Proposals to make patients pay for medical visits in Quebec meet resistance

BMJ 2008; 336 doi: (Published 28 February 2008) Cite this as: BMJ 2008;336:471
  1. David Spurgeon
  1. 1Quebec

A cross party task force set up to tackle the spiralling costs of Quebec’s provincial healthcare system has recommended an increase in sales tax, introduction of user fees, and greater privatisation.

The much anticipated report from chairman, Claude Castonguay, a former Liberal health minister in 1970 when Quebec joined Canada’s federal health system, proposes among other recommendations a $C25 (£12; €17; $25) fee for each visit to a doctor and an increase of up to one percentage point in the province’s sales tax. The report has encountered considerable resistance.

Quebec’s healthcare costs …

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