Maryanne Titian, 69, says she and her husband John both have diabetes, and he is also waiting on a kidney transplant while she has suffered mild heart attacks.

The couple uses buses to get to medical appointments at least once a month that are hours away.

Since the closure of several bus depots on Vancouver Island this year, they are often left waiting outside in poor weather conditions for hours.

“It’s hard,” Titian said. “My husband and I are both not feeling well, we get sick really easy.”

“This time of year, it’s windy, it’s raining, it’s snowing in some places,” she said.

The closure of bus depots on Vancouver Island is part of a wider decline in services across Canada that are leaving some vulnerable people at risk.

The largest shift came in 2018, when Greyhound Canada announced it was cancelling service in most of Western Canada, citing plunging demand.

The provincial government stepped in to fill some of the gaps in northern British Columbia, including along the so-called Highway of Tears between Prince George and Prince Rupert.

The service BC Bus North, operated by Pacific Western Transportation, now provides transportation along the route where at least 18 women have gone missing or have been murdered, several of whom were last seen hitchhiking. It also serves Valemount, Dawson Creek, Fort. St. John and Fort Nelson.

A hodgepodge of other companies also entered the void left by Greyhound in parts of Western Canada and northern Ontario but haven’t matched the service provided by Greyhound.

While Greyhound announced it was pulling out of the Island months before the rest of Western Canada, its disappearance still has ripple effects on the local bus businesses, the CEO of one company said.

John Wilson of Wilson Group, which operates much of Vancouver Island’s bus services through its companies Wilson’s Transportation and Tofino Bus, said Greyhound played a key role in bringing passengers and freight from across the country.

“That connectivity across the country has stopped,” Wilson said, adding that apart from internal freight services, the company now almost entirely relies on passenger revenue.

Wilson Group is partnering with companies like Ebus, which has taken up and added stops along Greyhound’s Kelowna-Kamloops route, to try to reconnect the Interior with Vancouver and Vancouver Island, but gaps still remain, he said.

Ride sharing services and the consumer’s own decisions to drive are also affecting the bottom line, he said.

To compensate for declining demand, Wilson closed five bus depots this year in Port Alberni, Courtenay, Tofino, Parksville and Port Hardy, he said.

“Unfortunately, we had to make some tough decisions around closing some stations,” Wilson said.

Passengers are now primarily picked up at the curbside, although Wilson said the company is in discussions with some local businesses to allow passengers to wait inside.

Bus companies across North America are facing similar challenges, he said, and eliminating bricks and mortar operations are one of the ways they can reduce overhead without cutting routes.

While online bookings may not be accessible to many seniors or individuals without credit cards, between 80 and 85 per cent of passengers now book online, reducing the need for ticketing agents, he said.

Wilson said the company’s call centre remains open and he encouraged passengers experiencing barriers to reach out directly, adding the company will do its best to accommodate them.

“We definitely think it’s a small minority,” he said. “At the same time, they need to be looked after and we want to look after them. We’re doing the best we can to maintain the service levels as far as our schedules are concerned by reducing our overhead.

But the other option is to reduce runs, which hurts people even more, I think.”

Back in the Interior, the province agreed to provide the BC Bus North service on an interim basis and federal funding covering half the costs expires at the end of March 2021. BC Transit led a competitive procurement process for service providers on the current routes and the request for proposals closed in August.

The Ministry of Transportation said in a statement that the contract is being finalized and additional information will be available in the coming weeks.

There will be no disruption to the current BC Bus North service, it said.

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