The Aporia
Contributor, R. V. (2026, October 16). What happens in the ER at 2 a.m. is a result of how you vote. Toronto Star. https://www.thestar.com/opinion/contributors/what-happens-in-the-er-at-2-a-m-is-a-result-of-how-you-vote/article_87e37d41-e820-4197-93b8-2cab6ea76075.html
Contributor, Raghu Venugopal. “What happens in the ER at 2 a.m. is a result of how you vote.” Toronto Star, 16 Oct. 2026, https://www.thestar.com/opinion/contributors/what-happens-in-the-er-at-2-a-m-is-a-result-of-how-you-vote/article_87e37d41-e820-4197-93b8-2cab6ea76075.html.
Contributor, Raghu Venugopal. “What happens in the ER at 2 a.m. is a result of how you vote.” Toronto Star, October 16, 2026. https://www.thestar.com/opinion/contributors/what-happens-in-the-er-at-2-a-m-is-a-result-of-how-you-vote/article_87e37d41-e820-4197-93b8-2cab6ea76075.html.
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As of October 16, 2026, Raghu Venugopal, a late-night ER doctor in Toronto, highlights how municipal policies directly affect healthcare usage. He notes that issues such as homelessness and road safety are reflected in emergency room cases. For instance, he treats homeless senior citizens, cyclists injured by cars, intoxicated patients walking into traffic, and overdose victims not breathing. These cases underscore the importance of public policies like freezing TTC fares, advocating for protected bike lanes, implementing speed cameras, and capping costs for frequent TTC users. Toronto is addressing housing shortages through a public builder model with 5,271 units under construction to provide dwellings for homeless patients who frequently use ER services.
Our publicly funded health-care system is a shared resource. The resources for one patient affect the resources for another.
Municipal policies like freezing TTC fares, advocating for protected bike lanes, calling for speed cameras and capping costs for frequent TTC users — they are not ideological — they make sense.
Toronto has embarked on a public builder model with 5,271 units under construction and now builds dwellings for homeless patients who heavily use the ER. This is sound policy and we need more of it.
It’s smarter for taxpayers to build deeply affordable or no-cost housing than for the unhoused to see me at 2 a.m. looking for a shelter bed when all I have is a waiting room chair.
Addictions policy must be driven by evidence, not emotion. We require compassionate leaders driven by objective data and not fear-mongering.