Thursday, December 20, 2007

Lobby to reverse directive on $500 administration fee out-of-country patients

Whistler Mayor Ken Melamed has thrown his support behind an initiative by Whistler Health Care Centre (WHCC) staff to lobby B.C. Ministry of Health officials to reverse a recent directive on administration fees charged to out-of-country patients.

Local health care providers say that in the past three weeks they’ve counted at least 64 people who have left the centre after learning of the $500 administration fee for anyone who needs to see a doctor.
In an article in The Question last week, Dr. Bruce Mohr and others said they worry that some patients whose conditions should be assessed and treated by a doctor will go untreated, potentially leading to “adverse outcomes.”

Before Nov. 22, non-Canadian residents coming to the WHCC emergency room were charged a $400 administration fee for significant problems such as broken limbs, but only a $90 “minor” fee for issues that required only a brief doctor’s assessment and perhaps a prescription. Since then, all out-of-country WCSS patients have been required to pay $500 to see a doctor for either an initial or follow-up visit, no matter what their medical condition.

Mayor Melamed said he supports Dr. Mohr’s call for community leaders to send a letter to B.C. Health Minister George Abbott seeking to reverse the directive because of the number of out-of-country patients who visit the WHCC.

“We think there are provincial and national interests at stake here,” Melamed said. “In many cases, Whistler is people’s first and only visit to Canada and it reflects on Canada and British Columbia if people’s first experience here has that negative aspect.”

Melamed said he agrees that fees are necessary and added that local officials aren’t seeking a free ride for anyone.

“What we’re potentially asking, and we’re not there yet, is for some kind of a sliding scale,” he said, adding that health professionals in other B.C. resort towns probably have similar experiences, but perhaps not with the same frequency as those in Whistler.

“It’s not special treatment for Whistler,” Melamed said. “We’re just looking for recognition that it’s not one size fits all. Don’t try and shoehorn all situations into one model.”

Dr. Mohr said that in the short term, the doctors working in emergency at the WHCC are looking at using the offices of Whistler Medical Clinic doctors, upstairs, after hours as an alternative for patients who are non-residents of Canada.

“If patients feel it’s too expensive, we would just take them upstairs,” he said, adding that that doesn’t cover the larger issue.

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