Ill take a shot at addressing some of this. I'm a huge fan of our healthcare system, but like anything, there is room for improvement.
Originally posted by donwhite
“First of all: I am personally in the 55% tax bracket.
Oooh, this guy is off to a bad start and is ummm, well, lying. There is no 55% tax bracket in Canada. The highest federal bracket is 29% and it's a
graduated system, which means that you only pay that 29% on any amount over $120,000. Provincial taxes tend to be around half the federal tax.
1) The health care plan in Canada is not free. We pay a premium every month of $96.
True, healthcare is not free. It comes out of our taxes and in most (maybe all) provinces, there is a small premium. I pay $56 a month (actually, my
employer pays it in my benefits package), couples pay $96 and a family (no matter how many children) pay $128. It differs from province to province
because each province manages its own system. Premium assistance is available to lower income people, up to 100%.
2) We have waiting lists out the ying yang some as much as 2 years down the road.
It can happen, depending on the surgery. Things like hip replacements can have a long waiting period. This is something we are actively working on.
It's a complex problem and has just as much to do with unions and silly budgeting rules as it does with the way our program is set up.
3) The usual tactic in Canada is to prescribe drugs. Have a pain here is a drug to take - No time for checking you out because it is more important to
move as many patients thru as possible each hour for Government reimbursement
Geez, this is different than the US how? Actually, my doc has a list of meds he won't prescribe and it's posted in the clinic waiting room - if you
want heavy-duty painkillers, go somewhere else. I can't get so much as a Tylenol 3 from him.
4) Many Canadians do not have a family Doctor.
True. I don't have a 'family doctor', I have a doctor I go to when I need to see him - they're called walk-in clinics and I'd rather use them
than make an appointment. The longest I've ever waited to see a doc at my clinic is an hour, the average wait is about 30 min and that's walking in
off the street without an appt.
I did have a family doc, but it was a hassle setting an appointment and the office hours aren't convenient for me. I haven't seen her in over 5
years, but that was my choice.
5) Don't require emergency treatment as you may wait for hours
True, emerg is done in order of need. I believe the term is triage and it's been in use all over the world, including the US, for a while now.
I've been in emerg twice in the last 5 years, both times for a broken foot. I waited for two hours once, but that was because there was a car
accident and those people were in greater need of help than I was.
6) My dad cut his hand on a power saw a few weeks back and it required that his hand be put in a splint - we had to pay $125 for a splint because it
is not covered under health care plus we have to pay $60 for each visit each week.
Hmmm, someone went to a private clinic for their treatment. We do have those, you know.
The part that's not mentioned is how they are able to
claim those expenses back on their income tax return. Occupational therapy and physiotherapy are only paid for if you visit the ones that are in the
hospital, not private clinics. However, many Canadians (including myself) have extended health insurance (private) through our employers and this
would be covered under that.
7) A cousin was diagnosed with a heart blockage. Put on a waiting list. He died before he could get treatment.
What a coinkydink, so did my stepfather. He had surgery within one week, because life threatening surgery gets pushed to the head of the line. They
did have to travel out of town to a larger hospital though.
8) Government allots so many operations per year. When that is done no
more operations,
See my previous comment about silly budgeting rules and unions. There is a big pot of money and it pays for so much. The more the janitors, laundry
people, cooks and cashiers at the gift shop make (docs and nurses not included, they deserve their money), the less there is for patient care. If you
have a seperate budget for buildings, you need to follow the business budgeting adage 'use it or lose it'. Never mind that we don't need the darn
buildings and that money would be better spent elsewhere.
9) The Government takes pride telling us how much more they are increasing the funding for health care but waiting lists never get shorter.
Governments are the same everywhere, aren't they.
Kind of true, kind of not true. We do have waiting lists, some are getting smaller, some
aren't. Many hospitals have pilot programs in place to reduce wait times. This was just on the news here a few days ago :
Fast Track Unit Opens at St. Paul's Hospital
10) A friend needs an operation for a blockage in her leg but because she is a smoker they will not do it.
100% not true. A doctor is not allowed to do that and if they did, they are breaking the law.
11) Forget getting a second opinion, what you see is what you get.
Again, just plain old not true. I can visit as many doctors a day as my schedule allows.
12) I can spend what money I have left after taxes on booze, cigarettes, junk food and anything else that could kill me but I am not allowed by law to
spend my money on getting an operation I need
I need to find a new way of saying not true. You can pay for private treatment and then you can claim these expenses back on your income tax return.
I would encourage him to get private treatment, because it will free up room for those that can't afford it.
13) Oh did I mention that immigrants are covered automatically at taxpayer expense having never contributed a dollar to the system and pay no
premiums.
Half true. In my province, refugee claimants do get covered from day one. Landed immigrants have a three month waiting period. Our premiums are
based on income and seeing as a refugee would have no income, they would get premium assistance.
14) Oh yeah we now give free needles to drug users to try and keep them healthy. Wouldn't want a sickly druggie breaking into your house and stealing
your things. But people with diabetes who pay into the health care system have to pay for their needles because it is not covered by the health care
system.
Ack! Are we sure this person actually lives here? Free needles are given out to reduce the spread of AIDS, Hep C and other nasty diseases that would
increase the burden on our system. It's called being proactive.
Diabetics do have to pay for a portion of their needles, unless they have private insurance. They only have to pay until they hit a certain dollar
amount, based on income, and then Pharmacare kicks in and picks up the tab.
Hope this helps and if you have any other questions, I'll try to answer them.