As far too many people in this country know, wait times for any kind of surgery are getting longer and longer.
The Fraser Institute’s latest
noted that Canada’s median time between a referral and treatment is now 30 weeks — the longest ever recorded and a 222 per cent increase from 1993.
But those on the front lines, like Ontario family doctor Sean Haffey, know that it can take up to a year just for patients to see some surgeons, and up to two years for treatment.
The public system may not be crumbling, Haffey said in an interview with the National Post, but it is buckling.
Troubled by patients suffering a loss of mobility, an increase in pain, mental-health problems and other issues as they wait for surgery, Haffey decided to do something.
He recently launched a platform to enable people to connect with private surgeons in order to get the care they need.
“The public system and universal access to care is a good thing,” he said. “I work in the public system, I don’t practise in any private setting and I want to protect the public system. It’s just that one year to see a surgeon, another year to get surgery, is not a sustainable system and it’s only going to get worse.
“We need to come up with innovative ways to support and complement the public system.”
To that end, Haffey has built a free platform,
, where people can go and connect with private surgeons throughout Canada.
“What I’m really trying to focus on, and the challenge I’m trying to solve, is improving patients’ accessibility to private surgery, educating them on their options about what’s available, the rules and regulations around accessing private surgery in Canada, and also providing one centralized, democratized and free platform for them to access, to search, to compare and directly reach out to and connect with private surgeons,” he said.
In his practice in Kingston, Ont., Haffey found he was often treating people who did not know what their options were — and neither did he.
“I started thinking about this because, over and over again every week, I was seeing patients in my own practice who were waiting indefinitely, often up to a year just to talk to a surgeon,” said Haffey.
“Forget actually getting surgery, that was another eight to 12 months. And they would all ask me, ‘What are my options? Where can I go? What are the rules? How much does it cost? Where can I go to find this information?’
“And at the beginning my answer was always, ‘I don’t know, but I really wish I did.’ ”
The Surgency platform aims to answer those patients’ questions.
Part of the problem is that accessing private medicine is different in each province. Ontario, for example, doesn’t allow surgeons to opt out of the public system. Other provinces do.
Which is why if any of Haffey’s patients do opt for private surgery, they are going to have to travel out of Ontario.
“There are lots of rules and regulations and they can be a little complex, but we’re trying to make that a little less veiled in secrecy and trying to make it more open and transparent,” said Haffey.
Surgeons on the platform will focus on elective procedures — the surgeries that the health-care system deems non-urgent, but can severely impact a person’s life.
“The most commonly associated procedures are going to be things like joint replacement, hip and shoulders and ankles, gynecological procedures for things like urinary incontinence or pelvic organ prolapse, and non-cancer indications for urologic, ENT, plastics and spinal surgeries,” he said.
“My efforts are mostly targeted at orthopedic surgeons … just because their wait times are ballooning out of control. In some provinces, they’re exceeding two years, which is just insane.”
Haffey is now including surgeons from other specialties, while avoiding some areas.
“We decided not to focus on cancer or cardiovascular or vascular limb surgeries, first of all because the public system works really well at getting patients care when it is urgent. People might wait a little longer than they’re comfortable with, but generally speaking, the public system is good with those life-threatening indications,” he said.
The platform has 100 surgeons listed so far, but Haffey hopes to have 500 by the end of the year.
“I wanted to try fixing the system from the inside. Waiting around for policy changes and for the system to fix itself over the past few decades have proven to be an ineffectual way of going about it,” said Haffey.
“I just wanted to build a tool that I wish I had and is something that other primary-care physicians can share with their patients and say, ‘Just so you know, there’s this free tool and it’s something that can help explore your options more.’ ”
The new platform will probably upset those who see it as another advance of private health care, to the detriment of the universal system.
But Haffey sees it as a complement to a system in which, all too often, patients see their conditions spiral out of control before they can even see a surgeon.
“This is not about undermining the public system. I cherish the public system, I want to protect the public system,” he insisted. “It’s not crumbling, but it’s buckling under the pressure of these wait times”
National Post