Nov 23 2008
US & Canadian Health Care
I said in my opening blog that I would occasionally vary from chess and poker to chase a few rabbits. Today is a good example.
It’s been a while since the last time someone asked me a health care question. This one came today from a Canadian author on AbsoluteWrite.com. I’ll share my answer:
Q. As an expert, what do you think about the differences in health care between the two countries, United States and Canada?
A. Loaded question.
Here’s a loaded answer:
The problem with Americans is they think death is an option. In other words, way too much money is spent on heroic measures during the final months, weeks, and days of life (as compared to Canada). Americans are more litiginous, meaning that the lawsuits and malpractice insurance expenses drive up the costs significantly. Same for demographics (our baby boomers are aging), and for drugs, technology, et. al.
On the other hand Canada (like UK), where there is national health insurance, translates to rationing. People die waiting for procedures that are readily available in the US. The latest technological innovations are not available in every city, like the US.
Quality, measured objectively, is better in the US, which is why so many Candians who can afford it come to the US for their care.
It’s a much more complicated subject than what I just described above, but those are the highlights in general terms. Even in the US, there is great variability in regions of the country and based on socio-economic factors.
To summarize, using the five canons of health care as a basis for comparison:
Availabiliy -More health care resources per capita are available in the US.
Accessibility - Waiting times are less in the US.
Continuity - The system is more coordinated in Canada.
Quality - For most procedures, outcomes are better in the US.
Cost - Health care services are more affordable in Canada, and I’m not talking just about the patient share; the overall cost is lower for the reasons mentioned above.
I have been studying this topic for more than 40 years, have written about it, have been on radio talk shows answering questions about it, and have taught about it at the university level.
Hope this answers your question. I can give a longer version if you want.
Best wishes,
Frank
Note: I was so excited to write about health care again, that I included this in my private blog, This Week’s Chess Safari.
I will give an update on the Dresden Olympiad in tomorrow’s blog.
