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Modifita de Übergeek 바둑이 (21. Aŭgusto 2009, 08:21:57)
Artful Dodger:
> In Canada the biggest problem Canadian medical care faces is access.
Now, that is completely wrong. I live in Canada, Alberta to be precise. Here anyone has access to healthcare, from a homeless guy in the street to a billionaire banker. It does not matter how poor or rich you are, everyone is covered.
> They simply do not have the money to offer the proper care. Simply put, > they can't pay for it on an as needs basis. So care gets rationed out > according to strict rules.
The system here assigns to each patient a degree of importance based on how urgent a procedure or test is. A child in need of a heart operation takes precedence over a middle aged person with bunions. It is a matter of common sense.
Most of the complaints about waiting times are coming from two sectors of the population. One is seniors in need of certain orthopedic procedures like hip and knee replacements. Waiting lists on those types of procedures go into several months.
Another big source of complaints come from rich people who feel that private clinics and hospitals would let them get their procedures done sooner. Rich people get the same treatment as everyone else, so they feel frustrated because they cannot use their money as leverage to get operations sooner. This is where myths such as "Canadians going to the US" comes from. They want to get to the top of the list, and the system couldn't care any less if they are rich or not.
> Another problem is the cost. It's very expensive to pay for everyone's > health care needs. And about 70 percent of Canadian's carry their own > health insurance to cover costs of drugs (which aren't covered under > the Canadian system).
The Canadian system does not allow private insurers, but there are a few companies that offer "insurance" to reduce the cost of drugs and certain things like chiropractor visits, dentist visits, etc.
The most common form of supplemental coverage is the Blue Cross, which operates in a semi-private form. Many employers offer that supplemental coverage as part of an employee benefits plan.
Low income families get supplemental coverage through the welfare system. A welfare card will allow low income families to get free access to drugs, dental care, etc.
So to say that 70% of Canadians carry their own insurance is a misunderstanding. They carry supplemental coverage, in most cases as part of am employee benefits plan.
> Instead of costs coming down, the Canadian government continues to face rising > costs with no end in sight.
This is true to the extent that it is expensive to run the system. However, that complain comes from people who want to see lower taxes. Are the costs out of control? It depends on the state of the economy. During recessions we hear a lot of complaints. During the oil boom, you hardly heard any complaints because the government was running a surplus.
> This is the fact of government sponsored health care. It sounds nice. > But practice and theory are very far apart.
I disagree with that. I think it is a success when a homeless man and a billionaire banker can go to a clinic and receive more or less the same treatment. If human beings are equal, they have the same right to life, and the same right to being treated equally by the health care system. Otherwise we have economic discrimination and inequality.
I won't say Canada is perfect. There is no perfect system. Every country is got its problems. Sweden has a very interesting model and it is highly successful. I used to think healthcare here was good until I went to Austria. I was extremely impressed with the quality of service there.
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