Canada's healthcare saved her; Ours won't cover her

Nurses Activism

Published

Canada's healthcare saved her; Ours won't cover her

Source: LA Times

If you offer health insurance as a for-profit business, it goes without saying that you'll do everything you can to avoid making payouts. That means you'll shun anyone with even a whiff of medical trouble.

But this is no way to run an insurance system, let alone to protect people from financial ruin due to catastrophic events such as being sent to the hospital by a drunk driver.

The Obama administration has already rejected the idea of a single-payer system similar to Canada's -- a mistake, in my opinion. Instead, it wants a smaller public program that would compete with private insurers and keep costs down.

Private insurers, not surprisingly, are lobbying aggressively to kill off that idea. They'd rather have a national mandate that would require all Americans to buy their product.

In return, they say, they'd stop sending rejection letters to people like Yount with preexisting conditions. But policyholders would still be subject to the companies' various terms and conditions.

NDP leader Jack Layton defends Canada's health care system in Washington D.C.

So take it from me - Public health care was worth the fight, and for Canadians, it's worth fighting to keep it strong. Americans should know that when the battle begins here in earnest once again. It'll be dirty, it'll get nasty and victory isn't certain.

The battle lines have already been drawn. President Obama has thrown down the gauntlet and put a viable plan on the table - one that will cover the 46 million Americans without health insurance, and stop medical bills from being the most common source of bankruptcy in America. His grassroots campaign begins in earnest in just three days, and people across America are filled with hope that change will come.

But progressive leaders and the American people will need to be united in their resolve, because the forces of the vested interests are gathering against change that's in the public interest. And they're sowing the seeds of fear with myths and lies about Canadian health care.

Here's the truth: Canada and the US spend about the same on public health care - around 7% of GDP according to the OECD. But in Canada public health care covers everyone and in the States it covers just one third of the population. In fact, when you add in the costs of private care, Canada spends 10% of GDP on health care and the US spends 16%. That's $2,500 less per capita - and in Canada everyone is covered!

Canada does well on quality of care, too. Maybe you've seen those TV ads with Canadian private care promoter Dr Brian Day saying - quote - "patients are dying as they wait for care in Canada". That's simply not the case. In fact - half of acute care patients are seen within 6 minutes in emergency. And for much elective surgery, like knee and hip replacements in Ontario, there are no longer wait lists. Wait times don't go away in a private system, but they are reduced by better practices like surgeons working in teams, as programs in many provinces have proved.

The truth is that Canadian health outcomes are excellent. The public data is very clear: From infant mortality to healthy life expectancy to injury recovery, Canada outperforms the United States. Satisfaction rates are high too - 85% of Canadians are "very" or "somewhat satisfied" with the service they receive.

Our system is founded on equality. That equality ensures everyone receives good health care, and good care in turn means a better chance in life, it means more equality and opportunity in Canada. What the advocates of for-profit health care in Canada are doing is putting wealth before the health of their patients. You know, when the admitting nurse checks your credit card balance before your pulse, you're as far away from patient-centred care as you can get. And to the vast majority of Canadians, that's simply not fair.

The Canadian health care system isn't perfect, but it works. And today America desperately needs a health care system that works here, too. I believe that with resolve, united purpose and bold vision what you'll get it. You will - finally - have a health care system that shares the best of your values. A public health care system that works for the American people.

i'm sure you have the same disdain for all the deadbeats in this country that utilize the multitude of services and never contribute?

so, your father took advantage of a subsidized university education made possible for him because of the higher taxes and then left never to return... classy guy. for him to take advantage of a very long education at a greatly reduced cost and then flee because of paying the higher taxes that made that possible reeks of hypocrisy. i think he is morally obligated to pay canada back by paying the true cost of his university education.

for someone supposedly born in canada you are certainly short on facts. i can choose my doctor and my specialist. this myth that canadians have no say in who their doctor is needs to stop, it is particularly worrisome that someone born here is helping to perpetuate this fear mongering.

In a survey of scientists (n=3146) were asked if a) was there global warming? and b) was it influenced by human activity? 92 percent said yes to "A" and 82 percent said yes to "B". Of those scientists 97 percent of those that identified themselves as climatologists said yes to "B". Exactly how is this based on "junk" science? It is just like "right wing propagandists" to say that global warming is a myth. So you are an educated person, why is it junk science? Why is it propaganda? What are your sources? God forbid we try do something about climate change, end up being wrong, but in the process make the world a nicer, cleaner place to live. Not a bad deal if we are wrong about climate change, unlike "Lets bomb this country that had nothing to do with anything and if we are wrong....we just won't admit we are wrong!"

You are right. There are deficits in our school system, but I find it almost laughable, but really very sad and scary, that you would blame this on liberals when time and time again it has been the conservative party in this country that has cut education budgets. Again, it is just like conservative, right wing propagandists to get out there and just spout stuff with no credible sources or facts to back them up. Cheney and Busy were the masters of that, and of course very much in line with global warming is human influenced=myth=junk science.

Ivan the very liberal left wing propagandist

A survey, even of scientists, is hardly proof. At one time, the greatest minds in the world thought the earth was flat. A survey of them would have told us the earth was flat. I am not saying global warming isn't occuring, just that a survey doesnt give us proof one way or the other.

I had once heard from a professor at my university that the eruption of Mt St Helens produced more Co2 than we had put out since the industrial revolution. I tried to find a source today but couldn't. Anyone with insight into this?

On an off topic note: my take on the education system is that the problems actually stems from the culture in which some kids are brought up. School and education are devalued while social status or material possessions or sports or "real life" is stressed instead. Until we can change the environment kids grow up in, we can throw all the money we want to at the problem but we will only make marginal progress.

For instance, if a kid's parents don't care how he does in school and don't take an active interest in his school, he will lose interest as soon as it becomes hard. You can have all the teachers and resources but most kids will give up without the proper support outside of school.

Well, if global warming is "left wing propaganda," then conservatives should take their kids out of school and teach them intelligent design then, since science is obviously not a priority!

Few conservatives support intelligent design. It seems only the most vocal conservatives support it. Kind of like the most vocal conservatives are vehemently against abortion. I for one, do not feel the republican party (esp the most recent bush) accurately represents the conservative view point any longer. They have strayed to far to the religious right and away from their real base.

Frankly, global warming isn't fact yet. Our models of climate change are rudimentary at best. Many (?most) of the facts support it and we should try to combat it.

Ironically, some of the best and cleanest energy sources (nuclear for one) are being fought tooth and nail by the same people pushing to prevent global warming. Vast resources are being pumped into the wrong alternative energies. Based on thermodynamics, wind and solar and geothermal can never provide the amt of energy we actually need. We need a more logical and potentially effective plan.

Here's a good read

http://wattsupwiththat.com/2009/05/14/now-thats-a-commencement-speech/

Specializes in Critical care, tele, Medical-Surgical.

I heard this speech on the radio.

Interesting.

He likely has his bias as do we all - http://people.forbes.com/profile/keith-o-rattie/30163

I would rather err on the side of safety.

Even give up cars. Why not? ;)

With safe bikeways my life would be better.

Save the roads for emergency vehicles.

Specializes in OB, HH, ADMIN, IC, ED, QI.

"So take your condesending attitude somewhere else until you have actual first hand knowledge of actually how schools operate." quote from CRNA's post

I have first hand knowledge, as I've worked as a School Nurse, taught classes on health education subjects, like Breast Self Examination, and prenatal education at High Schools (in the gym where the acoustics are awful) - but no, not on a Native American reservation "in the middle of nowhere". I have given nursing care to rather innovative Eskimo children, however.

I did not intend to be condescending. Sorry you took my post that way.

I'm sure you have the same disdain for all the deadbeats in this country that utilize the multitude of services and never contribute?

How you describe others influences their behaviors. If you call someone a deadbeat those are the behaviors that you are encouraging....

Well, that is what going to the doctor will be like if Uncle Sam is running the show. I'd personally would have a choice of which specialist I go and see, another thing I would give up with Universal Health care. Are you guys stopping to think about the choices you'll be giving up? .

Actually there are studies that show that requiring patients to use primary care physicians as gatekeepers to specialty care yields better results. IOW you have to see a primary care provider before you can see a specialist. If anything a single payer system will put more competition into the marketplace. Doctors should be competing for patients based on low cost Quality care. Patients should be able to see any primary care provider not just those picked by an inefficient insurance company.

Just how are you going to require people who pay nothing for health care to not use the emergency room for primary care? You think ERs are crowded now just wait till everyone gets free health care they will visit the ERs for everything.

Actually there are studies that show that requiring patients to use primary care physicians as gatekeepers to specialty care yields better results. IOW you have to see a primary care provider before you can see a specialist. If anything a single payer system will put more competition into the marketplace. Doctors should be competing for patients based on low cost Quality care. Patients should be able to see any primary care provider not just those picked by an inefficient insurance company.

I call em like I see em. If you don't want to be labeled a deadbeat then don't be a deadbeat

How you describe others influences their behaviors. If you call someone a deadbeat those are the behaviors that you are encouraging....
i'm sure you have the same disdain for all the deadbeats in this country that utilize the multitude of services and never contribute?

i don't have disdain for those that cannot afford health insurance. i also don't consider those that cannot afford insurance "deadbeats".

we're off topic and the moderator already asked that we get back to the original topic, so we'll have to save it for another thread.

Specializes in Advanced Practice, surgery.

Thank you VanLPN, please stay on topic, any further off topic discussions will be deleted

Specializes in ER and family advanced nursing practice.
I'm sure you have the same disdain for all the deadbeats in this country that utilize the multitude of services and never contribute?

I will connect this to the OP...

I am amazed by the "compassion" of nurses sometimes, particularly those who are just "calling it like they see it". My God man, these are people you are talking about. When you are looking at a person standing in front of you it is not always (if ever) clear how they got to a given point in their life. What hurtles they faced. Their parents faced. Their peers. What gives you that right? I am not going to say I have never felt let down by my fellow man (oh like say right now for instance) but that attitude indicates a complete lack of respect for people, and I can't see how that reconciles with the very basic foundation of nursing principle.

So to tie this to the OP, Canada seems to have a system that takes care of everybody. I don't believe that anyone is claiming its perfect, but what it does (and as cheaply as the US system) is provide help to those that need it, and yes, even some that CRNA2007 would deem unfit or "deadbeats".

There has been valid discussion about wait times, access to life saving services, health care professionals salaries, etc. These are all excellent things to discuss, but I want to remind certain people here that a great person once said "I tell you with certainty, since you did it for one of the least important of these brothers of mine, you did it for me". I got into health care for this reason. I think it is valid no matter what your spiritual background is, and I certainly respect that it might not be the motivation for everyone. My point is that it is not about the money and yes it might add some extra burden, but if there are countries like Canada, Australia, UK, etc that seem to be having some success in taking care of everyone, then I think we should consider that. Clearly, our system does not. We are failing miserably: Life expectancy, infant mortality, number one cause of bankruptcy. This has all been covered before. Are we to ignore that?

Often times when I consider two points of view, I try, if possible, to assess the motivations involved. Where does someone's position come from? In this case, what motivates some people's desire to have a health care system like Canada? I feel certain that it is not to "confiscate wealth", but rather to help that person standing next to you. That woman, man, or child that you might not know, but who needs help. As a future FNP, I might find myself busier than I would have been. I might not make any more money for it, but I can look my son in the eye and be proud.

What motivates some to not want a Canadian-style system? Obviously, some big insurance companies would loose money. That is a valid concern for them, and for me as well. As I have said before, these companies employ thousands of people, some skilled, some unskilled. These people use that income to pay taxes, provide for their families and to build better lives. Don't get caught up in the CEO stuff guys, it is a distracter. It may sound like they make big money (and they do), but in the big picture it is not. Some people are worried that it would move us closer to socialism. This is not a fear of mine, because I don't think it would happen, but for some the concept really goes against the grain. I must respect that. I think that since it is important to a large number of US citizens, it is a valid concern.

I think the solution lies somewhere in the middle. Calling people deadbeats does nothing to help us find that middle ground. What it does do is to polarize, distract, and hinder success.

Ivan

+ Add a Comment