Even as far back as 2006 the
Canadian system was failing, but nothing has been done to fix it. Infact, today
we see Physicians in Canada are paid less, and see lower amounts of patients.
ObamaCare has American heading straight to the Canadian system, but it will
fail in America (patients will suffer!). TWO BIG REASONS:
1) America spends 4 times as much in
GDP that works out to $7,110,000,000/yr. Canada spends just 1.4% of it’s GDP on
defense (hey why spend on defense when you (Canada) have a 500lb Gorilla (U.S.
Military) protecting you.
2) The American legal system makes
it’s best living in Malpractice lawsuits. Yep, the Trail Lawyers donate more
money than any other lobbying group, and the Dems get all that money. There is
tort reform in Canada with caps in place. Only in Texas will you find Malpractice
Tort reform. The malpractice lawyers are ripping the system-off blind!
Canada's
Private Clinics Surge as Public System Falters
Published: February 28, 2006
VANCOUVER, British Columbia, Feb. 23
— The Cambie Surgery Center, Canada's most prominent private hospital, may
be considered a rogue enterprise.
Accepting money from patients for
operations they would otherwise receive free of charge in a public hospital is
technically prohibited in this country, even in cases where patients would wait
months or even years before receiving treatment.
But no one is about to arrest Dr.
Brian Day, who is president and medical director of the center, or any of the
120 doctors who work there. Public hospitals are sending him growing numbers of
patients they are too busy to treat, and his center is advertising that
patients do not have to wait to replace their aching knees.
The country's publicly financed
health insurance system — frequently described as the third rail of its
political system and a core value of its national identity — is gradually
breaking down. Private clinics are opening around the country by an estimated
one a week, and private insurance companies are about to find a gold mine.
Dr. Day, for instance, is planning
to open more private hospitals, first in Toronto and Ottawa, then in Montreal,
Calgary and Edmonton. Ontario provincial officials are already threatening stiff
fines. Dr. Day says he is eager to see them in court.
"We've taken the position that
the law is illegal," Dr. Day, 59, says. "This is a country in which
dogs can get a hip replacement in under a week and in which humans can wait two
to three years."
Dr. Day may be a rebel (he keeps a
photograph of himself with Fidel Castro behind his desk), but he appears to be
on top of a new wave in Canada's health care future. He is poised to become the
president of the Canadian Medical Association next year, and his profitable
Vancouver hospital is serving as a model for medical entrepreneurs in several
provinces.
Canada remains the only
industrialized country that outlaws privately financed purchases of core
medical services. Prime Minister Stephen Harper and other politicians remain
reluctant to openly propose sweeping changes even though costs for the national
and provincial governments are exploding and some cancer patients are waiting
months for diagnostic tests and treatment.
But a Supreme Court ruling last June
— it found that a Quebec provincial ban on private health insurance was
unconstitutional when patients were suffering and even dying on waiting lists —
appears to have become a turning point for the entire country.
"The prohibition on obtaining
private health insurance is not constitutional where the public system fails to
deliver reasonable services," the court ruled.
In response, the Quebec premier,
Jean Charest, proposed this month to allow private hospitals to subcontract
hip, knee and cataract surgery to private clinics when patients are unable to
be treated quickly enough under the public system. The premiers of British
Columbia and Alberta have suggested they will go much further to encourage
private health services and insurance in legislation they plan to propose in
the next few months.
Private doctors across the country
are not waiting for changes in the law, figuring provincial governments will
not try to stop them only to face more test cases in the Supreme Court.
One Vancouver-based company started
a large for-profit family medical clinic specializing in screening and
preventive medicine here last November. It is planning to set up three similar
clinics — in Toronto, Ottawa and London, Ontario — next summer and nine more in
several other cities by the end of 2007. Private diagnostic clinics offering
MRI procedures are opening around the country.
Canadian leaders continue to reject
the largely market-driven American system, with its powerful private insurance
companies and 40 million people left uninsured, as they look to European mixed
public-private health insurance and delivery systems.
"Why are we so afraid to look
at mixed health care delivery models when other states in Europe and around the
world have used them to produce better results for patients at a lower cost to
taxpayers?" the premier of British Columbia, Gordon Campbell, asked in a
speech two weeks ago.
While proponents
of private clinics say they will shorten waiting lists and quicken service at
public institutions, critics warn that they will drain the public system of
doctors and nurses. Canada has a national doctor shortage already, with 1.4
million people in the province of Ontario alone without the services of a
family doctor.
"If
anesthetists go to work in a private clinic," Manitoba's health minister,
Tim Sale, argued recently, "the work that they were doing in the public sector
is spread among fewer and fewer people."
But most Canadians
agree that current wait times are not acceptable.
The median wait
time between a referral by a family doctor and an appointment with a specialist
has increased to 8.3 weeks last year from 3.7 weeks in 1993, according to a
recent study by The Fraser Institute, a conservative research group. Meanwhile
the median wait between an appointment with a specialist and treatment has
increased to 9.4 weeks from 5.6 weeks over the same period.
Average wait times
between referral by a family doctor and treatment range from 5.5 weeks for
oncology to 40 weeks for orthopedic surgery, according to the study.
Last December,
provincial health ministers unveiled new targets for cutting wait times,
including four weeks for radiation therapy for cancer patients beginning when
doctors consider them ready for treatment and 26 weeks for hip replacements.
But few experts
think that will stop the trend toward privatization.
Dr. Day's hospital
here opened in 1996 with 30 doctors and three operating rooms, treating mostly
police officers, members of the military and worker's compensation clients, who
are still allowed to seek treatment outside the public insurance system. It
took several years to turn a profit.
Today the center
is twice its original size and has yearly revenue of more than $8 million,
mostly from perfectly legal procedures.
Over the last 18
months, the hospital has been under contract by overburdened local hospitals to
perform knee, spine and gynecological operations on more than 1,000 patients.
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