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And under the tree, a family doctor for all

It isn’t visions of sugar plums that are dancing in the heads of health professionals this holiday season. Accessible health care for all is the gift they hope to find under their tree, with maybe a lump of coal set aside for our politicians.

Looking back on this past year, for better or worse, there have been a lot of changes in the Canadian health-care landscape.

Viral pathogens of all sorts have had their moment. Avian flu spread widely among wildlife and livestock in North America this year, with the first human case in Canada appearing in B.C. in November.

Canada saw a significant rise in measles cases compared with last year, prompting discussions of a national vaccine registry.

The impacts of long COVID continued to reverberate through our communities. One Statistics Canada survey found that seven per cent of Canadians were living with the debilitating condition, yet 40 per cent of those affected still have difficulty accessing care.

For reasons that remain unclear, the toxic drug supply crisis became marginally less fatal in 2024, though an average of 21 people in the country are still dying each day from drug poisoning.

And while staffing crises continue to plague hospitals, family doctors are seeing fewer patients, and health-care wait-times have reached an all-time high, there are silver linings if you squint.

As emergency doctor Raghu Venugopal highlights, it’s not all bad news in Ontario’s emergency departments (EDs). This last year, many significant investments were made to speed up access to hospitals, expand RSV vaccination programs and even convert a parking lot at Toronto’s Unity Health Network into a supportive housing facility.

An innovative family care program in Kingston, Ont., could serve as a model to climb out of the primary care crisis.

The implementation of new technologies like Artificial Intelligence are helping to ease health-care administrative burdens, particularly in crucial areas like family medicine.

The 2023 federal health-care funding to provinces and territories in the form of bilateral deals is still underway, targetting four key areas over the next 10 years. While some target areas like mental health still lag behind, others are showing signs of improvement. The number of surgeries completed in Canada has rebounded to pre-pandemic levels, with more than 2.3 million surgeries performed last year – a 5 per cent increase compared with 2019.

As we look toward the new year, we asked our experts what they considered to be the most crucial areas of focus for our system: If they could gift our health-care system with a little holiday magic, what would they wish for?

Doris Grinspun,

RN, PhD, CEO of the Registered Nurses’ Association of Ontario

My holiday wish is for meaningful progress on improving access to primary care. Universal access to primary care should be the cornerstone of our health system. To address the needs of the 2.5 million Ontarians without a primary care provider, we must expand interprofessional teams comprising nurse practitioners, doctors, nurses and other health professionals. By fully integrating these teams into the health system, we can ensure equitable access and achieve better health outcomes for everyone.

Timothy Caulfield,

author and professor of Healthy Law and Science Policy at the University of Alberta

Since I study health misinformation, my wish is kind of obvious. More truth! More good evidence! Less tolerance for pseudoscience. And way less sanewashing, please! Wait, is that four wishes? Well, we are in the middle of an information crisis. I need four!

Alan Drummond,

family and emergency physician

I’m not so old that I don’t believe in the magic of the season, so if I get one wish during this festive time let it be for greater, no, make that absolute, accountability for the decisions that our politicians make with respect to health care.

A promise made should be a promise kept. In Ontario, six years ago Premier Doug Ford promised to end “Hallway Health Care.” He hasn’t. Four years ago, the same government promised a reduction in wait times. It didn’t deliver.

Last year, the Ford government promised to end the closure of rural EDs and yet this year we will see more closures than at any other time in Ontario’s history. Ontario is a convenient exemplar but this same type of political spin – all hat, no cattle – goes on in every province in our nation. Things are fine; there’s nothing to see. But they aren’t. Time for the bullshit to end and the action to begin. Lives are at stake.

Raywat Deonandan,

professor and epidemiologist, Faculty of Health Sciences at the University of Ottawa

I wish for a genuine Christmas miracle … true universal accessibility! This means a family doctor for every resident, and no waiting times for anyone.

Sabina Vohra-Miller,

founder Unambiguous Science and Doctor of Public Health candidate at Dalla Lana School of Public Health

My one wish for our health-care system is for the government to respect the needs of our health-care system and to prioritize the wellbeing of the people of this province with urgency.

You can’t keep expecting more and more out of a stretched to the core system. We are failing people and until the health-care system fails you or your loved ones directly, you don’t understand the extent to which it is crumbling. The people of Ontario need to wake up to the disastrous legacy of our current government before they end up paying the price with their lives.

Joe Vipond

emergency physician, co-founder of the Canadian COVID Society, and past president of the Canadian Association of Physicians for the Environment

I’m still seeing a lot of hospital acquired infections, mostly COVID, and the results of that since we’ve removed mask mandates and other protections in hospitals. I would truly love for us to return those precautions to protect our patients until such time as we don’t have to deal with these excess preventable deaths.

At a time when all our health-care systems seem to be overwhelmed, it’s the least we could do for both our health-care system and for our patients.

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Authors

Maddi Dellplain

Digital Editor and Staff Writer

Maddi Dellplain is a national award-nominated journalist specializing in health reporting. Maddi works across multiple mediums with an emphasis on long-form features and audio-based storytelling. Her work has appeared in The Tyee, Megaphone Magazine, J-Source and more.

maddi@healthydebate.ca
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