PUBLIC HEALTH CARE

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Why This U.S. Doctor Is Moving to Canada

I had a vision of cultivating a practice where patients felt heard and cared for, and where I could provide full-spectrum family medicine care, including obstetrical care. My practice embraced the principles of patient-centered collaborative care. It employed the latest in 21st-century technology. I loved my work and my patients. But after five years of constant fighting with multiple private insurance companies in order to get paid, I ultimately made the heart-wrenching decision to close my practice down. The emotional stress was too great.
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Allowing Private MRI Clinics Does Not Shorten Wait Times in Public Healthcare Systems

Along with failing to increase affordability and access, private MRIs pose a more insidious threat to publicly-funded health care. The more Canadians believe that they have to pay out of their own pocket for necessary care, the more we will see confidence in and commitment to medicare eroded. We need strategies to improve access to diagnostic technologies that strengthen medicare rather than undermining it.
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Private Health Care Could Benefit Canada

Canada is the only country to limit the role of private health insurance exclusively to the coverage of services not insured by the public system. Canada is also alone in prohibiting doctors from practicing in both the public and the private sectors. Whereas 99 per cent of hospitals in Canada are public, in all other countries, private institutions have an important role to play in the provision of hospital services. Private, for-profit hospitals make up over one third of all hospitals in Germany (42 per cent), France (39 per cent) and Australia (36 per cent). Beyond any doubt, patients would be the first to benefit from such a pragmatic, evidence-based outcome.
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Hate to Break it To You Walt - It's Pretty Bad in Canada Too

Healthcare in Canada is anything but free. The average Canadian family of two parents with two children (similar to Walt's family in the drama) pays approximately $11,320 in taxes for hospital and physician care through the country's tax system, in addition to the cost of private insurance for things like dental care and outpatient prescription drugs.

What Hasn't Changed Since I Was B.C. Health Minister

Back in ancient times I was health minister in B.C. Much has changed. No one had heard of AIDS in 1979-80. Organ transplants were rare. MRIs were just gleams in inventors' eyes. One thing has however remained the same -- the debate over private medicine. In those days doctors were demanding the right of "balance billing," a euphemism for padding their bills. Now the doctors are mad at Vancouver's Dr. Brian Day for operating his own form of balance billing by running a clinic outside the Medical Services Plan. At this writing, Day is challenging the government to go to court and get an injunction against his clinic.
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Messing With the Canada Health Act Hurts the Most Vulnerable

There's been a lot of talk about reforming the Canada Health Act -- specifically losing two of the five principles. What's less frequently discussed is what we risk losing if certain principles of the Canada Health Act were to be relaxed or abandoned completely. If that happens, can anyone be confident that a high quality public system can be sustained?