Originally posted by Wheatfield The advantage of the Canadian style model is that everyone is covered for everything. Need a heart transplant? It doesn't matter if you have been on welfare all your life or if you are relatively wealthy. You'll get your life saving treatment.
And you don't get cut off for having a pre existing condition.
Were I a very wealthy person, I would prefer the American model for myself, but I would not prefer the American model as a humanitarian who cares about the welfare of my fellow citizens, since it leaves too many people with insufficient care if they are unable to afford the insurance.
Where we fall down is wait times that can adversely affect quality of life. A friend's wife was recently diagnosed with extremely low thyroid, and she had all the classic symptoms, no energy, weight gain, and the depression that goes along with going from being an attractive woman to being a blimp.
Her wait time here to see an endocrinologist was about 13 months. A few phone calls to a doctors office in Texas, a couple of plane tickets and a few thousand dollars later and she has her life back, and apparently a nice mini vacation in Houston.
Quote: This is where single payer (at least here) falls down. Our system is based on a triage model, where speed is determined by emergency, and no importance is placed on how your life is suffering if you have something that is debilitating but not life threatening.
Our system needs to do something about the wait times, even if we have to throw some extra money into the system to hire more specialists. Hopefully they'll do this and keep a single payer system, though there is now some trial balloons being floated about going to a two tier system, which would effectively cut off the very poor from anything but the triage system in favour of the wealthy being able to get faster service.
Hopefully they'll do the right thing and just improve wait times for everyone.
Well, part of the problem here is that Americans like to identify with the rich, even if we *aren't.*
Medicaid actually works *quite* well, on a very similar system to 'single payer,' ....any excessive *costs* are because it's essentially a dumping-ground for 'unprofitable' citizens, but still paying corporate *costs* on a lot of levels. (Near half the cost of running a hospital in America is administering all the corporate insurance plans, for instance.)
In America, I don't think you'll find it *ever* being impossible for people to spend money and get the latest-and-gratest-when-they want it, but that's not really part of the 'system' so much as it's about *money talking.* Money most Americans don't *have,* ....and when they fear 'wait times' they tend to ignore the fact that those exist anyway. It always sticks in my craw how America's always treated the *money* as more important than the *health care,* and then blames the *sick* if we can't 'just work harder' while sick or injured in that system. I didn't *have* to be as debilitated as some things made me for twenty years, for instance, living with a lot of damage done before I even *got* covered for so much as an athsma inhaler, a doctor's visit, or a few bucks in antibiotics when I was in a bad situation.
There's a 'gatekeeper' model all about defending pencil-pushers' profits that's actually *inimical* to the productivity of the citizens, while people get moralistic and blame the sick for not 'getting a job' they can't do and wouldn't come with health care, anyway.
Some misguided fear that you might not be able to pay some top-flight hot-shot if you aren't paying through the nose to feed corporations.. Isn't made *better* by making the common people sicker and poorer: actually, it erodes that very ability when it might be needed most, or when there's no particular reason why a condition like mine had to mean 'Useless liability' according to the bean-counters.
Even as it is, ...just because of this multi-tier for-profit system, it takes *months* of scattershot doctor's visits even to get me to a place where I'm waiting to hear from a specialist (and probably another chain of visits and redundant tests) just to get prescribed a pretty simple treatment: and that's cause 'health care' *isn't.* To the people who want to be paid for not treating you too much, or too often, or if they don't have to, whether it's ourselves paying the bill as taxpayers or as consumers.
If people are worried about the costs of social supports, the answer *isn't* to pay six hundred and change a month so I can struggle to live in pain getting worse, so they can avoid paying a doctor who takes Medicaid two hundred in the same month. It's like, If you're worried about the *costs,* *let's fix it.* It doesn't do any of us any good to be figuring out how little I can not-die on.
You wouldn't try and maintain a car this way, but they expect 'austerity' to maintain citizens this way. "Well, obviously you're running rough, come back in six months and we'll partially hook this up to the computer, then we'll have to send you to another mechanic to repeat the process and consider hooking you up to a computer and see if it's the o2 sensor, and if not, another repeat of the process...What do you mean you can't drive a hundred miles, you bum!
People act like they're being ripped off by people on disability, but maybe it'd be more-efficient to *concentrate on the problem once in a while,* instead of stretching out the 'Doing the minimum 'charity' possible once you're 'proven' to be 'useless'.
If people want to 'cut costs' how about 'Take the time, spend the money, pay attention, and *Fix it right the first time,* especially before it gets worse.'
Sometimes the right thing to do is *not* wait till someone's sick enough to be a 'charity case' and sometimes the 'right thing to do' isn't 'One visit a month, even if there's a 'break in the case' that might start fixing things *now.* It's not a cost-savings, even for the Social Security insurance I *paid for* to say, 'Well, you've got to languish another month and another month, before we deal with this."
The problem is that the notion of 'health care in America' is starting from the *money,* and not the care, or the health.
And people fear hours in a waiting room, while they *do that anyway, even if they pay for it.*
Single-payer systems *do* have an interest in keeping you *healthy,* whereas for-profit ones have an interest only in profit. This is not something 'competing' sets of stockholders actually can improve.
It's not really that complicated that way.