The Canadian Bitcoiners Podcast - Bitcoin News With a Canadian Spin

Two Tier Canadian Healthcare w/ Dr. Brian Day and Dr. Mohammad Zarrabian | The CBP

Sep 25, 2025
Dr. Brian Day, an orthopedic surgeon and author, and Dr. Mohammad Zarrabian, a double fellowship-trained spine surgeon, delve into the challenges of Canadian healthcare. They discuss surgery wait times and the rising demand for private care options. Day highlights systemic failures and legal constraints, while Zarrabian shares insights on the benefits of outpatient spine surgery. The duo examines international models, transparency issues in wait-time data, and recommends blended models to improve patient care and reduce bureaucratic resistance.
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INSIGHT

Monopoly Restricts Access

  • Canada enforces a government-run monopoly on 'medically necessary' care that restricts private alternatives.
  • That monopoly contributes to delayed access and systemic dysfunction, says Dr. Brian Day.
ANECDOTE

Private Clinic Cleared Backlogs

  • Dr. Mohammad Zarrabian describes a private outpatient spine centre in Winnipeg that treated simple cases faster.
  • The private center operated during COVID and cleared backlogs for injured workers, demonstrating system flexibility.
INSIGHT

Block Funding Creates Perverse Incentives

  • Canadian hospitals are funded by block budgets that penalize treating more patients.
  • That funding model disincentivizes hospitals from wanting patients and worsens wait lists, Dr. Day explains.
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