Everytime I’ve taken the ferry from Port Angeles, WA to Victoria, BC I’ve had conversations with Canadians who are coming to the US to escape the long wait times in Canadian hospitals. I’ve also talked to Americans who are going to Canada to get cheaper medicines.
@warthunder9155
Жыл бұрын
Sorta a grass is greener type of thing.
@PikeProductions23
Жыл бұрын
Clearly Mexico has the best system among The Three Amigos
@bradley8575
Жыл бұрын
@@PikeProductions23 yeah but nobody online talks about Mexico as much as the US and Canada
@AlexR2648
Жыл бұрын
@@PikeProductions23 unironically yes, they have universal public healthcare plus private options at a wide variety of price points.
@Disaletteritis
Жыл бұрын
@@PikeProductions23 probably.
@mg4361
Жыл бұрын
I live in Germany and we have a mix of public and private healthcare that works just fine. Healthcare is still universal but you have a choice between publicly funded and privately funded coverage. The public health coverage is also not run by the government but by independent non-profit insurance houses. You can choose between different providers both within the public and private system. The private hospitals work with public providers as well. It's a lot more decentralized than the Canadian or (especially) UK system but still manages to provide a very high level of care.
@JJMcCullough
Жыл бұрын
How do you chose? Like when do you make the decision?
@logo2462
Жыл бұрын
Is the public option cheaper?
@Tobi-ln9xr
Жыл бұрын
@@logo2462 Yes it is. The private healthcare system in Germany is usually for people with a high income or who work for the government.
@mg4361
Жыл бұрын
@@JJMcCullough You can only opt for the private healthcare if you are self-employed, are a public servant or earn above €67k a year. Once you go private, it is VERY difficult to go back to public. The bad side of public healthcare is that your choice of appointment times is usually more limited and you don't get perks e.g. nicer beds or TV or WiFi in hospitals. The downside of the private system is that your rates are risk-based. So the older and sicker you get, the more you have to pay. Also, if private, you usually have to pay in advance out of pocket and get reimbursed by the insurance. This is very problematic for the old and sick. This is exactly why the system is one-way, to prevent using cheap private insurance while young and healthy and later switching to public when old and sick.
@alligator_pie
Жыл бұрын
Thank you for educating Canadians that the alternative doesn’t have to be “American-style”. Im a Canadian that lived and worked in Germany for years. Very good 2-tier system that provides excellent care to all. Excellent health services to support new mothers, too.
@arina2852
Жыл бұрын
Specialized doctors in Canada can also decline your referral if they deem your problem “not serious enough”. Imagine waiting for months to hear back from a clinic after your GP referred you, only to learn that they are not going to see you. Happened to me twice
@sho8631
Жыл бұрын
I didnt even know that. Canadian system is terrible. I say this as a Canadian myself. Living in South Korea I can walk into any specialist office without an appointment and pay just a few dollars with the government paying most of the tab. Not free but not expensive. Also very fast. A mixed system I guess. Private and public. Sorry to hear about your difficulties.
@kellycarter4944
Жыл бұрын
My problem has been I can't get a GP to listen to me long enough to even consider a referral to a specialist. They literally have no interest in preventative medicine. You have to be obviously sick to get anywhere in the system.
@sho8631
Жыл бұрын
@@kellycarter4944 yes sadly. I think doctors and medical staff must be under budgetary pressure to avoid medical tests or referrals. It is rationing. It's not like they can fired or sued for bad service or medical treatment. Canada's medical system is broken and 100 per cent free is not 100 per cent quality. I don't mind paying a small amount over here to go to specialists directly and to get fast service.
@jamessullivan6031
Жыл бұрын
@@sho8631 of course it is it's not the NHS I can go to my GP, A&E or call an ambulance it's all pre paid by this think called taxes
@sho8631
Жыл бұрын
@@jamessullivan6031 so is Canada's paid by taxes but free to the user in the sense you pay no fees at the time. Either way bad service, shortages, long waits, rationing, etc.
@EveryCrazyDay
Жыл бұрын
As a type 1 diabetic my anger for the US system and emphasis of profits over patients. I’m okay with paying for my insulin but I’m tired of being charged $400 (up from $150 when I was diagnosed) for a drug that cost $1 to make and hasn’t changed. Canada isn’t perfect clearly. But I wouldn’t be broke because of my lifelong illness.
@Liggliluff
Жыл бұрын
In Sweden, you can only pay at max 3600 SEK (350 USD) per year for medication; everything after that is covered by taxes, since it's deemed that you actually need it. It's a way to avoid people abusing a free system, by forcing everyone to pay a certain amount; an amount most people would prefer to avoid.
@paulhamrick3943
Жыл бұрын
What type of insulin do you use? I'm interested in this topic but I'm not a diabetic. Are there different varieties and generics vs name brand and newer vs older?
@philipmcniel4908
Жыл бұрын
Seems to me that the US has the worst of both worlds: Enough government regulation and meddling to keep competition from lowering prices, but not enough to keep prices low directly.
@ulogy
Жыл бұрын
@@paulhamrick3943 There are many different delivery methods; some of the newer autoinjector types operate similar to a prodrug, in that they're slowly released into the body without needing additional doses throughout the day. Those tend to be more expensive due to lasting patents, but the basic "vial of insulin" that many Americans rely so dearly on is still laughably cheap to produce yet sold for $10+/dose.
@EveryCrazyDay
Жыл бұрын
@@paulhamrick3943 to clarify I am using an insulin pump that uses short term acting insulin here in the USA the common brands are Novolog and Humalog. (Basically identical) I use Humalog currently which is produced by Lilly. -in addition that pump I own costs 10k to purchase plus an additional 6-7k for a CGM system. And all of the ongoing purchases you need for those supplies.
@ztl2505
Жыл бұрын
In the US, there seems to be an inverse problem where many people assume every other country has an NHS style system of almost entirely government run healthcare, which I find tends to erase a lot of nuance out of discussions on how to improve American healthcare going forward.
@MsZsc
Жыл бұрын
not to mention michael moore praised england of literally all countries
@troodon1096
Жыл бұрын
I think a major difference is few Americans feel a patriotic need to defend their country's system out of a sense of national pride and identity.
@troodon1096
Жыл бұрын
@@MsZsc If Michael Moore said the sky was blue, I'd go outside to check.
@sho8631
Жыл бұрын
Look at the South Korean system. It is a private and public mix. It is cheap and fast. Government pays some but not all. But they do negotiate pricing with all the stakeholders.
@robertortiz-wilson1588
Жыл бұрын
Yep.
@EnbyFish
Жыл бұрын
In America there’s this perception that Canadians have it much better because of the “free health care”. Didn’t realize you still need private insurance for stuff like dentistry and optometrists.
@ms_cartographer
Жыл бұрын
Yes, but it's still better than going bankrupt if you get into a car accident; or have a burst appendix.
@Stratuji
Жыл бұрын
For dentistry at least, that might soon be changing thanks to the NDP agreement at the federal level.
@dunnowy123
Жыл бұрын
@@ms_cartographer this is such bullshit lol. The whole "bankrupt because of car accident" is the oldest pre programmed Canadian response in the book. Most Americans do not have this experience lol.
@parkmannate4154
Жыл бұрын
@@dunnowy123 Well, you've never experienced American insurance companies then huh. When you get an $11,000 Bill after your insurance decided that nah they won't cover your surgery for Reasons after pre approving coverage of the surgery you'll understand
@salakasto
Жыл бұрын
@@dunnowy123 medical bankruptcy is the leading cause of bankruptcy in the US by a long shot
@KingUnKaged
Жыл бұрын
Canada really loves to adopt this sort of 'ride or die' pessimism, where the statue quo in everything from real estate to telecom to healthcare is defended no matter how bad they get on the assumption that whatever alternative we came up with would certainly be worse.
@TimothyCHenderson
Жыл бұрын
I think that's a more recent phenomenon and a symptom of the closing days of neo liberalism. No one really knows what to do next. Do we continue on with neo liberalism and privatize or try something different or even try and improve the system we have (but no one wants to pay for)?
@sadas1211
Жыл бұрын
Who the hell do you know thats defending the Canadian telecom industry?!
@NLJosh83
Жыл бұрын
@@sadas1211 Bell lol
@NLJosh83
Жыл бұрын
Yes, and bonus points for the ones that are even remotely like anything American...it seems many Canadians would rather stab themselves in the eye with a fork than admit anything from the US may be on par with, or even superior to a Canadian policy.
@casebeth
Жыл бұрын
what's the root of this line of thought? If a system is utterly broken, what are you losing to try something else?
@Noah_Levi
Жыл бұрын
I work at a private diagnostic clinic in BC and over time it’s been interesting to see the severity of patients as wait times increase. There are people with critical heart blockages that are on 9 month wait lists for a 15 min CT in a public facility. As well we do pain injections for peoples backs. They are supposed to get them every 3 months and at the hospital there is a 6 month wait list. The result is that some people end up being disabled while they are on this list to simply get an injection in their back. Our system has bottle necks all over the place and it hard to know where is best to focus to relieve it.
@alexmcintyre8229
Жыл бұрын
Would the private clinic that you work at be willing to accept the BC Care card for payments and charge the government instead of the patient? If the answer to that is yes then your private clinic is no different than many peoples family doctor or the walk in clinic a couple blocks away.
@Noah_Levi
Жыл бұрын
@@alexmcintyre8229 no it’s private. You pay before any procedure.
@DadCanInJapan
Жыл бұрын
I am a Canadian living in Japan. Japan has a national health insurance but you still have to pay up to about 10%. In the past, a doctor recommended I get an MRI. I was able to book one in a matter of days. I think I paid about $75. I have never had the problem of waiting for a procedure here. I also have to go to a clinic to get medication every 3 months. I wait less than an hour and pay about $10. Mind you, the Japanese government is deep in debt and I do not know how much of that is healthcare related.
@kgrfirdjy
Жыл бұрын
$75 is a bargain! Locally where I live in the United States, they run $1500 or more, and despite breaking my neck, my insurance company required cheaper radiological tests first, and it would only pay for both of my spiblnal fusions after both of these tests were done. Luckily, I only had a $1500 deductible despite my medical bills running around $300,000-$2,000,000 yearly.
@connorspiech309
Жыл бұрын
I think it's a bit of a strawman to assume you can only get hit with outrageous medical bills in the US if you're uninsured. As you hint at in the video, most Americans ARE insured, yet loads of Americans have or have had medical debt which is a foreign concept to people in most developed nations. As an American who lived in Europe for about six and a half years, I can assure you that, by comparison, it is a terrible system even when you have good insurance because of the unnecessary hassles like high co-pays, deductibles, and "in-network" healthcare providers. Everyone I know in America has either had an awful experience themselves or knows someone that's had an awful experience with their insurer charging them ludicrous amounts of money or otherwise fighting them on what they'll cover. I just moved to Quebec so I can't speak on the problems with the Canuck system yet, but I can't imagine it being worse than what I experienced in America.
@mikebean.
Жыл бұрын
You are all over the place, your life must be interesting 🙂
@delanib1701
Жыл бұрын
I'm American, and CAN CONFIRM. I've had to declare bankruptcy twice, the last time I did I had insurance.
@JohnathenSweeney
Жыл бұрын
Exactly. Even our good insurance isn't all that good in the grand scheme of things.
@brandinichole2490
Жыл бұрын
My mom is permanently disabled and cannot work. Because her income is zero, she doesn’t qualify for reduced health insurance through obamacare. She also doesn’t qualify for medicaid because she lives with me. She ALSO doesn’t qualify for disability insurance because she was a stay-at-home mom before becoming disabled. She has regular surgeries because of her health problems and is in thousands of dollars in medical debt with no way to pay it. Our system in America is so fundamentally flawed.
@dumbgames4933
Жыл бұрын
This. Know plenty of US folks with excellent insurance that get hit with huge bills, even for things like childbirth. As rough as our system is in Canada, it's a far sight better
@Kyotosomo
Жыл бұрын
I had a Canadian family member who contracted an easily preventable cancer due to how slow the wait times are. What's worse is the government then refused to treat the cancer (that they essentially gave her) because it was too expensive. For what it's worth she was able to prolong her life by flying to America for private treatment, however she did still eventually die from it. People need to grow up and acknowledge that there's no "perfect" modern healthcare system. All you can do is prioritize certain things at the cost of others.
@moho472
Жыл бұрын
@@shorewall When a country's population is dominated by those who are of old age they either need to bring in more high skilled workers, raise the retirement age, raise taxes or a combination of the three. It doesn't help that the country also has a low birth rate, due to the expenses of having a child. Raising taxes or moving to a private insurance just exacerbates the problem. It's a very complex issue where reform brings its own problems that we have to solve. The days of a booming population is over, and a lot of people are pushing back or abandoning their dreams of having a home, or a family, because it's too expensive.
@moho472
Жыл бұрын
You hit the nail on the head. Here in Ontario, I had to wait almost 2 years just to be placed in therapy for mental health, and it was grueling. However, the private clinics were way too costly, and I couldn't afford to go, even with insurance. While I appreciate that I had treatment paid for by my government, those who fantasize our system are usually those who are terminally online, or they're American.
@lithunoisan
Жыл бұрын
Contracted cancer? Like from hpv?
@jbejaran
Жыл бұрын
Comedian Emo Philips had a bit that went roughly: "My father had a heart attack recently, and it's sad. Under the American Health Care System, we ended up losing the house. Whereas under the Canadian Health Care System, we would have inherited it."
@mooftwosnum1fan480
Жыл бұрын
Heart attacks are usually high priority in Canada...plus looking at the data in 2005 America had a mortality rate from heart attacks of 12% (13% chance you'd die if you had a heart attack), while in Canada it was 11%... basically the same.....
@shrimpflea
Жыл бұрын
@@mooftwosnum1fan480 Who cares, it's a funny joke.
@mooftwosnum1fan480
Жыл бұрын
@@shrimpflea because everybody knows political jokes are the funniest kind
@jacklee8467
5 ай бұрын
What’s funny is that I’m pretty sure Canadian has pretty strict inheritance taxes
@brucejohnson863
2 күн бұрын
Your insane im canadian the government taxes all inheritance
@chris7263
Жыл бұрын
I, an American, found a breast lump in January 2021. I didn’t have insurance at the time, so I was afraid to get it checked out-I’d only just finished paying off my student loans, I was more afraid of another 10 years of life-crippling debt than of having cancer. Still, I definitely was also afraid of having cancer, so I set myself to the task of getting a job with healthcare so I could go check it out-as soon as my temporary work contract ended, 3 months later. But the first job I got (in a rush) was really exhausting, and after the 3 months of waiting for the healthcare to kick in I was like “I could not do this job on chemo, it would kill me,” so I had to quit and go find a different job and wait another 3 months for the new healthcare to kick in. But then at the new job, my role was not well defined and I didn’t feel settled and confident the job was going to last. I really needed to be in a good, stable situation to take the hit, to handle both the cost and the treatment itself if it came to that… Ultimately I didn’t get it checked out until over a year and a half after I first worried there was something wrong. Fortunately I finally did get it checked, and I don’t have cancer, yay! Now I just have to pay off the $3700 bill for all the tests, because almost nothing on my terrible insurance is covered until you hit the $4300 deductible. So like, a 27-week wait-time seems *pretty tame* to me.
@PaigeMTL
Жыл бұрын
I think it's important to note that the issue isn't that reformers want "American Healthcare" because of experiences like you have described. The issue is almost any reform is scrutinized for if it appears "American" by the nationalists. This is frustrating because it shuts down avenues for improvement. Many developed countries that have objectively better healthcare outcomes than Canada have elements to their system that get rejected for being "too American" here.
@slowjamsliver7006
Жыл бұрын
@@PaigeMTL There are other reasons the reforms are being called "American" that he didn't have time to mention. There are a lot of reasons people distrust Ford's statements. Ford has done a lot of shady things like anti-strike, budget cuts, and over working people. This change comes off as a problem Ford created, and now is something he wants to claim he can solve.
@brandinichole2490
Жыл бұрын
True. There are so many reasons someone might be temporarily without insurance and god forbid anything happen during that time. My deductible is $6k so it pretty much pays for nothing unless it’s catastrophic. It also doesn’t cover the usuals, dental, vision, mental health, etc. that’s all out of pocket. Its also SO HARD to find a doctor in-network. I had to travel 45 minutes away to see an ENT. My ex BROKE HIS HAND and refused to go to the hospital because he didn’t have insurance. His hand is pretty messed up now from it and just about everyone i know had a similar story. I tell all my friends that if I ever have a medical emergency, call me an uber because I can’t afford an ambulance. Also side note. If you are fortunate enough to be able to afford private insurance, you better be relatively healthy because preexisting conditions will jack up your premium sky high, or flat out disqualify you for some programs.
@AnnoyingAllie3
Жыл бұрын
Well... I, an American agree. My first introduction to a waiting list had been from the UK, and they usually have already set ones, you know you'll have to wait, and oftentimes it's as high as 55 weeks.. However, people with cancer probably shouldn't and wouldn't wait almost 30 weeks, it would be too late..
@fordclapperton4600
Жыл бұрын
I waited five years for hip surgery here in Canada. Many people end up dying on our waitlists awaiting cancer treatment.
@microcolonel
Жыл бұрын
A supply issue with surgeons in a country like Canada, is primarily a price controls issue. Going to the ER for non-emergencies is exacerbated by the generally poor service schedules of clinics: Canada's health insurance systems have failed to enable the much more efficient surgery centers and urgent care centers that are common in more functional systems. If you are scheduled for a surgery, you end up in an emergency hospital. If you need a doctor to write you a prescription for an ear antibiotic because you got a double ear infection in Lake Huron... but it's the weekend, or it's after about 6PM, too bad, you end up at an emergency department.
@ulogy
Жыл бұрын
A centralized system would undoubtedly yield more consistently positive results; delegating it to the provinces did nothing but create over a dozen different healthcare systems that are all less efficient than they could be. (Also sets the stage for provinces saying raising pay for doctors would just negatively impact other provinces.)
@Jet-ij9zc
Жыл бұрын
Bold of you to assume we can even go see a doctor if it's b4 6 pm. I've been on a waiting list to get a doctor for 3 years, and according to the gov, I might get one in 5 years. And I'm on the priority list due to a chronic issue
@AW-zk5qb
Жыл бұрын
Very brave of JJ to make this video, considering his audience leans strongly to the left, and is a bit on the anti American side. This doesn't even mention that most of the world takes American medical advancements to improve their systems, meaning if there was no US, their systems would be worse. I think there are things the US and European nations can learn from each other in healthcare, although I would point out that it is much easier to administer a collectivized system in nations that where the population is much closer together. That being said, I am definitely open to making American healthcare more European. It's just that for me the jury is still out on whether American or European style healthcare is better, as it seems that depending on your focus, relating to quality of care, costs and wait time would affect how you answer it. I'd also just say that, and this might be going a little deep here, the US' place as the world's most powerful and influential nation plays a role in how this topic is discussed, both within the US (between opposing sides) and outside of the US. Because of the US' status as top dog in influence, power, and in achievements and might in many things, many countries (particularly Western countries, which are more culturally similar and thus feel more of a rivalry with US) in response have seized on issues that the US either ostensibly has, or actually has, and displays openly, as a way to tell their population "see, you don't have to feel overawed about the US' position relative to our country because of..." Not to trivialize the problems that would fall under this category, but most of them are problems that other nations have as well or things that are exaggerated to be in the US compared to other countries (any level of racism, sexism etc) by the US media, which leans left, so will emphasize them both for views and to advance their narrative. Or they are things that the US actually doesn't do worse than other nations but is simplified and misrepresented by foreign nations and/or people in the US themselves to make them think that they do, or are things that are a function of having a much larger, more diverse, heterogeneous and spread out population than other Western countries. The ironic thing is that foreigners constantly complain about Americans lacking specific knowledge of their countries or making generalizations, while they themselves make generalizations and lack knowledge of the US. But what they do is worse, because they are much more exposed to the US, American media, way of life etc than vice versa. And the left and media in America plays into this for a few reasons; The media likes attention grabbing stories. And many Americans, of any persuasion, do have a sense that they are the center of the world, so any major events in the US are widely broadcast everywhere. And people like to make grand statements with "America is" as the prefix, because the fact that the US is so influential in the world will make their statement, whether wrong or right, carry weight. The US is almost subconsciously seen as the "World Society," whereas making grand statements saying "Denmark this" or "New Zealand that" would seem a little too colloquial. I also suspect that the left in the US latches on to narratives (true and false ones) of country x doing better than the US in this, because they think that the American right, which is extremely patriotic, will be swayed to do what the left wants just so that the left will stop saying "country x is better than America in this." Lastly, in comparing the US to any other country, Americans getting together to say that their country is better than country x feels like punching down, while people from another country getting together to hate on the US feels like punching up, which is why you get dynamics where people favor one country over the US. And while it affects the US the most, you see this in any comparison of similar countries in which one country is bigger and more influential than the other. Watch any UK v Ireland or Australia v New Zealand video, and you'll never see the majority of comments favoring the UK over Ireland or Australia over New Zealand. What does this have to do with healthcare? Well this dynamic lends itself to the aforementioned preconceived negative and incorrect notions about American healthcare from foreigners, and the romanticization of foreign (for example Canadian) healthcare within the US, mainly on the left. It's along the lines of "ACTUALLY, these countries are better than the US because..." line of thinking. And because Canada for example is overshadowed by the US in most things, the romanticization of healthcare is something that becomes a rock that cannot be moved
@AtlasCrafted
Жыл бұрын
@@AW-zk5qb JJ is a blatant conservative and its well known in Canada. His audience is NOT left wing I promise you. Its right wing Americans. He's the kind who uses American ignorance to invent problems and lie about my country. This video for example is painfully not objective and ignores the actual problem and how private clinics will do NOTHING to solve our problem. This is propaganda meant to get Americans to pressure my country to drop socialized medicine and its pathetic.
@TheEstebandido83
Жыл бұрын
@@AW-zk5qb OMG, so many words used to still saynsomething so ignorant...
@marcberm
Жыл бұрын
The use of Dr Mario sound effects and visual styles in a video about healthcare does not go unnoticed or unappreciated. 😀
@michaeleaster1815
Жыл бұрын
I'm a Canadian who has lived in the USA and is fairly familiar with both healthcare systems. This video is good, though it seems light on the issue of choice and competition, regarding routine healthcare. In Canada, you are often fortunate to "get" (i.e. be assigned) a family doctor in smaller provinces: there is no sense of choosing among doctors. In the USA (_provided you have health insurance_, and live in an urban area), staff are well aware of the competition of the marketplace: you can "fire" your family doctor and get another one. This is just an observation. I am very happy to be back in Canada and mostly happy with the system, but this was a noticeable difference between the two.
@RoughRunnerAce98
Жыл бұрын
You are comparing small provinces to an urban area in the U.S and it feels like you are insinuating that you can't switch your doctor even in an urban area in Canada which is silly, it is something I just did. I don't doubt there are less doctors in rural areas but I don't think that has anything to do with particular failing in the Canadian healthcare system, and is just like that everywhere in the world that is sparely populated.
@paulhamrick3943
Жыл бұрын
I'm an American who just moved to Toronto with my Canadian fiance two years ago. From what I've seen the Canadian system is really great in the sense that people don't have to seek out a good employer in order to get good insurance. However, the wait times are getting really, really bad. I am very concerned about it getting worse. I've also heard multiple Canadians say how important it is that they get/maintain a job that provides additional insurance/HC benefits.
@philipmcniel4908
Жыл бұрын
@@RoughRunnerAce98 I haven't used the Canadian healthcare system, but as a rural American I can confirm that it's often possible to change doctors at will even in very rural areas here. (Even if you are an hour away from Doctor #2, then you're probably most of an hour away from Doctor #1 anyway.)
@RoughRunnerAce98
Жыл бұрын
@@philipmcniel4908 There is nothing preventing you from switching doctors even in rural areas in Canada, it just has the same drawbacks as anywhere else in the world. Like you mentioned, it probably yields no benefit if all you are considering is distance from home, since its a rural area. I don't know what the first commenter is suggesting, for any reason if you don't want to work with a specific family doctor there isn't anything stopping you from switching in Canada in normal circumstances where there are other doctors taking new patients as far as I'm aware. We have the choice of family doctors here. My cousin lives an hour away from her family doctor because she liked and kept hers even when she moved away and can consult with the doctor over the phone...
@ulogy
Жыл бұрын
The Canadian systems need improvements, and ideally, to be merged into a central system to cut costs and ensure quality care across the country. It's still a heck of a lot better than the US one for 99.9% of people though. ,(I say this as an indigenous Canadian who's experienced some pretty overt medical racism [Told by the first doc I saw re: ADHD following my diagnosis that "we don't really give stimulants to natives"] as has some of my family [docs ran a tox screen on my mother because she was complaining of 10/10 back pain in hospital. She was having an aortic dissection, and they waited 4 hours for the screen to come back negative before they did basic imaging and realized her aorta was dilated to over twice its normal size.])
@johnhargreaves4010
Жыл бұрын
As a Brit, I think the Canadian system works very similarly to the NHS so this is an interesting video I also think a lot of the ‘boogeyman stereotypes’ of American healthcare being widely inaccessible are quite common in the UK as people don’t really understand the US system
@cfcreative1
Жыл бұрын
What a fucking joke while communism takes over Canada JJ bla bla bla... Canada sucks.
@graylucas3178
Жыл бұрын
I'm an oncologist. A specific absudity to highlight one of the many ineffeciencies of our system: For certain cancers (certain scenarios in colorectal in particular), there are two chemotherapies that are roughly equivalent in efficacy. One is a pill (capecitabine), the other is an iv infusion (5-fluorouracil). The iv requires a small procedure to insert a large Iv into the chest wall for administration, requires visits to the oncologist every 2 weeks instead of three, requires more "chair time" where a nurse supervises the injection, and in some cases takes 6 months instead of 3. The pill has slightly more side effects, and the drug itself costs slightly more, but not when all the extra resources are factored in. Many provinces only cover the iv, not the pill. Why? Because they administer it "in a hospital", and therefore its paid for. The pill is from a pharmacy, so its not. Even though them just paying for the drug would save them money. Worse for patients, worse for the system.
@philltheotherguy1868
Жыл бұрын
And in which country do you practice?
@gungan5822
Жыл бұрын
@@philltheotherguy1868 Sounds like Canada to me.
@philipmcniel4908
Жыл бұрын
As an American (and particularly one from an economically-depressed rural area where MANY people are on Medicaid), I have two thoughts about this topic: -First, the "medically-necessary" thing is _very_ open to interpretation by bureaucrats. I personally know someone who was on Medicaid and had an impacted wisdom tooth (meaning that it was growing sideways into one of his other teeth, and--in the professional opinion of his dentist--would become infected if not removed in time). Yes, Medicaid can have programs for dental and vision coverage "on the side," as I understand it, since it's designed for the poor who might not be able to afford such things. Anyway, this person was told by Medicaid that the extraction was not considered medically necessary because he wasn't infected, so he would have to wait until it got infected--which was inevitable according to his dentist, remember?--before having it removed. He consulted the office of the oral surgeon to whom he'd been referred, and asked about paying out-of-pocket (he had some kind and generous people in his life who were willing to help him do so), and they said they couldn't let people on his state's Medicaid program do that. (I presume this is because they don't want to pay for the medically-necessary treatment of complications caused by medically-unnecessary procedures, e.g. if you get an infection following cosmetic surgery.) Anyway, this guy had to go off Medicaid, and only after that paperwork was approved was he able to get his wisdom tooth removed, by which point it had been bothering him for awhile. -Second, about the first critique mentioned in Part 5, about private providers charging the government more than publically-owned providers: *_That's kind of the point!_* Anyone who has taken a basic macroeconomics class has seen a supply curve, which is a visual representation of how the higher-priced something is, the more suppliers will be incentivized to exist. If the government artificially sets a price cap, that artificially also caps the number of suppliers to the number who are willing to provide a service for the government-decreed price. I would argue that Canada's wait times may, at least in part, be a result of this inelasticity of supply (though I can't say for certain with my limited knowledge of the situation of Canadian healthcare). Paying a bit more for private providers, in this model, is simply the price of moving up to a higher point on the supply curve.
@gungan5822
Жыл бұрын
You are totally correct about the second point.
@friskjidjidoglu7415
Жыл бұрын
If they’re worried of a medical supply, then the government should have an incentive to invest in public medical schools big-time
@RodrigodelaJara
4 ай бұрын
The US has ~100% overall higher cost for healthcare compared to Canada. The US costs have resulted in a supply curve where the US has primary care access at 87% versus 86% in Canada. Canadian family doctors (GPs) are private providers. See “Canada ranks last in primary health care access among 10 wealthy countries: report”. In the private surgery provision experiments the provinces have run not only were the costs higher (despite cherry-picking the uncomplicated cases), the provincial wait times ended up increasing. Private provision is a hackneyed fake solution. It is sham innovation.
@mikalmandichak8328
Жыл бұрын
I think that making something totally "Free" When it's a finite resource is always a bad idea. At work, I had $10 I could use every day on Lunch. Since the cafeteria closed before my shift every day I bought 3 red bulls which costed about $9.30 and then a bag of skittles. My work realized this and changed the way the system worked so that we didn't get a lunch credit, but everything was 50% cheaper than it is at a regular store. Even though a redbull is now about $1.50, I rarely buy them anymore. I think that adding a co-pay, even a small one, would likely stop some people from getting healthcare if they didn't need it.
@cfcreative1
Жыл бұрын
What a fucking joke while communism takes over Canada JJ bla bla... Canada sucks.
@thekidfromiowa
Жыл бұрын
A JJ video on this topic has been on my wishlist for so long.
@jeffc1347
Жыл бұрын
I'm American and watched the whole video, I know you're trying to be balanced and bring Canadians down a peg off their high horse, but I think you understated how much of a scam our healthcare system is in the USA. While it is true most Americans have insurance highly subsidized through their employers, and all of the big hospitals are "non profit" (I put that in quotes for a reason), that doesn't stop these hospitals from charging your insurance company (or you the individual if you don't have insurance) absolutely asasine amounts of money for everything while the administrators who run the hospital rake in huge salaries. When my wife gave birth the non profit hospital charged my insurance company over $100,000 and I had to pay like $2,500 out of pocket even though my deductible was $500 because of small print. And it trickles down: hospitals scam insurance companies, insurance companies scam customers. And while medicaid and medicare exist good luck getting affordable insurance if you don't qualify for those programs and your job doesn't give you coverage (part time jobs aren't required to have a medical plan). Obamacare is expensive out of pocket and has really high deductibles.
@cfcreative1
Жыл бұрын
What a fucking joke while communism takes over Canada JJ bla bla... Canada sucks.
@JustInTimeWorlds
Жыл бұрын
In Finland we have a mixed system. The government refunds you for mandated stuff performed by a private doctor or sometimes pays the doctor directly. But the government sets the price, so it can’t balloon. And if your doctor tries to gouge you, you can use the state system which is very good, though you do have wait times for non critical stuff. My husband has never had private insurance. 🙃 I don’t think your politician is exploring a bad route.
@sander7989
Жыл бұрын
Last year I discovered I had a seemingly-minor debilitating disease from going to a local drop-in medical centre here in Canada, and was promptly told that I should just go to the ER with this in spite of them setting up a meeting with a surgeon and prescribing antibiotics. I didn't think it seemed that serious considering what I imagined people go to ER for, and my parents agreed, but it turned out to be a necessary way to avoid a 5 MONTH WAIT just to see a surgeon who would then set up another half-year wait for the surgery to actually happen. Once my condition got so bad I was genuinely worried for my life a while later I did go to the ER where I waited for at least 3 hours to be examined. I was told by the doctors that I would need to wait another 6 MONTHS for examination by a better expert doctor or else put on a cancellation waiting list. I took the latter, obviously, and managed to get examined only 2 weeks later by some great luck. And again the offer of some months or cancellation. The latter finally got me in to get my condition alleviated after another few weeks. All told I had to wait 53 days, but as you can see it could have been a lot worse if people went by the book. My faith in this Canadian healthcare myth has been forever shattered, though I can't say I wasn't grateful to not have to pay for the doctors' time.
@jonathanwhite8904
Жыл бұрын
When I was a kid, my dad would take us to Canada on "road trips" so that he could get cheap painkillers and he would use me and my sister as mules to smuggle them over the border. That was before he went to prison and we were put in foster care for much worse, much more disgusting crimes that he committed...... Wow I didn't expect this comment to be as dark as it was. Sorry everyone.
@Jumpyfoot
Жыл бұрын
It was dark but thank you for sharing your story anyway.
@cfcreative1
Жыл бұрын
JJ leads the sheeple while Canada is taken over by NWO communists.
@irbricksceo
Жыл бұрын
Even with all the issues, I would still take the Canadian system over the american one any day of the week. Nearly every life decision I ever make, and dozens of hours of my life a month, are devoted solely to managing my healthcare expenses and min-maxing treatments to afford the most care possible. It is such a massive toll on my mental health, my physical health, and my finances. This doesn't make the canadian system perfect of course, far from it, and you go into many of the issues here. These can, and should, be addressed. But still.
@casebeth
Жыл бұрын
And those issues CAN be addressed. If Canadians could get off their anti american high horse for like, a day, a lot could be addressed. The reply to any valid critique of Canadian healthcare is ALWAYS shitting on the US. What problem does that solve? None. It's a much better use of energy to find unique solutions for unique Canadian problems.
@alligator_pie
Жыл бұрын
It doesn’t have to be American style! It can be a 2-tier system that works very well for all, like in many other parts of the world that are Not America .
@ulogy
Жыл бұрын
@@alligator_pie Or federalize it and make the one-tier system less expensive and make it easier to address shortages in a given area.
@minttjulep
Жыл бұрын
you’re obsessed with us 🇺🇸
@microcolonel
Жыл бұрын
Depending on what medical problems you are managing, in Canada you may have been recommended for euthanasia by now. I'm not joking. Ordinary chronic disease sufferers are being counselled into suicide by Canada's health systems.
@CarlosRamirez-gt6di
Жыл бұрын
It's kind of similar to the mexican healthcare in the way that the IMSS (instituto Mexicano de seguridad social) tends to place absurdly long wait lists to important operations in a way that it's out of the cuestion to wait. So most mexicans end up goint to a private hospital, which defeats the purpose of an universal healthcare. It's even worst since you can't opt out on paying the health care tax. Great video, asl always
@reecerobin8413
Жыл бұрын
Surprised you didn't mention the recent controversy with the MAiD program. For those unfamiliar, there have been several recent cases of health care workers suggesting and even pressuring patients into assisted dying to save money on their healthcare.
@-EJ-
Жыл бұрын
It really doesn’t help that a few years back there was a study that the cbc themselves reported noting that allowing euthanasia as a form of health care could save 130 million dollars.
@thejustifier6602
Жыл бұрын
I don’t think JJ wanted to get into political territory. He talked about how he wanted to get away from partisan politics. But I still think that is a big issue.
@alexanderfranceski2207
Жыл бұрын
Beat me to the punch, I really like jjs content, but not touching in this seems like a cop out
@vitaminluke5597
Жыл бұрын
I would definitely want to hear JJ's take on this, because all the discourse I've heard on it is extremely sensational, especially here in the States where there is a lot of money to be made from the insurance lobby to tell lіеs and half truths about public healthcare. JJ is one of the few people I would trust to approach this phenomenon fairly.
@Disaletteritis
Жыл бұрын
Yeah...shameful!
@dnyalslg
Жыл бұрын
Private clinics can work to help alleviate the strain on Canada’s public hospitals, as long as they are non-profit, price-controlled, and extremely regulated. That’ll be the only way to avoid greed from taking over and truly Americanizing Canadian health care.
@ravenlord4
Жыл бұрын
An interesting sub-topic would be medical tourism. I have seen many Canadians in Mexican border towns with the US getting dentistry, health care and prescriptions. In fact some Mexican towns basically solely exist for medical tourism.
@LiveFreeOrDieDH
Жыл бұрын
It's the central problem of politics everywhere. Many people want more government services, but no one wants to pay more taxes. So politicians promise more spending without more revenue. Which requires increasingly creative ways to pretend what they're doing is something other than borrowing the funds and making everyone's grandkids pay for it.
@yutyuiiu
Жыл бұрын
"no one wants to pay more taxes"..well problem is that the concentration of wealth and loop holes for tax avoidance means the very rich are not paying sufficient tax, and move money out of the jurisdiction
@nathanandsugar5252
Жыл бұрын
This seems to be a problem more in highly individualistic countries (ie Canada, US, etc). People often confuse individualism w/ being a man alone on an island. The man dies. If 10 people land on an island w/ 1 a doctor he/she will treat everyone, no cost. The 9 others will support the doctor.
@sir_Edword
Жыл бұрын
thats one stage of the resource curse
@kellieschwabe5970
Жыл бұрын
Honestly, as a Canadian, I preferred my Healthcare when we paid for our premiums... as soon as they took over, services were reduced or cut out completely. We NEVER EVER want the govt to "provide" such services because they lack! I'd rather pay and get what I need.
@frite2002
Жыл бұрын
A potential solution could involve incorporated direct democracy sampled from the public. Give a panel information from experts and plan options, and then let them decide on what they are willing to sacrifice. France has done something similar in a trial
@Arcboltkonrad13
Жыл бұрын
As an American, I can attest that the system is NOT GOOD. I once had to go to the ER after a rather bad car wreck and had to wait 12 hours to be seen by a nurse-practitioner, another 3 before a doctor saw me, and when I asked if I could, like, go to another hospital they told me if I tried to leave after having signed in security would detain me for trying to "bail without paying the bill." I got slapped with a nearly $3000 charge my insurance refused to covered after I was given the once over by the doctor and told to "take a few days off work, rest, and take generic pain medication for any aches I will have." It took me months to get the bill waived since I work in in-home healthcare and do NOT make that much money and they were wanting it then and there or they would garnish a huge portion of my wages or send the bill to collections and tank my credit rating that I've been building for years.
@stickjohnny
Жыл бұрын
I have always appreciated your even handed approach to these political issues. It's rare on the level of unicorns on KZitem. Congrats to you for finding such success with this model. This video was another great, balanced take.
@NLJosh83
Жыл бұрын
"Heroically Centrist"
@James_Dolensky
7 ай бұрын
The fact that some people think that a sick person who has the money to pay for treatment shouldn't be allowed to get treatment makes me sick
@TheLethalSkittles
Жыл бұрын
I did a report on the chronic condition in my undergrad! It really lifted the scales off my eyes about the state of Canadian healthcare and made me realize we seriously have like a national ignorance when it comes to healthcare in Canada. I’m really glad to see Ford actually taking on reform and that so far, the reform seems to be improvements that were mentioned in the book. Really didn’t think ANY Canadian politician would have the guts to take on the issue of our broken healthcare system, but I’m glad I was wrong
@APlatapus
Жыл бұрын
While I agree the system needs to change. I do think people should still be skeptical with Ford. He isn't the most well known for doing things in the best interest of the people. He has a tendency to say one thing then do another. Now I do hope that his changes lead to a better future. But I won't believe it till I see it.
@emilyv1612
Жыл бұрын
In the united states I've had to wait 22 weeks just to SEE the specialist, let alone them ACTUALLY doing something... and we had GREAT private insurance through my mom's work at the time.
@slowjamsliver7006
Жыл бұрын
He would have had to do a much longer video to compare everything. He also missed a lot of detail around Doug Ford's policies influencing the distrust in Ford's announcement. I don't think it was going to be a full analysis of either healthcare system, and he does lean right which effects how he covers things.
@jpablo700
Жыл бұрын
In the US, I had the opposite experience. Went to the hospital, stayed a few days, then saw 4 specialists within a week afterwards. Whenever I have a flare up, I can see my specialist same day, or their assistant can take care of matters to comfort symptoms, until they can fit me in within a week. This is not intended to be smug. I think it depends on where you live and the number of health systems available. Also helps having good PPO coverage that's basically universally accepted.
@ColonizerChan
Жыл бұрын
so much for muh canadian wait time
@adventureisntfar
Жыл бұрын
yeah JJ missed the mark on this one :/
@WillTheBassPlayer
Жыл бұрын
specialists can take forever, but usually if you want to travel you can
@luisfilipe2023
Жыл бұрын
It’s amazing how much the problems in other parts of the world are so similar
@tomasroque3338
Жыл бұрын
Tuga?
@Disaletteritis
Жыл бұрын
Conhecedor do panorama tuga e brasileiro aqui. Prefiro os dois sistemas ao canadense.
@felipeitoanuatti
Жыл бұрын
Aquela citação sobre os políticos, por medo da repercussão eleitoral, não quererem aumentar impostos, nem aumentar a participação do setor privado na saúde, nem explicar para a população as consequências de o sistema de saúde tomar uma fatia crescente do orçamento público se aplica perfeitamente ao Brasil. Ela se aplica à questão da previdência social brasileira também, mas isso é uma outra conversa.
@3halfshadows
Жыл бұрын
It's almost as if the same policies bring about the same results.
@Disaletteritis
Жыл бұрын
@@felipeitoanuatti sistema público de saúde é sempre um gasto enorme. Que se justifica. E que precisa de ser pago. Nao é gratuito, mesmo que o utilizador não tiver que pagar nada após utilizar os seus serviços. Os nossos impostos pagam o mesmo.
@Tamisday
Жыл бұрын
As an American who does want more National options I had no idea that is what Canadians thought “American style” healthcare is lol
@stickjohnny
Жыл бұрын
The conversation around healthcare in Canada has always been rife with misnomers. Before the Obamacare Era, it was known as "free healthcare", an obvious misnomer since it is paid for by taxation. After that it was known as "single payer", another misnomer since Canadians use a combination of Medicare, private insurance, and relatively small out of pocket payments to pay for healthcare. The best way to describe it is as a "Medicare for all" system. When Bernie Sanders advocates for "Medicare for all" He is almost certainly talking about a system similar to the Canadian system.
@slowjamsliver7006
Жыл бұрын
Most Canadians take an "American style" healthcare system as being predatory, and for the rich. The actual navigation of the insurance policies that are offered go over most people's head unless they have been in insurance a long time.
@slowjamsliver7006
Жыл бұрын
@@stickjohnny However, none of the names are misnomers. "Free healthcare" is not a misnomer, because it free at the point of service, thus free. Everyone realises you can't get away from taxes, but at least they are definitely paying for something useful. Two things are certain in life death and taxes. "Single payer" is also not a misnomer, because single payer is a reference to how the system is run a single, ie. the government, is the only party that offers insurance, and thus is the only payer into the medical system. Now there are nuances in our system that make the label not perfect, but it is not a misnomer. "Medicare for all" only refers to the outcome.
@StephenDeagle
Жыл бұрын
It isn't. He's oversimplifying, and being kind of dishonest.
@stickjohnny
Жыл бұрын
@@slowjamsliver7006 Rather than have a very silly and pointless semantical discussion I'm happy to just agree to disagree.
@greenobeeno1
9 ай бұрын
One topic worth mentioning for US healthcare that is seldom known or reported: We have non-profit and for-profit hospitals, they are very different in multiple ways but mostly in payment. The non-profit ones are much better if you're uninsured because they will offer a financial form you fill out and hand them a pay stub from your job, or certify you're jobless through tax papers and then boom: all bills are wiped. If you go to a for-profit hospital this may or may not happen because US law only requires this for non-profit. It's counted as Charity Work and the non-profit gets federal reimbursements.
@konannm
Жыл бұрын
Some advantages to a two tiered approach to health care: 1: gives Canadians an option to keep their money (their own or fundraised) inside Canada. Taxes collected from private healthcare centre helps fund public healthcare. 2: removes names from the wait list for public health centres thereby speeding up service for those who cannot afford to pay privately. 3: Creates a competitive environment for both private and public where the patient will have better options on both sides 4: attract doctors who might prefer a private business model over a publicly-funded model thereby increasing the supply of doctors.
@theextexianlibertarian3332
Жыл бұрын
Watching Canadians complain about their healthcare while I went medically bankrupt over a broken ankle surgery. These issues are shared by American hospitals especially the ER crowding. Took me 8 hours to be seen for my shattered ankle and the entire time they told me it probably wasn’t broken it’s probably a strain because I wasn’t screaming or crying. The difference being I got a fat bill and a three week wait for surgery which cost over 200k.
@travisdejong2354
Жыл бұрын
No insurance?
@One-Two-T
Жыл бұрын
Canadian here. I just came back from a trip to USA where my spouse had cancer surgically removed completely. Expensive AF, but also fast and efficient AF. The wait time in Canada was 8 months just for an analysis (then a longer wait for surgery). So, ya, in some ways the US system is better.
@noahremnek3615
Жыл бұрын
US healthcare is abysmal. Wait times are vastly over exaggerated. Sure if you have something that is elective you may have to wait a little longer but if it is an emergency you get seen immediately. It is prioritized on need not money like in the US.
@PikeProductions23
Жыл бұрын
I really appreciate how you presented the American healthcare system. The amount of misinformation I've heard from non-Americans about our system is astounding. When I try to correct them, they don't want to hear it. The truth threatens their sense of superiority.
@gravityissues5210
Жыл бұрын
Canadians seem particularly ill-informed about….well, everything. I had one claim that college was expensive in the US because “the US doesn’t have public universities, unlike Canada.” I had another claim “the US spends the majority of its budget on the military, unlike Canada where we spend it on roads and education.” Both these people were physically in the US at the time, enjoying economic and cultural activities they couldn’t do “in Canada.”
@notabot5464
Жыл бұрын
To be fair, JJ underplayed issues with the American system significantly. For the insured, things like coinsurance, copays, and deductibles regularly make like saving procedures cripplingly expensive even with coverage. And for the uninsured (which make up a much larger portion of the US than JJ's tone implied), they not only have to cope with paying the same amount that would be covered by insurance, they have to pay significant markups that insurance companies are able to negotiate away. Between these two groups, there is a large portion of the United States that is effectively cutoff from medical care in all but the most dire circumstances, and financially crippled when they aren't. Given the choice of waiting for care or receiving none at all, I know what I prefer. (I'm not suggesting the Canadian model is perfect or that it would not benefit from reform, but suggesting the current US system is anything but an objective failure in comparison seems far fetched in my opinion).
@answerman9933
Жыл бұрын
@@notabot5464 Who is employed and uninsured in the US?
@notabot5464
Жыл бұрын
@@answerman9933 People working in small businesses across the country, like my mother for example. The current system places the cost for coverage on employers, with smaller companies having higher costs due to their smaller pools. This results in many small businesses forgoing coverage, making them less competitve than their big business peers while also disadvantaging their employees, who have to pay ridiculous premiums for single payer plans.
@answerman9933
Жыл бұрын
@@notabot5464 Sounds like a poor business plan.
@MemoryofSouthVietnam
Жыл бұрын
A simplification of both Canadian and American systems: Americans pay their healthcare costs in money, while Canadians pay their healthcare costs in time. Nothing is free at the end of the day - it's still other people's labour that is being done somewhere somehow.
@yutyuiiu
Жыл бұрын
this is right, but americans who can't pay have no healthcare ( some die ) and Canadians can run out of time ( some die)
@CM-dk9xu
Жыл бұрын
I feel like people say this but I've never had a great experience with wait times in the american system.
@cfcreative1
Жыл бұрын
right now laws are being passed in Canada to make it a communist country do you think he will talk about that? You are being led.......
@worldssmallestfan
Жыл бұрын
13:50 yes, as a life long US resident that is my go to explanation for any situation.
@netgnostic1627
Жыл бұрын
Hi J.J. - I think we need a Part II from you. A mention of how sports medicine is done would be worthwhile. When I hurt my knee I was put on a "7-month" waiting list to get an MRI, but several months later I inquired about my position on the list. I was told, "We estimate about 6 months, maybe 7." WTF? So I went to my very excellent chiropractor at that point, who got me over the problem and I could walk without a cane again. Later I found out that I could have gone through sports medicine to get the MRI, with a cost of about $700.00. Not free, but I would have happily paid it.
@sunglassdubsteps5268
Жыл бұрын
I am pretty sure that many Canadians don't realize how similar the American and Canadian Health Care System is. The citizens of each country get health insurance while both citizens pay extra when they cross the border. I had a Canadian friend in college who said that he had to pay higher prices when he got injured. When I told him that I had the same experience in Canada, he was surprised.
@ingridcarleton
Жыл бұрын
Thank you for this matter-of-fact analysis. We deal with much of the same rhetoric here in Alberta whenever the government even hints at health care reform that involves the use of ‘private’ clinics.
@swankyshivy
Жыл бұрын
@ingrid is the wait times in alberta bad? trying to decide if to migrate to canada and as an asthmatic that got lil worst after covid and this health care system, i cant decide
@ingridcarleton
Жыл бұрын
@@swankyshivy It really depends. When I had a family doctor, I didn't have any wait times. Since my family doctor quit, we have to rely on walk-in clinics, and the wait times there can sometimes be long.
@FirstName-rt9uf
Жыл бұрын
Great video and information as usual. Moral of the Canadian story (as a Canadian) - the politicians and legacy 'media' gaslight the issue and do a horrendously terrible disservice to Canadians that don't otherwise follow politics and/or are ignorant to the issue, by not providing context, by not explaining how the system works, by effectively lying and twisting proposed changes and updates to existing policies. Case in point - anything written by the Liberal biased Toronto Star.
@sigmatau7
Жыл бұрын
Much like our friend JJ here, who likes to act like everyone thinks the US is this scary evil place with no insurance, and Canadians get free healthcare supported by the money tree. When i think most people understand that healthcare is payed for by taxes, and Americans generally have some form of healthcare provided through work. But skirts over any valid concerns that may entail. Like the cost of healthcare per capita, or whether your healthcare should be linked to employment. But instead, he just likes to use the bogeyman to characterize anyone with a different opinion.
@adellis24
Жыл бұрын
Considering medical specialists & doctors are leaving Ontario in droves (I've had two doctors move to the US out of frustration with the Canadian system) recently, it makes complete sense for the province to look at reforming the health care system. I've been advocating within my friend group since I was 12 (over 20 years ago) for a proper 2-Tier system in this country. Now my friends are all working high up in the Ford government and my long gestating plan is coming to fruition. As a heads up, the next thing we will be tackling is the teachers unions.
@gungan5822
Жыл бұрын
Dude. That would make my day.
@LordBitememan
Жыл бұрын
A friend of mine from Brampton has a daughter with microcephaly. She has said that for the most part she can''t even get treatment in Ontario and has to take her daughter to New York for treatment. Of course, on the flip side, she says Canada pays for the treatment, so there''s that.
@JJMcCullough
Жыл бұрын
Going to America for covered treatment is another example of public coverage of private service
@bradley8575
Жыл бұрын
@@JJMcCullough the issue with American Healthcare is the cost but the quality of care is pretty good as long as you are covered by insurance or a government program that is.
@ColonizerChan
Жыл бұрын
@@bradley8575 the quality is about on par with most other developed nations. you aren't getting 20x better insulin for 20x the price
@Lyrabela
Жыл бұрын
@@ColonizerChan true, but you never have more than two people to a small room. Many I've talked to from England act like US hospitals are like hotels and would never dream of a private room for delivering their baby I think understanding "universal healthcare" is as problematic for Americans as it seems to be Canadians understanding USA Healthcare. I think it's also about finding where exactly things started going wrong and figuring out a solution. For example my dad didn't have the best of jobs growing up, and we were a paycheck to paycheck family, but our medical bills were at most a third if today's and that's just 20ish years ago. Even just 10 yrs ago my aunt had no problems obtaining medicade, but now it's a fight for her to keep it.
@danielmarreviews3947
Жыл бұрын
I think this type of scenario where someone is being sent from Canada to the U.S. for treatment not available in Canada has a lot to do with America being 10x the size of Canada. In general, I’d expect and hope America has more health resources than a country it is 10x the size of. Here and there, you may find treatment that is available or at least more advanced in Canada (e.g. The Peter Munk Centre in Toronto is #1 in the world for heart related issues), but undeniably, of course America is going to have more advanced treatment than Canada due to its size.
@LiquorWithJazz
Жыл бұрын
JJ seems like he is really just wanting to talk about Beanie Babies or Ice Cream flavors instead of healthcare. Thank you so much for doing this deep dive for us. We really value your wisdom 💚
@delusionnnnn
Жыл бұрын
I see people talking about the freedom of choice in the US. That's great, except you're usually shoehorned into a very limited set of choices based on your insurance company, and your set of insurance choices is drastically limited by whether or not you want to spend an average Canadian's annual salary on health insurance, or if you want to spend very little and just experience financial ruin if anything bad actually happens. Maybe some of the reaction against Ford is overblown, but you have a system you should fix in Canada, and a lot of people in Canada are highly motivated to turn it into an American-style system where there are immense profits that mostly go to insurance companies. So, tread carefully.
@dharmani_youtube
Жыл бұрын
As an immigrant who came from India and worked for sometime with College of Nurses of Ontario in a limited capacity, just make immigrant doctors have it easier to start their practices 🙏 This is the quickest change to have at the very least
@TimothyCHenderson
Жыл бұрын
Agreed.
@SWProductions100
Жыл бұрын
Someone from India told me that the healthcare in India is a combination of public/private - public for minor stuff, private for more urgent stuff. That was his experience, what about yours?
@dharmani_youtube
Жыл бұрын
@@SWProductions100 so I come from a middle middle class background and I never needed to go to public hospitals. Many public hospitals are admittedly not the best in terms of Healthcare but they're about free for the poor. Treatment is always immediate though no matter what. India doesn't have enough doctors per capita last I remember seeing some stat, but I can promise no one has to wait even a month to get treatment. There are some public health insurances for the lower economic classes but even without that I personally know a few who didn't have to pay a penny without it during emergencies. Ambulances are cheap cause sometimes they're just a van but it gets the work done cause there are plenty of hospitals of all sizes and levels in proximity. I honestly do like the standard of Healthcare here once you do get the right service but my god the wait times are intolerable and getting a family doctor is unnecessarily a herculean task. Still don't have one 🥲
@cfcreative1
Жыл бұрын
What a fucking joke while communism takes over Canada JJ bla bla... Canada sucks.
@mustaphajav9302
Жыл бұрын
I spent $800 USD (post-insurance deduction) for a growing pimple in my thigh that just needed anti-biotics. The way you described your system sounds like heaven.
@travisdejong2354
Жыл бұрын
Prices in the US are ridiculous. I am lucky because the health insurance I get from my job is entirely covered by my employer and they give me an additional 1000 each year to pay for healthcare, no strings attached. Despite this, I am still hesitant to go to the doctor due to the outrageous prices. I paid over $400 for services to get rid of toenail fungus. All they did was clip my nails and proscribe a cheap medication. I've also paid $500 to get punctal plugs installed to alleviate dry eye. I've had to pay nearly $300 to get a ringing ear checked out. They did some hearing tests and cleaned out my ear and then proscribed some cheap medication. It's ridiculous.
@supernukey419
Жыл бұрын
Was the antibiotic made from unicorn hair or something?
@mustaphajav9302
Жыл бұрын
@@supernukey419 oh no the perception after insurance was like $11, separate. The 800 is for the visit to the ER plus doctor fee.
@supernukey419
Жыл бұрын
@@mustaphajav9302 What does plus doctor fee mean?
@mustaphajav9302
Жыл бұрын
@@supernukey419 I don’t know but it wasn’t earned in my opinion. I told him what was going on, he believed me, took look to look like he was working, and wrote the prescription
@rosscoco5675
Жыл бұрын
this explains so many confusions i had about this! for example i was touring a school i applied to in canada (im american) and the student giving the tour told me that she used the insurance the school gave her as an opportunity to fix her teeth and i was so confused bc i just assumed dental was included 😅
@sakawi
Жыл бұрын
A lot of Americans I've talked to assume that college is free in Canada as well, and while it is cheaper than the US, you absolutely still have to pay tuition.
@frisbeepilot
Жыл бұрын
Dental is often included on a bunch of student health plans. Pretty good value for your money. On the other hand, as a kid I was stunned to find out that dental wasn't covered by OHIP. We really need to get on that, and a national pharmacare program.
@Christopher_TG
Жыл бұрын
I think the biggest mistake Canadians and Americans make is that the healthcare debate in both countries is very binary. You must either support American-style privatized healthcare or Canadian-style single payer and nothing in between. I'm always amazed at how shocked people on both sides of the border are to learn that these two systems, including single payer, are comparatively rare outside the Anglosphere. In Germany, for instance, private health insurance companies exist but are treated as utility companies, thus are strictly regulated and subsidized to ensure universal access and affordability.
@lajya01
Жыл бұрын
What Doug Ford proposed is a somewhat Europeanization of Ontario healthcare. As soon as you say the P-word in Canada, you're a terrible pro-American
@fantuswitt9063
11 ай бұрын
True!
@milohrnic2023
Жыл бұрын
Identity politics, class warfare and nationalism are the last resort of the scoundrel and that is where the Canadian Health Care Public Monopoly is at right now.
@goosevillage
Жыл бұрын
My aunt went to Las Vegas. She got sick and spent THREE HOURS in the ER. Her bill was $15,000.US For the very same condition in Canada she would have paid NOTHING. JJ, some of your thoughts are WRONG.
@ThatGuyMN
Жыл бұрын
Canadian wait times and spending issues & American insurance premiums and out of pocket expenses aren't mutually exclusive. We can both have extremely flawed systems without either being the "correct" system to follow. Hell, I bet everyone in their respective countries could find plenty of problems with their versions of Healthcare, or things to praise about it. All I know is, as an American who has had little money, less-than-stellar job opportunities, and no insurance as of late.... I dread seeing the doctor. I haven't in many many years, and won't unless I'm literally dying. Wait times suck and are dangerous, but I'd rather wait 20 weeks and eventually get fixed than NEVER get an operation done for fear of cost. Obviously some have it better than others and even state to state systems can be vastly different; but when medical debt is the leading cause of bankruptcy in the US something is certainly wrong.
@Plumlistic
Жыл бұрын
American here: Private health insurance sucks ass. It's an unbelievably shitty system that fucks insured people over with thousands of dollars of copays and deductibles. If you're not employed full time, there is no insurance for you. Canada's public system needs some work, but privatization is not the answer.
@POCKET-SAND
Жыл бұрын
In all honesty, most of the faults are the result of the government doing something to "try to help."
@Plumlistic
Жыл бұрын
@Rusty Shackleford Our government can and should be doing more. Insulin prices are not going to go down without government action.
@POCKET-SAND
Жыл бұрын
@@Plumlistic Our government? No thank you, they've fucked up enough already. Their meddling is already a big part of the reason why insurance and college tuition are so expensive.
@danielkelly2210
Жыл бұрын
@@POCKET-SAND If the government just got out of healthcare I think that costs would plummet. The US could end up with the most affordable (and best) healthcare in the developed world.
@WinterReflections
Жыл бұрын
I'm sure Canadian healthcare could be improved, but there's no convincing argument that the American system is better or more beneficial for the working class and poor. Even upper-middle class who have good insurance can still have bad luck and run into massive debt. Most people in America couldn't possibly afford ANY health insurance without subsidies from FULL-TIME, PERMANENT (only) employment. Even in that situation, we still pay a large amount for that coverage yearly. That coverage still won't cover many services and drugs fully and many not at all. In America, pharma companies are allowed to charge unconscionable amounts of money for essential medications like insulin, Epi-pens, and lifesaving treatments for mental health conditions, etc. The medicaid available to the very poor covers almost nothing, and the wait times for services there are insane. The system in the US is bad for almost everyone. I'm tired of hearing arguments in favor of it like "but it's efficient" or how it's supposedly "the best quality" by some insignificant measure or margin. It's straight up wrong how it works in America.
@logician3641
Жыл бұрын
America isnt a socialist country in theory anyway. People coming to the US should not expect socialist goverment handouts, that not what America is about, theoretically. Its about taking risks, failing, getting your butt kicked, and still fiighting hard to come back stronger. America has an economy that allows anybody to start a profitable business, thats how the gov is designed, so business owners can make money. The real reason that there are so many poor people in the US is because the refuse to become what the Founding Fathers established the gov for, business owners.
@TheLookaas
Жыл бұрын
@@logician3641 it’s pretty ignorant and idiotic to assume the reason why there are so many poor people in the US. You have no evidence to back this claim, just a bunch of rich conservative propaganda that want to shame poor people for not having same advantages as another. Studies show that poor people actually work harder than rich people, they have to take multiple jobs to support their families, they have very little free time, many of them can’t afford higher education so any job that requires a collage degree is simply out of reach for poor people. You call poor people lazy but I’m willing to bet you’re way more lazy than the average poor person. Grow up, the world isn’t a simple place to understand, and anyone who claims it is just wants to scam you, or they have the knowledge of a 10 year old.
@bagodrago
Жыл бұрын
@@logician3641 Please tell that to the single mother working a minimum wage job to feed her kids who is now saddled with medical debt because she needs surgery and her insurance company won't cover it. Healthcare shouldn't be restricted to those who are successful business owners, it should be a human right. If you want to pay hundreds of dollars for medicine that costs dollars to make, be my guest, but you can't simply tell people with crippling medical conditions to "get a job", especially when lots of their medical conditions make working _literally impossible_
@shannon9201
Жыл бұрын
@@logician3641 how are you meant to fail and come back stronger if you get a cancer diagnosis that bankrupts you and almost kills you? Big risk you’re taking on there, fella
@chickenfishhybrid44
Жыл бұрын
You're just wrong. I'm going to the same places and doctors with Medicaid that I did with pretty good private insurance of my dad's that I was one till I was 21. I realize this can all vary by where you live and what not but but it does in Canada too. I don't live in a big metro area or anything. Medicaid is not universally bad.
@Death_by_Tech
Жыл бұрын
The “volountary” operations name is such a misnomer. If your quality of life is shit but you’re not dying, it’s technically “volountary” which is bs beyond all bs
@elleyli8016
5 ай бұрын
There is no health care system in Canada, but only disease care system.
@ajyu7289
Жыл бұрын
Thanks for making this video, J.J. As a young new resident of Ontario, I've been hearing about it on the news but haven't really known the details or the nuances of the situation.
@GasparLewis
Жыл бұрын
As an American counterpoint to this video, I'd like to submit "A terrible guide to the terrible terminology of U.S. Health Insurance" by Brian David Gilbert. It's comedic but illustrates issues that people have with the American system post-Obamacare, being vast and complex and loaded with "marketplace choice" where clarity, simplicity and universality might better serve people. Many "hospital bill nightmares" stem from people running into unintended pitfalls and mismatches in coverage networks, in addition to the rest of the American system's quirks. (I'm also not sure why JJ mentions that the Fraser Institute has a potential dubious reputation, "churning out" materials (in his own words) and then citing them largely uncritically and never doubling back. This isn't the first time I've had source material issues, and that's simply what I've caught through general knowledge without further vetting. JJ is a consummate entertainer, but anyone self-describing as "fair and balanced" is still staking out a politicized position on the matter, as anyone who's heard that used as a tagline can attest.)
@JJMcCullough
Жыл бұрын
The Fraser institute is Canada’s leading authority on wait times. As I said, some people think they are biased, but they are still the leading analysts of this issue.
@yutyuiiu
Жыл бұрын
@@JJMcCullough yeah I am sure wait times measurement can be trusted from FI, their solutions and root cause analysis may be more controversial
@l3ete1geuse
Жыл бұрын
Wait times are horrible in the US too, on top the hefty price. My sister had to wait for 9 months for a specialist to see her before she was finally diagnosed with epilepsy. If it weren't for the fact that my BiL is a health care worker himself and is given the best insurance that's currently available in the States, her medical bills woulf have backrupted them.
@kaylynn4750
Жыл бұрын
I know! I can’t understand how our wait times are better. It took my mom years to get the surgeries she needed approved. Simply because she had to schedule appointments at minimum six months out, sometimes more. With about two or three specialists in between that all made her wait and be in pain for years! She was working the whole time from home and couldn’t even sit without being in pain. By the end of it, she was bedridden and couldn’t hardly walk, let alone take herself to the doctor. But you really can’t get an ambulance because that’s not covered and can be anywhere from $500-1000+ depending on where they have to take you to get treatment. Oh yeah, and the visits and surgeries basically weren’t covered until we hit a $6000+ deductible. And she was in a good job with decent insurance coverage. She paid that deductible every year, because, like I said, it took YEARS to get everything done and deductibles reset at the beginning of the coverage period. Also the medicine was way too pricy, and so is mine. I wouldn’t be able to drive if I didn’t have mine and would probably be on disability right now. I’m not looking forward to switching to this new insurance. It’s a $7000 deductible and has higher co-pays. It’s just not fair. I’m so glad I get a discount for my $800 medicine I need, because they almost didn’t cover that either and I have to get it approved every year by the only doctor I can go to in reasonable distance that isn’t covered by insurance anyhow. Ugghhhhhhhhgehgejsjsnbj. I hope I never have a serious problem, because I’m screwed if I ever just have too hard a case of Covid or something. #MURICA
@sho8631
Жыл бұрын
Some of you should look into the South Korean system. It is a mix of public and private with public and private hospitals. It is somewhat like some European countries (not the UK). Private insurance, government health care, and some user pay. Health care there is cheap and also very fast with no shortages. It blows away the Canadian system even if I have to pay 10 bucks to visit a doctors office. But I just walk in same day with no waits or appointments. I go to the specialist directly. It is somewhat like France though not exactly alike? But paying a few dollars for health care seems to be against most Canadians religion. There is not enough money to pay for everything and no one wants to admit it.
@AllenBeach
Жыл бұрын
US-based guy here. I'm sure both of our systems have their pros and cons, but I must say the way you downplayed the number of people completely screwed over by being uninsured/underinsured doesn't reflect my experience here. The private insurance companies and hospitals try every angle to screw us over. I have a great employer and some of the best insurance available, and I still deal with the worst surprise bills. It's part of life and it's super stressful. It's no wonder one of the biggest categories on GoFundMe is fundraising for healthcare. Super sad. Also, our wait times and supply issue seems to be getting worse, so I don't see how our capitalist healthcare system even does a good job there. It's bizarre. Aside from my critique of how you underplayed the issues with our system, I did enjoy learning some new things about your Canadian system. Seems like you all have a good foundation to build upon and I wish you all luck!
@vdragoonen1313
Жыл бұрын
A severe downside to the American healthcare system is that ALL medical expences (urgent or not) goes through privatized health insurence. With most health insurence being through your employer, losing your job could create unmanagable healthcare costs for those with chronic conditions. Additionally, many low income Americans forgo getting health insurence, gambling a higher weekly paycheck against the chance of brutal expences in the future. Brian David Gilbert created an award winning video of his own, detailing the ungodly complexity of american healthcare insurence and as an American I would kill for something to be publically funded. It doesn't have to be in the Canadian style as there are many contries we could emulate (Japan, France, and others) but as it stands America pays way too much for healthcare and Big Pharma has way too much lobbying power (keeping lifesaving drug prices extremely high). A testament to the awful state of american healthcare is its insuline prices and the fact that americans are rationing it, killing themselves because of how unaffordable it is.
@paulhernandez9807
Жыл бұрын
At last! I have been waiting to hear what you have to say on your country’s healthcare system. Thanks JJ!
@VRRanger-e9e
Жыл бұрын
The biggest problem in the current Canadian healthcare is the same problem found in nearly every Canadian industry: Attrition; retirements are happening faster than new hires. Money doesn't fix a lack of qualified people in a quick turnaround. We use immigration of skilled professionals as a stop-gap measure but the reality is baby boomers are retiring and we just can't replace that knowledge/skill set fast enough because the people aren't there. COVID just accelerated a problem for Canada's skilled professional industries that we were told about 10 years ago and did nothing to prevent other than say: Let's up immigration levels (which helped and helps but isn't a solution, it's a fix). Now that being said, the only solution I can envision is a long enough recession to reduce demand on certain industries and make certain younger individuals choose to go into healthcare because recessions don't reduce healthcare demand and those young people want a job.
@mythirlmaiden
Жыл бұрын
As someone who has spent years working in long term care both government run and private. Im pretty suspicious of private funded healthcare, at least in the areas I've worked, and I've worked in a lot of homes because I did agency work and traveled with them in various regions muskoka, niagara, kitchener/waterloo; the private homes were almost always a lot worse than the government funded homes and not a single one was better. The government funded homes devoted a lot more money to staffing so not only were we rarely short, the staff/resident ratios were better. There was just a lot more funding for residents not profit and while brief rationing, poor diet, little to no programs, croweded rooms etc weren't universal across private homes they were sadly common.
@cfcreative1
Жыл бұрын
right now laws are being passed in Canada to make it a communist country do you think he will talk about that? see distraction......
@waugsqueke
Жыл бұрын
As a Canadian who has worked in the American health insurance industry I think you kind of breezed over the most common expenses that Americans face - soaring premiums, and skyrocketing deductibles and coinsurance. Even with good insurance a typical American can still pay enormous amounts out of pocket for typical health issues. I'll take the Canadian system over that any day. Also, "medical necessity" is not some odd phenomena of Canadian healthcare which you seem to suggest - perhaps this was an oversight on your part. But American health insurance has very strict medically necessary requirements as well.
@shalad4961
Жыл бұрын
Before Obamacare my family paid exorbitant monthly rate to only have catastrophic insurance. Which means only after I spent $10,000 of my own money would insurance pick up the tab. We paid for all Dr visits out of pocket etc… I had 3 kids at the time. It was expensive AF. Obamacare made that kind of bullshit illegal for over 30 yr old people and families. Private doesn’t mean better.
@cfcreative1
Жыл бұрын
right now laws are being passed in Canada to make it a communist country do you think he will talk about that? You are being led.......
@brandonbollwark5970
Жыл бұрын
Great video but you did fail to mention the sheer amount of people in the U.S., even the ones with health insurance, who simply choose not to go to the doctors or the hospital out of fear of it being too expensive. Not saying that the wait times in Canada aren't an issue but not wanting to receive care because of the price and the concept of medical debt are so common in the U.S. Also, the U.S. healthcare system is even less financially sustainable than the Canadian one. The U.S. spends the most of its GDP on healthcare expenses compared to other countries that have universal care, all for worse results.
@cfcreative1
Жыл бұрын
right now laws are being passed in Canada to make it a communist country do you think he will talk about that? You are being led.......
@lajya01
Жыл бұрын
You didn't mention it but there ARE 100% private pay-out-of-your-pocket clinics in Canada. They started to appear 10-15 years ago. I'm actually considering using one since my last family doctor retired. Getting another one is next to impossible without having contacts with someone in the system in a very USSR-like kinda way. I now have to pay the incredible high taxes for public healthcare and pay again to actually get healthcare.
@BobFrTube
Жыл бұрын
A quibble over "tragedy of the commons" -- the term is used for situations in which there is a finite resource with no coordination, so each user maximizes their use to the harm of others. The situation you describe is one in which there is a limited resource, but those sharing a cooperate by queuing. Sure, some do try to game the system, but it's not the classic tragedy of the commons -- a term used, as with the "Lord of the Flies" to dismiss the idea that people tend to cooperate.
@rjs5048
Жыл бұрын
As I lifelong Canadian I can say I have never met another Canadian with J.J’s accent
@cfcreative1
Жыл бұрын
right now laws are being passed in Canada to make it a communist country do you think he will talk about that? You are being led.......
@cfcreative1
Жыл бұрын
yep
@orryrobb5160
Жыл бұрын
Great analysis. It should also be noted that as of 2016, Ontario Healthcare was 50% of the budget, projected to be 80% by 2030. That's a huge problem.
@johnkilmartin5101
Жыл бұрын
I am in my late 50s and provinces have been throwing out those sort of numbers since I was in high school and the forecast never come true whilst the marginal tax rate for the wealthy goes down.
@gngr2
Жыл бұрын
Ok now do a % of overall GDP and compare to the US.
@c0mput3r80y
Жыл бұрын
JJ should get the award for most non-award winning videos
@sart1348
Жыл бұрын
As a Canadian who has had many surgeries, paid for things not fully covered out of pocket (because it was cheaper than using insurance), and recently had to have a planned surgery in America to great expense and effort... Privatization and financialization of the Canadian system in any way will continue to degrade it. Ontario Conservatives have been picking away at public healthcare for decades and looking for ways to make money off it, like with LTC and private nurses The issues with staffing come down to suppressed wages and intentional starving of the system by the current premier... with the sole intention to expedite privatization. Ontario has unprecedented funding lows individually and proportionally, compared to other provinces Putting care into pharmacists' hands instead of just paying doctors/nurses like they've been asking makes no sense, for ex. This is also privatization. Cancelling virtual care funding for public doctors but having health care nurses promote Maple (a private virtual healthcare service) and simultaneously changes laws to allow out of province doctors to staff the service is privatization. Not to mention all the issues with privatization from costs, pushing procedures, and poorer outcomes. America (like I experienced first hand, very intimately) has wait times, but then you have to deal with insurance and inhumane paperwork. The insurance industry is waiting to pounce on this country. Doug Ford is not brave or intelligent.
@maverick4022
Жыл бұрын
Thank you, JJ, for doing a Canadian healthcare system video. Very well done! Please interview Dr. Brian Day next. I've been speaking up about this issue a lot. Born and raised in Canada, mom was a nurse, Dad was an RCMP. Moved away in my late 20's and lived in Taiwan, S Korea, Ireland and now the States. I used to brag about our free Canadian UHC system and now I've done a 180. My mother was a nurse in BC who paid her taxes for over 50 years and then developed cancer. While I came to care for her, I was shocked with how long the wait times were for diagnostic imaging and every appointment. She died without being able to see an Oncologist even once. One appointment, for a CT scan came in the mailbox a week after her death. On the bottom were the words, "if the patient has died before we could schedule this appointment, please accept our sincere condolensces" I started to study the healthcare issue (reading everything I could find - loved Jeffrey Simpson's book too). Both US and Canada public health sectors could learn from the European, Asian, Australian models. However, Canada is in a much more dangerous position being the last social democracy on earth with the level of Gov't monopoly and rationing over healthcare. Essentially, the Gov't owns its citizens bodies. The CMA (Canadian Medical Association) has clearly outlined two of the major issues: 1) Funding Model: Canada still uses archaic Global Budget funding model vs every OECD country uses Activity Based funding. The difference is: Global budgets where $ is transferred in lump sums to hospitals and then withdrawn when care is received. So, your care now becomes an expense. The last thing a hospital wants is patients. Other OECD countries use Activity based funding: the hospital receives $ when patients come in and receive a service. Incentive is now built into the system. 2) One National Credentialling body: Other OECD countries have one national credentialling body. We have 13! 13 different "Colleges of Physicians and Surgeons" Then, 3 & 4 - the extent to which Canada should allow the "private" market to exist alongside the public sector. 4) Public Sector: NHI/Single Payer model vs Bismarck model - Canadians have ONE public health insurance plan to choose from: Provincial Medicare which has become bloated and inefficient. Our administrative costs are 1 admin for every 1,400 people whereas in Germany it is 1 admin for every 14,000 people. Countries that use Bismarck models (again, for example in Germany, Japan) allow more choice within the public sector: They allow their citizens MANY NON-profit insurance plans to choose from. These "simulate' the free market, stay lean and efficient, and don't waste taxpayers $ as much as NHI/Single Payer models do while providing more choice for their citizens. 5) Private Sector: Other countries that have strong Universal Public Sector still allow a for profit private sector to run alongside. For ALL services covered under Provincial Medicare. Not just vision, dental, etc. This becomes a 2nd employer, so Gov't doesn't need to ration supply of doctors, nurses and other medical staff as much. Provides citizens with a non-gov't option if they don't want their care in the public sector. These for-profit places pay three levels of taxes: municipal, provincial, federal that then go into fund the public system. I am awaiting the Supreme Court of Canada's decision when it hears the Cambie Case (@Dr Brian Day). In my opinion, Gov't has had over 30 years to address this problem, and it never gets fixed. Obviously more money doesn't help. 2004, Paul Martin's $40 billion "fix for a generation" comes to mind. How's that working out? Canada's healthcare system needs to be dragged into the 21st Century, like Jeffrey Simpson says. Too many people are dying and waiting for surgery. The inefficient, rationed Gov't monopoly has to end.
@cfcreative1
Жыл бұрын
What a fucking joke while communism takes over Canada JJ bla bla... Canada sucks.
@delanib1701
Жыл бұрын
It is true that we Americans don't just walk into the hospital and fork over $60 for surgery. First we pay $60-300 a month in premiums, THEN we fork over $60k.
@cfcreative1
Жыл бұрын
right now laws are being passed in Canada to make it a communist country do you think he will talk about that? see distraction......
@colinjohnston5734
Жыл бұрын
I went to the Ottawa civic after a vehicle accident with a broken leg and foot, I stayed for 6 days until I just couldn’t take it and had to leave. They implored me to stay as the surgery might take 2 months if I leave the hospital and book it. But if I stayed I would be a priority as I was holding up a bed! (Seems more efficient to send me home open that bed up and bring me back in a week but this is CDN govt logic) But there was so many other accidents, shootings, old people falling, bike accidents etc that kept taking priory. So I understand but the fact they were threatening that I won’t receive my surgery and this have a limp for my entire life and never play sports again because I left just boggled my mind. I was good to leave after 3 days and for the next 4 days and 3 nights I just took up a hospital bed desperately needed on the hope I could get my surgery. The crazy part was all the old people being left alone for hours yelling out for water and stuff, the nurses tried and were accommodating when you got one but they were generally wizzing by to other duties. I never even got a room I was in a massive bay like area with probably 35 other people and like 2 nurses and 5 security guys. The security guards were super awesome getting water, snacks, and nurses when required even tho it was not their job at all. When I finally signed my self out I would need a wheelchair and was told I couldn’t buy one only rent one through a social worker even tho I had private insurance that was willing to cover it. The thing is it was Friday at 4 PM and the social worker was too busy to see me until Tuesday!!! I was livid thankfully a coworker drove in to Ottawa and picked me up and got me outta there but it was actually hell.
@dankmemes8619
Жыл бұрын
Absolute clown world
@cfcreative1
Жыл бұрын
What a fucking joke while communism takes over Canada JJ bla bla... Canada sucks.
@good_newz
Жыл бұрын
Thank you for the straight forward explanation about how Canadian health care works. This video made a HUGE difference in how I thought it worked vs. how it actually does.
@TBGNJR
Жыл бұрын
Excited to see what an actual Canadian thinks about their healthcare system. (Just starting the video btw)
@scottishblacklab
Жыл бұрын
it's great but the wait times are a joke such as one time i was sick and went to my local hospital and it took 4+ hours to get seen in a nearly empty hospital and parking prices suck
@Hamsteak
Жыл бұрын
@scottishblacklab I had the same thing but had to wait over 6 hours to see the doctors. I had a really bad stomach reaction to diary and couldn't stop puking and dry heaving. Eventually I got the help, but waiting was the worst part. That was at the Niagara Falls hospital. I'm glad I don't have to pay out of pocket, but waiting is the worst part. This was 16 years ago
@TheLookaas
Жыл бұрын
I think it’s fine. I’ve had long wait times before but only for minor injuries that I could afford to wait for, like a sprained ankle or dislocated arm. I can’t speak for all canadians but I don’t have any complaints really, as someone who doesn’t need to go to the hospital very often, I can’t speak for all canadians.
@cfcreative1
Жыл бұрын
What a fucking joke while communism takes over Canada JJ bla bla... Canada sucks.
@canadaboy5005
Жыл бұрын
I had an incidence of IBS a couple years ago. Went to the doctor, got tests done. Was told they didn't know what to do but they would refer me to a GI specialist. They wouldn't give me a contact name or anyting just that they would be in touch with me in some amount of time. It's been 2-years now and I'm still waiting on the call. Canadian health insurance is great if you need emergency life-saving surgery in a rich city or just need basic care from a clinic or cheap pharmaceuticals. But as soon as you need a specialist need to see a doctor for recurring knee or shoulder issue or in my case something more specialized but not technically urgent or life-threatening you are basically screwed
@cfcreative1
Жыл бұрын
What a fucking joke while communism takes over Canada JJ bla bla bla... Canada sucks.
@normanlorrain
Жыл бұрын
I'm the 1990s, in an effort to bring costs down, enrollment in medical schools was cut back. We now have a shortage of physicians. Which was predicted back then. You should do a video on this.
@dankmemes8619
Жыл бұрын
Nurses too! But definitely do a video on it. They basically wanted to save a dime so they shot themselves in the foot and it's going to Cost them a dollar to fix. God I love neo liberalism
@iamvirginiarise8936
Жыл бұрын
When I first started watching this channel I was generally uninterested in the topic of culture...but what did slowly grow on me was JJ's personality and gift of explaining subjects with such eleqouncency. Now, I love learning about the cultures of the world, and I honestly have you to think JJ. No other channel gets me as excited when they drop a new episode. Keep it up man!
@johnchessant3012
Жыл бұрын
This was very informative, and well worth the extra day's wait for this video :D I'd love to see a more comprehensive comparison between the US and Canadian systems, especially on cost. Most of us Americans do have insurance, but still the Canadian system sounds utopian just on cost alone, even though of course all systems have flaws. We pay essentially 2.9% for Medicare (1.45% each from employer and employee), then hundreds of dollars per month for a private insurance plan (already heavily subsidized by your employer), plus deductibles and copays when we actually try to use our insurance. For a middle-income household, Canada seems to be able to provide a better service for maybe a bit over twice what we're paying for Medicare alone (which covers seniors only).
@victoriajankowski1197
Жыл бұрын
As an American hearing a politician labeled 'Conservative' suggesting anything that even sounds like expanding healthcare access is a but disconcerting... I hope you all get is sorted, because of proximity the chances are that whenever we get some form of universal healthcare it will be at least partially modeled on the Canadian system for better or worse.
@Rainforestdelight
Жыл бұрын
Although I prefer our Canadian public healthcare to the American private healthcare system. I won’t pretend that it’s far from the best example of a public system compared to the ones like in Japan, France and NHS in Scotland. And yes the English NHS is by far the worst example of a public run healthcare service for a first world country.
@cfcreative1
Жыл бұрын
What a fucking joke while communism takes over Canada JJ bla bla... Canada sucks.
@caodesignworks2407
Жыл бұрын
Listening to this stuff about wait times reminds me of how sad it is that while wait times are bad, here in the US, the "wait" times aren't documented because most of us don't have the money to see a doctor at all, so we wait until whatever it is gets so bad that it cannot be ignored any longer. My whole life I've watched people come close to dying or just die because they couldn't afford to go to a doctor. I've also seen people who got insurance only to be told their ailment was a pre-existing condition and it wouldn't be covered. As well as people who go into the hospital to end up with an outrageous medical bill because it was an emergency and their doctor was "out of network." Despite any issues with Canadian's wait times, I'd 100% rather that system than what's here in the US. Which, in many regions, don't even have hospitals or even a fully equipped medical center. Which means if you're in a rural area and you have an emergency and nobody is around to drive you, it's either death or bankruptcy. I'm pretty sure this comment section is or will be filled up with the constant horror stories of the US healthcare experience. haha. Of the homeless or poor people who've been just dumped off by a hospital because they couldn't afford the care. Or the long lines of people sitting in an ER just bleeding out while waiting for someone. The biggest issues here are the same as there, not enough doctors, not enough students becoming doctors, and the cost just to go to the school itself. There's a reason why a huge portion of doctors in the US come from India
@drkiz96
Жыл бұрын
I'm in the US and have great health/dental/vison insurance through my work. I've also been on Medicaid in the past, and there are definitely pros and cons to both. In general, I don't like the fight between my doctors, insurance company, and government in terms of what is best and / or most cost-effective for my care. As a result, I don't really trust any of them and have to advocate heavily for myself. I don't think Canada's system is better for my healthcare needs (none of my care or medications would be covered if I understand JJ correctly), and if I were to lose my job in the US I'd still be able to apply for subsidized health insurance here, which I've also used in the past and has been pretty good too. I do believe America and its governments need to look outside of the insurance problem first in order to get to the root of the expense problem. Pharmaceutical companies, hospital administrators, and billing services in general need to be scrutinized and reformed before trying anything drastic. Otherwise, they will be the ones benefitting the most from any attempts to broaden government insurance coverage
@Chance-ry1hq
Ай бұрын
I’m an American, 3 months ago I had a massive heart attack. Long story short. My hospital bill was $66,000 I paid $240 Medicare Advantage paid the rest. I just completed 3 months of cardiac rehab 3 days a week. I paid $0.00 Medicare Advantage paid $400 a session. I am in a cardiac after care program, which is a supervised exercise program. I pay $25 a month, and can stay in the program as long as I want. Last week I had an echocardiogram and a cardiac mri, I paid $120 a piece, my Medicare Advantage paid the rest. Tomorrow I have my annual appointment with my Dermatologist, I pay $30, no matter what office procedure he does. My Medicare Advantage pays the rest. In 2 weeks I have a meeting with my cardiologist, I pay $30, my Medicare Advantage pays the rest. In 6 weeks I have an appointment with my General Practitioner, I pay $20. Medicare Advantage pays the rest, and pays for all my labs. My cardiologist prescribed 6 medications for me 4 I pay $0. The other 2 medications are very expensive one is $2200 for 90 days, I pay $240, the other is $1200 for 90 days, I pay $70. Yes our system is not perfect, but somehow it seems to work, and the care is good. By the way I spent 10 minutes in the Emergency Room waiting room before I was treated, I spent several hour in ER before I was admitted. I spent 3 days in the hospital before I was discharged. The care was top knotch, they saved my life .
@TheNinthGeneration1
7 ай бұрын
A big part of the problem is that people go to the ER when they should go to an Urgent Care Facility. ER is for life threatening within minutes, like chest pain, stroke, profuse bleeding etc. It’s a 1-2 on the triage system. Urgent care is for when you need to be seen today, but not immediately, a 3 or higher on triage.
@aveuch
Жыл бұрын
My initial response to the "Wait Times Report" was to measure them against Longevity and Death Rate Reports, but I didn't consider "Quality Of Life", and then it just donned on me, that palliative care is a lot more lucrative than addressing the cause of illness. Wow.
@slowjamsliver7006
Жыл бұрын
JJ, I would point out that you have not portraited the full extent of the story of Doug Ford's changes to the Ontario Healthcare system. It is not that people do not understand what is happening. They understand it is costing people more, and increasing wait times. Ford has made great efforts to make working in the public system harder and harder, thus pushing people out. This was done by both poor treatment, and undercutting any chances for a decent wage during negations with the government. This has also gone along with increasing reliance on private nurses who cost significantly more in an attempt to make people believe Ford is paying less for healthcare. Ford has created a problem which he now can claim he wants to solve. Every country that has privatized their medical system have experienced this increasing wait times with privatization, and Ford's changes will not produce different results. It is important to note that private systems have the same or worse medical outcomes of wait times in that a person waits to long to access medical services. Also, a big reason wait times in Canada are as bad as they are have a lot to do with organization and procedure. There have been a number of changes healthcare professionals have been asking for that would not cost cost that much more to implement, and would decrease wait times; to name a few changing the handle of patients to sick to leave, but well enough to live by transferring them over to long term care facilities, reprioritization of waitlists based on likelihood of recovering and life expectancy, create dedicated facilities to handle single day surgeries, establish a system to handle surgeries common for those of old age (ie. hip surgeries mostly), and increase networking between different level of the healthcare system.
@cfcreative1
Жыл бұрын
right now laws are being passed in Canada to make it a communist country do you think he will talk about that? see distraction......
@slowjamsliver7006
Жыл бұрын
@@cfcreative1 You are a distraction. You are probably someone who wants a dictatorship and a dissolution of democracy in the name of freedom.
@cfcreative1
Жыл бұрын
@@slowjamsliver7006 keep smoking that weed....
@slowjamsliver7006
Жыл бұрын
@@cfcreative1 Well, you aren't inviting me to your fantasy land so reality is all I got.
@leopoldleoleo
Жыл бұрын
I appreciate this video, and everything you cover is accurate, but it feels… lopsided? A little overly combative? At times it feels like an objective overview but at others it feels like a deliberate critique (which is fine! But different) I moved to Canada after spending many years in the US and the level of stress about my health insurance - which in the US I did or didn’t have, and when I did it came from a variety of different places - decreased massively. It’s not perfect, but the psychological benefits of the Canadian system are worth mentioning.
@cfcreative1
Жыл бұрын
right now laws are being passed in Canada to make it a communist country do you think he will talk about that? see distraction......
@freecanadaplease
Жыл бұрын
Other then Alberta, nurses without covid shots were fired and still have not been rehired.Hence shortage of nurses in B.C and Ontario. In Alberta if you go to a clinic, doctors office or anything other then a hospital, it is already private and billed to Alberta health services.
@danchiers9930
Жыл бұрын
Another problem I would say is a lack of consistent funding. Here in Ontario, the PCs have been cutting funding to healthcare for quite a while in order to push for privatization. The problem is that a private healthcare system in Canada would be no different then in the U.S apart from the fact that we ALSO have a brain drain. So we'd get both expensive treatment and slow wait times if privatization continues. There will always be more of an intensive to invest in the longstanding U.S healthcare system so a private healthcare system just won't be well funded. The only option is to correctly fund our healthcare system and keep our physicians inside the country.
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