Notes on Canadian Healthcare

August 23, 2025

While sitting on the porch facing the lake with my laptop open on the table, healthcare unexpectedly came to mind. It was a perfect summer morning, and with a coffee in hand, I thought about how true it is for a healthy life to live with and enjoy nature.

 Canadian healthcare has a good reputation, particularly outside the country. Although it is a universal system, accessibility remains an issue, especially for those without a family doctor. Twenty percent of Ontario families have no family doctor. These individuals end up seeking medical assistance in emergency departments, where there is a shortage of emergency physicians and nursing staff. Because of that, many emergency departments have been forced to close for a day or even a week.

A tragic example highlights this issue: a sixteen-year-old boy arrived at an emergency unit and was triaged as a “second” priority patient. This designation means that a doctor should ideally see him within fifteen minutes. The boy received attention only several hours later. He ultimately passed away due to the delay.

Not in the same horrid category as the above example, I had experience with our healthcare system recently that raised some questions in my mind. I twisted my leg, which made walking quite painful. After a few days with no improvements, I visited my family doctor, who provided requisitions for an X-ray and an ultrasound to determine what was wrong with my knee. However, I expressed my concerns about the long wait times for an ultrasound— the imaging center near us has openings in six months. She heard from other patients about the long wait times and suggested an imaging place on the east end of Ottawa, where one of her patients had the treatment in a month. I wondered if I really had to wait that long to find out what was wrong with my leg before any treatment could begin.

In the meantime, the doctor gave me Voltaren to help alleviate the pain, but it didn’t work for me. As a result, I scheduled an appointment with a physiotherapist, who used needling and massage techniques on the painful area and prescribed some exercises. I noticed significant improvement within just a few days.

I went to the doctor with the expectation that she would diagnose the issue and recommend a treatment plan. Instead, she provided me with requisitions for further investigations. Since the pain has been subsiding with exercise the physiotherapist suggested, I have not followed up with the requisitions. The doctor did not mention physiotherapy as a treatment.

While speaking with my family doctor, I requested a prescription for an EpiPen. I had one previously, but it had expired. She informed me that my records did not indicate a need for an EpiPen, so she was unable to prescribe one. I do not know what policies exist for prescribing EpiPen. I reminded her that I had used an EpiPen for ten years. However, she reviewed my records with this medical group that goes back six years, and there was no documentation of my previous EpiPen use. (We joined this medical group when our previous family doctor retired, and the practitioner we initially started with did not request my medical records although I offered to get it). I also mentioned to her that I had a wasp sting incident after stepping on a wasp nest. Following that, an allergist gave me shots for a few years to build my resistance to wasp stings and prescribed an EpiPan for ten years.

Following my explanation, the doctor gave me a prescription for an EpiPen. Still, this experience made me realize that a lifetime healthcare data system would be highly beneficial. Everyone should have their complete health history in one place.

I have access to my health history that is on multiple data systems. Two of the three hospitals that I visited in Ottawa use a system called “MyChart” that includes all my testing and hospitalization data. The third hospital in Ottawa uses another system called “ConnectedCare” and has my history with this hospital. Then I use a lab for blood work and other tests, and I subscribe to their data system to access their results. And, of course, my family doctor receives data from all of these systems. What is missing is the history from my retired family doctor, when most of the data was handwritten.

But beyond medical results, we use other health-related experts. We visit dentists, optometrists, physiotherapists, personal trainers, and other health care professionals. Wouldn’t it be beneficial to have all of this information together in one system?