BC contracting-out a threat to privacy and health acts
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* Deborah Jones

*   © 2004 Canadian Medical Association or its licensors

The BC government is facing a court challenge over its decision to hire a US firm to help manage its medical and pharmaceutical plans. The contract with Maximus Inc., to be finalized in late summer, could ultimately give the US government access to BC residents' health care information and open the doors to privatization from US companies, critics charge.

The BC Ministry of Health Services says the contract is “aimed at providing greater efficiency and better value for taxpayers.” Suzanne Germain said: “The advantage for us is to provide specialized expertise and technology. The technology the Medical Services Plan uses is paper-based and outmoded.” 

Maximus would enroll applicants in medicare, register family changes, receive applications from people unable to pay BC's premiums and pay health professionals.

Opponents say the contract will give American authorities access to individuals' health records, including patients with AIDS and those using medical marijuana. This is because the US Patriot Act allows the FBI to obtain databases from American corporations. It also prohibits corporations from revealing to clients that their information has been passed on to the FBI.

Even if the information is physically in Canada and held by a Canadian subsidiary the American parent could be required to disclose it, states the BC Government Employees Union, which recently filed a court challenge on the grounds the contract violates the Canada Health Act. In June, a coalition of privacy and health advocates launched another campaign against the contract. 

Others are concerned that contracting out medicare administration in BC may open the door to privatization across the country. This type of contracting out may violate the public administration requirement of the Canada Health Act, says Ontario trade and public health care lawyer Steven Shrybman.

It may also set a precedent under the North American Free Trade Agreement (NAFTA). “There are lots of Canadian policies and laws that contradict [NAFTA] and we're allowed to keep them [only] as long as we maintain them... . Once you liberalize you can't backtrack.” — *Deborah Jones*, Vancouver