About Canada - Health Care and More
by Mona Charen
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A comedian once said that visiting Canada was like rummaging in your attic.
"You go up there and say 'Wow, there's all this neat stuff up here! There
are mountains and rivers and cities." And a parliament and a television
network.

It is a fact of life -- sad or not I leave to readers -- that most Americans
have no strong feelings about our northern neighbor because we often forget
entirely that Canada exists.

Having just returned from a nine-day trip to "Beautiful British Columbia"
(it's on their license plates) I can attest that there is much to admire in
Canada. BC abundantly deserves its moniker. The mountains plunging down to
the sea are a very spectacular effect, augmented by acres of flowers both
wild and cultivated. Western Canadians are wonderfully friendly and
accommodating people -- though the PC atmosphere is occasionally stifling.
Everything from coffee cups to sightseeing busses carries the preface "eco."
The so-called First Nations (Indians until the 1980s) get lavish amounts of
attention (much of it patronizing) out of proportion to their percentage of
the population (4.4). A video screen outside of the Vancouver exhibition
hall trumpets the region's allures, including this testimonial: "Who said
'When I'm in Canada I feel that this is the way the whole world should
operate?' Jane Fonda." Swell.


Canada is a good neighbor and perhaps deserves more appreciation from us.
But for as long as some Americans, including the most noisome portion of the
Democratic Party, insist upon citing Canada's single-payer health care
system as a model for the United States, even those of us who would prefer
to be lauding the magnificence of the northern dominion must demur.

Here's a cautionary tale from last week's Canadian Press. The incoming
president of the Canadian Medical Association, Dr. Anne Doig, has described
the health system as in crisis. "(Canadians) have to understand that the
system that we have right now -- if it keeps on going without change -- is
not sustainable," she said. "... We all agree that the system is imploding.
We all agree that things are more precarious than perhaps Canadians
realize."

President Obama set out to reform health care not because Americans were
clamoring to profoundly change our system, but because he wishes to
transform the relationship between the individual and the state. The
Congressional Budget Office has punctured the risible claim that a
Democratic revamp of the American health care system would save money over
the long haul. The president is now losing momentum as his ungrounded
promises run smack into certain realities. A survey by the Kaiser Family
Foundation found that 89 percent of Americans are satisfied with the health
care they receive. And surprisingly, even 70 percent of the uninsured
reported themselves as either "satisfied" or "very satisfied" with their
health care.

Canadians, researcher John R. Lott reports, were asked the same questions in
a Harris survey. "In most comparisons, Canadians were more satisfied than
uninsured Americans, but just barely, and they were nowhere near as
satisfied as insured Americans." Seventy-seven percent of insured Americans
were happy with their ability to access timely non-emergency care. Only 60
percent of Canadians were. And while large majorities of Canadians say they
prefer their system to ours, far more Canadians than Americans (26
percentage points difference) express frustration at not being able to "see
top-quality medical specialists."

A 2001 survey of Canadian doctors, cited in "National Health Insurance in
the United States and Canada: Race, Territory, and the Roots of Difference"
by Gerard William Boychuk, found that they rated their system more
critically than American doctors do ours. Whereas 72 percent of American
doctors rated emergency room care as good or excellent, only 51 percent of
Canadians said as much. Hospital administrators in the U.S. rated 88 percent
of intensive care units as good/excellent compared with 70 percent of
Canadian; 81 percent of operating theaters compared with 62 percent
Canadian; and diagnostic and imaging technology 84 percent compared with 49
percent Canadian.

Since the 2005 ruling by the Canadian Supreme Court that Quebec could not
lawfully forbid a citizen from paying privately for medical care, private
clinics have begun to spring up around Canada (though it varies by
province).

Canada is a nice country. For their sake, I hope their medical delivery
system continues to evolve toward more competition. I hope the same for
ours.

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