Category Archives: News

How well is Canada’s “Medicare for All” health care working for patients?

Wait times in weeks (Source: Maclean's magazine)
Wait times for health care treatment in Canada (Source: Fraser institute)

I get into conversations about politics with my co-workers about who they like in the 2020 election. And I also ask them which particular policies of the candidates they like best. The one they like most is Medicare for All, with “for All” including illegal immigrants. When I ask them which country has got Medicare for All working, they say “Canada”. Let’s take a look at Canada’s health care system.

Here’s a nice article from Mona Charen, posted in TownHall.

She writes:

It’s true that all Canadian citizens and legal residents (though not immigrants there illegally) get “free” health care, but only in the sense that you don’t get a bill after seeing a doctor or visiting a hospital. Medical care is subsidized by taxes, but the price comes in another form as well — rationing. A 2018 report from the Fraser Institute, a Canadian think tank, found that wait times between seeing a general practitioner and a specialist average 19.8 weeks. That’s the average. There are variations among specialties. Those hoping to see an orthopedist wait an average of 39 weeks in Nova Scotia, while those seeking an oncologist wait about 3.8 weeks.

[…]Imagine the anxiety of learning that you need an MRI to find out whether the mass in your breast is anything to worry about and then being told that the next available appointment is in 10 weeks. In addition to the psychic price, Canadians who had to wait for treatment expended an average of $1,822 out of pocket last year, due to lost wages and other costs. The Fraser Institute also calculated the value of the lost productivity of those waiting for treatment — nearly $5,600 per patient, totaling $5.8 billion nationally.

[…]When there’s an artificial shortage of a good or service, a black market usually follows. I have heard from several Canadians that paying doctors bribes to jump the line is not uncommon. But Canada has another pressure reliever: Ninety percent of Canadians live within 90 miles of the U.S. border, and medical centers in Buffalo, Chicago, Rochester and elsewhere receive tens of thousands of Canadian patients every year.

Regarding that last point, I’ve written many times about socialist politicians in Canada electing to travel to the United States for care, and that’s because (as you might expect) health care outcomes for Canadians are vastly inferior to health care outcomes for Americans. And keep in mind that the delay from specialist to GP does not take into account the delay to see the GP, or the delay from seeing the specialist to actually getting treatment.

And how much are Canadians spending for the privilege of waiting 19.8 weeks to see a specialist? Well, the average cost of Canadian health care is about $13,000 per household per year, paid through taxes. What that means is that people who work pay for all the health care being provided, including the health care for people who don’t work. But when it’s time to get treatment, those who pay the bills get in line behind those who don’t pay anything.

So how good is American health care? Maybe Canadians are waiting in line because their health care is so much better than ours.

American health care

One of the best health care policy experts writing today is Avik Roy, who writes for Forbes magazine.

Here is a recent column, which I think is useful for helping us all get better at debating health care policy.

Excerpt:

If you really want to measure health outcomes, the best way to do it is at the point of medical intervention. If you have a heart attack, how long do you live in the U.S. vs. another country? If you’re diagnosed with breast cancer? In 2008, a group of investigators conducted a worldwide study of cancer survival rates, called CONCORD. They looked at 5-year survival rates for breast cancer, colon and rectal cancer, and prostate cancer. I compiled their data for the U.S., Canada, Australia, Japan, and western Europe. Guess who came out number one?

The United States came out number one, and you can click here to see the larger graph of the complete results.

Some people like to point out that the United States has a low life expectancy, but there’s a problem with those numbers.

The article continues:

Another point worth making is that people die for other reasons than health. For example, people die because of car accidents and violent crime. A few years back, Robert Ohsfeldt of Texas A&M and John Schneider of the University of Iowa asked the obvious question: what happens if you remove deaths from fatal injuries from the life expectancy tables? Among the 29 members of the OECD, the U.S. vaults from 19th place to…you guessed it…first. Japan, on the same adjustment, drops from first to ninth.

It’s great that the Japanese eat more sushi than we do, and that they settle their arguments more peaceably. But these things don’t have anything to do with socialized medicine.

Finally, U.S. life-expectancy statistics are skewed by the fact that the U.S. doesn’t have one health-care system, but three: Medicaid, Medicare, and private insurance. (A fourth, the Obamacare exchanges, is supposed to go into effect in 2014.) As I have noted in the past, health outcomes for those on government-sponsored insurance are worse than for those on private insurance.

To my knowledge, no one has attempted to segregate U.S. life-expectancy figures by insurance status. But based on the data we have, it’s highly likely that those on private insurance have the best life expectancy, with Medicare patients in the middle, and the uninsured and Medicaid at the bottom.

If we’re going to discuss health care, then let’s discuss facts. We shouldn’t be picking a health care system from the campaign speeches of politicians who tell us that we can keep our doctor, and keep our health plan, and our premiums will go down. We tried electing a charismatic deceiver in 2008, and it didn’t work out. We lost our doctors, lost our health plans, and our premiums went up astronomically. We can do better than single-payer health care. We can do better than socialism.

Stephen C. Meyer and Marcus Ross lecture on the Cambrian explosion

Cambrian Explosion
Cambrian Explosion

Access Research Network is a group that produces recordings  of lectures and debates related to intelligent design. I noticed that on their Youtube channel they are releasing some of their older lectures and debates for FREE. So I decided to write a summary of one that I really like on the Cambrian explosion. This lecture features Dr. Stephen C. Meyer and Dr. Marcus Ross.

The lecture is about two hours. There are really nice slides with lots of illustrations to help you understand what the speakers are saying, even if you are not a scientist.

Here is a summary of the lecture from ARN:

The Cambrian explosion is a term often heard in origins debates, but seldom completely understood by the non-specialist. This lecture by Meyer and Ross is one of the best overviews available on the topic and clearly presents in verbal and pictorial summary the latest fossil data (including the recent finds from Chengjiang China). This lecture is based on a paper recently published by Meyer, Ross, Nelson and Chien “The Cambrian Explosion: Biology’s Big Bang” in Darwinism, Design and Public Education(2003, Michigan State University Press). This 80-page article includes 127 references and the book includes two additional appendices with 63 references documenting the current state of knowledge on the Cambrian explosion data.

The term Cambrian explosion describes the geologically sudden appearance of animals in the fossil record during the Cambrian period of geologic time. During this event, at least nineteen, and perhaps as many as thirty-five (of forty total) phyla made their first appearance on earth. Phyla constitute the highest biological categories in the animal kingdom, with each phylum exhibiting a unique architecture, blueprint, or structural body plan. The word explosion is used to communicate that fact that these life forms appear in an exceedingly narrow window of geologic time (no more than 5 million years). If the standard earth’s history is represented as a 100 yard football field, the Cambrian explosion would represent a four inch section of that field.

For a majority of earth’s life forms to appear so abruptly is completely contrary to the predictions of Neo-Darwinian and Punctuated Equilibrium evolutionary theory, including:

  • the gradual emergence of biological complexity and the existence of numerous transitional forms leading to new phylum-level body plans;
  • small-scale morphological diversity preceding the emergence of large-scale morphological disparity; and
  • a steady increase in the morphological distance between organic forms over time and, consequently, an overall steady increase in the number of phyla over time (taking into account factors such as extinction).

After reviewing how the evidence is completely contrary to evolutionary predictions, Meyer and Ross address three common objections: 1) the artifact hypothesis: Is the Cambrian explosion real?; 2) The Vendian Radiation (a late pre-Cambrian multicellular organism); and 3) the deep divergence hypothesis.

Finally Meyer and Ross argue why design is a better scientific explanation for the Cambrian explosion. They argue that this is not an argument from ignorance, but rather the best explanation of the evidence from our knowledge base of the world. We find in the fossil record distinctive features or hallmarks of designed systems, including:

  • a quantum or discontinuous increase in specified complexity or information
  • a top-down pattern of scale diversity
  • the persistence of structural (or “morphological”) disparities between separate organizational systems; and
  • the discrete or novel organizational body plans

When we encounter objects that manifest any of these several features and we know how they arose, we invariably find that a purposeful agent or intelligent designer played a causal role in their origin.

Recorded April 24, 2004. Approximately 2 hours including audience Q&A.

You can get a DVD of the lecture and other great lectures from Access Research Network. I recommend their origin of life lectures – I have watched the ones with Dean Kenyon and Charles Thaxton probably a dozen times each. Speaking as an engineer, you never get tired of seeing engineering principles applied to questions like the origin of life.

If you’d like to see Dr. Meyer defend his views in a debate with someone who reviewed his book about the Cambrian explosion, you can find that in this previous post.

Further study

The Cambrian explosion lecture above is a great intermediate-level lecture and will prepare you to be able to understand Dr. Meyer’s new book “Darwin’s Doubt: The Explosive Origin of Animal Life and the Case for Intelligent Design“. The Michigan State University book that Dr. Meyer mentions is called “Darwin, Design and Public Education“. That book is one of the two good collections on intelligent design published by academic university presses, the other one being from Cambridge University Press, and titled “Debating Design: From Darwin to DNA“. If you think this lecture is above your level of understanding, then be sure and check out the shorter and more up-to-date DVD “Darwin’s Dilemma“.

Are gay relationships more stable than straight ones?

Sherlock Holmes and John Watson are going to take a look at the data
Sherlock Holmes and John Watson are going to take a look at the data

Let’s look at this post from The Public Discourse and see if gay relationships are as stable, or even more stable, than straight ones.

Excerpt:

The [NFSS] study found that the children who were raised by a gay or lesbian parent as little as 15 years ago were usually conceived within a heterosexual marriage, which then underwent divorce or separation, leaving the child with a single parent. That parent then had at least one same-sex romantic relationship, sometimes outside of the child’s home, sometimes within it. To be more specific, among the respondents who said their mother had a same-sex romantic relationship, a minority, 23%, said they had spent at least three years living in the same household with both their mother and her romantic partner. Only 2 out of the 15,000 screened spent a span of 18 years with the same two mothers. Among those who said their father had had a same-sex relationship, 1.1% of children reported spending at least three years together with both men.

This strongly suggests that the parents’ same-sex relationships were often short-lived, a finding consistent with the broader research on elevated levels of instability among same-sex romantic partners. For example, a recent 2012 study of same-sex couples in Great Britain finds that gay and lesbian cohabiting couples are more likely to separate than heterosexual couples.[3] A 2006 study of same sex marriages in Norway and Sweden found that “divorce risk levels are considerably higher in same-sex marriages”[4] such that Swedish lesbian couples are more than three times as likely to divorce as heterosexual couples, and Swedish gay couples are 1.35 times more likely to divorce (net of controls). Timothy Biblarz and Judith Stacey, two of the most outspoken advocates for same-sex marriage in the U.S. academy, acknowledge that there is more instability among lesbian parents.[5]

This paper from the Family Research Council makes the same point:

The 2003-2004 Gay/Lesbian Consumer Online Census surveyed the lifestyles of 7,862 homosexuals. Of those involved in a “current relationship,” only 15 percent describe their current relationship as having lasted twelve years or longer, with five percent lasting more than twenty years.[4] While this “snapshot in time” is not an absolute predictor of the length of homosexual relationships, it does indicate that few homosexual relationships achieve the longevity common in marriages.

In The Sexual Organization of the City, University of Chicago sociologist Edward Laumann argues that “typical gay city inhabitants spend most of their adult lives in ‘transactional’ relationships, or short-term commitments of less than six months.”[5]

A study of homosexual men in the Netherlands published in the journal AIDS found that the “duration of steady partnerships” was 1.5 years.[6]

In his study of male homosexuality in Western Sexuality: Practice and Precept in Past and Present Times, Pollak found that “few homosexual relationships last longer than two years, with many men reporting hundreds of lifetime partners.”[7]

In Male and Female Homosexuality, Saghir and Robins found that the average male homosexual live-in relationship lasts between two and three years.[8]

It’s a Grindr lifestyle. And it’s not a good environment for meeting the needs of children. (Example)

There is one study (Rosenfeld, 2014) that tries to argue against the conclusion of all these other studies, and the problems with it are discussed in this post.

The right way to think about gay marriage is to think about it as an extension of no-fault divorce. The same feminists and leftists who pushed for the legalization of no-fault divorce told us back then that the children would be fine, that children are resilient. No-fault divorce was a change in the definition of marriage. The leftists said that divorce would never become widespread, and that it would not harm children in any way. It was all a pack of lies. If the practices of the gay lifestyle become conflated with marriage, then marriage will come to denote relationships engaged in for “love” not children, such that unchastity, infidelity, increased domestic violence and frequent break-ups are incorporated back into the definition of marriage. Marriage is about permanence, exclusivity and building an environment that can welcome children and supply for their needs. It’s not about government giving people respect for their romantic feelings. Those are volatile. What government ought to be rewarding is lifelong commitment.