I don’t think a single-payor system is the answer. Yes, profiteers are taking advantage of the lack of access in Canada. And we’re not even talking about concierge care:

Clients willing to shell out a $1,200 enrolment fee and yearly dues of $2,300 can become members of three for-profit medical clinics to open in those three cities this summer by Vancouver-based Copeman Healthcare Inc.

And founder Don Copeman said yesterday he’d like to open similar clinics across Canada in the next few years.

But what some view as a bold challenge to Canada’s coveted public health-care system is already sounding alarm bells.

Health Minister George Smitherman said yesterday the Ontario government is reviewing the legality of such private health-care clinics.

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  • Anonymous

    So what is the answer, then? Is there a system that won’t have flaws?

  • Anonymous

    If Canadians paid the amount of money we pay per capita for healthcare, their system would rock the party.

  • Anonymous

    PROFITEERS!!!!! People are paying for the service they want. Medicine is like any other service: from accounting to housecleaning. The more freedom from restrictions and regulation, the more people will be be able to bargain for optimal service.

  • Anonymous

    “If Canadians paid the amount of money we pay per capita for healthcare, their system would rock the party.”
    I doubt. Why do you think we pay so much for healthcare ?
    Plus one important aspect : they don’t have the money to pay so much.

  • mchebert

    “…the more people will be able to bargain for optimal service.”

    I doubt it. People who most need medical care have no choice in their service or its cost. If you roll into an ER at 3 am with acute appendicitis, you aren’t negotiating with the hospital for a good deal. You take what you can get. Same goes for any emergent care, from acute MI to acute psychosis. That is why there are no effective cost controls in medicine. When care is absolutely needed, right here and right now, there is no room to bargain.

  • Anonymous

    Absolutely – the economic term when I was in college was “impossible negotiation because of time contrainsts.”

    By definition, an emergency makes it impossible to comparison shop.

    Perhaps, in non-urgent settings, there is more of a role so a system with less restrictions and more choice; the problem is that some people will make bad choices (every bought anything that you wished you hadn’t?) and then the situation might turn into an urgent need for care.

    But maybe one price based on a CPT code isn’t the best way…

  • Anonymous

    I urge those who argue that medical care isn’t situated in the market as any other service because of “impossible negotiation because of time contrainsts,” to not be so dense.

    Let’s walk through this. The argument being made is that it is beyond the role or responsibility of the healthcare consumer to plan for an emergency.

    What?

    You know there are provisions in healthcare service to deal with this. I negotiate my insurance. I negotiate my price, after the fact, through several avenues if I’m so inclined.

    Let me be brutal, but on completely sound footing, when I say plan your healthcare to a tee. Shop the emrgency services in Puerto Rico before you take your honeymoon there. Don’t tell me you just “happened” to be in an emergency in this location, so you ended up in this ER and with these costs.

    If you’re incapable of making provisions, for financial or whatever reasons, BEFORE the emergency, then what can you say?

    As for the post directly above, you seem to think “pre-emptive” protection is part of government’s role. “You seem to think…,” it probably should read “most people think”. Still, it doesn’t make the reasoning right.

    Except in the case of poor decisions based on fraud, whose responsibility is it?

    The consumer’s.

    Otherwise, I’m standing here saying, “I’m sorry you dropped out of high school and don’t have the resources to make an informed decision…we’ll make sure you make a good one…” This doesn’t even sound right.

    It is like seat belt laws (although these do have some economic implications). All of the sudden it is government’s role to protect me from myself? Get out of Dodge.

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