rabble blogs are the personal pages of some of Canada's most insightful progressive activists and commentators. All opinions belong to the writer; however, writers are expected to adhere to our guidelines. We welcome new bloggers -- contact us for details.

Six things you need to know about the greatest threat to medicare in a generation

Please chip in to support more articles like this. Support rabble.ca for as little as $5 per month!

Yesterday, The Council of Canadians organized a rally outside the B.C federal courts to protest the greatest threat to Canadian public health care in a generation. As Dr. Brian Day, who is known to many as "Dr. Profit," attempts to land the knock-out punch to medicare, we were on hand to raise awareness and let the courts know we won't stand by quietly as profit triumphs over patients.

Dr. Day is supported in court by a right-wing, Calgary-based lobby group with close ties to former Prime Minister Stephen Harper, his government, and other corporate interests who pretend this case is about health care.  In reality, he's fighting for "the right of doctors to charge."

Earlier today, the Council of Canadians spoke to media from across Canada about the case (video interview below). Here are some highlights from those interviews and six things you need to know.

1. This case is the greatest threat to medicare in a generation. But make no mistake: this case isn't about improving health care; it's about money and greed. Dr. Day is using misinformation and the courts to recklessly force Canada into a two-tier, U.S.-style system. While a lot of people may not be aware of this case, it is not an exaggeration to say consequences of this case will have a serious impact on medicare and all Canadians should be concerned.

2. Poll after poll shows Canadians strongly support medicare and its core principle that health care should be provided based on need and not ability to pay. While there are real challenges facing our universal, public health care system, we need to modernize -- not privatize. What Dr. Profit is trying to do is flawed and is not the solution. It is against the Canada Health Act and its principles of universality and equity. The costly queue-jumping he is advocating for doesn't benefit everyday Canadians. What it does do is jeopardize the universal public health-care system everyone in Canada relies on for his and his shareholders' personal financial gain.

3. Ultimately, this case is about making money, not services and the rights for patients. Anyone who tells you this is about "choice" is missing the point. We already have the option in Canada for doctors to opt out of the public system and charge what they want in boutique clinics. What Dr. Profit wants to do is enrich himself further, by charging unlimited amounts for services and then turn around and charge government and tax payers for this. Double billing, which is illegal and unfair, is not the Canadian way. But, Dr. Profit wins the court case we will be, "paying twice for the same service -- once through our taxes and once through the nose."



4. Dr. Profit's clinics (the private Cambie Surgery Centre and the Specialist Referral Clinic) were caught breaking the law by engaging in extra and double billing practices. A 2012 audit conducted by the B.C. government found that in just one month, Dr. Day's clinic had illegally billed patients nearly half-a-million dollars including $66,734 in overlapping claims where Day billed both the patient and the province.

5. Evidence from around the world shows private clinics erode public health care and increase wait times. It has been shown that wait times are highest in Canada in areas with the most privatization because these clinics poach doctors, nurses and resources from the public system. And it is also worth noting that these clinics cherry-pick their patients, and leave the more complex cases to the public system -- if there is a complication from the surgery the patient goes to the public system to fix it.

Further, a study of over 1,000 WorkSafeBC patients in British Columbia has shown that not only is privately funded care more expensive, it did not improve return-to-work times (patients in the public system did marginally better but for a fraction of the cost).

6. Dr. Day and his public relations team are using a flawed study to support their case. They often quote a 2014 Commonwealth Fund study that compares OECD countries. In the study Canada was ranked tenth out of 11 countries in health-system performance. This ideological study compares apples to oranges and has serious methodological problems that any research methods teacher would give a failing grade. There are huge differences between national health systems (rural and remote composition, health delivery model, differing baskets of services) that preclude further valid comparison or extrapolation from this data. Many of the ratings are subjective and do not using appropriate objective measures to do an apples to apples comparison.

If you like the work we are doing to help protect Medicare, please help by donating.

Like this article? rabble is reader-supported journalism. Chip in to keep stories like these coming.

Thank you for reading this story…

More people are reading rabble.ca than ever and unlike many news organizations, we have never put up a paywall – at rabble we’ve always believed in making our reporting and analysis free to all, while striving to make it sustainable as well. Media isn’t free to produce. rabble’s total budget is likely less than what big corporate media spend on photocopying (we kid you not!) and we do not have any major foundation, sponsor or angel investor. Our main supporters are people and organizations -- like you. This is why we need your help. You are what keep us sustainable.

rabble.ca has staked its existence on you. We live or die on community support -- your support! We get hundreds of thousands of visitors and we believe in them. We believe in you. We believe people will put in what they can for the greater good. We call that sustainable.

So what is the easy answer for us? Depend on a community of visitors who care passionately about media that amplifies the voices of people struggling for change and justice. It really is that simple. When the people who visit rabble care enough to contribute a bit then it works for everyone.

And so we’re asking you if you could make a donation, right now, to help us carry forward on our mission. Make a donation today.


We welcome your comments! rabble.ca embraces a pro-human rights, pro-feminist, anti-racist, queer-positive, anti-imperialist and pro-labour stance, and encourages discussions which develop progressive thought. Our full comment policy can be found here. Learn more about Disqus on rabble.ca and your privacy here. Please keep in mind:


  • Tell the truth and avoid rumours.
  • Add context and background.
  • Report typos and logical fallacies.
  • Be respectful.
  • Respect copyright - link to articles.
  • Stay focused. Bring in-depth commentary to our discussion forum, babble.


  • Use oppressive/offensive language.
  • Libel or defame.
  • Bully or troll.
  • Post spam.
  • Engage trolls. Flag suspect activity instead.