Day cites the Canada Health Act of 1984 being responsible for rationing of care that has resulted in over a million Canadians suffering on wait lists, and to more than 5 million without a doctor. In the 2005 Chaoulli v Quebec (AG) decision, the Supreme Court of Canada struck down prohibitions on private insurance in that province because it was an infringement of the Quebec Charter of Human Rights and Freedoms; the decision did not extend to the rest of Canada, but constitutional experts opined that it would certainly have major impact on similar cases brought to court elsewhere. Day also supports the end of block funding for hospitals and a change to "Patient Focused Funding" where revenue follows the patient. He advocates a patient-centered system with a greater role for competition in Canadian healthcare as a means to reduce waiting times and save government money by treating people before their condition worsens. He is a frequent spokesman for the topic with news media and submits position papers with government. For instance, his submission to Roy Romanow's Commission on the Future of Health Care in Canada made 10 recommendations: