Posted Oct 18, 2009, 2:51 AM
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Registered User
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Join Date: Sep 2006
Location: Winnipeg
Posts: 1,699
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It's fair to argue that Manitoban MLAs will likely support a public system for a long time, but I don't agree with you, in so far as I'm defining long term as 10-20 years.
I floated the idea of going to the US as a reasonable option if you are very ill. I would go to the US, if I needed immediate care, but it's not because I want to. I'd tell anyone who wants real care in real time to go to the US as well, but it's not because I want to either. It's painful to watch Canadian dollars flow over the boarder when they can and should be spent here. However, I also don't think any Canadian should serve their nationalist sentiment and accept lesser care than they deserve. If going to a different country is the only way you can get appropriate treatment right away, then you do it, because taking care of you is of much greater importance than any nationalistic sentiment.
Furthermore, I think it is absurd to say that, "Another private option would only steal resources from the publicly funded system." That is absolutely not true, unless you define a two-tiered or 'private-public-partnership system' as thurmas alluded to as THE AMERICAN SYSTEM. Clearly the American way is not a viable way as it forgets people. However, there are many models to pick and choose the best parts from. It doesn't shake down into a private system and public system for doctors.
What a layered health care system does shake down as, is a public or private option for citizens. Doctors would be 100% public (but with an overall pay boost, as revenues increases perhaps, which allows us to retain medical health care professionals of need for ALL Manitobans). Doctors are put on a cycle between public and private patients, but the entire system is publically administered. As a doctor you don't have any more offices, or a different place of work, just the fashion in witch you tend your patients is a little bit different.
The only moral people are going to have to forgo is the long held strange ideal of, "I would rather die in line, then let some rich person get in ahead of me". Yes, that person who is willing and able to pay will get in ahead of citizen X. However, the revenue generated by the willful paying is fed back as a reinvestment loop into the public care arm of the public health care system. Now, we can hire more doctors (nurses, etc.), perform more PUBLIC procedures, and absolutely everyone wins. Doctors can't pick and choose who they serve as they are on a static cycle. No more money flows down to Grand Forks anymore. Wait times are alleviated ACROSS THE BOARD, we add more white collar jobs in this province, we can improve our facilities with the increased revenues, and so many of the ridiculous problems that infect the public health care system today can be done away with, or severely truncated.
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