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I always get a little nervous when too many people compare the American ‘system’ to Canada’s health care program, mainly because it sometimes makes me think that we’re going to lose ours rather than Americans getting a new, wonderful program that will service anyone and everyone.
Seriously … which do you think is a more likely scenario? Especially when we have the Harpies who want to privatize everything?
While this is a fantastic review and I highly recommend reading it, what seems to be missing is a review of expenditures related to the health care program.
Roy Romanow wrote a review of Canada’s health care system that should be required reading for anyone investigating the ups and downs of what we’ve got compared to others.
In Canada, there’s suggestion that we’re moving away from both ‘health’ and ‘care’ (I know this to be false after a recent visit for some tests). The suggestion lies in the sheer numbers related to spending. In most cases, it’s not available, but one source, the Romanow review, outlines the main expenditures:
Total public/private expenditures on health care: approx $120 / year.
Pharma: Estimated annual spend on pharmaceuticals is about $1200 per person (in 2001), or about $40 billion per year. Provinces cover roughly half of this expense, so roughly $20 billion per year goes to companies who have profit maximization as their main goal.
Romanow recommends a National Drug Agency, which would cap these costs.
Hardware / equipment: Another massive cost related to our health care system is equipment. Estimates range from 25-35%, which means that Canadian public is investing about $40 billion per year in MRIs, CAT scans and other equipment that is used for diagnosis, treatment and post-op care.
It’s hard to conceive of a hospital running without the basics (tables, tools, machinery, etc), but the hard truth is that this expense is again a direct subsidy to multi-national suppliers that have profilitability as their first concern.
Administration: Many critics of the health care system point to unions and other expenses related to labour, but the reality is that a growing proportion of admin expenses go to high-level positions.
Again, a hospital without a head or a selection of well-qualified senior executives is no way to run a viable health care system, but at some point, we will have to focus on how to improve the ratio of doctors and nurses to bureaucrats.
Finally, prevention: before a couple of months ago, when I was treated exceptionally well by the staff in London, I believed that our system was not about prevention. I would suggest that we need to turn more focus to the causes of disease rather than just running for them. I think there’s a lot of ways that we could improve our health so that the cost isn’t as onerous, and most of my ideas usually centre around levies or ‘consumption taxes’ related to junk food, cigarettes, fast food and impulse items like $6 lattes.
The GST would have been a perfect tool for this. Reduce/eliminate it with goods that you want people to consume (bikes, fitness memberships, athletic equipment, running shoes) and hike it up to outrageous proportions on things mentioned above. It would force a drastic and yet simple shift to those things that will make our lives better.
It’s impossible to guage how much Canadians could save if they ran their health care system properly, but there’s one thing I know: if private service ever hits the blocks, I’ll invest enough money from my own pocket to send every Canadian MP a copy of Michael Moore’s SICKO.