Put Doc's On Salary

It's time to proletarianize these petit-bourgeoisie self employed businessmen, and put them on salaries in community based medical clinics. Which would include pharmacists, and other complimentary workers like nurse practitioners.

This is not as far fetched as it may seem. Without such a radical grassroots reform expect the CMA businessmen to continue to lobby for contracting out and user fees as their ideals of Medicare reform.

Medical user-fee motion vote narrowly fails

doctors narrowly defeated a controversial user-fee motion at the annual Canadian Medical Association meeting.

The motion, which proposed that patients should help fund their care with "co-payments and health savings accounts," drew support from 48 per cent of voting doctors. Fifty per cent were opposed and two per cent abstained.

"Co-payments" mean patients would pay a fee when they see their doctors or obtain hospital services. "Health savings accounts" would act like registered retirement savings plans, enabling people to stash savings in tax-sheltered accounts, to be spent on medical items like home care, long-term care and prescription drugs.

CMA president wants public and private health care

"My support for universal health care is unequivocal, but I believe the [Canada Health] Act must be revised, reformed and updated," said Day, a founder and owner of the private Cambie Surgery Centre in Vancouver.

He said there could be a role for private health care in our public system.

"I realize it will surprise some of you that I raise this topic," he said. "Let's be clear. Canadians should have the right to private medical insurance when timely access is not available in the public system.

"Contracting out public health services to the private sector to reduce wait lists is not a new idea and does not spell the end of universality."

Prescribing a health-care revolution

The entire health-care system has to be examined with two aims in mind: To offer excellent health care as it is provided now, but using different professionals at a much lower cost.

Let's start with the drug companies. They spend tens of millions on research and promotion and bring out new drugs at an inflated price that are only marginally, if at all, better than the drugs being used. It is estimated that only about one in 20 drugs released for use is of major importance. The government should appoint pharmacists to check these new drugs against what is in use for a particular patient to see if the higher price is reflected in a healthier patient.

All the work done by doctors, dentists, pharmacists, nurses and optometrists must be examined to see if their jobs can be inter-changed at a lower cost. As an example, the Ontario government will soon license dental hygienists to practise independent of dentists. This could change the way basic preventive oral care is offered in Ontario, surely at a lower cost.

In the North, where doctors are scarce, nurse-practitioners do the job of the GPs very successfully.

SEE:

Laundry Workers Fight Privatization

Two Tier Alberta

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Universal Health Care and Charter Schools

The right wing loved Wisconsin when it adopted their Charter School program, despite it's failure, to create a market place in public education or improve test scores.

Now that Wisconsin wants to try socialized medicine ala Canada, well the wailing, wrenching and rendering of political breasts on the right begins.

Let Wisconsin Experiment with Socialized Medicine

John Stossel says " go for it, Wisconsin ". His theory is that perhaps their experience will finally demonstrate for all that the "socialist approach" isn't the way to go. Of course, as you might imagine, "free" health care isn't free: The plan would cost an estimated $15.2 billion, or $3 billion more than the state currently collects in all income, sales and corporate income taxes.

Hopefully the empirical research that results from Wisconsin's experiment with Medicare, will be better than has been done with "For Profit Education" and Charter Schools.



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Ex Pat Attacks Medicare

In their summer issue of City Magazine; American Nativist Right Wing Think Tank; The Manhattan Institute has published an attack on Canadian Medicare,in response to Michael Moores Sicko. And they have an ex Canadian write it for them.

The Ugly Truth About Canadian Health Care
David Gratzer

Socialized medicine has meant rationed care and lack of innovation. Small wonder Canadians are looking to the market.

Once again the American Right carts out the slander of long waiting lines in Canada, confusing as they do 'wait times' for waiting lines, conjuring up as they do images of lines of folks in the Soviet Union waiting for weekly rations of meat and bread.

And while giving examples of the right wing attempt to privatize health care in Canada, the writer misses the underlying point. While Canadians may accept a certain level of privatized services, for delivery of Workers Compensation for instance, they rely upon socialized medicine for the majority of their health care and they like it. Which of course just goes to prove we are socialists.

He is not the only ex-pat shilling for the right wing anti-Medicare lobby in the U.S.

Of course the ideal of a universal health care system that then allows for alternative delivery of some treatments, those too expensive, or experimental, or those needed for workplace injuries, is the basis of health care in Canada and Britain not for some citizens but for all, and finds a supporter in the very voice of Adam Smiths Capitalism; The Economist.

Nobody denies that the insecurity in America has been sharpened by the absence of a comprehensive health-care system. Most Americans still get their health care from their companies: lose your job, and you lose your insurance cover with it. All the main Democrats, but none of the leading Republicans, have promised to provide universal, affordable health care. Interestingly, even the most radical of the Democrats' health plans, that of Mr Edwards (see article), is hardly extremist stuff, relying on the private sector but tweaking the system to make sure that no one falls through the cracks and that costs are controlled.

“WE'RE right at the cusp of an ideological truce on health care,” declares a beaming Ron Wyden. The Democratic senator has reason to be pleased. A version of his Healthy Americans Act, an ambitious health-reform bill aimed at universal coverage that he has already introduced into the Senate, was due to go to the House this week. At that point, his bill will become the first bipartisan, bicameral congressional effort in over a decade to tackle the issue of extending health care to the country's growing legion of uninsured.

Today, though, Americans are increasingly unhappy with the health system. Congressman Brian Baird, a co-sponsor of the House version of the universal-care bill, argues that many millions have lost their employer-provided insurance since the failure of the Clinton plan and even more fear they might. Such widespread insecurity has breathed new life into reform.

That appeals to businesses, which, like individuals, are feeling increasingly insecure as the cost of employee health benefits continues to soar well above the rate of inflation. Wal-Mart, America's biggest retailer, has been loudly pushing for universal coverage, and the current bipartisan efforts in Congress have won praise from General Mills, a big cereal manufacturer, Aetna, an insurance giant, and other firms.

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Privatizing Healthcare

The Law is an ass. In this case the flaws of Canada's Health Accord act are used to get around the principle and spirit of the law. In fact while saying they are not costing the public system a loss of doctors, they are in fact doing just that. But not from B.C.'s jurisdiction, but from the public health care systems in Alberta and Manitoba, where doctors are just as scarce. Which shows why a decentralized provincial system which allows competition for the same human resources is joke when if comes to equalization of services in a federalist state.

Private BC clinic to reopen

The False Creek Urgent Care Centre, which was criticized by some as a direct assault on Canada's public health-care system, agreed to stop admitting B.C. patients within days of its opening last December. Now, after obtaining legal advice and rounding up a roster of out-of-province doctors, the clinic is on stronger legal footing, Chris Freimond said.

And Health Minister George Abbott said this time it appears the private clinic is operating within the law.

The Canada Health Act and the province's Medicare Protection Act prohibit doctors or clinics from billing patients for medically necessary services that are covered by publicly funded medicare.

To get around this legal barrier, Dr. Godley has recruited a team of emergency physicians from outside the province, Mr. Freimond said.

Mr. Abbott said if the clinic hires doctors from outside the B.C. Medical Services Plan, then no laws are being broached.

Mr. Abbott said he was told the clinic has hired two doctors from Alberta and one from Manitoba.

By bringing doctors from out of province, Dr. Godley said the clinic will not be raiding the public system. He added that the clinic will relieve pressure on hospital emergency rooms and help reduce waiting times.

See:

Medicare

Healthcare


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Still Waiting On Wait Times 2

Wait Times reduction is a major priority for the Harper government, right?

Wrong! Gatineau women wait up to 5 months for breast cancer test

And Gatineau is in the governments backyard.

See:

Still Waiting On Wait Times 1

Medicare

Healthcare


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Strange Bedfellows

The politics of universal health care makes for strange bedfellows in the U.S.

Wal-Mart, Unions Unite on Health Care

This united front of business and labour are calling for universal health care. But it is not Canadian style single payer universal medicare.

Joining Wal-Mart Stores Inc. CEO Lee Scott and Service Employees International Union leader Andrew Stern at a Washington press conference were top executives from Intel Corp., AT&T Inc. and Kelly Services Inc., a temporary staffing agency.

The partnership of business and union leaders laid out four main goals, including universal health-care coverage for all Americans and boosting the value of every U.S. dollar spent on health care. The business and union leaders' coalition, dubbed "Better Health Care Together," pledged to convene a national summit by the end of May to recruit others from the private sector, labor, government and non-profits.

If the environment is Canada's top election issue, Health care is going to be the issue in the next U.S. Presidential election.

But will any of the candidates endorse a single payer system like we have in Canada?


Wal-Mart, Union Leaders Collaborate on Health Care- PBS




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