CAC erm Oma a ays Fig. 2 Billing charges hould Canadians get health care based on S their ability to pay, or based on their need? This is the question that the residents of British Columbia and the rest of Canada should be concerned about. With the current public health care system that was set up by Tommy Douglas, often hailed the “Father of Medicare,” Canadians are able to go see their doctor without having to pay out of pocket. Instead, health care providers are reimbursed by the provincial government at a negotiated fee-for-service rate. Although this comes from taxes that the public pays, it . allows everyone to have access to health care without any discrimination based on income or ability to pay. Dr. Brian Day is challenging this system and is bringing the case to court. Nicknamed “Dr. Profit” by defenders of the public health care system, Dr. Day wants to bring in a two- tiered health care system of public and private. He is asking that the Court remove British Columbia’s prohibition on user fees, extra billing charges (charging patients more than the legal amount), and the ban on duplicative health insurance, which is the sale of private health insurance for services already covered by the public health insurances. Dr. Day argues that the current public health care system has long waitlists that could be bypassed by using private clinics. He states that private clinics should be allowed to provide the same services and set their own fees for patients to pay out of pocket. This hybrid health care system that Dr. Day proposes is a danger to the public’s ability to receive health care. Save Medicare states: “The clinic lawsuit challenges the single most important feature of the Canadian model: That health care be provided according to a patient’s need and not according to his or her ability to pay for the treatment.” If Dr. Day wins his court case, Canada wouldfend up with a for- Fig. 1 Savings Account profit system like the US. Fig. 3 Insurance companies Fig. 4 Service rates