This is not about the bedside manner of medical staff but the health care benefits we receive in this country, how sometimes our immediate survival stems from the fact we are not turned away just because we aren't covered by insurance and the nearest hospital is a private one, only to be told no insurance, no care.
This type of system is the leading edge of the way of poor health care and loss of power of the people of our system.
Some provinces have been rallying for private hospitals and private insurance changing the Canada Health Act but as the CHA states the use of private health care is not permitted, yet some provinces to help reduce the cost of provincial health care have allowed private clinics, laboratories and radiology facilities as the federal government has been turning a blind eye to this growing problem.
the rich richer.
These provincial ministers claim there is a heavy burden on our health care system now and privatization will ease the burden of the federal governments provincial budget towards health spending. Reports show this claim is not accurate as it will be the majority of people would not afford insurance and the insurance companies holding to much power in our life, this would result in needed trips to the doctors or necessary procedures, left to the discretion of insurance companies, and not that of a public health doctor.
In the revised copy of the Canadian Health Act June 13 2003 it states:
Today, however, the Act is the focus of a
lively debate.Factors that call into question or can be said to threaten the
national principles in the Act include:
the gradual reduction of federal
transfers to the provinces in the 1990s;
the de-insuring of services
previously covered by provincial health-care insurance plans;
the existence
of private facilities in some provinces delivering uninsured and insured health
services; and
the shift towards non-institutional care.
The Canadian Health Act guarantee's all Canadians without prejudice to equal health care and on the federal level there is an amount of control as it is federal policy to keep public health care alive over private health care systems some provinces are trying to reform.
The difference of the health system depends on province to province as it is the provincial governments jurisdiction to decide on the type of health care they administer such as :
determining how many beds will be available in a province;
determining what categories of staff will be hired;
determining how the system will serve the population;
approving hospital budgets;
negotiating fee scales with medical associations; and
administering the public health-care insurance plan in their own province
In 2005 CBC News In-depth reported on the three reports that had been released for recommendations on revising the CHA, the Mazankowski Report, the Senate Report and the Romanow Report .
The Romanow Report, in my opinion, offered some of the best recommendations. The Senate report was the feds choice and now based on our annual income we are required to pay an amount towards our health care. If for example your income in less then 30,000 you pay $180.00 annually. As we now pay a tax towards our health care, it's a far cry from what insurance companies would make us pay under privatization. As the federal government must increase spending to provinces and take action, against those that try to extra bill , so Canada does not end up with 13 unequal health care plans and very sick individuals.
With provincial governments given the power to implement different tiers of health care within each province, unequal opportunities arise for all Canadian citizens.
Should it then still be considered the Canada Health Care Act if the control of privatization is the individual provinces decisions stemming from Corporate American ideals.
"The Government of Canada believes that a civilized and wealthy nation, such as ours, should not make the sick bear the financial burden of health care. Everyone benefits from the security and peace of mind that come with having pre-paid insurance. The misfortune of illness which at some time touches each one of us is burden enough: the costs of care should be borne by society as a whole. That is why the Government of Canada wishes to re-affirm in a new Canada Health Act our commitment to the essential principle of universal health insurance."
Those doctors that live in a lifestyle where they will refuse care because of money are not the doctors I would want working on me, I have ran into those doctors before and although good in their field, their social status and arrogance aren't worth the money.
I wouldn't trust a doctor who is more concerned about what their stocks looks like or their social status at the club is more important then a critically ill patient who can not receive attentive care due to an insurance issue.
Of course, not all of the medical community has more financial oath then hypocratical , but those that do will bring down our Canadian rights we are proud of as the citizens of this country, land of the free.
Canadian hospitals to Canadians have many shortfalls like long waits in the emergency rooms sometimes many hours before seeing a doctor, shortage of GP's, a wait sometimes months for MRI's, CT scans and X-rays, under staffed, and over worked hospital nurses with it increasing as in 2011 78% of the nurses we staff will be at retirement age with not enough nurses to take their place. Yes, we do have our downfalls to our health care system, but…
For the citizen who lives at poverty level, middle class, or is well off, we receive the same care and the same wait, as it is dependent upon the medical emergency and not the social status or lack of insurance coverage that is the deciding factor if we live or die.
HEALTH CARE AROUND THE WORLD
NHS NATIONAL HEALTH SERVICES (UNITED KINGDOM)
BEFORE 1990 WHEN MARGARET THATCHER CHANGED THE HEALTH CARE SYSTEM SPECIALISTS WERE SPENDING HALF THEIR DAYS WORKING FOR THE NHS AND THE OTHER HALF THEIR PRIVATE PRACTICES WITH NO SALARY INCREASE FOR WORKING THE NHS THEREFORE, THE HEALTH SERVICES SUFFERED AS WHY WOULD A SPECIALIST SPEND THEIR TIME TRIPLING THEIR SURGURIES IN A WEEK WHEN THEY MADE THE SAME MONEY IF ONLY PERFORMING A FEW A WEEK. DOCTORS STARTED TO SLOW DOWN AND THE CITIZENS SUFFERED.
THE UNITED KINGDOM STILL OFFERS PUBLIC AND PRIVATE HOSPITALS FOR THOSE THAT CAN AFFORD PRIVATE SERVICES AND IT'S THE GP THAT DETERMINES THIS WHEN GOING INTO A HOSPITAL. A GP IS THE FIRST YOU SEE AND THEY WILL RECOMMEND IF YOU SHOULD BE SENT TO A NHS HOSPITAL WHERE YOU PAY NO FEES OR A PRIVATE ONE. THIS SYSTEM CONTROLS THE COST TO THE NHS SPECIALISTS, HOSPITALS, DIAGNOSTIC TEST AND MEDS.
THERE ARE LONG WAITS AND SOME POOR CARE BUT ALL CITIZENS GET SOME FORM OF HEALTH CARE FROM IT.
CANADA HEALTH ACT
MEDICARE (NOT TO BE CONFUSED WITH U.S. MEDICARE)
ALL CANADIANS RECEIVE HEALTH CARE REGARDLESS OF INCOME, DEMOGRAPHICS OR PUBLICALLY ADMINISTERED. EACH PROVICE WITHIN CANADA MANAGES IT'S OWN HEALTH CARE SYSTEM WHICH IN TURN HELPS WITH THE DISTRIBUTION OF GOODS MORE EFFICIANT.
SYSTEM IS MORE COST EFFECTIVE AND EGALITARIAN. (EQUAL)
THIS SYSTEM WAS PUT IN PLACE IN 1962, AS BEFORE THIS TIME, CITIZENS PAID FOR HEALTH CARE OUT OF THEIR OWN POCKET.
PROBLEMS CANADA FACES WITH THIS HEALTH CARE SYSTEM AS THE FEDERAL GOVERNMENT MATCHES WHATEVER EACH PROVINCE SPENDS ON IT'S OWN SYSTEM ,THEREFORE, WEALTHIER PROVINCES ARE PROVIDED HIGHER FUNDING FROM THE FEDERAL GOVERNMENT, AS THEY SPEND A HIGHER AMOUNT IN HEALTH CARE.
SOME POOR RURAL COMMUNITIES STILL SUFFER DESPITE THIS SYSTEM AS EFFORTS TO EVEN OUT FEDERAL FUNDING, [LARGE DISPARITIES HAVE EMERGED THROUGHOUT THE COUNTRY]
GERMANY IMPLENTED A "SICKNESS FUND" THAT CAME INTO EFFECT IN 1883 DURING CHANCELLOR OTTO VAN BISMARCK AND GERMAN LAW REQUIRES EVERYONE BELONG TO IT UNLESS YOUR INCOME IS ABOVE A CERTAIN LEVEL APPROXIMATELY WHAT WOULD BE EQUIVELENT TO $5,550 PER MONTH.
THE SYSTEM WORKS SIMILAR TO THE HEALTH INSURANCE PLANS IN THE UNITED STATES AS THE EMPLOYER AND EMPLOYEE SPILTS THE COST BUT THE GERMANS CAN CHOOSE FOR OVER 1000 DIFFERENT FUNDS INCLUDES MEDICAL, DENTAL AND DRUGS. RETIRED CITIZENS PAY WITH THEIR PENSIONS AND THE POOR AND UNEMPLOYED ARE SUPPORTED BY THE GOVERNMENT.
GERMANY STILL HAS APPROXIMATELY 10% OF THEIR CITIZENS COVERERED UNDER PRIVATE HEALTH INSURANCE THEY PAY HIGHER FEES FOR BUT THEIR CARE GIVES THEM RESERVED BEDS IN THE HOSPITALS AND LESS WAIT TIMES TO SEE A DOCTOR THEN THE OTHER 90% OF CITIZENS MUST WAIT IN TURN FOR THESE SAME SERVICES.
ALTHOUGH GERMANY SPENDS MORE ON HEALTH CARE THEN ANY COUNTRY ON THE CONTINENT, GERMANY DOES COME IN BEHIND EUROPE ON THE PALLATIVE CARE AND TESTING.
WORLD HEALTH ORGANIZATION'S STUDY IN 2000 SUPPORTS THAT GERMANY HAS THE FAIREST AND EQUITABLE SYSTEM OF ANY INDUSTRILIZED NATION ON GOODS AND SERVICES ACROSS THE POPULATION.
REFERENCES
JAN-FEB 2008
VOLUME 7 ISSUE 1
MENTALFLOSS.COM
THE CANADA HEALTH ACT: OVERVIEW AND OPTIONS
ONTARIO NURSES ASSOCIATION
CBC NEWS IN-DEPTH
BRIEF TO THE
COMMISSION ON THE FUTURE OF HEALTH CARE IN CANADA
Prepared By
N Kalant MD PhD
On Behalf Of
THE COALITION OF PHYSICIANS FOR SOCIAL JUSTICE
December 2001
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