00:10:06.460That is, you know, the main takeaway from Chaiouli and any attempt to, you know, shrink away from that.
00:10:13.140Although I also would mention, and this is heartening to us,
00:10:15.640that Chaiouli also lost at the trial court as well as the Quebec Court of Appeal.
00:10:19.980That also was a case that, you know, people were skeptical of and the Supreme Court of Canada clarified it.
00:10:25.820But I agree. I didn't think any of the attempts to distinguish Chaiouli were compelling in the least.
00:10:32.380So what would you say are the big errors or aspects that you think were at their core wrong here?
00:10:39.060I mean, do you think it all comes down to the meaning of arbitrary?
00:10:41.500Or were there other key aspects of this decision that you think are really the strongest points of argument going into a Supreme Court appeal?
00:10:49.100Well, I think, first of all, there's a sort of gross misapprehension of the evidence.
00:10:54.560On the one hand, minimizing the evidence of the suffering occasion to people who face excessive waiting times and don't have any other option.
00:11:04.340Yeah, and just to interrupt there for a moment,
00:11:06.100there was no dispute whatsoever of the facts that these people have suffered directly as a result of the public system, correct?
00:11:14.420There's just a question of if that suffering occasioned by the provisions of the BC Medicare Protection Act was arbitrary.
00:11:22.960So I think certainly the application, there's a question about the Section 7 life, liberty and security of the person and the application of the overbreadth and arbitrary test.
00:11:32.620And I think also there was a gross misapprehension or a mischaracterization of the evidence that the government intimated that allowing access to private surgeries would occasion harm and that there was a clear connection between these provisions that were put into question and the protection of the public health care system.
00:11:54.940And that, again, that connection was not made out by the evidence.
00:11:58.700And of course, I would note our final appeal strategy is very much not settled, but on sort of first take.
00:12:06.000Those are the things that stand out most to me as most egregious.
00:12:09.380I know that when I look at, and I don't want to pull you out of the legal argument here, but I hope you'll bear with me for a moment.
00:12:15.780Looking at just some of the reaction on Twitter, a lot of the people are celebrating this ruling just because,
00:12:21.700to go back to that sort of philosophical underpinning of protecting the universal health care system,
00:12:27.260there seems to be this fear that if this case were to have gone a different direction,
00:12:33.040that it would have just been the dismantling of universal health care in Canada.
00:12:36.560And I don't really see how that's the case, because there was nothing in this that was trying to take away from the universal system or the public system.
00:12:44.580If anything, it was just trying to add to it and say, listen, when there are people that want to go to a private alternative,
00:12:49.400they should have the right to do that.
00:12:51.140And this isn't, you know, big pharma that's suffering here.
00:12:54.300It's individual patients that have fallen between the cracks of this supposedly universal system.
00:12:59.580Yeah, I mean, there's so much to say about this.
00:13:02.680It's sort of a dogma among certain people, but there's so many myths.
00:13:06.560And I think one of the main myths is that people fear that if we allow a private option,
00:13:10.820it's going to lead to the Americanization of Canadian health care,
00:13:14.540when America and Canada are both outliers.
00:13:17.700America is the only OECD country that does not provide public care to its citizens,
00:13:22.660and Canada is the only country that does not provide a private option.
00:13:26.140So look more at our OECD allies like France and the UK for a more realistic idea of what it would look like,
00:13:33.200which is about 10% in the private system.
00:13:37.200And there's also, you know, fear mongering about physicians being lured into the private system.
00:13:44.280And I understand why, because I didn't quite understand this until I got involved in this case.
00:13:49.460But in fact, physicians are rationed operating room and scheduling according to the government budget.
00:13:56.340So some of them don't have enough operating time to make a living and, in some cases,
00:14:02.540not even to fulfill their professional requirements.
00:14:05.460So it's not a question of parceling out or of luring public physicians into the private system.