The Truth About Canadian Health Care

Americans are debating the future of their nation’s health care and as they do so, they keep looking beyond their borders to the systems in place in other countries. And, very often, their attention rests on Canada. More often than not, at least today, it is conservatives focusing on Canada, telling stories of woe, describing the utter breakdown of health care. You hear of people who have been forced to mortgage their homes and travel to the United States in order to receive basic care; you hear of people forced south of the border by hospitals that have no free beds; you hear of people who are utterly unable to find even a family doctor. Believe the press and you’ll think the Canadian system is in utter disrepair.

Now I am not much of one for politics, and especially so when those politics span two nations. Neither am I an economist who can talk about how Canada’s health care system impacts the nation financially (though obviously it’s a significant burden on the taxpayer). But what I do want to say is this: the truth about Canadian Health Care is that it’s really stinkin’ good. As a nation we are hard-wired to complain and we do tend to complain about our health system as we grumble about our politicians, hockey players and donuts. But we also like to boast and when we talk to Americans, one of the things we like to boast in most is the health care system (or the beer, depending on your personality type).

And it is good (the health care, that is—I’m not qualified to comment on the beer). When I hear Glenn Beck talking about the Canadian system as if it is hand-in-hand with Cuba, well, my blood boils a little bit. Of course I have little to go on beyond personal experiences and those of friends and family. But my experience is uniformly good. If I need to see my family doctor, I can call him and get an appointment usually the same day and, if not, shortly after. If I don’t care to wait, I can go to a walk-in clinic where, depending on the day, I may be seen immediately or after a couple of hours of waiting (there are at least four of these clinics within a fifteen minute drive of my home). Hospital emergency rooms, especially in cities, tend to be a little busy, but only if you have been triaged and determined not to need immediate care. If you need a couple of stitches, you may be waiting a little while; if you have a heart attack, you’ll receive much higher priority. I have only known one person who has gone to the US for treatment and, in her case, she chose not to wait a week for a mammogram. Living within minutes of the border and wishing to free her mind from worry, it was an easy choice for her to expedite things by driving to the US. When I speak to friends and family I generally hear the same things. Sure, we might like wait times to be a little shorter here and there; elective surgeries can come with long waiting times and in some locales there are just not enough doctors to go around. But overall, I do not know of a single Canadian who would trade our system for that of our neighbors to the south. I know of many more people who travel from the US to Canada to receive health care than vice versa. In fact, I hear there is a bustling business in forging health cards so Americans can pose as Canadians and be treated as them. If the health care is that bad, why would people be crossing the border to enjoy it?

It is worth nothing that in 2004 Canadians voted for the Greatest Canadian (yes, I know it was run through the liberal CBC, but still…) and winner was Tommy Douglas, the man who engineered the whole system. Though few Canadians would share his socialist political ideology (sitting as we are under a Conservative government), fewer still have any desire to dismantle the system he created. Is it a perfect system? No way. I don’t think there is a single nation we can point at as having a perfect system. But Canada’s system has to be as good as just about any of them.

Now it must be admitted that health care falls under the domain of the individual provinces, so care will differ from province-to-province. It is likely to be better in the Greater Toronto Area where I live than it is far to the north where towns are few and far between. Is it sustainable in the long term? I don’t have an easy answer. We could probably provide endless caveats. But for the average Canadian, the health care system is entirely adequate and we really have no good reason to complain. Take the time to ask Canadians and I am sure this is what you will find. There will always been exceptions, but for the majority of Canadians the majority of the time, our health coverage is exceptional.

I do not mean this as a defense or endorsement of what President Obama is proposing in the United States. Admittedly, if I were American, I’d be highly suspicious of the plan, especially when looking to the economics of it. Instead, I write all this simply to remind you, “don’t believe everything you hear.” This is as true when the rhetoric is coming from a conservative mouthpiece as when it comes from a liberal.

(For further reading, here are just a couple of useful articles: The Truth About Canadian Healthcare and Healthcare: Public vs. Private.)

Comments (64)

51
Anonymous's picture

Flora #43:

Who funds your military,police, firemen, libraries and schools in the U.S.?”

The sticking point is that the U.S. constitution specifically outlines the maintenance of a military as the “job” of the federal govt. It also says that all rights & duties not specifically assigned to the federal government are reserved to the states. So, when people complain about the fed. spending money on education (or health care, or a myriad of other things) being “unconstitutional”, they’re not just blowing smoke. On the other hand, I’d maintain that the vast majority of Americans do not want a federal govt. that fits the constitutional model part and parcel.

Nathan #44:

It’s kind of a hard comparison to make. What would the metric be? Various studies have compared cancer mortality rates, and another looked at mortality rates for people with heart disease. The cancer numbers were mixed. Apparently some types of cancer are “better” treated in Canada, and some in the U.S. Heart attack suffers were slightly better off in the U.S. due to a willingness to pursue more aggressive and invasive (read: expensive) procedures. The differences weren’t huge, though, and you have to remember that the U.S. per capita cost is approximately 2X what Canadians pay.

Two (rough) measures of “overall health” one can look at are life expectancy and infant mortality rate, but these vary by ethnicity, and the U.S. and Canada have different demographic makeups in that regard. I was able to find numbers for the U.S. broken out by ethnicity, but not for Canada, so I’m not able to make a comparison while holding ethnicity constant. However, if you look at the numbers for the overall population, then Canada beats the U.S. on both accounts. This while spending half as much.

52
Anonymous's picture

don’t believe everything you hear.”

Amen to that. From both sides of the aisle we need to have discernment.

Appreciate the post. Gracias me hermano.

53
Anonymous's picture

Wait times for walk-in clinics arnt that bad. In Ottawa there is even a chain of them with their times posted online so that you can go to the one with the least people at it. That being said we need more doctors and lab techs. I waited a month and a bit for an ultrasound. The Canadian System could be improved, privitised customer care is probably alot better then the ‘no response is a good response’ system we are currently using for test results, but I wouldnt trade it for the American system of having to worry about how close the nearest county hospital is or whether or not I have room in my credit for a procedure or test.

54
Anonymous's picture

Sarah, (45), you asked, “They have described waiting 3 weeks to be able to see the family doctor for a sick child…as a regular thing. Does quality/wait time for the health care in Canada depend on where you live there?” Quite likely it does. Here in Ontario, my grandchildren’s doctors fit them into that day’s schedule if their parents think it’s warranted, but they could also take them to a walk-in clinic or to a hospital’s emergency room.

55
Anonymous's picture

Every country has its pros and cons. Speaking of health benefits, what I find appalling in America is that dairy farmers are allowed to inject their cows with a bovine growth hormone to increase milk production…at its peoples’ detriment. Canada, thank someone, does not allow this practice.

56
Anonymous's picture

John #56:

While I probably agree with you that Canadians are healthier as a whole, I still maintain that much of the discrepancy comes down to demographics. Mostly ethnicity (which is a just proxy for genetic differences) and socioeconomic status. The non-Western European contingent in the U.S. is disproportionately black and hispanic, compared to Canada, and the Canadian non-Western European contingent is disproportionately aboriginal and East Asian compared to the U.S. Also, it is almost surely the case that, compared to Canada, the U.S. has a larger indigent population.

That’s why I was trying (in vain) to find stats on life expectancy and infant morality in Canada broken out by ethnicity. Would give more of an apples to apples comparison.

My guess is that health indicators for “upper middle class whites” in the U.S. are comparable or superior to indicators for the same class in Canada, but unfortunately I can’t back that up. Clearly those who are poor or lack private insurance are better served by a Candian-style system.

57
Anonymous's picture

I’m a Canadian living in the U.S., and my Western Canada experience does not mirror Tim’s. Relatives in Canada with cancer having to wait months for surgery is a common theme. My brother has a bladder tumor right now that his doctor fears is cancerous, but they won’t even have a chance to operate for another month so it could be spreading right now. That doesn’t please me.

58
Anonymous's picture

I agree with Tim that although our Canadian health care system certainly is not perfect, it has always been a huge blessing to me, my family, and many other friends and acquaintances. I cannot thank God enough that I live in a country with such an exceptional health care system where I have received excellent and professional care. The reason the “horror” stories are deemd so “newsworthy” is they are the exception.

59
Anonymous's picture

I see my last post has been deleted. Guess it hit home.

Nope. You flatter yourself. Scolding people for ignoring your comments is unlikely to “hit home.”

60
Anonymous's picture

Heated issue, huh?

61
Anonymous's picture

My wife and I have been in Quebec for 9 years now, coming from the States. We have 4 kids. It took us 8 years to find a pediatrician for our kids, and 2 years to find a family doctor for my wife and I. The pediatrician works two days a week, and appointments are booked 3 to 6 months in advance. We see the ER at Children’s hospital more than we see their pediatrician—and we only go there if we absolutely must because we almost always bring a bug back. The ER is used to this kind of thing because we’re not alone.

Walk in clinics are around, though not enough to accommodate people. Try sitting in a crowded waiting room ill or in pain for 8 hours.

Most of our friends who have children have the same problems with health care we do. We’re far from unique. The doctors and nurses we know also think the Quebec health care system is terrible. Will you be seen? Eventually. I guess you could call that “health care.”

The percentage of my tax that goes to health care is about $22K per year (out of my 48% income tax—that also comes with socialized health care if you make more than $70K per year) I would pay far less in the US for superior health care for my whole family.

If the system works for you, then good for you. But then it needs to work for everyone, and however you slice it, it is a far cry from that. Give me a lousy American HMO over Canadian health care any day. I’ve lived both, and there’s no comparison.

62
Anonymous's picture

Thanks for this Tim. I think some people are forgetting that this wasn’t an endorsement of Obama’s plan…it was to refute many of the lies and exaggerations we’ve been hearing about the Canadian system. I too, have had nothing but excellent care in Canada (I’m originally from Saskatchewan). When my mom was diagnosed with a tumour in her heart, she was in for surgery in three days. In my 20’s I spent nearly three months in the hospital and received very good care. And at no cost to my family.

As a missionary in a third world country, it saddens me to see so many people suffer and die from what are preventable illnesses. I’m in no way comparing that to the US system, but I do appreciate that this would not happen in Canada. Any one of those people could walk into the nearest hospital and receive quality care.

Again, thanks for writing this Tim. It’s good to have different voices and thoughts presented.

63
Anonymous's picture

It’s good to hear that Canada’s healthcare isn’t a complete wreck. I’ve never been convinced that it’s all bad. One thing that may be benefiting is to have a family doctor. If you don’t, I’ve heard that it’s far more painful to get immediate medical care.

I pay for my own insurance and it goes up every birthday. I’m single and I can’t fathom what it would cost to insure myself as well as a wife and children. There definitely needs to be reform in America, but I don’t trust any of Obama’s solutions. They may come up with something that works for a time, but I’d hope they could come up with a solution that won’t blowup in my lifetime.

Tim mentioned Glenn Beck and I must say that when I do watch him (which isn’t often) he’s far to sensational about his presentations of the evils of universal health care. We need to take all politicians with a grain of salt.

I hope we can come up with a system that works for the majority of Americans, but I’m still thankful for what we do have, even if it can be expensive.

64
Anonymous's picture

I don’t think capitalism is based on greed. I think it’s based on personal responsibility. I think that is biblical.

I like to be responsible for my own health care. I don’t think it is right to force others to pay for it. Particularly if I like taking risks. Sinful risks, like homosexual behavior or drug abuse. Or non-sinful, like eating butter or flying frequently.

I am all for people VOLUNTARILY helping with health care, and i believe charity is very Christ honoring. But forced taxation is not charity.

When others are forced to pay for my health care, they rightly have an interest in my behavior and choices. We find that we have to wear helmets, smoke absolutely nowhere, drive cars that make more and more extreme design changes to “safety,” abstain from an ever increasing list of behaviors - and eventually the trend is to discourage things like experimental cancer treatments, high risk pregnancies, life lengthening efforts for the elderly…because why should everyone in the country HAVE to pay for that?

Also, if there is no money to be made in medicine, the extraordinary progress made in medicine in the past century can’t continue. For investors and geniuses to devote the time and energy to developing new drugs, techniques, and therapies, there needs to be a financial reward.

Lastly, the whole abortion atrocity gets so firmly entrenched it seems as though there is no hope. It is cheaper to pay for birth control, abortifacient birth control, and early term abortions than to pay for prenatal, labor, delivery, postpartum, and for that matter lifetime medical care for the new child.

All taxpayers are forced to pay for the abortions, as well as the euthanasia. In the U.S., I can choose health coverage that does not pay for these “services.”