The Horrors of the Canadian Healthcare System

Now that I have your attention, disregard that title.  I am going to recite to you my experience with the Canadian healthcare system from a Republican perspective. 

A couple of weeks ago I went overseas and I was beset with a serious bout of fever while there, I am sure it wasn't swine flu, but I needed to go to the doctor just to make sure I was ok. So I called my family doctor to set up an appointment. I went to the doctor the next day and as I entered, I noticed there was a lack of a government bureaucrat standing between me and the secretary. A bit perplexed, I walked to confirm that I arrived for my appointment, I thought to myself 'ok get ready for a mountain of paperwork'; alas, no paperwork. I sat uncomfortably in my seat knowing that behind the door that separated the waiting area from the doctor there would be a booth with a bureaucrat asking me a series of questions to determine if this doctor is the doctor that the state determined was my doctor. I felt nervous because I choose this doctor on my own volition, but I was unsure if that is what you could do. Having read Hayek's masterpiece, the Road to Serfdom, I was convinced that Canada is speeding down the Road to Serfdom. 


Soon my name was called to enter, sweating, unsure of my status and afraid I'd be thrown in jail I entered. Shockingly, no one was there, the secretary said to me, 'Room Three'. I walked into room three, and I sat there. Now I thought, ok it must happen now. The doctor and I could not determine what would be my treatment, the government bureaucrats would determine that in their infinite wisdom. The doctor walked in...ALONE! I told my doctor what was wrong. After a routine inspection, he told me nothing was wrong and that I was ok. 'That's  it?!?' I thought to myself, where is the government bureaucrat? The doctor has autonomy? This is all free?!? 


I went home, and I looked up stats comparing the American and Canadian system of healthcare coverage. It seems Americans, in their "free market" paradise pay, per capita, $6,714 in 2006 for partial coverage. Whilst, Canadians it seems in the totalitarian nightmare paid $3,762 in 2006 for universal healthcare.* Then I heard Paul Krugman state on CNN's GPS, that 14% (or 939.96 per capita) of all revenues of private healthcare costs go into the bureaucracy, while in public systems its only 3% (112.86 per capita in Canada assuming commensurate figures)!** Why? It seems fairly straight and simple. In a private system, the bureaucracy plays two major roles. The first role is to prevent people from getting their coverage, ergo, retaining as much of the premiums (profit) as possible. The second reason is advertising, unlike in a government run system, the private corporation needs to build 'good will' creating its own proto-monopolistic position. Since these private corporations are also in the business of making profit, another percentage goes into paying shareholders and executives. That makes me wonder, how much actually goes into paying for the actual healthcare! In all probability, not much more or even less than in Canada.  Therefore, it seems to be a myth that the private sector is inherently more efficient than the public sector. It seems the pursuit of profit actually hampers efficiency, I bet no one ever predicted that! 


However, at least Americans do not have to see their taxes raised if they retain a private system. Then I thought, that seems perverse, the assumption is that paying premiums isn't a form of tax. Just because it is going to a private corporation does not make it less of a tax, its an even more perverse tax than government tax it seems. Indeed, if one adds the taxes an American pays with the healthcare he would pay for a level of access that a Canadian takes for granted, assuming his company doesn't pay for it, it may pay more in 'taxes' than a Canadian. 


The sad twists and turns of the American healthcare debate. 


*Milstein, Arnold and Carnie Hoverman Colla. Tracking the Contribution of U.S. Healthcare to the Global Competitiveness of American Employers and Workers. Mercer, 2009. 


**http://www.youtube.com/wa tch?v=EJPqnA1ObBU&featu re=related

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A couple of years ago I had a horrible experience with the socialist British healthcare system.

 

I saw my family Doctor so I always felt in safe hands. I got the surgery I needed and, after a few days in hospital recovering,  went home all better. As it happens I was covered by private insurance at the time as well but used the government system anyway. I got to claim several £100 from the insurance company so I actually made a profit from being ill!

Now this is horrible, you see, because I just feel so gosh darn bad for the poor insurance companies who aren't making that wonderful profit that they are in America. :(

Why do we, in the UK, have a health care system based on health and not money? It just doesn't make any sense!

 

by 0f course on 07/22/2009 03:47:52 AM EST

I would love to see Cenk have some guests on who can speak to the healthcare systems in other industrialized countries.

Also, here are some great links:

1. Denver Post: What's The Truth About Healthcare In Canada?

2. 10 Myths About Canadian Healthcare, Busted

3. It's not true that government involvement in healthcare stifles medical research and innovation.

4. 2 Key Points For Debating Healthcare

by ihavenobias on 07/21/2009 10:13:52 PM EST

that it is indeed a very tough choice. afterall there's apparently some huge hub bub over it in the us. it's great how they mock canadian or british healthcare and then turn around and say THE BEST HEALTHCARE IN THEEEE WOOOOOORLD. i guess if your "world" is just the US. then yea sure.....

by kingbane on 07/22/2009 01:47:03 AM EST

Here's an example.

There's much more where that came from. Just let me know how much more you need.

I'm here for you.

by Hugh Everett on 07/22/2009 03:46:47 AM EST

you, Sir Hugh, are a lying liar who perpetuates lies...but that's just my humble opinion...

I'm sure you do have more 'horror' stories...

Okay, I'll admit it. Our system is NOT perfect. But my homeless schizo brother died in hospital after 6 months of top notch care in a private room -- and with dignity. 

My sig. other requires 30k of meds and more in treatments...and we don't have to sell our house or go broke or worry our asses off...

You sir, are telling oddball stories...I think most people here get that.

by opiman000 on 07/22/2009 11:01:14 AM EST

[ Parent ]
am a real Canadian and sourcing Mike Huckabee to get some hack is not convincing. I've asked people if they would ever get rid of publicly funded healthcare, not one person I talked to said yes. If the situation was so bad here, wouldn't logic dictate that the mass of the Canadian population be agitating for reform? I've actually experienced the Canadian system and I would not trade it for anything, except maybe the French system.

by CanCan on 07/22/2009 12:14:47 PM EST

[ Parent ]

Here are some horror stories from the American healthcare system.  I could go on all day:

 

Insurance Company, Hospital Gang Up On Seriously Ill Woman

Uninsurable Because of Diabetes, Now Paying Off $37,000 Hospital Bill to Collection Agency 

17-Year-Old Girl Dies Awaiting Life-Saving Liver Transplant Recommended by Doctors that Insurance Initially Denies

Colorado Mom Says, "No One Plans to Have a Sick Baby"

RN and Single Mom Cannot Afford Daughter’s Insulin and Care

Young Woman Battles Insurance Company for Effective Medications

Young Mom, Wife's Coverage Costs as Much as Mortgage

Independent Trucker Loses Business and His Dream

Young, Insured Father Stuck with $25,000 in Out-of-Network Costs 

Four-Year-Old Boy at the End of His Insurance Rope

Cancer Kills Sister Because of Lack of Health Insurance

Treatment Delayed for Months, But Insurance Cancelled When Just One Day Late with Payment

HMOs Decide 57-Year-Old Husband's Life Not Worth Saving

Another Veteran Abandoned After Injury

Young Husband, Father Dies After Denial of Cancer Treatments

Cancer Patient’s Treatment Determined by HMO, Not Doctors

RN Suffering from Incurable Disease Fails to Keep Up With Medical Expenses Even Though She's Insured

Young, Insured Cancer Patient's Parents Risk Bankruptcy for Treatment

RN Cares For Physician Husband But Cannot Believe Costs

The Perils of Pre-Existing Conditions and the Struggle of 29-Year-Old Critical Care Nurse

Breast Cancer Patient Can No Longer Afford To Save Her Own Life

Postal Worker with Stage 4 Breast Cancer Fought Insurance Company for Life-Saving Treatment for Eight Months While Cancer Spread

Single Mom with Cancer, Can’t Afford Employer’s Health Insurance, Lives in State of Fear

26-Year-old Daughter Died Because She Feared Medical Cost

Insured Amputee Still Faces Liens against Home

24-Year Military Veteran Left To Die

Permanently Disabled at Age 46 Because Insurance Refused to Pay for MRI

by bfaul on 07/23/2009 11:02:36 AM EST

[ Parent ]

when you have 47 million more examples then perhaps you could make a case....

I know you like graphics so...

Who is happiest? 

America even loses out in quality to Canada which is suprising because those who have actually got health care in America pay more...

http://media.gallup.com/GPTB/healthcare/20030325_2.gif

 

http://www.gallup.com/poll/ 8056/healthcare-system-rati ngs-us-great-britain-canada .aspx

by 0f course on 07/23/2009 06:37:30 PM EST

[ Parent ]
That by removing the profit motive in health care that people would still want to spend thousands of dollars to become doctors? Are there that many Americans who are willing to be doctors just to help people? What is the government gonna pay doctors? If its anything like how they pay on Medicaid, good luck retaining anyone! I am in favor of not paying for medical care - I just want to know how they plan to do it and not cripple the level of care we can get in the profit driven system... :)

by bobo1 on 07/21/2009 10:12:57 PM EST

From 10 Myths About Canadian Healthcare Busted:

2. Doctors are hurt financially by single-payer health care.
True and False. Doctors in Canada do make less than their US counterparts. But they also have lower overhead, and usually much better working conditions. A few reasons for this:

First, as noted, they don’t have to charge higher fees to cover the salary of a full-time staffer to deal with over a hundred different insurers, all of whom are bent on denying care whenever possible. In fact, most Canadian doctors get by quite nicely with just one assistant, who cheerfully handles the phones, mail, scheduling, patient reception, stocking, filing, and billing all by herself in the course of a standard workday.

Second, they don’t have to spend several hours every day on the phone cajoling insurance company bean counters into doing the right thing by their patients. My doctor in California worked a 70-hour week: 35 hours seeing patients, and another 35 hours on the phone arguing with insurance companies. My Canadian doctor, on the other hand, works a 35-hour week, period.

She files her invoices online, and the vast majority are simply paid — quietly, quickly, and without hassle. There is no runaround. There are no fights. Appointments aren’t interrupted by vexing phone calls. Care is seldom denied (because everybody knows the rules). She gets her checks on time, sees her patients on schedule, takes Thursdays off, and gets home in time for dinner.

One unsurprising side effect of all this is that the doctors I see here are, to a person, more focused, more relaxed, more generous with their time, more up-to-date in their specialties, and overall much less distracted from the real work of doctoring. You don’t realize how much stress the American doctor-insurer fights put on the day-to-day quality of care until you see doctors who don’t operate under that stress, because they never have to fight those battles at all. Amazingly: they seem to enjoy their jobs.

Third: The average American medical student graduates $140,000 in hock. The average Canadian doctor’s debt is roughly half that.

Finally, Canadian doctors pay lower malpractice insurance fees. When paying for health care constitutes a one of a family’s major expenses, expectations tend to run very high. A doctor’s mistake not only damages the body; it may very well throw a middle-class family permanently into the ranks of the working poor, and render the victim uninsurable for life. With so much at stake, it’s no wonder people are quick to rush to court for redress.

Canadians are far less likely to sue in the first place, since they’re not having to absorb devastating financial losses in addition to any physical losses when something goes awry. The cost of the damaging treatment will be covered. So will the cost of fixing it. And, no matter what happens, the victim will remain insured for life. When lawsuits do occur, the awards don’t have to include coverage for future medical costs, which reduces the insurance company’s liability.

 

by ihavenobias on 07/21/2009 10:17:18 PM EST

[ Parent ]
Are there that many Americans who are willing to be doctors just to help people?

Did you become a teacher because you thought your paycheck would afford you multiple vacation homes? I didn't. I wanted to help people who have trouble being taken seriously in English.

Speaking of which, your random hypen after "not paying for medical care" should be replaced with a period and moved into the middle of the compound adjective "profit-driven."

by OneHitKill on 07/21/2009 10:54:16 PM EST

[ Parent ]

[b]bobo1[/b]


[i]That by removing the profit motive in health care that people would still want to spend thousands of dollars to become doctors? [/i]


Well apart from the pre-fab post given to us by ihavenobias, yes the answer is an empathic yes. Your assumption, the assumption of neoclassical economists, is that people only do x bc its in their economic self-interest, the assumption of homo economicus guiding all human action. I posit that most doctors go into the profession for reasons other than high income, those who do go into the medical profession for income tend to go into specializations that have no actual medical benefits, i.e. plastic surgery. The fact is that most people who go into the medical profession do have a abiding sense of social justice and the fact is that what is more valuable than higher incomes is prestige of the position. The fact is that doctors invest all that money is for a variety of reason that are not reducible to some economistic interpretation. Ergo, I deny your premise.Your logic would dictate that all doctors, all over the world would have to work in the United States where they can make the most money. The fact is that is not the truth, because there are other factors that play. 


[i]If its anything like how they pay on Medicaid, good luck retaining anyone! [/i]


Well aren't there doctors who work for Medicaid? Therefore,  contradicting your whole premise.  


[i]I am in favor of not paying for medical care - I just want to know how they plan to do it and not cripple the level of care we can get in the profit driven system... :)[/i]


The level of care? Seriously? That level of care that American's get is far below what almost every other industrialized country gets. Americans are experiencing the second biggest swindle in history, the first being the bailouts for Wall St.  

by CanCan on 07/21/2009 10:57:01 PM EST

[ Parent ]
yea.. in canada NOOOOBODY ever studies to become a doctor. that's why in canada to see a doctor i have to wait TEN WHOLE minutes when i walk into a clinic without an appointment. it's appalling! and all the doctors in canada do it out of charity that's why they live in tiny shacks and igloo's up here. oh and penguins rummage through our trash!

you got anymore ignorant things to say bobo? you wanna ask about how igloo's get electricity? or how we fend off polar bears?

by kingbane on 07/22/2009 01:43:01 AM EST

[ Parent ]
Are just wannabe Americans who got screwed over by some treaties 200 years ago - Go curl with your brooms, color your monopoly money and stop invading American political sites - you can't vote here, you still worship a foreign queen, and your military is strictly for show - if any shit ever came down on you, your sorry asses would come running to us, tails tucked firmly between your legs begging us for help and aid. The only things good ever to come from your frigid ass worthless chunck of land are lacrosse and hockey, so thanks, now STFU you dumbass Canucks... :)

by bobo1 on 07/22/2009 02:08:20 AM EST

[ Parent ]
"wannabe Americans"

"worship a foreign queen"

"military strictly for show"

Do you really believe this shit, bobo?

"STFU you dumbass Canucks"

Can you say "jingoism", bobo?  You really learned nothing at all when you were studying history, did you?

Oh!  Let me guess!  The school needed a history teacher and not another shop teacher, so they gave you history book and said "teach this".  So now you think you're qualified to teach history.

THAT's how it MUST have happened.  You certainly show no sign at all of any actual education in history.

I should have guessed that your name is actually your original professional name for the profession in which you were actually educated.

bobo the Clown!


The world is a strange place, but that makes it really fun to watch. -- bfaul

by EveningStarNM on 07/22/2009 08:11:20 AM EST

[ Parent ]
you're right we can't vote in america. worship a foreign queen? i dont know any american's who worship the queen. there's a figurehead representative of the queen in our parliament. but it's a figurehead, useless. i dont disagree about our military. but i also dont really care for a super large military. but what's any of this have to do with healthcare? oh right nothing, cause you got nothing. just ad hominem attacks. which is fine. but remember we kicked your ass in TWO war's. we pushed your asses back so far we even got to the point where we burned your white house down. we gave you back those lands as a courtesy even after conquering it. the one's who ran with their tails between their legs were you guys.

by kingbane on 07/22/2009 02:26:10 AM EST

[ Parent ]
wher ei said americans who worship the queen i meant to say canadians.

by kingbane on 07/22/2009 02:26:32 AM EST

[ Parent ]

Maybe a Canadian might have a thing or two to add into this discussion.

Manger de la merde, le clown.

by Spencer on 07/22/2009 02:40:34 AM EST

[ Parent ]

I am Canadian..... what do you want me to add?  The conversation is pointless.  Because we have all experienced Canadian health care we all know its the way to go.  There is a reason every other industrialized nation has it. Its not perfect but its not ass-backwards retarded like the American system. 

What do you want to talk about... how much better it is than the American system?  That last comment from that angry retard Bobo got me a little riled up.  Lets not start a war here..... some of my best friends are Americans.... But its just a matter of time before you guys get it sorted and get some sort of Universal healthcare.  Its the natural progression of a civilized culture.  Hopefully you will work out a system that doesn't have the problems ours does.  But arguing that our Healthcare is horrible because you Googled "Canada", "Healthcare", and "Nightmare" isn't going to change my mind.

by Tibbitson on 07/23/2009 08:00:17 AM EST

[ Parent ]
A red herring king?

by CanCan on 07/22/2009 03:14:35 AM EST

[ Parent ]

Oh ..sry.. I mean bobo .. er do I ?

If yer gonna talk real Canuckian .. you best learn to spell ...up her is Colour .. not Color.

Before you rant any more about your special country .. that btw has put the entire North American Continent at indefinite serious risk of attacks.. especially after we agreed to join you in Afghanistan ... ya .. just before the majority of US Forces were forced to fight in Iraq (political choice .. not the military's choice I'm sure).

But keep in mind, a good gob of the Oil you and yer kin-folk burn, comes either from Canada or through Canada. The tap could be turned off, if we weren't afraid of being attacked by you war-mongers.

Sorry to everyone .. except bobo and kentx (in case he's reading). I DO NOT generalize or stereotypicalize (if there's such a term) all Americans as being as intellectually ignorant as bobo. The comments I have made so far, are simply a richochet of bobo's comments from a Canadian, just so he can see how he sounds.

Really BoBlow or is that Bro-Blow ? .. You really should educate yourself because your ignorance and stupidity is extremely evident. Your knowledge of Canada and Canadians is much less than it is even of USA and her citizens and your historical knowledge is non-existent.

Grab a Brain and Grow Up you F'ing racist hillbilly. And btw - you are not welcome here to steal our healthcare when you can't afford your own there. Canada's healthcare isn't the best in the world, but it's way better than your's ever dreamed of being. Sure .. we often have line-ups ... but we ALL get served long before we die. Our doctors often head to the US to receive higher compensation (because some are greedy like many of your doctors), but most doctors produced in Canada, live very comfortably in Canada on their income. It only takes a few years to pay their school bills.

Before I go too far off track ..I'll end here. But bobo, YOU are a GIANT LOSER and a very poor representation of your fellow citizens. People with your mentality should not be permitted to vote in your own country.

 

by SnowTiger on 07/22/2009 09:02:35 PM EST

[ Parent ]
"Americans, in their "free market" paradise pay, per capita, $6,714 in 2006 for partial coverage. Whilst, Canadians it seems in the totalitarian nightmare paid $3,762 in 2006 for universal healthcare"

We can pay twice as much for partial coverage with an inusrance company whose goal is to deny any and every claim it can, or we can pay half as much and have 100% free universal coverage?

Gee, tough choice...

"People who boast of ancestry often have little else to sustain them." LL

by Robrob on 07/22/2009 12:18:56 AM EST

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