Tag Archives: Ontario

How Obama’s public option would ration specialized care

Story from the Wall Street Journal. (H/T ECM)

Excerpt:

Take a provision in the Baucus bill that would punish any physician whose “resource use” is considered too high. Beginning in 2015, Medicare would rank doctors against their peers based on how much they cost the program—and then automatically cut all payments by 5% to anyone who falls into the 90th percentile or above. In practice, this rule will only apply to specialists.

[…]In Medicare, meanwhile, the Administration is using regulation to change how doctors are paid to benefit general practitioners, internists and family physicians. In next year’s fee schedule, they’ll see higher payments on the order of 6% to 8%.

[…]this boost for GPs comes at the expense of certain specialties. The 2010 rules, which will be finalized next month, visit an 11% overall cut on cardiology and 19% on radiation oncology. They’re targets only because of cost: Two-thirds of morbidity or mortality among Medicare patients owes to cancer or heart disease.

[…]The basic tools of heart specialists—echocardiograms (stress tests) and catheterizations—are slashed by 42% and 24%, respectively.

[…]Cancer doctors get hit because the Administration believes specialists order too many MRIs and CT scans. Certain kinds of diagnostic imaging lose 24% under new assumptions that machines are in use 90% of the time, up from 50%. There isn’t a radiologist in America running an MRI 10.8 hours out of 12, unless he’s lining up patients on a conveyor belt. But claiming scanners are used far more often than they really are lets the Administration “score” spending cuts.

And this change is applied to all expensive equipment, not just MRIs and CTs, so payments for antitumor radiation therapy will fall by up to 44%.

This will primarily affect the middle-aged and the elderly.

The case of Ontario, Canada

Here’s how it works in Ontario, Canada according the the National Post. (H/T Secondhand Smoke via ECM)

Excerpt:

Opponents of the public option maintain that Canadian-style health care would entail rationing, caps on care, bureaucratic interference in medical decision-making and even “death panels” deciding when the ill become too expensive to save. Most Canadians believe this is a gross exaggeration of reality. But then how to characterize Ontario’s decision to cut off funding for colorectal cancer patients taking a life-prolonging drug, in order to save $9-million a year?

[…]Ontario Health Minister David Caplan rejected the suggestion that the cap on treatment was a financial decision alone, arguing it was based on clinical evidence. But it’s easy to reach the conclusion that the province decided nine extra months of life for a dying patient wasn’t worth the money. Which is pretty much the kind of decision a “death panel” would be confronted with.

There are ways to reduce the costs of health care while retaining freedom of choice in a capitalist system. Health care is so highly-regulated already that we are not even trying a fully capitalist system, like the one in Switzerland that I wrote about earlier.

Further study

Learn more about health care policy from my previous posts on health care:

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Videos explaining what government-run health care is like in Canada

Here are a few helpful videos of some Canadian health care horror stories.

The Cheryl Baxter Story:

A Short Course in Brain Surgery:

Two Women:

The Lemon:

And one more video from On The Fence Films called “Dead Meat“.

While you watch these videos, keep in mind that these people pay about half their incomes into a socialist system for thirty years. Usually, both adults in the family are working their whole lives to pay into this system. The money is spent by politically correct leftists on politically correct leftist research, such as polygamy studies. The politically correct leftist government grants taxpayer-funded treatments, for their preferred constituents, many of whom do not even pay into the system.

For example, things like breast cancer, in vitro fertilization, contraceptives, abortions, STDs, AIDS, drug rehabilitation and sex changes are well-funded by the government. But since men are politically incorrect in a feminist society, the mortality rate for prostate cancer, which only affects men, is abominably poor compared to countries like the United States. (See this article for a comparison of other health care outcomes).

The take home lesson for us in the United States is that this is a tremendous vote-buying scam. You will have ignorant but well-meaning Christians voting for the Democrats from the time Obamacare passes. Many Christians are typically ignorant of free market capitalism and do not realize that they are trading in their liberty and prosperity for “free health care”.

Christians rationalize their vote for massive government-run social programs as “compassion”, and try not to think about how they are really voting in favor of abortion, same-sex marriage and the end of religious liberty. I find it amusing to talk to Canadians who love free speech and single-payer health care, not realizing that the single-payer health care is the exact thing that sets a nation on the road to restrictions on free speech.

Even Canada is moving towards privatized health care

Here is a post from the American Power blog that cites an LA Times article entitled In Canada, a Move Toward a Private Healthcare Option. (H/T Blazing Cat Fur)

Excerpt:

When the pain in Christina Woodkey’s legs became so severe that she could no long hike or cross-country ski, she went to her local health clinic. The Calgary, Canada, resident was told she’d need to see a hip specialist. Because the problem was not life-threatening, however, she’d have to wait about a year.

So wait she did.

In January, the hip doctor told her that a narrowing of the spine was compressing her nerves and causing the pain. She needed a back specialist. The appointment was set for Sept. 30. “When I was given that date, I asked when could I expect to have surgery,” said Woodkey, 72. “They said it would be a year and a half after I had seen this doctor.”

So this month, she drove across the border into Montana and got the $50,000 surgery done in two days.

“I don’t have insurance. We’re not allowed to have private health insurance in Canada,” Woodkey said. “It’s not going to be easy to come up with the money. But I’m happy to say the pain is almost all gone.”

Whereas U.S. healthcare is predominantly a private system paid for by private insurers, things in Canada tend toward the other end of the spectrum: A universal, government-funded health system is only beginning to flirt with private-sector medicine.

[…]“What we have in Canada is access to a government, state-mandated wait list,” said Brian Day, a former Canadian Medical Assn. director who runs a private surgical center in Vancouver. “You cannot force a citizen in a free and democratic society to simply wait for healthcare, and outlaw their ability to extricate themselves from a wait list.”

Be sure and take a look at some of the videos I collected together detailing some of the horror stories.

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Canada cuts deal with US hospitals to reduce waiting times

UPDATE: Welcome, visitors from Blazing Cat Fur!

Story from the Detroit Free Press. (H/T Health Care BS via ECM)

Excerpt:

Hospitals in border cities, including Detroit, are forging lucrative arrangements with Canadian health agencies to provide care not widely available across the border.

Agreements between Detroit hospitals and the Ontario Ministry of Health and Long-Term Care for heart, imaging tests, bariatric and other services provide access to some services not immediately available in the province, said ministry spokesman David Jensen.

The agreements show how a country with a national care system — a proposal not part of the health care changes under discussion in Congress — copes with demand for care with U.S. partnerships, rather than building new facilities.

I am not so sure that we should be adopting single-payer health care. Who can we cut a deal with to reduce our waiting list delays?