Comment Re:ENOUGH with the politics! (Score 5, Informative) 1094
Canada pay an average of about half as much in taxes (scaled to their income), for the same quality and the same service.
From what I've heard about medicine in Canada from locals, this is laughably untrue. Only someone who has never had more than a minor boo-boo could claim the service is the same.
You are completely wrong.
I've talked to doctors and patients who have experienced both the Canadian and US systems, and I've read the literature comparing outcomes for different procedures in the two systems. http://www.openmedicine.ca/art... I read Canadian medical studies every week or two.
If I had a heart attack in front of the University of Toronto medical school, I would be confident that my survival and other outcomes would be just as good as they would be in front of the New York University medical center in New York. At one time, the breast cancer outcomes were slightly better in the US than in Canada, because the US was aggressively diagnosing and treating (sometimes overdiagnosing and overtreating) breast cancer, but by now the Canadians have adopted everything useful that the US was doing. OTOH, the Canadian outcomes for childhood leukemia were slightly better. The Canadian outcomes for diabetes were much better, with better control, fewer amputations, etc.
Gordon Guyatt, a professor at McMaster University, basically invented evidence-based medicine, which is the practice of making medical decisions based on the statistically valid scientific evidence, rather than prescribing drugs because the drug companies are giving you a free trip to Hawaii if you meet their quota.
It is true that American doctors are more aggressive about treatment, and will give you a quick appointment if they have slots available and you have good insurance. OTOH American doctors are more likely to treat patients unnecessarily. An American pulmonologist is more likely to see a spot on your x-ray and give you a lung biopsy. Lung biopsies have a fatality rate of about 1/1,000, and most of them are unnecessary. But in Canada, when you have a life-threatening condition and need a CAT scan immediately, they put you on top of the list and give you a CAT scan the same day.
OTOH if you don't have health insurance in the US, your access to health care in many states is nonexistent, and hospitals in Texas for example will kick cancer patients out in the street if they can't pay. http://www.wsj.com/articles/SB... There were several studies published in American medical journals in which researchers called doctors' offices, described the symptoms of a life-threatening condition, told them that they were on Medicare or Medicaid, and asked for an appointment. Depending on the studies, about half the doctors refused Medicare and three-quarters refused Medicaid.
The evidence is overwhelming that Canadian health care equals the US system in quality and service, and costs about half as much. Of course if you decide things on the basis of ideology http://www.newyorker.com/news/... rather than evidence you may not be convinced.