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Significant risks face Ontario’s plan to shift hospital services to private clinics

Wednesday night's panel on speciality clinics -- Natalie Mehra, Dr. Ahmed Bayoumi, Dr. Danielle Martin and Dr. John Lavis.

Wednesday night’s panel on speciality clinics — Natalie Mehra, Dr. Ahmed Bayoumi, Dr. Danielle Martin and Dr. John Lavis.

Dr. Danielle Martin looks uncomfortable discussing the government’s recent plan to move hospital services into so-called specialty clinics.

On the one hand the VP of Toronto’s Women’s College Hospital sees patients every day who she believes could be better served in a community-based setting. On the other, this transfer of services out of hospitals to local clinics runs many risks, including what Martin acknowledges could be “an erosion of Medicare.”

Speaking Wednesday night at a forum organized by the Medical Reform Group at OPSEU’s Toronto Wellesley Membership Centre, Martin admits that in many ways “the horse is already out of the barn.”

That is not in dispute.

Ontario already has 939 independent health facilities; of which 904 provide specific diagnostic tests such as diagnostic imaging and nuclear medicine tests. The remaining 35 provide surgical or therapeutic procedures such as abortions, laser dermatology, and opthamology. Almost all of these independent health facilities are run on a for-profit basis.

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