In the words of one Hamilton doctor, "we don't have a two tiered heath care system, we have a seven or eight-tiered system and we all know it."
The comments come from Dr. Dale Guenter at a town hall meeting at Mohawk College sponsored by the Canadian Medical Association.
About 200 people attended, with many telling stories about the inequality of a health care system that favours those with higher incomes in better neighbourhoods.
They pointed to the fact that residents in Hamilton's poorer neighbourhoods have shorter life expectancies than those in higher-income areas.
This was the second of five meetings across Canada for the National Dialogue on Health Care Transformation.
The CMA will use the feedback to compile a report.