Clinic fuels Canadian debate over private health care

BMJ 2007; 334 doi: (Published 22 March 2007) Cite this as: BMJ 2007;334:607
  1. David Spurgeon
  1. Quebec

    The debate about the introduction of a “two tier medical system” into Canada has been reignited by the recent opening of the privately run Rockland MD Medical and Surgical Centre, in Montreal. Medical and surgical procedures are billed to the province's publicly funded medical insurance plan. But Rockland is also charging patients for “incidental expenses,” which the public sector will not cover, including the use of its equipment and staffing.

    A year ago, Quebec's premier, Jean Charest, announced plans to include more private medical care provision in the public healthcare system (BMJ 2006;332:507 doi: 10.1136/bmj.332.7540.507-a).

    Critics are concerned that the wider range of surgical procedures available at Rockland contravenes the Canada …

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