!['This is a crisis': Head of medical association warns that the health-care system faces 'collapse'](https://i.cbc.ca/1.6436306.1651263990!/cumulusImage/httpImage/image.jpg_gen/derivatives/16x9_620/emergency-department-sign.jpg)
'This is a crisis': Head of medical association warns that the health-care system faces 'collapse'
CBC
The new president of the Canadian Medical Association (CMA) said Wednesday he fears the country's fragile health-care system will deteriorate further without an injection of cash — and a plan to increase the number of doctors and other health care professionals.
Dr. Alika Lafontaine, an anesthesiologist in Grande Prairie, Alta., and the group's first Indigenous president, told CBC News that Canada's health care is in "dire" straits, with quality care severely limited in some parts of the country.
He pointed to recent emergency room closures in Ottawa, southwestern Ontario, Quebec and other locales and eye-popping ER wait times in major cities like Toronto and Montreal as terrible precedents undermining the longstanding Canadian promise of timely access to care for all who need it.
"We've been saying for a while that we're concerned about collapse. And in some places, collapse has already happened," Lafontaine said.
"All of these things are not normal things for Canadians to experience so we are at a critical point right now. If you can't access services, that literally does mean collapse."
Doctors on the frontlines are at a breaking point and have been for the better part of two-and-a-half years, he said.
"We're all trained to deal with acuity. We're all trained to deal with critical situations. But what's happening now goes far beyond anything we've experienced before," Lafontaine said.
Lafontaine's comments came after the CMA released a new report Thursday warning that all provincial and territorial systems are grappling with similar problems — especially staffing.
The problem is essentially one of human resources, he said, and there are not enough doctors and nurses available to staff existing facilities, let alone serve a growing population.
One of Lafontaine's proposed solutions is to introduce what he calls "pan-national licensure," which would allow physicians to work across the country with fewer regulatory burdens.
This sort of portability would give doctors more flexibility to practise where they're needed most. It could also make it easier for foreign-trained doctors to move about the country.
He said the current system — in which each province has its own licensing system — is a barrier.
A national physician licence could provide a single, streamlined process for verifying the credentials of internationally trained doctors, he said.
"We need to rethink the idea that we can carry on with 13 separate health systems that don't collaborate with each other at a really deep level," he said.
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