, massage therapist and myself, plus different specialists coming in on rotation. These services are not covered by public health care, so by having us in one clinic under a one-time fee, the patient is definitely saving time by not having to be referred to another clinic and getting put on their waiting list or whatever, plus they might be saving money because a lot of these specialists charge per session or per hour, and if you're seeing lots of different ones, the costs will add up.
So now onto the arguments. Alberta Liberal leader David Swann argues that the government is "allowing the erosion of our primary care system" by "allowing little bits of privatization here and there." Uh... no, I think poor leadership/management, underfunding and understaffing are eroding our primary care system; if we had good health care to begin with, I don't think anyone would even dream up the need to open their own clinic. Plus, by providing an alternative and alleviating some of the burden on the primary care system, I think privatized healthcare can act to benefit public health care.
OK, next argument. "Private clinics take physicians and other badly needed health professionals out of the public health system." Uh... no, for me personally, the fact that there's a hiring freeze within the region despite the fact that it's understaffed motivated me to look for other options. Plus, the fact that Alberta hospitals are understaffed creates a less-than-optimal work environment, which can motivate others to look elsewhere as well. It really just goes back to the fact that if the government had done a better job of managing health care, there wouldn't be a demand for alternatives by patients and staff alike. As for pay, public health care does generally have the advantage because of unions and funding from the government to offer higher wages. Last time I checked, dietitians working for Alberta Health Services earn one of the highest wages when compared with dietitians across North America.
The critics' biggest argument seems to be that by allowing private clinics to operate, we are heading towards a "slippery slope" whereby all health care will become privatized. I don't believe that's the case because there will always be demand for public health care. I'm not sure if this is the best example, but look at education! We have private schools and public schools, and I personally went to public school for my entire K-12 education. Sure the private schools tend to do better on the Fraser Reports, but so what? Public schools definitely aren't falling by the wayside anytime soon. I got what I wanted out of my schooling and I think I turned out ok.
I think private and public health care can coexist the same way, especially since most of the "privatized" clinics we have now generally have a focus on preventative health and access to other health care professionals that aren't covered by the Canada Health Act as their selling points. Some people are going to be more concerned about their health and will pay the premium for "better", preventative care, while others aren't really going to have health care on their radar unless they really need it. Critics should not be pointing fingers at the people who are opening the private clinics, because we just want to see the public healthy; it's up to the government to provide a public health care system that is competitive and is as good as it can and should be.
Read More...