SUN NEWS COLUMN: Over 10,000 Patients Died While Waiting For Surgery

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After penning a column in Sun newspapers on politicians postponing surgeries due to COVID-19, SecondStreet.org received a rather tragic email from a reader.

Judy Anderson, a retired nurse from Port Perry, Ontario, told us about losing not one but two daughters due to excessive waiting periods in the health care system. It’s a tragedy for any parent to have to bury one child, but twice is beyond heartbreaking.

Most recently, Judy’s daughter Shannon was told she would have to wait a month for a heart procedure as the health care system was focussed on COVID-19. The weeks of waiting for treatment proved to be too much for Shannon’s heart; four children have lost their mother.

Readers should know that what Shannon went through recently isn’t a rare story. There’s a lot of suffering in Canada’s health care system. One problem is that politicians are loathed to talk about it. Why discuss structural reform that could help patients when it’s so much easier for politicians to do what they’ve done for decade – cross their fingers and throw more money at the problem?

Stories like Shannon’s are why SecondStreet.org continues to investigate patient suffering.

Earlier this year we asked over 30 health regions and hospitals for data on patients passing away while waiting for surgery, procedures, diagnostic scans and appointments with specialists. From April 1, 2019 to December 31, 2020, SecondStreet.org obtained government data showing over 10,000 patient deaths.

The cases involved surgeries which could have saved a patient’s life (eg. heart surgery) to cases which could have improved a patient’s quality of life (eg. hip surgery). Some may dismiss the latter, but would you want to spend your final years stuck in your apartment, living with chronic pain and struggling to do basic tasks such as putting on your socks?

What’s also important to note is that patients often waited well beyond government targets for receiving treatment. For example, one Nova Scotia patient waited 2,283 days (more than six years) for hernia surgery before passing away. The patient’s wait was five years longer than the government’s target.

Without a doubt, COVID has increased wait times. For instance, in B.C.’s Interior Health Region, the number of patients who passed away after waiting past the government’s target waiting period rose from 16 per cent in 2018/19 to 43 per cent last year.

Fortunately for patients, there are several options governments could pursue to improve results that don’t require more money.

For example, health departments could do a better job of tracking and reporting on patients suffering or dying while languishing on waiting lists. The figures in our report are lowballed as several provinces simply don’t track the data – Quebec, New Brunswick and Newfoundland and Labrador. Even within provinces, some health bodies track the data while others do not.

Another option would be to keep Canada’s health care system, but allow non-government health providers to offer the same services as government facilities. This would reduce waiting lists as some patients chose to pay out-of-pocket at non-government facilities. Ultimately, this reform would give patients more choices while taking pressure off our public health care system.

One thing should be clear, maintaining the status quo isn’t in the best interests of patients.


Colin Craig is the President of SecondStreet.org.

This column was published in Sun newspapers on July 9, 2021.

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Prevention – reduce demand in the first place

If Canadians lived healthier lives, we could reduce demand for emergency services, orthopaedic surgeries, primary care and more. 

For instance, if you visit the Canadian Cancer Society’s website, you’ll read that “about four in ten” cancer cases are preventable. The Heart and Stroke Foundation notes that “almost 80 percent of premature heart disease and stroke can be prevented through healthy behaviours.” A similar number of Diabetes cases are also preventable. 

Many joint replacements and visits to ERs and walk-in clinics could also be avoided through healthy living. 

To be sure, not all health problems can be avoided through healthy living – everyday the system treats Canadians with genetic conditions, helps those injured in unavoidable accidents and more.  

But there is an opportunity to reduce pressure on the health care system through Canadians shifting to healthier lifestyles – better diets, more exercise, etc. 

To learn more, watch our Health Reform Now documentary (scroll up) or see this column. 

Partner with non-profits and for-profit clinics

European countries will partner with anyone who can help patients. 

It doesn’t matter if it’s a non-profit, a government entity or a private clinic. What matters is that patients receive quality treatment, in a timely manner and for a competitive price.  

In Canada, governments often delivery services using government-run hospitals instead of seeing if non-profit or private clinics could deliver the services more effectively. 

When governments have partnered with non-profit and private clinics, the results have often been quite good – Saskatchewan, Ontario and British Columbia are just a few examples of where partnerships have worked well. 

Canada should pursue more of these partnerships to reduce wait times and increase the volume of services provided to patients.  

To learn more, watch our Health Reform Now documentary (scroll up) or see the links above. 

Make cross border care more accessible

In Canada, citizens pay high taxes each year and we’re promised universal health care services in return. The problem is, wait times are often extremely long in our health system – sometimes patients have to wait years to see a specialist or receive surgery. 

If patients don’t want to wait long periods, they often have to reach into their own pocket and pay for treatment outside the province or country. 

Throughout the European Union, we also find universal health care systems. But a key difference is that EU patients have the right to go to other EU countries, pay for surgery and then be reimbursed by their home government. Reimbursements cover up to what the patient’s home government would have spent to provide the treatment locally. 

If Canada copied this approach, a patient waiting a year to get their hip operation could instead receive treatment next week in one of thousands of surgical clinics throughout the developed world. 

Governments benefit too as the patient is now back on their feet and avoiding complications that sometimes come with long wait times – meaning the government doesn’t have to treat those complications on top of the initial health problem. 

To learn more, watch our Health Reform Now documentary (scroll up) or this shorter video. 

Legalize access to non-government providers

Canada is the only country in the world that puts up barriers, or outright bans patients from paying for health services locally. 

For instance, a patient in Toronto cannot pay for a hip operation at a private clinic in Toronto. Their only option is to wait for the government to eventually provide treatment or leave the province and pay elsewhere. 

Countries with better-performing universal health care systems do not have such bans. They allow patients a choice – use the public system or pay privately for treatment. Sweden, France, Australia and more – they all allow choice. 

Why? One reason is that allowing choice means some patients will decide to pay privately. This takes pressure off the public system. For instance, in Sweden, 87% of patients use the public system, but 13% purchase private health insurance. 

Ultimately, more choice improves access for patients. 

To learn more, watch our Health Reform Now documentary (scroll up) or watch this short clip on this topic. 

Shift to funding services for patients, not bureaucracies

In Canada, most hospitals receive a cheque from the government each year and are then asked to do their best to help patients. This approach is known as “block funding”. 

Under this model, a patient walking in the door represents a drain on the hospital’s budget. Over the course of a year, hospital administrators have to make sure the budget stretches out so services are rationed. This is why you might have to wait until next year or the year after for a hip operation, knee operation, etc. 

In better-performing universal health systems, they take the opposite approach – hospitals receive money from the government each time they help a patient. If a hospital completes a knee operation, it might receive, say, $10,000. If it completes a knee operation on another patient, it receives another $10,000. 

This model incentivizes hospitals to help more patients – to help more patients with knee operations, cataract surgery, etc. This approach also incentivizes hospitals to spend money on expenses that help patients (e.g. more doctors, nurses, equipment, etc.) rather than using the money on expenses that don’t help patients (e.g. more admin staff). 

To learn more about this policy option, please watch our Health Reform Now documentary (scroll up) or see this post by MEI.