Quebec radiology spat spills over into Ontario

A fight between Quebec's radiologists and the province's health minister is spilling overinto Ontario as patients in Quebec cross the border to get ultrasounds.

• Quebec health minister spars with radiologists over publicly funded ultrasounds
• Quebecto finance ultrasounds in private clinics
• GatanBarrette warns against U.S. ultrasound company advertising in Quebec

After a change in policy made last month, fees for ultrasounds performed in Quebec's private imaging clinics are now covered under RAMQ, Quebec's public health insurance agency.

But the government and the province's radiologists still haven't reached an agreement as to how they'll be reimbursed for the exams.

Some private clinics in Gatineau have closed, forcing patients to seek the service in Ontario.

MartinLacasse, owner ofEcosphreImage in Gatineau, closed the business and cancelled about 50 ultrasounds, sayinghe's not willing to wait and see how muchRAMQwill reimburse him.

"I find that very stupid of the minister to announce something without having any details to announce to the private clinics," said Lacasse.

"We're not a public enterprise, we're private, so therefore I have some risk. When I take risks, I assess them and make the best decision on what I have in my hand.

"We are entrepreneurs, and we have to know how much we are going to receive."

We are entrepreneurs, and we have to know how much we are going to receive.- Martin Lacasse, owner of Ecosphere Image

Change took effectDec. 29

Last July, Quebec Health Minister Gaetan Barrette announced private clinic ultrasounds would be covered, starting in December.

Barrette said there were 110,000 Quebecers waiting for an ultrasoundand that only blood tests were in higher demand.

On Dec.29, it became possible to walk into a private imaging studio like Clinique d'echographie for ultrasoundsand walk out without a bill.

But twoweeks into the new regime, clinic owner Sylvie Grenier said she still doesn't know how much the province will reimburse her.

"Tell us how much we're going to be paid, tell us when, and we'll be happy," said Grenier.

Gatineau clinics not seeing more clients

Grenier said it appears word of the free private ultrasound rule changehasn't reached patients yet.

Though one of her recent patients said she'd called 15 different clinics before successfully booking an appointment, she saidshe hasn't yet seen a surge in business.

"We thought we'd have a boom, but we don't," she said.

She said so far she is covering the portion of the imaging cost normally paid for by the reimbursement.

"We can't continue on forever. There's a limit in our budget," said Grenier.

Montfortsees increase in requests

Montforthospital's clinical director Carolyn Welch said in a written statement that "during the past few weeks, clerks of medical imaging department ofHpitalMontfort[have seen] an increase of requests for ultrasounds for Quebec patients."

Earlier this month, reports that clinics werecancellingultrasound appoints as a result of the reimbursement led Barrette to accuse Quebec's radiologists association of "taking patients hostage" in order to exert pressure on the government as they negotiate.

"It will not work," Barrette told CBC News at the time.

"They're used to making huge profits on each ultrasound exam and now they would still like to make some profit on their fees and we don't allow profit on publicly-funded exams."