A Cure Worse Than The Disease
<http://www.cnsnews.com/public/content/article.aspx?RsrcID=47603>http://www.cnsnews.com/public/content/article.aspx?RsrcID=47603

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  Monday, May 04, 2009
<commentator.htm>By Ed Feulner

Emily Morley got some very bad news in March 
2006. Her cancer had spread, the doctor informed 
the 67-year-old Canadian. She would need to see an oncologist.

Then Morley got some really bad news: She’d have 
to wait several months before she could get an appointment.

Only after her family raised a ruckus, calling 
the local paper and starting a petition to demand 
she get care, did the government get her a 
specialist. Then, it was more bad news: Morley had only three months to live.

At least she had time to put her affairs in 
order. “Had her family not intervened,” noted 
provincial lawmaker Don McMorris, “it is quite 
likely that Emily Morley may have died before 
even seeing an oncologist for the first time.”

But that’s how a single-payer, or “universal,” 
health care system works (so to speak). Even the 
very ill routinely hurry up and wait.

Alarmingly, Congress is gearing up to “reform” 
American health care along Canadian lines – and 
proponents are trying to take a short-cut to get 
there. According to former Medicaid director 
Dennis Smith, proponents of a government-run 
health system are hoping to enact a bill by 
by-passing the usual, lengthy bipartisan review process.

The goal of any reform, supposedly, would be to 
trigger “competition” between government-run 
health care and currently existing private health 
insurance plans. Yet, Smith warns, the government 
will inevitably tilt the playing field to favor 
its own plan, running private coverage out of 
business. Americans could be left with a single, 
government-run health plan à la Canada’s.

So let’s take a look at what such a system means for our northern neighbors.

As Sally Pipes, president of the Pacific Research 
Institute and a former Canadian citizen, recently 
told Congress, today some 750,000 Canadians are 
on a wait-list for medical procedures.

Further, 3.2 million (out of a population of 32 
million) are waiting for a chance to see their 
primary-care physician. Once a PCP diagnoses a 
problem, Canadians must keep on waiting – 17.3 
weeks on average – before they can see a specialist.

Why? “The Canadian government controls costs by 
rationing care,” Pipes explained. “Canada ranks 
14th out of 25 [Organization for Economic 
Co-operation and Development] countries in MRI 
machines, and 19th out of 26 countries in CT 
scanners.” Long wait times and lack of equipment 
force many to seek care in the United States.

Take Member of Parliament Belinda Stronach. She 
strongly supports Canada’s health care system. 
But where did she go when she was diagnosed with 
cancer in 2007? To California, where she paid for treatment out-of-pocket.

Then there was a mother in Calgary, Alberta, who 
had to be flown to Great Falls, Mont., to deliver 
her quadruplets. This relatively small American 
city had better facilities than any hospital in 
the wealthy province of Alberta.

Our current system is far from perfect, of 
course. Millions of Americans lack health 
insurance, prompting many to put off seeing a 
doctor until a small, treatable problem has 
become a larger, more threatening condition.

But the answer isn’t to try and cover everyone 
through a single-payer system. We’d be better off 
changing how the federal tax code treats health 
insurance (which, illogically enough in our 21st 
century economy, ties it to our jobs).

Such a change would foster genuine competition 
among insurers by allowing Americans to shop for 
the coverage that suits them best in an open market.

Current policy provides unlimited tax breaks for 
health coverage provided through employers.

Meanwhile, Americans who want to buy their own 
insurance must do so with after-tax dollars. Few 
can afford to do that, especially since insurers 
are more interested in competing for big group 
coverage (more lives, more money) rather than 
individual or family-based coverage.

Lawmakers could change this, and even provide 
vouchers or other forms of direct assistance to 
help poorer Americans buy private plans they 
would own and control. This would also make 
insurance portable when people change jobs.

Maintaining our standard of care is critical. 
There’s a reason Canadians “fly south” for 
treatment: Our system, for all its flaws, 
provides superior quality and access to care. 
Let’s ensure that policymakers, in their 
understandable zeal to reform health care, don’t 
make changes that weaken the entire system.

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