Physiotherapists across the country have largely been delisted from provincial health insurance programs. There are exceptions. For example, in Ontario, if you're under the age of 18 or over the age of 65, often there are exceptions if there's an overnight stay in hospital that requires rehabilitation. Unfortunately, the circumstances are such that low-income people often don't have access. Even if there is the potential for coverage under provincial programs, the wait-lists are so long for the publicly funded physiotherapist that it is inaccessible, because if you have a fractured ankle and have to wait six to eight months for a physiotherapist, you will have chronic pain and problems that often cannot be resolved at that point.
The balance, for the profession, is to look at the opportunities to try to promote better access to care, to look at the competency issues and how we can overlap in areas where there is access to care with the public system, and then also to look at the private system and opportunities to help support access.