Honduran doctors and medical students who practice in public hospitals have
been on strike against a dozen Cuban doctors practicing medicine in Honduras
the past few months. The reason why is the Cuban doctors licensing and
professional requirement are less than those of the Honduran medical
establishment. The other side of this story is predictable. Low-income
Hondurans who lack health care warmly welcome the Cuban doctors. I got my
info from two sources: a Honduran journalist and a U.S. activist.

Economist Dean Baker makes a case to standardize licensing and professional
requirements for physicians. The American Medical Association opposes that.
Such a policy would cut the earnings of U.S. doctors shielded from global
competition. Meanwhile, some  800,000 U.S. doctors earn double and more
versus their European counterparts. If the licensing and professional
barriers to foreign doctors practicing stateside ended, U.S. health care
would become more affordable for those with low and middle incomes. (The
United States Since 1980 by Dean Baker (Cambridge University Press, 2007.
Pages 31-32.).

Seth Sandronsky

To: [EMAIL PROTECTED]
Subject: Re: Sicko: Heavily Doctored?
From: Paul Phillips <[EMAIL PROTECTED]>
Date: Sat, 30 Jun 2007 14:48:21 -0700
User-agent: Thunderbird 2.0.0.4 (Windows/20070604)

--------------------------------------------------------------------------------

Indeed, I was a participant in the "Saskatchewan civil war" when the (or
I should say, some) doctors went on strike against the introduction of
comprehensive, compulsory medical insurance in, I think it was, 1961.
My family's doctors supported the insurance scheme and opposed the
strike. Some of the doctors and their supporters even threatened
violence in opposing public insurance but cooler heads prevailed, some
compromises were made, and the doctors went back to work -- as one
doctor I know put it, "before people realized that they got better
despite us, not because of us."  (Indeed, the death rate fell in
Saskatchewan during the doctors' strike.) A year or so later, polls of
doctors opinions found a majority in favour of 'socialized (sic)
medicine' as is still overwhelmingly true today.
   That is not to say that there is no disastisfaction with the
Canadian system.  Almost all of the problems can be traced back to the
first half of the 1990s when neoliberal governments at both national and
provincial levels cut funding drastically for the healthcare system to
reduce government deficits and cut taxes as deficits ballooned in the
deep recession of the early 1990s.  Medical schools drastically reduced
the intake of medical students and hospital beds were closed and nurses
and aides, etc. were sacked.  Immediately, waiting lists appeared and
the problems with the system became more pronounced.  I was commissioned
to make a study of the impact on medical staff in Manitoba and what we
found was that many of the sacked workers left their profession and went
into other pursuits or left the province. Ten years later when the NDP
formed the government and tried to address the problems by hiring more
staff and opening more beds they faced a shortage of available,
qualified staff.  Indeed, they were forced to reopen nursing schools
previously closed in the move to have all nurses university (4 year)
trained rather than hospital/nursing school (2 year) trained.
   However, when you look at the increase in the cost of medicare over
the past couple of decades, it is almost entirely accounted for by the
rise in cost of drugs, a rise accelerated in Canada by our government's
capitulation to the US to adopt the much more stringent pharmaceutical
protection laws.  This cost escalation has continued apace in recent
years.
  Interestly enough, the US government spends about the same as Canada
(%of GDP) on medical care but private expenditure in the US is about
double.  If Canada raised its percentage expenditure  even half way to
reduce this discrepancy and reduced the current privatisation of a
number of branches of health care, waiting lists could be largely
eliminated in relatively short order if we accelerate the training of
the required medical personnel.
   As to Cuba, the couple of times we have needed minor medical
attention in Cuba when visiting there, we received it free of charge
though we had to pay quite minimal amounts for medication.


Paul P

Jim Devine wrote:
haven't seen the movie yet.
On 6/30/07, Julio Huato <[EMAIL PROTECTED]> wrote:

raghu wrote:


Anyone care to offer a rebuttal?


My rebuttal is: They are really desperate trying to defend their
Frankenstein.  They are defensive about their scam.  That is
incriminating enough.  No doubt, if Moore hadn't gone to Cuba, the
criticism against the documentary and him would be significantly less
intense.  More power to Moore for having done it that way.


Other countries dedicate a smaller percentage of their resources to
medical care than the US does and get better care. Something is sorely
wrong. If we value "American ingenuity" so much, we can take something
like the French system or US Medicare and improve it, giving more
coverage than those systems already do.


One thing: though the Canadian system is better than the US one,
didn't the doctors go on strike to oppose the Canadian one?


--
Jim Devine /  "Segui il tuo corso, e lascia dir le genti." (Go your
own way and let people talk.) -- Karl, paraphrasing Dante.






--
Paul Phillips Professor Emertus, Economics University of Manitoba Home
and Office: 3806 - 36A st., Vernon BC, Canada. ViT 6E9 tel: 1 (250)
558-0830 email: [EMAIL PROTECTED]

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