Saskatchewan shows how patient-paid health care can work

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Saskatchewan shows how patient-paid health care can work
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Thoughtful design allowed Saskatchewan to open the door to patient-paid private MRIs without harming the public system

Eight years ago, Saskatchewan opened the door to patient-paid private MRIs. The biggest thing that happened was that not much happened.

But as the number of private MRIs ramped up, wait times in the public system did not rise. In fact, they edged downward after some initial fluctuations. By May, 2018, the median wait time was just 26 days, less than half of the February, 2016 level. By January, 2020, the median wait time had increased to 38 days, but was still lower than the 2016 peak. As of March, 2024, the median wait time had barely budged, edging up to 40 days, from 38 days in February.

Ottawa, however, sees Saskatchewan’s success as a problem that needs to be punished and discouraged. The federal government reduced the province’s health care transfers by $742,447 last March to reflect the fees that patients paid to private MRI operators. In total, Ottawa clawed back $76-million from the provinces.

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