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Single Payer Healthcare

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    • Canadian
    • January 14, 2014
    Reply

    Why Doesn’t Canada Reform Its Healthcare System? Our single payer healthcare system has been proven to be quite dysfunctional. So why haven’t we changed it into the highly successful two tier system that they use in many parts of Europe and some parts of Asia?
    Actually, the Canadian system is not doing well. According to the WHO, we rank 30th in healthcare, while countries with the two tier system such as Singapore, France, Malta and Italy all rank in the top 6.

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    1. Reply

      First off, the Canadian system is a hybrid system. It IS two-tiers. There are options for semi-private and private coverage for a good number of things on top of all the basic services every Canadian is afforded under the law.

      The Canadian system costs half of what the American one does per person, because everybody is in the same insurance pool and we negotiate and control costs through our representatives. The private industry does not own the system. They have a relationship to it, and they profit quite well, but they aren’t in control of it like in America.

      The greatest challenge in Canada has always been the same: How do you get good healthcare to every one of the 34 million Canadians who live in the largest geographical country on the planet? Canada has a small population and a huge land mass to cover. 80% of its people live within about 100 miles or so of the American border.

      Canada is only really listed as 30th in the world because of the challenge of getting services to people who live to the north, in the middle of nowhere. If you have a heart attack and you live in a town of 200 people in the middle of nowhere, response times are going to be slower than if you lived in a larger center. So Canadian wait times always get unfairly scrutinized as a result. Canada’s healthcare system is not as socialized as it is in Europe.

      It is a two tiered system and has been for years.

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