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Canadians Support Opposition to Pro-Privatization Amendment to Bill 20 in Quebec

September 14, 2015 | Toronto, ON

Canadians support Quebec opposition to extra-billing for health services proposed in amendment to Bill 20, which would create a two-tier system with barriers for low-income people.

Canadians across the country have expressed their support for Quebec groups opposing Minister Barrette's proposed amendment to Bill 20, which is aimed at legalizing extra billing.

“The extra billing Minister Barrette's proposes in his amendment to Bill 20 will create a two-tier health-care system that limits care for people who can't afford extra fees. This dangerous precedent would violate the Canada Health Act and jeopardize universal access to health care in every province. Doctors across Canada stand with Quebec organizations in defense of universal health care,” said Ryan Meili, Acting Chair of Canadian Doctors for Medicare.

As amended, the Bill would enable the government to allow currently illegal fees to be added to health care services by simple regulation, with no clearly established limits. These fees can be charged during medical office visits, for facilities, services, supplies, equipment, or tests that are associated with an insured service.

User fees are prohibited under the Canada Health Act. Provinces that allow it are subject to sanction in the form of withholding of federal transfers in the amount equal to the fees. Health Canada confirmed in June that the costs related to the provision of insured medical services are user fees, or extra billing, and that the law prohibits such fees, which effectively create a two-tier health care system.

Research shows that mandatory fees are an impediment to care, especially for low income people who often don’t access care until they are so sick they can’t avoid it, which not only damages their quality of life, but makes them more expensive to treat.

“The Quebec government’s proposed amendment to Bill 20 would erode one of the core principles of medicare, that health care should be based on need and not ability to pay. The extra-billing proposed in Bill 20 is not only unjustifiable, but creates a slippery slope to two-tiered, US style health care where patients suffer. This is not the health that Quebecers expect or deserve,” said Michael Butler, Nation Health Campaigner, Council of Canadians.

"What happens in Quebec has serious implications for the rest of Canada. By compromising access through extra billing practices, the proposed amendment to Bill 20 would be a crushing blow to Canada’s cherished system of universal health care,” said Natalie Mehra, Executive Director, Ontario Health Coalition.


Dr. Ryan Meili from CDM is available for interviews in either English or French


Canadian Doctors for Medicare
Chad Andrews, Research and Fundraising Developer                                  
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Ontario Health Coalition
Natalie Mehra, Executive Director
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Council of Canadians
Michael Butler, National Health Care Campaigner
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Canadian Doctors for Medicare provides a voice for Canadian doctors who want to strengthen and improve Canada's universal publicly-funded health care system. We advocate for innovations in treatment and prevention services that are evidence-based and improve access, quality, equity and sustainability.

Ontario Health Coalition works to protect and improve our public health care system. We work to honour and strengthen the principles of the Canada Health Act. We are led by our shared commitment to core values of equality, democracy, social inclusion and social justice; and by the five principles of the Act: universality; comprehensiveness; portability; accessibility and public administration. We are a non-profit, non-partisan public interest activist coalition and network.

Council of Canadians is Canada’s leading social action organization, mobilizing a network of 60 chapters across the country. Through our campaigns we advocate for clean water, fair trade, green energy, public health care, and a vibrant democracy. We educate and empower people to hold our governments and corporations accountable.