It took a while. But Canada’s Liberal government has finally challenged Premier Doug Ford’s patently illegal plan to cancel emergency medicare coverage for Ontarians travelling abroad.
Federal Health Minister Ginette Petitpas Taylor started the ball rolling last week by officially issuing what, under the Canada Health Act, is called a “notice of concern” to Christine Elliot, her provincial counterpart in Ford’s Progressive Conservative government.
Petitpas Taylor said she was “concerned” by the Ford government’s abrupt decision in April to cancel the province’s out-of-country travellers program, which provides some OHIP coverage to Ontarians who suffer medical emergencies while temporarily journeying outside Canada.
The federal health minister noted correctly that the Ontario government’s decision, which is due to take effect Oct. 1, was “inconsistent” with the Canada Health Act, the law governing medicare. That law sets out the criteria that provinces must meet to be eligible for federal medicare funding.
One criterion is portability — the requirement that provincial medicare plans cover residents who are temporarily travelling elsewhere in Canada or abroad.
The law says that provincial plans must reimburse those who require emergency medical care outside Canada “on the basis of the amount that would have been paid by the province for similar services rendered in the province.”
Simply put, that means if you break your leg travelling abroad you may not be reimbursed by your provincial medicare plan for all of your medical costs. But you should be reimbursed for what it would have cost to get the leg fixed at home.
As Petitpas Taylor notes, if Ontario abandons out-of-country coverage, it would be the first province to do so.
Ontario’s case for contravening the Canada Health Act does not stand up to scrutiny. First, the province argues that OHIP’s out-of-country payments are so puny as to be virtually worthless.
Indeed, given that they haven’t changed in 20 years, they are puny. An Ontarian injured abroad will be reimbursed by OHIP at the rate of $200 a day for in-patient hospital care ($400 for intensive care), $210 a day for renal dialysis and $50 a day for outpatient care. None of that will get him or her very far — particularly in the high-cost U.S. health system
