Waiting to Die: Canada's Healthcare Crisis and Its Impact on Cancer Patients

Waiting to Die: Canada's Healthcare Crisis and Its Impact on Cancer Patients By Dale Jodoin In recent years, Canada's healthcare system has faced unprecedented challenges, leading to significant delays in medical treatments. The COVID-19 pandemic has exacerbated these issues, resulting in longer wait times and a shortage of healthcare professionals. Among those most affected are cancer patients, who often find their critical treatments postponed, sometimes with fatal consequences. The COVID-19 pandemic has placed immense pressure on Canada's healthcare infrastructure. Hospitals have been overwhelmed, and resources stretched thin, leading to delays in various medical procedures. According to the Canadian Institute for Health Information (CIHI), median wait times for cancer surgeries have increased by 2 to 4 days for breast, bladder, colorectal, and lung cancers, and by 11 days for prostate cancer, compared to 2019 . These delays can be detrimental, as timely treatment is crucial for cancer patients. For cancer patients, delays in treatment can mean the difference between life and death. As wait times extend, some patients progress to more advanced stages of cancer, reducing their chances of survival. In some tragic cases, patients have died while waiting for necessary surgeries or treatments. A report by SecondStreet.org revealed that over 17,000 patients died while on waiting lists for surgeries, diagnostic scans, or specialist consultations in the year ending March 2023 The uncertainty and prolonged waiting periods have also taken a psychological toll on patients. Feelings of hopelessness and despair are common, leading some to consider drastic measures. The option of Medical Assistance in Dying (MAiD) has been sought by patients who feel they have no other choice due to unbearable suffering and delayed access to care. While MAiD provides an option for those in intolerable pain, its increased consideration raises ethical concerns about the state of the healthcare system. Palliative care services, designed to provide relief to those with serious illnesses, are also under strain. With the rising number of patients requiring end-of-life care, these facilities are operating at full capacity, unable to accommodate the growing demand. This situation leaves many patients without adequate support during their most vulnerable times. The current state of affairs has led to discussions about potential solutions to alleviate the burden on the public healthcare system. One proposal is the introduction of private healthcare options to increase capacity and reduce wait times. Countries with mixed healthcare systems often experience shorter wait times for treatments, suggesting that a dual approach could benefit patients in Canada. Additionally, there is a pressing need to address the shortage of healthcare professionals. The nursing shortage, for instance, has reached critical levels, leading to unplanned closures of emergency rooms and increased workloads for existing staff Wikipedia . Investing in the recruitment and retention of healthcare workers is essential to ensure that patients receive timely and adequate care. Early detection of cancer significantly improves survival rates. However, delays in accessing diagnostic services mean that many cancers are diagnosed at more advanced stages. Improving access to screening and diagnostic tools is vital. Between April and September 2023, median wait times for MRI scans were 7 days longer, and for CT scans 4 days longer, compared to the same period in 2019 . Reducing these wait times could lead to earlier diagnoses and better outcomes for patients. A National Conversation Addressing these challenges requires a national dialogue involving policymakers, healthcare professionals, and the public. An honest assessment of the current system's shortcomings is necessary to develop effective strategies for improvement. This includes considering innovative care models, increasing funding for primary care, and exploring the potential benefits of integrating private healthcare options. The delays in cancer treatment within Canada's healthcare system have dire consequences for patients. Without immediate and effective action, more lives will be lost to preventable delays. It is imperative that Canada confronts these issues head-on, ensuring that the most vulnerable receive the timely care they desperately need.