Tag Archives: Single-Payer

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New study: Angus Reid Institute analyzes Canada’s single payer healthcare system

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Price of healthcare per Canadian household (Source: Fraser Institute)
The cost of healthcare for average Canadian households

I found two interesting studies from Canada’s Angus Reid Institute describing single payer health care in Canada. I’m very interested in find out what things are like in countries that have true government-run health care. A typical Canadian family pays $13,000+ per year per household for healthcare, or about $585,000 over their working lives. What are they getting for all that money?

Here is the first Angus Reid article:

The study finds more than 2 million Canadians aged 55 and older face significant barriers when accessing the health care system in their province, such as being unable to find a family doctor or experiencing lengthy wait-times for surgery, diagnostic tests, or specialist visits.

Moreover, most Canadians in this age group have at least some difficulty getting the care they want or need in a timely manner.

The study focuses on the health care experiences of older Canadians, as well as their assessments of the quality of care they receive.

According to the article, 31% of respondents (aged 55 and older) rated access to the government’s healthcare system as “easy”. 48% had “moderate” problems with access, and 21% had “major” problems with access.

Remember: in the Canadian system, you pay your money up front in taxes, and then they decide how much healthcare you will get later – and how soon you will get it. If you worked from ages 20 to age 65, then your household will have paid 45 x $13,000 = $585,000 into the system, in order to get “moderate” problems with accessing healthcare after you’re aged 55.

And the Canadian system DOES NOT cover prescription drugs.

The second Angus Reid article explains:

This second part of the study finds one-in-six Canadians (17%) in the 55-plus age group – a figure that represents upwards of 1.8 million people – say that they or someone else in their household have taken prescription drugs in a way other than prescribed because of cost.

One-in-ten (10%) have decided to simply not fill a prescription because it was too expensive, and a similar number (9%) have decided not to renew one for the same reason. One-in-eight (12%) have taken steps to stretch their prescriptions, such as cutting pills or skipping doses.

Some 17 per cent of Canadians 55 and older have done at least one of these things, and that proportion rises among those who have greater difficulty accessing other aspects of the health care system.

In a previous blog post, I reported on how Canadians have to wait in order to see their GP doctor. If that doctor refers them to a specialist, then they have to wait to see the specialist. And if that specialist schedules surgery, then they have to wait for their surgery appointment. The delays can easily go from weeks to months and even years. The MEDIAN delay from GP referral to treatment is 19.5 weeks.

But remember – they paid into the system FIRST. The decisions about when and if they will be treated are made later, by experts in the government. This is what it means for a government monopoly to run health care. There are no free exchanges of money for service in a competitive free market. Costs are controlled by delaying and withholding treatment. And no one knows this better than elderly Canadians themselves. But by the time they realize how badly they’ve been swindled, it’s too late to get their money back out. You can’t pull your tax money out of government if you are disappointed with the service you receive. There are no refunds. There are no returns.

News

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

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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.

News

Can parents with a transgender child expect help from counselors, teachers, doctors and judges?

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Gay activist vandalizes pro-marriage sign
Gay activist vandalizes pro-marriage sign

The Stream had an interesting article written by a motherwho explained what happened when she went to experts for help for her a daughter. Her daughter wanted everyone around her to treat her as if she were a boy. The experts didn’t much care what the mother had to say, they just assumed that the child was the authority, and the parents were expected to toe the lie… or else.

She writes:

If you take your child to a clinic to seek help, affirmative care means the therapist must follow the child’s lead. The professionals must accept a child’s professed gender identity. In fact, this is the law in many states.

Under “conversion therapy” bans, questioning a child’s professed gender identity is now illegal.

[…]Parents are encouraged to refer to him as their “daughter” and let him choose a feminine name. Teachers are told to let him use the girls’ bathroom at school. Therapists will reassure parents that social transition is harmless and reversible.

[…]The “experts” tell parents that it is harmful to question their children’s beliefs, that they must support their children’s medical transition, which includes a lifetime dependence on hormones, and that if parents do not comply, their children will be at higher risk of suicide.

The medical personnel prescribed hormone altering drugs to the child:

Once the teenage years begin, affirmative care means giving young people cross-sex hormones. Girls as young as 12 are prescribed testosterone for lifetime usage, while boys are given estrogen.

These are serious hormonal treatments that impact brain development, cardiovascular health, and may increase the risk of cancer.

And it’s not just drugs, it’s surgery, too:

For girls, one standard procedure is called “gender-affirming top surgery,” also known as a double mastectomy. They are performed on girls as young as 13 years old — otherwise healthy girls who believe they are transgender.

[…]There are also teenage girls undergoing radical hysterectomies in the name of gender identity.

Now, the first thing that occurred to me when reading this story was: what happens if the parents don’t want to go along with this? And also, how did these pro-transgender non-parent actors even find out about it?

Canada

In Canada, transgender children can approach teachers in the government-run public schools, and medical personnel in the government-run health care system. And then those government workers can take the parents to the government-run courts to get the will of the secular left state imposed on the parents.

The Federalist first reported on the story in the last week of February:

Clark* first found out that his 12-year-old daughter Maxine was being treated as a boy by her school when he saw her new name in her class’s grade seven yearbook. “Quinn” was the new name her counselor had helped her pick out, and Maxine’s school district in Delta, British Columbia, Canada, had decided that “Quinn” should be treated, for all intents and purposes, as a boy.

According to education policy, parents have no right to know their child’s “preferred sex, gender, or name” at school.

More:

Maxine’s counselors at school … referred Maxine and her mother, Sarah, to a “Dr.” Wallace Wong — a psychologist and LGBT activist who predictably decided that Maxine should be referred to a children’s hospital for testosterone injections when she was only 13. Not to be outdone, the children’s hospital asked Maxine’s parents for permission to begin injecting Maxine with testosterone on her very first visit. Clark said no and refused to sign.

From the middle of August until October, the hospital worked Clark over, trying to get his consent. When he finally refused, the hospital dropped a bombshell threat: simply put, they declared that they didn’t need Clark’s or Sarah’s permission for that matter.

The Federalist later reported that the courts had sided with the government-run school and the government-run health care personnel against the parents.

Ohio

You might wonder what happens in America, if parents choose to fight the experts on the secular left.

Here’s a recent example reported at the Daily Wire:

On Friday, Ohio parents were denied custody of their daughter for not being supportive enough of her alleged transgenderism.

The 17-year-old biologically female child identifies as a boy and claims she has suicidal thoughts over her parents’ lack of support for her transgenderism (they won’t, for example, call her by her new chosen male name). The parents were fighting for custody of their daughter back from the state in an effort to stop potential transgender hormone treatment.

The Hamilton County Judge, Sylvia Sieve Hendon, took the child away from the parents, so that the child could get transgender hormon replacement therapy.

I thought this part was very interesting:

The parents’ Christian faith was used against them in the case by Donald Clancy of the Hamilton County Prosecutor’s Office.

I looked at where Hamilton County is, thinking that it would be in a liberal city like Toledo or Cleveland, or even Columbus. But it’s actually a suburb of Cincinnati, close to Indiana. I assume that the judge, like all government workers, is paid out of the money taken from peope like the parents in taxes. They’re paying this judge to do this to them.

Be careful how you vote

In cases like this, I always like to remind Christians to remember how they vote. Many Christians think that a big secular government should be empowered to hand out welfare, stop global warming, provide free sex changes, free abortions and free contraceptives, etc. But they don’t understand that a big secular government does not care about religious liberty, parental autonomy, or conscience rights. They care about redistributing taxpayer money to buy the votes of people who depend on government.

When the secular leftists control so much of society (the schools, the hospitals, regulations on business, and even regulating free speech!), it’s harder and harder to be a Christian with integrity. Eventually, you’re going to conflict with the secular left, because they’re just everywhere. That’s why Christians should never vote for bigger government. It increases the area of conflict, while simultaneously draining away the money we would need to defend outselves. Because bigger government requires higher taxes, and that means less of what you earn can be used to fight back against the secular leftists.