It started with education. For many years community colleges and universities in Ontario and across Canada have been selling education to the children of wealthy parents in foreign countries. This was something that was happening anyway and the argument has always been that the substantial fees paid were helping fund higher education for Canadian students. It was never the intent to put the needs of these fee-paying students ahead of the students the schools were built to serve.
But that seems it might be the argument when you look at medical tourism. And that would be very wrong. While the Mayo Clinic in Rochester, Minnesota and Memorial Sloan Kettering Cancer Center in New York have become known for their clinical services to the sick from around the world, there has been little suggestion that these leading research centres are enabling medical tourists to use their wealth to jump the queue of American patients.
What is wrong about medical tourism in Ontario is that people are not getting clear answers to their questions. There also seems to be a rather confused argument being made. The other day, an opinion column by a Toronto Star columnist actually said that “Foreign patients can buy their way to the front of the line but wealthy Ontarians can’t.” We can only hope that was just another example of bad editing by the Toronto Star.
The only stipulations that anyone should want in regards to foreigners using our medical facilities is 1) that nobody is moved in the queue because of their ability to pay, and 2) there is an overview that ensures citizens needs always come first.
What we do not need is a Minister of Health in Ontario who refuses to acknowledge that services are being sold to foreign patients. That is making the system look bad. What makes the system look good is the humanitarian health services such as have been provided by Toronto’s Hospital for Sick Children for seriously disfigured children and conjoined twins from poor countries. Yes, they are paid for most of this work because the hospital could not afford to do it otherwise.
There is no question that Ontario hospitals and medical services are among the best in the world. We would not have it any other way. At the same time it is still a work in progress. We have our challenges to meet in controlling costs and solving the many medical mysteries that remain.
There is nothing wrong with sharing our medical expertise with people from less fortunate parts of the world—as long as Ontario patients are looked after first.
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Copyright 2014 © Peter Lowry
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