If the next health minister in BC wants to try something different… Fully publicly funded. Reward efficiency and hard work. Fixed cost. Shorten waiting times. Benefits of capitalism without privatization. Take an operating room in a public hospital and create a partnership agreement with everyone who works in that room. The surgeon, the anesthesiologist, the nurses, the porter, the cleaning staff. Everyone is an equal partner. No one is more or less important to the team. All staff are paid their current contract bargained rates. Decide on the cost to get a procedure done, say a hip replacement in a hospital over and above the staff cost. Let’s say $500. For each procedure done that partnership gets $500. If they can be more efficient, stay later, help each other with tasks that don’t necessarily fall in their previous scope, be flexible with breaks, have some hussle… there is a “profit” at the end of the day based on their productivity. That gets split equally between the group. Introduce some of the benefits of pay for performance or capitalism while maintaining full public funding, no jumping the queue, no privatization, and giving people the opportunity to create efficiencies and heck be rewarded for that harder work instead of the current everyone gets the same no matter what. Reward efficiency instead of accepting mediocracy. I can see unions not happy with this but why not give some of your members the opportunity to choose to work in that room and maybe take home a bit more for the extra work they put in to the day. Pay for performance might just increase performance.