Remember that the next time you hear someone sing the praises of single-payer, government run health care programs. Canada’s system is often cited as an ideal model for the United States to emulate. The problem with that, however, is simple: if the US adopts a Canadian style system, where will Canadians go for their health care?
Recognizing their failure to provide timely treatment through the national system, some provincial governments are sending backlogged patients to the United States rather than encouraging Canada’s private sector to pick up the slack.
Demand exceeded supply in 1999 and 2000 for 1,200 Ontario cancer patients who were forced to wait an unacceptably long time for treatment. Providers on both sides of the border acted. Cancer Care Ontario (CCO) and Princess Margaret Hospital in Ontario offered patients the option of receiving radiation therapy at Roswell Park Cancer Institute of Buffalo. “This short-term measure is helping us to ensure that everyone receives treatment within a medically acceptable period,” Ken Shumak, CCO’s president, said at the time.
Pamela Germain, vice president for managed care and outreach at Roswell Park, notes that some patients had waited 14 weeks postsurgery, with eight weeks being the satisfactory outer limit. “We negotiated case rates for breast cancer and prostate cancer and cleared up a backlog of 1,110 patients in two years,” says Germain. Hospitals in Detroit and Cleveland also picked up the slack until provinces purchased new equipment and hired health care professionals to run it.
Canada’s system may be the gold standard for government-run health care, but only if you’re looking for a system that can’t provide essential medical services in a timely manner.
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