Dalton McGuinty fought the 2004 provincial election vowing to stop two public-private partnership hospital deals. After he got elected, he not only signed off on deals to build Brampton’s William Osler Health Care and the Royal Ottawa Mental Health Centre, but he opened the door wide to more than 30 additional privatization deals.
Using the private sector to design, finance, build, and operate public infrastructure has been controversial from day one.
In Britain, where they refer to P3s as Private Finance Initiatives (PFI), there has been considerable documentation into how these privatized hospitals have cost much more, distorted public priorities and inflated long-term debt obligations.