Looks like I good 'n derailed this thread. Oh, well!
You know, I find two things amazing. One: there is SO much propaganda here in Canada that the American system is crap. An amazing amount. Seriously, the Canadian population seems to believe that there are thousands to millions of folks south of the border with no health care. Their media, and their government, have equated no insurance with no health care. That’s ridiculous, as anyone with any experience in the US public health system can tell you. The US private system is excellent, and the standard of care in the US is the gold standard the world over. There are MANY people in the US without insurance, that’s true; there’s a weird web of welfare-based stuff they have to navigate to get care, also true. Many don’t know how, also true. However, when you get into that welfare-based system, standard of care is standard of care. Folks at big public hospitals get state-of-the-art treatment, just like the paying folks do. We need to figure out a way to insure the uninsured, yes. People fall through the cracks, yes. No one is turned away from hospitals in the US because they can’t pay. Clinics, yes.
Second, in the US, there seems to be propaganda that equates health insurance with available medical care, and that’s equally false. People here in Canada, especially in this province (with zero private medicine) have no choice but to wait for things. Even procedures I consider semi-elective (or semi-urgent . . . half-full vs. half-empty) have waiting lists months long. I have OHIP, the Ontario provincial plan, since I’m a foreign worker here for more than 3 months. Anyhoo, I tried to go get seen by someone when I had pneumonia about a month ago. They told me they could see me in 4 weeks. I asked if they understood that I thought I had pneumonia, and they said, yep, 4 weeks. So I pulled out the trump that works in the US . . . I’m an MD, can someone just listen to my chest and see if he/she thinks I need antibiotics? Nope, 4 weeks. Or I can go to a walk-in clinic. I called the walk-in: 8 hour wait. Um, nope. I called in a prescription for myself in the US and had a relative overnight it to me. I had a patient not too long ago with a serious condition, the treatment for which involves cardiac catheterization. Instead of getting the cath while she was in house, she was sent home on an antiarrhythmic drug and put on the list for the cath study . . . she’ll come back for it in April. That would never happen in the US, she’d never have been sent home.
Yes, care must be rationed. Medicine is a limited resource. But, there are distinct advantages to a free-market (or non-socialized) medical system that seem lost on the people up here.
I guess I’m just glad to see that another government (Canada) isn’t forthright about something, and disheartened to hear there’s so little insight up here. We’re so close, but yeesh, the border seems wide sometimes.
Stuart