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I live in Vancouver and there are literally no bathrooms, public or private, in the densest parts of the city for this exact reason. I've damn near pissed myself on long transit trips because all of the restaurants near transit stations won't let you use the bathroom even if you buy something.
You used to be able to pay to use the bathroom by buying something, now you can't relieve yourself even if you wanted to pay. Like build coin operated toilets like they have in Europe at this point because it's better than literally not having access to any bathrooms at all.
My mom moved to BC two years ago, I've had this problem every time i visit. It super sucks, I heavily rely on the free/public bathrooms everywhere in Toronto.