Beyond The Commons

Beyond The Commons

Aaron Wherry covers all the goings-on in and around Parliament Hill. Follow Aaron on Twitter: @aaronwherry

The parameters of a debate

by Aaron Wherry on Monday, November 8, 2010 5:04pm - 150 Comments

Liberal MP Keith Martin sets out his do’s and don’ts of health care reform.

Don’t allow people to pay to jump ahead of the queue in the public system. Don’t allow people to divert taxes to private services. Everyone will pay taxes and ALL will have access to the public system. This is akin to our education system that has private and public schools. People who pay tuition for their children to attend private schools still pay taxes that pay for public schools….

Do allow people to pay for health care services in completely separate private clinics. ONLY private monies would pay for these clinics and services.

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  • Cats

    The problem is that doctors have to choose between whether they want to work in the public or private systems.

    I see nothing wrong with them splitting their time in any way they choose.

    Freedom Cats.

    • kcm

      The problem is obvious. A private system is bound to prove more of a financial lure for MDs and at the expensive of the public system. If this is allowed to happen the PS will inevitably decline in quality – it's what happened to the NHC in Britain, to the detriment of those who were unable to afford the extra cost of private care.

      • Cats

        That assumes there is some magic limit to the number of available doctors.

        Private money = more healthcare dollars.
        Its like a special tax on the rich.

        Make the rich pay!

        More money means more people will become doctors. We need less lawyers! More doctors! Sounds good.

        Good plan Cats.

        • kcm

          I might agree with you if you were right on the availability of MDs and trained medical staff – i have no problem with people spending their money how the see fit [ better than spending the money outside of the country]. But as i understand it we are dealing with finite resources, and i do not support the concept of queue jumping or buying your way to the head of the line.

          • Cats

            The bottleneck is a lack of funded slots in universities.

            Again, more healthcare dollars in the system would fix that because the cost to provinces is the only thing holding back more docs.

            Students would feel comfortable taking out large loans to finance their education if they knew that in addition to working in the public sector they could make big money on weekends and evenings in the private sector.

            Yeah Cats!

        • Thwim

          Why that's a brilliant solution — so long as you don't let reality intrude at all.

          Do you really think that the reason we don't have enough doctors is because not enough people want to become one? Seriously? Did you put absolutely any thought into that statement whatsoever?

          There are tons of young people who want to become doctors and have the basic abilities that would allow them to be trained as such. What there is not is a sufficient quantity of trainers. And allowing doctors to work in the private system would lower that number even further.

          • Cats

            Its a lack of slots, not a lack of trainers.

            Its a $$$ issue. Provinces won't put up the cash. But if students paid full, unsubsidized tuition they would.

            Knowing there was more demand for their job skills and greater money out there would allow them to get the financing to do that.

            Cats away!

        • craigola

          Won't more doctors mean more lawyers?

  • Lucien Chaput

    Yes but, private schools get public funds, in Manitoba anyways. From the Manitoba Department of Education website: "The operation of independent schools varies. Some schools are affiliated with a specific religious or denominational group. They have their own governing bodies or boards. Independent schools are eligible for provincial funding if they implement the Manitoba curriculum and meet a number of additional requirements."

    • Mike T.

      If we ever get institutionalized two-tier funding, expect these arguments to start being made the next day.

    • Emily

      The standard provincial curriculum should be required by law, no matter what else comes into play.

      • Erkel

        You would be content to constrain your child to the lowest common denominator?

  • Emily

    Doesn't matter HOW they do it, it still means 2-tier healthcare.

    • Mike T.

      By it's very definition it's two tier. As came up in another thread, there has to be a reason to want to pay extra – ie, you MUST get better service for the private sector to be an option. People tend to respond "oh, it's only wait times, it's the same", but if there is no ill effect to the wait time why are people paying ungodly amounts to skip it?

      • Emily

        You've never seen people get mad at missing a section in a revolving door? LOL

        Of course wait times are bad…nobody wants to wait when they're ill, or worried that they're ill.

        And 6 hours in 'emergency' is absurd.

        • Mike T.

          You do realize my first post AGREES with your original post, right?

          • Emily

            Only in a broad sense. You'd be better off if you stopped using words like 'ungodly amounts'.

            For many people it's pocket change.

            It's not the amount of money that's in question….it's the direction we go in as a country

      • madeyoulook

        Because, as the Supreme Court has said (before immediately suspending their own common sense for a year), a waiting list for a suffering Canadian is not consistent with security of the person.

        • Mike T.

          Does anybody have an answer which is both not an absurd oversimplification and actually relevant?

          • Emily

            Mike T….I don't think any answer will satisfy you…..however when I spend 2 hours in a waiting room, get 10 minutes with a doctor….5 minutes of which he spends talking to his stockbroker, adding idle chit-chat about an upcoming trip to Vegas….I tend to get a little steamed.

          • Mike T.

            Steamed enough to pay huge amounts into a wholly private system? I can't believe there would be enough irrational people willing to make that kind of decision to fuel it.

          • Emily

            I grew up with medical insurance….had 2 knee operations under it. It worked very well. Fast, good treatment.

            Yes, I'd go back to it.

            Or any system where I could get decent timely medical treatment.

            But we made a decision, as a country, to have free medical care for everyone….so I go along with it…but it doesn't mean I appreciate being taken for granted, or treated as an afterthought….or part of a herd.

            But then, I can afford it.

          • madeyoulook

            My, aren't we fussy. You asked: but if there is no ill effect to the wait time why are people paying ungodly amounts to skip it? And I answered that everybody recognizes there are ill effects. I am not sure how else I can help you, or whether you even want to be helped.

        • Mike T.

          Seriously, if a wait time amounts to "suffering" then the suffering must be alleviated for all Canadians, not merely giving the option to the wealthy, hoping enough of them take it leaving more spaces open for the regular.

          If it does not amount to "suffering" then why would anyone pay more?

          Does anybody even read what they type anymore?

          • Emily

            Why should anyone wait? Especially if they're ill!

          • madeyoulook

            You still don't get the creepy prohibition of people freely choosing to devote their own resources to buy insurance for private health care for themselves or their loved ones, it seems.

          • Mike T.

            I'm not particularly interested in ideology or adjectives. My main concern is making clear that the system envisaged doesn't automatically result in equal quality care – the rich won't just pay more out of the goodness of their hearts, they're going to need a tangible benefit.

            And making less people invested in the system won't be a boon to propping up the system. You did note the court found that the government had acted in such a manner that healthcare conditions were creating a threat. That was when EVERYONE was affected. They'll have even less of an incentive to fix it if people start opting out.

          • Katherine

            Possible, but public health care is the most popular government action in Canadian history (ref: Tommy Douglas being voted The Greatest Canadian) – I don't think a few rich people opting out is going to severely undermine public support for it. The average person is still going to prefer waiting for public care than paying extremely high amounts for faster private care.

          • Mike T.

            You could very easily be right. How then does the private system sustain itself and what's the overall benefit to the public system?

          • Katherine

            The private system sustains itself by the spending of the small proportion of the population who are willing to pay large amounts for rapid service (maybe in combination with offering elective treatments that aren't covered by the public system). The public system benefits because those people are removed from the waiting lines, so everybody else gets service faster. Canada benefits because more of our doctors stick around to work in this private system rather than moving away to other countries with private systems.

          • Mike T.

            It seems like an enormous amount of things need to go right, and a lot of people have to make irrational decisions for this to work properly.

          • madeyoulook

            All of a sudden Mike T is concerned for the welfare of the private system? Odd, even most of the defenders of our public system recognize it sucks so much that the private system is bound to enjoy huge demand.

          • Thwim

            Check the stats. Our doctors aren't moving away, and the top reason for dissatisfaction among doctors isn't pay.. it's workload. Tell me how having fewer doctors available in the public system is going to help that?

          • MostlyCivil

            Thank you. Clear and well-stated.

          • lgarvin

            If demand for doctors is higher than the supply – creating workload complaints – then the wages of doctors should rise bringing more supply into the market. Except that we don't allow doctors to increase their wages except by increasing their workloads. Bit of a vicious circle, that.

          • Thwim

            Except the number of people wanting to be doctors is high as well.

            The bottleneck is training. We're willing to pay the doctors to heal us. We have people wanting to be doctors to heal us. What we don't have, and seem to be unwilling to do, is train enough doctors. Letting doctors charge more isn't going to change that. Forcing sick people to pay for their care isn't going to change that.

          • Cats

            Who pays for education ? The provinces.

            They'd rather spend money on retention and attracting doctors from other provinces than invest in new doctors.

            More healthcare dollars means more money to spend on healthcare slots in schools.

            Its not a lack of trainers, its a lack of money.

            Igarvin is right here.

            You're out of line Thwim. Off side!

            OFF SIDE CATS.

          • Thwim

            You seem to have misread me. I said the bottleneck was training. I didn't say we weren't paying enough to get trainers.. I said we're unwilling to train enough doctors.

            If you have a problem with that, then what you need to do is get the government to regulate the private colleges of physicians, which dictate how many training spaces we have.

            See, the problem is we have ideologues like you who actually have absolutely no knowledge of what the true situation is, and you're just going from your gut and your theories without ever looking into the facts of the matters.

          • madeyoulook

            Actually, if you could get the government to STOP regulating the universities so damn much, there would be more spots available. Provinces figured out you could keep health care costs down if you had fewer doctors, and medical school availability was severely curtailed (in Quebec) several years ago. They have recently found religion and reopened slots. Solution of extra graduates able to actually see patients will start to appear six years later.

            But if the province is going to so heavily subsidize the training that it has all the power over how many get in, and re-jig its five-year-plan every couple of years, this sort of nonsense is inevitable.

          • JustinWordswrth

            Reduced wait times is a tangible benefit.

          • Emily

            Yes, it definitely is.

          • Mike T.

            It certainly can be. And when it's an important one, it should be available to all. And when it isn't, who pays huge amounts for it?

          • JustinWordswrth

            People who think it is worth the price. You are distorting your argument by injecting your subjective two cents: "huge". The question is: "Who will pay for it?" The answer is: "Those who think the price is not "huge", but just right (or lower!)."

          • Mike T.

            We agree on the formual then. I don't think my conclusion is an unwarranted extrapolation.

          • JustinWordswrth

            Your conclusion is that private care cannot be offered at a price that would induce anyone to pay for it, ie., it cannot work. Why, then, are you threatened by–and spending effort opposing–something that can't happen?

          • Mike T.

            Whether threatened or not, I don't feel it will be the "solution" K. Martin and others are looking for, and could have negative consequences besides. Therefore I think society's time is best spent looking for better answers.

          • madeyoulook

            Re-write: you think society's time is best spent continuing to deny Canadians the freedom to decide for themselves what the answer might be.

          • Mike T.

            Well if you want to ger libertaridan about it.

          • Emily

            It isn't available to all because we don't have enough doctors….and that is a political decision.

          • MostlyCivil

            "Reduced wait times is a tangible benefit. "

            And the provision of private care will reduce wait times?

          • JustinWordswrth

            I think it could. But all I was arguing here is that reduced wait times would be a tangible benefit that some people might pay for.

          • MostlyCivil

            Righto, fair enough.

          • JustinWordswrth

            Also, the proposal does not allow for tax credits to the people who opt out of the public and into the private care. So people's "investment" in the system will be unaltered.

          • Mike T.

            Nonsense. Just keep putting a little less into the system each year. Nobody with private care even notices, and if they do, it's in a detached 'too bad for them, good thing about those tax decreases though!" kind of way.

          • Cats

            Now you're talking slippery slope and policy options made by hypothetical future governments.

            You see why this isn't a good basis for decision making right ?

            Right Cats ?

          • Mike T.

            Future governments? Really?

          • LdKitchenersOwn

            Is there a CURRENT government in Canada that has been putting a little less into its health care system each year? Really?

          • Cats

            Hasn't the current government increased transfers to the provinces to levels higher than ever before ?

            And it was the previous government that slashed them in the 90's ??

            So i'm assuming he's talking about a future Liberal government. But i doubt they'd want to destroy medicare, just neglect it for awhile.

            Cats away!

          • kcm

            "You still don't get the creepy prohibition of people freely choosing to devote their own resources to buy insurance for private health care for themselves or their loved ones, it seems"

            And you don't seem to grasp the basic concept of my right to object if your choice to spend as you wish results in my child not receiving comparable medical attention, merely because i can't outbid you. The challenge it seems is to please us both. If i can be satisfied that PI does not result in a deterioration of the public system i see no reason to limit anybodies choices.

          • JustinWordswrth

            The difference is that myl's right allows him to use his property, your right allows you to restrict how myl uses his property.

            Controlling other people's property is not an exercise of rights, it's a negation of them.

          • Mike T.

            The argument that a certain system doesn't meet an interpretation of an unrelated abstract concept is rarely much of an argument.

          • Emily

            The crow flies at midnight.

          • Blue

            The fact that you refuse to address the point that your argument for the type of health care we would lawfully receive, restricts the freedoms of us all, tells us that yours is not much of an argument.

          • Mike T.

            I feel the opposite way.

          • Cats

            Gut level George Bush politician over here!

            Alert. Cats on Alert!

          • Thwim

            I like speed limits on the roads.

          • Blue

            Huh?

          • MostlyCivil

            Your socialist speed limits are restricting my freedoms!

          • Blue

            Oh, I know what he said. I just don`t know why.
            Having a limit on how fast we can drive autos on the highway undoubtedly is good for our health.
            To carry his highway analogy further, restricting the health choices we all have to one bloated, plodding public health system is like keeping everyone driving at 30 km/ hr and then trampling each other at the next on ramp.
            Toll highways just reduce the congestion on the public roads—-they don`t eliminate them or reduce service on them.

          • Thwim

            Carrying the analogy futher is that we don't allow people to pay to speed. We place restrictions on them, no matter what their ability, to ensure safety for all.

          • Cats

            Speeding tickets are nothing to Cats with all of Cats money !!

          • Thwim

            So in other words, you think it's okay to break the law so long as you're rich? Well, I suppose that at least lets us know what kind of person you are. Typical conservative supporter I guess.. laws are for the little people, right?

          • madeyoulook

            Typical conservative supporter I guess.. laws are for the little people, right?

            For someone who can craft a sentence reasonably well, you do get ugly with your sweeping generalizations pretty easily.

          • Blue

            Let them speed all they want. They`re not on your highway.

          • Thwim

            And that's where your analogy fails, because they are.. there's a limited supply of medical practitioners. Throwing money at them isn't going to give them more time.

          • JustinWordswrth

            Huh?

          • kcm

            Semantics my friend!
            I'm sorry but i call bs even though you may have defined the issues correctly in a technical sense. If the real world effect of MYL exercising his right, is to limit mine to a service we have chosen as a society to not fully expose to market forces, then i do reserve the right to restrict his use of property. Again i'm not convinced it is a zero sum game. We restrict/regulate private property rights in this society all the time, if the case for the comman good is compelling enough. Canadians by and large consider health care to fit the bill.

          • Blue

            The "real world effect " of the financially crippling, time wasting, bureaucracy laden, public system we have now is that we will be forced by the bean counters in the not too distant future to make drastic changes to our public health system or have none at all.

          • Emily

            We can have a publically-funded, properly run, efficient timely healthcare system anytime we decide we want it.

            These constant half-century old arguments about public vs private are just speed bumps getting in the way.

            So give the American vs Canadian nonsense a rest.

            It isn't going to change.

          • Cats

            Nobody let Emily near our budgets please !

            Hint: When you can't construct a pie chart because program spending on an item exceeds 100% you're in trouble.

            Stop before then please Cats.

          • Emily

            And this silly political propaganda of yours is why we'll talk about it forever, and never get anything done.

          • Cats

            Every premier in the country is complaining about the percentage of the budget healthcare is taking up.

            For Emils basic reality = silly.

            In outer space Cats.

          • JustinWordswrth

            …a service we have chosen as a society to not fully expose to market forces…

            You are saying that that service can have no exposure to market forces.

            …then i do reserve the right to restrict his use of property.

            Don't you dare call that a right. A right is what an individual has guaranteed to him or her against the demands of others. What you are calling a "right" is just the dictum of the gang that amasses the greatest number of bullies.

          • Emily

            The only 'rights' we have are in the Charter.

            Private property isn't one of them

          • Cats

            Sigh.

            He's clearly talking about some conception of natural rights.

            You are being obtuse on purpose right ?

            Sometimes I can't tell. Honestly can't. You're like the fat dad on The Family Guy.

            Cats away!

          • kcm

            "You are saying that that service can have no exposure to market forces"

            No i didn't. Try again! "

            Don't you dare call that a right

            I did conceed you're technically correct in that i have no "right""to restrict the choices of others. But i can only conclude that you are being deliberately obtuse if you can't see how someone exercising their rights may in fact affect my access to health care . [ we are talking about fair and relatively equal acess to health care here, that's all] So can the bombast, i'll dare whatever i damn well please in defense of a principle i support – that health care should be universal and independent of income.

          • Mike T.

            I did conceed you're technically correct in that i have no "right""to restrict the choices of others

            ***

            Libertarians are at their most drole when hyperventilating over imagined slights to their core principles.

          • JustinWordswrth

            Obviously if I exercise my right to keep my money in my pocket it will affect your access to it. My only point was that your declaration of a right to my money was a perversion of the word "right".

          • Thwim

            Except in this case he's not declaring a right to your money. He's declaring a right to not have your money influence the standard of care he receives.

          • JustinWordswrth

            Fair enough. Claiming a right the authority to stop me from spending my money is equally perverse.

          • Thwim

            Do you have a right to pay someone to cause him injury?
            Do you have a right to pay someone to aggravate a pre-existing injury?
            Do you have a right to pay someone to deny him care?
            Do you have a right to make him have to pay a higher fee for care?

            It's all well and good to think, "But I'm not paying for that, I'm just paying for me" but the truth is that actions have consequences, and everything we do affects other people.

          • Cats

            You do realize none of those things are terribly difficult to answer in a reasonable way using natural law theory right ??

            That was an epic fail at a GOTCHA.

            K THNX BYE CATZZS!

          • JustinWordswrth

            My right to the uninhibited use of my person and property ends where your person and property begin.

            I have a right to my hammer. I have a right to swing my hammer. I have no right to swing my hammer at you.

          • Thwim

            Nice that you avoided answering the questions, never mind the point.

            How about this one then: Do you have a right to swing your hammer at a board I'm standing on?

          • JustinWordswrth

            It depends. Whose board is it?

          • JustinWordswrth

            Answers:

            Do you have a right to pay someone to cause him injury?

            Do you mean to cause himself injury, or to injure a third person? If himself, yes. If another person, no.

            Do you have a right to pay someone to aggravate a pre-existing injury?

            Same as above.

            Do you have a right to pay someone to deny him care?

            Yes.

            Do you have a right to make him have to pay a higher fee for care?

            What do you mean by "make him"? If I am a doctor, I should be able to ask whatever fee I want for my service. If three of us are on a desert island, me, him, and a doctor, and I and he each has an illness and the doctor says he will treat only one of us, I have every right to offer in exchange for treatment a price that will make him have to pay a higher fee if he wants the care.

          • LdKitchenersOwn

            Aren't there, like, a THOUSAND things that we restrict you from spending your money on?

          • JustinWordswrth

            I've never been able to keep count.

          • madeyoulook

            If the real world effect of MYL exercising his right, is to limit mine… I had no idea I had that power!

            News flash: anyone can exercise this right already, just not in this country. All we have done is decided to export our wealth by forcing people to exercise this freedom of choice outside our freedom-limiting country. Lose, lose. And, apparently, we are jealously proud of this what-it-means-to-be-Canadian jewel.

          • kcm

            "The challenge it seems is to please us both. If i can be satisfied that PI does not result in a deterioration of the public system i see no reason to limit anybodies choices"
            I don't think we disagree in substance. As i said elsewhere, i'm not convinced that PI and the public system can't co- exist.[ as Martin asserts] I'm merely stating that actions do have consquences and pretending this just an exercise of poperty rights doesn't help.

      • Cats

        When you're sick ANY wait time is too much.

        But it would be unreasonable to assume zero wait times in any public system because that would mean doctors were sitting around waiting for patients and doing nothing in between.

        (That's why when you go to see your family doctor there is ALWAYS a ten minute wait. Better to overbook than underbook!)

        Ever think of paying overtime though ?

        If i'm paying a doctor tons of money to work overtime then I am benefiting, they are benefiting, and nobody is getting hurt in the public service.

        Think about that Cats!

        • MostlyCivil

          They already get overtime, patient recruitment bonuses, complicated patient bonuses, over-capitation bonuses and all sorts of perks and overtime.
          All of the provincial funding agreements are available online for your research purposes.

          Think about that, Cats.

          • Cats

            Provinces would rather steal doctors from each other than pay to train new ones. Its a problem.

            However, they still make less than in the US. And not every doctor works long hours.

            Thinkin' Cats.

  • Katherine

    Keith's my MP, and I'm a big fan of him – he's got the right idea here.

    Doctors who want to work in the private system are moving to the US anyway; we gain medical care and lose nothing by giving them the opportunity to open private practices here instead.

    • Jenn_

      But don't most of us already have this public/private hybrid? Most of us=those living close to the U.S. border. If you don't want to wait and you can afford to do so, you go over the border and pay a U.S. doctor to fix you up. Now, if the argument is why should we make the U.S. doctors rich when Canadian doctors want to get rich, too, then I think we should say so, instead of pretending that this is an argument concerning the patient.

      • Katherine

        It makes things easier for the patients, who don't have to cross the border to get treatments, and increases options for the doctors, who can live and practice in Canada if they want to. And, of course, the tax dollars from these profitable private clinics end up in Canadian government coffers rather than US ones, but that's more of a side benefit IMO.

        • Thwim

          Incidentally, you seem to be entirely unaware that you already can run a completely private clinic in Canada. And some do.

          The caveat is, you can't get public funding for it.

          • madeyoulook

            And it is illegal to buy insurance to avail oneself of such services in this country.

          • Thwim

            Other than in Quebec, sure.

            But the argument she's making is that we should allow private access to health care. We do. That you happen not to be able to afford it is.. well.. part of private health care.

          • Katherine

            And that's how it should be, and that's what Keith Martin is recommending.

            Do allow people to pay for health care services in completely separate private clinics. ONLY private monies would pay for these clinics and services.

          • Thwim

            So.. you're lauding him for advocating we do nothing? Huh. Okay.

            I guess if you're that easy to please, it does make life happier.

      • Cats

        Services closer to home would create efficiencies.

        That means more dollars for healthcare, less wasted on travel and horrible green house gas emissions !

        Zero mile diet? Zero mile private healthcare.

        I want it here Cats!

      • AJR79

        So two-tier health care only for those who live in the South? Us Northerners have to sit and wait, or travel hundreds of miles?

        That seems like awfully Urban-centric thinking to me.

        I also wish we didn't need our older brother Sam, to help make our system work. We should design one that can stand on it's own.

    • Thwim

      Attaway with the truthiness Katherine.. after all, if your gut says it's true, it must be.

    • tobyornotoby

      "Doctors who want to work in the private system are moving to the US anyway"

      My reading of the latest national physicians survey is that more are returning to Canada than leaving, but I'd be open to hearing more information. Maybe you mean in demand specialists?

      I'd find it dificult to believe that family physicians are leaving because they want some sort of freedom from government control, because most physicians in Canada already practice privately and the only difference from the U.S. is that they bill a provincial health insurance plan instead of private insurance companies.

      I've read that many US physicians are leaving Family Medicine for more lucrative specialties and some are leaving the profession altogether because of the frustrations (rejected billings) and overburden of paper work caused by dealing with multiple insurance companies (versus a single payor). I understand that many clinics are even adopting a kind of single payor system, by subscribing to only one insurance company. Unfortunately if your workplace switches its insurance, you have to switch doctors.

  • Katherine

    Also, Keith isn't suggesting allowing private health care as the sole solution to problem in the public health care system, just as one aspect of it; and he is suggesting limits on private health care. Other things he mentions:

    DO Look at 17 of the 20 top health care systems that are all in Europe. All provide for better access to quality care when people fall ill at a lower cost (Canada ranks 22nd in the world, the US is 26th).

    DO Implement a National Head Start Program for Children. This is a powerful preventative program.

    DO Allow hospitals to be paid on the basis of patient services rendered as opposed to receiving block funding alone.

    DO Allow physicians to provide essential services in the private sector if they spend a minimum of 50% of their time working for the public system.

    DO Enforce common standards for public and private health services.

    • Jenn_

      These all sound good to me. If I could get over my terror of the slippery slope. But I guess I'll have to work on that because we clearly have to do something to increase efficiency of our health dollars.

      • Cats

        National head start program for children is a big waste of time.

        Studies only show its effective when its TARGETED and not a blanket program

        The 50/50 requirement is probably a violation of people's charter rights …

        (Although likely an acceptable transitional requirement so we can see how this thing develops.)

        Cats unlike Jenn_ doesn't just randomly agree with every big government Liberal proposal that comes their way. Cats thinks about things!

        Thoughtful Cats.

  • Mike T.

    Can we at least agree that a Canadian citizen of any income level can recieve, without direct cost, basic medial treatment that a sick, objective person would find reasonable. Maybe not sumptuous, maybe not as quick as humanly possible, but still giving a result where they would have no complaints, overall?

    (And once we have that, who is willing to pay more?)

    • Emily

      Basic standard medical care for the masses has been suggested many times.

      What is being suggested is a second level of private, complete medical care, for those that can afford it.

      • Mike T.

        Absolutely! And should we not strive to provide "complete" care for all, rather than leaving most of us with "incomplete" delivery of listed services?

        • Emily

          We can HAVE any system we want. What we need is the political will to make it so.

          So far, all we've done is argue about it.

          • Cats

            Lol I love how you're so blase about budgetary concerns.

            We can HAVE anything we want in the world, provided we get enough credit cards !!

            Put it on my card Cats!

          • Emily

            Yes, you can have anything you want as long as you can pay for it.

            I said 'pay', not charge.

          • Cats

            Haha what ??

            You didn't say "pay".

            Go read your above statement that I was replying to. Nowhere does the word PAY come into it.

            WHOA Cats caught a mouse!

        • Katherine

          Yes, we should. The argument here is that having some richer people move out of the public system makes it easier for the public system to provide better care, by moderately decreasing the number of patients it has to serve.

          The problem remains that, as things stand, we are spending substantial amounts of money on health care without being able to provide prompt, comprehensive care for everyone, no matter how much we want to do so. And as our population ages, that problem is likely to become more difficult.

          • Emily

            We are 'able' to do so, we just aren't willing to do so.

          • Thwim

            Question.. who serves those richer people who move out of the public system? Does a magical genie appear to conjure medical practitioner's out of thin air?

    • Cats

      "no complaints"

      Oh lol what ??

      I complain about everything medical. Always have, always will.

      That's kind of a really, really high standard you're setting given how many of us walk around with a sour puss on our face.

      A SOUR CAT.

      SOUR CATS ON PEOPLE'S FACES, with claws and teeth making them grumpy because the cat is grumpy (its sour) so then you get dour. CATZZS!

  • Poker Face

    Whether or not the federal government wants to have a two-tier health care system or not is largely irrelevant, since it's abundantly clear that we already have one. (The party leaders are certainly aware of this…. *cough* Shouldice Clinic *cough*)

    • Emily

      That is not 2 tier.

  • Grammarian

    The apostrophe used in the original sentence in "do's" is incorrect.

    Grammarian cats.

  • AJR79

    Why did this guy ever leave the conservative fold?

    It's disorienting to hear common sense on this issue from any Liberal. (or any MP for that matter)

    Come home Keith. You could probably make a good future run at the leadership, if you wanted.

  • Emily

    And once again a thread has been wasted talking about the same old issue….public v private…when that decision was taken in 1966, and is unlikely to change.

    What we currently have is a shortage of doctors, and their numbers are regulated by the provincial colleges of physicians and surgeons.

    If you want to improve things, you'll have to eliminate these boards….because they act solely as a job protection plan for doctors.

    Protectionism at it's finest.

    • Thwim

      Huzzah! Someone who's finally gone beyond their gut!

      • Emily

        I've recruited doctors, and know how the system works.

  • ColdStanding

    The healthcare funding debate is one of the most significant loci of discontinuity arrising from the natural limits of the quantification model. When our qualifications are really quantifications in disguise, then the approach has become completely one sided causing the considerable blow back Canadian's face when attempting to restore themselves to health.

    It is folly to expect, when the easy gains of quantification have been exhausted, that further EXCLUSIVE application of the quantificatory modality will generate the needed resolution.

    Therefore, the field of investigation, completely untended as of yet, is the history of science. We need to seriously consider our unquestioned loyalty to the medical model we are attempting fund. I am not talking private vs public care – I am talking medical protocols premised upon the results of investigations that consist of hypothesis that only consider those aspects of natural phenomenon that prove amenable to quantification.

    • Katherine

      In layman's terms, please? What precisely do you want in the way of changes?

      • MostlyCivil

        It would appear the poster has some issues with way current medical science is based solely on evidence determined through, you know, proof and stuff.

        If you need me to explain it further, I can provide you with a book (for onlu $99.99) that will make you smarter. If you'd like some proof it works, I have 3000 years of oblique oral history and a website full of anecdotes. Order soon, before big-pharma shuts me down!

        • ColdStanding

          Hey, great idea! An infomercial lead for a multi-teered sales funnel would be the prefect. Might as well make some cake catering to the disaffected, by slyly inserting myself into the unclaimed gaps generated by the pervasive folk ICM of scientific investigation.

          Sure, I'll have to put up with simpletons that will carp about what I am doing because they get their jollies from making quips about stuff that, while they have the potential to, they will never understand because they are so intellectually lazy that they end up starved of original source material, even when it is within easy reach. Heck, they could stuff themselves full to the brim even with relatively conventional source material, but it is really just too much of a stretch for them. Better for them that they satisfy themselves with harmless carping, wit-lite, and cartoon-grade simplifications.

      • LdKitchenersOwn

        I think ColdStanding is saying that our medical system will never work properly until we're all Cleared Theta Clear. I don't think he can be any more precise in his explanation, however, as it might anger Tom Cruise.

        That said, I do question the wisdom of this path. I'd like to fix our medical system while I still have a need for my physical body, and while I can't speak for any Thetas inhabiting my current physical body, I can say that I'm almost certain that my physical body is a fan of evidence-based medicine.

        • ColdStanding

          There's a boy, LKO. Now be a good chap and run along. There are lots of naive empiricist around already. A close reading of my original post would reveal it is already structured as a refutation of your position. I suppose it was too much to ask for a serious response as opposed to such a typically self-satisfactory response.

          You do know that there are other sites more suited to such activity, eh LKO?

          • MostlyCivil

            You'd like a serious response?Fine.
            Right now, evidence-based medicine is what rules the roost. My own blind acceptance of current evidenciary protocol is purely results driven. My wife takes injectable insulin, she continues to breathe. I take anti-rejection medications, and my supressed immune-function allows the transplanted organ to operate without being ejected by my own body.
            You disagree with the exclusive rule of evidence-based medicine? How do you realistically propose to offer up a new model? And can you suggest an achievable mix that doesn't unfairly demonize the clear successes of Western medicine?

          • ColdStanding

            Is there a way to "fairly" demonize someone or thing? Who said I was demonizing anyone, anyways? Rest assured I am not.
            New models are offered up by proposing them and by then looking into phenomenon as if the proposed model was true. If this isn't even allowed as a possibility your position can't hardly be considered as in the spirit of scientific investigation.
            I do disagree with the exclusivity of what you call "evidence-based medicine" but not for the reasons you seem to imagine. I did not come up with this viewpoint. I obtained it from reading authors that are very much in the Western tradition of scientific enquiry. They just aren't from the quantitative only branch.
            You and your wife are in quite a spot. I hope the choices you have made work out well. At this point, though, you are wholly committed to those choices, so I would hardly expect you to entertain the thoughts of validity of another response to your situation.

          • Thwim

            We do this all the time. It's called the scientific method. You look at a proposed model, you establish experiments that test whether the model asserts with the facts.

            Can the mind heal the body? In some cases, yes. That's why there's a name for placebo effect.

            However, it's efficacy, especially when compared to evidence driven medicine, is low. How do I know this? Because when it comes to solutions for illness, natural selection works incredibly well for the testing of memes, as those with the wrong belief structure tend to die off.

            Or in other words, there's a reason most people don't believe your bunk.

          • ColdStanding

            Your extremely simplistic understanding of the scientific method is typical of the species of responses generated by people so far out of their league that they are really just getting in the way.

            Considering the obvious fact that all sorts of approaches to attempting to positively affect the course of illness are proliferating and/or thriving (depending of the accidental locus of one's bias) does that not suggest that those memes (wrong use by you) are not dying off and are, therefore, being naturally selected for (completely wrong to use natural selection, but a typical error)? To you it does not, but you hardly constitute a significant sample.

            But I will not spend my time taxing your limited resources on that question. Especially because it completely is not what my original post was about.

            Or, in other words, this is a question centred in the complex domain, making it beyond the grasp of your hopelessly antiquated billiard ball modeled folk reasoning.

  • Elise C.

    Canada instituting a new system where it was 1/2 private 1/2 public could potentially cause issues in terms of which doctors go to private and which to public (like all of them would want private due to the lucrative pay). However people who want to pay are crossing the border already so much so companies like cross border access exist. Why not just make these foreign services more visible to Canadians with the means to pay and leave the system as is for everyone else?

  • AJR79

    If Keith Martin was leading the CPC, or the LPC I'd vote for him in an instant.

    • Crit_Reasoning

      He's a good man. It's too bad he won't be running for reelection. Maybe he'll run for the BC Liberal leadership, but my guess is he's out of politics for good.

    • Guest

      Seconded

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