Monday, August 20, 2012

Canadians Still Waiting for Services in their Utopian Single Payer System

"The single payer advocates like to give testimonials of why we need a single payer health care system. What many don't know is that universal access to health care can be better provided for all Vermonters, but a hybrid system, rather than

a single payer system. We can achieve the goal of universal access with a hybrid financing system that has both public and private financing, rather than rely only on public financing as in the single payer systems.

The article linked below has many examples in the comment section of how bad things can be in a single payer health care system. Here are a seven of many comments posted in response to this article.

1) People have no idea actually how bad the healthcare system is until they need it. My husband waited 6 months for a PET CT scan in BC and he was supposedly at the top of the list and priority.We eventually went out of province and country for treatment and diagnostics as it was a joke in BC. I have no doubt in my mind that his life was saved due to us leaving the BC healthcare system. 
Most people are blisstfully ignorant to the fact that the state of healthcare in Canada might actually cost you your life as you wait for tests or surgery..It's more than not having a family doctor or being on a wait list....I just try and keep as healthy as possible so I won't need to acess medical services......I guess ignorance is bliss....

[The single payer activists point to the surveys showing how happy many Canadians are with their health care system. Those that are healthy and have not had to use the system much, are the ones that view the system more favorably. Those that have to wait for prolonged periods of time to get the care they need feel differently. 
The 36 year old Canadian woman with blood in her stool who was told she would have to wait 9 months for a colonoscopy to see if she had colon cancer was not so happy. She did have colon cancer.

A gentleman who was told he would have to wait over 4 months for an MRI to see if he had brain cancer, was similarly not satisfied with the Canadian health care system.]

2) Thanks to Immigration Canada, we have been accepting hundreds of thousands of seniors the last 30 years under the family reunification program, those who never contributed a penny to Canada, and tens of thousands of bogus refugees, no wonder those who paid all their lives to the system can't have access to the health care system. Furthermore, why are these people eligible to receive Old Age Security and Supplement income when they never contributed a penny to Canada?

[Some worry that Vermont will have a similar problem with medically needy patients moving to Vermont for what is perceived as low cost or free care, particularly for high cost services such as organ transplantation and cancer treatments.]

3) and one more thing... I don't know about you, but my doctor's appointments are scheduled for a maximum of 10 minutes. 10 minutes! AND not only that, but I have been instructed by the doctor to stick to one problem per visit. So, if I want to talk about a different issue than the one I made the appointement for... 
I need to somehow get to the doctors office on another day for another appointment.
Unless you're retired, or your doctors office is close to where you work... it's a big hassle.

[It is even worse in the single payer health care system in Taiwan, where doctors spend only 2 to 5 minutes with each patient. Taiwan's system was devised by the same person who devised Vermont's single payer system - William Hsiao.]

4) Here's a wait time story for you all to enjoy.

I was originally booked to see an Opthamologist here in St. John's about one year ago in June of 2011. My appointment was for May 2012. Sure I get he's a busy guy. To take it to a whole new level, I was called about 2 months ago and I was told the doctor is going on vacation and they're not sure when he will be back. They had to push my appointment off 3 months until August. A 3 month vacation?!? Must be nice. So at this point if everything goes well and I see this doctor in August, my wait time will have been about 14 months. Not good enough.

[When the global budget runs out of money, doctors are sent on holiday until more funding becomes available in Canada.

Vermont's single payer system will similarly use global budgets to control health care costs. When the money runs out, but the health care needs continue, delays will occur, as in Canada.

5) Among the reasons for increased wait times for patients are:
  
* Nursing staff cuts. The CEOs in all Canadian hospitals have cut professional nursing (R.N.s) staff numbers significantly. This has effected many senior experienced nurses specifically because of the salary they are/were earning as well as their pensions. 
Only skeleton nursing - type staff remain; reduced R.N. positions have been replaced with nursing aids and other less qualified health employees. This situation contributes to increased wait times because by the time very ill patients are admitted the care service they require is so immense that it impacts other patients on the ward. 
This is sometimes dealt with by discharging patients well before they are ready to cope at home which contributes to a re admission. This whole "inadequate - care" cycle contributes to a back log of patients which impact wait times for all.

* Physicians in surgery/emergency and triage areas across Canada are and have been questioned and taken to task by hospital CEOs in regard to whether or not a patient(s) should be admitted based on their health acuity as decided by the physician NOT the CEO. Over the past 6 months many physicians have threatened to withdraw services if their diagnostic expertise continues to be argued by CEOs. This ongoing hastle contributes to increased wait times for all.

[This is what happens when bureaucrats focus on cutting costs for the systems needs at the expense of the patients' needs. In Ontario, bureaucrats charge doctors for tests when the bureaucrat decides it was not needed.

In single-payer Taiwan bureaucrats exploit nurses, doctors and other health care staff. As a result, only 40% of licensed Taiwan nurses are still in the nursing profession.

The Green Mountain Care Board will similarly have unprecedented powers over health care workers. The question is, will these health care workers leave the state to work in other states where work conditions are more favorable, than under the government controlled single payer system. And if they do, wait times will be even worse.]

6) Been on a list for a family doctor for 3 years, still haven't heard a word. Never had one, probably never will.
Long Live National Health Care
 [There is already a shortage of primary care doctors in Vermont. Many are skeptical that the single payer system will improve this situation, particularly when there is a growing nation-wide shortage of doctors.]

7) I live on the Island PEI and glad that I am not in need of future selective surgery to have performed on my self, I feel for the other seniors who are waiting for their turn to get treatment, it is not the fault of Health PEI, but from Health Canada to not recognize our aging POPULATION REGARDLESS OF WHICH PROVINCE YOU LIVE IN REQUIRES MORE ADEQUATE MEDICAL PROCEDURES ARE NECESSARY, MAKING PEI A NICE PLACE TO VISIT , BU THOSE DECIDING TO MOVE HERE AND BECOME RESIDENTS OF THIS PROVINCE, THINK TWICE ABOUT DOING SO .

[If Vermont's single payer system, that bears a striking resemblance to Canada's health care system, develops the same prolonged wait times, as some have predicted, Vermont may become a less desirable state for retirees, particularly if Medicare gets rolled into the single payer system as planned.]

There are many other testimonials in the comment section from Canadians who are not happy with their health care system. Some have pointed out the superiority of some of the European health care systems that have both private and public financing of their health care systems, and wish Canada would adopt a similar system so as to improve their waiting times. Currently paying for private health care services in Canada, to avoid the long waiting times is illegal in most of Canada.

Read the article from which these testimonials were extracted:"

The photo in this post is a couple of years old, from an earlier article.

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