Tag Archives: Single-Payer

Canadian provincial leader rejects single-payer care to get heart surgery in USA

Political Map of Canada

Canada has a single-payer health care system. Everyone pays the government based on their total earned income, and then the government decides who will be treated, based on special interest groups “need”. So it’s a disdvantage to be hard-working and prudent, since you end up paying taxes but never using any services. For example, politically correct services like taxpayer-funded abortions, in vitro fertilization, and sex changes are provided, but necessary care like MRIs are rationed with waiting lists. For some treatments, you can wait for years. And the government restricts the number of doctors in order to keep costs down, since fewer doctors means fewer claims to pay.

Now you may say to yourself, “Big deal! At least it’s fair! Radical leftist politicians love single-payer health care, and they get in line for health care right behind ordinary guys/gals just like me! We’re all in it together, eh?”

Erm, not so much.

Look at this story from National Post: (H/T Secondhand Smoke via Andrew, ECM)

Newfoundland Premier Danny Williams will undergo heart surgery later this week in the United States.

Deputy premier Kathy Dunderdale confirmed the treatment at a news conference Tuesday, but would not reveal the location of the operation or how it would be paid for.

“He has gone to a renowned expert in the procedure that he needs to have done,” said Ms. Dunderdale, who will become acting premier while Mr. Williams is away for three to 12 weeks.

“In consultation with his own doctors, he’s decided to go that route.”

Mr. Williams’ decision to leave Canada for the surgery has raised eyebrows over his apparent shunning of Canada’s health-care system.

“It was never an option offered to him to have this procedure done in this province,” said Ms. Dunderdale, refusing to answer whether the procedure could be done elsewhere in Canada.

[…]During the 2008 federal election, Mr. Williams vehemently opposed the Conservative government, launching his “Anything But Conservative” — which has been credited with keeping the Tories from winning any seats in the province.

Anything but conservative, indeed, comrade Williams!

But that’s not all. What about former Liberal prime minister of Canada, Jean Chretien?

Jean Chretien takes his own family to private health clinics. In fact, he doesn’t just use U.S.-style private clinics. He actually goes to private clinics in the U.S.

And he flies to those U.S. private clinics on Canadian government jets, paid for by Canadian tax dollars.

According to access-to-information documents obtained by the Canadian Alliance, on Feb. 8, 1999, Chretien and two aides flew from Vancouver to Minnesota, home of the Mayo Clinic. According to air force flight logs, they flew back to Ottawa that afternoon with Chretien’s daughter. And on Dec. 11 of the same year, Chretien went back to the clinic, this time just with his wife and his aide.

These trips were courtesy of the Canadian Forces 412th Squadron, which has flown literally thousands of nautical miles taking Chretien back and forth to the clinic.

And what about former Liberal MP Belinda Stronach?

Liberal MP Belinda Stronach, who is battling breast cancer, travelled to California last June for an operation that was recommended as part of her treatment, says a report.

Stronach’s spokesman, Greg MacEachern… said the decision was made because the U.S. hospital was the best place to have it done due to the type of surgery required.

But these Liberals are just regular leftists. What about the socialist leader Jack Layton? Surely a socialist wouldn’t take advantage of free market capitalism to be treated unequally, would he? That would be so greedy and capitalist!

NDP Leader Jack Layton, who’s campaigning as the defender of public health care, had surgery at a private clinic in the 1990s, The Canadian Press has learned. Layton had hernia surgery at the Shouldice Hospital, a private facility in the Toronto suburb of Thornhill, while he was serving as a Toronto city councillor.

Capitalism for me, but not for thee, eh, comrade?

Related:

What are the consequences of insuring customers with pre-existing conditions?

Walter Williams

Investors Business Daily

What would happen if Obama succeeds in passing a law to force insurance companies to accept customers with pre-existing conditions at the same price as everyone else who doesn’t have pre-existing conditions?

Read this IBD editorial by George Mason University economist Walter Williams. (my second favorite economist)

Excerpt:

Sen. John Rockefeller, D-W.Va., chairman of the Senate Finance Subcommittee on Health Care, and Rep. Joe Courtney, D-Conn., a member of the House Education and Labor Committee, have introduced the Pre-existing Condition Patient Protection Act, which would eliminate pre-existing condition exclusions in all insurance markets. That’s an Obama administration priority.

I wonder whether President Obama and his congressional supporters would go a step further and protect not just patients, but everyone against pre-existing condition exclusions by insurance companies. Let’s look at the benefits of such a law.

A person might save quite a bit of money on fire insurance. He could wait until his home is ablaze and then walk into Nationwide and say, “Sell me a fire insurance policy so I can have my house repaired.” The Nationwide salesman says, “That’s lunacy!” But the person replies, “Congress says you cannot deny me insurance because of a pre-existing condition.”

This mandate against insurance company discrimination would not only apply to home insurance, but auto insurance and life insurance as well. Instead of a wife wasting money on costly life insurance premiums, she could spend that money on jewelry, cosmetics and massages and then wait until her husband kicked the bucket to buy life insurance on him.

Insurance companies don’t stay in business and prosper by being stupid. If Congress were to enact a law eliminating pre-existing condition exclusions, what might be expected?

Yeah, that’s why Walter Williams is awesome. And you must read the rest to see how it would apply to medical insurance. Everything sounds good to those who do not ask the most important question in economics: “and then what happens?” And that question cannot be answered with “then I feel good about myself and people like me because I care about the poor”. That question needs to be asked for the forgotten man. The nameless man who is hog-tied into supplying the wealth that gets redistributed by demagogues desperately seeking adulation from the covetous masses.

The problem is that people don’t understand how insurance works. If you have to pay guaranteed claims from people with pre-existing conditions, then the premiums of all those people who don’t have pre-existing conditions will be increased to pay for those claims. Think. Beyond. Stage. One.

The Cato Institute

Consider this podcast from the libertarian Cato Institute, which explains a little more from the point of view of the medical insurance company.

The MP3 file is here.

Here a summary of what happens after stage one, to the forgotten man. Medical care costs money to produce. Forcing medical insurance companies to sell care for a pre-existing condition far below the actual cost of providing it will force insurers to drop coverage for those pre-existing conditions. (Or they may drop the doctors who treat those conditions from their network). That is worse for the people with pre-existing conditions. And this is how economic ignorance hurts the very people that the secular leftist do-gooders are trying to help.

Believe me when I tell you that this happens all the time with leftist economic policies. It’s the law of unintended consequences. They think they are helping their preferred victims, they feel better about themselves, but they actually hurt the very people they are trying to help. And by “help” I mean they steal someone else’s money/product/liberty and transfer it to their preferred victims in order to buy votes.

National Review

Now, take a look at this article that ECM sent me from National Review, which talks about Obama’s promise that you will be able to keep the medical coverage you have. Is Obama telling the truth? Can pigs really fly just by sheer belief and pixie dust?

Excerpt:

Obamacare would forbid insurers from basing rates on the individual health of their customers in any community. It also would force issuers to cover people who refuse to buy insurance until they get sick. These and Obamacare’s other complexities and contradictions would make insurance pricier, as would a $149.1 billion, 40 percent excise tax on high-value “Cadillac plans.” Thus, some employers would save money by paying fines after de-insuring employees. Workers who cherish their health plans then would find themselves dumped into the government-run Health Insurance Exchange.

“Some smaller employers would be inclined to terminate their existing coverage,” explained a December 10 memorandum by Medicare’s chief actuary, Richard S. Foster. He added: “The per-worker penalties assessed on non-participating employers are very low compared to prevailing health insurance costs. As a result, the penalties would not be a significant deterrent to dropping or foregoing coverage. We estimate such actions would collectively reduce the number of people with employer-sponsored health coverage by about 17 million.”

Even more ominously, Obamacare would require employers to provide federally approved coverage. Obama considers “meaningful” plans those at least as generous as the Federal Employees Health Benefits Program.

“Obama’s definition of ‘meaningful’ coverage could eliminate the health plans that now cover as many as half of the 159 million Americans with employer-sponsored insurance, plus more than half of the roughly 18 million Americans in the individual market,” says Cato Institute policy analyst Michael Cannon. “This could compel close to 90 million Americans to switch to more comprehensive health plans with higher premiums, whether they value the added coverage or not.”

It’s not just elective abortions that we’re going to be paying for whether we want them or not. In some countries with socialized health care you can pay for breast enlargements (UK), sex changes (Canada), in vitro fertilization (Canada), etc. And these elective surgeries take up money from the other vital services. Obama can make it such that every plan has to offer those coverages.

So, those who don’t use such elective services end up encouraging them, even if they have moral objections to those services. When the government subsidizes something, more people choose it. Won’t Planned Parenthood be pleased with all that new revenue? I’m sure they’ll think of something to do with all that money. Maybe a nice political donation?

Prestigious Mayo Clinic will no longer accept Medicare patients

Story from the Wall Street Journal.

Excerpt:

President Obama last year praised the Mayo Clinic as a “classic example” of how a health-care provider can offer “better outcomes” at lower cost. Then what should Americans think about the famous Minnesota medical center’s decision to take fewer Medicare patients?

Specifically, Mayo said last week it will no longer accept Medicare patients at one of its primary care clinics in Arizona. Mayo said the decision is part of a two-year pilot program to determine if it should also drop Medicare patients at other facilities in Arizona, Florida and Minnesota, which serve more than 500,000 seniors.

Mayo says it lost $840 million last year treating Medicare patients, the result of the program’s low reimbursement rates. Its hospital and four clinics in Arizona—including the Glendale facility—lost $120 million. Providers like Mayo swallow some of these Medicare losses, while also shifting the cost by charging more to private patients and insurers.

Of course, only governments can lose that much money and pretend they don’t have to change. “Mayo Clinic loses a substantial amount of money every year due to the reimbursement schedule under Medicare,” the institution said. “Decades of underfunding and paying for volume rather than value in Medicare have led us to this decision.”

If the government cannot deliver services for patients on Medicare, then why should we give them control of all of health care? It doesn’t make any sense.