Orthopaedic surgeries down 25% in B.C. public hospitals as private sector picks up slack
The surgeons who replace worn-out joints and fix broken bones report that they’re doing only three quarters of the surgeries they used to in British Columbia's public hospitals, with an increasing number of taxpayer-funded procedures carried out in private facilities.
The anecdotal figures come as multiple orthopaedists have contacted CTV News to report wait times have grown so long for their patients, some of them are no longer seeing new people for assessments.
“In terms of the days I have allotted in the operating room, they're still running at maybe 75 per cent (of what it used to be),” said Dr. Cassandra Lane Dielwart, president of the BC Orthopaedic Association, from her practice in Kelowna. “We're booking less surgeries, we're putting less people into that surgical slot because we don't have the hospital capacity to get the same amount of work done.”
Dielwart and other healthcare workers describe a scarcity of experienced peri-operative nurses, staffed recovery beds, and other resources resulting in fewer patients each day a surgeon takes up a scalpel.
On the North Shore, Dr. Richard Nadeau said that where he used to have around six dedicated operating room days a month pre-pandemic, he only gets about four now.
“The time from when they see a surgeon to the time they have surgery, there's a higher proportion of patients that are waiting longer,” he said. “These patients do live with a significant amount of pain and disability so we do want to advocate for them.”
MORE PRIVATE CENTRES PERFORMING PUBLIC SURGERIES
This comes at a time the health minister says that the province is performing record numbers of surgeries.
“The number of people waiting for surgeries has dropped,” claimed Adrian Dix on an appearance of CTV Morning Live on Monday.
But sources say not only are surgeons willing to see fewer new patients as wait times grow, they’re also sceptical of all the government’s claims because only part of the patient’s experience – from the time their pain begins to the day they have a hip replacement, for example – is captured in government statistics and doesn’t include delays in medical imaging.
Dielwart revealed that government has increasingly gone to privately-operated surgical clinics for day procedures, like arthroscopic surgery, which is contracted with taxpayer dollars so the patient doesn’t pay. She emphasized there are wide variations in wait times and reliance on private surgical centres throughout the province.
In the 2020/2021 fiscal year, the province spent a record $27 million for private delivery of public healthcare at surgical clinics, so CTV News asked the ministry of health for updated numbers; four business days after our request was made, they still have not provided them.
WHAT COMES NEXT
Despite criticism that there’s only one pool of healthcare workers in the province and use of private surgical centres undermines the public system, Dix has defended the growing use of those centres since the numbers are so small: from 3.5 per cent of total surgeries in 2018 to 4.4 per cent in 2020.
“Having a small number of surgeries that increase our capacity,” he told CTV News last August. “As long as there's no extra billing and they follow the Medicare Protection Act, I don’t have any objection to that.
But even Dielwart, who has been a proponent of the increased use of private surgical centres to clear patient backlogs and improve their quality of life, is concerned about the most complex cases relying on a public hospital system that’s deteriorating.
“My biggest fear and the fear of many different surgeons is this becomes our new normal – that all of a sudden our Canadian healthcare system our British Columbia healthcare system is operating at 75 per cent,” she said. “Efficiencies have gone so low that thinking forward, we're going to have a hard time keeping up even to what's happening right now.”
CTVNews.ca Top Stories
NEW From yearning for a change to cost of living, why some Canadians have left or may leave the country
For some immigrants, their dreams of permanently settling in Canada have taken an unexpected twist.
Here are the ultraprocessed foods you most need to avoid, according to a 30-year study
Studies have shown that ultraprocessed foods can have a detrimental impact on health. But 30 years of research show they don’t all have the same impact.
NEW Capital gains tax change 'shortsighted' and 'sows division' business groups tell Freeland
Forging ahead with increasing Canada's capital gains inclusion rate 'sows division,' and is a 'shortsighted' way to improve the deficit, business groups are warning Finance Minister Chrystia Freeland.
Ontario man frustrated after $3,500 paving job leaves driveway in shambles
An Ontario man considering having his driveway paved received a quote from a company for $7,000, but then, another paver in the neighbourhood knocked on his door and offered half that rate.
Defence attacks Stormy Daniels' credibility as she returns to the stand in Trump's hush money trial
Stormy Daniels will return to the witness stand Thursday in Donald Trump's hush money trial as the defence tries to undermine the credibility of the porn actor's salacious testimony about their alleged sexual encounter and the money she was paid to keep quiet.
Police handcuff man trying to enter Drake's Toronto mansion
Toronto police say a man was taken into custody outside Drake's Bridle Path mansion Wednesday afternoon after he tried to gain access to the residence.
What is whooping cough and should Canadians be concerned as Europe declares outbreak?
There is currently a whooping cough epidemic in Europe, with 10 times as many cases compared to the previous two years. While an outbreak has not been declared nationwide in Canada, whooping cough is regularly detected in the country.
Florida deputies who fatally shot U.S. airman burst into wrong apartment, attorney says
Deputies responding to a disturbance call at a Florida apartment complex burst into the wrong unit and fatally shot a Black U.S. Air Force airman who was home alone when they saw he was armed with a gun, an attorney for the man's family said Wednesday.
Air Canada ranks near bottom on customer satisfaction: survey
Air Canada ranks below most other major North American airlines on customer satisfaction, with airfares a particular sore point, according to a new survey.