Sunday, July 29, 2012

A Conservative's Experience With Canada's Universal Health Care System

The right-wing has told a lot of lies to Americans about how evil single-payer government-run universal health care is, and sadly, too many people believe them -- keeping the United States from joining the rest of the developed world in adopting such a system. The following post from the site Permission To Live is one that I wish all Americans (especially conservatives) would read. It was written by a right-winger who had to live in Canada for a few years, and tells what she learned about "socialized" medicine. She says:

When I moved to Canada in 2008, I was a die-hard conservative Republican. So when I found out that we were going to be covered by Canada’s Universal Health Care, I was somewhat disgusted. This meant we couldn’t choose our own health coverage, or even opt out if we wanted too. It also meant that abortion was covered by our taxes, something I had always believed was horrible. I believed based on my politics that government mandated health care was a violation of my freedom.


When I got pregnant shortly after moving, I was apprehensive. Would I even be able to have a home birth like I had experienced with my first 2 babies? Universal Health Care meant less choice right? So I would be forced to do whatever the medical system dictated regardless of my feelings, because of the government mandate. I even talked some of having my baby across the border in the US, where I could pay out of pocket for whatever birth I wanted. So imagine my surprise when I discovered that Midwives were not only covered by the Universal health care, they were encouraged! Even for hospital births. In Canada, Midwives and Dr's were both respected, and often worked together. . .


Fast forward a little past the Canadian births of my third and fourth babies. I had better prenatal care than I had ever had in the States. I came in regularly for appointments to check on my health and my babies’ health throughout my pregnancy, and I never had to worry about how much a test cost or how much the blood draw fee was. I didn't have to skip my ultrasound because of the expense. With my pregnancies in the States, I had limited my checkups to only a handful to keep costs down. When I went in to get the shot I needed because of my negative blood type, in Canada it was covered. In fact I got the recommended 2 doses instead of the more risky 1 dose because I didn’t have to worry about the expense. I had a wide array of options and flexibility when it came to my birth, and care providers that were more concerned with my health and the health of my baby than how much money they might make based on my birth, or what might impact their reputation best. When health care is universal, doctors are free to recommend and provide the best care for every patient instead of basing their care on what each patient can afford.


I found out that religious rights were still respected. The Catholic hospital in the area did not provide abortions, and they were not required too. I had an amazing medically safe birth, and excellent post-natal care with midwives who had to be trained, certified and approved by the medical system.


I started to feel differently about Universal government mandated and regulated Health care. I realized how many times my family had avoided hospital care because of our lack of coverage. When I mentioned to Canadians that I had been in a car accident as a teen and hadn’t gone into the hospital, they were shocked! Here, you always went to the hospital, just in case. And the back pain I had endured ever since would have been investigated and cared for with whatever X-rays, Physiotherapy or even Surgery that was needed, which would have been at no cost to me. In our particular province, even chiropractic care was provided after a car accident by the provincial care insurance.When I asked for prayers for my little brother who had been burned in an accident, they were all puzzled why the story did not include immediately rushing him to the hospital. When they asked me to clarify and I explained that many people in the States are not insured and they try to put off medical care unless absolutely needed, they literally could not comprehend such a thing.


I started to wonder why I had been so opposed to government mandated Universal Health care. Almost every western country in the world has Universal Insurance of some kind, except the USA. Here in Canada, everyone was covered. If they worked full-time, if they worked part-time, or if they were homeless and lived on the street, they were all entitled to the same level of care if they had a medical need. People actually went in for routine check-ups and caught many of their illnesses early, before they were too advanced to treat. People were free to quit a job they hated, or even start their own business without fear of losing their medical coverage. In fact, the only real complaint I heard about the Universal Health Care from the Canadians themselves, was that sometimes there could be a wait time before a particular medical service could be provided. But even that didn’t seem to be that bad to me, in the States most people had to wait for medical care, or even be denied based on their coverage. Depending on where one lived and how rural the area was, one's access to care could be limited, and that was regardless of what country one lived in. The only people guaranteed immediate and full service in the USA, were those with the best (and most expensive) health coverage or wads of cash they could blow. In Canada, the wait times were usually short, and applied to everyone regardless of wealth. If you were discontent with the wait time (and had the money to cover it) you could always travel out of the country to someplace where you could demand a particular service for a price. Personally, I never experienced excessive wait times, I was accepted for maternity care within a few days or weeks, I was able to find a family care provider nearby easily and quickly, and when a child needed to be brought in for a health concern I was always able to get an appointment within that week. . .


I also discovered that the Canadian government looked out for its families in other ways. The country mandates one year of paid maternity leave, meaning a woman having a baby gets an entire year after the birth of her baby to recover and parent her new baby full-time, while still receiving 55% of her salary and her job back at the end of that year. Either parent can use the leave, so some split it, with one parent staying at home for 6 months and the other staying at home for 6 months. I could hardly believe my ears when I first heard it. In America, women routinely had to return to work after 6 weeks leave, many times unpaid. Many American women lost their jobs when becoming pregnant or having a baby. I knew people who had to go back to work 2 weeks after giving birth just to hang onto their job and continue making enough money to pay the bills. Also every child in Canada gets a monthly cash tax benefit. The wealthier families can put theirs into a savings account to pay for college someday (which also costs far less money in Canada by the way), the not so wealthy can use theirs to buy that car seat or even groceries. In the province we lived in, we also received a monthly day care supplement check for every child under school age. I made more money being a stay at home mom in Canada than I do in the States working a part-time close to a minimum wage job. And none of the things I listed here are considered “welfare” they are available to every Canadian regardless of income. For those with lower incomes than we had there are other supports in place as well. . .


Since all of these benefits are available to everyone, I never heard Canadians talking about capping their incomes to remain lower income and not lose their government provided health coverage. Older people in Canada don’t have to clean out their assets to qualify for some Medicare or Social Security programs, I knew older people who went in for procedure after procedure, and we never heard about dwindling resources, kids paying for their parents medical expenses, or being forced to use up life insurance or funeral savings in order to get the health care they needed. I heard of inheritances being left even amongst the middle classes. Something I had only heard about in wealthy families in the USA.


And lest you think that the Canada system is draining the government resources, their budget is  very close to balanced every year. They’ve had these programs for decades. Last year Canada’s national debt was 586 billion dollars, the USA has 15.5 trillion dollars in national debt. Canada has about one 10th the population of the US, so even accounting for size, the USA is almost 3 times more indebted. And lest you think that taxes are astronomical, our median income taxes each year were only slightly higher than they had been in the States, and we still got a large chunk of it back each year at tax time.


In the end, I don’t see Universal health care as an evil thing anymore.

2 comments:

  1. Not at all surprising. The British complain about their NHS, but when asked to compare it to what we have in the US they say there is no comparison. Canada, Britain, France and others simply cannot comprehend why "if you like the plan you have, you can keep it" would be a sales pitch for what passed as "health care reform" in 2009. Why would we like a plan that had deductibles, copays and limits?

    ReplyDelete
  2. Evan Baldwin6/13/2013 2:12 AM

    With the healthcare lobbies and politics being the way they are it is hard to see how change will come about in the US now.
    http://www.yellowpagesgoesgreen.org/Yukon-OK/Hospitals

    ReplyDelete

ANONYMOUS COMMENTS WILL NOT BE PUBLISHED. And neither will racist,homophobic, or misogynistic comments. I do not mind if you disagree, but make your case in a decent manner.