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September 13, 2004

Let them have health care

Miro Cernetig of the Toronto Star went to Montreal recently to have some kind of check up on his ballooning cheeks (I still don't know what that was about). He writes about it here. For the Americans reading this, it may seem trivial, but for us and our medical system, a source of Canadian pride for better or for worse, there seems to be a bit of a conflict.

Mr. Cernetig went to a clinic in Westmount, a rich part of Montreal, complaining of something or other. Normally, a person would go to a clinic and wait for at least an hour, often 2 or 3, before someone could come see them for five minutes. (There are horror stories of the dying being left in a hallway for 9 hours.) As bad as that sounds, Canadians are generally guaranteed whatever help they need, even though it might take months to get treatment, or weeks to see a specialist. The philosophy is that basic and even not-so-basic health care is a fundamental right for everyone. No one should be turned away because they can't pay, which is what happens every day in the U.S. (I've heard horror stories from staff about that, too.)

So Mr. C. goes into a clinic in Westmount, pays $38 for a blood test and is offered programs ranging from $350 to almost $1000 for different programs offering different coverage and even a VIP room. I expect all my VIP rooms to come with dancing girls, in this case, dressed like naughty nurse whores that my old boss has always been into. (I always get a kick out of that. He has been dating a nurse for the past two years, and I always wonder how naughty she is. But I digress.)

The problem is whether or not this violates the spirit of the health care system in this country. I generally support having these private clinics around. The very rich and even the middling rich have always paid for private health care one way or another, and there are always good doctors that respond to the dollar and clients that appreciate you and aren't crazy versus chaos and crapallday. And it might very well be worth it to me to pay to get the extras. At a time when the provinces think that the few billion over the next few years from the federal government is not enough to maintain the system let alone improve it, perhaps this is exactly what the system needs: relief from people willing to pay for things on their own, and a lowering of the numbers of people using the system.

On the other hand, how many rich or middling-rich people actually do pay their own way compared to the millions that still use the public system? Does it make that much of a difference? I don't know. I don't have any numbers with me. Also, although private clinics don't violate the wording of Health Care Act (I made that up, actually, I don't know what it is called), it may violate the spirit of the Act by creating and allowing, sometimes even promoting a two- or three-tier system, when the spirit implies that we should all have quality health care. Maybe we do, but those with money get a higher-quality system. It's all relative, I guess. If I broke my leg in Egypt, I could pay about $40 and get treated like a king. In an out in an hour.

In the end, I suppose I would have to support the private clinics (in spirit, of course) as long as the public system remains intact. It will be interesting to see what the provinces and the feds settle on.

(Aside: Does anyone know how I can prevent the picture on the guy above from being attached directly to the paragraphs? I'd like to have some spacing there.)

Posted by JonasParker at September 13, 2004 10:36 AM

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Comments

Hmmm... it's certainly an interesting debate. We have both private and public schools, and education is seen as a basic human right, so why not private health care?

I have to say that my gut reaction is that it is wrong. It is wrong because private health care is a way for people who can afford it to bypass a public system that is broken instead of working to fix that broken system.

I don't think that many people complain about the "quality" of the public health care they are given (doctors at private clinics aren't any more competent than those in public facilities), it's in the timeliness of the care they are given. The problem, in my mind, has to do with the fact that people have to wait too long to get care - whether critical care or not - not that the actual quality of their care is poor. My mother was on a 2-year waiting list for hip replacement. Once she finally got it, she got the best care ever - she just had to wait forever to get it!

Allowing private clinics means that people with influence (read: the affluent) will not use their influence to fix the public system, but choose to bypass it because they can afford to. There needs to be a sense of urgency around this for all people. The population is only getting older - the time is now!

Posted by: La at September 15, 2004 1:09 PM