Look Into My Crystal Ball
So what is going to happen? Someone else is going to have to pay the rent. Already we are seeing an explosion of new clinics with alternate funding models. One can also foresee larger corporations such as pharmacies or supermarket chains subsidize the practitioners in a way that aligns with their own businesses. You can already hear the screams of protest about private healthcare in Canada. But those protests detracts from thoughtful discussions we should be having in how we redesign our healthcare system. The underlying system was built for a 1960s agrarian society. Something this complex deserves deeper analysis beyond the typical Canada vs the USA tripe that ignores the other OECD countries or the other 155 countries in the world.
Beyond that, there is the increasing reliance on nurse practitioners and integration of other allied health professionals, which is a good thing as team based care is a pillar of quality primary care. However, there is not enough of them either. The typical response is to train more doctors, nurses etc. However my experience on the hospital wards tells me we train a lot of nurses already. In 2021, there were 12 780 new registered nurses in Canada. But then many of them leave after two years. So they are not finding healthcare palatable either. Clearly there needs to be a restructuring of the system to satisfy both users as well as providers. I am skeptical that either of the parties contending the current election are going to bring about any meaningful change, despite the rhetoric.