HEALTH CARE - User fees

JLM

Hall of Fame Member
Nov 27, 2008
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Vernon, B.C.
With our healthcare system being in a bad state of disarray to the point where people are waiting months for certain procedures and people in some areas are even finding it next to impossible to have their own family doctor, I think something fairly unorhtodox has to be done. I suggest that for each initial visit for an illness (people on social assistance being exempt) that the patient pays a $20 fee up front. What this might do is discourage people with trivial complaints like runny noses and hangnails from running to the doctor and running up costs the rest of us can't afford and adding to line ups in the system delaying sick people getting treatment. It might also stimulate some people to get off their rear end and take care of their own health, like maybe getting a little exercise. What do you think?
 

Cliffy

Standing Member
Nov 19, 2008
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Nakusp, BC
The medical system is in disarray by intention. The pharmaceutical companies want us off our "socialist" system and onto an American style "gouge them as they go" system. Health care be damned: "Profit before life!"
 

TenPenny

Hall of Fame Member
Jun 9, 2004
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Location, Location
User fees are useful from one perspective - they cut down on needless visits to ER for stupid things like colds.

However, they also tend to prevent some (typically seniors who are 'careful' with their money) from accessing health care when they should, which usually translates to more expensive, longer hospital stays later on.
 

taxslave

Hall of Fame Member
Nov 25, 2008
36,362
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Vancouver Island
Being a healthy as well as health conscious person I find that I pay a great deal of money every year for health care that I don't use as well as paying extra for the few services that I require. In B.C> we pay $106 per month for "free" health care and it is not tax deductible according to revenue Canada. But it does not cover the important things like the several medicals that I require for various licenses. Of course these are required by different government agencies so going once and getting a few photo copies does not work. They also vary in price from around $90-120 and are a farce when I go to a walk in clinic and answer yes or no to the questions that a doctor I have never met reads off the form and then signs.
 

YukonJack

Time Out
Dec 26, 2008
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Winnipeg
User fees should be paid by EVERYONE. Even by people on social assistance. (Is that euphamism for welfare??). Smaller amount, of course, but no visit to a doctor should be totally free.

$5.00 for people working and $2.00 for those on welfare and pension would be about right.
 

YukonJack

Time Out
Dec 26, 2008
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Winnipeg
"Yankee Go Home!"

I am sure Danny Williams is grateful that Americans did NOT take this despicable attitude about people from another country.
 

AnnaG

Hall of Fame Member
Jul 5, 2009
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With our healthcare system being in a bad state of disarray to the point where people are waiting months for certain procedures and people in some areas are even finding it next to impossible to have their own family doctor, I think something fairly unorhtodox has to be done. I suggest that for each initial visit for an illness (people on social assistance being exempt) that the patient pays a $20 fee up front. What this might do is discourage people with trivial complaints like runny noses and hangnails from running to the doctor and running up costs the rest of us can't afford and adding to line ups in the system delaying sick people getting treatment. It might also stimulate some people to get off their rear end and take care of their own health, like maybe getting a little exercise. What do you think?
I like the idea of user fees for those that can afford it. Not everyone can afford a $20, though. There are seniors in need of care living on OAP and CPP alone. If they're lucky they might get a grand a month. Out of that they probably spend at least $300 on groceries, another few hundred on rent or whatever, and the rest on incidentals. Try living in Vancouver or Toronto on a grand a month when you are old, can't easily get around, and have an ailment or two.
Concerning the rest of us, great idea. We've been bringing the idea of user fees up every time the topic of healthcare comes up. A lot of people would have to get a little more serious about pestering their docs for something if they had to fork over some money and it'd alleviate healthcare costs a little. The money would go directly to the healthcare, too, rather than going through the gov't so it can budget for healthcare. (At least till gov't cuts back more).
 

AnnaG

Hall of Fame Member
Jul 5, 2009
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The medical system is in disarray by intention. The pharmaceutical companies want us off our "socialist" system and onto an American style "gouge them as they go" system. Health care be damned: "Profit before life!"
Yeah, well, those same companies like to gouge gov'ts, too.
One of the friends of ours in a wheelchair gets gov't assistance. Gov't pays for wheelchair parts. Well, this is fine but medical companies will charge the gov't $70 a pair for tires. The other friend in a wheelchair pays for his own tires and gets them at a bike shop for $15 a tire.
Les told the guy he could probably build him a wheelchair comparable to the one he has for under a grand. The guy paid almost $5000 for the one he has.
 

JLM

Hall of Fame Member
Nov 27, 2008
75,301
548
113
Vernon, B.C.
User fees should be paid by EVERYONE. Even by people on social assistance. (Is that euphamism for welfare??). Smaller amount, of course, but no visit to a doctor should be totally free.

$5.00 for people working and $2.00 for those on welfare and pension would be about right.

Would that little cover the bookkeeping costs?
 

TenPenny

Hall of Fame Member
Jun 9, 2004
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What a pain that would be for the doctor involved, to be charging and keeping track, they'd probably have to start taking debit and credit cards...
 

AnnaG

Hall of Fame Member
Jul 5, 2009
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What a pain that would be for the doctor involved, to be charging and keeping track, they'd probably have to start taking debit and credit cards...
You mean like dentists and eye doctors do? Yeah, MDs would definitely have it so tough.
 

YukonJack

Time Out
Dec 26, 2008
7,026
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48
Winnipeg
"Would that little cover the bookkeeping costs?"

Maybe, maybe not. But it would - at least, hopefully - discourage unwarranted and frivolous visits to doctors, and especially the ER.
 

TenPenny

Hall of Fame Member
Jun 9, 2004
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You mean like dentists and eye doctors do? Yeah, MDs would definitely have it so tough.

Have you ever noticed what dentists make? They aren't collecting $5 to send to medicare, I can tell you that.

Or are you suggesting that the docs keep the $5 charge?
 

Francis2004

Subjective Poster
Nov 18, 2008
2,846
34
48
Lower Mainland, BC
Being a healthy as well as health conscious person I find that I pay a great deal of money every year for health care that I don't use as well as paying extra for the few services that I require. In B.C> we pay $106 per month for "free" health care and it is not tax deductible according to revenue Canada. But it does not cover the important things like the several medicals that I require for various licenses. Of course these are required by different government agencies so going once and getting a few photo copies does not work. They also vary in price from around $90-120 and are a farce when I go to a walk in clinic and answer yes or no to the questions that a doctor I have never met reads off the form and then signs.

First who ever said it was FREE.. It is Universal not free..
 

AnnaG

Hall of Fame Member
Jul 5, 2009
17,507
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Have you ever noticed what dentists make? They aren't collecting $5 to send to medicare, I can tell you that.

Or are you suggesting that the docs keep the $5 charge?
Why not? They do the work, don't they? Hospitals can charge user fees to alleviate some of their costs, too.
Or are you suggesting that anything medical people collect they should give the gov't and the govb't can dole it back?