{"id":5881,"date":"2017-10-30T09:04:17","date_gmt":"2017-10-30T13:04:17","guid":{"rendered":"http:\/\/www.ontariohealthcoalition.ca\/?p=5881"},"modified":"2020-05-08T17:49:23","modified_gmt":"2020-05-08T21:49:23","slug":"canadas-health-system-serves-as-model-for-sanders-but-faces-troubles-of-its-own","status":"publish","type":"post","link":"https:\/\/www.ontariohealthcoalition.ca\/index.php\/canadas-health-system-serves-as-model-for-sanders-but-faces-troubles-of-its-own\/","title":{"rendered":"Canada’s health system serves as model for Sanders \u2013 but faces troubles of its own"},"content":{"rendered":"

(October 28, 2017)<\/p>\n

By: Ashifa Kassam, The Guardian<\/p>\n

\"\"<\/p>\n

Bernie Sanders is visiting Toronto this weekend as he pushes universal healthcare in the US. Photograph: Eric Thayer\/Reuters<\/em><\/h6>\n

Bernie Sanders will arrive in Toronto this weekend for a crash course in an\u00a0unrivalled point of pride for most Canadians:\u00a0the country\u2019s healthcare system.<\/p>\n

The visit \u2013 which will include roundtable discussions, facility tours and meetings with patients \u2013 is aimed at better understanding how\u00a0Canada\u00a0provides universal healthcare that yields a longer life expectancy and lower infant mortality rate than the US while spending about half as much per capita.<\/p>\n

What Sanders learns will probably inform his push to provide publicly funded healthcare for every American, forming the backbone of a movement that has repeatedly cited Canada as an example to be followed. But as Sanders heralds Canada as a place where health care needs consistently trump the ability to pay, some are sounding the alarm about the inequalities that plague the Canadian system.<\/p>\n

Some of these are blatant, thanks to the stream of for-profit medical clinics that have set up shop north of the border in recent decades.<\/p>\n

\u201cI think privatisation is a major threat to public health care in Canada,\u201d said Natalie Mehra of the Ontario\u00a0Health\u00a0Coalition.<\/p>\n

Earlier this year, her organisation\u00a0released a report documenting 136 private clinics\u00a0across the country and highlighted that 71 of these were selling faster access to services covered by the country\u2019s health care system. What\u2019s more, the report suggested that many of the clinics were charging patients while also billing the public health care system \u2013 a practice that runs contrary to Canadian law.<\/p>\n

Relying on volunteers to pose as would-be patients, the report documented prices of up to C$10,000 for minor knee surgery and C$5,000 for cataract surgery. \u201cWe found that costs for patients in the private clinics are exorbitant \u2013 up to five times or more than those in the public system,\u201d said Mehra.<\/p>\n

The report was careful not to overstate the role of these clinics, noting that the vast majority of hospital and physician services in Canada continue to be provided within the publicly funded system. \u201cBut the threat is real,\u201d it continued. \u201cIn the majority of provinces, private clinics have set up shop and are charging user fees to patients.\u201d<\/p>\n

Since the report\u2019s release, several groups have pushed the federal government to take action, including\u00a0Canadian Doctors for Medicare. \u201cI think the report was shocking for a lot of Canadians who were seeing some of this information for the first time,\u201d said Danyaal Raza of the organisation.<\/p>\n

Those behind private clinics have defended them as a necessity, describing them as a means of relieving pressure on a system that suffers from some of the longest wait times in the developed world.<\/p>\n

<\/div>\n

Raza pointed to jurisdictions that most resemble Canada, such as Australia, where the introduction of private providers diverted doctors\u2019 time and attention, resulting in longer wait times in the public system. \u201cThe only people who benefitted were people who were able to buy their way to the front of the line,\u201d said Raza.<\/p>\n

An alternative solution may lie in the growing support among Canadians to expand the country\u2019s coverage \u2013 which currently only covers hospitals and physician care \u2013\u00a0to areas such as pharmacare and dental,\u00a0he said.<\/p>\n

The merits of doing so were hinted at in a recent ranking of health systems in wealthy countries by the Commonwealth Fund.<\/p>\n

The US-based thinktank ranked Canada near the bottom\u00a0\u2013 but still ahead of the US \u2013 highlighting the relatively narrow range of coverage and the resulting struggle by many to afford necessities such as vision care or home care.<\/p>\n

Sanders\u2019 plan for Medicare \u2013 which goes much further than Canada\u2019s to include aspects of care such as psychological services and rehab \u2013 laid bare the many gaps in Canada\u2019s system, said Andr\u00e9 Picard,\u00a0who for three decades has reported on Canada\u2019s health care\u00a0for the Globe and Mail.<\/p>\n

Since the 1970s, the amount Canadians spend on private healthcare has remained stable, making up about 30% of all health spending, compared to about 15% in most European countries. \u201cEverybody says we have a public system and I say not really: we have a private system just like every other country,\u201d he said.<\/p>\n

\u201cThe public view is that we have public Medicare and it\u2019s wonderful, it covers everything,\u201d he added. \u201cAnd then when you actually go to care, you realise: it covers my hospital stay but if I need a wheelchair, I\u2019ve got to rent that. And if I need home care, I\u2019ve got to pay for that. And if I need drugs outside of hospital then I need to pay for those.\u201d<\/p>\n

As the Vermont senator touts plans for a far more comprehensive and equitable system south of the border, Picard is among the many in Canada who hope it will prompt Canadians to revisit the glaring gaps in their own system.<\/p>\n

\u201cI don\u2019t think we\u2019re ambitious enough,\u201d he said. \u201cCanada has limited ourselves to doctors and hospitals, and there\u2019s no reason like the rest of the developed world that our public plan couldn\u2019t cover all kinds of things, from dental care, home care to long term care.\u201d<\/p>\n

Click here for original article<\/a><\/span><\/p>\n","protected":false},"excerpt":{"rendered":"

(October 28, 2017) By: Ashifa Kassam, The Guardian Bernie Sanders is visiting Toronto this weekend as he pushes universal healthcare in the US. Photograph: Eric Thayer\/Reuters Bernie Sanders will arrive in Toronto this weekend for a crash course in an\u00a0unrivalled point of pride for most Canadians:\u00a0the country\u2019s healthcare system. The visit \u2013 which will include […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[21],"tags":[],"class_list":["post-5881","post","type-post","status-publish","format-standard","hentry","category-ohc-in-the-news"],"yoast_head":"\nCanada's health system serves as model for Sanders \u2013 but faces troubles of its own - Ontario Health Coalition<\/title>\n<meta name=\"description\" content=\"(October 28, 2017) By: Ashifa Kassam, The Guardian Bernie Sanders is visiting Toronto this weekend as he pushes universal healthcare in the US.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.ontariohealthcoalition.ca\/index.php\/canadas-health-system-serves-as-model-for-sanders-but-faces-troubles-of-its-own\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Canada's health system serves as model for Sanders \u2013 but faces troubles of its own - 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