Soaring costs force Canada to reassess health model

Bar Sinister

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Jan 17, 2010
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I suspect the German system would work well. But please note it is a largely a single-payer system under government control, which is something you do not seem to favour. Please also note that it is also considerably cheaper per capita than the US system probably due to the fact that it is single-payer and that there are not hundreds of private insurance companies all doing their best to deny the consumer proper medical coverage.

The German system is NOT a single payer system at all. They have literally hundreds of health insurance companies, and each company pays their own bills.

And Canada does NOT have a private medical system. Being a physician in private practice does not make fore a private medical system. So long as you have a single payer system, you can not have private medical care.

Great Britain has a system where you have both a government plan, and private medical care. If you have the money, you can choose to have private physicians, your own hospitals, etc. You don't have that in Canada.

Cheaper per capita, yes, and also much more difficult to obtain many services. Try to obtain weight loss surgery in Canada, as just one example. The average wait time is over 3 years. Or take a simple hernia surgery. My paternal grandmother died of a strangulated hernia (gangrene set in) while waiting for her surgery in Winnipeg.

Most Canadians have absolutely no knowledge (other than what they read in the papers or see on TV) about how the average American gets medical care. I have never been denied any care I needed, or wanted, nor have I ever had any significant delay (only for appropriate pre-surgical tests, etc.)

In Canada, MRI machines are largely unavailable in the evenings, nights and on week-ends. In fact, in many areas, animal doctors utilize the MRI machines during those hours. In some areas of Canada, a person can wait months, if not years, to get an MRI done.

In the US, you can get a needed MRI done 24 hours a day, seven days a week.

Contrary to what so many Canadians believe, you can walk into any emergency room in the US, and get treatment free of charge if you have no insurance and no assets. Anyone, including illegal aliens, can do this.

This is NOT the case in Canada however. I know several people that became very ill, or were injured while visiting in Canada, and they were denied treatment when they had no funds to pay for the treatment. They got the minimum possible to stabilize them and were sent on their way.

In the USA, every hospital gives away millions of dollars in free service every year. That's one of the reasons the costs are so high for those that do have insurance or funds, they are recouping the lack of payment for all of those free services they give away.

I am a Canadian citizen, yet if I were to become sick in Canada, I would get minimal, if any services, because I do not live there. In the USA, in actuality, you get the medical care first, and they ask for the payment later in an emergency situation.

Elective treatment is very different though. If you don't have the money, or insurance, you can wait for elective treatment. BUT in Canada, virtually everyone HAS to wait for elective treatments, even though they are insured.

Try to tell my family just how great the Canadian health system is. Had my grandmother been in the USA, she would have been admitted the day her hernia was discovered, and had surgery the next day. In Winnipeg, she was told that she was not a priority, and she died while waiting for her surgery to be approved.

Yes indeed, that's a GREAT system you have up there.[/QUOTE]

You appear to be glossing over a great number of things as well as not entirely understanding what private health services are. Tonnington has done a great job of giving you an idea of just a few of the private companies operating in Canada, and contrary to your statement a doctor that works for himself in his own privately owned clinic is private. It is utter nonsense to claim otherwise.

And although there may be longer wait times in Canada for certain procedures Canada stacks up very well against the US in recovery percentages for life-threatening illness such as heart disease and has a longer life expectancy. Whatever the problems with Canadian health care it beats what the US is doing.

The same might be said of MRIs. It is true that in the US they are much more numerous, however, a good deal of that is overkill and almost as much is a desire to drive up costs by including expensive services and tests that are often not necessary but are included since an insurance company is probably paying the bill. It does little to improve health care outcomes if the US has ten times the MRIs per capita when a much lower number might be all that is needed. Compare costs for various medical procedures in the US to costs in Canada for the same procedure and you will see what I mean.

And I am sorry about your grandmother, just as I am sorry about the millions of Americans who are refused health care each year through the process of dumping or having some insurance company find some loophole in their policy to deny them coverage. You are aware, I assume, of the fact that the leading cause of personal bankruptcy in the USA is health care costs?

And yes, we do have a fine system "up here" as you put it. However, that is only because we compare it to the incredible health care mess you have in the US. You may not realize it, but Canadians are very critical of their health care system and are constantly complaining about it. The only thing we really agree on is the fact that it is better than what the US has.
 

L Gilbert

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Impressive. Is posting lengthy opinions and info the latest fad or something?

Anyway, I think Canada's health care is on its way to a economic disaster unless we can come up with something more sensible or adopt a sensible system. The gov't (we taxpayers) simply cannot afford to spend 75% of the budgets on a single issue and that is where we are headed. We need to look seriously at developing a cooperative system between gov't sponsored and private sponsoered health. It works in other places and we can make it work here.
 

ironsides

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Feb 13, 2009
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Yup, just like it works in the U.S. Glad your coming around. (only kidding). There are no places it is working and one by one the countries people say we should copy will soon start showing strain and start looking for another way. We have to stop copying and try to come up with a system that will work.
 

Tonington

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Oct 27, 2006
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There are systems that work...the hurdle is to convince people that adding government funded care where needed, or private options where needed, is not the end of the world.
 

L Gilbert

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Yup, just like it works in the U.S. Glad your coming around. (only kidding). There are no places it is working and one by one the countries people say we should copy will soon start showing strain and start looking for another way. We have to stop copying and try to come up with a system that will work.
Nuts. A cooperative system works fine in many countries. Switzerland, France, Italy, etc. all have aspects of private medicine in their systems and they are a lot better than the US or Canada has.

Tired of hearing about two-tier healthcare? Let?s talk about health. | Nepean Carleton Greens

Public- and Private-Sector Involvement in Health-Care Systems: A Comparison of OECD Countries (BP-438E)

About Australia: Health Care in Australia
 

YukonJack

Time Out
Dec 26, 2008
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Let us not lose the recognition of the fact that in Canada health care varies from province to province.

I lived in Ontario for 50 years. The medical care I received was absolutely pathetic. I suffered in pain, had no chance to see a proper specialist and when I did get to see one, it was the wrong one.

Since I moved to Manitoba, my health has been on the up and up. I got to see not just one, but all the specialists my family doctor deemed appropriate. I had MRI and ultrasound. With my new presciption I am totally pain-free.

So, in my opinion, the bottom line is that there is no such thing as Canadian Health Care System. The heath care you get depends on what province you live in.
 

Avro

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Nuts. A cooperative system works fine in many countries. Switzerland, France, Italy, etc. all have aspects of private medicine in their systems and they are a lot better than the US or Canada has.

Tired of hearing about two-tier healthcare? Let?s talk about health. | Nepean Carleton Greens

Public- and Private-Sector Involvement in Health-Care Systems: A Comparison of OECD Countries (BP-438E)

About Australia: Health Care in Australia

Correct, France has about the best system around and it involves both the government and the private sector.

Let us not lose the recognition of the fact that in Canada health care varies from province to province.

I lived in Ontario for 50 years. The medical care I received was absolutely pathetic. I suffered in pain, had no chance to see a proper specialist and when I did get to see one, it was the wrong one.

Since I moved to Manitoba, my health has been on the up and up. I got to see not just one, but all the specialists my family doctor deemed appropriate. I had MRI and ultrasound. With my new presciption I am totally pain-free.

So, in my opinion, the bottom line is that there is no such thing as Canadian Health Care System. The heath care you get depends on what province you live in.

Interesting, my Mom received prompt care for her heart valve replacement and my son received life saving care for cancer.

I have had knee surgery with no problems and so has my brother.

For Dex...I had a hernia and received quick care at the Shouldice Clinic.
 

SirJosephPorter

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Nov 7, 2008
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The only solution I can think of is to delist some of the services, and look into some kind of private industry involvement.

However I would hope that they don’t give in to right wing propaganda and institute user fees. User fees is the surest way to increase the costs in the long run. Anytime patients are discouraged from visiting the Family Physician, it is storing trouble for the health care system.

I really haven't had much of a reason to use the health care system (except a visit to Family Physician for annual health check up). However, most of the people I know have had good experience with Canadian Health system.
 

YukonJack

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Dec 26, 2008
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For once in my life I have to agree with SirJosephPorter:

"The only solution I can think of is to delist some of the services, and look into some kind of private industry involvement."

By all means delist paying for abortion.
 

SirJosephPorter

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You do NOT agree with me, YJ. Surely you support a hefty user fee? That is a darling of the far right.

And it would be totally counterproductive to delist abortion. The cost of delivery, combined with cost of pre and post natal care would be several times the cost of abortion. It would be a dumb move to delist abortion.
 

Ron in Regina

"Voice of the West" Party
Apr 9, 2008
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Though the below post comes from a completely different Thread:


This Thread isn't about Left or Right leaning Politicians screwing around on their Husbands or wives.

Yes, I'm addressing both of you. That would be SJP & YJ. Quit Trolling each other. Enough already.


How many Threads are the two of you sprawling this across.
 

Bar Sinister

Executive Branch Member
Jan 17, 2010
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Impressive. Is posting lengthy opinions and info the latest fad or something?

Anyway, I think Canada's health care is on its way to a economic disaster unless we can come up with something more sensible or adopt a sensible system. The gov't (we taxpayers) simply cannot afford to spend 75% of the budgets on a single issue and that is where we are headed. We need to look seriously at developing a cooperative system between gov't sponsored and private sponsoered health. It works in other places and we can make it work here.

I am not an ideologue. I will agree with more private input into Canada's health care system as soon as someone can show me how a for profit system can lower health care costs. Perhaps you can accommodate me.
 

AnnaG

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Jul 5, 2009
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I am not an ideologue. I will agree with more private input into Canada's health care system as soon as someone can show me how a for profit system can lower health care costs. Perhaps you can accommodate me.
Well, the most prominent example I can think of at the moment is affordability vs. availability. If you are a wealthy person in need of a hip replacement, would you be willing to wait for months in pain til the public system got around to you? Or would you do as many other wealthy people do and take a holiday overseas and pay out of pocket for a hip replacement that you could get within a couple days? Hip replacement in Canada averages about $15,000 according to StatsCan and takes a median of about 160 days. Wait time for hip replacement in Costa Rica is within 1 week and the cost is $8500 to $9000.
India is the cheapest at about $8000 and within a couple days.
I'd suggest that the wealthier people would lessen the burden put on the public system by going to private clinics and the like for faster service.

It's amazing what you can find on google:

medical tourism - Google Search

One can also shop around for medical insurance coverage.
 

JLM

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Well, the most prominent example I can think of at the moment is affordability vs. availability. If you are a wealthy person in need of a hip replacement, would you be willing to wait for months in pain til the public system got around to you? Or would you do as many other wealthy people do and take a holiday overseas and pay out of pocket for a hip replacement that you could get within a couple days? Hip replacement in Canada averages about $15,000 according to StatsCan and takes a median of about 160 days. Wait time for hip replacement in Costa Rica is within 1 week and the cost is $8500 to $9000.
India is the cheapest at about $8000 and within a couple days.
I'd suggest that the wealthier people would lessen the burden put on the public system by going to private clinics and the like for faster service.

It's amazing what you can find on google:

medical tourism - Google Search

If you have the money and you are in pain, there is nothing wrong with doing whatever to shorten the misery. I get so sick of these "dog in a manger" bastards that think if one person must suffer everyone should. The single tier system has had decades to prove itself and hasn't done so, so the powers that be should "p*ss or get off the pot". :smile:
 

AnnaG

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Total Health Expenditures Per Capita, U.S. and Selected Countries, 2003




11 of those countries have a lower cost per person than Canada and most are a mix of public & private healthcare.









 

ironsides

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Feb 13, 2009
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What I meant was that like Greece, Spain, Italy and eventually pretty much all of Europe will be in deep financial trouble. Health care is a major expense and current health care systems will collapse in the near future.
 

AnnaG

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What I meant was that like Greece, Spain, Italy and eventually pretty much all of Europe will be in deep financial trouble. Health care is a major expense and current health care systems will collapse in the near future.
Some will, some won't.
 

SirJosephPorter

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What I meant was that like Greece, Spain, Italy and eventually pretty much all of Europe will be in deep financial trouble. Health care is a major expense and current health care systems will collapse in the near future.

if any system is going to collapse because of costs, I would expect it to be the American system, since health care costs in USA are much higher than in any other country (and rising at a very fast rate).
 

Bar Sinister

Executive Branch Member
Jan 17, 2010
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Well, the most prominent example I can think of at the moment is affordability vs. availability. If you are a wealthy person in need of a hip replacement, would you be willing to wait for months in pain til the public system got around to you? Or would you do as many other wealthy people do and take a holiday overseas and pay out of pocket for a hip replacement that you could get within a couple days? Hip replacement in Canada averages about $15,000 according to StatsCan and takes a median of about 160 days. Wait time for hip replacement in Costa Rica is within 1 week and the cost is $8500 to $9000.
India is the cheapest at about $8000 and within a couple days.
I'd suggest that the wealthier people would lessen the burden put on the public system by going to private clinics and the like for faster service.

It's amazing what you can find on google:

medical tourism - Google Search

One can also shop around for medical insurance coverage.

You have come at this from a point of view I did not expect. What I was referring to was privatization of health care services in Canada, not sending Canadians to Costa Rica or India. I was well aware of that health care gambit, but it does nothing to explain the continual expansion of the privater sector in Canadian health care in spite of the fact there does not seem to be any evidence that this saves any money. Can you find any private health care services in Canada that outperform the public sector?