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I'm From Canada. Here's What It's Like to Live with Universal Health Care
Paste Magazine ^ | 07/21/2017 | By Rob Rousseau

Posted on 10/13/2017 10:15:44 AM PDT by SeekAndFind

Shortly after my son was born, in late December 2015, he stopped breathing. Let me tell you: having the worst thing you could possibly imagine happen right after the most joyous, wonderful moment of your life is quite an emotional trip. It had already been a difficult pregnancy. My wife had developed gestational diabetes, which required weekly checkups where nurses could monitor our baby’s heartbeat for hours at a time, as well as regular consultations regarding her diet and caloric intake, so any potential harmful effects of the disease would be minimized. We also had to closely monitor her blood pressure and blood sugar levels at home, and eventually had to begin giving her twice-daily insulin injections. So, when the moment of truth finally arrived, we were both extremely relieved that his delivery went about as smoothly as could be expected. At first, anyways.

It was very surreal. One minute, my brain is flooding with endorphins and tears are streaming down my face as I’m staring in awe at this perfect, tiny little person, the culmination of this incredible 9-month journey; the next, a nurse notices something’s not right, snatches him away urgently, a loud klaxon starts going off, the room starts filling up with more nurses and doctors, who I notice are exchanging serious, concerned looks with one another, no one is answering our questions—it was horrifying. I still haven’t really recovered from it. (He’s fine, though. He just needed a few minutes to learn how things worked in the outside-the-womb world.)

Still, he needed to stay for two days in the ICU so the doctors could confirm there wasn’t anything seriously wrong with him. And once they deemed him healthy enough to be released and we were allowed to bring him home with us, he almost immediately turned yellow. He looked like a real life Simpsons character. So, we brought him back to the hospital where he had to return to the ICU for another few days of intense phototherapy to get rid of his jaundice, while my wife stayed with him day and night, as he needed to be on a very strict feeding schedule. The entire experience—which lasted about a week and a half but felt like years—was quite stressful.

So it was nice that during that entire period, we never had to think about what his several days of intensive care was going to cost in addition to the medical care we’d already received, or whether our insurance company would pay for all or just part of it. Once he returned to a normal human complexion, we simply bundled him up, left the hospital and never looked back (except to bring a gift basket to the incredible nursing team there). That’s because we live in Canada and, as such, enjoy universal healthcare. Of all the times in my life I’ve had to interact with the Canadian healthcare system, this was by far the most significant. But I’ve got more stories. It’s been there for me time and time again.

Sometime around summer 2006, I started to feel a little queasy, and then proceeded to throw up a few times an hour for about the next 12 hours or so. I threw up so much that I ruptured all the blood vessels in my eyeballs which, combined with my deathly pale complexion, cold sweat sheen, and inability to stand or speak properly due to extreme dehydration, made me look like a literal zombie. Eventually my two roommates brought me to the hospital, where I was admitted immediately after the emergency room nurse looked at my wretched state for about half a second. Have you ever really, really needed morphine and then gotten it? It’s terrific. After a few days of resting there and being rehydrated through an IV drip, I felt well enough to leave. I’m not sure that they ever actually figured out what specifically was wrong, but I never experienced anything like that again, so whatever they did, it worked. The hospital stay cost me nothing, which was good because I was an under-employed student at the time and would have had no ability to pay for it otherwise.

After my band played a showcase at South by Southwest in Austin in 2008, I ingested such an absurd amount of Tex Mex, BBQ and beer that on the 20+ hour drive back to Canada, my right big toe swelled up to twice its normal size, as if I was a Looney Tunes character who just had a comically large anvil dropped on his foot. I was trying to sleep on the floor in the rear of our beaten up Ford Econoline and every slight bump in the highway sent waves of excruciating pain from the tip of my foot to the base of my skull. I assumed I had gotten drunk and broken it somehow, as that was something that 2008 me could very well have done. So once we returned to Canada (since obviously, getting it checked out in the US was not an option), I went to have it looked at, and found out that I was one of the unlucky 2% of Canadians who suffer from gout. It’s embarrassing to admit this, as it’s a disease that’s typically associated with gluttonous, inbred monarchs, and I’m neither inbred nor a monarch, but it is what it is. Still, while it’s been a recurring issue in years since, if I ever notice any pain coming on, I can just go to the local free clinic and get a prescription to take care of it. No big deal.

One final example: while we were busy raising our son last year, my mom, a retired teacher who was the picture of good health, was diagnosed with breast cancer. She was very lucky, as for women approaching 70, routine mammograms aren’t always given a major emphasis as far as medical care goes. But it was caught in the very early stages, which led to a second mammogram, then an ultrasound, an MRI, and finally a mastectomy and subsequent regimen of estrogen-blocking drug Tamoxifen. There are plenty of horror stories that get circulated about our healthcare system where patients wait so long on waiting lists that they either expire or seek treatment in the US, but in my mother’s case, this entire process—from initial checkup to major surgery—lasted two months.

This example is particularly important because it perfectly encapsulates why a universal care system is not only more humane than a market-based one, but also much more efficient. If my mother hadn’t had access to quality preventive care, she wouldn’t have found out she was sick until it was far too late, which would have meant significantly higher medical costs, on top of the reality that she likely would have died. That’s the definition of a lose-lose scenario, and that’s the kind of thing that makes America’s health care system the most expensive per capita in the world, while still not being close to adequate as far as actually meeting people’s medical needs.

I could keep going on, but the major point I’m attempting to make in all this is that any time I’ve needed the Canadian healthcare system to be there for me or my loved ones, it has been. And I’m not trying to pretend that we live in some kind of fantasyland socialist utopia. There are many ways our system could be improved. For example, while we might be able to see a doctor free of charge, we still don’t have universal pharmacare. When I was prescribed Adderall a few years ago—after the symptoms of ADHD I had been experiencing for years were beginning to feel unbearable—I was really only able to afford to purchase it with the help of the insurance plan I’m on through my wife’s employer. This is the same with counseling and mental health services and dental care. Our nurses are overworked, understaffed and don’t get paid enough. If you’re not seriously hurt, you might face some long wait times at the emergency room. The list goes on. These are all things that Canadians can and should be fighting to improve.

But for any flaws that happen to be in our system, not even the most conservative of Canadians would want to trade it in for anything else. And personally, I can still say with 100% certainty that I’ve never once felt an iota of anxiety with regards to whether or not I was going to be able to afford medical treatment. I’ve never once considered that a serious illness might bankrupt me or a loved one. I haven’t had to ration medication because I didn’t know when I’d be able to afford a refill, or had to choose between having a preventive examination for an issue I was experiencing or just toughing it out until it became too severe to ignore. If you’re an under-insured American, this concept might sound like paradise. But this is just the reality of life with universal healthcare. And there’s really no reason at all that Americans can’t enjoy the same experience.

In fact, if you’d like some friendly advice, I would say that you should regard any politician or pundit that says universal healthcare can never happen in America with extreme skepticism, if not outright hostility. They’ll tell you it’s too expensive, and hey, there’s no two ways about it: health care is definitely expensive. But aren’t we always being told that America is the wealthiest nation in the world? In the history of the world even? Somehow, whenever the drumbeats for war start up, there magically happens to be a spare few billion or so found, apparently just waiting to be spent. Whether or not the Republicans get their way and enact their cruel health care plan/tax cut, their intentions have been made clear and Democrats must respond by promising to fight for an alternative where no one gets left behind. And I’m sorry, but a policy cooked up by right wing think tanks which reforms and slightly improves a broken system but still leaves millions uninsured is simply not going to cut it. “It’s the best we can do” is not a winning political message, and if that’s all Democrats are going to offer in 2018 and beyond, they will lose, and any supposed left-leaning person or organization that continues to insist that such a system is impossible or not feasible is either severely misinformed or trying to sell you something.

Yes, of course the GOP control all the levers of power in the US government at the moment and they’re not going to be signing universal health care into law any time soon. But they’re certainly not going to be signing the “Market Stability and Premium Reduction Act” that the apparently progressive Center for American Progress is proposing either. We’re often told by Very Serious People that the American left should forget “purity tests” and that only pragmatic, incrementalist compromises like this have a chance of garnering support in congress. These delusional people seem to believe that we live in a reality where a single Republican will even consider one of their ideas, let alone vote for it, while it has been completely obvious to anyone paying remote attention over the last decade or more that this is just as much of a pie-in-the-sky delusion as the most outrageous, left-wing proposals. It’s important to remember that Obama’s ACA was itself an effort to put forward a sensible, bipartisan compromise that could unify both left and right, and he was rewarded for his efforts by being called a Kenyan socialist who wanted to murder people’s grandparents.

So, since any so-called pragmatic policy has precisely the same chances of political success as single-payer in the current political climate, and since Americans actually like the idea of universal health care and have repeatedly rejected the kinds of wonky, technocratic solutions beloved by serious centrists, the strategy moving forward, at least to this outside observer, seems pretty clear. If Democrats began to unapologetically fight for universal health care right now, it would be providing a clear alternative to the apocalyptic vision of America the Republicans are pushing and would be a winning campaign strategy. And there’s also the fact that it happens to be the correct thing to do from a moral standpoint, too.

Our taxes are pretty high in Canada. Particularly in Quebec. But it’s funny, once you can point to a handful of incidents where your tax dollars bought you a vital service that saved you massive amounts of pain and anxiety, paying taxes doesn’t seem like such a bad thing. And even if you’re in perfect health, Canadians across the political spectrum recognize that we’re not a series of individuals, but a society. We recognize our shared obligation to look out for each other, and we know that when we do, everyone prospers. So while our healthcare system may be imperfect, it’s been there for me and the people I care about for my entire life, just like it’s there for millions of Canadians every single day. And Americans can have it too, if they decide to fight for it.


TOPICS: Canada; Culture/Society; Government; News/Current Events
KEYWORDS: canada; healthcare
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To: SeekAndFind

Everything should be free. The rich can pay for it.


41 posted on 10/13/2017 11:14:12 AM PDT by E. Pluribus Unum (You can't have totalitarian globalist government if the peasants are armed.)
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To: SeekAndFind

Why do Canadians come to the US for MRI’s? Because it takes months to get an appointment for one where in the US it’s a matter of days or a few weeks.


42 posted on 10/13/2017 11:19:17 AM PDT by SkyDancer ( ~ Just Consider Me A Random Fact Generator ~)
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To: SeekAndFind

https://www.usnews.com/news/best-countries/articles/2016-08-03/canadians-increasingly-come-to-us-for-health-care


43 posted on 10/13/2017 11:19:19 AM PDT by E. Pluribus Unum (You can't have totalitarian globalist government if the peasants are armed.)
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To: workerbee

You can add routine colonoscopies to that list. A Canadian friend said you can’t get one in Canada unless you have a family history of colon cancer.


44 posted on 10/13/2017 11:21:59 AM PDT by blue state conservative
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To: outpostinmass2

I used to live in Michigan, about 30 miles from the border.
At the time our sales tax was 4%. Canadians would come over to go shopping and load-up on piles of stuff which they would smuggle home.

Having their cake and eating it too.


45 posted on 10/13/2017 11:23:37 AM PDT by Buckeye McFrog
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To: SeekAndFind

Waiting 6 months or more to see a specialist is pretty common... They’re likely calculating that a percentage of patients will expire and thus save them the high cost of treating serious illnesses.


46 posted on 10/13/2017 11:26:17 AM PDT by jerod (Nazi's were essentially Socialist in Hugo Boss uniforms... Get over it!)
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To: SeekAndFind

To many horror stories of people made to wait who die or whose injuries become worse while waiting for “free” care in Canada. The stories about how great everything is in Canada show up because obamacare is going away.
Remember to pay for heathcare in England they kill 130,000 people a year. Search on Liverpool Care Pathway or liverpool pathway scandal

Need an MRI? Wait 109 days in Ontario or, for $700, get it tonight in Michigan
https://www.durhamregion.com/community-story/3462947-need-an-mri-wait-109-days-in-ontario-or-for-700-get-it-tonight-in-michigan/

Canadian patients help bottom line at local MRI providers
Hundreds of patients cross the border each year for MRI and CT scans in Western New York, avoiding wait times back home that can exceed 100 days.
https://www.bizjournals.com/buffalo/news/2017/09/29/canadian-patients-help-bottom-line-at-local-mri.html

Medical body scans attracting Canadians to the U.S
See the low low prices for MRI scans!
http://www.ctvnews.ca/health/medical-body-scans-attracting-canadians-to-the-u-s-1.2030209

Crossing the Border for Care
https://www.usnews.com/news/best-countries/articles/2016-08-03/canadians-increasingly-come-to-us-for-health-care


47 posted on 10/13/2017 11:33:05 AM PDT by minnesota_bound
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To: SeekAndFind

My father in law, a German National, had a heart attack in 1996. He waited four months for his bypass. My neighbor here in the US had a heart attack last week. She had a bypass that day.

The difference was this:
in Germany, like all national health care system, there is a budget for every conceivable illness. The budget states how many bypass operation can be performed each month. Wait your turn.
In the US, your contract with an insurance company obligates the company to provide a service like a bypass without regard to their budget.


48 posted on 10/13/2017 11:36:10 AM PDT by DugwayDuke ("A man hears what he wants to hear and disregards the rest")
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To: Buckeye McFrog

Ontario is looking to tax employee discounts next. It will happen in the land of sheep.


49 posted on 10/13/2017 11:36:56 AM PDT by outpostinmass2
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To: jerod

Critical care in Canada is ok, but many other aspects of the healthcare system are substandard. If you have acute appendicitis, need Cancer treatment or are seriously injured in a car crash, the system responds quite well to your needs. Family medicine is very poor and many people cannot find a doctor. Non-critical surgery (hip and knee replacements, heart by-pass, cataracts) can take many months of waiting. And access to diagnostic imaging and consultations with specialists also involve lengthy waiting lines. The issue in Canada isn’t whether people should have access to government health care (that battle was lost 50 years ago), but the denial of the right to access private healthcare if you have the money to go that route. If the Communist Chinese and Vietnamese have a private health care system why can’t we?


50 posted on 10/13/2017 11:39:48 AM PDT by littleharbour
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To: Buckeye McFrog
When I last visited my internist, reviewing my most recent blood test numbers, I mentioned that I had having some pain in the big toe. The doctor guessed it was gout, and had the phlebotomist come in and draw a little more blood for a blood urea test. Told me to call him later that afternoon for the results. If I needed a prescription to treat the condition, he'd have one ready.

The diagnosis was confirmed by the test, so the doc calls in a prescription, which I picked up within an hour.

Time required for diagnosis? 5 minutes.

Time required to confirm diagnosis and sketch out a plan of treatment? 4 hours.

Time required to acquire medicine and commence treatment? 1 hour.







Total time from initial consultation to beginning treatment? < 6 hours.







Top that, Canada. ;-)
51 posted on 10/13/2017 11:41:18 AM PDT by Milton Miteybad (I am Jim Thompson. {Really.})
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To: SeekAndFind

Not a thing he posted would have been different under the US health system pre obozo care

He lives in a place where he has access to a doc. Ask the folks in the western provinces how well it works. You will find them in US hospitals paying out of pocket to have their health care needs met


52 posted on 10/13/2017 11:41:29 AM PDT by Nifster (I see puppy dogs in the clouds)
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To: Buckeye McFrog

I’ve known a number of Canadians that have this attitude - Canada is great and America sucks.

Must be nice to live under the umbrella of American security. How much do they spend on their military again?

Most countries also demand lower costs for pharmaceuticals otherwise they’ll just let somebody make a generic version. So we, effectively, subsidize the global development of new drugs.

These universal programs usually work for a while but become increasingly problematic. The British NHS is stretched beyond thin and now has large shortages of doctors, importing lower quality doctors from around the world.

That said, I’m unsure what the answer is. Sometimes I wonder if health care costs should be proportional to your income/assets, but I hate the idea that the government always thinks it can take more from you just because you have it (violation of private property rights).


53 posted on 10/13/2017 11:44:48 AM PDT by fuzzylogic (welfare state = sharing consequences of poor moral choices among everybody)
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To: outpostinmass2
Income taxes look reasonable. Ontario's 13% sales tax pays for a lot, it seems....that and denial of services.

Does that answer it ?

54 posted on 10/13/2017 11:50:15 AM PDT by chiller (If liberals didn't have double standards, they'd have none at all.)
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To: Milton Miteybad

I have gout also but that scenario would be no different in Canada (where I have lived). Consultation, go to lab (down the hall, often), then to pharmacy. No difference. It’s the big, expensive, limited availability labs like MRI Imaging that have the long wait times.


55 posted on 10/13/2017 12:00:55 PM PDT by steve86 (Prophecies of Maelmhaedhoc O'Morgair (Latin form: Malachy))
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To: SeekAndFind

Eh, I have plenty of opposing experiences.

Went to my General Practioner March of some yeat. He set up an appointment with a specialist in November.

I phoned the Specialist office to confirm my November appointment.
After some confusion, I realized my appointment was for November of the next year, NOT November of the current year!

Eh, wait 20 months to see a Specialist! Whadda want, it’s free


56 posted on 10/13/2017 12:09:59 PM PDT by Steven Tyler
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To: Steven Tyler

RE: Eh, wait 20 months to see a Specialist! Whadda want, it’s free

Yes, but if you had an emergency situation, like a bypass needed, you would have been seen ASAP, am I right? And it’s for free too.


57 posted on 10/13/2017 12:28:07 PM PDT by SeekAndFind
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To: outpostinmass2
Ontario is looking to tax employee discounts next.

So just make that the regular price and start charging a Non-Employee Surcharge. Creative Accounting, it's a beautiful thing.


58 posted on 10/13/2017 12:29:41 PM PDT by Buckeye McFrog
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To: Nifster

RE: Not a thing he posted would have been different under the US health system pre obozo care

I never had this condition so I never found out — Question, if you had a pre-existing condition, what would happen to you pre-Obamacare?


59 posted on 10/13/2017 12:30:16 PM PDT by SeekAndFind
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To: SeekAndFind
...the GOP control all the levers of power in the US government at the moment...

Oh, yeah? When's that going to start?

60 posted on 10/13/2017 12:30:25 PM PDT by ChicagahAl (Stay safe out there. The Haters™ are dangerous. Very dangerous.)
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