They can outsource because we're not using the same system. If we were
where would they outsource to? Mexico? UK?

On 8/18/07, Jim Davis <[EMAIL PROTECTED]> wrote:

> > Did you just say screw them, let them drive to Mexico? :o
>
> Did I?  Not that I remember.
>
> I will say that no system is perfect.  From a purely superficial standpoint
> it seems like the Canadian system is much more effective at the "bottom end"
> than the U.S. system: common, basic care is provided well-enough to
> everybody.  However the "high-end" is less effective: special care, unusual
> situations, etc.
>
> The U.S. is roughly in the inverse position.  Lots of resources, lots of
> skill but an ability to get basic care to a large segment of citizens.
>
> After you strip the rhetoric and extremism from it I actually completely
> agree with the article you posted.  The American health care system IS a
> "back up" for the Canadian.  And why not?  The Canadian system can provide
> cheap basic service and then reach out to us when they need a little extra.
> They don't need to invest in the infrastructure and resources to have access
> to them.  It's good business, pure and simple.
>
> What I disagree with is the claim that the Canadian system "didn't provide
> for them".  They did: when they couldn't provide the service they
> "contracted out" and got it done.  Again, good business: don't replicate an
> infrastructure when it's cheaper to rent one.
>
> One key component here is cost: my understanding is that the family is STILL
> COVERED under the national health care insurance (since the move to the US
> hospital was orchestrated by the national service).  They will pay no more
> than they would have in Canada as I understand the system.
>
> An American however... now that's a different story.  A normal vaginal birth
> with no complications averages around $9,000 in the U.S.  I can only assume
> that this special case (caesarean births for four infants needing
> round-the-clock care for weeks) would easily run into the
> fractions-of-a-million range.
>
> I had both my kids at Mass General (one of the top five hospitals in the US)
> and each of them spent a night in the ICU.  The uninsured bill was well over
> $20,000.  I'm glad my insurance both covered it and gave me access to that
> quality of care... at the same time I shudder to think of the quality of
> care and costs if I were still working at 7-Eleven.
>
> So what's better?  A highly competent system that many can't access or an
> adequately competent system that everybody has access to and that provides
> access to a highly competent system.
>
> I'm happy enough to agree that the Canadian system works so well because it
> has access to the U.S. system as a "back-up"... but doesn't that still leave
> us with every Canadian covered and only a percentage of Americans covered?
>

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