March 18, 2026

WESTERN STANDARD COLUMN: Canada’s deadly wait times — why patients are kept in the dark about life-saving surgery

SecondStreet.org Research Director Bacchus Barua writes in The Western Standard that patients must be informed if they won't receive life-saving care on time.

Read the Column

If our healthcare system can’t offer timely access to life-saving surgery, the very least we can do is be honest with patients who bet their lives on it. Unfortunately, a new study finds that most provinces do not require healthcare providers to inform patients of their estimated wait time in relation to medically safe benchmarks.

SecondStreet.org filed freedom of information requests across Canada and found that eight of 10 provinces have no explicit requirement to inform patients of their expected wait time for surgery and the maximum recommended wait time for that procedure. And while British Columbia and Saskatchewan have some limited requirements and recommendations, discussions with senior healthcare officials (in British Columbia) revealed that they were not even aware of the policy on paper, never mind its implementation in practice.

Simply put, there is an astounding lack of transparent communication with patients regarding their wait time journey. Of course, many physicians and healthcare workers may voluntarily relay this information to their patients — however, this should be standard practice, especially when one considers the long wait times that have become Canada’s shame. Consider that data from the Fraser Institute shows patients routinely wait over half a year for scheduled care, while SecondStreet.org revealed almost 24,000 died while on a wait list for various surgeries and diagnostic scans last year.

So what’s to be done?

In the absence of a large-scale reform that actually tackles wait times, provincial governments could simply enact legislation that ensures patients have a basic right to information about their wait time journey. Specifically, they could consider Debbie’s Law — legislation named for a Manitoba patient who was told she needed life-saving treatment in three weeks, but died after two months without ever receiving a scheduled date at the hospital.

Debbie’s Law would require healthcare providers to disclose two pieces of critical information: their estimated wait time and the maximum recommended benchmark for that procedure. Empowered with this information, patients and their families can gauge whether they have a realistic chance of receiving timely care in the public system or if they should arrange to receive treatment elsewhere — in another province or country.

This is exactly what Debbie’s children have said they would have done had they been told their mother would not receive treatment in time.

Other universal healthcare countries that have struggled with wait times — such as Finland, Norway, and Sweden — understand the importance of transparent patient communication and have already passed similar legislation. In fact, patients in Denmark have the right to go to a private hospital (in the country or abroad) and receive care paid for by public funds (at domestic rates) if treatment is not provided within established maximum timeframes.

Governments clearly understand the importance of informing and protecting consumers when it comes to other sectors — whether it’s requiring auto manufacturers to issue a recall notice or food companies pulling contaminated products off the shelves. However, when it comes to wait times for healthcare, Canadians do not currently have the right to potentially life-saving information.

Debbie’s Law is a simple, relatively costless reform that could potentially save thousands of lives. While discussions about other healthcare reform measures may be polarizing, informing patients about their expected wait in relation to medical benchmarks should truly be a nonpartisan issue that can be tackled today.

Bacchus Barua is research director at SecondStreet.org.

This column was originally published in The Western Standard on March 18, 2026.

You can help us continue to research and tell stories about this issue by making a donation or sharing this content with your friends. Be sure to sign up for our updates too!

Share this Story

Help spread the message and make real change by sharing this story with your network.

Facebook
X
Email

Related Stories

April 14, 2026
New SecondStreet.org research shows that thousands of Albertans are seeing a doctor 100 times or more in a single year.
April 13, 2026
SecondStreet.org is looking to expand our team with a new Communications and Marketing Director.
April 13, 2026
New SecondStreet.org research shows some Manitoba patients are seeing doctors hundreds of times in a year, while the phenomenon is far less common in Saskatchewan.

Join 20,000+ Canadians in our movement for a better Canada.

Name(Required)
Select Your Interests(Required)
Consent(Required)

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.