Ontario Auditor General Shelley Spence’s critique of Ontario health care is weak and outdated, which is surprising considering that Spence devoted the majority of her annual report to the topic, offering three separate audits.
Spence reported this week on access to primary care, training of new family doctors, and billing at the Ontario Health Insurance Plan (OHIP). All important subjects, but in sum the reports offer too much fussing about bureaucratic processes and too little acknowledgement of the real progress the provincial government has made on primary care and medical education. Only on OHIP billing does Spence offer anything of substance, but even there, the problem is not quite what it seems.
Let’s start with the expansion of primary care , the Progressive Conservative gove

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