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.
Ed
Feulner is president of The Heritage
Foundation.