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Brian Day is the Devil

Dec. 3, 2019, 11:43 a.m.
Posts: 2205
Joined: May 23, 2006

Public health care is one of Canada’s greatest achievements. But our most-cherished social program is under threat.

A group of plaintiffs led by Dr. Brian Day, CEO of the for-profit Cambie Surgeries Corporation, is challenging the constitutionality of key provisions of B.C.’s Medicare Protection Act, which protects our universal health care system. The long, costly trial is expected to end this week with closing arguments. 

Day wants to get rid of critical aspects of the current law that prevent doctors from having one foot in the public system and the other in the private system, billing both the government and patients directly for services. 

Day also wants to remove the ban on private insurance to cover hospital and physician services already covered by the public system. 

These laws are the backbone of B.C.’s publicly funded health care system. They ensure that access to health care is based on medical need, not ability to pay. 

British Columbians value this core principle of our health care system. A recent poll conducted by Research Co. commissioned by the BC Health Coalition found that 90 per cent of British Columbians agree that health care should be based on need and not ability to pay. 

If Day is successful, the foundation of our public health care system will be dismantled, and the dangerous precedent will likely lead to similar legal challenges in other provinces. And, province by province, Canadian medicare will be taken apart. 

The origin of this court case goes back more than a decade. In 2007, the BC Medical Services Commission told Day that his for-profit clinics (Cambie Surgery Centre and Specialist Referral Clinic) would be audited, because the commission had received patient complaints about improper billing. 

Before the commission could conduct the audit, Day organized a group of plaintiffs to launch a Charter challenge against sections of the Medicare Protection Act. The plaintiffs successfully blocked the audit from happening until 2011. 

When the audit was finally complete and released in 2012, it found evidence of “extensive” illegal extra-billing and overlapping claims to the BC Medical Services Plan by Day’s clinics. 

The audit report said that “not only were patients unlawfully charged for insured health care services at the Cambie Surgery Centre and Specialist Referral Clinic, but physicians in the clinics were doing so with the benefit of a very substantial public subsidy by submitting claims to, and receiving payments from, the Medical Services Plan for services that ‘overlap’ with those for which patients paid privately.” 

To be clear, B.C. doctors have always been able to opt out of the public system and directly charge patients whatever the market will bear. 

Day wants doctors to have free rein to bill patients directly and also be compensated by the public purse. 

In other words, if you can pay to jump the queue, you can get your public health care needs met faster. That is the opposite of the core principles of equity and fairness that guide our system. 

The Health Sciences Association of BC has been involved in this case as a member of the BC Health Coalition, which has intervenor status to ensure that critical evidence is heard about why a health care system based on profit and one’s ability to pay is not in the public interest. 

Over the course of this trial, B.C. government and BC Health Coalition expert witnesses have testified extensively about the dangers of privately financed health care where doctors, for-profit clinics and insurance companies can charge patients whatever they want for basic medical care. 

During this case, Day has consistently suggested B.C. should become more like European countries in financing health care. But the truth is that striking down these essential laws would move us closer to the U.S. model, where the for-profit medical industry charges patients whatever it wants and where income determines your access to timely health care. 

Let’s not forget that the United States also spends by far the most among industrialized countries on health care and has inferior outcomes to Canada. 

Our current system is not perfect. There is no question that we can improve public health care. In fact, the B.C. government’s recent efforts are doing just that: opening operating rooms that were shuttered by the previous BC Liberal government, centralizing surgery bookings and introducing “first available surgeon” triaging models that are successfully reducing waits times for a variety of procedures. 

British Columbians understand what’s at stake. The coalition’s recent poll found 80 per cent agree that an increase of for-profit, private-pay health care will only help the wealthiest British Columbians who can pay to access health services faster. 

Certainly, we have more work to do. But increased privatization is not the answer. Rapidly implementing proven innovations in our public health care system is the only path forward if our commitment is to improve care for all British Columbians. [Tyee] 

https://thetyee.ca/Opinion/2019/12/03/Brian-Day-Court-Case-Ends/

“I really have had enough of illogical detraction by association as a way of avoiding logical argument by an absurd extension of ad hominem argument to third parties.”

Dec. 3, 2019, 2:43 p.m.
Posts: 16286
Joined: Nov. 20, 2002

The devil?  I'm not sure that applies.

But, a sociopath who wants to commoditize the health and well-being of BC citizens for his personal profit ... well, I'd buy me some of that sentiment.

Dec. 3, 2019, 2:47 p.m.
Posts: 11416
Joined: June 4, 2008

As a temporarily embarrassed billionaire, I hope he wins so that when I resume being a billionaire I won't have to hang out with all you losers at the poor-peoples hospital.

Dec. 3, 2019, 3:01 p.m.
Posts: 85
Joined: Oct. 23, 2003

I always found that the quickest way to get something that's broken and that you have to use everyday (at work that is) was to make your boss use it. what incentive do our shitty politicians have to fix our system if they aren't even the ones using it.

Dec. 3, 2019, 5:18 p.m.
Posts: 14532
Joined: Nov. 20, 2002

a privately run & operated OR which is then billed to the gov at the same might be faster/cheaper/reduce the wait times cuz gov can fuck up a wet dream right ?

So thats not the same as private HC its just more procedures getting done, so yes the pro is gona make more money and get better at whatever procedures he does

but there has always been a lot of dreck surrounding this subject

Dec. 3, 2019, 5:21 p.m.
Posts: 789
Joined: Nov. 6, 2006

Posted by: XXX_er

a privately run & operated OR which is then billed to the gov.

Double dip?

Dec. 3, 2019, 7:11 p.m.
Posts: 11416
Joined: June 4, 2008

Posted by: XXX_er

a privately run & operated OR which is then billed to the gov at the same might be faster/cheaper/reduce the wait times cuz gov can fuck up a wet dream right ?

So thats not the same as private HC its just more procedures getting done, so yes the pro is gona make more money and get better at whatever procedures he does

but there has always been a lot of dreck surrounding this subject

As a shareholder I demand insulin to be $1500 a vial.

Dec. 4, 2019, 9:36 a.m.
Posts: 10618
Joined: June 29, 2006

Posted by: XXX_er

a privately run & operated OR which is then billed to the gov at the same might be faster/cheaper/reduce the wait times cuz gov can fuck up a wet dream right ?

So thats not the same as private HC its just more procedures getting done, so yes the pro is gona make more money and get better at whatever procedures he does

but there has always been a lot of dreck surrounding this subject

As an argument, this is reasonable, but we have seen what this mentality has done to education in this province.  It gives governments (mostly conservative) with large corporate donors an incredible incentive to gut health care spending.  The shittier the health care, the busier the private clinics.  Without really tight controls, this is a bad idea.

Dec. 4, 2019, 10:02 a.m.
Posts: 14532
Joined: Nov. 20, 2002

well if hypotheticaly  procedures (lets say knees ) arent getting done cuz the pro can't get Operating Room time or for whatever reason, if he can build his own clinic and do a whole shwack of Knee's and bill the gov then it reduces the amount of knees that are waiting to get cut on cuz as it is an MD is just a private business man, as I understand it they get a medical # with which they bill the gov for visits or hospitol procedures or whatever

As it is procedures are not getting done and there are wait times, as I understand it Brian day wants more OR time to get better at what he does and yes make  mo money but I don't think he cares too much who pays for it


 Last edited by: XXX_er on Dec. 4, 2019, 10:05 a.m., edited 1 time in total.
Dec. 4, 2019, 10:22 a.m.
Posts: 16286
Joined: Nov. 20, 2002

Wait times for surgery are improving gradually.  For knee replacement, it's now improved to having 59% of surgeries within the set guideline of 182 days (6 months).  Also, it's important to keep in mind that our system uses triage techniques, so it is NOT first in line gets the surgery first - highest priorities go to top of the list.  Someone who can walk with a cane will have to wait behind someone who can't walk at all.

Of course, it takes a while for the lunacy created by the previous organized crime supporting, money laundering gov gets cleared out, but there have been ORs re-opened that were closed by the BC (neo)Liberals, along with other small steps.

http://waittimes.cihi.ca/BC/knee

Dec. 4, 2019, 11:58 a.m.
Posts: 10618
Joined: June 29, 2006

Posted by: KenN

Wait times for surgery are improving gradually.  For knee replacement, it's now improved to having 59% of surgeries within the set guideline of 182 days (6 months).  Also, it's important to keep in mind that our system uses triage techniques, so it is NOT first in line gets the surgery first - highest priorities go to top of the list.  Someone who can walk with a cane will have to wait behind someone who can't walk at all.

Of course, it takes a while for the lunacy created by the previous organized crime supporting, money laundering gov gets cleared out, but there have been ORs re-opened that were closed by the BC (neo)Liberals, along with other small steps.

http://waittimes.cihi.ca/BC/knee

And with the 2 tier system that becomes the first in line (with the money) goes first.  There might be a way to make it work, but this is not it.  In education, private schools get half the allocated funding per child, which is just a money-saving tool for the government, and the reason the Liberals pushed private schools so hard.  If half goes to the private school, the other half should still be spent and go to the school district, then it at least takes away the incentive to push kids away from the public system.

Dec. 4, 2019, 4:39 p.m.
Posts: 2205
Joined: May 23, 2006

Topical..... https://twitter.com/i/status/1198315276703428609

Dec. 7, 2019, 9:56 a.m.
Posts: 1170
Joined: Nov. 8, 2003

Posted by: tungsten

Topical..... https://twitter.com/i/status/1198315276703428609

The billionaires are constantly circling, looking for a bite...

Dec. 14, 2019, 10:32 a.m.
Posts: 14532
Joined: Nov. 20, 2002

https://www.cbc.ca/news/opinion/opinion-two-tier-health-care-canada-ireland-1.5383995

s timely piece

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