I'm fond of pointing out the stat (true as of a year ago) that Massachusetts (I think it's MA?) has more MRI machines than the entire country of Canada.
I'm fond of pointing out the stat (true as of a year ago) that Massachusetts (I think it's MA?) has more MRI machines than the entire country of Canada.
To me it's crazy that people are waiting an average of nearly 3 months to get imaging. This is probably after waiting a couple months for their doctor's appointment to get the MRI scheduled in the first place.
Is meant to encourage rich people to support the health system since everyone's in it. But in reality the very wealthy go to Buffalo and immigrants visit their home countries.
It's also not lost on public policy experts that MAID has the potential of "solving" a lot of structural problems in Canadian health care and... long and behold MAID has expanded tremendously in ten years.
[1] with some exceptions largely grandfathered in
That's what it means. In Australia it can mean something different.
Introducing parallel private health care is just accelerationism for privatization wonks who want to just see the death of universal healthcare by sucking it dry for those willing to pay.
There's no magic wand with the resources available for healthcare. Creating private systems so rich people can skip the line doesnt magically create that capability, it means taking that capability from someone who maybe needed it more in the public side of things.
Consider, say, food distribution: McDonalds has traditionally made far more money as a private business catering to the tastes of the poor and middle-class than any fancy restaurant ever made catering to the rich. Do fancy restaurants like Per Se "suck up all the resources" needed to cook and serve food? Does the existence of fancy restaurants hurt McDonald's by making it harder to find burger-flippers? And does McDonalds in turn "suck up all the resources" thereby making it harder for people in some other context to find and acquire food? If not, what makes healthcare so different?
If there were a limited number of licensed cooks like there are doctors, it would be far different.
> Diagnostic Testing: Private labs and clinics provide quicker access to diagnostic tests such as MRI scans, blood tests, and X-rays, which can expedite treatment plans.
https://schwartzcohenlaw.com/does-canada-offer-private-healt...
This has to be a brand new sentence (post 1950s anyway).
Think of Steve Jobs jumping to the head of the line for a liver transplant
the article below is interesting, as it goes into the hearsay you repeated and the facts of how the system works.
https://globalbioethics.org/2013/12/11/did-steve-jobs-cut-th...
To restate my now better informed opinion, Jobs money allowed him to increase his chances dramatically of getting a liver transplant.
https://www.statista.com/statistics/282401/density-of-magnet...
Japan is a standout, and then you see most of the West just below them... Canada is way down the list.
Canada is towards the bottom. I see what you did there. I guess I never considered Canada a poor country or one with a bad healthcare system. But at the same time I was only there a few times to a major city and never interacted with their healthcare system.
Not only did I have to wait for my MRI, but as the date approached, I got a call saying that they had canceled it because the insurance refused to cover it. I offered to pay out of pocket. Nope, they simply canceled it.
Of course if you can pay for quicker care in another country, it will seem like care in that country is quicker, but the people living in that country might not have the same privilege. Most of the people I know who move here from outside the US think our system is insane.
There's a billboard on my way to work for a private medical imaging service that offers shorter wait times.
It's sad that seemingly the top result for this search term is an AI slop lead-gen site, rather than the actual source:
>Disclaimer: Wait times shown are estimates based on publicly reported data from the Fraser Institute, CIHI, and provincial health authority reports.
I'm also quite fond of pointing out that Canada and the state of California have roughly the same populations.
Canada's population is incredibly spread out, but also concentrated in about 5 major cities.
When I needed an MRI on my brain is was roughly a week, and that was in a smaller (under 100K people) city.
It's a triage system, although I wouldn't want to suffer through a "less important" issue.
Long wait times (6-12 months+) for MRIs (due to a lack of both machines and technicians) are a frequent complaint by Canadians.
I think private MRIs have been around, at least in my province anyways, for close to 30 years.
Jesus... I can get a chest-abdomen-pelvis MRI on US insurance for less than half of that, and the lead time is measured in weeks at most.
I mean if you have insurance I don't know why it's costing you anything but regardless it's hardly surprising that you're cost is less than the person paying cash ?
I just thought it an amusing anecdote until COVID, and then realized it’s less that said virus would be developed here and more that we have the business idiots to let it loose.
I'll note that COVID-19 "broke out" in Wuhan a city which has a virology laboratory nearby - the Wuhan Institute of Virology, who perform research on viruses.
I'm sure that is completely incidental to the pandemic of 2020-21. Clearly, some rather nasty live food markets are to blame.
It wasn't your numpties wot did it then, it was another lot that time!
It took about 12 hours, much of it waiting for his blood pressure to subside low enough to get admitted (a pre-requisite for the MRI).
This is in a city with of about 750k people and nowhere near Massachusetts.
I'm a doctor working in a government funded public healthcare system, where there is every incentive for the system to NOT do investigations and procedures where there is a poor evidence base. Yet we still waste $BILLIONs every year on them and the majority of this is driven by patient demand.
I frequently get patients where the evidence is for intervention A - that requires the patient to do N amount of work (for example physiotherapy, strengthening exercises) with slow, but real, results. After 15 years of medical practice I can honestly count on one hand how often a patient has genuinely taken an interest in this approach and committed to it. This sentiment is shared across colleagues. The vast majority of patients want a 'quick fix', even when there is no evidence that a quick fix exists.
So they push for intervention B, creating long waits for patients who would genuinely benefit from seeing the interventionist who offers B, resulting in worse outcomes for that cohort.
As the system is free at the point of access patients can simply 'doctor shop' and see as many doctors that are needed until they get one who agrees that intervention B is what is required.
I think it comes from an assumption that lay people have that the body is a machine and if a part of it is broken it can simply be 'fixed'. The truth is, is that the human body and biology are messy. We can't even define broken in a lot of cases, you can have two people with the same finding on a scan and one is in pain and the other is completely symptom free. People find this concept really hard to understand, but most of biology is happening on a microscopic level for which we don't have tests and scans, which again people find hard to accept, that we do not always have an answer. Human biology is not a solved science, not even close. There is also the whole complicated factor of human perception.
Two people can have the exact same experience but have completely different feelings and ideas about it. For one person, post-nasal drip maybe completely distressing and make their life miserable. Another person may have the exact same level of post-nasal drip but it does not bother them at all and they live their entire life with it without ever consulting a doctor. So what partly drives health demand is a patients tolerance and perception of their symptoms, which can change over time.
Don't even get me started with mental health therapy...
My impression is this is a modern civilization stupidity in general.
apropos Dead Kennedys track: https://www.youtube.com/watch?v=lVULKYbAeEo