Someone finally had the guts to come out and say it! Brian Lee Crowley, of the Financial Post, on July 5th had the appalling honesty to say what many Canadians know but don't even like to mention, or hear mentioned by others, that we have one of the worst, if not the worst health care system in the developed world. The heading of Crowley's article is :
"This report just shredded every myth claiming Canadian medicare is superior - or fair"
The report he refers to is the report of the Commonwealth Fund comparing health care systems in the rich industrialized world and it is regarded internationally as being highly reliable.
The humiliation of having deteriorated so rapidly from among the best to the present sad state is so damaging to the pride and hubris of those who boasted 'one of the best health care plans in the world' that they can't cope with it. There are some who still think that, but it only testifies to their lack of knowledge or contact with the system. I know that occasionally folks have good luck but the majority of people who have to depend on the health care system are poorly served. I also know that there are those who know how to manipulate the health care system and that there are the 'elites' who push their way to the head of the queue. No politician or bureaucrat or their army of administridiots stand in the line with the rest of the folks. Oh yes, they will claim all are equal, but as George Orwell said, "some are more equal that others!" The fairness that boast of doesn't exist.
How is it, you may ask, that we declined so rapidly from the best to the worst? Regardless of the fact that we spend a fair amount of money we get poor value for it. A very disproportionate amount goes to paying armies of civil-servants, many of whom are neither civil nor serve very well. Most are not health care professionals of any kind and of those who are, few have real experience serving in the front lines. They attend meetings where they like to hear the sound of their own voices and are frequently resentful of health care professionals who are wiser and more experienced. Large amounts of money are sequestered to provide generous pensions and benefits.
Many of the administrative services that were intimately related to health care were for years provided by doctors and nurses on a pro bono basis - they did it without any personal reward other than that they cared. They were committed individuals, usually with extensive experience in many aspects of health care. Most of them knew what worked and what didn't. Today many hospital administridiots have come up through the financial ranks and know nothing about health care but consider themselves experts anyway.
Because our government is not interested in individual health (unless it's a glamour story) but in votes, they have directed resources away from individuals and towards populations from whom they think they can win the most votes. They play the 'statistics game' and the 'evidence based medicine game', they reward doctors for doing what they and their 'statistical experts' tell them will be cheap and effective and they penalize physicians for spending time on individual patients. The fee schedule has been manipulated to make doctors do what the government want them to do and the Canadian Medical Association and the licensing bodies has kow-towed to them.
The privilege that most free and prosperous societies enjoy of allowing citizens to spend their own money on buying their own health care services is too threatening to the Canadian government, because they don't want the population to realize they are now getting second-rate care. This would save money because some of those closed down operating rooms and wards would become productive, bring more money into the system and shorten waiting lists. Think the government wants that? It is that very lack of competition that allowed the disastrous deterioration to occur virtually without public notice in the first place.
The decline will accelerate as the government brings in more and more unscreened refugees, hands out tax payer dollars by the millions and throws away opportunities that could make life better for all Canadians.
They just want you to go on thinking we have the best health care system in the world!
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