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General discussion

I thought Canadian health care was great! How can this be?

Feb 1, 2010 8:03PM PST
Canada doesn't have cardiac surgeons able to operate on the Premier of a Canadian province?

Newfoundland and Labrador Premier Danny Williams is set to undergo heart surgery this week in the United States.

CBC News confirmed Monday that Williams, 59, left the province earlier in the day and will have surgery later in the week.

The premier's office provided few details, beyond confirming that he would have heart surgery and saying that it was not necessarily a routine procedure.


That should be the last nail in the coffin of Obamacare, IMO.

Discussion is locked

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How can this be?
Feb 1, 2010 8:19PM PST

Because American Health care is a for profit Health Care system?

Canadians go to America and Americans go to India?

How can that be Devil

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Americans go to India for cheap kidneys
Feb 1, 2010 9:07PM PST

A practice I greatly abhor.

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Well at least...
Feb 2, 2010 2:22AM PST

Well, at least the U.S. has things like the Mayo Clinic and Saint Jude Hospital.

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AND?
Feb 2, 2010 2:35AM PST

They don't charge?

If Danny Boy is going to Mayo or St Jude...I think he/Canadian Government will be paying.

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Mayo clinic...
Feb 2, 2010 3:17AM PST

Mayo clinic is a non-profit organization.
All patients accepted for treatment at St. Jude are treated without regard to the family's ability to pay.

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so...some one or some group pays
Feb 2, 2010 3:42AM PST

for others to have an operation.

That's very nice and generous of the donors.

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Those statements are true for a LOT of hospitals, but ...
Feb 2, 2010 7:50AM PST

Virtually all the hospitals I have had much contact with are non-profit. Almost all hospitals that have received certain government payments (ie: most of them) have a policy of accepting patients regardless of ability to pay.

That doesn't mean they don't expect most patients to pay, or that they won't try to collect the charge if they think the patient CAN pay.

I think it's a safe bet the Canadian PM will be getting a bill.

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Forgive JP, fellas. Canadians don't know about the
Feb 2, 2010 9:39AM PST

charitable foundations that support many hospitals. But you can hardly call the charitable few a dominant factor in the Health Care field. Nevertheless they are among the best examples of US Health Care.

The problem with Newfoundland and Labrador is that it is a relatively sparsely populated province, and may not have a large enough population to retain a staff of very good cardiovascular team there. There are areas in the US that have similar problems of doctor retention, and sufficient support for surgical teams. I remember a couple of documentaries (one about remote areas of Texas)on the issue before I even moved up here.

The other problem is that the surgical lists in Canada are tighter than those in the US. Because much more money goes into the US system, there is a surplus of services available. That's why a Canadian Premier with big bucks in his pocket books surgery in the US rather than in Toronto for example, where there are very good CV surgeons. He can get surgery time on short notice. Dr. Tirone David of the Mt.Sinai Hospital Toronto, turns away job offers to move to the States every year, because he would be working twice as hard and earning about 4 times the money, but wouldn't have time for his kids (that's from a newspaper article here about 15 years ago).

It's a good system here, but is regulated to a degree by the College of Physicians and Surgeons who keep the supply of Doctors limited so as to keep the fees structure higher. They are allowed to set the admissions rate to Universities, and regulate the acceptance of foreign trained doctors. About 20 odd years ago I met a Czech trained doctor and put him in touch with The Ontario Medical Association and a friend who was on the executive. Nothing happened despite his education.

Rob

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RE: I thought Canadian health care was great!
Feb 2, 2010 10:44PM PST

It's so great that patients from the United States and other countries come to the UHN's Peter Munk Cardiac Centre for valve repairs, a procedure developed by Toronto surgeons.


All that being said, heart doctors say there have always been Canadians who, like Mr. Williams, are rich enough that they can choose to get care in the United States at their own expense.

"Having sophisticated, wealthy patients pick the places they want to go is not a new thing," said Dr. Stone. "Someone who has enough money can get on a plane and go anywhere they want for health care.


Lots of Canadians are upset that he is going to the US for the procedure...even though they don't know what the operation is, or who is paying.

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FWIW I just learned that Keifer Sutherland
Feb 17, 2010 6:15AM PST

had two Canadian parents. His mother's maiden name was Douglas; her father was the legendary 'father of the Canadian healthcare system.'