08/18/2026
For your information….
CANADA ALREADY HAS 2-TIER HEALTHCARE. WE JUST PRETEND WE DON’T.
Here’s something most Canadians probably don’t know.
A national review found at least 85 privately operated clinics in Canada accepting private payment for advanced medical imaging, including MRI, CT, SPECT and PET-CT.
And no, they aren’t just in conservative provinces.
Quebec: 31
Alberta: 18
British Columbia: 15
Ontario: 14
Saskatchewan: 5
Nova Scotia: 1
New Brunswick: 1
Quebec has more than anywhere else in Canada. (NCBI)
So we can stop pretending private healthcare is some foreign concept that might arrive one day.
It is already here.
Meanwhile, 5.9 million Canadian adults still don’t have regular access to a family doctor, nurse practitioner or primary-care team. (Canadian Medical Association)
An estimated 1.4 million Canadians were waiting for medically necessary treatment in 2025, with the median wait from GP referral to treatment reaching 28.6 weeks. (Global News)
In our emergency rooms, 1 in 10 patients now spends more than 14 hours in the ER. Another 1.2 million visits ended with the patient leaving before being seen and assessed by a physician in 2024-25. (CIHI)
And government records obtained through freedom-of-information requests showed at least 23,746 Canadians died while on waiting lists for surgery or diagnostic scans between April 2024 and March 2025. That does not mean the wait caused every death, but these people died before receiving the care they were waiting for. The data was incomplete in several jurisdictions, so even that number does not capture everyone. (SecondStreet.Org)
Yet if you have the money, in parts of Canada you can already pay privately for an MRI or CT instead of relying solely on the public queue.
That is two-tier access.
I’m not against it. I’m against pretending it doesn’t exist.
The real debate shouldn’t be public OR private.
It should be: How do we use every doctor, every scanner, every operating room and every dollar available to make sure Canadians get treated faster?
Universal healthcare should mean universal access to care.
It shouldn’t mean universal access to a waiting list.