Tuesday 27 January 2009

Is Single Tier Health Care a Reality?

Many countries have various religious or national beliefs. Often these beliefs are part of the core view of that country's national identity. The British believe they brought civilization to the world by colonizing as much of it as they could. The French believe that hairy armpits are sexy.
As for Canada? Well we apparently believe that srictly socialized medicine with no room for private care is the only moral form of medicine there is and that anyone who disagrees is a horrible person who wants the poor and elderly to die in the street while the rich are pampered in private hospitals.
Of course, a close look at the systems these zealots defend shows their hypocrisy. In Ontario, for example, there is a claim by the government that we have single tier health care but that really isn't true. There are multiple tiers:
1) Basic - OHIP (Ontario Health Insurance Plan) covers visits to doctors, hospitals and most procedures. But that's it. Drugs and physiotherapy are not covered and msut be paid for out of pocket. Pretty hard if you're one of the "working poor" whose salary barely covers the necessities of life on a monthly basis.
2) OHIP with ODB (Ontario Drug Benefits) - if you're lucky enough to be on social assistance or over 65, you get ODB to go with your OHIP. A good number of prescription drugs are covered (although some, like straight penicillin, aren't) as well as some limited physiotherapy and optometry coverage. But that's more than the schlub with Basic OHIP gets.
3) WSIB (Workplace Safety Insurance Board) - if you're really lucky, you get injured at work. WSIB covers lots more physiotherapy and a wider range of drugs than ODB plus other paramed specialities like occupational therapy, retraining around an injury and much quicker access to important tests like CT and MRI scans for which those on OHIP wait, and wait, and wait...
4) Private plans - for the successfully employed with comprehensive drug plans, life is much easier. Coverage for injuries like the WSIB does but also non-injury related coverage so that you get access to drugs and paramedical specialities. This is a huge thing for people with multiple chronic conditions on 20 drugs or so.
5) Politicians - you really think the prime minister or the provincial premier wait in line at their family doctor's office? Get real.
6) Doctors - you really think I'm gonna wait in line when I get sick? Get real.
7) The United States - for those who want the best quality medicine in the world and who can afford it, the U.S. is only a border away.
So in the end there are 7 tiers I can list all off the top of my head even as our provincial premier (who has spent much of the last few years cutting away what OHIP will cover) styles himself as the fearless defender of single tier health care.
You don't believe in private medicine? Well I don't believe in hypocrites.

1 comment:

E-Man said...

So are you worried about the United States socializing their medicine? I am very worried, but for some reason there are so many Americans that think it is the best way to go. Also, do you think socialized medicine really works or not?