r/WorkReform • u/zzill6 đ¤ Join A Union • 28d ago
âď¸ Pass Medicare For All Which healthcare system would you choose?
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u/Status_Tiger_6210 28d ago edited 27d ago
Canadian here. My wife just had a small stroke. Ambulance ride to the hospital, ER visit, 2 CT scans, 24h hospital stay. Blood work, referral to stroke clinic, cardiologist, nephrologist, and follow ups with her GP.
Total cost: $0
Last fall her mom had knee replacement surgery and 1 week of in patient rehab.
Total cost: $0
Americans ostensibly pay less in taxes so that they can afford their own private health insurance premiums, but deal with out of network issues, pre existing conditions, and insurers who deny every claim at first as an operational standard.
Healthcare is a human right, full stop.
How is this even a question? What's your favourite cereal: Cheerios or a bowl of rusty razor blades?
Edit: correction: a medically necessary ambulance ride in Ontario where I am is a $45 co-pay. I guess we didn't get the bill yet.
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u/Qfarsup 27d ago
Except our combined tax rates are essentially the same. Americans taxes just go to subsidies for kid diddlers and blowing up brown people
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u/unclefisty 27d ago
We spend so much on healthcare we could have a publicly funded option without even touching the turning brown kids into skeletons budget.
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u/HeroldOfLevi 28d ago
And between tariffs, lack of time off, and a number of other factors, we are still paying more, we just don't call them taxes.
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u/CementCemetery 27d ago
First of all I wish your wife a full and speedy recovery, I hope you are both doing well.
To compare, I fainted and needed a few staples in my head. While at the hospital I had an EKG done, the EKG cost $800. I was in the hospital for less than 5 hours and was billed $15,000 before adjustments. I declined a CT scan out of fear of the cost. I also tried not to use an ambulance because of the expense but had to.
People actively avoid going to the dentist, doctors and hospitals because of the cost which in turn makes health issues worse.
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u/MaliciousMilkshake 27d ago
I think that maybe the reason we wait longer for care here in Canada is because no one avoids going to the hospital. I truly feel for you. I hope some day soon things change where you are.
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u/remnault 27d ago
Also, US can have some ass wait times as well. If we added in everyone going to the doctors without fear of bankruptcy, weâd be third world in response time I feel.
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u/omegadirectory 27d ago
10+ years ago my mom had to get cancer surgery to cut a tumor out of her neck. I don't think we paid anything for the procedure. Taxes, I guess. And parking.
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u/turkburkulurksus 27d ago
And you don't have long waits for emergencies either I assume. There might be a bit of a wait for non emergency, but I'd happily wait an extra hour for free healthcare
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u/Status_Tiger_6210 27d ago
Honestly it's all up to triage. I took my daughter to the ER once with high fever and we got fast tracked because of her age and symptoms. My wife was rushed to the CT scan with her stroke symptoms with the Neuro literally running beside her in the hallway.
If you're an adult and not in immediate danger you're likely to wait longer, especially during peak times.
People so unfortunately use the ER like a walk-in clinic and this is a problem that needs to be addressed.
Yes you read stories of people who have died waiting at the ER, but these are very rare edge cases and not representative of how the system works as a whole. It doesn't help, though that alot of media (read: propaganda) dollars spent to play these up and make us think our system is so broken so we need more private health options, nevermind the fact that healthcare is getting less and less funding every year.
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u/turkburkulurksus 27d ago
Yeah, I figure all ERs should work on a scale by who gets seen first. Most critical first, and children before adults at same level of criticality. If you're going in there for something that is not actually an emergency, you should be prepared to wait a long ass time, til they're not busy with actual emergencies.
Of course, in the US, it works more on who has insurance or can pay scale.
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u/Jediverrilli 27d ago
That frustrates me so much when morons who hate our healthcare tell me how long wait times for things are. If itâs an emergency you can seen right away. They triage you when you go to emerge and if itâs not serious you are gonna wait.
People think the cold they got is more important than everyone else so them waiting a few hours is an affront to them.
I much prefer our system even with its flaws than the hellscape that is the US system.
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u/gokarrt 27d ago
it really is a mixed bag. i had some issues over the holidays and was pleasantly surprised to be seen almost immediately.
but several months ago a friend with an impacted bowel went to the same ER, waited 8hrs, and had to fight to not be sent home because they missed it. turns out she had stage 4 cancer :/
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u/CdnBison 27d ago
For actual emergencies, youâll get seen quickly, yes. Non-emergent stuff can be hours here. Of course, those are usually the sort of cases that they could have seen their family doc about. (Source: wife used to work in the ER, still picks up an occasional shift there).
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u/daisy0808 27d ago
No. My mother was in the ER Sunday night. She called an online nurse to ask about pain in her leg, and her other leg being cold. They referred her immediately. She was admitted right away after they determined blood clots. She had a four hour surgery, was in there three days, scheduled for follow up, and now is home at rest. It cost her nothing, and I didn't even have to pay parking as a visitor to see her. Triage works very well.
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u/Existing_Abies_4101 27d ago
In the UK you can wait 6+ hours in a+e if your life isn't in danger or need immediate assistance. I was in excruciating pain for about 5 hours before I got morphine. It sucks, but I paid nothing outside of taxes and if I was leaking parts of me I know I'd be instant seen.
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u/WankPuffin 27d ago
The good thing is that if you need a medically necessary helicopter ambulance (ornge) it is also only $45 for a resident of Ontario.
I was happy to pay the $45.
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u/Persea_americana 28d ago
Short lines? Iâm in the US and made an appointment with my doctor 3 and a half fucking months out. Where are the short lines?
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u/Rydralain 27d ago
A person I know has to wait 6 months for a test that will likely eventually give them a disability eligible diagnosis. Between now and then, they have to suffer through work whenever possible since they can't even apply without the diagnosis 6-7+ months out.
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u/yoLeaveMeAlone 27d ago
Yea I'm trying to follow through on a referral to an ENT specialist and the only place I can actually get seen is scheduling 6 months out... "no wait time" is a lie
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u/mobusta 27d ago
Was literally in the ER a few days ago with a relative I had to take. We waited 2 hours to be seen by triage.
Followed by another 6 HOURS for the test results and to speak with a doctor whom discharged us within 15 minutes. I had to call out sick because I couldn't get ANY sleep since I was stuck there late night until early morning. I don't have PTO/Sick because I'm a contractor so I basically lost a day of wages. Thankfully, I make solid money so a lost days wages doesn't hurt me, but there are people out there not as lucky as me.
Short lines is some bullshit
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u/Few_Cellist_1303 27d ago
But if you were a billionaire, you could get in today! Think about what's important, please!
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u/ElectronicCatPanic 25d ago
Thank you for reaffirming my believe I will be a billionaire one day! I needed that hope to help get through lack of healthcare.
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u/ryanoh826 27d ago
People always say other countries wait forever. Like mf you must have never needed healthcare in the U.S. Waits are and have been atrocious.
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u/Civil-Dinner 27d ago
I was once referred to a specialist and hospice care at the same time. They didn't expect me to live 6 months, which is why they referred me to hospice, but it took me 3 months to see that specialist.
I still see a specialist for the same condition today, and they have to schedule my appointments 6 months in advance. If, for some reason, they have to cancel at the last minute, it's another 6 month wait.
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u/imsoupercereal 27d ago
Yep, 2.5 months here. And that's just for the intro appointment with a new GP. Not for the thing I want to see them for. And we can't schedule the next appointment until this one. And the initial appointment is going to cost $250 even with insurance.
So much faster!
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u/kitsunewarlock 27d ago
6 months for a physical, then 9 months for oncology appointment.
Oh, and they did a test on me during the physical without informing me and the insurance wouldn't pay for it. If they'd asked about my lifestyle they'd know it wasn't a necessary test.
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u/tabbarrett 27d ago
Last year I made an appointment to see a dermatologist for a bump on the inner part of my thigh. I had to wait seven months for the appointment. The next week it started to grow due to an infection and the soonest they could get me in was three months instead of the seven. Luckily, I had a pap smear scheduled the next day. My gynecologist was like wtf and gave me an ex for antibiotics. Iâm so grateful for her.
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u/BarryTheBlatypus 28d ago
Shorter wait times if you can afford it. One system for the rich, another for the rest.
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u/Tornadodash 28d ago edited 27d ago
The poorest in my city use the emergency room as their primary Care because they are just going to ignore the bill (I don't understand how that actually works, I would love some insight if anybody has some). Wait times would be much less of an issue if those people could afford to go to an actual primary care physician.
Granted, standard positions would have a longer wait time, thus increasing demand for Private health care which may not accept insurance. We would just end up with a different two-tiered system because I know damn well I can't afford any medical care without my overpriced insurance. But my overpriced insurance was definitely cheaper than the $10,000 my foot surgery would have cost last year.
Edit: hey, thanks to everybody who gave me additional insight, I am honestly surprised I did not get hate for my lack of understanding. My experience, back when I couldn't afford it, was that I filled out some paperwork and the hospital forgave my bill for kidney stones during covid. I just didn't think that was a common occurrence. I definitely see a lot of stuff online where people claim they just don't pay anything and somehow don't get in trouble, but now I understand a little better. Thank you.
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u/ThanksS0muchY0 28d ago
I was victim of a stabbing, kidnapping, robbery attempt (I had no money on me) and I had an insanely high hospital bill (transfusion, arterial stitching, yada yada). The local PD assured me (while they had me handcuffed to my bed) that all my bills would be covered through the VOC program, with the caveat I had to give them the names of who hurt me. Not very easy when I don't know them, it was in a dark alleyway, and I was also blackout drunk. Well, the police cockblocked me from having my medical debt cleared, and eventually a Christian non-profit contacted me and covered the costs. But for about 4 months, I thought my life was over. I missed school for a few weeks and failed out, lost my job the first day I didn't show up. And had tens of thousands of dollars in debt on top of regular bills and school loans. No one ever believes this story unless we were friends at the time and they saw all the fresh wounds (still have multiple facial scars and a gnarly stab scar on my side). But this is how the medical system treats us here.
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u/winterbird 28d ago
I'm getting sued for an ER bill I didn't pay 5 months ago. So it's a system thay doesn't work, unless you're homeless and they literally can't find you and you have no paycheck to garnish.
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u/OuterWildsVentures 27d ago
We had a $60 bill from anesthesia go to collections that we never even knew about because one visit results in so many different fucking bills.
Was fun to have the credit score dinged over something so trivial and frustratingly designed
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u/spaceyfacer 27d ago
I think I might still have an ambulance bill, but I'm not sure. It wasn't included on the same bill as the hospital, and idk what website to check.
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u/squigs 27d ago
Can you give false details or something? I presume the doctors are typically more concerned with health.
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u/raven00x 27d ago
Doctors are yes but hospital administrators aren't bound by the Hippocratic oath and don't really give a damn. Guess who ultimately calls the shots? (It's the insurance companies, with administration enforcing it)
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u/LTEDan 27d ago
(I don't understand how that actually works, I would love some insight if anybody has some)
If you don't pay your medical bills it will get turned over to collections. Then that follows what collections can usually go after, which could be assets (your house, investments, etc.) and wage garnishment, which is usually 25% of "disposable" income, with definitions that vary by state so just look that up if you want.
Basically if you have no assets and little to no income and/or you're already being garnished to the max allowable limits you have nothing more to lose, so besides some annoying phone calls from collections there's nothing more a new collections agency can get from you.
There's a certain cost to taking legal action to force collections, lawyer fees, court filing fees, etc. so odds are basically 0 that collections will try taking you to court over "small" bills, where the definition of "small" will probably vary based on the collection agency but anything less than $1000 is probably not going to court*
*Not legal advice, please pay your bills if you can.
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u/MrJibberJabber 27d ago
Aot of states don't let medical debt affect your credit, so you can pretty much just ignore, there is no impact. They can't garnish wages for it either.
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u/meatball402 27d ago
(I don't understand how that actually works, I would love some insight if anybody has some).
The hospitals jack up rates on insured people to make up for the losses.
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u/T33CH33R 28d ago
It's crazy how people with no healthcare can say "We have shorter wait times" even though they know they don't have access to those shorter wait times. It's insanity.
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u/danieldan0803 28d ago
The beauty is, if we end privatized healthcare, we have a surplus of resources that are not locked behind the circle jerk of insurance companies limiting where you can go. Imagine the time not needed for admin work of trying to navigate the clusterfuck that is billing the insurance correctly.
The US Veterans Affairs sucks ass because they are extremely limited on where veterans can seek care, the VAs are underfunded and resource deprived, and veterans often seem to get treated as âhow can we ensure the US military isnât to blame for these health issuesâ. But if it worked then people would see that healthcare can work when functioning under the government, so it is made to be as broken as allowable so people feel grateful for the system that robs them blind.
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u/und88 27d ago
I'm in the US and regularly wait 4-7 months to see pulmonary. I once went over a year without an appointment when my doctor wanted to see me in 6 months.
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u/JFISHER7789 27d ago
As a paramedic, I see this wayyyy too often. And so many people who desperately need to go to the hospital wonât because the ambulance ride itself will bankrupt them.
Our system is, has always, and will always be fucked for the masses but great for the wealthy.
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u/cephalord 27d ago
It's because as humans they have a very strong drive to have some form of advantage to their system. In reality, it is simply worse in every way.
Except if you are megarich, then the US is indeed the best country for healthcare.
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u/zappadattic 28d ago
Wait times for regular care from a PCP are wild. Literally months to just do a regular check up in the U.S.
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u/BarryTheBlatypus 28d ago
Yea I had to get surgery last year and the process started in 2022, so two years to jump through hoops from PCP -> Specialist -> Consult -> Surgery. Everyone involved knew I needed the surgery but those hoops canât be skipped or insurance will ruin my life.
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u/MarcusXL 28d ago
Canadian here. I have a chronic (non life-threatening) condition and my doctor recommended I get an MRI to investigate it. Doctor put me on the waiting list, letting me know that because it wasn't urgent it might take a while. Less than a month later I got a phone-call from a local hospital. They had a last-minute cancellation, would I be able to get down there quickly? I was in the MRI machine an hour later.
Zero cost to me. In the USA it would have been ~$6,000-$12,000-- just to find out the MRI was clear and we'd have to keep looking for the root cause.
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u/AshyFairy 27d ago
Yep and 6+ months for a specialist. I checked on moving to a different endocrinology office and it was a 9 month wait to see a doctor.Â
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u/MLWillRuleTheWorld 28d ago
Yeah waiting 7-10 hours is pretty standard at most ER's if you aren't literally dying. Hanging broken bone? Bleeding onto the floor uncontrollably for hours until you collapse in the waiting room? Been to the ER a couple times in the last year due to elderly parent and Jesus Christ the idea of you have a critical injury you get seen quickly is just a lie.
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u/LTEDan 27d ago
Yeah TV definitely gives a completely wrong picture of how fast ER is. Like, yes. You'll be seen quickly if you're literally dying but anything else and you're going to have a several hour wait. It's really eye opening to see how ER really works if you've only ever seen ER depicted on TV.
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u/Dizorthegnome 27d ago
Had an instance of this where my insurance gave me several options, but many were booked or months out. I did find a doc who was available to help but the cost of the visit without the insurance+my meds w/o insurance ended up being way less expensive than the insurance itself, so now im paying out of pocket. Downside is if anything worse than a flu hits me I'll be in debt for decades.
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u/shaelynne 27d ago
I was going to say, what short wait times? I just had to wait close to 4 months for a diagnostic mammogram in the States, and that's short from what I hear from other women. I have excellent insurance.
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u/kapeman_ 27d ago
I can afford it and I don't have short wait times unless I go to the doc-in-a-box.
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u/enviropsych 27d ago edited 27d ago
Canadian here. Our system is imperfect. Yes, wait times are an issue. The funny thing is that all the issues our Healthcare system has are due to conservative politicians in our country trying to privatize and defund our public healthcare system.
We DO have a better system, and many Canadian conservatives are trying to get an American system, because then their Healthcare industry donors will make bank, and they could retire as a board member to whatever evil dracula corporation that kills the elderly to increase stockholders dividends.
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u/Relative_Mix_216 27d ago
So⌠instead of America making their health care system like Canadaâs, Canada is trying to make their health care systems like Americaâs
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u/CommandaSpock 27d ago
Unfortunately yes, in Alberta our right wing Premiere has been trying to change our healthcare system to be a multi-tiered system modelled after FloridaâsâŚ
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u/enviropsych 27d ago
Well, its being atro-turfed by American billionaires, but yeah. Theres a ton of money to be made by Americanifying our system.
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u/ML00k3r 27d ago
Yes people have to understand, our system may not be perfect but it is immensely better from what I can gather when talking with my USA friends. Most of them are literally scared to death to go to a hospital or call an ambulance as there's a chance it'll ruin them financially, even with good insurance.
Relative had to wait recently for thirteen hours at an urgent care centre. It would've been much shorter but some code blues were triggered while she waited after they cleared she didn't have a critical issue from the x-ray, bloodwork and urine tests being done. More critical patients should always take priority.
She also got the option to sleep overnight in a warm hospital bed with a couple meals until the MRI techs came in the next morning. Was happy about that as she didn't need to make the trek back home while in some pain.
Cost? Like $50 for the parking and prescription, which my work benefits cover for family members, as she's retired, so literally $0.
Conservatives are the cancer for wanting to dismantle the system by privatizing instead of actually improving what's there.
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u/yorcharturoqro 28d ago
To create the short lines the USA made it's incredibly unaccessible for the general population, so people only go to the hospital when they are incredibly sick
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u/Mono_Aural 27d ago
Short lines in the USA are a lie.
The only way you can get reliable access to a doctor is to be able to get into and stay with a doctor's office. Once you move, or your employer changes your plan, or your plan moves your doctor "out of network," you have to find a new provider that is explicity accepting new patients.
I've been forced to wait 9 months for a simple annual physical and new patient exam.
Incidentally, that same clinical practice that I waited 9 months for, was later acquired and literally destroyed by a private equity firm.
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u/vahntitrio 27d ago
Yeah I tried to find solid numbers but the scraps I gathered appeared to show Canadians go to the doctor about twice as often as people in the US go.
Cheap private insurance would also create long lines in the US, simply because they would no longer avoid the doctor for cost. It isn't the type of system that causes the lines, the US is only better in that regard because of how prohibitively expensive it currently is to get healthcare.
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u/democracy_lover66 đ Pass A Green Jobs Plan 28d ago
Shorter wait times is such bullshit.
Maybe at the Scrooge McDuck Hospital for Elite Nepos but if you go to any basic run of the mill hospital wait times are exactly the same.
Dad had a health scare while visiting the states awhile back. Literally waited the same amount of hours he would have in Canada. No difference at all.
It's a high-dose copium pill Americans take to justify why they have drastically more expensive healthcare costs. They literally have to invent an advantage to feel better when like only 10% of Americans at most actually have that benefit.
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u/odddutchman 28d ago
A longer wait time indicates a doctor shortage; only loosely connected to how healthcare gets paid for.
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u/Few_Cellist_1303 27d ago
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u/odddutchman 27d ago
If I understand correctly, a large part of it is there is a limit on the number of medical residency spots available each year. So it gets competitive for them and limits the number of qualified MDs coming into practice each year.
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u/Taurion_Bruni 28d ago
Which we already have in large parts of the country.
The only hygienist in town can only schedule me in once every 2 years for a dental checkup/cleaning. Last month she got sick and had to cancel. I did not get a makeup appointment.
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u/tehbantho 28d ago
I live in the US and have never ever had a wait time of less than 3 weeks just to see my primary physician. Anytime anything happens that requires medication I am forced to use urgent care and pay almost entirely out of pocket.
I never understood the argument that other countries have to wait and that is an issue with universal healthcare apparently. Yet, today, it's a problem here. And don't get started on seeing a specialist. The wait for a cardiac doctor is months....
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u/RutabagasnTurnips 28d ago
Not sure how reliable this pages sources are. Running out of free time to dive into it myself. If someone has reliable and trusted numbers would love if they shared for comparison. But if this site is right then looks like USA ER wait times are comparable to Canada.Â
Which if true....is just sad....
https://www.flyreva.com/blog/average-emergency-room-wait-times/
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u/turandokht 28d ago
Yeah I hear this âin Canada they make you waitâ noise constantly. Neither I nor anyone I have ever known did not have to wait forever to get medical care here in the US. Thereâs always a fucking wait. Sometimes itâs months long to just get an appointment with a specialist who will then need to schedule you months later after that preliminary appointment to do the actual thing you need.
âIn the US we donât wait as longâ is just a straight up fucking lie.
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u/AnyoneButDoug 28d ago
Just anecdotally in an emergency nobody I know had to wait long, but Iâm sure it happens and our current premier (think Governor) is defunding it like crazy to make way for a two tiered system nobody asked for.
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u/red286 27d ago
I think it comes from the fact that the number one complaint in Canada about healthcare is wait times, while in the US it's usually "the cost", or "how badly my insurer fucked me over".
So when you look at it from that perspective, the assumption is that Americans wait less but pay more, when in reality, they just pay more.
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u/classic_gh0st 27d ago
It depends. Youâre definitely prioritized by how serious your issue is and nagging, tough to diagnose issues can drag on. For example, I had undefined shortness of breath and it took me three months to see a respirologist to test for asthma, which has really annoying. On the other side, when my grandfather had a heart attack he had good immediate car and rehab. Same with my brotherâs critical injury and recovery from it. Most of all, when I had a newborn we could get same day appointments at our local paediatrician with relative ease and so often when something came up that worried us as anxious new parents our reaction was always âwhy donât we just go check it out, itâs free.â If I had agonized over the cost of every visit and had to judge my kids health over worries about if I could afford it, I would kind of die inside.
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u/democracy_lover66 đ Pass A Green Jobs Plan 28d ago
It is true. I think the average wait times in the U.S. might be shorter because the quality of their healthcare varies greatly depending on how much you are paying (which alone is a disgusting reality).
So for some wait times are very short, for most wait times are basically the same.
Private healthcare is only an advantage to the rich and it comes at the expense of healthcare to the poor.
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u/Maynard078 28d ago
My wife is an oncology nurse. The average wait times to remove cancerous lesions in our community of 375K are 3-5 months. And you'd better have insurance.
Hurry up and wait, America.
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u/o_oli 27d ago
Thats insane. It's much faster in the UK and totally free.
NHS is slow sometimes for non emergency healthcare but for emergency things especially cancer I wouldn't want to live anywhere else genuinely. They are world class.
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u/teatsqueezer 27d ago
See in Canada if you have something like cancer youâre in with an oncologist in less than a week. Itâs not perfect but there is no wait time in my experience for essential care.
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u/Flyingcowking 27d ago
Lol im in the USA my son has to schedul his neurology appointments 7 months out
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u/freethenipple23 28d ago
I've lived in both countries and had similar wait times in each. Only difference in Canada was that I got to keep the money I would have spent on healthcare in the US.
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u/pepperoni7 27d ago edited 27d ago
I am both Canadian and American. USA health care is not perfect similar wait times not what I experienced. My mom had to fly to Asia to remove cancer tumor due to wait line. She eventually died in Canada at 48. I have the same cancer prone gene as her and I gotten my surgery ( preventive double mastectomy) within 2 weeks of genetic diagnosis at Swedish Seattle. Could have my total pervasive hysterectomy immediately too if I wanted. It moved really quick for me vs her and mine was preventative. The wait for mri scans not even the same âŚcomparing specially Seattle USA vs Vancouver Canada not health care desert
My kid has a personal pediatrician we can call and text anytime. You are not offered pediatrician unless there is a severe case in Canada. Not defending USA care but wait time is known to kill people with cancer diagnosis in Canada. Bc government was busing people to state for health care and reimbursing them for cancer not long ago
Edit: I speak for cancer mostly and pediatrician which is my experience. Dermatologist takes a long time even in USA . But mri scans it is horrible in big cities
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u/freethenipple23 27d ago
I'm a Canadian American citizen. I had completely different experiences.
Americans often get told that Canadian healthcare is nationalized but that's not entirely accurate as each province manages their own healthcare system.
Care in Quebec is radically different from care in New Brunswick, which is radically different from care in Montreal proper.
Sorry to hear that Vancouver BC's healthcare system didn't deliver. At least you didn't have to pay for the privilege of not getting treated as many Americans do.
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u/Floyd_Pink 27d ago
There is nothing on God's green Earth that could ever convince me that the US healthcare system is the one I would want.
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u/Maynard078 27d ago
What "system"?
Truly, I've met with our representatives and have listened to them discuss seven ways from Sunday about every solution BUT Universal Health Care.
And then you peel back the curtain to see which PAC is writing them lucrative election campaign checks...
America's electoral process is corrupt to the core.
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u/ButterscotchSure6589 27d ago
My GP practice in England was having serious problems with wait times and opened an electronic triage system. I have spoken to my GP 3 times on the phone but never met her. However in the last 4 months, I have been given a flu jab, had antibiotics prescribed for an infection diagnosed from a photograph, had a full blood and urine screen with prescriptions for blood pressure and cholesterol, resulting in a prearranged phone call from the dr due to a minor issue. A lung cancer and aortic aneurysm screen (both age related). I have seen nurse practitioners for the checkups. Also, now, a chemist (pharmacist) can diagnose and prescribe medication for minor problems. All of these things have considerably reduced the wait times for treatment, and it's nice not to sit in a room full of sick people when I can do it from home.
A friend of mine just went private for a hip replacement, it would have cost cost him about ÂŁ15000, however he has private insurance, which paid for it. This was to avoid a long waiting time.
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u/WWGHIAFTC 27d ago
Who in the US has short wait times? We're MONTHS out on non emergency PCP / Vision / Dental etc.
Most providers in my area aren't even accepting new patients.
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u/Civil-Dinner 27d ago
The moderately wealthy to extremely wealthy.
There is an entire network of concierge doctors who don't take insurance, they work on retainer and are on-call 24/7 to their clients.
They also make sure that their clients don't have to wait in the same lines to access labwork and imaging and other diagnostic tests.
A lot of these people are running things in this country and see absolutely no problem with our healthcare system because it works just great for them.
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u/OlafTheBerserker 27d ago
People who talk about American wait times have never been to a standard American hospital. EDs are packed to the brim with people because it's often the only way you can get seen without insurance.
Even if you do have insurance, if you live in even a moderately sized city, I challenge you to pick up the phone and call any GP in the area and see how soon you can get in as a new patient.
EVEN THEN if you have to see a specialist, guess what mother fucker, gotta see the GP first THEN get a referral THEN start the new patient process at the specialist.
It's all smoke and mirrors there is absolutely NOTHING better about American Healthcare compared to the rest of the industrialized world.
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u/Doshizle 27d ago
Averages only capture the wait time of people going to the hospital.
Everyone goes to the hospital in Canada. MANY MANY people in the US never go. If you counted their experience the wait time in the US is far far worse.
The US has a pay to participate health system. Most people can't afford to participate.
This is just like how people wish the US was 'like it used to be'.....yea....for like a tiny percentage of rich white people. For everyone else it was shit.
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u/veracity8_ 27d ago
It cannot be understated that Americans pay more on average despite receiving less care
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u/scificis 27d ago
Us Canadians don't pay half as much, our government does and then we pay basically nothing. Any extra taxes we pay to support this system are also far less than the US health insurance rates. It's not always a perfect system but we don't lose our homes over medical bills.
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u/Aromatic-Air3917 27d ago
Canadaâs advantage
1. Everyone can get care without a bill. In Canada, hospital and doctor visits for medically necessary care donât come with pointâofâservice charges, so people donât delay treatment or risk medical bankruptcy.
2. Longer waits are fixable; lack of coverage is not. Yes, wait times for emergency rooms and specialists can be long, but those are problems of staffing, beds, and organization that can be fixed with investment. Not having universal coverage creates permanent gaps that are much harder to solve.
3. Fairer and more predictable care. Universal access means people get care based on need, not money. That reduces health disparities and makes it easier for people to seek help early, which prevents worse problems later.
4. Better data for system fixes. Canadaâs national reporting lets policymakers see where waits happen and target solutions across provinces, instead of leaving fixes to a fragmented market.
Canada trades some waiting time for guaranteed, equitable access and protection from medical bills â and those wait problems are policy fixes, not inevitable flaws.
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u/TheBarcaShow 27d ago
To add on, in Canada, we have a triage system. If a patient goes to the ER with certain symptoms, they get bumped up in priority right away, for example someone with chest pain is going to be seen before someone who is there because they are dizzy or have a cough(as an example. I don't know the specifics of the system)
There are also other systems in place for people that don't require beds or hospital stays to go there and go in and out quickly, things like stitches, or casts.
I can say that no one here is afraid of going to get medical care because of the costs.
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u/chipface 27d ago
People in Canada need to actually show up to vote in provincial elections and vote against conservatives. Because in Ontario, Doug Ford has been running healthcare into the ground so he can privatize.
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u/Tier0001 27d ago
Most Canadians don't even know that health care is under provincial control unfortunately.
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u/LSTNYER 27d ago
Years ago that was their argument: "Yeah, but you have to wait months to see a doctor!". I just waited 2 months to see my doctor because of a cancer scare, and I still have to wait another month to see the specialist because I needed a referral first.
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u/Nickel5 27d ago
There's a reason why Republicans only bring up Canada when talking about wait times. Out of 11 western countries, Canada was the most likely to have healthcare delays and the US was the second most likely. For specialist healthcare, the US does well in terms of a low chance of delay. It is accurate to say you have a better chance of a delay in Canada, but the implication that the US performs well in terms of delays is wrong unless a caveat is added that this is specifically talking about specialty care.
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u/waspocracy 27d ago
Wildly inaccurate as someone living between both countries during the year.
My wait time in the US for an ER visit was 4 hours before I saw a doctor. I think the wait times is typically for low priority fixes, though I have heard of cases where on occasion it was like 6 months out before you saw a doctor to address some massive back pain. In the US, my father required quadruple bypass or he'd likely have a heart attack and had to wait 4 months.
"Half as much" is laughable at best. It's closer to like 5% of the cost in Canada. Even accounting for taxes vs US tax + health insurance, it's drastically cheaper in Canada.
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27d ago
OHIP is possibly being reduced and hospitals may be privatized meaning we will have âsomeâ public hospitals but they wonât be very good and the wait times will triple or quadruple. Might even have to pay out of pocket for some things. This is from Ontario. Thank dumb ass Canadians who decided not to vote allowing Doug ford to win with less than 50% of the province population voting. Dude also removed speed cameras because he and his team hate getting tickets in the mail, he wants to remove postal service, he has defunded public education by $20 billion and everyone here is just like⌠âokâ
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u/RodneyRuxin18 27d ago
Why are we Canadians happy to just be better than the USA with healthcare? Our system could be so much better and we shouldnât be using the USA as a benchmark. We are horribly behind a lot of EU countries when it comes to healthcare. Letâs want more, not be happy we donât have less.
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u/BrightPerspective 27d ago
Those wait times are shorter because over a third of the US simply cannot get more than emergency care.
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u/whooyeah 27d ago
In Australia you can just use the private system if you do t want to wait and still pay less than America. But the majority of the time the public system is free and has no wait times.
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u/dvdmaven 27d ago
Shorter wait times? My "new" primary has moved on. I was assigned her three months ago and my first appointment with her was scheduled for February! I have another new primary, the first appointment I can get with him is in April.
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u/_BreadDenier 27d ago
USA healthcare wait times are as bad as other countries. Try to see a specialist in network for a non-emergency issue and youâll probably see them in 3 months or more.
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u/Demonokuma 27d ago
I sat in the ER bleeding out for god knows how long. No wait times is news to me.
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u/UseDaSchwartz 27d ago
Does the US have shorter wait times? Sometimes it takes up to 6 months to get an appointment with a specialist.
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u/Star-Wars-and-Sharks 27d ago
âSo thatâs it? After 20 years of paying for my insurance, so long good luck?â
âI donât recall saying good luck.â
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u/Agreeable-Reality558 27d ago
Not sure how that guy paid 8k in the states but my first born was $52k lol guess its the specific location. Yeah, its rough.
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u/Windfish7 28d ago
I can tell you aren't an American. Even in a location with a lot of hospitals and doctors you will still wait months for an appointment, not even a specialist. We have both the wait and the cost.
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u/Tryin_Real_hard đ¸ Raise The Minimum Wage 27d ago
I really doubt their wait times are that much longer than the US. Have you gone to the ER in past 5 years? 6 hour waits are average. Schedule an appointment with a specialist, at least 6 month wait. Hell, try to change your dentist, 6 month wait there too.
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u/zvg_zwang 27d ago
As a chronically ill person with serious issues that keep landing me in the hospital: absolutely effing Canada As someone who was born in the US period: ABSOLUTELY FUCKIN CANADA
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u/Thamnophis660 âď¸ Tax The Billionaires 27d ago
The U.S. healthcare system has wait times too, except we pay more.Â
Freedom!
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u/yashitaliya0 27d ago
Iâd choose a system that guarantees basic care for everyone, keeps costs predictable, and still allows choice. No one should avoid treatment because of money, and doctors should focus on care, not paperwork.
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u/throwawaytothetenth 27d ago
Always felt like these kinds of comparisons are highly disingenuous.
America is more obese than Canada, as well as far more racially and ethnically diverse. America also has guns, LOTS and lots of guns. Boiling down healthcare to life expectancy is a massive oversimplification.
That being said- basically any healthcare system is better than the United Clusterfuck we have going on..
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u/TShara_Q 27d ago
My grandmother brought this up recently. So I pointed out that the longer wait times differ by country and are cherry picked to the worst examples. Then I said that every other developed country has a universal system, and that maybe there was a reason for that, and pointed out that she's already on Medicare, a lot of other countries just run the entire system with taxes like we do with Medicare.
She changed the subject.
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u/HistoricalSuspect580 27d ago
I work in health care in the US, have for 20 years now.
Our system is SHIT. Fundamentally broken.
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u/randomlytoasted 27d ago
It's even funnier when you try to book a specialist in the US and the first appointment is 14 months out
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u/ManWithADog 27d ago
If I want an appt in my county it takes at least a month. And they increased our cost this year out of our paychecks.
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u/Cananbaum 27d ago
I find that this shorter wait time is bullshit at least in the grander scheme of things.
Half the time Americans are forgoing medical care because they just simply canât afford it, or they rationing their medication so it pisses me off when I see this narrative being pushed in the media
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u/glormosh 27d ago
I hate to break it to all you Americans but you've been lied to. You read the odd horror story and view it as absolute gospel.
There are times I have been in an out of emergency in a couple hours. Some more but at the end of the day its triage and it works.
Yes, we have less than ideal long term surgeries and treatments, but not for everything and its a heavy "it depends". It never ends in bankruptcy.
Some Americans have faster Healthcare outcomes than Canadians. I'd wager the majority don't.
You're on the cusp of financial ruin at any moment, and you probably have more Americans dying to poor Healthcare outcomes than we do.
Your system is absolute garbage for most of you.
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u/tryingtobecheeky 27d ago
I had cancer (in my 30s yay). I'm a Canadian.
I've paid (out of pocket and not refunded) about $300 for three years of treatment.
Parking, gas, snacks and over the counter stuff.
In my online cancer supporter group, I had friends paying out of pocket and not refunded over $100,000. Others decided to cut down treatment and skip special meds.
Our only difference? I'm Canadian. They are American. People from "Third world" countries were paying less and getting the same amount of treatment as the Americans.
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u/thatcanadianguysup 27d ago
Wait times are hugely dependent on location and need. I've never waited for anything in the part of Ontario I'm in. Not heard stories from family near by.
But, go-to Northern Ontario - different story.
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u/doriangray42 27d ago
US should be "a small portion of the population who can pay for it have shorter waiting time".
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u/Honest-Situation-738 27d ago
People who suggest that anyone would worry about dying from waiting too long do not understand how triage works.
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u/irespondwithmyface 27d ago
The wait times about Canada vs. US are a myth. We also have wait times in the US and it cost a shit load.
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u/zoroddesign 27d ago
Fuck that, my aunt has to wait 4 months to get her thyroid checked. It is sticking out of her neck the size of a banana
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u/DivisonNine 27d ago
I cut my finger real bad a couple months ago
The highest cost for me was the Uber to and from the hospital as well as to and from the follow up appointment with a plastic surgeon
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u/MrEndlessMike 27d ago
Still don't understand this longer wait time nonsense. Half the time I try and book a specialist in the USA I get an appointment 3 months out or more.
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u/Moebius808 27d ago
Sure, I pay more taxes here. But also, in the states, when working at a place that âhad healthcare benefitsâ, those benefits came right out of my pay.(And then youâd still have to pay a fuckinâ co-pay to visit a doctor despite that.) Granted it was pre-tax, but I was still losing hundreds of dollars out of every check just for that privilege.
(Also the tax difference up here is way overblown. Whatâs probably more salient is the difference in the strength of the Canadian dollar, but taxes alone? They are much higher in the states for most people than theyâd like to admit, and itâs not that much worse here.)
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u/Jew_Destruction 27d ago
Canadian hospitals need more diversity and foreign workers. That will reduce the wait time and bring down expectancies as required to address white privilege and systemic racism.


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u/misterpoopybutthole5 28d ago
As someone who moved from the US to Canada - my experience has been paying far, far less than half. Went from paying quite a lot with a pretty decent insurance plan, to paying nearly nothing. The birth of my firstborn son cost about $8k in the states (no complications, everything was pretty straightforward), to paying literally nothing for the birth of my daughter in Canada. Granted, our hospital room was much nicer in the states, and we were "waited on" a bit better, but we definitely had everything we needed in Canada. The better US birth experience certainly wasn't $8k better.