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WSJ publishes op-ed falsely equating "ObamaCare" with Canadian "single-payer" system

June 09, 2009 3:52 pm ET

SUMMARY: A Wall Street Journal op-ed by David Gratzer falsely equated "a new public insurance program" supported by "Congressional Democrats" to the Canadian "single-payer" system. In fact, President Obama has explicitly rejected a Canadian-style system and supports a "public plan" option alongside private insurance plans.

104 Comments

In a June 9 Wall Street Journal op-ed, headlined "Canada's ObamaCare Precedent," Dr. David Gratzer, a senior fellow at the conservative Manhattan Institute, falsely equated "a new public insurance program" that "Congressional Democrats will soon put forward" to the Canadian "single-payer" system, which he suggested was "government health care" that is neither "compassionate" nor "equitable." In fact, President Obama and key congressional Democrats -- such as Senate Health, Education, Labor, and Pensions Committee chairman Ted Kennedy and House Energy and Commerce Committee chairman Henry Waxman -- have stated that they support the creation of a federally funded "public plan" as one of many insurance options available in the health care market, not as the sole option, as in "single-payer" systems such as Canada. Moreover, Obama has explicitly rejected a Canadian-style system.

Gratzer wrote:

Congressional Democrats will soon put forward their legislative proposals for reforming health care. Should they succeed, tens of millions of Americans will potentially be joining a new public insurance program and the federal government will increasingly be involved in treatment decisions.

Not long ago, I would have applauded this type of government expansion. Born and raised in Canada, I once believed that government health care is compassionate and equitable. It is neither.

My views changed in medical school. Yes, everyone in Canada is covered by a "single payer" -- the government. But Canadians wait for practically any procedure or diagnostic test or specialist consultation in the public system.

According to the National Library of Medicine's Medical Subject Headings thesaurus, a single-payer system is:

An approach to health care financing with only one source of money for paying health care providers. The scope may be national (the Canadian System), state-wide, or community-based. The payer may be a governmental unit or other entity such as an insurance company. The proposed advantages include administrative simplicity for patients and providers, and resulting significant savings in overhead costs.

In a June 2 letter to Kennedy and Senate Finance Committee chairman Max Baucus, Obama wrote: "I strongly believe that Americans should have the choice of a public health insurance option operating alongside private plans. This will give them a better range of choices, make the health care market more competitive, and keep insurance companies honest." When asked during a March 26 online town hall discussion, "Why can we not have a universal health care system, like many European countries, where people are treated based on needs rather than financial resources," Obama replied, "I actually want a universal health care system," adding that instead of adopting a "single-payer system" like Canada's, "what I think we should do is to build on the system that we have and fill some of these gaps."

Moreover, Gratzer cited criticism of the Canadian system by Canadian orthopedic surgeon Dr. Brian Day, a former president of the Canadian Medical Association, to falsely suggest that Day is in favor of the U.S. health care system. Gratzer wrote: "Ironically, as the U.S. is on the verge of rushing toward government health care, Canada is reforming its system in the opposite direction," and went on to cite Day's "[growing] increasingly frustrated by government cutbacks that reduced his access to an operating room and increased the number of patients on his hospital waiting list" as evidence of the support from the Canadian "medical establishment" for these changes. However, as Media Matters for America has documented, Day has said he favors the health care systems of several Western European countries, not the current U.S. system of health care.

In an April 27 Politico blog post, Ben Smith reported that, during an October 9, 2008, interview with the Fraser Institute, Day stated: "I think this is what people tend to forget. They equate alternatives to the Canadian health care system with 'Americanization,' which is not what we're talking about. We're talking about countries like Belgium, and Switzerland, and France, and Austria." In an October 22, 2007, op-ed for Canada's National Post newspaper, Day similarly wrote that "the goal of the Canadian Medical Association (CMA) -- of which I am President -- is to help improve our universal system, not destroy it." Day went on to note in the op-ed that he is not in favor of the U.S. system:

Let me be clear: I am not for an American-style system in Canada.

It is true that I believe in competition. But not the type of unhealthy competition that seems to exist between Canada and the United States in health care. As two of the world's richest countries, we seem to be in a race to the bottom when it comes to health. Canada's health system has been ranked 30th by the World Health Organization, and the U.S. was ranked 37th. Why would anyone copy a system that ranks substantially below ours?

From Gratzer's June 9 Wall Street Journal op-ed:

Congressional Democrats will soon put forward their legislative proposals for reforming health care. Should they succeed, tens of millions of Americans will potentially be joining a new public insurance program and the federal government will increasingly be involved in treatment decisions.

Not long ago, I would have applauded this type of government expansion. Born and raised in Canada, I once believed that government health care is compassionate and equitable. It is neither.

My views changed in medical school. Yes, everyone in Canada is covered by a "single payer" -- the government. But Canadians wait for practically any procedure or diagnostic test or specialist consultation in the public system.

[...]

Ironically, as the U.S. is on the verge of rushing toward government health care, Canada is reforming its system in the opposite direction. In 2005, Canada's supreme court struck down key laws in Quebec that established a government monopoly of health services. Claude Castonguay, who headed the Quebec government commission that recommended the creation of its public health-care system in the 1960s, also has second thoughts. Last year, after completing another review, he declared the system in "crisis" and suggested a massive expansion of private services -- even advocating that public hospitals rent facilities to physicians in off-hours.

And the medical establishment? Dr. Brian Day, an orthopedic surgeon, grew increasingly frustrated by government cutbacks that reduced his access to an operating room and increased the number of patients on his hospital waiting list. He built a private hospital in Vancouver in the 1990s. Last year, he completed a term as the president of the Canadian Medical Association and was succeeded by a Quebec radiologist who owns several private clinics.

In Canada, private-sector health care is growing. Dr. Day estimates that 50,000 people are seen at private clinics every year in British Columbia. According to the New York Times, a private clinic opens at a rate of about one a week across the country. Public-private partnerships, once a taboo topic, are embraced by provincial governments.

In the United Kingdom, where socialized medicine was established after World War II through the National Health Service, the present Labour government has introduced a choice in surgeries by allowing patients to choose among facilities, often including private ones. Even in Sweden, the government has turned over services to the private sector.

Americans need to ask a basic question: Why are they rushing into a system of government-dominated health care when the very countries that have experienced it for so long are backing away?

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    • Author by loonz (June 09, 2009 3:59 pm ET)
      6 2
      "Americans need to ask a basic question: Why are they rushing into a system of government-dominated health care when the very countries that have experienced it for so long are backing away?"


      Simple answer: because ours is even worse.
      Report Abuse
      • Author by anotheramerican (June 09, 2009 4:17 pm ET)
          7
        10 Surprising Facts About American Health Care

        Fact No. 1: Americans have better survival rates than Europeans for common cancers.

        Fact No. 2: Americans have lower cancer mortality rates than Canadians.

        Fact No. 3: Americans have better access to treatment for chronic diseases than patients in other developed countries.

        Fact No. 4: Americans have better access to preventive cancer screening than Canadians.

        Fact No. 5: Lower income Americans are in better health than comparable Canadians.

        Fact No. 6: Americans spend less time waiting for care than patients in Canada and the U.K.

        Fact No. 7: People in countries with more government control of health care are highly dissatisfied and believe reform is needed.

        Fact No. 8: Americans are more satisfied with the care they receive than Canadians.

        Fact No. 9: Americans have much better access to important new technologies like medical imaging than patients in Canada or the U.K.

        Fact No. 10: Americans are responsible for the vast majority of all health care innovations.

        Conclusion: Despite serious challenges, such as escalating costs and the uninsured, the U.S. health care system compares favorably to those in other developed countries.

        Source: Scott Atlas, M.D.,senior fellow at the Hoover Institution and a professor at the Stanford University Medical Center.
        Report Abuse
        • Author by LittleFuzzy (June 09, 2009 5:21 pm ET)
          7  
          Interesting facts.

          The phrase ",if they can afford it," should be inserted after the word Americans.

          #7 is NOT completely true. Canadians see the need for reform, but on the whole are satisfied with what we have.
          Canada is ranked #30 in the world for health care. The US is ranked #37. We want reform to IMPROVE the system, not to make it worse.

          Half of all Americans filing for bankruptcy have had serious health problems. Health care costs are obviously a major burden.
          Report Abuse
          • Author by worrierking (June 09, 2009 5:42 pm ET)
            4  
            And everyone knows how neutral the Hoover Institution is.

            Another right wing think tank. More of Barney's idea of balanced.
            Report Abuse
            • Author by foghornleghorn (June 09, 2009 5:55 pm ET)
              7  
              AA conveniently forgets that satisfaction with health care is irrelevent when you're DEAD. That's right, every year 20,000 people in the U.S. DIE due to lack of health care. In terms you can easily understand, AA, that's more than six 9-11's every single year.

              Report Abuse
              • Author by pete592 (June 09, 2009 7:49 pm ET)
                3  
                It's a compassion for life, that is, until you're out of the womb.
                Report Abuse
                • Author by anotheramerican (June 09, 2009 8:28 pm ET)
                  1 6
                  Nice snark, but without merit.

                  You are kidding yourself if you think government run health care will be any better than what we have right now.

                  Yes, healthcare does need fixing. Somewhere we need to figure out how to lower costs. Moving to a socialistic system will not help, but rather diminish health care. Having some bureaucrat deciding if you get treatments doesn't sound very compasionate to me.
                  Report Abuse
                  • Author by pete592 (June 09, 2009 9:35 pm ET)
                    5  
                    "Having some bureaucrat deciding if you get treatments doesn't sound very compasionate to me."

                    Then it's time for a system that doesn't pick and choose who gets treatment, which is what we have now, by way of insurance company claims adjusters and underwriters.
                    Report Abuse
                    • Author by eddiebear2 (June 10, 2009 8:50 am ET)
                        2
                      Or wait a year for an MRI, surgery, mammogram, or prostate surgery. No wonder Canadians come across the border for a lot of emergency or cancer related work.

                      As an OT, is it no wonder that the Michael Moore loved Cuban system was so great, a Spanish surgeon had to come in and save the life of Fidel Castro after the beloved Jefe's personal doctor botched the surgery?
                      Report Abuse
                      • Author by seahawks123 (June 10, 2009 2:33 pm ET)
                           
                        Or wait a year for an MRI, surgery, mammogram, or prostate surgery. No wonder Canadians come across the border for a lot of emergency or cancer related work


                        That's not true. Only non-emergent surgeries are delayed.
                        Report Abuse
                      • Author by solon (June 10, 2009 8:01 pm ET)
                        3  
                        We already HAVE the MRIs so there is no reason it would be that way. This is more chicken little propagandqa from you rightwingers. The ONLY place I hear about all these Canadians flocking across the border for health care is from wingnuts. The Canadians I have personally spoken to LOVE the Canadian system. However long you might need to wait for non-emergency care in Canada, a nation not as rich as ours, it is still much LESS of a wait than for Americans who cannot afford that treatment since IT WILL NEVER HAPPEN AT ALL.
                        Report Abuse
                        • Author by Brabantio (June 11, 2009 6:43 am ET)
                          1  
                          "it is still much LESS of a wait than for Americans who cannot afford that treatment since IT WILL NEVER HAPPEN AT ALL."

                          Exactly. We have millions upon millions of people who can't afford preventive or non-emergency care, but the idea of waiting is supposed to scare us away from the idea of getting covered. The argument against the national plan is remarkably lacking in sense and logic.
                          Report Abuse
                  • Author by loonz (June 09, 2009 9:44 pm ET)
                    5  
                    That's what corporations do now - decide whether or not I get treatment.
                    Report Abuse
                  • Author by Brabantio (June 10, 2009 12:35 am ET)
                    5  
                    The American ranking of 37th is what I'm familiar with, as LittleFuzzy cited. Are the bulk of those ahead of us not "socialistic"? If they are, I don't see the logic for claiming that the same sort of system that those countries use can't possibly do us any good, since they're obviously working better than our current system.

                    How are you going to lower costs when everything is based on corporate profit? Even if you do so, aren't insurers just going to deny more claims and cut corners to maintain the profit margin and keep their market share? The entire problem is that profit and care are mutually exclusive goals. You cannot maximize both at the same time.
                    Report Abuse
                  • Author by crease (June 10, 2009 8:57 am ET)
                    3  
                    One again your Reich wing mentality is gettin you in trouble,the gov`t will not hinder you in any way shape or form compared to the bean counter that is looking for a bonus at X-mas time to deny your claim.Apparently you have no concept of a public health care program run by the gov`t.If you ask our vet about it they don`t have to many complaints,our congresspeople don`t complain about their socialized health care, if it`s good enough for them why is not good enough for us we pay their salary`s and for their health care.
                    Report Abuse
                  • Author by globalRower (June 10, 2009 9:21 am ET)
                    6  
                    Austria has socialized medicine, and it works well. I had an infected wound, got treatment on the same day without an appointment, had no need for a referral, paid a grand total of 9.50€ for the medication and bandages, had no payment for the office visit, and got an appointment for a physical the next day. The physical and associated lab work cost me nothing. My take home pay is equivalent to what I earned in the US in spite of a pay cut, because the cost of living is lower here. Part of that reduced cost is lower health care costs - it's astonishing that people complain about the 4.50€ copayment for prescriptions!

                    Bureaucrats do not decide who gets what treatment - the doctors do. My girlfriend is a neurologist who works for the social medical insurance, and she decides who needs what treatment based on diagnoses, not a prescribed checklist composed by some insurance actuary. There are rules about what forms need to be filled out with what justifications for given treatments, but that's going to be true in any regulated system. Her patients pay nothing out of pocket.

                    Two of my rowers are also doctors, and they practice privately - outside the social insurance program. Those who want to visit them are free to do so, and my rowers make a fine living serving their independent patients. Private sector treatment is available if you want to pay for it, and the public medical care system provides good care for everyone.

                    Socialized medicine in Austria costs less than my insurance in America used to, covers a higher percentage of the population, and is not exclusive of private practice. Where's the problem?
                    Report Abuse
                    • Author by foghornleghorn (June 10, 2009 9:25 am ET)
                      2  
                      Such a logical post. So lost on the health care crisis deniers. Thanks for the insight.
                      Report Abuse
                  • Author by solon (June 10, 2009 7:58 pm ET)
                    3  
                    You are kidding YOURSELF if you think your bald and baseless assertions about what WILL be better which we all understand is NOT a fact but YOUR biased opinion. Bureaucrats making decisions even IF it turned out that way and there is no reason it should, is STILL better than a corporate stooge whose paycheck depends on him maintaining cost effectiveness, read denying payments, making the decision and the corporate stooge is who is making those decisions NOW.
                    Report Abuse
              • Author by anotheramerican (June 09, 2009 8:11 pm ET)
                  2
                fog,
                Where did you get your numbers?
                Report Abuse
                • Author by solon (June 10, 2009 8:05 pm ET)
                  2  
                  Oh PLEASE that was a widely reported study and is brought up in EVERY healthcare thread. Why do we have to cite the same thing over and over and over and OVER just because you guys refuse and deny then just come back later and refuse and deny AGAIN? I think you are just trying to waste our time
                  Report Abuse
              • Author by Blueneck (June 09, 2009 10:54 pm ET)
                3  
                Here is the USA Today report.

                Here is a link to the original report.
                Report Abuse
            • Author by anotheramerican (June 09, 2009 8:23 pm ET)
                4
              worrier,

              You forgot to mention that the Doctor is a professor at Stanford University Medical Center.

              However, like so many other times, when you can't argue the facts, you attack the messenger. Very weak.
              Report Abuse
              • Author by my4cents (June 09, 2009 9:47 pm ET)
                2  
                Condi Rice was a professor (or a person with considerable standing) at Stanford.
                Was everything she said/claimed a 'fact' because she had academic standing?
                Your attempts at playing the 'attack the messenger' game are dishonest, at best.
                Report Abuse
              • Author by Easy to refute wingnuts (June 10, 2009 8:19 am ET)
                2  
                You forgot to mention that the Doctor is a professor at Stanford University Medical Center.
                Here, AA takes a page from the incompetent FL's playbook, and uses the logical fallacy called "appeal to authority."
                Report Abuse
              • Author by solon (June 10, 2009 8:08 pm ET)
                1  
                I dont care the Hoover Institute IS a rightwing thinktank. YOU just want to post biased propaganda and then snivel when its pointed out THAT is what it is. You RARELY post from anything but biased sources. Did you notice that the citation YOU asked for came from USA today and a Harvard study? NOT some leftwing thinktank that makes its HOME in a university because of some rich rightwingnuts endowment like say the HOOVER INSTITUTE.
                Report Abuse
        • Author by rwmacdonald2091 (June 09, 2009 5:30 pm ET)
          3  
          You forgot the most important fact, our system is BANKRUPTING the country.

          Hoover Institute.... wait a minute it will come to me....Oh yea, wasn't there an "enlightened" president named Hoover that almost bankrupted this country about 80 years ago?

          Report Abuse
          • Author by anotheramerican (June 09, 2009 8:30 pm ET)
              2
            Nice snark. Please explain how Hoover almost bankrupted the country 80 years ago.
            Report Abuse
            • Author by loonz (June 09, 2009 9:42 pm ET)
              1  
              I would say Hoover inherited his problems from Harding and Coolidge but he was a cheerleader of the policies that ultimately doomed his presidency. You had in the 1920s the same problem we have had for the past thirty years - Americans supplementing their measly income with credit and the American mentality to keep up with the Joneses. When credit was no longer available, they system came crashing down in the 30s. Hoover's initial response to the stock market crash was to act like it didn't happen; it was just a blip. And as employment soared and Americans were reduced to selling apples on the street, Hoover quipped something to the effect "these people are entrepreneurs; they're filling a market gap". He finally recognized that Americans were suffering in the latter part of his presidency so he started spending to create jobs but he didn't offer any social programs. The people threw him out and elected Roosevelt and then reelected him three times.
              Report Abuse
            • Author by pete592 (June 09, 2009 10:55 pm ET)
              1  
              Go and ask someone who lived through it.

              I interviewed my grandmother about it for my HS history class project. EVERYONE she knew at the time blamed Hoover.
              Report Abuse
              • Author by pete592 (June 09, 2009 11:01 pm ET)
                1  
                Oh, and since our life expectancy is so high, you shouldn't have much trouble finding someone who did live through the Great Depression.
                Report Abuse
              • Author by Pericles (June 10, 2009 3:34 am ET)
                   
                [*] Yes, I don't find it at all surprisingAbout your grandmother (and my grandparents). I've always found it interesting that we left the Glass-Steagall Act of 1933 in place to prevent another stock market crash just long enough for everybody who'd lived through the PREVIOUS crash to die out, and not be around to remind us that it was there for a purpose. Finally, after most of the people who would have recognized the roaring 90s as a re-run of the roaring 20s and warned us were gone, we brought in Gramm-Leach and CFMA in 1999 and 2000. Figures.
                Report Abuse
        • Author by loonz (June 09, 2009 6:42 pm ET)
          3  
          I Googled your first assertion and it seems the survival rates were similar for people below 45 years of age but the difference comes from people above 65 years of age because they were screened more. Isn't it a coincidence that government insurance kicks in at that age? Secondly, the Study pointed out that early detection was the key. Now if don't have insurance or you have substandard coverage, you're more likely to die. Thirdly, the study was done on cases from twenty to twenty five years ago. The results don't apply today.

          I tried to Google your third assertion but all I could find was that same list on multiple right-wing sites and some additional information about Americans taking more drugs (medical) than their European counterpart.

          Your fifth assertion is probably true because a lot of low income Americans get Medicaid (government insurance).

          Your sixth assertion is probably true for elective surgery and Americans who actually have good coverage either through the private sector or government.

          I don't know about you're seventh assertion but I know at least 2/3 of Americans want universal coverage.

          Again, I don't know about your eighth and ninth assertions. Maybe Americans with health insurance are more satisfied with the insurance they get either through the private sector or government, likewise the same with imaging.
          Report Abuse
          • Author by anotheramerican (June 09, 2009 8:21 pm ET)
              3
            Loonz,
            It would have helped your case is you'd at least listed your links.
            Report Abuse
            • Author by my4cents (June 09, 2009 8:49 pm ET)
              3  
              same thing applies to you.
              Where is your link?
              Just naming a source != link, you probably know.
              Report Abuse
              • Author by my4cents (June 09, 2009 9:41 pm ET)
                3  
                And citing a source does not make your 10 'facts', facts either.
                You are just citing a source whose conclusions, YOU are claiming are facts.
                But you knew this already but did it anyway.
                Report Abuse
              • Author by anotheramerican (June 10, 2009 4:15 pm ET)
                   
                sorry. My bad. I thought I had.

                http://www.ncpa.org/pub/ba649
                Report Abuse
                • Author by solon (June 10, 2009 8:12 pm ET)
                  1  
                  Gee the same rightwing advocacy group you so often use. Do you even understand the CONCEPT of an unbiased source?
                  Report Abuse
            • Author by loonz (June 09, 2009 9:18 pm ET)
              4  
              I told you what I did. I Googled the first assertion and the study was the first choice. I Googled the third assertion and it said Americans take more statin than their European counterpart. The rest of your assertions may or may not be true but I gave you my opinion as to why they may be true.

              I'm still trying to find the details behind all of the assertions you made but all I can find is multiple right-wings with that same list - no details, explanations or links seem to be available.
              Report Abuse
              • Author by Pericles (June 10, 2009 3:40 am ET)
                2  
                I posted a rebuttal to AAs original fact sheet, above, using the two sources that Gratzer actually cites in his WSJ op/ed piece. I guess he was hoping nobody would go and read them. (A pretty safe bet, now that I think about it.)
                Report Abuse
        • Author by Old_Benjamin (June 09, 2009 7:11 pm ET)
          4  
          One not-so interesting fact - 60% of bankrutcies in the US have a healthcare element to them.


          http://www.healthcare-now.org/2009/06/medical-bills-underlie-60-percent-of-us-bankruptcies-study/
          Report Abuse
        • Author by snoopy (June 09, 2009 7:35 pm ET)
          2  
          Hey, AA, just wanted you to know if it weren't for Obama's stimulus package I wouldn't have insurance while I'm unemployed. His plan to cut COBRA costs by 60% made it extremely affordable for my family and I. Too bad your greedy republican representatives won't get any credit for that, they voted 100% lockstep against making it possible for a guy like me to let loose of some of my savings to buy affordable health care for my family. I'm feeling much more secure now knowing my family and I are covered by Obama's health care option of his awesome stimulus package, and especially like the fact that I can point to a specific example of how his stimulus package was successful.

          Too bad republicans, who voted 100% lockstep against it, don't have a similar success story to share...
          Report Abuse
          • Author by anotheramerican (June 09, 2009 8:35 pm ET)
              4
            snoop,

            I am happy for you and your family. I wish you all good health.

            The problem arises when COBRA runs out and the economy is still in the tank because Obama policies and taxes prevente businesses from expanding and offering jobs to good, honest, hardworking people like yourself.

            The problem with the Obama stimulus plan is that it increased the deficit and hasn't helped with employment. That means you and your your children will be paying back, through taxes and inflation, the benefits you are now enjoying.
            Report Abuse
            • Author by snoopy (June 09, 2009 9:07 pm ET)
              4  
              It did help with employment, AA. If I didn't buy that insurance, look at all the people who could be out of a job managing my insurance! I have a dentist again for 4 people twice a year, I have general checkup for 4 people twice a year, I have 6 weeks of therapy for my shoulder injury, why thanks to my insurance I am paying for almost a dozen people to work 40 hours each! So it really did help with employment, which in turn covers taxes. And since unemployment is also taxed, I'll be paying into the system too.

              But I will admit, I hate cabin fever. His stimulus package is a boon to blue collar jobs. We need a different plan for white collar jobs. In that arena he needs to do more if he really plans to help a guy like me...
              Report Abuse
            • Author by loonz (June 09, 2009 9:49 pm ET)
              4  
              We had tax rates far exceeding what we have now and businesses expanded. It all has to do with demand. If there is demand for a goods or services, jobs will be created.
              Report Abuse
            • Author by achrispage6992 (June 10, 2009 7:50 am ET)
              3  
              When has Obama ever said that after 4 1/2 months in office his multi year plan will have worked? You and your conservative bretheren are exactly the same. You have come to these wild eyed conclusions about the failure of Obama's policies after only 4 1/2 months. How do you seriously come to that conclusion? Where is your data that supports your conclusion? Certainly you have some hard economic data which emperically points to Obama's policies as failing.....you do right?
              Report Abuse
              • Author by anotheramerican (June 10, 2009 4:03 pm ET)
                   
                The reason I say it has failed is the unemployment rate is now much higher than the stats they used to sell the stimulus plan as opposed to doing nothing.

                http://market-ticker.denninger.net/archives/1101-EMPIRICAL-PROOF-Obama-Stimulus-FAIL.html

                I know some will argue as did Biden's economic advisor that the 4th quarter figures were worse than they projected. That to me only proves further their incompetence.
                Report Abuse
        • Author by pete592 (June 09, 2009 7:40 pm ET)
          4  
          Your facts have almost nothing to do with the mechanism by which we PAY FOR our care, which is the problem, not the care itself.

          I don't want the government running our health care, but as far as how we pay for it, insurance companies have had their chance to bring affordable care to everyone and they failed. It's time to try something else. Preferably, something that doesn't have a profit motive that's driven by denials, pre-exisiting conditions, age rating, medical underwriting, the burden of uncompensated care, and cluttered paperwork and procedures geared to make policy holders give up on claiming their benefits.
          Report Abuse
          • Author by anotheramerican (June 09, 2009 8:47 pm ET)
              4
            Pete,
            We agree that the cost of health care is the problem.

            We disagree that handing it over to the government will reduce costs, (it won't.)

            The political satirist P.J. O’Rourke once quipped: “If you think health care is expensive now, wait until you see what it costs when it’s free.”

            Taking 100 million people out of their private health care insurance and adding their cost to government run health care will further bankrupt the already bankrupt government.

            Medicare and Medicaid, not to mention SS are already going broke. Adding trillions in healthcare cost to be doled out by the government is not going to solve these problems, it will do just the opposite. Besides who will pay for it? How many times can you go to the well with property taxes, city and state taxes, sales taxes, federal taxes, fica taxes, medicare taxes, etc., etc., etc.?
            Report Abuse
            • Author by pete592 (June 09, 2009 9:32 pm ET)
              5  
              "Medicare and Medicaid, not to mention SS are already going broke."

              Maybe if we stop raiding them to fund everything else, including war, they wouldn't be going broke.
              Report Abuse
              • Author by loonz (June 09, 2009 9:51 pm ET)
                5  
                I say tax the wealthy. They're hoarding most of the country's wealth anyway.
                Report Abuse
            • Author by Pericles (June 10, 2009 3:53 am ET)
              3  
              "Taking 100 million people out of their private health care insurance and adding their cost to government run health care will further bankrupt the already bankrupt government."

              Not really. With a government plan, people pay higher taxes, but this is offset by paying nominal or no health care insurance premiums. For example, the health care insurance premium in Canada is about $50/month per person. Furthermore, the per capita cost of health care in Canada is about $3700 per person, or 10% of GDP (to cover everybody), while it's $6700 per person, or 15% of GDP in the USA, while still leaving large sectors of the population either un-insured or under-insured.

              "Medicare and Medicaid, not to mention SS are already going broke"

              YES, because private insurance companies are able to cherry pick, and offer insurance only to healthy people, young people, and people with no pre-existing medical conditions (ie-the PROFITABLE health clients) while dumping the poor, the sick and the old on the public system. Then (to add insult to injury) they can point to the government program going broke as the result of having to cover all the NON-profitable clients as an example of how bad government programs are.

              The only way a nation-wide healthcare plan will ever work is if you collect premiums from both healthy and sick people within the same system, which is exactly what all the other developed countries do. And it's not a coincidence that they do it this way. But as long as the private sector is able to cherry pick the profitable clients while the government plan is left to deal with the unprofitable ones the public sector will always look bad by comparison. A comparison which is unfair.
              Report Abuse
            • Author by pags2 (June 10, 2009 5:30 pm ET)
                 
              The current proposals for health care still allow private insurance for health care. You are free to purchase and use private insurance even with a government run system. Insurance companies are against any government plans because it will be cheaper than what the companies offer. The only way for insurance companies to make money will be to retain their current customers and offer health care insurance that is better than the government plan. The people who will lose the most with a government plan will be the insurance companies and health care providers. The days of large profits will end and make the health care system work for everyone. The alternative to universal health care is medical care for only those who can afford it. This is repugnant and turns health care into privilege rather than a right.
              Report Abuse
        • Author by Steve Schwab (June 09, 2009 8:46 pm ET)
          2  
          The Hoover Intitution! Kah-Ching! We know where your bread is buttered.
          Report Abuse
        • Author by richrdh (June 10, 2009 2:10 am ET)
             
          And how or what did Dr. Atlas use to develop the facts? For many reasons this doesn't look right. So, turn me into a believer, give me some background.
          Report Abuse
          • Author by anotheramerican (June 10, 2009 4:15 pm ET)
               
            Sorry. I thought I had included the link.

            http://www.ncpa.org/pub/ba649
            Report Abuse
        • Author by Pericles (June 10, 2009 3:20 am ET)
          2  
          Facts 1, 2, 4 are all the same point. Private healthcare shills usually quote cancer, since it's the one American statistic that leads, but not by much. The Lancet article quoted by Gratzer in this WSJ article lists survivability for Americans vs. Canadians as 61% to 58% for women and 57% to 53% for men. Without quoting the numbers, you'll hear this triumph quoted in almost every anti-public healthcare Op/Ed.

          Fact 3 is deceptive, without stating which chronic diseases and which other countries.

          Fact 5 is FALSE: A quotation from the exact Joint Canada/U.S. Survey of Health document cited by Gratzer: "While in both countries, those in the poorest income quintile reported poorer health, more low income Americans did so compared with low income Canadians (31% versus 23%). The same pattern prevailed regarding the distribution of severe mobility limitation, obesity and unmet health care needs."

          Fact 6 is true, but only for people with certain types of insurance. Those on medicare, medicaid, veterans health, or having no insurance have to wait as long as Canadians, if not longer. (One grain of truth: waiting times in Canadian emergency wards are slightly longer.)

          Facts 7 and 8 are false in that they are not "highly dissatisfied." Again, a quote from the study cited by Gratzer: "Americans were more likely to be “very satisfied” with their health care services (both all services and doctor services) while Canadians were more likely to be “somewhat satisfied” (for all services) even when compared with insured Americans."

          Fact 9 is true, but again is related to points 1, 2, and 4, and only applies to certain types of equipment. ie-there are five times as many NMR machines in the U.S. as Canada, per capita, leading to earlier diagnosis and earlier intervention.

          Fact 10 is false. It's pretty much evenly split between the United States and western Europe. Just as a quick example: six of the ten largest pharmaceutical companies are in western Europe. The United States happens to file the most patents (only a fraction of which are successful) because the patenting process is simpler in the U.S., and the U.S. has more intellectual property lawyers per capita to do it. Doesn't mean Americans are responsible for the vast majority of all health care innovations.




          Report Abuse
        • Author by crease (June 10, 2009 8:51 am ET)
             
          If our systenm is so god why are ranked 37th out of 40,Is your Hoover institute a Reich wing think tank?Why are we the only industrialized nation without health care for everyone?The waiting in Canada and every whee else is non-life threatnening surgery`s.First come first served rich or poor.Why is it that country`s all the globe have modeled their health care based on our Very own country`s Medicare that serves our elderly at a 3 percent overhead,and also country`s have used our V.A. system which takes care of our wounded military hero`s and it works for them but not us.Try going to non-partisan web site and books for your answers so you don`t dilute yourself and look as ignorant as you have here with bogus stats.Why has health care cost doubled in the last 10 tens,,because of greed and heartless bastards who only care about $$$$.
          Report Abuse
        • Author by rick48059 (June 10, 2009 9:48 am ET)
             
          That may well be true, however our system is far from ideal. The high cost of coverage, the exclusion of people for preexisting conditions and the loss of coverage due to layoff or other job loss is outragious. Nowhere else in the developed world are people left to fend for themselves when they are least able to pay for coverage. Emergency rooms are for just that, emergencies they are not there to diagnose and treat cancer or other long term conditions. A public option is not just the right to go, it is the only way to go. Given a choice between having a government official or a corporate official in charge of my health care I will opt for the government official every time. I grew up in the Canadian system and have lived in Michigan for the last 20 years. The Canadian system has flaws due to under funding, but it beats what we have when you really need it most.
          Report Abuse
        • Author by diogenie27611 (June 10, 2009 12:09 pm ET)
          4  
          Some interesting facts:

          Fact No. 1: the Hoover Institute is a right wing think tank that specializes in distorting facts for the purposes of propping up corrupt industries. Quoting them for facts is like quoting an episode of Law and Order for legal advice.

          Fact No. 2: the United States pays on average $1,000 more per capita for health care than any other country in the world.

          Fact No. 3: We rank 37th among nations averall in healthcare service!

          Fact No. 4: We have one of the highest infant mortality rates in the developed world.

          Fact No. 5: putting the word "fact" before a statement doesn't make it a fact but what the heck, I can do it too.

          Fact No. 6: The healthcare system we have was designed by the rich, for the rich. It's existence despite its obvious shortcomings is the result of industry propoganda by pinheads like you who can't explain why it fails the majority of Americans so utterly. There are no market forces at play in healthcare. Large corporations monopolize every element of care we receive. HMOs routinely deny coverage for little or no reason. HMOs in our wonderful system can not be sued for malpractice when their greed costs a person's life. The whole industry is propped up by the corporate administrators at HMOs who make tons of money by providing no service whatsoever and by medical professional who think an M.D. should guarantee a person $250,000/year no matter what their competence, field, or ability. Specialist routinely make salaries far higher than that already astronomical sum. A two year degree in nursing makes you more than a professor who spends ten years minimum to get the necessary degrees.

          Fact No. 7: You are a bad person. You purposely spread propoganda that you know to be dubious at best to support a system that is causing suffering for millions.

          Look around, the waters around you have grown.
          Report Abuse
        • Author by captfoster2 (June 10, 2009 3:54 pm ET)
          2  
          AA, Not Fair Nor Liberal, and all other right-wing addle-brained morons...

          The issue of single payer universal health-care is not about the actual health-care in America being better or worse than any other country...

          IT IS AND ALWAYS HAS BEEN ABOUT BEING ABLE TO ACCESS ALL THAT GREAT HEALTH-CARE!!!!!!

          It is not nor ever will be government run health-care... all the government would do is pay the bill... you and your doctor would have all the say as it pertains to your health-care! Period!

          No poop.... America has the best health-care... hot damn... never knew that...

          You guys don't seem to realize that the powers that be on the right-wing corporate side have lied to you about this issue... the fact that you are spewing their lame talking points proves it!

          You are actually spouting off against something that if implemented, would be beneficial to you, your families, and basically, all of us!
          Report Abuse
        • Author by solon (June 10, 2009 7:54 pm ET)
          1  
          The Hoover institute another biased source from Anotherbiased American. Why am I not suprised?
          Report Abuse
      • Author by mari2jj (June 10, 2009 2:19 am ET)
        6  
        Actually having lived in Canada where they long ago had universal health coverage and having had valvular heart surgery there one of the reasons we need to consider a Canadian style health care payment system like it is that everyone got adequate health care in a timely way, they do not have health care cost induced bankruptcies there and the care is available early in a disease process making intervention much cheaper. Further, children get early care routinely which also saves later health care expense. Good logical approach at reducing costs, really.
        Report Abuse
    • Author by mk3872 (June 09, 2009 4:16 pm ET)
      7  
      Never underestimate the feror and endless will of the conservatives to slander and lie about public proposals to defend private enterprise.

      This over-heated "debate" over a public OPTION for health care when there are millions who cannot afford it AT ALL in our country is the most egregious example of the free enterprise greed in conservative think tanks in this country.
      Report Abuse
      • Author by dexteritas0071418 (June 09, 2009 4:39 pm ET)
        1 9
        Are you referring to the millions that are uninsured voluntarily, or the millions who are uninsurable, or the millions who are unable to provide for themselves in the American system?
        Report Abuse
        • Author by worrierking (June 09, 2009 5:47 pm ET)
          7  
          Please give us the definition of those who are uninsured voluntarily.

          Do you mean the people who choose to pay their rent rather than insurance? Those who choose to eat instead of paying for insurance?

          Those on pensions who can't afford to pay for supplementary insurance?

          We're all one health crisis away from bankruptcy.

          Get back to us after you've been hit with a hospital bill in the hundreds of thousands that is over and above what your great insurance is willing to pay.
          Report Abuse
          • Author by dexteritas0071418 (June 09, 2009 5:58 pm ET)
              4
            Mostly young people who have decided not to pay insurance because they're healthy. There are studies that have a good solid number on them.

            I don't think the system is perfect, fwiw. Cost escalation is out of control, and the insurance companies to not price the goods and services of healthcare, agreed?
            Report Abuse
            • Author by loonz (June 09, 2009 6:44 pm ET)
              1  
              There are studies that have a good solid number on them.


              Like how much?
              Report Abuse
            • Author by Pericles (June 10, 2009 3:59 am ET)
              2  
              "Mostly young people who have decided not to pay insurance because they're healthy."

              In fact, they are not "uninsured." They've chosen not to buy health insurance because they foolishly think they'll never get sick, and if/when they do get sick they go to the emergency room and have their treatment paid for by the government anyway. Thus, their healthcare is publicly funded NOW! So why not formalize the arrangement by at least making them pay the premiums through taxes, since that's what's happening anyway?


              Report Abuse
        • Author by foghornleghorn (June 09, 2009 5:58 pm ET)
          7  
          That's right, Dex, I cancelled my health care so I could buy a big screen TV and take a week's vacation in the Bahamas.
          Report Abuse
          • Author by dexteritas0071418 (June 09, 2009 5:59 pm ET)
            1 5
            Of course you took it to an outrageous extreme that adds little benefit to adult discussion.
            Report Abuse
            • Author by loonz (June 09, 2009 6:48 pm ET)
              3  
              It deifies logic that someone would go without healthcare even though they can afford it. Suppose you get hit by a bus or some other calamity happens?
              Report Abuse
        • Author by solon (June 10, 2009 8:19 pm ET)
          1  
          Half of all bankrupcies are healthcare related and more than half of THOSE people HAD healthcare insurance when their health problems started.
          Report Abuse
    • Author by vhw28672478 (June 09, 2009 5:05 pm ET)
      6  
      we have worst health care in the world
      Report Abuse
      • Author by dexteritas0071418 (June 09, 2009 5:14 pm ET)
          5
        It's nice to see Somalis posting here now. Welcome.
        Report Abuse
        • Author by eweston8542983 (June 09, 2009 5:44 pm ET)
          7  
          Yep I think you caught him in a personal opinion. We do pay the most per capita for a system rated 37th internationally.
          What kind of systems are the countries scoring much better than us using? The majority seem to be socialistic in nature.
          Report Abuse
          • Author by dexteritas0071418 (June 09, 2009 6:01 pm ET)
              3
            Again, I think we can improve, and I believe it will take a mix of cost controls, oversight, freeing up geographical restrictions on insurance competition, and a public option.

            I do know, however, that we do not have the worst healthcare system in the world, and we do score better in a lot of things that matter, including cancer care.
            Report Abuse
            • Author by anotheramerican (June 09, 2009 9:07 pm ET)
                5
              dex,
              The WHO made those rankings penalizes the U.S. for not having universal health care. So even though we score better than practically every other country in actual medical care, we are dinged for not being socialist.

              if you remove the homicide rate and accidental death rate from MVA’s (ie., motor vehicle accidents,) from this statistic, citizens of the US have a longer life expectancy than any other country on earth.

              The WHO will score a country where all the health care is paid for by the government, even though the health care is terrible, as perfect. So naturally, the U.S. score is lowered and yet this has nothing to do with actual health care.

              The WHO ranking system has minimal objectivity in its “ranking” of world health. It more accurately can be described as a ranking system inherently biased to reward the uniformity of “government” delivered (i.e. “socialized”) health care, independent of the care actually delivered.

              http://smartgirlnation.com/2009/06/01/popular-ranking-unfairly-misrepresents-the-us-health-care-system/
              Report Abuse
              • Author by pete592 (June 09, 2009 10:59 pm ET)
                4  
                "we are dinged for not being socialist"

                WRONG. We are dinged for paying such a huge percentage of our GDP for health care while having so many uninsured at the same time.
                Report Abuse
                • Author by loonz (June 09, 2009 11:41 pm ET)
                  3  
                  We do have the best health care in the world and it's a shame that most Americans don't have access to it.
                  Report Abuse
                  • Author by oscar the grouch (June 10, 2009 12:25 am ET)
                    1 4
                    By "most", I would assume you are talking majority of the 300+ million citizens of the US, correct? Everybody has access to health care, unfortunately to some, it is the emergency room at the local hospital. There are some things that could be done to lower health care costs and make insurance more affordable for all, including coming up with a uniform billing/reporting system, even though there may be multiple payers. How much of a Dr's or Hospital's overhead go to insurance clerks, for instance?
                    Report Abuse
                    • Author by zamfir273114 (June 10, 2009 2:06 am ET)
                        2
                      Exactly!!
                      Report Abuse
                    • Author by foghornleghorn (June 10, 2009 9:32 am ET)
                      1  
                      Don't forget the mutil-million dollar salaries/bonuses for the HMO fat cats.

                      Report Abuse
                    • Author by solon (June 10, 2009 8:27 pm ET)
                      1  
                      NO everyone does NOT have access to healthcare. Everyone has access to emergency care. 18,000 people a year die in this country because of lack of access to healthcare. All they have to do is stabalize you. IF you need ongoing care and cant afford it you DIE. IF you need a transplant and cant afford it you DIE. So NO everyone does NOT have access to healthcare.
                      Report Abuse
              • Author by diogenie27611 (June 10, 2009 12:21 pm ET)
                2  
                Maybe when you people use statistics you should not rely entirely on pop-conservative garbage and you should cite... I don't know... a FRIGGIN MEDICAL JOURNAL!

                On this issue you guys trot out the echo chamber as if it has any credibility whatsoever. Their work is not peer reviewed and has no scientific basis to it whatsoever.
                Report Abuse
                • Author by anotheramerican (June 10, 2009 4:22 pm ET)
                    3
                  Typical liberal argument. When you can't argue the facts, attack the messenger.

                  I noticed in your response above you did not provide any peer reviewed work. Why as a matter of fact, you didn't even provide any source or link to back up your arguments.

                  Physician, heal thyself!
                  Report Abuse
                  • Author by Brabantio (June 11, 2009 7:03 am ET)
                       
                    The credibility of the messenger is relevant. I also wonder why you wanted a citation from someone else for their arguments. What difference would it make? If it was from a biased source, there's nothing you could say about it. You didn't argue the facts, you asked who the messenger was.
                    Report Abuse
              • Author by solon (June 10, 2009 8:24 pm ET)
                1  
                You are full of it. We are DINGED for having such terrible infant mortality rate, we are DINGED for having a lower longevity than most of the other countries AND we get dinged for not having as good an access to our healthcare as other countries. Imagine being dinged for having 18,000 people a year DIE from lack of access to healthcare.
                Report Abuse
    • Author by BlueBerryPickN_is_ThisCanadian_com (June 09, 2009 5:46 pm ET)
      5  
      Americans WISH they got the healthcare they see on 'Grey's Anatomy'! ...& generally, they BELIEVE they'll get it!

      I love my Canadian HealthCare.

      What I DESPISE is the constant drumbeat from selfish, narcissistic doctors who see their American cousins making ARMLOADS of ca$h from the miseries of their patients... the healthcare insurance, BigPharma & other corporate cronies who WORK LIKE DEMONS & INVEST MILLIONS into Canadian media & the healthcare industry & GOVERNMENT LOBBYING IN OTTAWA & provincial capitals...

      TO PRIVATIZE & DESTROY CANADIAN SINGLE-PAYER HEALTHCARE.

      You heard me: there is a MASSIVE MOVEMENT TO DESTROY CANADIAN HEALTHCARE.
      & most of that money COMES FROM THE USA.
      Report Abuse
      • Author by pete592 (June 09, 2009 7:46 pm ET)
        1  
        Doctors who are motivated by money instead of compassion for the sick and injured always have an occupational option. It's called cosmetic surgery.

        Even those who do cosmetic surgery for a living can also give back by providing reconstruction for abnormalities and accidents.
        Report Abuse
    • Author by Dem02020 (June 09, 2009 6:54 pm ET)
      3  

      The item above includes a definition of what the term "single payer system" is supposed to mean.

      The definition begins with "health care financing", where a simpler and more direct and less equivocal description of the "system" should be "health insurance".

      Then the definition says that "the [single] payer may be... an insurance company".

      How can that be?

      If the payer is an insurance company, then doesn't someone pay them, making the thing a "double payer system"?

      Or is the insurance company a charitable organization, being the single payer, but not billing or charging anyone premiums?

      I don't see how any insurance company could be described as a single payer, seeing as how the very existence of an insurance company creates two payers : you, who pay the insurance company premiums, and then them, the insurance company, who pays doctors and hospitals, and who acts in the capacity of a "middle man" in the process... two payers at least, unless someone thinks the "middle man" pays out of the goodness of his charitable heart, and charges no fee or premiums.

      The definition also states that the single payer system [of health insurance] results in "significant savings in overhead costs".

      Yes, that's a vague of way of saying that if you cut out the middle man, you reduce costs to the consumer, or in this case the user of the service.

      It's vague and evasive to refer to what health insurance companies take from you as a middle man (between you and the doctor), as merely "overhead costs".

      The definition given above for a "single payer system" is strange, for evading the simple term of health insurance in the description of what the "system" is that's being defined (and the definition strains when it refers instead to "health care financing").

      Also, it's simpler and more direct to emphasize that what makes the single payer system [of health insurance] so singular, is the exclusion of a "middle man" in the process... a middle man that jacks up the costs by way of inserting themselves into the transaction, and always manages to take a healthy and profitable slice out for themselves, in addition to jacking up as much as possible the actual costs attributable to the health care itself (the fees of a doctor or other health care provider), as a self-serving way of keeping health care unaffordable to you, and therefore keeping you in need of their health insurance, for your inability to afford being the actual "single payer" yourself.

      And again, I don't see how a health insurance company could ever be a single payer (as the definition claims), as there must be two payers at least (you and them) if a health insurance company is inserted into the process... and then the singularity is lost, and instead there's a duplicity involved, in a system [of health insurance] that requires two payers at least : you, and whatever number of middlemen have managed to insert themselves into the transaction, between you and your health care.
      Report Abuse
    • Author by blk-in-alabam (June 09, 2009 7:15 pm ET)
      1  
      I used to read the Wall Street Journal,when it was about business. You can not really be about anything when Carl Rove controlls your editorial page and previews your news , I tell ypu something that can be done quit drinking the c beer that funds the h foundation quit drinking and lower your taxes in the process
      Report Abuse
    • Author by vhw28672478 (June 09, 2009 8:49 pm ET)
      1  
      Free Market Heath care do not work if you don not have lot a money
      Report Abuse
    • Author by dmhack (June 10, 2009 12:43 am ET)
      1  
      Oh, please.
      Dr. Day is hardly impartial when it comes to the Canadian system. His primary interest is in making himself rich through private clinics.

      And the Fraser Institute is hardly an font of unbiased information. All of their so-called studies always support the institute's right wing philosophy.

      Any government in Canada (provincial or federal) knows the one sure way to electoral defeat is tampering with universal healthcare.
      Now, why would Canadians feels so strongly about a system in such disarray?
      Simple, because it works.
      Sure, there are problems with some wait times, but governments are constantly working and succeeding in reduce those times. (It should be noted that most wait times are for elective procedures.)

      I could go on, but I'll leave you with this last point. If you think HMOs are more responsive to your needs than a government run system, you're kidding yourself. HMOs will deny you services and procedures at the drop of a hat. Government healthcare is far more responsive because, at the end of the day, their clients will express their dissatisfaction at the ballot box.





      Report Abuse
    • Author by zamfir273114 (June 10, 2009 1:58 am ET)
      1  
      I find it a little annoying that the guy who just killed that abortion doctor is going to get better medical care behind bars than most of us can get outside the prison system.
      Report Abuse
      • Author by zamfir273114 (June 10, 2009 2:04 am ET)
        1  
        P.S. Some things are just better run by the government. Police and fire are prime examples. I think medical insurance/care should be added to that list. This is one area I agree with most of you.
        Report Abuse
        • Author by solon (June 10, 2009 8:43 pm ET)
          1  
          Yes the things that should not be ruled by a profit motive. Somethings are more important than money and peoples lives are one of those things.
          Report Abuse
    • Author by Pericles (June 10, 2009 4:08 am ET)
      4  
      Dr. Gratzer’s column is deliberately misleading. He selectively quotes certain studies favorable to his cause, then selectively quotes from within those studies. For example, he claims a severe shortage of doctors in Canada. Here is a quote from the same Joint Canada/US Survey of Health he uses as a reference:

      “more Canadians reported having a regular medical doctor compared with Americans (85% versus 80%) - Canadians were similar to insured Americans in terms of having a regular medical doctor.” Thus, the doctor availability for ALL Canadians is similar to or better than that for INSURED Americans. We won’t go into what life is like for UN-insured Americans.

      Other quotes from the same study cited by Gratzer:

      “Overall, more Americans reported that they had experienced an unmet health care need in the previous year compared with Canadians (13% versus 11%). There was no difference in the proportion who reported unmet health care needs between Canadians and insured Americans.”

      “The top reasons for unmet health care needs differed between the two countries: waiting time was most often reported in Canada and cost was most often reported in the United States.”

      Gratzer, like most private health care shills, also selectively quotes the one medical condition, cancer, for which the American “system” has a slightly higher survival rate than the Canadian one, while neglecting to mention that most others metrics are lagging. (The Lancet article he quotes lists cancer survival rates in the U.S. vs Canada as 61% to 58% for women, and 57% to 53% for men.) Laughably, he then quotes the fact that the Ontario (population 13.5 million) government sent 160 patients to the U.S. for emergency surgical treatment over a 2 year period to alleviate a backlog. (160 patients who still, incidentally, got their treatment free of charge.)

      The Canadian system is not perfect, and improvements can be made. Those imperfections spring from the fact that Canada spends a much smaller amount of money on healthcare than does the United States, even on a per capita basis. All of these minor problems that seem to so concern the editorial pages of U.S. newspapers could be solved with a modest 10% increase in Canada’s healthcare budget. Consider the following statistics: Canada spends about $3700 per capita, and 10% of GDP to provide every Canadian with healthcare, with no co-pays or deductibles. By contrast, the U.S. spends $6700 per capita, and 15% of GDP on healthcare, does not cover everybody, does not cover people with pre-existing conditions, and clobbers the middle class with co-payments. If Canada spends $3700 per capita to deliver very good healthcare to every one of its citizens, while not burdening Canadian businesses with the cost of providing healthcare to their employees, while the U.S. spends $6700 per capita, only to leave large sectors of its population either uninsured or underinsured, and place American businesses at a competitive disadvantage, somebody is doing something wrong, and it’s probably not Canada.

      Report Abuse
    • Author by diogenie27611 (June 10, 2009 12:25 pm ET)
      3  
      I have not seen a single right wing troll quote a single peer-reviewed study as the basis for the argument. Yes. You can find lots a false statistics put out by propoganda machines like the Hoover Institute or www.moreconservativespinbs.com.

      Do your research!!!! Quote studies and not op-ed pieces! Journalists are idiots who base their opinions on what they ate that morning, the crap they found on blogs, and what will comfort the ears of the ignorant!
      Report Abuse
      • Author by Blueneck (June 10, 2009 5:44 pm ET)
        2  
        Thank you--and right on point. Over the next months or perhaps years we will see the multiplication of "10 point lists of talking points" that are actually not even relevant to the discussion and contribute not one thing toward the solution of our problem. At this point there are hundreds of studies published in peer reviewed journals indexed by the National Library of Medicine that document a multiplicity of problems and inequalities in the delivery of health care services in this country. Barriers include race, ethnicity, economic and social status, and lack of coverage. It is almost always more expensive to treat an advanced disease than a disease of recent onset. Insurance company boondoggles and policies inflict untold misery on many and cost us dearly. Inflation of premiums has made it impossible for many employers to continue offering the kind of overage that was affordable only eight years ago. I know this because I am an employer and although I will continue to treat my employees as my most important asset it is tying up money I really could use to expand my business and create more good paying jobs. I have no confidence whatsoever in private insurance companies to contain costs. It will require a massive collective effort supported by real research; not half cocked talking points promulagated by persons and institutions with transparent agendas to solve these problems. Here are a few titles to illustrate the diversity of approaches that will be required to move us forward (I cite these because abstracts are available for all of them and full text for some on PubMed:

        1: Biles B, Pozen J, Guterman S. The continuing cost of privatization: extra payments to Medicare Advantage plans jump to $11.4 billion in 2009. Issue Brief(Commonw Fund). 2009 May;51:1-18. PubMed PMID: 19449498.

        2: Chang CF, Pope RA. Potentially avoidable hospitalizations in Tennessee: analysis of prevalence disparities associated with gender, race, and insurance.
        Public Health Rep. 2009 Jan-Feb;124(1):127-37. PubMed PMID: 19413035.

        3: Ahluwalia IB, Bolen J, Pearson WS, Link M, Garvin W, Mokdad A. State and metropolitan variation in lack of health insurance among working-age adults,
        Behavioral Risk Factor Surveillance System, 2006. Public Health Rep. 2009
        Jan-Feb;124(1):34-41. PubMed PMID: 19413026.

        4: Newacheck PW, Houtrow AJ, Romm DL, Kuhlthau KA, Bloom SR, Van Cleave JM,Perrin JM. The future of health insurance for children with special health care
        needs. Pediatrics. 2009 May;123(5):e940-7. PubMed PMID: 19403486.

        5: McWilliams JM, Meara E, Zaslavsky AM, Ayanian JZ. Differences in control of cardiovascular disease and diabetes by race, ethnicity, and education: U.S. trends from 1999 to 2006 and effects of medicare coverage. Ann Intern Med. 2009
        Apr 21;150(8):505-15. PubMed PMID: 19380852.

        6: Rivera JO, Ortiz M, Cardenas V. Cross-border purchase of medications and health care in a sample of residents of El Paso, Texas, and Ciudad Juarez, Mexico. J Natl Med Assoc. 2009 Feb;101(2):167-73. PubMed PMID: 19378635.

        7: Tu HT, Cohen GR. Financial and health burdens of chronic conditions grow.
        Track Rep. 2009 Apr;(24):1-6. PubMed PMID: 19343833.

        8: Galbraith AA, Ross-Degnan D, Soumerai SB, Miroshnik I, Wharam JF, Kleinman K, Lieu TA. High-deductible health plans: are vulnerable families enrolled?
        Pediatrics. 2009 Apr;123(4):e589-94. PubMed PMID: 19336350; PubMed Central PMCID:
        PMC2683628.

        9: Marx KA, Quinn CC. Commentary: male osteoporosis-policy gaps in prevention and treatment. J Aging Soc Policy. 2009 Apr-Jun;21(2):119-29. PubMed PMID: 19333837.

        10: Bloom B, Cohen RA, Freeman G. Summary health statistics for U.S. children: National Health Interview Survey, 2007. Vital Health Stat 10. 2009 Jan;(239):1-80. PubMed PMID: 19326838.

        11: Reschovsky JD, Felland LE. Access to prescription drugs for Medicare beneficiaries. Track Rep. 2009 Mar;(23):1-4. PubMed PMID: 19320086.

        12: Felland LE, Reschovsky JD. More nonelderly Americans face problems affording prescription drugs. Track Rep. 2009 Jan;(22):1-4. PubMed PMID: 19320083.

        13: Kronebusch K, Schlesinger M, Thomas T. Managed care regulation in the States: the impact on physicians' practices and clinical autonomy. J Health Polit Policy Law. 2009 Apr;34(2):219-59. PubMed PMID: 19276317.

        14: Bilimoria KY, Balch CM, Wayne JD, Chang DC, Palis BE, Dy SM, Lange JR. Healthcare system and socioeconomic factors associated with variance in use of sentinel lymph node biopsy for melanoma in the United States.
        J Clin Oncol. 2009 Apr 10;27(11):1857-63. Epub 2009 Mar 9. PubMed PMID: 19273706.

        15: Lancaster GI, O'Connell R, Katz DL, Manson JE, Hutchison WR, Landau C, Yonkers KA;
        Healthcare Professionals for Healthcare Reform. The expanding medical
        and behavioral resources with access to care for everyone health plan. Ann Intern Med. 2009 Apr 7;150(7):490-2. Epub 2009 Mar 2. PubMed PMID: 19258548.

        16: Kennedy J, Morgan S. Cost-related prescription nonadherence in the United States and Canada: a system-level comparison using the 2007 International Health Policy Survey in Seven Countries. Clin Ther. 2009 Jan;31(1):213-9. PubMed PMID:
        19243719.
        Report Abuse
    • Author by captfoster2 (June 10, 2009 3:54 pm ET)
      2  
      AA, Not Fair Nor Liberal, and all other right-wing addle-brained morons...

      The issue of single payer universal health-care is not about the actual health-care in America being better or worse than any other country...

      IT IS AND ALWAYS HAS BEEN ABOUT BEING ABLE TO ACCESS ALL THAT GREAT HEALTH-CARE!!!!!!

      It is not nor ever will be government run health-care... all the government would do is pay the bill... you and your doctor would have all the say as it pertains to your health-care! Period!

      No poop.... America has the best health-care... hot damn... never knew that...

      You guys don't seem to realize that the powers that be on the right-wing corporate side have lied to you about this issue... the fact that you are spewing their lame talking points proves it!

      You are actually spouting off against something that if implemented, would be beneficial to you, your families, and basically, all of us!
      Report Abuse
    • Author by BlueDogDem (June 10, 2009 8:51 pm ET)
         
      Fact is that our health care is the best in the world and proof that capitalism works.
      Report Abuse

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