Health Care, OHIP


 

Those who work in the Ontario health care sector know that too much money is wasted. Too much money goes to Who Knows Where.

From time to time we hear about a new “health care” scandal. We’ve heard about $1 billion e-health scandal, ORNGE, Family Health Teams “ghost” employees, probably something else is going to show up next month.

Why is it like that?

Because Ministry of Health has a very serious accountability problem. Fraudulent activity is allowed, government officials do not bother to do anything about it. They prefer to reduce the number of services OHIP pays for, cut doctor’s fees, blame it on the aging population. But if they had addressed rampant fraud in Health Care these measures would not be necessary.

Take for example the case described in the Information and Privacy Commissioner order against Ministry of Health and Long-Term Care from 2001 [old link] http://www.ipc.on.ca/english/Decisions-and-Resolutions/Decisions-and-Resolutions-Summary/?id=3440 .
[new link] https://decisions.ipc.on.ca/ipc-cipvp/orders/en/item/131217/index.do .

“The Ministry of Health and Long-Term Care (the Ministry) received correspondence from a requester who identified that he had been provided with a ‘decoded list of services’ billed Health Insurance Plan(OHIP)account by an identified doctor(the doctor).

The requester noted that the services listed in this record are false. His letter stated that the incorrect services listed in the record included treatment for malignant neoplasms-brain, alcoholism, anxiety neurosis, hysteria, neurasthenia and reactive depression. His letter also sets out that while the doctor had provided some services to him in the past, specifically flu shots and physical examinations, the doctor had not treated him for any of the conditions listed in the record.
The requester also stated that he has never had any of these medical conditions, nor has he been treated for them. The requester asked the Ministry to remove these inaccurate claims from his record.”

 

Once the fraudulent claims were made, and the phony data is entered into the system, it looks like these records stay with the patient forever.

If you are looking for a job, buying insurance or waiting for a surgery, you will be treated in accordance with these erroneous health records.

To receive a list of services that were claimed against you as a patient, you can submit a request to the Ministry of Health (request form is called “Request to Access Personal Health Information (PHIPA) “ and can be found on the Information and Privacy Commissioner web site https://www.ipc.on.ca/access/accessing-information-2/requesting-personal-information/.

I encourage you to do so. It is good to know what data the Ministry has about you. Particularly that it is almost impossible to have this fraudulent information removed.