SoVote

Decentralized Democracy

Ontario Assembly

43rd Parl. 1st Sess.
February 22, 2023 09:00AM
  • Feb/22/23 10:00:00 a.m.
  • Re: Bill 60 

This is a rather sad day for me, Speaker. This is a day that I knew was coming, but this is not a day that I was looking forward to.

I come from the party of Tommy Douglas, a party that believes in medicare, a party that believes that care should be based on needs, not on ability to pay. With this bill today, this is about to go out the window. This government is taking a step that we’ll never be able to backtrack on; that will destroy a program that defines us as Canadians, a program that defines us as Ontarians—that we care for one another, that you don’t have to have money to receive the care you need. This is the Canadian way. This is something that we’ve built for decades, and today, we’re taking a huge step to destroy it.

I want to talk a little bit about clarifying the public and credit cards and health cards in all of this. Right now, in Ontario, we have publicly owned facilities. Publicly owned facilities are community health centres, public health units, that kind of stuff. We have privately owned not-for-profit facilities. Those are our hospitals. Our hospitals are owned by corporations, but they are not-for-profit. There are four of them that were granted when medicare came into place, but they play a very, very small role; 152 hospitals in Ontario are not-for-profit.

Then we have physician-owned small businesses. Those are most doctors’ offices. They care for 1,000 or 2,000 patients. They pay for their rent and the cleaning and the secretary and maybe a nurse, and they are the doctor’s office. They are physician-owned small businesses. That’s not what we’re talking about in this bill.

In this bill, we are talking about private, for-profit, investor-owned corporations. Those are corporations that have nothing to do with care. They are willing to invest the millions of dollars it will take to build surgical suites, to build MRIs and everything else that the government wants to privatize, to make for-profit. They are willing to invest that money. Why? Because there is a lot of money to be made off of the backs of sick people. How do they do this? Well, sure, the surgeons, the physicians will bill OHIP for their services, like they would in a hospital, like they would in their private clinic, but what those private, for-profit, investor-owned corporations do is that they use the power imbalance that exists between the physician, the specialist, who’s about to put a laser to your eye, who’s about to cut open your knee, your hip, your whatever—there is a real power imbalance between the person who provides the care and the person who needs the care. What those private, for-profit, investor-owned corporations do is they use this power imbalance to ask for money, and there’s no shame in asking for a ton of money from people who are sick, from people who need care.

Unfortunately, it is already happening a little wee bit in Ontario right now—more than a little wee bit; it’s already happening in Ontario. Now, we are about to open the door to those private, for-profit, investor-owned corporations that are just biting at the bit to come into Ontario, because Ontario is a very lucrative market where it doesn’t matter if they will have to put upfront millions of dollars to set up those surgical suites. They can guarantee their investors double-digit returns for years on end. And we are not talking 11% returns here; we are talking into the 25%, 30% returns. So if you have the money to invest in those million-dollar, private, for-profit, investor-owned corporations, they will guarantee you a huge payback. The payback will come from sick people, like you and I—I don’t wish harm upon anyone. I wish we could all be healthy all the time, but we know that this is not the reality. Some of us will get sick; some of us will need care. Then they will charge, and they will charge lots. This is where most of their profit will be made. Some will do double billing—not that many, I hope, but it will be there.

When we look at some of the myths that they are putting forward, the first one is that those new private, for-profit, investor-owned corporations will alleviate wait times in the public system. There is tons of evidence that shows that this is not the case. Australia was the last one to introduce a parallel system, in 1997, and we’ve seen what happened. Basically what happened was they made the wait times worse for most of us. A few rich people will pay for the extra and will get faster care, but most Ontarians won’t. For most of us, it will mean longer wait times.

Myth number two: Private, for-profit ownership of health care facilities leads to better health outcomes. This has been studied to death also. The body of evidence is really strong. I can name you study after study that shows that the profit model does not incentivize high-quality care. In fact, for-profit delivery has been associated with an increased mortality.

There are some who will have you believe that private, for-profit, investor-owned corporations will make health care more efficient. All of those have been studied. All of those have been looked at. None of those pull through. They are not more efficient, and the list goes on.

Today, with this bill, we are opening up the door to private, for-profit, investor-owned corporations who will deliver the care. The single payer will stay in place. The Ontario government will continue to pay for medically necessary care, for medically necessary surgery. They will continue to pay. What will change is that those corporations will find hundreds of ways to make you pay.

I have the example of Mr. Dutton, who—I need to wrap up—

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  • Feb/22/23 10:00:00 a.m.
  • Re: Bill 60 

One of the things I’ve heard repeatedly from the opposition is that this is going to cost people out of pocket, that somehow OHIP isn’t going to cover all these things and that people are going to have to pull their credit card out all the time. Is there anything in this legislation that protects Ontarians from any extra billing?

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