Quebec's tax on the unvaccinated is a mistake, some doctors warn
The idea of a 'health contribution' for unvaccinated people launched by François Legault on Tuesday goes “against the fundamental values of public health” according to the public health director of the Gaspé region.
Dr. Yv Bonnier-Viger, a renowned epidemiologist and specialist in public health and preventive medicine, is asking Quebec to "think seriously" about the repercussions of such a measure.
These are not measures that correspond to public health values," says Dr. Bonnier-Viger.
The expert has serious reservations about the measure presented by Premier François Legault, who wants to impose what he calls "a health contribution", or a tax, on people who have not been vaccinated.
“I think that we would be completely forgetting our system of coverage and universal health insurance. We know that about 40 per cent of illnesses are preventable. If we start taxing all the sick people for the bad decisions they made at some point in their lives, we're going off the rails," noted the doctor.
“There are plenty of lifestyle habits that lead to disease. But often, underneath that, there's a lot more,'' adds Bonnier-Viger, who has been in charge of public health in the Gaspé region since 2016, and of the Cree Board of Health and Social Services of James Bay for the past few months.
“Instead of forcing, we need to go and see what’s behind it for those who are not currently vaccinated," explained Bonnier-Viger.
“There are people who are really afraid of being vaccinated, who have all sorts of beliefs! It's not rational not to get vaccinated. We have to understand where it comes from, how it is maintained and solve the problem at the source,” he said.
According to him, the punitive approach being put forward is more political than scientific, as it "moves away from the fundamental values of public health."
“The general attitude in our field is much more one of empowering an individual and a community through the values of education and solidarity. They should take precedence over restrictive measures,” he said.
Bonnier-Viger welcomes the debate initiated by the announcement but asks Quebec to take the time to weigh the impact of implementing such a measure:
"It's a good debate, but we must think about the concrete impacts,” he said.
LOGIC USED BY PRIVATE INSURANCE COMPANIES
In an open letter published by Médecins québécois pour le régime public, an independant advocacy group, health-care professionals warned of what it called a "slippery slope" towards the commodification of health.
In an interview on Wednesday, the organization's spokesperson, Dr. Mathieu Isabel, said that unvaccinated Quebecers are not homogenous, and many of them face barriers to vaccination sites and access to information.
Those people include homeless people, those with mental health problems, and immigrants who do speak neither French nor English.
"We made the choice as a society, several decades ago, to ensure a universal and public health system. For us, we are opening an excessively dangerous breach by introducing taxation according to individual risk,' said Dr. Isabel.
The new measures are more in line with insurance company calculations, rather than public health objectives, according to Dr. Isabel.
"We could undermine the fundamental principle that people will be treated the same, regardless of individual behaviors," he continued.
"One of the things that particularly worries us ... is this logic of focusing on the level of risk (in one's lifestyle). It opens the door to market logic in the health and social services system -- a logic used by private insurance companies,' Dr. Isabel said.
Moreover, Bonnier-Viger says Quebec should do more to mitigate the hospital network's vulnerability to strain.
"Is it really the 10 per cent of unvaccinated patients that explain the problems we are seeing at the moment? To ask the question is to answer it," he said.
Bonnier-Viger said he was never consulted on the measure during meetings with other regional directors, otherwise he would have given his opinion without hesitation.
“As far as I know, we were not consulted on this measure. If someone has decided to launch this measure in a press conference, even if he is the premier, it must be discussed."
--
The Local Journalism Initiative (LJI) supports the creation of original civic journalism that covers the diverse needs of underserved communities across Canada and is made available to CTV News The Canadian Press.
The LJI is funded by the federal government through Heritage Canada.
This article includes additional files from The Canadian Press, originally published in French on Jan. 12, 2021.
CTVNews.ca Top Stories
Iran President Ebrahim Raisi found dead at helicopter crash site, state media says
Iranian president, the country’s foreign minister and others have been found dead at the site of a helicopter crash Monday after a search through a foggy, mountainous region of the country’s northwest.
The push to Parliament's summer hiatus is about to begin, here's what you need to know
When MPs file back in to the House of Commons on Tuesday, it will be for the final five-week parliamentary push before hitting the barbecue circuit. Looking ahead to what could be a raucous rush to the summer hiatus, CTVNews.ca spoke with top House representatives to get a sense of what's atop their priority list.
ICC prosecutor seeks arrest warrant for Israeli and Hamas leaders, including Netanyahu
The chief prosecutor of the International Criminal Court said Monday he is seeking arrest warrants for Israeli and Hamas leaders, including Israeli Prime Minister Benjamin Netanyahu, in connection with their actions during the seven-month war.
What do we know so far about the mysterious crash of the helicopter carrying Iran's president?
The apparent crash of a helicopter carrying Iran's president and foreign minister on Sunday sent shock waves around the region.
Stittsville residents seeking answers as bylaw cracks down on street basketball nets
Stittsville residents on Kearnsley Way are seeking answers after an unusual bylaw crackdown on Friday. Every home with a basketball net received a ticket instructing homeowners to remove their nets from the road.
Court eases internet restrictions for Sask. man who matched with a 15-year-old girl on Tinder
A Saskatchewan man who had a sexual encounter with a 15-year-old girl he met on Tinder successfully appealed to shorten release conditions barring him from online dating.
'A horrible way to start the summer': 3 killed in serious boat crash on lake north of Kingston, Ont.
Three people were killed and five others were injured Saturday night following a boat crash on the Buck Bay area of Bobs Lake, north of Kingston, Ont., the Ontario Provincial Police (OPP) said.
Michael Cohen to face more grilling as Trump's hush money trial enters its final stretch
Donald Trump's hush money trial is heading into the final stretch, with prosecutors' last and star witness back on the stand Monday for more grilling before the former president's lawyers get their chance to put on a case.
Walmart, Costco refusing to sign grocery code of conduct 'untenable': industry minister
Industry Minister Francois-Philippe Champagne says it's 'untenable' for 'smaller players' like Walmart and Costco to delay signing on to the government- and industry-led grocery code of conduct, now that industry giant Loblaw has agreed to do so.