We Need to Have a Good Talk About Healthcare

We Need to Have a Good Talk About Healthcare By Dale Jodoin As we head toward another election season, people are once again talking about housing, jobs, taxes—and yes, healthcare. But here’s the truth: we’re not really talking about it the way we should. We toss around slogans, blame politicians, and get into arguments online. But when it comes to actually fixing Canada’s broken healthcare system, everyone seems too scared to have a real, grown-up conversation. It’s time we sat down, took a deep breath, and had that talk. Because if we don’t? Things are only going to get worse. Canada Comes Second Last in Health Ranking A new report came out from a group called the Commonwealth Fund. They looked at 11 wealthy countries—like Germany, Australia, and the U.K.—and rated their healthcare systems. Canada came second last. That means 10 out of 11 countries are doing better than us. The only country ranked worse was the United States. Let that sink in. For a country that says we “take care of everyone,” we’re not doing a great job. People are waiting hours in emergency rooms, months to see a specialist, and even longer for surgery. Some folks are just giving up and paying out of pocket—if they can afford it. What’s Going Wrong? Let’s look at the facts. Here are some real numbers: Over 1.3 million Canadians left emergency rooms last year without being seen. Why? Because they waited too long and gave up. More than half of Canadians who needed to see a specialist had to wait over four weeks. Around 18% of people needing surgery waited more than four months. Canada has fewer doctors per person than most other developed countries. We also don’t have enough MRI or CT scanners, so even getting diagnosed takes longer. This isn’t just frustrating—it’s dangerous. Delays in care can mean worse outcomes, more stress, and even death. It’s Not the Nurses’ or Doctors’ Fault Let’s be clear: most of the people working in healthcare are doing their best. Nurses, doctors, paramedics, cleaners—many of them are burnt out, underpaid, and trying to help in a system that’s falling apart. So where’s the problem? The truth is, our healthcare system is run by too many layers of management, unions that won’t budge, and governments afraid to make changes. We have too many meetings and not enough action. Too much talk, not enough care. And no—this isn’t about “getting rid of unions.” But it is about putting adults in the room who can talk about hard truths. We need to be honest. We need to admit the system is broken and ask the tough questions: Should provinces have more freedom to try new solutions? Should private clinics be allowed for faster service, while still keeping basic care public? Should we let pharmacists and nurse practitioners do more? Should we open new training schools for nurses and doctors? Emergency Rooms Shouldn’t Be the Only Option Right now, if you get sick after 5 PM or on a weekend, your best hope is the emergency room. Why? Because walk-in clinics are closed, and many family doctors don’t offer after-hours care. That means ERs are packed with people who don’t need emergency care—they just have nowhere else to go. This slows everything down. People with real emergencies—like heart attacks or broken bones—get stuck behind people with ear infections and sore throats. We need to rethink this. More after-hours care. More mobile clinics. More home visits. Let’s take the pressure off hospitals. We Can’t Just Throw Money at It Some people say, “Just spend more!” But that’s not the answer either. Canada already spends more than most countries on healthcare. Yet we get less for it. Other countries—like Australia and the Netherlands—spend similar amounts but get better results. Their people wait less. Their systems are faster and more efficient. So maybe it’s not just about the money. Maybe it’s about how we’re spending it. We need to follow the money. How much goes to middle managers? How much paperwork? How much to consultants who never see a patient? If we’re going to fix things, we have to make sure every dollar is going where it counts—directly to patient care. Time to Get Real Here’s what I’m asking: Let’s stop pretending everything’s fine. Let’s stop blaming one political party or another. Let’s stop hiding behind slogans like “universal care” when the care isn’t really there. Let’s have that real talk—across kitchen tables, on radio shows, in town halls. Let’s talk about hard changes. Let’s talk about what’s working in other countries and what we can learn. Let’s listen to doctors and patients, not just union reps and bureaucrats. And let’s not wait for the next crisis. A System Worth Saving Despite all this, I still believe in public healthcare. I believe we should take care of each other. I believe no one should go bankrupt because they got sick. But believing in something doesn’t mean pretending it’s perfect. It means fighting to make it better. So let’s roll up our sleeves. Let’s act like grown-ups. Let’s fix this thing before it’s too late. We don’t need another election promise. We need a plan. Because our health—and the health of our country—depends on it.