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2016 Postmortem
In reply to the discussion: Are you willing for doctors and hospitals to make half of what they make now [View all]polly7
(20,582 posts)121. How Canadian Health-Care does not suck.
Last edited Sun Jan 31, 2016, 09:10 AM - Edit history (4)
https://www.cihi.ca/sites/default/files/document/nhex_trends_narrative_report_2015_en.pdfCheese Sandwich (4,130 posts) "Canada's Single-Payer Healthcare System Explained"
http://www.democraticunderground.com/1017301919
http://www.democraticunderground.com/10027521337
http://www.democraticunderground.com/10026727625 - "THIS is what Healthcare is all about ..."
I don't want to use NanceGreggs' tragic loss for anything detrimental, but feel her thread and what she and Jeff went through is exactly typical of all I've seen of our system, having worked in it for a long while, used it all my life and been an advocate for a huge family and friends who've gone through some very complicated and serious health issues. And again NanceGreggs, I'm very sorry for your loss.
Just a few more discussions with informative posts from a very quick search just here on DU debunking the 'horrific wait times and limited care' myths (proclaimed in the first link):
Ichingcarpenter (35,626 posts) "Canadian doctor schools U.S.Republican Senator on public health care"
http://www.democraticunderground.com/10024655743
http://www.democraticunderground.com/?com=view_post&forum=1002&pid=4658292
This video was both infuriating and interesting. Please do have a look at the 3:59 mark.
Re Premier Williams surgery in the U.S. Burr was gloating about:
17. The Peter Munk Cardiac Centre in Toronto, pioneers of the surgery he received:
PMCC FIRSTS IN CARDIOLOGY
For more than 75 years, we have been leading the way in innovative cardiac discoveries:
1935: First clinical use of heparin
1950: First pacemaker
1955: First successful valve transplant
1965: First coronary intensive care unit
1980: First prospective study of iliac angioplasty
1985: First mitral valve chordal replacement with expanded olytetrafluoroethylene
1986: First stentless aortic valve
1987: First aortic valve replacement using the Toronto Heart Valve
1988: First aortic valve-sparing operation
1990: First viral heart disease genetic test
1999: First sleep apnea clinical trial
2006: First discovery of the SOS distress signal
2009: First heart monitor recorder CARTO 3 System
http://www.uhn.ca/PMCC
He also said he would inevitably have been seen as a queue-jumper if treated in Canada. But Dr. Jeanmart in Montreal said prompt care is available when the individual case is acute. The Peter Munk Cardiac Centre in Toronto said it has no extensive waiting list for any heart surgery at the moment.
"This is my heart, it's my health, it's my choice," Mr. Williams said. Of course it's his choice, but it reflects on the quality of medicare. The message he has sent by word and deed is that Canadian medicine is stuck in the past century.
http://www.theglobeandmail.com/globe-debate/editorials/a-choice-that-belittles-canada/article4388327/
More on that surgery:
http://www.theglobeandmail.com/life/health-and-fitness/williamss-heart-surgery-choice-was-based-on-ignorance/article1365308/
Please keep this in mind re watching Sally Pipes' testimony and who she is and what she stands for:
TrollBuster9090 (3,005 posts)
69. SALLY PIPES SHILL ALERT: (Just FYI)
Every time I see Sally Pipes spreading her anti-healthcare garbage I want to barf. But I'm not surprised the Republicans invited her. She's part of the wingnut welfare crowd.
Just FYI, there are two paid shills who Republicans usually invite to these dog and pony shows. One is Sally Pipes, who runs a paid, right-wing 'think tank' (aka Propaganda outlet) whose soul purpose is to put out propaganda trashing single payer healthcare systems with cherry picked data. No surprise she appeared here.
The other standard paid shill the Republicans usually invite is Dr. David Gratzer, who was trained as a psychiatrist in Canada, wrote a (self-published) book about how shitty the Canadian healthcare system is WHILE HE WAS STILL A MEDICAL STUDENT, and had no experience of it; and (like his commrade Charles Krauthammer) soon discovered that there was a lot more money to be made as a paid propagandists than there is as a doctor; and moved to NY to do that before ever having seen a single patient.
Gratzer is usually their token Canadian doctor that they always invite to trash the Canadian healthcare system. I don't understand why they didn't invite him! They must be slipping.
I can only conclude that Gratzer is affraid to show up at any hearing where Sanders is present, because the last time he was invited to a hearing with progressives present, Dennis Kuchinich ripped him a new asshole.
Watch this video of Kuchinich taking the little turd apart. It'll make your day. http://www.democraticunderground.com/?com=view_post&forum=1002&pid=4660362
http://www.dailykos.com/story/2008/4/5/488434/- Sally Pipes is an unethical hack
Top Obamacare Critic's Op-Eds Drafted by PR Firm That Reps Drug, Health Care Clients - Meet the magic PR elves fueling Sally Pipes' pro
http://www.motherjones.com/politics/2012/07/sally-pipes-pacific-research-institute-keybridge-communications
eridani (48,829 posts) "Why do Canadians so strongly support their single payer system?"
http://www.democraticunderground.com/10026223948
National Health Expenditure Trends, 1975 to 2015:
https://www.cihi.ca/sites/default/files/document/nhex_trends_narrative_report_2015_en.pdf
https://secure.cihi.ca/free_products/trends_in_income_related_inequalities_in_canada_2015_en.pdf
So really ...... those who are trying so hard to make it appear what it isn't, will just have to try a bit harder - there are actually people on here who know the truth of what we get and wouldn't trade it for anything. Period.
8 facts that explain whats wrong with American health care
Updated by Sarah Kliff on January 20, 2015, 9:58 a.m. ET
If the health-care system were to break off from the United States and become its own economy, it would be the fifth-largest in the world. "It would be bigger than the United Kingdom or France and only behind the United States, China, Japan, and Germany," says David Blumenthal, executive director of the nonprofit Commonwealth Fund.
Or here's another way to put it in its (ridiculous) perspective: The US, which has a mostly private health-care system, manages to spend more on its public health-care system than countries where the health-care system is almost entirely public. America's government spends more, as a percentage of the economy, on public health care than Canada, the United Kingdom, Japan, or Australia. It spends even more than that on private health care.
3) Half of all health-care spending goes toward 5 percent of the population
Americans are not equal health-care spenders. There are a handful of patients who use lots of medical services and tens of millions of people who barely go to the doctor at all.
Americans are not equal health-care spenders. There are a handful of patients who use lots of medical services and tens of millions of people who barely go to the doctor at all.
http://www.vox.com/2014/9/2/6089693/health-care-facts-whats-wrong-american-insurance
Canada's health plan doesn't cover certain services. Non-cosmetic dental care is covered for children up to age 14 in some provinces. Outpatient prescription drugs are not required to be covered, but some provinces have drug cost programs that cover most drug costs for certain populations. In every province, seniors receiving the Guaranteed Income Supplement have significant additional coverage; some provinces expand forms of drug coverage to all seniors, low-income families, those on social assistance, or those with certain medical conditions. Some provinces cover all drug prescriptions over a certain portion of a family's income.
Private Health Insurance
While the health care system in Canada covers basic services, including primary care physicians and hospitals, there are many services that are not covered. These include things like dental services, optometrists, and prescription medications.
Private health insurance plans are usually offered as part of employee benefit packages in many companies. Incentives usually include vision and dental care. Alternatively, Canadians can purchase insurance packages from private insurance providers.
The main reason many choose to purchase private insurance is to supplement primary health coverage. For those requiring services that may not be covered under provincial health insurance such as corrective lenses, medications, or home care, a private insurance plan offsets such medical expenses.
While private insurance can benefit those with certain needs, many Canadians choose to rely exclusively on the public health system.
http://www.canadian-healthcare.org/page4.html
We've always had private/third party insurance plans that, depending on the province and what the consumer chooses, covers what our health-plan may not (keeping in mind the above services already expanded for low-income families and individuals and children as well as seniors), including: certain out-pt. prescription drugs/medicines, semi-private or private hospital accommodation (though I've seen many/most times those without any insurance placed in semi-private or private rooms - most in my family even without insurance have always been placed in semi-private rooms, if not private - especially in the smaller hospitals), special nursing services, regular ambulance services, artificial limbs, prostheses and medical appliances, wheel chairs and other durable equipment, specified medical or paramedical services that fall outside government plans (ie., chiropractors, physiotherapists, podiatrists, osteopaths and optometrists) and vision care (eyeglasses and contact lenses). Dental services are often covered under a separate supplementary insurance plan.
And, more ..... disability insurance, critical illness plans, living benefits, long-term care insurance, additional travel insurance, etc.
Many of the above additional expenses are reimbursed or partially reimbursed through allowable personal income-tax deductions.
http://www.democraticunderground.com/?com=view_post&forum=1251&pid=1030919
http://www.taxtips.ca/filing/medicalexpensetaxcredit.htm
It works for us, and every day each province/territory is looking for ways to improve it.
Canada Health Act:
The Canada Health Act (CHA or the Act) is Canada's federal legislation for publicly funded health care insurance.
The Act sets out the primary objective of Canadian health care policy, which is "to protect, promote and restore the physical and mental well-being of residents of Canada and to facilitate reasonable access to health services without financial or other barriers."
The CHA establishes criteria and conditions related to insured health services and extended health care services that the provinces and territories must fulfill to receive the full federal cash contribution under the Canada Health Transfer (CHT).
The aim of the CHA is to ensure that all eligible residents of Canada have reasonable access to insured health services on a prepaid basis, without direct charges at the point of service for such services.
The Canada Health Act is federal legislation that puts in place conditions by which individual provinces and territories in Canada may receive funding for health care services.
http://www.hc-sc.gc.ca/hcs-sss/medi-assur/cha-lcs/index-eng.php
There are five main principles in the Canada Health Act:
Public Administration: All administration of provincial health insurance must be carried out by a public authority on a non-profit basis. They also must be accountable to the province or territory, and their records and accounts are subject to audits.
Comprehensiveness: All necessary health services, including hospitals, physicians and surgical dentists, must be insured.
Universality: All insured residents are entitled to the same level of health care.
Portability: A resident that moves to a different province or territory is still entitled to coverage from their home province during a minimum waiting period. This also applies to residents which leave the country.
Accessibility: All insured persons have reasonable access to health care facilities. In addition, all physicians, hospitals, etc, must be provided reasonable compensation for the services they provide.
http://www.canadian-healthcare.org/page2.html
Federal transfers are allocated to each province to manage and deliver health services.
Canada's national health insurance program, often referred to as "Medicare", is designed to ensure that all residents have reasonable access to medically necessary hospital and physician services, on a prepaid basis. Instead of having a single national plan, we have a national program that is composed of 13 interlocking provincial and territorial health insurance plans, all of which share certain common features and basic standards of coverage. Framed by the Canada Health Act, the principles governing our health care system are symbols of the underlying Canadian values of equity and solidarity.
Roles and responsibilities for Canada's health care system are shared between the federal and provincial-territorial governments. Under the Canada Health Act (CHA), our federal health insurance legislation, criteria and conditions are specified that must be satisfied by the provincial and territorial health care insurance plans in order for them to qualify for their full share of the federal cash contribution, available under the Canada Health Transfer (CHT). Provincial and territorial governments are responsible for the management, organization and delivery of health services for their residents.
http://www.hc-sc.gc.ca/hcs-sss/medi-assur/index-eng.php
Making Medicare - The History Of Health Care In Canada 1914-2007
http://www.historymuseum.ca/cmc/exhibitions/hist/medicare/medic00e.shtml
The poor who cannot afford dental, ect. not paid for by the health care program can get help:
Here's a quick look at who is eligible for what:
http://www.fptdwg.ca/English/e-access.html
http://www.caphd.ca/programs-and-resources/government-dental-programs
http://www.health.gov.sk.ca/supplementary-health-program
.............................
In some provinces any child under 14 is eligible under the Canada Health Act for full dental coverage that is not cosmetic.
Canada spends 11.2% on health care versus 17.7% in the U.S.- with better outcomes in both infant mortality rate and life expectancy. I don't know much at all about your taxes, but I would rather pay mine knowing that most of it goes to ensuring quality health-care for all, than paying to mainly support the MIC while watching millions of people die without access to health services other than the E.R.
http://www.vox.com/2014/9/2/6089693/health-care-facts-whats-wrong-american-insurance
Btw ......... how about your wait times and quality of care, does everyone there get diagnostics and specialist appt's, treatments as promptly and with the high quality as we do? I hope so! I've never had to wait more than three days to see a doctor anywhere I've lived. Here it's usually that afternoon or the next day and if it's something serious the doctor quite often calls the specialist while I'm sitting there and books an app't., usually within days or weeks ... depending upon the illness. If I've heard something about a specialist I'd rather see ....... I'm perfectly free to ask for her/him.
I have never had to pay one single penny out of pocket nor has anyone else unless they've wanted a private room (which very few people I know even care about - the rooms in our smaller hospitals are all private anyway). We keep our gas and hotel receipts for driving, parking and staying in the city to claim back at income tax time. I've worked in health-care in different positions much of my life and been an advocate for members of a huge family and group of friends for many more, and have never seen otherwise, except for cataract surgery and hip replacements for older family members --- those did have wait times.
What about elective and non-emergent issues - is everyone there assured of the same high-quality treatment and care even if they have to wait for it? I hope so!
Absolutely, our system is far from perfect ....... but we are always working on ways to improve it. Committees made up of physicians, nurses, First Nations representatives, social service representatives, etc, - province by province and territory. It is an ongoing process and always will be.
Final comment from the first video: "Those in the United States who are concerned about health-care spending and what it means to the economy might respect that course of action. But instead, we attack. That's our problem, not theirs."
I'll just keep reposting this whenever you trot out yet another of your hit-threads.
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Are you willing for doctors and hospitals to make half of what they make now [View all]
Recursion
Jan 2016
OP
It's an interesting question, and I'm curious how physicians on the whole would respond
Recursion
Jan 2016
#63
No, he pointed out the opposite, actually...The young French doctor he spoke with
whathehell
Jan 2016
#231
It doesn't really. IT TAKES OUT THE PROFIT MARGINS OF THE PRIVATE INSURANCE COMPANIES.
FourScore
Jan 2016
#102
Huh? I literally listed those as a line item. $200 billion dollars (slightly less actually)
Recursion
Jan 2016
#106
A lot of it has to do with the fact that in many single payor nations doctors can
mucifer
Jan 2016
#5
And we saw, politically, what even encouraging discussing end of life decisions did
Recursion
Jan 2016
#13
It's fascinating to me that the most religious western nation is the most afraid of death
Fumesucker
Jan 2016
#34
I agree that that is absolutely fascinating, and I've wondered about it for a while
Recursion
Jan 2016
#36
I get the impression that many think they might not really be quite so saved after all.
Fumesucker
Jan 2016
#49
Yes. They might not be overpaid per se, but they are overpaid relative to everyone else.
reformist2
Jan 2016
#6
You need to factor in the cost of college education and med school here in the US ...
slipslidingaway
Jan 2016
#9
And malpractice insurance. And staff to wrangle with insurance companies. n/t
winter is coming
Jan 2016
#11
Yes that is another factor that is not considered here. How many staff does an insurance company ...
slipslidingaway
Jan 2016
#23
Compensatory damages would be less, and there might be fewer cases because
winter is coming
Jan 2016
#213
They do something similiar in the UK, bottom line is we need to look at other systems and stop ...
slipslidingaway
Jan 2016
#25
Medicare and Medicaid primarily insure the elderly, poor and frail, if everyone were on it, wouldn't
Uncle Joe
Jan 2016
#70
If the average cost per person were to go down, shouldn't that count as a reduction in your OP of
Uncle Joe
Jan 2016
#78
So the medical field would have increased demand and need to grow, tuition free universities could
Uncle Joe
Jan 2016
#96
Tuition forgiveness for doctors is a great idea, that features in O'Malley's proposal
Recursion
Jan 2016
#97
We have a nursing shortage and the demand for health care is ever increasing in the U.S.
Uncle Joe
Jan 2016
#103
No. But I'd like to eliminate the millions that insurance executive make
question everything
Jan 2016
#26
I did, in the OP, as if by magic. You still need to find $1.3 Trillion after that (nt)
Recursion
Jan 2016
#31
When the government is negotiating prices, that pregnancy test on Mr. Smith
closeupready
Jan 2016
#48
Giving individuals money doesn't keep higher education costs down. It inflates costs.
closeupready
Jan 2016
#66
No, I posted it above, and will here. It's 6%, directly from the Center for Medicare Services
Recursion
Jan 2016
#79
Canada in particular has high-paid physicians (though not as highly paid as ours)
Recursion
Jan 2016
#43
Hence "the thought is"; I have no numbers on that, just the grumblings of Canadians I know (nt)
Recursion
Jan 2016
#118
OK, mass delusion is causing complaints of a doctor shortage in Canada. Got it.
Recursion
Jan 2016
#120
OK, well, you need to tell CIHI that, because that and pharma costs are the biggest concerns
Recursion
Jan 2016
#125
People don't have complaints that lower physicians' salaries are driving physicians
polly7
Jan 2016
#131
And people there 'seem to have' a lot of 'Canadian friends' very unhappy with, and spreading these
polly7
Jan 2016
#138
Your BC friend sounds like a typical right-wing bigot. The type who would love to see
polly7
Jan 2016
#142
I still don't believe in anecdotes, but you INSIST you have all these Candian friends complaining to
polly7
Jan 2016
#155
Well, if I ever see someone who thinks Canadian healthcare sucks, I'll send them to that post
Recursion
Jan 2016
#123
Of course there are shortages that appear to be regional, just as in every country.
polly7
Jan 2016
#135
Can you dial back the damn hostility for a second? I like Canada's healthcare system
Recursion
Jan 2016
#145
Once again, you've confused me with someone who thinks the US's system is better than Canada's
Recursion
Jan 2016
#156
You're the one bringing up all these outdated 'anecdotal' memes to smear our system with
polly7
Jan 2016
#161
What's it going to be tomorrow, Sally Pipes' testimony as proof we're doing it all wrong? nt.
polly7
Jan 2016
#165
I'm not attacking, I'm defending against the silly memes you continuously trot out.
polly7
Jan 2016
#170
Can you at least acknowledge that we agree that Canada's system is better than the US's?
Recursion
Jan 2016
#177
O'Malley isn't just talking about doing something, he has a plan that worked in Maryland
Recursion
Jan 2016
#47
His plan is a nice step. But there is still waste and profiteering at all levels. nt
mhatrw
Jan 2016
#54
How about EVERYTHING? And how about starting with the FACT that a cent of prevention is
mhatrw
Jan 2016
#51
Yes, you are right. We all need to fight for the right for insurance companies to keep getting
mhatrw
Jan 2016
#56
Good case made for Omalley here on this subject. Omalley has a track record
uponit7771
Jan 2016
#226
I'm willing to have medical insurance company CEO's collecting unemployment checks! n/t
brewens
Jan 2016
#55
How much from forcing pharmaceutical companies to deal with us straight? We should be getting
brewens
Jan 2016
#81
So this hospital would only be able to charge $4500 instead of $9000 for a bandage and tetanus shot?
Nye Bevan
Jan 2016
#60
So, you don't actually agree with Sanders's intention to cut $1.7 Trillion from healthcare spending?
Recursion
Jan 2016
#95
Nope. That's the (outdated) size of the insurance industry. That counts payments to providers.
Recursion
Jan 2016
#105
Single payer in and of itself would have nothing to do with medical school costs,
SheilaT
Jan 2016
#99
I absolutely agree, which is why I'm wary of the simplistic bromides I see from Sanders
Recursion
Jan 2016
#101
You'll start at a salary where you can easily pay it off in a few years, and serve in a rural or
Hoyt
Jan 2016
#305
I'm a huge fan of that, and I'm glad O'Malley wants to make college debt-free
Recursion
Jan 2016
#109
Get them and the doctors and hospitals out of the way and then we get a fair deal
uponit7771
Jan 2016
#229
+1, Same point I made... I don't want to trade a high pay to private industry to a high pay to gov..
uponit7771
Jan 2016
#228
I agree on the in and out of network business, a complete overhaul is what is needed...
uponit7771
Jan 2016
#265
What are you in favor of, the UK system where you can jump the queue or the Canadian where
slipslidingaway
Jan 2016
#168
If he couldn't crap on the systems of other countries he'd have nothing to post about, imo.
polly7
Jan 2016
#171
That's why you trot out all those untrue statements (from Canadian friends, of course)
polly7
Jan 2016
#178
He's speaking chiefly about doctors working in the NHS who also do private work though.
Kentonio
Jan 2016
#169
I don't think hospitals should make any money at all. They should be non profit.
Cheese Sandwich
Jan 2016
#146
They definitely should be. We're one of the few OECD countries that has them
Recursion
Jan 2016
#154
Ever notice how much air there is in a bag of potato chips? There used to be more chips and less air
Cheese Sandwich
Jan 2016
#158
They paid whatever rate they wanted to pay. Medicare sets its own reimbursement rates.
Cheese Sandwich
Jan 2016
#179
With everybody on the plan yes doctors will accept the plan or they will be out of business
Cheese Sandwich
Jan 2016
#190
What if the doctor wants more than Medicare pays? Will he be allowed to bill privately?
Recursion
Jan 2016
#195
+1, this should be continually asked especially by Clinton... Sanders becoming the Pixy Dust candida
uponit7771
Jan 2016
#232
As experts study Bernie's plan, they will discover the numbers don't add up....
Sancho
Jan 2016
#191
Doctors and hospitals spend about $8 billion on malpractice insurance every year
Recursion
Jan 2016
#201
Yeah, that's my worry; I do think patients should have recourse in the courts
Recursion
Jan 2016
#211
Horror stories about malpractice insurance and lawsuits is Republican propaganda...
Human101948
Jan 2016
#212
Only one thing has actually reduced healthcare costs, and that is global rate-setting
Recursion
Jan 2016
#224
The person providing the service gets to determine how much he he or she will charge for it
DemocratSinceBirth
Jan 2016
#255
If there were 4x as many doctors, they'd individually have to make fewer sacrifices.
lumberjack_jeff
Jan 2016
#261
The doctors here, around me - in rural areas that most would consider the least
polly7
Jan 2016
#262
I am not disputing the altruism and empathy one needs to be a doctor...
DemocratSinceBirth
Jan 2016
#263
.... and lab-techs, paramedics, receptionists, etc. etc. They all deserve to be
polly7
Jan 2016
#264
But there are plenty of ways to get help with learning it. You probably would have been great. nt.
polly7
Jan 2016
#273
I did start there. I also zeroed out pharma and government overhead. Find the remaining $1 Trillion
Recursion
Jan 2016
#297
Administration and Management Salaries should be addressed first. Direct Care staff, Housekeeping
Hiraeth
Jan 2016
#292
ALSO if it did not COST so much for HIGHER EDUCATION then we could immediately get doctors who are
Hiraeth
Jan 2016
#293
Really enforce the anti pollution laws, food safety laws, clean air laws, clean water laws, worker
Dont call me Shirley
Jan 2016
#298
No, that's why I want doctors and hospitals to make 50% less than they do now
Recursion
Jan 2016
#307