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Medical Forum / General / General / December 2004

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The truths about Canada's health care system !

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caesarjbsquitti - 08 Dec 2004 04:55 GMT
The truths about Canada's health care system !

Paradoxes and half-truths !

With the truth about Canada's health system, although even Mr. Romanow
and 22 million dollars could not see, is that it is publically funded,
with most services provided by 'private operations', be they private
corporate doctors, or private clinics.

Nothing wrong with a private clinic, the services are publically
funded, and still universal.  This keeps the public from investing
millions of dollars in capital to fund these operations, compared to
the cost overuns of public hospitals, ie Thunder Bay 285 million spent
on a 150 million plan, with millions of dollars in operating deficit
every year.

Now let us not be fooled by words.  Non-profit charitable hospitals is
an accounting term, that suggests many things, but conceals the
reality that internally alot of profit is being made.  Example, Sick
Childrens in Toronto, some individuals are making over $ 550,000.00 a
year.  Not bad for a non-profitable charitable organization.

Let us get to the key flaw with our current system that victimizes
doctors, patients and good health.  Doctors are paid a measely fee per
visit, that rewards inefficiency, ineffective treatments, referrals,
testing, and disease, and penalizes effective treatment of causes of
diseases, penalizes quality and penalizes good health.  The payment
system creates an inverse relationship with the health of a patient
and the doctors income.  It also sets up a competitive "supply and
demand' system where a shortage of doctors is welcomed by some within
the system.

The better system can be seen in Italy, a more 'truer' public system,
where doctors receive an annual fee, let me repeat that an annual fee
per patient per year, that amounts to a salary.   So indirectly the
doctor is rewarded for effective and efficient treatments, ie using a
phone instead of having you come into the office for simple things,
etc.etc.etc.

Reality is that Italy has more doctors per patient load than most all
countries and better health care system, they are ranked in the top 3
Wyatt/Watson 2000, Canada is ranked 30th,  or right, we are better
than the USA, who is ranked 33rd.  (A deceptive comparison)

The key to unlocking the problems with Canada's health care system
lies in the truth that words do lie, and we must be far more critical
of a system that rewards the negative.  Frankly, I would like to be
healthy, and my doctor living off a great salary, with more of us
enjoying time on the golf course and less time in the office waiting
to be cued in to those short visits, and one question.

Caesar J. B. Squitti
soup_or_power@yahoo.com - 09 Dec 2004 00:19 GMT
It will be interesting to know how Canadians report nosocomials aka
nosycomails, noseikomials, nosickomials in the US.
 
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