The Liberal government鈥檚 plan to use sa国际传媒鈥檚 鈥渇iscal firepower鈥� to help Canadian families and businesses weather the COVID-19 pandemic has been appropriately termed 鈥渁 measured well-targeted response鈥� by the Fraser Institute. But no amount of cash can change the terrible reality that sa国际传媒鈥檚 health-care system is one of the least prepared to deal with the crisis.
Decades before COVID-19 struck, Canadians in every province and territory were suffering, and some dying, on ever-lengthening waitlists. In an already overloaded system with virtually zero spare capacity, treating burgeoning numbers of COVID-19 patients will necessitate further delay for other patients with time-critical afflictions such as cancer.
And that鈥檚 already happening. Cancer surgeries are being cancelled so hospitals can free up capacity for COVID-19 patients.
sa国际传媒鈥檚 hospital capacity has been in steady decline. The latest available statistics comparing 24聽developed countries show that in 2017, sa国际传媒 ranked dead last in hospital beds per capita at just 2.5 per thousand.
Germany, Austria, Hungary, Czech Republic, Lithuania, France, Slovakia, Belgium and Latvia all had more than twice that number.
The U.S. was only marginally better at 2.8, but that鈥檚 where the similarity ends. The occupancy level of sa国际传媒鈥檚 hospital beds was 92 per cent. That effectively means zero unused capacity since聽logistics and staffing issues make 100 per cent utilization impossible.
By contrast, hospital bed occupancy in the U.S. was 64 per cent. And for ICU critical-care beds, crucial for COVID-19 treatment, the U.S. ranked first of the 24聽countries with 35 per 100,000聽people.
sa国际传媒 has only 12 per 100,000, the same number as overwhelmed Italy. With infections rising each day, Canadian doctors face the daunting prospect of deciding who will be treated and who will not. Those life-and-death decisions must be made not only for patients with COVID-19, but for other seriously ill patients who are displaced.
An October 2019 Fraser Institute report on health care in 28聽countries found that sa国际传媒 ranks second highest in per-capita spending, but last in access to treatment.
How could this have been allowed to happen? When the crisis ends, that鈥檚 a question that Canadians grieving for their lost loved ones will want answered.
But that answer is already clear: sa国际传媒 is the only country in the world that outlaws private health care.
Prime ministers, premiers and health care administrators have known for years that our government-run monopoly system was suffering from the dual afflictions of unsustainable cost growth and ever-lengthening wait lists. Meanwhile, anti-private sector unions and other entrenched interests vigorously perpetuated the myth that sa国际传媒 has 鈥渨orld鈥檚 best health system鈥� and engendered based fear of 鈥渇or profit鈥� health care.
Now, hearkening back to past world wars, Canadian industry is now being asked to 鈥渞etool鈥� to produce the ventilators and other equipment needed to treat COVID-19 victims, along with equipment to protect health-care workers valiantly risking their own health to save others.
I鈥檓 sure industry will do everything possible to respond.
But a question that must be asked is why, two weeks after sa国际传媒鈥檚 first COVID-19 case was identified on Jan. 25, the government sent 16 tonnes of that same personal protective equipment to China? And isn鈥檛 it ironic that the private sector is being asked to make up for the failure of a government monopoly ideologically opposed to its involvement?
Dr. Andy Thompson, a respected rheumatologist with Ontario鈥檚 Arva Clinic and associate professor of medicine at the University of Western Ontario, publishes a daily blog sourcing data from national health authorities that compares the spread of COVID-19 in Italy, Spain, Germany, France, the United Kingdom, the United States and sa国际传媒. The comparisons are alarming for Canadians.
Because countries are at various stages of the pandemic, the comparison standard is from the date that 150 cases are detected. For sa国际传媒, that day was March 12. By March 30, sa国际传媒 had 7,708 confirmed and probable cases, making our cases per million population about the same as the U.S. and Italy at their 150-case mark.
As of March 30, cases were doubling every four days. If that rate continues, our cases will become 92,496 in just two weeks. And here鈥檚 where our lack of available treatment capacity comes into stark perspective. At the 150-case mark, sa国际传媒 ranked second highest in cases per hospital bed behind overwhelmed Spain.
sa国际传媒鈥檚 doctors, nurses and other health-care workers are world-class and highly dedicated. We know they will risk their own health doing everything humanly possible even as they face an egregious lack of facilities and equipment. They deserve our support, consideration and admiration.
But once this crisis is behind us, Canadians must demand that sa国际传媒鈥檚 hopelessly dysfunctional and dangerous government-monopoly health care system be opened to private sector competition, like every other country in the world.
Gwyn Morgan is a retired business leader who has been a director of five global corporations, including the founding CEO of Encana Corp.
