The purpose of this project was to inform public debate leading to the creation of a private medical sector that would supplement the current universal healthcare system. The findings argue in favour of a dual system of medical delivery which would optimize doctors’ and nurses’ time by engaging them in private sector medical service delivery after completing a minimum 35 hour work week in the public healthcare sector. They also suggest that by increasing the total work hours completed by hospital staff through public-private partnerships and the creation of secondary private sector, the systematic underuse of Quebec’s operating rooms could be improved.