This report examines recent attempts by private sector advocates to challenge the right to universal public health care in the courts, with a focus on the current Charter challenge before the B.C. Supreme Court, led by Brian Day's Cambie Surgeries Corporation, where plaintiffs are asking the Court to legalize extra-billing, user fees and private insurance. It reviews the evidence on the impact of for-profit providers and payers on wait times and looks at the potential consequences a successful bid could have on Canada's most valued and cherished public program.

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