Funding cuts, fewer generalists and inefficient organisation are preventing more and more Canadians from accessing public primary healthcare, according to a new study published in the Canadian Medical Association Journal (CMAJ) which compares Canadian healthcare unfavourably with public systems in nine Organisation for Economic Cooperation and Development (OECD) countries. About 20% of Canadians have no family doctor at all, and many more have irregular access to clinicians – a reality likely to worsen if not properly addressed now, said Dr Tara Kiran, a family physician in Toronto and one of the authors of the study. “In Canada, what we have is a have-and-have-nots situation,” said Kiran.
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