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Graham Milne

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The American Politics of Canadian Health Care

Posted: 09/06/2012 2:15 pm

She's back. Shona Holmes, the Hamilton, Ontario native who became a poster child for the American right wing in 2009 as the debate over health care reform roared to life, is starring in a new Koch Brothers-funded Super PAC ad warning voters about the pitfalls of socialized medicine -- and not only that, she's hanging around the Democratic National Convention in Charlotte all week and available for interviews. Given all the talk about the tidal influx of corporate money into the American electoral process since the Citizens United decision, if the best spokesperson the Kochs can come up with to star in their $27-million fear-mongering campaign against the ACA is an outsider whose complaints about her native land's health care system have been thoroughly debunked, that's some pretty weak-ass sauce. Can you imagine the reaction on the right if an Obama-supporting Super PAC ran an ad featuring Canadians demanding higher taxes on the rich? Cries from the Fox News cabal about filthy foreigners tampering with the sacred trust of American elections would be positively deafening.

The message of the ad is that because the Canadian health care system allegedly failed Ms. Holmes, Americans should run as fast as they can in the opposite direction. This one Canadian (out of about 34 million) claims she had a bad experience, so let's stick with the disastrous version we have now rather than pursuing a model that is so treasured by the Canadian people because of its success that no party dares broach the subject of changing it lest they suffer massive electoral blowback. I find the right wing's approach to attacking programs they don't like (read: They haven't figured out a way to make money off) amusing in that it's always the all-or-nothing gambit. They're always looking for the insignificant opening into which they can bludgeon the moneyed weight of their angry wedge. A single slip-up, to them, warrants the dismantling of an entire organization -- just as the appearance of a couple of bad apples in a malicious, heavily edited, out-of-context amateur video was grounds for taking apart ACORN (the real reason being that ACORN was instrumental in getting a lot of Democratic voters to the polls). It's as facetious and flimsy a position on which to build an argument as suggesting that if a single brick in the Great Pyramid of Giza cracks, the entire thing might as well be dynamited. But it's all you have when the only reason you can offer for being against something is that you don't happen to like it very much.

It's telling indeed that Shona Holmes would be dragged out again three years after her initial appearance on the scene. The Kochs probably couldn't find anyone else. For Canadians, what is almost as universal as our health coverage is our pride in our system -- and our gratitude that getting sick in Canada doesn't mean a financial death sentence. Several years ago I was hospitalized for a serious lung condition, requiring X-rays, painkillers, and finally an intercostal tube drainage treatment. My total bill for my week-long stay: $12, for the optional phone at my bedside. Everything else was covered by the program I pay into with my taxes, and nothing required was withheld because it wasn't on my plan or whatever other spurious reasons the private companies invent to deny care in the U.S. And my experience is not unique. As to the myth of Canadians dying as they wait for needed surgery, it's just that. The Canadian system is based on triage -- urgent cases go to the front of the line and everyone else is placed in priority sequence. Decisions about who goes first are made by medical personnel (with apologies to the ex-Governor of Alaska, not once has any Canadian been forced to file a request with their local Member of Parliament before calling their doctor). In the case of Shona Holmes, she was diagnosed with a benign cyst, and rather than waiting as recommended by a doctor she chose to cross the border and pay over $100,000 to the Mayo Clinic to have it removed immediately. And with respect to her complaints about being attacked for expressing her opinion, if you are going to become a shill for U.S. corporate and political interests by spreading specious half-truths to every camera in sight because you didn't get your lollipop right when you wanted it, you can't be that shocked if more than a handful of folks decide to disagree with you. Free speech goes both ways -- that's how the concept works. (People shouldn't have been calling her home to yell at her of course, but that's just more proof of how passionately Canadians support and believe in their system of health care.)

It took an incredible effort on the part of President Obama, the Democratic Party and its supporters to overcome the blockades thrown up by Republican obstructionists, corporate lobbyists, lawsuit-happy state attorneys general and Tea Party zealots to get the ACA passed, half-baked half-measure as it may seem to many liberals and progressives who were longing for something more transformative. Building on this act to craft a truly fair health care system where no one ever needs to fear getting sick in America ever again is going to take even more, and unfortunately the political damage borne by the Democrats for taking it on has made the issue something of a third rail. But it should provide some comfort to those Americans dreaming of a single-payer program like Canada's to know that the side fighting to keep the status quo has no real argument to make. They may have more financial resources, more members of Congress in their pocket, but at the end of the day, it's all smoke and mirrors -- their hand is empty. They just don't like health care, and if you're looking to win the conversation with the people, truth is a much better starting point.

 

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She's back. Shona Holmes, the Hamilton, Ontario native who became a poster child for the American right wing in 2009 as the debate over health care reform roared to life, is starring in a new Koch Bro...
She's back. Shona Holmes, the Hamilton, Ontario native who became a poster child for the American right wing in 2009 as the debate over health care reform roared to life, is starring in a new Koch Bro...
 
 
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HUFFPOST SUPER USER
CJWebber
I think we all love teachers.
07:13 PM on 09/08/2012
There is an enormous amount of fearmongering and downright lying about the healthcare in Canada. Even Americans who live near the Canadian border believe the propaganda so I can only imagine how easy it would be to snow those from the south.

What most Canadians don't understand is why Americans wouldn't want better health insurance (universal is the best but the ACA is still an improvement). It's inexplicable.
05:03 PM on 09/10/2012
It's not that Americans don't want better health insurance. The majority Americans, when asked, do want a Medicare for all system (polls have shown this). The problem is, there is a large and vocal minority of bigots who don't want to share the country's bounty with "the others (i.e., black and brown people, non-Christians). Many of these folks already have some form of insurance (the "government hands off my Medicare" tea party types) and they can't stand the idea of paying taxes into a system that will help people who aren't like them. And, unfortunately, the way the American electoral system is set up, the regions of the country where most of these haters reside have a disproportionate amount of political power and influence that the corporate healthcare profiteers gleefully take advantage of.
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HUFFPOST SUPER USER
CJWebber
I think we all love teachers.
05:50 PM on 09/10/2012
Okay.  You would know,  I'm sure.  However in my experience I have met very few Americans who aren't suspicious of canada's "govt run health care".  Even the terminology is incorrect as the govt doesn't run the health care in Canada,  all the doctors have private practices.   
I guess I must have only met republicans. 
07:19 AM on 09/08/2012
We elect and maintain a democratic government to provide for the security and welfare of the nation. To privatize our healthcare is to put the nation in the hands of a corporation that has no accountability and offers no security. This is a breach of the Canadian Charter Of Rights And Freedoms. It’s unconstitutional. Any politician or bureaucrat who is an advocate for a privatized system comes to that position not through a process of healthy, rational, objective thought, but because they have been paid to, and are obviously corrupt. Why else would anyone betray his or her countrymen?
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HUFFPOST SUPER USER
arachne646
No more hurting people--Peace
11:22 AM on 09/09/2012
Stick some company(s) in there to have to extract all those profits from us as well as the costs of healthcare! There is no way that could be done anywhere near as efficiently, because we can see from the American example that for-profit health care is the most expensive in the world, and far, far, from the best.
11:26 PM on 09/07/2012
By the way, my insurance covers 80%. I bet the health care system in Canada is much more efficient.
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HUFFPOST SUPER USER
CJWebber
I think we all love teachers.
07:24 PM on 09/08/2012
It's 100%, no deductible. But if it's not life-threatening or an emergency, you will wait your turn.
If you are merely going to your family doctor, appointments are fast and many times same day. I wait longer for appointments at a hair salon. The same can't be said for appointments with specialists, there just aren't enough of them.
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HUFFPOST SUPER USER
arachne646
No more hurting people--Peace
11:25 AM on 09/09/2012
Mind you, lots of things that are handled by specialists in the US, are seen by Family Practitioners in Canada. Midwives and Family Doctors deliver babies and do well-woman visits, for example. Some specialists are quicker to see than others, and specialists see emergency problems right away.
11:22 PM on 09/07/2012
I would love to have Canada's system. Anyone who believes the Koch brothers hasn't used our system. It needs a major overhaul. I'm happy Obama is taking steps in that direction even if he is not (unlike Republicans claim) making it socialized medicine. I've paid $4000 so far in co-payments just this year on top of my private sector insurance just for acid reflex issues. A big difference from $12. Our hospitals waste 1/3 of the money they bring in while our private sector insurance companies use far more then 20% of insurance premiums for profit and executive bonuses.
08:21 AM on 09/07/2012
Almost all of the "horror stories" about "socialized medicine" in Canada usually turn out to be complete lies or ignorantly repeated urban legends.

But to return to reality, the Republicans' stubborn opposition has been grounded in a misplaced faith in the "free market" to manage health care as a commercial commodity. This is in contrast to the view that health care is a basic human right requiring an appropriate degree of government involvement on behalf of the people, up to and including single-payer systems or outright national health care, if that is what is needed to assure essential health care for everyone.
03:07 AM on 09/07/2012
Wow. i think Canada should sue the sponsors of that commercial. If she did come here to get surgery she obviously PAID a great deal for it. So that means she has money to pay for surgery even though her own doctors in Canada told her she could have the surgery there.
This tells me that if we elect Romney we will probably be going to Canada for healthcare because the only way you would be able to get surgery here is if you pay upfront for it.
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HUFFPOST SUPER USER
arachne646
No more hurting people--Peace
11:40 AM on 09/09/2012
Our new Conservative government has just ruled that we will not be providing free healthcare to refugee claimants, so you will probably be getting a bill. It will be much smaller than the one in the US, but please work to get out the vote for Democratic Party candidates in the election? There are lots of young Americans who can be kept on their parents' plans now and others who can't be refused insurance because of their pre-existing conditions now because of "Obamacare".
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HUFFPOST SUPER USER
PatrickforO
America needs a Labor Party
12:05 AM on 09/07/2012
The profit motive does not belong in medicine, education or corrections. I'm definitely willing to 'risk' implementing a single payer system in America.
11:50 PM on 09/06/2012
The author obviously doesn't believe that it is possible for an era of complete lawlessness to be in our future as a result of this election going in either direction. If that were to happen which I for one hope that it does not, it might be wise to remember that probably all of the people he chooses to slander and ridicule are probably much better armed than he. A lawless society is a survivable situation, especially if you have your gun and a bible.
09:16 AM on 09/07/2012
How about a society that respects human life and suffering. A society where EVERYONE is entitled to health care. Where you do not have to sell your home or do without if you get sick. A society where big insurance is told to piss off. A society where your health decisions are between you and your health care professional. It is possible......most civilized and educated nations have UNiversal health care and Americans should demand it.
HUFFPOST SUPER USER
maclfam
08:17 PM on 09/06/2012
My wife has MS, and, in the last 5 years, she has been in the ER more than a dozen times, admitted 4 times, and seen probably 50 doctors in 5 hospitals in 3 states. We have had some great experiences and some terrible experiences with hospitals. We have had some great doctors and some really bad doctors. We have had good experiences with insurance companies and bad experiences. We have seen billing and pricing that borders on the criminal. The first two points are the same in Canada. The last two don't exist in Canada. No system is perfect; the Canadian system is better
02:52 PM on 09/06/2012
right on
02:43 PM on 09/06/2012
I'm Canadian, and I would definitely start a revolt if my health care was taken away. All humans, regardless of where they live, should have access to health care, and should not have to go into bankruptcy to pay for it. I literally cringe when one of my American friends mentions that they are very ill, or injured, but don't go to a doctor because they "don't have an extra $500 right now". That's not health care. A mother should not have to decide based on her bank balance, whether or not to take her sick child to the doctor. The system in Canada isn't perfect, that's true, but I wouldn't trade it for a private system that's for sure!
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11:01 AM on 09/07/2012
As another Canadian, I totally agree. What right wing Americans are being fed by these billionaires that have no understanding of our healthcare system is total BS. I am fortunate enough to live in both countries. My experience with the healthcare system has been very good in both countries except for 1 thing. When in the USA it hurts my pocket book, in Canada, I am paying for it but because it is gradual, I don't feel it. Bottom line, if I think I need to see a doctor in Canada, I simply go see a doctor. However when in the USA, I wait because it will hurt my pocket book. The problem is sometimes when you wait, it can make it worse (Cancer for example) and then free market healthcare mean nothing.
11:31 PM on 09/07/2012
Most likely if you go to the doctor for anything here in the US you will be paying the maximum out of pocket expense for the year. Unless you are a government employee (they have better insurance) then you will be paying about $2000 for the deductible plus about $1500-$2000 for the out of pocket maximums (that don't include the deductible). I think a lot of people are afraid to use their insurance if they are hurt or ill.