When you hear people talk about health care in America, there’s one country that seems to get a good amount of attention. It’s a single-payer health care system, kind of like the Medicare for all plans that some well-known Democrats have been promoting. 

The system’s unofficial name is also Medicare. It has universal coverage. It has relatively cheaper drug prices than the United States. And it also has reports of long waiting times and endless reams of red tape. 

You’ve probably guessed which country we’re talking about. Canada, Canada’s health care system is playing a larger role in America’s political discourse as the 2020 presidential elections heat progressives on the left love pointing to Canada as an equitable and efficient healthcare system.  [the_ad id=”3696″]

Conservatives, on the other hand, use Canada as an example when warning about the dangers of socialized medicine and unchecked bureaucracy. So how different really is Canada’s health care system from what’s going on in the United States in 2017, it’s estimated that Canada spent around 10.4% of its GDP on health care.

By comparison, the United States is estimated to have spent about 17.2% of its GDP that year, the OECD estimates that Canada spent around 4500 USD per person in 2017. 

In the United States, though, the figures expected to be at least double that at $10,000 per person out of pocket spending is also lower in Canada. 

On average, Canadians spent around 650 USD per person in 2016. The average for Americans was around 1100. dollars that year. 

Canada still spends more than the average of all 36 OECD countries, which comes in around 30 $800 per person and 8.8% of GDP. Despite spending less than the United States, Canada’s Medicare system ensures citizens have universal coverage for medical needs that are deemed essential, something the US hasn’t accomplished. 

Canada also has comparable or better health outcomes in the US even though it spends less money. But compared to other countries, Canada’s health care system has room for improvement, researchers looked at the rate of deaths that could have been prevented with proper access to care across 11 countries. 

Canada ranked seventh on the list while America was last we can see the same trends in infant mortality rates Canada outperforms the US but other countries like Sweden and Australia have much lower infant mortality rates than Canada. 

Canadians also live longer than Americans Canada’s average life expectancy is among the highest of all the countries and is nearly four years higher than the US. Additionally, Canada’s maternal mortality rate is almost four times lower than that of the United States and more Americans die of heart disease and stroke than Canadians. 

So how does Canada managed to spend less money than the United States while having a more effective health care system? 

Canadian Medicare is a publicly funded model with private delivery. The system was established in order to ensure equity among citizens regardless of people’s ability to pay. It was also created in order to keep administrative costs low,

there’s no private plan that can take cognizance of the family’s ability to pay. Only a government can levy taxes on that all Canadians receive their health coverage through Medicare, which is run at the local level by each province under federal supervision.

So basically, the health ministry in the Capitol in Ottawa determines what procedures are going to be covered what we’re going to pay for it, what pills we’re going to cover on our list. These are decisions that are made separately by insurance companies basically in the United States.

That’s Dr. Reid, author of the book, the healing of America, he traveled the world exploring different health care systems and how well they work in Canada, everybody has the same treatment, they would drive them nuts. If George got better health care than Sam did. That’s not acceptable.

There’s some variation on what is covered based on province but most medically necessary care is covered with no out-of-pocket costs. There are some universal exceptions prescription drugs are not considered essential under Medicare, dental, mental health, and optometry are also not covered unless they are considered medically necessary because Medicare does not cover everything. 

Most Canadians also buy private health insurance through their employers to supplement out-of-pocket expenses. They cannot, however, use private insurance to purchase care that is covered under the government plan.

If there’s any treatment or procedure or surgery that the system covers under its rules, then you can find it private. This is because you know how in America we hate this notion of socialized medicine, whatever it means that’s really bad. 

In Canada, The bad thing is what they call two-tier medicine. That is they don’t want rich people to get better care than poor people. That would be terrible. In America. We kind of take it for granted that a rich kid is going To get better treatment than a poor kid that’s kind of standard. In Canada, that would be taboo. That’s a sin

private funding such as household out-of-pocket costs and private insurance spending accounted for about 30% of health care spending in Canada. 

Despite the majority of health care being publicly funded, most hospitals and doctors’ offices are privately owned and operated. doctors who own their private practices are considered contractors who build a government Insurance Fund for their services. The government is not their boss, the doctors are not allowed to practice. Outside of the system, they can either practice completely in the government Medicare system or completely out of it. 

And there are very few places in Canada where a doctor can make a living without taking the Medicare patients. And therefore for most people, that’s the only choice.

Despite having universal coverage, the system still has some problems we times are longer in Canada than in the United States. In a 2016 survey. 53% of Canadians said they were not able to get an appointment on the same or next day when they were sick or needed attention. 

The United States performed slightly better at 42%. Out of all of the 11 countries surveyed, Canada performed the worst in that category. 30% of Canadians said they waited two months or longer to see a specialist compared to 6%. 

In the United States, nearly one in five Canadians waited four months or more for elective surgery, while only 4% of American respondents said the same about 60% of Canadians find it difficult to access medical care in the evenings on weekends or during holidays without going to a hospital these long wait times can lead to the overuse of the emergency room where half of Canadian said they’ve waited two hours or more to be seen.

It’s a good system. But it doesn’t work that well in Canada. Interestingly, in its own home country, there are long waiting lines, you know, their constant stories about the care being denied or people just had to wait months just to see the doctor. And I believe that’s because the Canadians are too cheap about it. 

They just don’t spend enough on health care to have a lively system. Some provinces like Saskatchewan, where they started have shorter waiting times for both acute and elective treatment than most of the United States. So there are parts of Canada where it works.

Not all medical care is covered in Canada, which leads people to have significant out-of-pocket costs. Medicare does not classify prescription drugs as essential which means they are not covered for many patients. There are some social programs to help Canadians pay for drugs, but the benefits vary by province, for example, Ontario provides prescription drug coverage for anyone under 24 years old who does not have private insurance. 

The province also has a drug program for people 65 and older Canadian pharmaceutical costs are also not as controlled as other countries Canada spends approximately the same amount as the UK on pharmaceuticals. 

Despite having only half the population. There are also no out of pocket caps on spending in 2015 Canadians spent around 670 US dollars per capita on retail prescription drugs compared to the United States per capita costs of roughly $1,000 in 2016. One in 10 Canadians did not fill a prescription or chose to skip a dose due to cost. 

This is still significantly better than the United States where nearly one in five people chose not to buy medication because of cost. Despite the problems, Canadians are proud of their health care system, but they do recognize it needs reform. 94% of Canadians surveyed said it was an important source of both personal and collective pride. 

But nearly one in four Canadians were concerned about whether they would be able to pay for all of the care they might need if they ever became seriously ill despite that concern. 45% of Canadians rated the overall quality of medical care in Canada as excellent or very good and nearly three quarters said the same of their personal care in the past year.

The citizens are crazy about it. They it’s egalitarian and treats everybody the same. That’s the most important societal value in Canada is treating everybody equally. And the other thing they like about it is they know it’s better than the US system. 

They have better outcomes. They have better recovery rates from disease, they have a longer life expectancy and they pay less. And man they love being better than us. That’s really what matters to Canadians.