Articles on Two-tier health system

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Psychologists can be found in the public system (for example, schools, hospitals, public health offices), but increasingly are choosing to work in private practice, fee-for-service, clinics. (Shutterstock)

In Canada’s two‑tiered mental health system, access to care is especially challenging in rural areas

Conor Barker, Mount Saint Vincent University; Krista C Ritchie, Mount Saint Vincent University; Sara King, Mount Saint Vincent University, and Veronica Hutchings, Memorial University of Newfoundland

Rural Canadians face challenges accessing mental health services, and an exodus of psychologists from the public system may make matters worse.
In 2017, Saskatchewan’s auditor general showed that a private pay MRI program actually increased wait times for scans rather than the promised reduction. Here, an MRI machine is prepared at Toronto’s Sunnybrook Hospital on May 1, 2018. THE CANADIAN PRESS/Chris Young

Why private, for‑profit health care is a terrible idea

Sarah Giles, L’Université d’Ottawa/University of Ottawa; Danyaal Raza, University of Toronto, and Rupinder Brar, University of British Columbia

A two-tier, for-profit health-care system will not end “hallway medicine” in Ontario or elsewhere; evidence from around the world shows that private payment increases wait times for the majority.

Related Topics

  1. access to care
  2. Health care
  3. Health inequity
  4. Mental health system
  5. New Zealand
  6. Ontario
  7. Privatization
  8. Psychologists
  9. Public health
  10. Rural

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