Hub Podcasts Hub Hits: What's behind Alberta's private-public health care reforms?
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Nov 20, 2025 Dr. Brian Day, an orthopedic surgeon and healthcare reform advocate, delves into Alberta's upcoming private-public health care reforms. He argues that the current single-payer system leads to detrimental rationing and worsened health outcomes. Day advocates for a dual practice model, which allows doctors to work in both public and private sectors, enhancing access to care. He highlights international models and emphasizes that competition can drive better health outcomes while increasing physician supply. Day believes timely treatment not only saves lives but also money.
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Monopoly Causes Deliberate Rationing
- Dr. Brian Day argues Canada's single-payer monopoly deliberately rations care and worsens outcomes.
- He says this system even causes patients to die by restricting access and resources.
Clinic Opened After Operating Cuts
- Dr. Brian Day recounts his clinic opening after public operating time fell from 22 to five hours weekly.
- He and colleagues faced 400 patients waiting and pursued long litigation over access limits.
Hybrid Model Enables Dual Practice
- Alberta's proposed hybrid model would let doctors practise in both public and private systems simultaneously.
- Dr. Brian Day says cross-provincial private care already occurs and highlights the incoherence of current boundaries.
