Uncategorized

INTERNATIONAL: Rational talk about Canadian Health Care

I’m very happy to relate that one of the best pieces ever by me on THCB, Oh Canada, (written when THCB was just finding its feet in 2003) is still as relevant as ever. There are still inordinate amounts of crap talked about the Canadian system by defenders of the current US status quo (not that the far right loonies who dredge this stuff will say that’s what they’re doing). This is dspite the fact that no major US Presidential candidate, with the possible exception of Harry Truman, has ever proposed introducing such a system here.

But over on liberal blog Campaign For America’s Future (the guys who are backing  Jacob Hacker’s work and by the way taking credit for the Edwards, Clinton and some of Obama plan) Sara Robinson—a self described “health-care-card-carrying Canadian resident and an uninsured American citizen who regularly sees doctors on both sides of the border”—has written a very balanced piece called Mythbusting Canadian Health Care.

I can see the Canadian ex-pat trio of Pipes, Gratzer & Graham going into apoplectic fits even as I type!

Livongo’s Post Ad Banner 728*90

Categories: Uncategorized

Tagged as: , ,

14
Leave a Reply

14 Comment threads
0 Thread replies
0 Followers
 
Most reacted comment
Hottest comment thread
7 Comment authors
Gisele GuenardJane SmithMGjeremyPeter Recent comment authors
newest oldest most voted
Gisele Guenard
Guest

I’m not seeing anything on this blog about the Nurse Practitioner clinic initiative in Canada. There has been a key development here: a group of Nurse Practitioners (NPs) in Sudbury (Ontario)is preparing to open a 2nd site as we speak. This is the first NP-Led clinic to open in Canada, and was championed by pioneer NPs Marilyn Butcher and Roberta Heale. All eyes here are on this historic development in access to care for orphan patients. The Sudbury region has 30,000 patients without access to Primary Care. In our system, Primary Care is care provided by Nurse Practitioners and Physicians,… Read more »

Jane Smith
Guest

The title of the story is called:
Deficiencies within the Canadian HealthCare System: one woman’s story of how the Canadian Healthcare System let her down.

Jane Smith
Guest

On the subject of the Canadian Healthcare System, I just read a very sad story about the poor heathcare a woman in Ottawa received. this is a must read.
Link: http://canadahealth.x10hosting.com/mainpage.php

Peter
Guest
Peter

“Nationalized HC systems don’t work” “Every country which has one is slowing scrapping it.” Really? Scapping, a bold statement that has no proof. There is pressure on public systems to balance health budgets and provide more healthcare as the same aging populations in those counties strain health systems. How they do that may involve some private alternatives but certainly not the “scrapping” of the entire system. How much private and who pays is the argument. In Canada each province determines a large part of the county’s health policy guided by the Federal, Canada Health Act. Here is a link to… Read more »

adam
Guest
adam

Here’s an interesting piece on the current travails of the NHS (by an admittedly conservative columnist):
http://www.melaniephillips.com/articles-new/?p=564
Did you know that Virgin Healthcare and other private clinics are setting up shop in the UK? Nationalized HC systems don’t work. Every country which has one is slowing scrapping it.

Peter
Guest
Peter

“We have runaway costs,… Here’s an example Jeff Margolis often gives: let us say you are given a credit card and are told you may buy whichever suit you wish, and the bill will be paid. Almost everyone would head over to the Armani section at Nordstrom’s rather than to the men’s suit department at Walmart. No?” No. If we all paid cash for our healthcare, transparency for patients would be an issue, unless the guilds do what they do best – control access and price. But most of our bills are paid by/through insurance. So who’s picking the “Armania… Read more »

MG
Guest
MG

“We have runaway costs, but that has to do with a lack of transparent pricing.”
Adam – It is not nearly as easy as you are asserting to price an overwhelming majority of medical services (inpatient and outpatient). Plus, if you look at the most recent report from the Congressional Business Office on what is driving healthcare costs, it is the cost of medical technology.

MG
Guest
MG

While I disagree with a number of Adam’s assertions including this ridiculous point about the quality of medical care delievered to Americans, Adam does a point about increasing healthcare costs being a problem worldwide: “WASHINGTON, D.C., February 6, 2008 — Medical cost” increases for employers throughout the world are expected to accelerate over the next five years, according to a poll of insurance companies conducted by Watson Wyatt Worldwide, a leading global consulting firm. The poll also found that, in a vast majority of countries, medical cost increases are outpacing the general rate of inflation. Nearly three-fourths (71 percent) of… Read more »

adam
Guest
adam

MH: We have runaway costs, but that has to do with a lack of transparent pricing. Here’s an example Jeff Margolis often gives: let us say you are given a credit card and are told you may buy whichever suit you wish, and the bill will be paid. Almost everyone would head over to the Armani section at Nordstrom’s rather than to the men’s suit department at Walmart. No? So, most of us treat ourselves to Armani-quality HC (particularly once we have met the deductible). Give me the ultra, CT, MRI, full lab workup, toss in some physical and message… Read more »

Peter
Guest
Peter

“If you have to have a serious operation or something done how does a 9 month waiting period sound?? Do your research properly and once you see the other side of the coin you won’t think the Canadian system is all that great.” Jeremy, here’s some research for you to do: Study on Canadian wait times: http://secure.cihi.ca/cihiweb/en/downloads/aib_provincial_wait_times_e.pdf From American Prospect: http://www.prospect.org/cs/articles?article=ten_reasons_why_american_health_care_is_so_bad •3. Our wait times are low because many of us aren’t getting care at all. It’s true, Americans do have short waits for non-elective surgeries. Only 4 percent of us wait more than six months. That’s more than in… Read more »

jeremy
Guest

While I can agree with the poor service and inflated cost comments if we had Canada’s health care system we would be taking on even greater problems that many don’t even realize. If you have to have a serious operation or something done how does a 9 month waiting period sound?? Do your research properly and once you see the other side of the coin you won’t think the Canadian system is all that great.

Peter
Guest
Peter

“while the debate for socialized medicine may find some fans here and there”
Just the rest of the industrialized world.
“where its being practiced socialized medicine is losing control of its own costs.”
If that’s true they’re doing it at half the cost.
“They don’t know where the payments are being made, they don’t know who they are being made to and they don’t know what they are getting.”
Ya, we could show them a thing or two. Is this guy on drugs?

Matthew Holt
Guest

Runaway costs? Poor service? Exactly which part of that description doesn’t fit the US system to a tee?
For that matter, which part of the US system best fits the description managed care. Oh, perhaps it’s the VA. Run by, let’s see, the government.
Your (and presumably Jeff’s but I give him some slack) understanding of what the UK and Scandinavia want to adopt from the US health care system is, at best, limited.

adam
Guest
adam

Jeff Margolis, CEO of Trizetto, has talked quite a bit recently about inquiries from government-run HC systems in Europe. He’s what he said on this week’s conference call: “We are actually seeing a fair number of opportunistic inquiries back towards us from countries lets just say in the EU that are working towards more US-looking managed care systems because, while the debate for socialized medicine may find some fans here and there, where its being practiced socialized medicine is losing control of its own costs. They don’t know where the payments are being made, they don’t know who they are… Read more »