Ontario to end program providing health care to uninsured residents
The Ontario government will be ending a program that provides free-of-charge health-care services to uninsured people at the end of the month, something doctors say is extremely concerning for marginalized communities.
In March 2020, as the COVID-19 pandemic was first ramping up, the ministry of health established temporary funding for doctors to provide health-care providers to treat those without coverage under the Ontario Health Insurance Plan (OHIP).
The program allowed anyone to access “medically necessary physician and hospital services.”
In a memo sent to Ontario hospitals and health providers, and provided to CTV News Toronto, the government said this funding would end on March 31.
“Starting April 1, 2023, hospitals should return to pre-pandemic billing practices for uninsured patients,” the memo reads.
“As they did pre-pandemic, uninsured persons will continue to have access to some publicly funded health care services including primary care at one of Ontario’s 75 Community Health Centres, midwifery care, public health, and emergency care. Regardless of an individual’s health card status, Ontario’s public hospitals cannot refuse to provide services to a patient who is faced with a life-threatening medical emergency.”
- Download our app to get local alerts on your device
- Get the latest local updates right to your inbox
In a statement, the Ontario Medical Association (OMA) expressed concern about this decision, saying it will be “detrimental to the livelihood of marginalized Ontarians who often face the greatest barriers in our society.”
“Instead, the government will rely on the goodwill of physicians who often exercise a moral obligation to care for uninsured persons without being compensated,” the OMA, which represents the political, clinical, and economic interests of Ontario physicians, said.
An uninsured person is someone who lacks private or provincial health insurance and most often impacts those without residency status, people waiting for permanent residency, foreign workers between contracts, and international students not covered by their universities or colleges.
Challenges also exist for those who experience homelessness and who may not have access to a health card.
The OMA wants the Ministry of Health to extend the program temporarily until a long-term solution can be developed.
The ministry, for its part, says the funding was put in place as a temporary measure to ensure people had access to medical services when it was difficult to leave the province during travel restrictions.
“With lower rates of COVID-19 and the ending of public health restrictions, the province is winding down its pandemic response measures to focus resources on delivering services Ontarians need the most,” it said in a statement to CTV News Toronto.
Doctors have expressed their apprehension over the changes being made so suddenly, especially considering no further action has been taken to reduce other barriers to health care.
Dr. Michael Warner, an ICU doctor at Toronto’s Michael Garron Hospital, told CTV News Toronto that suddenly ending a program that solved a real equity issue is “cruel.”
“We're not talking about people who can no longer go to Buffalo to get an MRI. We're talking about people who don't have a home,” he said “It was a very good policy that rectified a major inequity that existed before March 25, 2020.”
In order to get a health card in Ontario, an individual needs to physically show up at a Service Ontario centre, provide three forms of identification, and have a home address. The forms, Warner added, are also only in English and French.
“What it means is that if you don't have a health card, you're much less likely to get preventive and primary care because you're not going have an ongoing relationship with a primary care practitioner,” he said.
“When you do get sick, it's going to be a bigger emergency that's going to cost the system more. And those on the margins are the ones who are going to be harmed the most in addition to the physicians who treat those marginalized groups, they're just going to be working for free, and that's not fair either.”
‘MEAN-SPIRITED’
While uninsured individuals are able to seek care at community clinics and hospitals without a health card, long-time street nurse Cathy Crowe says she can’t think of any benefit to ending the program.
“There's literally no logic in the decision apart from it means that money that was going to this will go elsewhere,” she said, adding that this will put more pressures on community health centres and hospitals that will be tasked with providing care. “It's mean-spirited. If the premier and his people think that it's easy to get into a community health center, it's not. There's waiting list to become patients there as well. And emergency rooms, my god the doctors in Toronto ERs anyway, are swamped.”
“The last thing they need is people coming in for an ear infection … they don't need people coming in for ‘I'm out of my medication, can you help me.’”
Crowe added that any barriers to access would especially prevent unhoused individuals from seeking care, regardless of the location.
When the funding became available in 2020, it was a game changer,” Dr. Andrew Boozary with the University Health Network, told CTV News Toronto.
There are about half a million people in Ontario who do not have insurance, Boozary noted.
“Removing that stigma and barrier for people to access care was a crucial part in what we were trying to do to improve health in marginalized communities,” he said.
“I think the lack of engagement or consultation to have or pull back a program like this will have a real ripple effect through people who will have now much more uncertainty about where or when they can bank on goodwill, which seems to be indicating the memo, as opposed to the kind of policies we need to ensure that people can stay and be healthy.”
Boozary said the pandemic also shed light on how people’s socioeconomic conditions impacted not just their health but the care they received.
“To not learn and build policy on these learnings that came at a very high cost of human life and more disease … That's the really challenging part to reconcile right now,” he said.
“If the policy messaging is correct, this does real damage to our notions of universality.”
The news also comes as a deal with Ontario optometrists alters coverage for eye exams under OHIP, reducing the number of exams that are covered for seniors to once every 18 months. Seniors will also no longer receive unlimited minor follow-up assessments and people with cataracts will only be covered if they have “clinically significant decreased vision” or if a surgical referral is made.
CTVNews.ca Top Stories
Stamp prices rise for the third time in five years amid financial woes for Canada Post
Canada Post is increasing stamp prices for the third time since 2019, a move the Crown corporation says is a "reality" of its sales-based revenue structure.
BREAKING Winnipeg man admits to killing four women, claims he's not criminally responsible
Defence lawyers of Jeremy Skibicki have admitted in court the accused killed four Indigenous women in Winnipeg, but argues he is not criminally responsible for the deaths by way of mental disorder – this latest development has triggered a judge-alone trial rather than a jury trial.
Trudeau Liberals to unveil new bill Monday aimed at countering foreign interference
Democratic Institutions Minister Dominic LeBlanc will be tabling legislation on Monday aimed at countering foreign interference in Canada. Federal officials have scheduled a technical briefing on the incoming bill for Monday afternoon.
WATCH Avian flu: Risk to humans grows as outbreaks spread, warns expert
H5N1 or avian flu is decimating wildlife around the world and is now spreading among cattle in the United States, sparking concerns about 'pandemic potential' for humans. Now a health expert is urging Canada to scale up surveillance north of the border.
Human remains were found at a former Hitler base, but decay prevents determining the cause of death
Polish prosecutors have discontinued an investigation into human skeletons found at a site where German dictator Adolf Hitler and other Nazi leaders spent time during the Second World War because the advanced state of decay made it impossible to determine the cause of death, a spokesman said Monday.
Italy's white-collar mafia is making a business killing
Italy's mafia rarely dirties its hands with blood these days. Extortion rackets have gone out of fashion and murders are largely frowned upon by the godfathers.
Ontario MPP asked again to leave Ontario legislature over keffiyeh, Speaker loosens ban
An Ontario MPP was asked again to leave the Ontario legislature on Monday for wearing a keffiyeh, a garment that was banned by the Speaker last month due to its political symbolism.
The story of how a B.C. man found his birth mother
After his adopted parents died, Dave Rogers set out to learn more about his birth mother. DNA results and a little help from friendly strangers would put him on a path to a small town in England.
Trump fined US$1,000 for gag order violation in hush money case as judge warns of possible jail time
The judge presiding over Donald Trump's hush money trial fined him US$1,000 on Monday for violating his gag order once again and sternly warned the former president that additional violations could result in jail time.