### Living with Diabetes in Canada: Is Healthcare Really Free? Canada is known for its free healthcare system, but what does that mean for people living with diabetes? Jamie Naessens, who has lived with type 1 diabetes for 21 years, shares her experience. #### Healthcare Coverage In Canada, visits to doctors and specialists, hospital stays, and most lab tests are covered by the healthcare system. However, coverage for diabetes-specific needs like insulin pumps and continuous glucose monitors (CGMs) varies by province. Some provinces cover these, but many do not. If you have employer-provided insurance, you might get additional coverage for prescriptions and dental care, but this is not guaranteed. #### Challenges and Delays Healthcare in Canada is managed by both federal and provincial governments, leading to inconsistencies in coverage. For example, what is covered in Ontario might not be covered in Quebec. Additionally, there are often long wait times to see specialists, sometimes exceeding six months. In areas with doctor shortages, getting a family physician can take over two years, making walk-in clinics a common alternative. #### Technology and Innovation New diabetes technologies, like insulin pumps and CGMs, are slow to become available in Canada. These devices require both federal and provincial approvals, and labeling must be in both French and English. As a result, many Canadians have to pay out-of-pocket for the latest diabetes management tools. #### Advocacy and Change Advocacy is crucial for improving diabetes care in Canada. While there are dedicated individuals working to make a difference, the system is slow to change. Canadians can learn from the advocacy efforts in the United States, where a united voice has led to significant improvements in diabetes care. In summary, while Canada offers many healthcare benefits, living with diabetes still presents challenges. Coverage varies by province, wait times can be long, and new technologies are slow to arrive. Advocacy and systemic change are needed to improve diabetes care for all Canadians.