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27 February, 2008

How Keifer Sutherland's grandfather came to be known as the greatest Canadian ever.

Emily left me a comment asking what I thought of health care in Canada, what with the American election coming up and all and the pros and cons of Universal Health Care being debated. I'd like to think she thinks I am wise enough to throw my knowledge on the state of Canadian health care out there, but really I am not. I do work in a hospital though and I do go to a dentist and occasionally a doctor. I definitely have an opinion. Granted it's fairly one sided since I have only ever lived in two countries, England with its NHS and Canada with its Canada Health Act.

Universal Health Care was started in 1947 in Saskatchewan by Tommy Douglas (Keifer's grandad!) after talks for a Canada-wide system failed. Eventually other provinces started funding health care, and by 1961 all provinces and the 2 territories had health care that received funding from the federal government.

How it works is that each province provides health insurances to its residents, giving them free access to...well, it's long freaking list. There's a lengthy list of what isn't included as well...dental services (unless its dental surgery that takes place in a hospital) optometrists, cosmetic surgery. The federal government then provides the provincial governments with funds.

As a Canadian, I really have no idea what the cost of a hospital stay is. I do not receive a bill that lists tylenol as a $1.50 per pill, or a birth for $2500. When I saw Sicko and the man who cut off his two fingers was given the choice of one finger being reattached for $60,000 or the other for $12,000 I knew that, in Canada, he wouldn't have even been asked "Which finger?" They would have automatically done both, and he wouldn't have received a bill.

It is a far from perfect system. We have an ongoing doctor shortage, wait times can be long. If we hadn't have paid for William's CT scan we probably would have waited about 3 or 4 weeks for it to be done. If you go into the ER complaining of a headache though, chances are good that the CT will be done that night. It is also not entirely free either. In Alberta a family will pay $88 a month for health care, $44 if you are single. That is subsidized if you are under a certain income. I pay $22 a month for mine, my work benefits cover the rest. We will move over to William's works plan as soon as his health care arrives as they cover it 100%. We are having an election next week, and all 3 major parties are promising to eliminate the premiums. Will that happen? I seriously doubt it.

I do believe we take advantage of the system, in that people will run to the ER rather than going to their doctor or a medicentre. When you don't have to pay you just don't consider the cost. At all. I know that a visit to the doctor is $36, because we pay when William needs to go. But an ER? No clue.

Overall, I believe that the benefits outweigh the negatives. Yes, you might wait for elective surgery, but I would rather have it for free than pay a fortune that I don't have. Some of you may recall that last year my friend gave birth to twins 6 weeks early. The girls spent 5 weeks in the ICN. Each day in the ICN is $1,000 per child. That would have cost them over $80,000. Imagine the stress that would have caused them if they had to pay even a portion of that, or if they had had to fight with their insurance company or HMO for the coverage.

Universal Health Care does not equal third world medicine. Yes, many doctors and nurses choose to work south of the border, but we also attract renowned doctors and scientists. Rare and lifesaving surgeries are preformed. I know that if one of my children becomes seriously ill, we have access to one of the best childrens hospitals in North America. I know that my family and I will be treated for any ailments without insurance being brought up.

While we Canadians may bitch and moan about the state of health care -it's in our nature, we love to complain- I don't believe there are many who would get rid of it. After all there is a reason that Tommy Douglas, the founder of Universal Health Care and so many other social programs (including my beloved Child Tax benefit), was named, by Canadians, as the greatest Canadian ever.

12 comments:

Beccy said...

Wow Emma that was really interesting. What we have here seems to be a mix between what you have and the NHS. We have to pay for GP and A&E visits (GP €60, A&E €66). If you spent more that a set amount (around €400 I think) in a year you get the excess refunded. People on low incomes are given a medical card and are excempt from these payments.

Many people also pay into private healthcare schemes to help with medical payments. We have never used ours but it seems to get you into private hospitals and pays for private consultations thereby bypassing the public waiting lists. This causes controversy as it seems like the rich get better treatment.

Any body will get seen and treated for free in an Irish hospital but in non urgent cases you could be waiting a while.

Anonymous said...

Excellent post Emma, Agreed that we have world class surgeons and very good facilities but it's not perfect. Wait times and access are still a major issue. But 100% converage really means universal coverage -- we still pay for our health care (albeit through taxes rather than insurance). As a Canadian I would never want to remove universal coverage but I would be a lot happier if the system learned to reduce our wait times and improve access. I believe the two go hand-in-hand.
http://www.waittimes.blogspot.com

Chastity said...

Universal Health Care scares the living pants off of me. I have good insurance now. I paid very little (maybe $50) when I had Lila. That was for everything. If you have good insurance, you don't have to choose which finger you want reattached. I also must admit that when you had the hernia and they didn't immediately fix it, that really scared me away from UH...with my insurance it'd have been fixed immediately.

While I love this country, I just don't think letting them suddenly be in control of something so HUGE would be a smart idea. Our government isn't even efficient with what they're already doing; adding something this gigantic to their plate would be seriously scary. I just don't think they could do a good job. The entire country of Canada has roughly the same population as the state of California (around 33 million). Universal Health Care here would just be on such a grander scale that I don't think it could be done well. Yes, it might be nice for those that have no insurance at all right now, but for those of use that already have good insurance, we'll probably still end up paying for it with worse coverage than we have now. I think that here with such a huge population that our government needs to make TONS of changes...we need REAL health care reform. They need to put a stop to a lot of things regarding health care, and they need to put limits on the costs and provide affordable heath care for everyone....but allowing them to just take over 303 million people's health care and expect them to do a good job...I seriously doubt it...I can't even comprehend that many people.

I know you weren't asked to comment on what you thought America should do, you were just giving your thoughts on Canada's system...but I just had to give my two cents.

Anonymous said...

Thanks so much for all the info, Emma. I'm glad you're getting a conversation going through your comments...I would feel bad if the post turned out to be a big dud! Haha. Anyways, I'm gonna have to agree with Chas in saying that it could be BAD to turn the whole thing over to our government. Most programs that they have total control over end up being full of red tape and inefficiency. I mean I think America's great and all, but I'm more of a small government kind of gal. We are in definite need of reform, however. I think we need to look at programs all over the world (Canada included) and pull all the good stuff to create a reform that focuses on affordable health care for everyone. One more question....do you know if taxes are way higher in Canada because of the Universal Healthcare??

Thanks again!

Alix said...

A really interesting post Emma. Although the NHS in the UK is far from perfect I think it is well worth fighting to keep it. I've always received excellent treatment.
In the USA I thought the opt out medical insurance programme was a good idea to try and insure universal coverage. I think it was Obama's but I can't quite remember.

Anonymous said...

Great fodder, Emma.

I think that Americans who have insurance tend to abuse of it too, when they can afford the $20 copay. It's those who can't who'll forego important visits, just because they don't have the $20 to spend just because they have a "headache."

It's definitely a complex issue. But having had a birth cost me $12,000 in the US when an illegal immigrant could do it for free at the county hospital kind of hurt my feelings quite a bit, I have to say and made me miss Canada.

Mamma Schmoo said...

Great post Emma.

While we were in Orlando we started a conversation with a girl who worked at the Wal-Mart there. After finding out that we were from Canada she asked "so is y'alls health care really as good as y'all say it is?". I had to tell her that while it does have it's downfalls that I wouldn't trade it for anything.

She went on to tell me that due to the great expense of it that neither she nor her son had any coverage...that thought kind of scares me. My DH would accept a lower paying job with benefits rather than go without the extra coverage. You never know which kid will need braces!

Amy W said...

Working in health care in the states, I have my own long winded opinions!!

But I liked the history of yours...

Anonymous said...

I find that very interesting, because having relatives in the industry here all they can talk about is how quickly it will hit the crapper if they do try it. Esp. hearing from my SIL how three of her Canadian friends are moving to the States to flee it. One who went to the doctor, got a three week wait time, fled here & found out her appendix was about to rupture. FREAKS me out. Socialized medicine is Socialism...the opposite of what we as democracy loving kids were taught to believe in...

Sandy said...

I am fortunate in that we have very good health coverage due to the fact that hubby spent 25 years in the military.

Socialized medicine scares me, too. I like picking my doctor. I like going to the doctor when I think I need to go to the doctor and, no I do not abuse my coverage.

Seeing as how our government has already managed to subvert the original intent of Social Security, I just can't see giving them another bottomless pit to play in.

Joy T. said...

Great post Emma! I have never paid for a visit to my doctor, ever. And I'm 44 years old. I had a hysterectomy last year and the only thing I paid for was $40 a night but that's because a private room was offered to me and I took it. I also paid for the MRI out of pocket but that's only because I wanted it done right away and within the week I was in. Otherwise it would have been a month or longer wait. When my son was very sick years ago, he was transfered to the U of A where a Disease Specialist...or whatever she was called...was flown in to look at and diagnose him. All free. Not to mention the fantastic service we've always had. I could go on and on. We aren't a family who goes running to the doctor for every little thing. As a matter of fact we rarely go and we don't do the medicentre thing either, but it's sure nice to know they're there. I have always been extremely grateful for our health system. It's by far perfect but oh lordy what it 'could' be. Again, great post Emma.

thefoodsnob said...

I love my fellow Americans, I really do. But we DON'T live in a democracy, we live in a republic and like to fool ourselves into thinking we live in a democracy.
(BTW- My hospital bill from my son-born normally in 2001- $10,000.
We payed $100.00- Thank god for insurance!)

Lisa