Love it!
Canada
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@Xi:
Anybody know how medical services are provided to Native Americans[NAs](Inuit,or whatever they call themselves in Canada)? Or do NAs even use the Canadian medical establishment?
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By the by, how’s the weather in Bob, :oops: ,I mean Nunavut this time of year? :P
Ohio State Motto : The Bucktoothed State :Dthe First Nations people receive the same medical attention that other Canadians receive, roughly. If they are on reserves, then they are often flown out to tertiary care hospitals or secondary care hospitals depending on their illness/medical need. Same thing goes for the Inuit.
The problems are many with these particular groups as far as health goes. In general reserves are too small to require the services of a physician (never mind a hospital), so these people are often cared for by nurse practitioners (much the same as in other rural environs) - nurses who may prescribe, but usually have the backing of nearby doctors.
Urban Natives receive the same care as non-natives.
The only real difference is that their prescriptions are covered under NIHB (non-insured health benefits - a federal institution) whereas my prescriptions would be covered under pharmacare, a provincial jurisdiction.
Did this answer your questions? Something more specific i might have more facility with. -
c_c_,
Maravilloso es,
you even touched on a point in my first post.Muchas Grouchos! :P
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Just a few points to address with regards to this topic.
Demographics: Canada - pop 30337334, life expectancy: Male 75.3, female 81.3, infant morttality rate 5.7, per capita GDP: 25000, total health expenditures as % GDP 9.3%, public % of total health expenditures 66.7%, per captia total health expenditures $2095
The US - pop 267 954 764, l.e. male 72.8, female 79.5, infant mortality rate 6.55, per captita GDP 26600, total health expenditures as %GDP 14.0%, public % of total health expenditures 46.7%, per captial total helath expenditures $4090.Just to illustrate - life expentancy and infant mortality are two of the most important markers of “health at a glance”. Now even tho’ Canada spends a much smaller percent of its GDP on health than America, all of its citizens as more than adequate insurance (covering nearly everything except elective plastic surgery and experimental/very new drugs), America has around 45 000 000 citizens without ANY health insurance, and another 44-45 000 000 citizens with inadequante health insurance (i.e. will not cover the entire hospital stay in many cases, etc.).
What does this mean? Well, Canada spends less public money on health (and yet health is covered over 66% by public money) where the US spends more public money on health (covering much less, i.e. 46.7% - the rest from private sources), and we have approximately half the per capita expenditures on health than the States, and yet our primary health markers are at least equal to those of the Americans.
Furthermore, Canadian Physicians (and nurses) are better trained than Americans (as evidenced by our performance on the American Board exams) and are regularly woo’d by many states.
When you have a system as efficient and proficient at health, somethings are going to suffer. Canadian physicians do not get paid nearly as much as Americans, so many of them pour across the border. Furthermore when you spend less, you have fewer toys (MRI’s, CT scans, etc.) and nurses so patients, rather than wait, will go south where they may pay for diagnostic (and elective) proceedures to have them done more quickly. In Canada it is impossible (in most practical respects) to pay for medical care aside from pharmaceuticals, and plastic surgery (not including physiotherapy, chiropractic etc.). So in effect, we have a 2-tier system due to our proximity to the states - those who wish to pay for a proceedure simply cross the border. All others stay here, and get things done for free - more slowly, however generally by the most competant physicians in the English speaking world.note; i did not include British, Japanese or Australian figures, although i do have them - too much typing.
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I like free healthcare, but the only problem is the people who abuse it and use it for stupid things like stubbed toes. The waiting can be horrendously long. Several hours just in the express line.
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I like free healthcare, but the only problem is the people who abuse it and use it for stupid things like stubbed toes. The waiting can be horrendously long. Several hours just in the express line.
not enough family physicians means people go to the ER for these little things.
And don’t get me started on the price of bringing someone in from Swan River to Winnipeg for a tummy ache that disappears in a couple of hours blah blah blah. -
Well said, c_c_, well said!
Our system has too many specialists,
trains too many foreigners and then allows them to stay, instead of sending them home where they are needed,
free health care for illegal immigrants,
excessive unnecessary insurance in many cases such as
accident insurance, cancer insurance, dental insurance, and
too much ignorance…I think interns should spend two years overseas to become familiar with diseases uncommon in developed healthier countries. This would benefit the poorer nations and makes the civilized nations a little more so. :D - Xi
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Two words: Brain Drain.
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T_6,
in response to what post?We pledge our full and unconditional
cooperation in the spirit of peace. :evil: :wink: - Xi -
Our system has too many specialists,
trains too many foreigners and then allows them to stay, instead of sending them home where they are needed,
free health care for illegal immigrants,
excessive unnecessary insurance in many cases such as
accident insurance, cancer insurance, dental insurance, and
too much ignorance…This one.
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This is one subject in which I find myself more L(expletive deleted)L than I would like. However, I believe we take the best other countries send, train them, and keep them. We BRAIN DRAIN the world in that way. But I know a couple of doctors(Amerikanskis) who spent time overseas, came back and found cases they “would not have recognized” had they not been abroad[their words, not mine]. That’s my experience, though, not yours, so we’re all entitled . . . - Xi
“Today we can declare: Government is not the problem,
and government is not the solution.
We, the American people, we are the solution.”- William Jefferson Clinton, :roll: , If he only meant it!
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So what seems to be the problem?
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i think Xi is being a little less “Amerocentric” than you are, TG. The fact is that America benefits/profits from the Brain Drain of almost every other country, especially Canada. We lose our best and brightest engineers, computer programmers, physicians, etc. to America yearly. Canada may benefit from a brain drain of other nations, however not nearly as much in the medical sector as we recognise VERY few residency programs outside of Canada as most are considered inferior (including America, India, Britain etc.). This means that we have few qualified physicians replacing the ones drained to America.
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If you have a bold plan to convince American doctors to defect, I’m all ears. No one is forcing them to come here - it is according to their own will. Also we in the States already have a shortage of qualified doctors, and with the amount of trainning required, importing brains is often needed. Plus since Americans are considered ignorant - you may say the brain drain is almost necessary.
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It sounds as though the US is a veritable mental vacuum.
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That’s good. More smart people for me! :D
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The AMA (or whoever is in charge of this) has set quotas on the # of Drs. that will be graduated each year. It keeps the $ where and how the specialists want it(a lot in their pockets.)
Doctors, lawyers and politicians. (expletive deleted)! At least with politicians, we can vote them out of office. Too bad we don’t every chance we get(term limits are a GREAT idea, since all politicians are bad, EXCEPT OURS)! - Xi
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Seriously? There are not even enough doctors to fill the demand.
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@TG:
Seriously? There are not even enough doctors to fill the demand.
and you can imagine that if the States is having this problem, then Canada - a nation still not graduating enough doctors merely to meet the demand, yet hemorrhaging them to the States is in line for a little more trouble.
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It will be hard even to find enough doctors without this AMA restriction. Not that many people are willing to invest so much money and effort - even for a large salary (though in US, many doctors are paid very low).
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@TG:
It will be hard even to find enough doctors without this AMA restriction. Not that many people are willing to invest so much money and effort - even for a large salary (though in US, many doctors are paid very low).
large salary - it’s not just about money, but lifestyle. If a doctor can move from Canada to the US, make the same KIND of money (i.e. maintain a certain standard of living) by working less than half as many hours, and pay fewer taxes, then many of them may do that.
Canadian physicians also enjoy higher status in the US than here much of the time - including better research positions, heads of departments, etc. Due to our training the US is fertile ground for the upwardly mobile.
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