The Reimer Clinic is Health Care the Way it Should Be.
Private clinics are the solution to long waiting lists and high costs.
They're owned by entrepreneurial doctors responding to solve waiting lists and to provide fast care, at high quality for much less money.
From Hospital to Private Clinic -- A Better Way
(Warning: political content!) The government plans to move colonoscopy into private clinics. Colonoscopy is big-business for many interest groups.
We're regulated to stringent standards by the CPSO. This group licenses doctors and has authority over them. Cancer Care Ontario-CIRT found the quality of care in private clinics to be at least equivalent to the hospital.
We get $22 per procedure; the hospital gets about $300. That's why everyone cares. From OHIP, doctors can bill a take-home profit of $5,000 for a single day of colonoscopy at a hospital; at a private clinic, the doctor can earn about $75 - $100 per hour. There are many unemployed or underemployed gastroenterologists and general surgeons looking for work these days. Excessive MD wages no longer reflect the labour market. Naturally, many hospital doctors have 'concerns' about moving colonoscopies out of the hospital. Likewise, hospitals are unionized workplaces; clinics are not. Labour unions and their lobbying arms are also 'concerned'.
Waiting lists? We eliminated those years ago. Mandatory fees? It's free, but OHIP really doesn't pay for it either, and neither does the patient. That's why private clinics are shutting down or declaring bankruptcy. Private clinics give public care, but without public funding.
Non-profit private clinics? The government wants to create these. It will provide no capital funding! At this clinic, we're looking for non-profit private investors. We'd like to purchase a capnograph for $4,000. It helps to monitor sedated patients. The private investor will be guaranteed a maximum return of zero and may have their equipment back after five years. The salvage value will likely be $500. If anyone is interested, please contact us (seriously). The plan to make private clinics into non-profit corporations works the same way, but the amount of money involved is about $600,000 per clinic. This is why the government's plan to force private clinics to become 'non-profit' will never work. No right-thinking person would invest their retirement savings this way. Non-profit private clinics would see their medical care deteriorate for lack of capital funding. Their bureaucracy would become too expensive thanks to the management committees that the government wants to create. The opponents of quality, low-cost care without waiting lists would win. Patients would lose. Perhaps the non-profit clinics would seek charitable donations. That would re-direct donations away from the homeless and hungry, into health care. That's bad for the most vulnerable among us, and everyone including the clinics would not have enough.
Democracy still alive? The call-for-applications for government-funded cataract clinics prohibits those involved in the application from contacting their MPP. (The application rules can be read by following the first link in this section. Applications for non-profit colonoscopy clinics are next in the same program.) What purpose could there be to take away citizens' democratic rights to contact their elected officials, on pain of rejecting their funding application or closing their clinic? We risk not only our health system, but also the integrity of our democracy with this process.
Private clinics are a safety-valve and a competitor to the hospitals. Private clinics make hospitals better. It's a conflict of interest for the hospital to control private clinics. The benefits of competition and patient choice are lost. Today, patients have the freedom to choose where they get the best care. To bring back hospital-run monopolies to control how much care is provided and by who is a step back into an inefficient past plagued by high costs and waiting lists of several years. Nationally, these problems in the public system are going to the Supreme Court, led by the former president of the Canadian Medical Association.
At private clinics, patients get the care they need, when they want it, at the best price. We've saved dozens of lives because we just stepped in and looked after folks... with only $22 of government money per procedure.
Private clinics need your support. They're faster, less costly and entrepreneurial with no bureaucracy.
Have your Screening Colonoscopy at The Reimer Clinic
Listen to Dr. Reimer on the AM 570 News program "Ask the Expert". He explains why colonoscopy is the best way to prevent and detect colon cancer and why, starting at age 50, almost everyone should have one.
Everyone is welcome! If you have no family doctor, you can visit us and we will look after you.
Pictured at right from left to right are Drs. Reimer, Hardwick and Khan.