When the Commonwealth Fund surveyed Canadians a few years ago to find out about their experiences with wait-times in the Canadian Health Care System, some awkward home truths emerged.
As the results were analysed, what became clear was that waiting periods for doctors’ appointments and elective surgery are too long. They are long enough to cause alarm in those complacent Canadians who claim that our system is perfectly functional. The numbers tell a different story.
The Commonwealth Fund study took survey data regarding wait times from 12,000 people in the United Kingdom, the Netherlands, New Zealand, Australia and Germany. These countries, like ours, have universal health care systems. The parameters of the survey were therefore valid, rendering it a useful tool for comparing our country with the others surveyed.

Tony Peter Clement Was a Canadian Minister of Health Between February 6, 2006 and October 29, 2008, Photo by World Economic Forum, Wikipedia
And Canada came in dead last. We wait longer than the people in those other countries to see our doctors when we call for a doctor’s appointment. Thirty percent of Canadians surveyed, revealed that a six day wait is about average. And Canadians are the most likely of those surveyed to head to the Emergency Room as an expedient way to get medical treatment. Then, once we have a diagnosis of an operable disorder, fifteen percent of us wait for six months or more for elective surgery. Around sixty six percent of respondents reported difficulty in obtaining night, weekend and holiday care. When these findings were announced and discussed in Washington, there were some questions raised in Ottawa.
Canadian Health Minister Tony Clement commented, “The report indicates that Canadians are saying the same thing to politicians that they’re saying to the Commonwealth Fund: access to physicians and access to medical services has to improve.” That’s an encouraging sound byte until you hear another piece of Clements’ wisdom. When confronted with the dismal safety records of Canadian hospitals he says, “That bolsters my opinion that Canada does have to lay an emphasis on patient safety.” What passionate commitment to change! I’m sure that the 28% of Canadians surveyed who reported that they had suffered a medical mistake or medication error would echo that sentiment.
With about one eighth of Canadians surveyed, reporting that they had to spend over $1,000 annually on medical care, perhaps we should look again to the words of Tony Clement for hope of reduced personal medical expenses in the years to come.
“On the plus side, when it comes to access to care without extra payment, Canada stands out very well among the top of the nations. That’s certainly a value that Canadians treasure.”
If it’s really such a treasure, why did 60% of the people interviewed say they felt that Canada’s Health System needs more than a check-up? They say it needs major surgery.
There’s no readily available “perfect example” of how to run an efficient health system. Those who jump on the privatization band wagon may not be aware that the other countries surveyed spend less than half of what the US spends on medical care. That’s a glaring example of how an almost totally privatized system will outspend all estimates, while under-serving the population.
I hope Mr. Clement remembered to pack a copy of the report with the rest of his belongings when he caught his flight home from Washington. Maybe he’ll re-read it at home, out of the spotlight, and resolve to address some of the alarming issues which it raises.










