New Brunswick
New Brunswick
Premier Holt,
I am writing to you about a critical healthcare funding priority issue in New Brunswick.
I have treatment-resistant depression. When Medical Assistance in Dying becomes available for mental health conditions in 2027, I will qualify.
However, I have discovered that New Brunswick will facilitate my death through MAiD, but will not fund treatment that could help me avoid needing it.
Specifically:
Ketamine therapy, an evidence-based treatment for treatment-resistant depression, is not covered by NB healthcare
MAiD, when available in 2027, will be facilitated
New Brunswick has decided it is willing to help me die, but not willing to help me access treatment.
This is not just about my individual case. This is about what New Brunswick prioritizes: funding death over funding treatment options.
I am asking you directly:
Why won't New Brunswick cover evidence-based treatments like ketamine for treatment-resistant mental health conditions?
How can the province justify facilitating MAiD while denying coverage for treatments that might make MAiD unnecessary?
What will you do to ensure New Brunswickers have access to treatment before death becomes the default option?
You campaigned on fixing New Brunswick's broken healthcare system. This is your opportunity to prove that commitment is real.
I expect a substantive response, not a form letter.
Thank you
(Name Redacted)
Thank you for sharing your concerns about Ketamine IV and medical assistance in dying (MAID) with me.
Ketamine IV treatment for depression is not generally recognized or publicly funded in New Brunswick or other Canadian jurisdictions at this time.
Alberta is currently the only province to regulate the use of Ketamine for treating depression under very strict criteria and specialized institutions.
The Department of Health will continue to monitor developments in this area across other Canadian jurisdictions.
Our government does offer enhanced addiction and mental health services with a service called “One-At-Time-Therapy”. This service aims to provide rapid access services by walk-in or appointment.Â
There is no lengthy assessment process, and a person can talk with a mental health counsellor about what is currently troubling them.
After the initial counselling session, the person can return if more services are needed or other services along the continuum of addiction and mental health services can be explored with the counselor.
Click here for your specific location and contact information: Addictions and Mental Health (gnb.ca).
In Canada, the legal framework for Medical Assistance in Dying (MAID) is a sensitive and collaborative responsibility shared between federal and provincial governments.
The federal government establishes the national laws and eligibility criteria, provincial and territorial health authorities are responsible for the compassionate delivery of this care and the development of rigorous practice standards.
We understand that the upcoming changes regarding eligibility are significant. Effective March 2027, individuals whose sole underlying condition is a mental disorder may be eligible for MAID.
Because these situations involve conditions where death is not "reasonably foreseeable," they are managed with the utmost care under "Track 2" safeguards. These protections will ensure that:
Specialized Expertise: At least one assessing practitioner must have specific expertise in the mental health condition involved.
Comprehensive Care: Patients must be fully informed of, and seriously consider, all available treatments to ensure every path to relieving suffering has been explored.
A Shared Path: There must be a mutual agreement between the patient and their practitioners that all reasonable alternatives have been discussed and considered.
The Department of Health and the regional health authorities are working diligently to establish guidelines that prioritize patient dignity and safety.
While I can’t comment on your specific case, it is important to remember that MAID is never an automatic process; it will always remain a health care practitioners’ decision after a deeply personal and comprehensive assessment.
Even as eligibility expands, the focus will remain on a thorough, compassionate evaluation of an individual's unique suffering and their history of care.
Thank you again for writing to me.
With gratitude,
Susan Holt
Premier
Quebec
🚨 Transparency Matters in Healthcare 🚨
A troubling report out of Quebec is raising serious questions about accountability in our healthcare system.
Since taking over the province’s medical dashboard, Santé Québec quietly removed key emergency room targets and reduced public access to critical data—including wait times and overcrowding indicators.
These weren’t just numbers. They were benchmarks the public could use to hold the system accountable.
Now?
➡️ Targets are gone
➡️ Context is missing
➡️ Access is more complicated
Frontline professionals are sounding the alarm. One ER physician put it plainly:
“What they are giving to the public is less available.”
At the same time, patients are still facing:
🏥 Long ER stays
🛏️ Hallway medicine
⏳ Delays that put lives at risk
When transparency disappears, so does trust.
Yes—Santé Québec has now said it will reinstate some indicators. But the bigger question remains:
👉 Why were they removed in the first place?
👉 And how can the public trust the system without full, clear data?
This isn’t just about Quebec.
It’s a warning for all of Canada—including right here in New Brunswick.
You can’t fix what you refuse to measure.
#HealthcareCrisis #Accountability #Transparency #CanadianHealthcare #NBHealthcare #HealthCareReform
New Brunswick
🚨 UPDATE: Patients moved out of ambulance bay at DECH 🚨
After public outrage and mounting pressure, patients are finally no longer being housed in a converted ambulance bay at the Dr. Everett Chalmers Regional Hospital.
Let’s be clear about what just happened.
Patients in New Brunswick — some of our most vulnerable — were placed in a space without proper washrooms or running water, waiting for real hospital beds.
Now, Horizon Health says all patients have been discharged or moved, and the temporary unit has been shut down.
They’re calling it progress.
But here’s the reality 👇
This wasn’t a “solution.”
It was a symptom of a system pushed beyond its limits.
Yes, patients have been moved.
Yes, the space is now closed.
But the bigger issue remains:
âť— Chronic overcapacity
âť— Not enough beds
âť— A healthcare system still under strain
We should never have reached a point where an ambulance bay became acceptable patient care.
Moving patients out doesn’t fix the system — it just removes the spotlight.
The question remains:
How many more “temporary measures” are being used behind the scenes?
🗣️ New Brunswickers deserve transparency.
🗣️ Patients deserve dignity.
🗣️ And our healthcare system needs real, lasting reform.
#NBHealthcare #HealthcareCrisis #PatientCare #NewBrunswick #FixHealthcare #Accountability #HealthcareReform
Manitoba
The province’s latest critical incident report identified five deaths as being linked to health-care delays. CTV’s Jeff Keele explains.March 30, 2026 at 7:14PM EDT
New Brunswick
🚨 New Brunswick’s Long-Term Care Plan Is Out — But Where’s the Plan?
After years of delays, the government has finally released its long-term care strategy for seniors.
On the surface, it sounds promising:
✔️ More funding ($993 million)
✔️ Focus on home care
✔️ Support for workers
✔️ A vision for aging with dignity
But here’s the problem…
👉 There are no clear targets.
👉 No timelines.
👉 No measurable outcomes.
Even critics are saying it feels like:
“a plan to make a plan.”
Meanwhile, the reality on the ground is getting worse:
• Over 1,000 seniors waiting for nursing home beds
• Nearly half stuck in hospitals with nowhere else to go
• 48% of seniors declining home care because they simply can’t afford it
• Personal support workers — the backbone of the system — still underpaid
And let’s be honest…
👉 A “living document” is just another way of saying nothing is locked in.
Yes, having a plan is better than nothing.
But seniors don’t live in policy documents — they live in the system right now.
Right now, families are struggling.
Right now, hospitals are overwhelmed.
Right now, seniors are waiting.
💬 The question isn’t whether we have a plan.
💬 The question is whether anything will actually change — and how fast.
Because without urgency, accountability, and real targets…
👉 This won’t fix the crisis. It will just manage it.
#NBHealthCare #SeniorsDeserveBetter #HealthCareCrisis #NewBrunswick #LongTermCare #Accountability
New Brunswick
New Brunswick
🚨 Another delay. More confusion. Same broken system.
The government just confirmed that eVisitNB will keep running until July — even though a new provider was supposed to take over on April 1.
So what happened?
👉 We were promised a “seamless transition”
👉 We were told there would be no disruption
👉 Instead… we get last-minute extensions and mixed messaging
Health Minister John Dornan couldn’t clearly explain the plan.
Premier Susan Holt now says this was always part of the contract.
But New Brunswickers are left asking one simple question:
Do they actually have a plan?
This isn’t just about contracts or timelines — it’s about access to care.
When leadership is unclear, patients pay the price.
📉 Delays
📉 Confusion
📉 Zero accountability
👉 We don’t need spin.
👉 We need stability.
👉 We need a healthcare system that works.
#NBHealthCare #NBPoli #HealthcareCrisis #Accountability #FixHealthcare
Winnipeg
🚨 PUBLIC HEALTH ALERT: MEASLES EXPOSURE INCREASING IN WINNIPEG
Health officials in Winnipeg are warning of multiple new measles exposure sites across the city — including schools, clinics, and a busy pharmacy.
📍 Confirmed exposure locations include:
J.H. Bruns Collegiate (full school day)
Multiple dental & medical clinics
A Shoppers Drug Mart location
St. Vital Family Medical Clinic
Boundary Trails Health Centre ER
🗓️ Exposure dates: March 16–17
⚠️ Why this matters:
Measles is highly contagious — it spreads through the air and can remain in a space even after an infected person has left.
đź§ Symptoms to watch for:
Fever
Cough
Runny nose
Red eyes
Followed by a rash
👉 If you were at any of these locations:
Check your vaccination status immediately
Contact a healthcare provider within 6 days if you may have been exposed
💬 This is another reminder that public health capacity matters — rapid communication, access to care, and prevention systems are critical to protecting communities.
📢 Stay informed. Stay protected. Share this.
Canada
We all have limits!!
Britsh Columbia
British Columbia's Health Professions and Occupations Act (HPOA), effective April 1, 2026, increases government control by shifting regulatory power from independent professional colleges to the provincial government.Â
Key changes include appointing board members directly, creating a government-led disciplinary office, and imposing strict anti-discrimination requirements to improve public safety and consistency.Â
BC Health Regulators +3
Key Aspects of Increased Government Control:
Government-Appointed Boards: The HPOA shifts board composition from a 50/50 elected/appointed balance to entirely government-appointed members, removing prior professional independence.
Direct Oversight: The Act creates the Health Professions and Occupations Regulatory Oversight Office (HPOROO), which will centralize control and manage disciplinary processes.
Reduced Professional Autonomy: Critics argue the act limits the ability of professionals to challenge decisions and allows for more top-down, direct government directives.
Regulatory Focus: The HPOA mandates that regulatory colleges prioritize anti-discrimination, Indigenous-specific anti-racism, and reconciliation, which are now formally mandated throughout the legislation.Â
While supporters argue this modernization enhances accountability and simplifies regulation, stakeholders like the Doctors of BC have raised concerns about the removal of professional self-regulation, reduced appeal rights, and potential politicization of the healthcare system.Â
Canada
🚨 Is Canada Heading Toward Two-Tier Healthcare?
Protests erupted across the country this week as Canadians push back against growing fears of an “American-style” healthcare system creeping north.
At the center of the controversy is Alberta’s Bill 11 — legislation that allows doctors to work in both the public and private systems.
Supporters say it could reduce wait times.
Critics say it opens the door to something far more dangerous:
👉 Faster care for those who can pay
👉 Longer waits for everyone else
Let’s be honest — Canadians aren’t afraid of change.
They’re afraid of losing what’s left of equal access.
Because here’s the uncomfortable truth:
We already don’t have equal access.
In provinces like New Brunswick, people are:
❌ Waiting months — even years — for basic care
❌ Sitting in ERs with no doctors
❌ Forced to travel or go without treatment
So the real question isn’t just about “two-tier care”…
👉 It’s this:
What happens when the public system is already failing?
Does private care become a solution — or does it make a broken system worse?
Because if access depends on your wallet,
then universal healthcare isn’t universal anymore.
💬 Canadians need to have this conversation — honestly, not politically.
Because this isn’t about ideology.
It’s about whether people get care when they need it.
Canada
🚨 AI Is Entering Your Medical Records — Are We Ready?
OpenAI has officially launched ChatGPT Health, a new tool designed to connect your personal health data — from apps, wearables, and even medical records — directly into AI conversations.
Millions of people already use ChatGPT for health questions every week. Now, this takes it a step further.
đź’ˇ What it does:
Connects data from platforms like Apple Health and fitness apps
Allows users to upload and analyze medical records
Helps identify risks, patterns, and possible concerns
Claims it will not train AI models on your personal health data
📊 OpenAI says over 230 million people globally already ask health-related questions on ChatGPT weekly.
⚠️ But here’s the real question…
Is this innovation — or a warning sign?
We’re now looking at a future where:
AI helps patients catch potential medical errors
Health data becomes more centralized than ever
Tech companies become a “front door” to healthcare
This could empower patients…
Or raise serious concerns around privacy, accuracy, and oversight.
For Canada — and especially New Brunswick — this matters.
With ongoing healthcare challenges, tools like this could:
✔️ Help patients better understand their conditions
✔️ Reduce pressure on overwhelmed systems
✔️ Improve communication gaps between providers
But they also highlight a bigger issue:
👉 Why are patients turning to AI to “connect the dots” in the first place?
💬 Let’s discuss:
Would you trust AI with your medical history?
Ontario
🚨 Nearly 16,000 students in Peel Region could face suspension over incomplete vaccination records — and it raises bigger questions about how our healthcare system is functioning.
According to Peel Public Health, thousands of students are at risk of being removed from classrooms unless records are updated under the Immunization of School Pupils Act.
Let’s be clear — vaccines play an important role in protecting public health. But this situation highlights something deeper:
👉 Are families falling behind because of hesitancy… or because they can’t access timely care?
👉 Are record systems too complicated or outdated?
👉 Are we putting more pressure on families instead of fixing system gaps?
Public health officials say suspension is a “last resort,” and efforts are being made to help families catch up. That’s the right approach — support should always come before punishment.
At NB Broken HealthCare, we believe:
• Access to care must come first
• Systems must be simple and coordinated
• Families should be supported — not overwhelmed
When tens of thousands of records are incomplete, that’s not just an individual issue — it’s a system issue.
We need solutions that make it easier for families to stay up to date, not policies that risk disrupting education and adding stress.
📣 This is a reminder: strong healthcare systems don’t just set rules — they make it possible for people to follow them.
#NBHealthcare #HealthcareReform #PublicHealth #CanadaHealth #PatientFirst #HealthcareAccess
Canada
🚨 Is Two-Tier Healthcare Coming to Canada? 🚨
Across the country, healthcare workers and advocates are raising serious concerns about the future of Canada’s public system.
Rallies were held in cities like Calgary and Edmonton, where protesters warned that Alberta’s new legislation — Health Statutes Amendment Act (Bill 11) — could open the door to a two-tier healthcare system.
The concern?
👉 Allowing doctors to work in both public and private systems could mean:
Faster care for those who can afford to pay
Longer wait times for everyone else
A shift away from universal access
Supporters of public healthcare argue this could violate the Canada Health Act, which is meant to ensure equal access to medically necessary services for all Canadians.
Groups like the United Nurses of Alberta and Friends of Medicare are calling on the federal government to step in before it’s too late.
Meanwhile, the Alberta government says these changes could actually reduce wait times and improve access — arguing critics are overstating the risks.
👉 So what’s the truth?
That’s the debate happening right now across Canada.
📣 One thing is clear:
Canadians are deeply divided on how to fix healthcare — but everyone agrees the system is under pressure.
Do you think this will improve access… or create inequality?
#CanadaHealthCare #TwoTierHealthcare #PublicHealth
#HealthcareReform #Canada
Canada
Ottawa – The Canadian Health Coalition is calling on Federal Health Minister Marjorie Michel to ban for-profit, private paid plasma centres across Canada, following Health Canada confirming media reports of two people dying after blood plasma extractions at Grifols-owned plasma collection centres in Winnipeg.
The Coalition is also calling on the Manitoba government to instruct the Chief Medical Examiner to conduct a coroner’s inquest into the deaths.
The Coalition welcomes news that Manitoba is considering banning paid plasma centres, as reported by CBC on March 12, 2026.
“Plasma collection should remain guided by the principles of the Krever Commission for Canada’s national blood supply including that blood is a public resource and donors should not be paid,” says Jason MacLean, Chair of the Canadian Health Coalition.
“All provinces and territories need to urgently pass the voluntary blood protection legislation. Canadian Blood Services needs to immediately cancel Grifols as their agent and take over plasma collection. These measures will ensure greater domestic security and safety of Canada’s blood and plasma supply,” said MacLean.
Twenty-two-year-old Rodiyat Alabede, an international student, died on Oct. 25 after friends say she donated plasma. Another person died in January. A third person from Winnipeg is suing over mechanical equipment failure that caused serious kidney injury after he sold his plasma at a Grifols-owned centre.
On January 13, 2026, Health Canada inspectors found the Grifols centre in Regina to be non-compliant. On December 2, 2025, the Grifols centre in Calgary was also found to be non-compliant. Both mentioned deficiencies in assessing donor’s suitability, in quality management system, operating procedures not followed, and personnel qualifications and training.
Paid plasma preys on vulnerable populations needing money. For example, the Grifols plasma collection centre in Moncton is located near the Université de Moncton and offers up to $1,680 in the first three months of donating plasma.
The Canadian Health Coalition’s mission is to protect and advance public provision of health services to all people living in Canada. That includes Canadian Blood Service’s public provision of blood, plasma and plasma products for emergency conditions and for ongoing medical care.
Ontario
Nearly 16,000 Students in Peel Region Could Face Suspension Over Missing Vaccine Records
Public health officials say nearly 16,000 students in the Peel Region could face suspension due to incomplete or missing vaccination records.
According to Peel Public Health, about 15,800 students were flagged as of the week of March 9 for potential suspension if their immunization documentation is not updated. Suspension notices are expected to be sent throughout March and April.
Health officials say suspension is considered a last resort under the Immunization of School Pupils Act, which requires students to have proof of vaccination against diseases such as measles, mumps, polio, tetanus, diphtheria, and whooping cough.
Families are being contacted multiple times and given instructions on how to submit records or catch up on vaccinations before suspensions are issued.
Public health teams are also offering in-school catch-up clinics, additional nurse support, and March Break vaccination clinics to help students update their records.
Officials say the number of potential suspensions is expected to drop as more families submit their documentation.
Parents can still apply for medical or non-medical exemptions, although non-medical exemptions require completing a mandatory education session.
New Brunswick
📣 New $270M Doctor Contract Announced in New Brunswick
Will this finally help people get a family doctor, shorten specialist wait lists, or ensure patients are treated in the ER in a timely manner? Unfortunately, many New Brunswickers remain skeptical.
The government of New Brunswick and the New Brunswick Medical Society have officially signed a new $270-million, four-year contract with physicians — something Premier Susan Holt called the “start of a new chapter” for the province’s struggling health-care system.
Under the deal, family physicians will receive an 18% pay increase in the first year, while specialists will see a 12% raise. The agreement also includes incentives for doctors to take on more patients and to participate in the province-wide electronic medical records system, which the government says will improve coordination of care and accountability.
Health Minister John Dornan said the agreement marks a significant change because it links physician participation to digital records and better data on patient attachment and care delivery.
Officials say the goal is to attract and retain more doctors, strengthen primary care access, and help reduce wait times for family doctors and emergency services.
However, some questions remain. The full details of the contract have not yet been released publicly, and there appear to be few direct penalties if physicians do not increase patient loads, beyond reduced compensation compared to those who take on more patients.
The government says the new approach — including collaborative care clinics and better data tracking — will improve accountability while supporting physicians with teams of nurses and other health professionals.
🔎 For many patients still waiting for a family doctor or spending long hours in emergency rooms, the real question remains:
Will this agreement actually improve access to care?
Time will tell — but New Brunswickers will be watching closely.
#NewBrunswick #Healthcare #NBHealthcare #HealthcareReform #FamilyDoctors #PatientAccess #HealthcareAdvocacyÂ
Canada
We explore the early warning signs of systemic issues: aging population, long ER waits, and fragmented regional health authorities. The 2008 creation of Horizon and Vitalité was meant to streamline operations, but patient care improvements were minimal.
Saskatchewan
Saskatchewan Unveils New Health-Care Plan — But Critics Say It’s Old Ideas Repackaged
The government of Scott Moe in Saskatchewan has announced a new strategy aimed at improving access to health care across the province.
Called the “Patients First Health Care Plan,” the government says it will focus on expanding patient options, increasing the number of health-care providers, and reducing wait times.
According to the plan, the province will implement more than 50 actions, including:
• Expanding virtual health-care services
• Opening more urgent care centres
• Recruiting and training more doctors, nurses, and nurse practitioners
• Adding 26 new nurse practitioner training seats at the University of Saskatchewan and the University of Regina
• Offering $78,000 in training support for nurses who pursue nurse practitioner education
The government has also set some ambitious targets:
âś” Three-month maximum wait time for surgeries by 2028
âś” 90% of diagnostic tests completed within 60 days
âś” 450,000 surgeries completed over the next four years
Saskatchewan Health Minister Jeremy Cockrill said the province is taking an “all-in approach” to using nurse practitioners as a key part of improving access to primary care.
However, the opposition argues the plan is not new. NDP MLA Keith Jorgensen says the proposal closely resembles a health-care strategy introduced 14 years ago under former premier Brad Wall, and questions why the government is only now addressing long-standing problems.
Across Canada, the message from governments is becoming clear: health care cannot remain as it is. Provinces are searching for solutions to staff shortages, long ER wait times, and growing patient demand.
But the key question remains: Will these new plans actually deliver the results Canadians need?
Healthcare reform is now one of the most urgent public policy challenges facing our country.
#CanadianHealthcare #HealthcareReform #PatientCare #HealthcareCrisis #Saskatchewan #CanadaHealthCare
New Brunswick
🚨 New Brunswick Health-Care Spending: Where Is the Money Going?
A new report suggests that despite billions being spent on health care in New Brunswick, even experts cannot clearly explain where much of the money is going.
According to Stéphane Robichaud, CEO of the New Brunswick Health Council, there is still no strong understanding of how health-care spending is being distributed across the province. This is a serious issue for taxpayers and patients alike.
📊 Recent data shows New Brunswick ranks third in Canada for public-sector health spending per person, at about $7,035 annually. Yet despite this high spending, thousands of residents still struggle to find a family doctor, emergency rooms face frequent closures, and hospitals operate regularly over capacity.
The provincial government, led by Susan Holt, has launched a review of spending across the province’s major health organizations, including:
• Horizon Health Network
• Vitalité Health Network
• Ambulance New Brunswick
These organizations have seen their budgets rise steadily over the past five years, but the government says it wants to determine whether those expenditures are cost-effective and properly aligned with patient needs.
The province had already budgeted $4.1 billion for health care this year, but spending is now expected to exceed that amount by another $432.5 million.
Meanwhile, the province’s Paul Martin recently warned that the Department of Health lacks effective oversight mechanisms for tracking emergency health services and performance across the system.
Even more concerning, regional health authority budgets are still based on a 2008 funding formula that assumed hospitals would operate at 85% capacity — while today many hospitals are far beyond that level.
👉 In short:
New Brunswick is spending billions on health care, yet transparency, accountability, and measurable outcomes remain unclear.
Patients deserve answers.
Taxpayers deserve accountability.
And our province deserves a health-care system that actually delivers access to care.
The results of the government’s spending review are expected later this spring.
📣 Question for New Brunswickers:
Do you believe the issue is not enough funding — or poor management of the money already being spent?
Canada
Doctors across Canada are warning that emergency room overcrowding is contributing to preventable deaths, according to a recent commentary published in the Canadian Association of Emergency Physicians journal.
Dr. Alecs Chochinov and colleagues say emergency departments across the country are routinely operating well beyond capacity, with hallways and treatment areas filled by patients waiting for hospital beds that simply do not exist.
The result, they warn, is a system where patients can deteriorate for hours while waiting to be assessed, sometimes dying before receiving treatment. The most common causes cited include serious conditions like cardiovascular disease and sepsis.
Researchers estimate that between 8,000 and 15,000 Canadians may be dying each year unnecessarily due to emergency department overcrowding — a number extrapolated from international data.
Doctors describe the situation as a “chronic disaster state.” Many hospital beds remain occupied by patients who are medically ready to leave but cannot be discharged due to shortages in long-term care, rehabilitation, or home care services. As a result, emergency rooms become the bottleneck for the entire system.
Canada currently has about 2.5 hospital beds per 1,000 people, one of the lowest ratios among developed countries.
Physicians say the crisis is being worsened by shortages in primary care and long wait times to see specialists, which push more patients into emergency departments.
Dr. Chochinov and other emergency physicians argue that the issue should be treated as a national priority, noting that timely access to care is a key principle under the Canada Health Act.
Many doctors say morale among healthcare workers is deteriorating as they face growing pressure, staff shortages, and fears that patients may suffer harm while waiting.
What do you think?
Have you or someone you know experienced long waits in a Canadian emergency room? What changes do you think governments should make to address this crisis?Â
New Brunswick
A recent column by Tom Mueller has raised questions about the direction of youth gender care policy in New Brunswick.
According to the article, Horizon Health Network has included a proposal for a centralized gender-affirming care clinic in its budget submissions for at least two years. The proposed clinic would likely be located in Fredericton and is now under consideration by the provincial government.
Supporters of the idea argue that the current system is fragmented. Patients often need to navigate multiple providers, referrals, and inconsistent access depending on where they live.
A centralized clinic, they say, could provide coordinated medical and psychological assessments, standardized care protocols, and better access for rural patients through virtual services.
However, the column also points to international developments that have led some countries to reassess youth gender medicine.
In the United Kingdom, the youth gender clinic at Tavistock and Portman NHS Foundation Trust Gender Identity Development Service closed following concerns raised during the Cass Review.
The review identified problems including insufficient evidence on long-term outcomes and concerns about clinical oversight.
Several European countries — including Sweden, Finland, and Denmark — have also shifted toward more restrictive or research-based approaches for medical treatments involving minors.
The column also notes recent statements from organizations such as the American Society of Plastic Surgeons and the American Medical Association suggesting caution and recommending age thresholds for certain surgical procedures.
Mueller argues that if New Brunswick moves forward with a centralized clinic, it should ensure strong multidisciplinary oversight. He suggests a model that emphasizes psychological assessment and specialized pediatric expertise before medical intervention.
The broader question raised is whether provinces should proceed cautiously while international standards and evidence continue to evolve.
Healthcare policy, particularly when it involves youth, is complex and often involves balancing access to care, patient safety, evolving research, and ethical considerations.
What do you think?
Should New Brunswick move forward with a centralized gender clinic, or should the province wait until more long-term evidence and international standards are clearer? Let us know your thoughts respectfully in the comments.
Manitoba
This is interesting from Manitoba.
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Cut Doc was created to help reduce our community’s reliance on Emergency Rooms and Urgent Cares by providing wound care services outside of the hospitals.
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New Brunswick
🚨 Surgical Wait Times in New Brunswick – Another “Review” Announced
The New Brunswick government says it is reviewing the province’s operating room system in an effort to “optimize” resources and reduce surgical wait times.
According to Health Minister John Dornan, the Department of Health and the province’s two health authorities are examining how operating rooms are currently used and looking for ways to improve scheduling, extend hours, and measure efficiency.
A final report is expected in the coming months and is supposed to provide a roadmap to reduce the growing surgical backlog.
At the same time, the New Brunswick Health Council says the use of private surgical clinics should be considered on a case-by-case basis. CEO Stéphane Robichaud noted that some private contracts — such as cataract surgeries — appear to have helped reduce wait times in recent years.
However, there are still major questions about why solutions already available are not being used.
For example, East Coast Surgical Centre has stated publicly that it has the capacity to perform additional publicly funded procedures, including hernia repairs, hip and knee surgeries, soft-tissue repairs, and pediatric dental surgeries. Yet the clinic says it has struggled to even get a meeting with government officials.
đź’¬ So here is the real question for New Brunswickers:
Why are patients waiting months — sometimes years — for surgery while operating rooms sit idle in the evenings, weekends, or outside the hospital system?
Reviews and reports are important, but people living in pain today need action — not another study that takes months to complete.
New Brunswick families deserve a healthcare system that uses every available resource to get patients treated faster.
Because behind every “wait time statistic” is a real person waiting for relief.
 PEI
Prince Edward Island’s healthcare system is facing yet another major blow.
Three physicians have recently announced they are leaving, closing, or retiring from their practices, leaving thousands of patients without a family doctor. One of them, Heather Austin, alone cares for nearly 1,400 patients who will soon need to find new care.
According to Health PEI, more than 33,000 Islanders are already on the waitlist for a family doctor or nurse practitioner. That means these latest departures will add even more pressure to a system that is already stretched to its limits.
Doctors say the issue is not just compensation — it’s how the system is being run.
Physicians raised serious concerns about the rollout of the Physician Services Agreement, which included expectations such as 24 patient appointments per day and patient panels as high as 1,600 people per doctor.
Many doctors argue those targets fail to account for the reality of modern family medicine, where patients often require more time due to complex medical conditions, mental health issues, and an aging population.
Several physicians have said they feel unheard, disrespected, and undervalued by health system leadership. Letters and concerns raised through official channels, they say, have gone largely unanswered.
The result?
Doctors are leaving.
While this story is unfolding in Prince Edward Island, the warning signs are familiar across Atlantic Canada.
Healthcare workers are burning out, systems are becoming more centralized and bureaucratic, and the people who suffer the most are patients left without access to primary care.
Healthcare systems cannot function without the people who actually deliver care. When governments and health authorities fail to listen to frontline physicians, nurses, and staff, the consequences become painfully clear.
Islanders deserve better. Canadians deserve better.
The question now is: Will governments listen before more doctors walk away?
#HealthcareCrisis #FamilyDoctors #PEI #CanadianHealthcare #HealthcareReform #PatientsFirst
 SaskatchewanÂ
Alberta
⚠️ Debate Growing Over Alberta’s New Healthcare Law
A major debate is unfolding in Alberta after the provincial government passed Bill 11 – the Health Statutes Amendment Act (2025 No. 2).
The legislation allows doctors to toggle between the public system and privately paid surgeries, and would also allow employers to offer private health insurance plans for certain services.
Advocacy group Friends of Medicare warns the law could open the door to two-tier healthcare in Canada, where people who can afford private insurance may receive faster treatment while others face longer wait times.
The group argues Canada already struggles with healthcare worker shortages, and splitting the workforce between public and private systems could make access worse for many patients.
However, the Government of Alberta strongly disputes those claims.
Officials say the reforms are meant to modernize healthcare delivery, reduce wait times, and align Alberta with countries that combine public funding with private options. They also insist that medically necessary care will remain publicly funded, and that the changes apply only to a limited range of scheduled surgeries—not emergency services or cancer care.
Supporters say the reforms could increase capacity and provide more options for patients.
Critics argue it could slowly erode Canada’s publicly funded healthcare system under the rules of the Canada Health Act.
🇨🇦 The bigger question Canadians are asking:
If provinces increasingly rely on private options to reduce wait times, are we strengthening healthcare — or fundamentally changing the system Canadians have relied on for decades?
Healthcare systems across the country are under intense pressure due to staffing shortages, aging populations, and rising costs. The policy choices provinces make now could shape Canadian healthcare for generations.
What do you think?
Should provinces allow more private options to reduce wait times, or should governments focus on rebuilding and strengthening the public system?
Manitoba
Manitoba Legislature Returns — Healthcare and Deficits Take Centre Stage
The Manitoba legislature has reconvened after the winter break, and two issues are expected to dominate the spring sitting: healthcare and government deficits.
Premier Wab Kinew and the NDP government say they plan to introduce 19 new bills during the session. Several of those proposals focus directly on healthcare workforce issues.
Among the healthcare measures being discussed:
• Staff-to-patient ratios in hospitals and care facilities
• Ending mandatory overtime for nurses
• Changes to workplace rules so employers cannot require sick notes for short-term absences
Supporters argue these measures could improve working conditions for nurses and healthcare staff while helping address burnout and staffing shortages.
At the same time, the government is facing significant financial pressure. Manitoba’s deficit for the current fiscal year is now projected to reach $1.6 billion, more than double the $794 million originally forecast in the budget.
The government has promised to eliminate deficits before the 2027 election, but balancing healthcare improvements while controlling spending will be a major challenge.
Other legislation expected this session includes a proposal to create a Crown-Indigenous corporation aimed at expanding trade through the Port of Churchill, which is being studied alongside the federal government.
The province’s next budget will be tabled March 24, and it will likely give Manitobans a clearer picture of how the government plans to balance healthcare investments with fiscal responsibility.
🇨🇦 Across Canada, provinces are struggling with the same question:
How do we fix healthcare systems that are under pressure while managing growing deficits?
For many Canadians, the answer will determine the future of healthcare in this country.
Source: The Canadian Press
#HealthcareCanada #HealthcareReform #Nurses #HealthPolicy #CanadianHealthcare #ProvincialPolitics
British Columbia
🚨 Pregnant Patients Being Diverted from Major Vancouver Trauma Hospital
A troubling situation is unfolding at Vancouver General Hospital (VGH) in British Columbia.
Pregnant patients who are 20 weeks or more pregnant are currently being diverted away from the hospital’s emergency trauma services due to a lack of on-call obstetricians.
According to trauma surgeon Dr. Philip Dawe, clinicians have been instructed not to treat pregnant patients beyond 20 weeks because the hospital no longer has obstetricians available to provide emergency coverage if complications arise.
Previously, obstetric specialists from BC Women’s Hospital provided on-call support for emergencies at Vancouver General Hospital. However, that agreement ended, and Vancouver Coastal Health has not yet found replacement coverage.
Doctors warn this creates a serious risk.
In trauma situations — such as a car crash or violent injury — seconds matter. If a pregnant patient suffers severe trauma, they may now be transported to other hospitals such as St. Paul’s Hospital, Richmond Hospital, or Lions Gate Hospital.
The concern raised by physicians is that these hospitals may not have the same trauma resources or specialists immediately available, potentially affecting the quality of care for both mother and baby.
Hospital officials say the number of affected patients is small — roughly one pregnant emergency patient per month requiring transfer — and anyone arriving at VGH would still be stabilized before being transferred if needed.
Still, doctors say the situation should never happen at a major trauma centre serving a large metropolitan area.
The issue has now reached the provincial government, with physicians writing to Josie Osborne and other MLAs seeking a solution.
📌 This story highlights a growing problem across Canada:
Hospitals struggling to maintain specialist coverage due to physician shortages and difficult working conditions.
When specialists disappear, services disappear — even at major hospitals.
Canada’s healthcare system is increasingly running on thin margins, and when one piece of the system breaks, the consequences can be serious.
#HealthcareCrisis #CanadaHealthcare #DoctorShortage #PatientSafety #HealthPolicy #HospitalCrisis
New Brunswick
Why aren't we using this resource???
We Can Help With the Surgical Backlog — But No One Is Talking to Us
A Moncton surgical clinic says it has the space, staff, and capacity to help reduce New Brunswick’s growing surgical waitlists — but after eight months of requests, they say they still haven’t secured a meaningful meeting with government decision-makers.
East Coast Surgical Centre director Annie Martel says her facility could take on publicly funded day surgeries such as hernia repairs, knee and hip procedures, soft-tissue repairs, and pediatric dental surgeries — areas where wait times continue to exceed national benchmarks.
As of September 2025:
• Only 63% of surgeries in New Brunswick were completed within target timeframes.
• 2,360 procedures had been waiting more than a year.
Meanwhile, Horizon Health Network has warned that surgical interruptions may be possible next year due to hospital overcapacity, largely tied to seniors waiting for long-term care placements.
Martel says two scheduled meetings with Horizon’s CEO were cancelled. She also says repeated requests to meet with Health Minister John Dornan went unanswered — though the minister recently told reporters he is willing to meet.
Public-private surgical partnerships are not new in New Brunswick. Cataract surgeries are now largely performed outside hospitals through contracts with private clinics — a model introduced under the previous government to address backlogs.
Supporters argue expanding similar partnerships could:
âś” Reduce wait times
âś” Lower per-surgery costs (the clinic estimates savings of at least $1,200 per procedure)
âś” Ease hospital pressure
Critics, including the New Brunswick Health Coalition, warn that expanding private delivery risks weakening the public system and diverting healthcare professionals.
Right now, patients are still waiting — in some cases more than a year — while capacity may be sitting unused.
Whether you support public-only care or carefully structured partnerships, one question remains:
If someone says they can help reduce the backlog, shouldn’t at least the conversation happen?Â
Alberta and Quebec
Ottawa is moving to tighten the rules under the Canada Health Act — and provinces are pushing back.
Federal Health Minister Marjorie Michel has told provinces they must begin fully covering nurse practitioners, midwives, and pharmacists for medically necessary primary care services starting April 1, 2026.
There will be a one-year grace period before financial penalties are enforced — but those penalties would be retroactive if provinces don’t comply.
Here’s what this means:
• Provinces already receive $52.1 billion in federal health transfers.
• $62.2 million was clawed back last year for inappropriate patient charges.
• Ottawa now says nurse practitioners cannot operate in a billing “grey zone” for services that would otherwise be covered if provided by a physician.
Supporters argue this protects patients from out-of-pocket charges — especially with 6.5 million Canadians still without a family doctor.
The Canadian Nurses Association says nurse practitioners are a cost-effective, high-quality solution for primary care shortages.
But Alberta officials say Ottawa is overstepping provincial jurisdiction and adding unclear financial obligations without proper collaboration.
Meanwhile, the federal government confirmed it will NOT issue a directive on virtual care billing — leaving that issue unresolved for now.
Here’s the real question Canadians should be asking:
If nurse practitioners are filling the primary care gap,
who pays — and how sustainable is it long term?
Expanding scope without stable funding, workforce planning, and recruitment strategies could create new pressures instead of solving old ones.
Patients need access.
Providers need clarity.
Provinces need predictable funding.
And Ottawa needs accountability for how federal dollars are spent.
Healthcare reform cannot be done through quiet interpretation letters.
It needs transparency, debate, and long-term planning.
#CanadaHealthAct #PrimaryCareCrisis #NursePractitioners #HealthcareReform #PatientAccess#CanadianPatientHealthNetwork
Ontario
Ottawa is moving to tighten the rules under the Canada Health Act — and provinces are pushing back.
Federal Health Minister Marjorie Michel has told provinces they must begin fully covering nurse practitioners, midwives, and pharmacists for medically necessary primary care services starting April 1, 2026.
There will be a one-year grace period before financial penalties are enforced — but those penalties would be retroactive if provinces don’t comply.
Here’s what this means:
• Provinces already receive $52.1 billion in federal health transfers.
• $62.2 million was clawed back last year for inappropriate patient charges.
• Ottawa now says nurse practitioners cannot operate in a billing “grey zone” for services that would otherwise be covered if provided by a physician.
Supporters argue this protects patients from out-of-pocket charges — especially with 6.5 million Canadians still without a family doctor.
The Canadian Nurses Association says nurse practitioners are a cost-effective, high-quality solution for primary care shortages.
But Alberta officials say Ottawa is overstepping provincial jurisdiction and adding unclear financial obligations without proper collaboration.
Meanwhile, the federal government confirmed it will NOT issue a directive on virtual care billing — leaving that issue unresolved for now.
Here’s the real question Canadians should be asking:
If nurse practitioners are filling the primary care gap,
who pays — and how sustainable is it long term?
Expanding scope without stable funding, workforce planning, and recruitment strategies could create new pressures instead of solving old ones.
Patients need access.
Providers need clarity.
Provinces need predictable funding.
And Ottawa needs accountability for how federal dollars are spent.
Healthcare reform cannot be done through quiet interpretation letters.
It needs transparency, debate, and long-term planning.
#CanadaHealthAct #PrimaryCareCrisis #NursePractitioners #HealthcareReform #PatientAccess#CanadianPatientHealthNetwork