April 21: ‘Universal heath care means nobody gets better access than anyone else – so we all wait.’ How to fix health care in Canada? Plus other letters to the editor
: Of the countries mentioned in comparison, only the United States has no universal coverage and it has terrible outcomes. Only Canada has no private option, and it has mediocre outcomes at high costs. Perhaps there is a lesson here.
In 2017, Canada negotiated 10-year agreements with the provinces and territories. It was based on a statement of shared health priorities which reflected areas for reform and increased investment, such as home care and mental health care. For example, Australian doctors can bill whatever amount they want. In 2019, half a million people spent on average about 450 Australian dollars on specialist services. Those who could not afford it waited to see one of the few specialists who do not extra-bill.
Until we accept that critical distinction, I believe we’ll continue to focus on operational issues such as wait times and surgery backlogs, or resourcing metrics such as expenditures as a percentage of GDP.
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