McRocket
Gold Member
- Apr 4, 2018
- 5,031
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- Banned
- #501
I spent years in Canada...I know single payer FAR better than most of you do. It is a terrible system.
I am all for government healthcare for those who need it.
But I am 100% against single payer.
Want to know what it is like to be a patient in a single payer system?
Go to the DMV (in America) and that is how you will be treated in single payer...not as a person, but STRICTLY as a number (unless you get 'lucky' and someone nice takes pity on you).
Single payer means customer satisfaction becomes TOTALLY irrelevant. All the employees will care about is doing what they are told by their superior. You could literally scream at them for help - and if it is not their responsibility - they will not lift a finger for you (unless they are young/new).
That is the DMV and THAT is single payer.
Leave government healthcare for those who need it and leave private healthcare for everyone else...that, IMO, is the best system.
Private healthcare in the United States is already like that. My brother in law broke his knee in a car accident and was taken to the hospital in Miami. After being discharged from the emergency room, he asked for wheel chair. He was told that he did not need one because "nothing was broken, and that he needed to MAN UP"! That's private health care for you. People are only there for a pay check. They are not actually there because their interested in caring for people. That's why the United States is 34th in life expectancy despite spending more per person on healthcare than any country in the world.
There are always jerks and incompetents in any business...you must know that.
The difference is your brother-in-law had a choice...he could go to another for-profit hospital (assuming he had the means/insurance). In single payer...he is trapped.
And, in a private hospital, he could document his treatment on his phone camera, put it online and get that jerk fired.
In a single payer hospital...he could whine till the cows come home...nothing would happen to that worker because customer service is TOTALLY IRRELEVANT in single-payer hospitals (again, unless you come across a kind person).
Single payer means customer satisfaction is IRRELEVANT...you are treated like a number. And you have no alternatives.
I know first hand with years of experience; you - I assume - do not.
Tell me this, please...what is wrong with full government healthcare for those who cannot afford it and private, for profit healthcare (that the government stays COMPLETELY out of, including insurance) for those who can afford it?
I am a Canadian living in Canada, and I have never been treated "like a number" at any time. McRocket sounds like he used emergency rooms to provide "heath care". Yes you are treated like a number in the emergency room of a big city of hospital, because that's what you are. You are a faceless person who passes through their facility, never to be seen again.
Nope. I am talking about extended stays in hospital AND waiting lists AND one emergency story (these are all in the last 5 years - I live in both Canada and America for long stretches).
1) I was in a Canadian hospital for 6 days a few years ago getting a pacemaker (though I am only middle aged - young for a pacemaker). This hospital was the largest and the most advanced in that province.
Here is part of the nightmare that myself and others faced:
- I developed a terrible cough after a few days. I was pretty sure what it was an inner ear infection (I get those often). I asked to see a doctor on Monday. A doctor NEVER came to check on me for the last 4 days I was in hospital (nurses said they were too busy). I was in a huge hospital and I (and others in my room) could not see a doctor for days?!? This cough was so bad that they made me have a chest x-ray to make sure it was not pneumonia before the operation (which went fine, btw).
When I left the hospital, the next day I went to a clinic, the doctor looked at my ear for 5 seconds and said it was an inner ear infection and gave me antibiotics...which cleared it up in a few days.
So, this advanced, Canadian hospital could not spare a doctor to look at me (or anyone else) for days, but instead gave me a chest x-ray. That is ridiculous.
- It gets worse...MUCH worse -
- we were not allowed to leave the floor (cardiac floor). NONE OF US PATIENTS. Hell, we were not even allowed to stand on the elevator. If we did - they threatened to move us down the waiting list for our operations. The reason is they don't care about the patients misery...they just are watching their legal butts because if we go home and wait for our operations and croak - they might get in some trouble.
So there were dozens of patients - most of them not hooked up to machines or receiving special medication or anything - trapped in hospital....waiting for their surgeries. For days, weeks, over a month. All the time with no idea when their operation would happen because as someone with a more serious condition - even slightly - came in, they were bumped down the list. Over and over.
I had three others in my room. All had been waiting weeks for bypass operations and had NO IDEA when their operation would come. ALL of them were not allowed off the floor...not even to go for a walk on another floor. None of them were hooked up to machines or taking special meds (I was hooked up to a portable monitoring device - but I could walk around with it...though I felt almost fine...except for my cough). We were all trapped.
And almost no one gave a shit. The younger nurses were kinder - because the system had not weighed them down yet. But the more senior ones treated us like numbers...like we were annoyances. Not one or two...ALL of them.
This isn't the Soviet Union or Cuba...this is a modern, large CANADIAN hospital.
I asked my excellent Canadian GP about it. She said that is just the way the system works, basically. SOP (more or less).
- the guy next to me was waiting for a triple bypass. Nice guy, soft spoken. He was waiting for over a month with NO IDEA when his operation was coming. He should have been waiting at home. He was not hooked up to a machine, not taking special medication - he could walk around perfectly fine. He was just waiting....and waiting...and waiting. And he was COMPLETELY miserable (as all of us were becoming).
Finally, his operation came (I had left the hospital by then, but a mutual friend told me what happened), he went in. came out. A problem. He went back in - they cut his leg off. He came back out. Another problem. He went back in...he died on the operating table.
Let's assume that all this was not the doctor's fault - that it was inevitable for some reason. That guy should have been allowed to wait - in comfort - at home for his operation. There was NOTHING they were doing for him in hospital while he waited...NOTHING. He felt FINE. So his final weeks were spent in misery when he could have spent them surrounded by friends and family.
- BTW - because many of these patients who were waiting for operations were feeling fine/in no pain...they clogged up the cardiac ward. Result, people who actually NEEDED to go to the cardiac ward had to wait in Emergency for a bed to open up on the ward. That was going to be my situation when I first entered the hospital. But someone ahead of me got much worse, was transferred to ICU and thus I got a bed on the ward (thank goodness).
- a male nurse told me that for one patient on that ward to stay one day cost $2200 (Canadian). That is over 2 grand for people who largely feel fine, just sitting around waiting for operations...when they could do it at home and save taxpayers that money.
But no one cares because it is government run. Waste means little to bureaucrats...so long as the money is there.
NO WAY that happens in a for profit hospital.
They would NEVER allow people sitting in their hospitals when they can be at home waiting. NO WAY.
And if that awful story of my friend next to me got out in a for profit hospital...it would be a disaster. No one would go to that hospital unless they had to. Their profits would fall.
Also, a doctor would have seen me for my cough. Which is more expensive? A doctor looking in my ear and me taking a few Amoxicillin capsules...or a series of chest x-rays? The latter obviously...by hundreds of dollars. So clearly a doctor would have seen me in a for profit hospital just to save money.
Finally, I guarantee you the average nurses would be nicer as well. Same reason. If the reputation of a for profit hospital is the nurses are mean...you ain't going there (unless you have no choice). So they treat you better because it is part of their job description.
In a single payer hospital - it does not matter if you are happy...there is NO OTHER game in town.
And let's talk about waiting times in the Canadian system? Surely you are aware of them?
Canada has worst ER/referral wait times in 11 developed countries: Report
- I had a good friend you asked his GP to see a shrink. He has waited over two years and (as far as I know) he has yet to see one. If he said he was suicidal - he would see one fast. But since he is low priority...he has to wait and wait and wait. He could pay to see one privately...but he says he cannot afford it. So - he is screwed.
- Wait times are HIDEOUS in Canada because the system is designed for two things...GP visits and emergencies. It is not designed for the millions of people in between (a respected doctor told me that). And it could not afford it even if it wasn't.
One final emergency room story.
I went to emergency in Canada one night (it was not an emergency - my foot was messed up and I could barely walk, but I was out in the boonies and I knew that if you want to see a doctor that way - best to go at about 5-7 am). Turns out, there was only me and an old woman and her husband...nice people. She had been waiting for hours to see a doctor (they only call a doctor in at night in this hospital if it is life threatening). She had some internal problem (I forget what it was) that she had had for years...and it was flaring up again. And she was in a LOT of pain...but not life threatening.
But the thing is, it was FAR more comfortable for her to lie down. And there was no way she could do that in the emergency ward (short of lying on the cold, hard floor).
I had been in the back - getting blood taken - and saw that there were nurses back where the beds were...but ZERO patients. Just several beds with no one in them.
After I came back out and the woman told me how much pain she was in, I went to the nurse and asked if the woman could wait in the back where the beds were. She said she was sorry but that is not the procedure?!? Only if a doctor is on duty?!?
What? You let this old, nice woman - in great pain - not lie down in the back (which was like 10 feet from the waiting room) because it was not procedure?
THAT is what single payer is like. They don't give a shit about your comfort...just so long as they follow the rules.
And that would NEVER happen in a for profit hospital because the uproar if that story ever got out would hurt their profits.
It's not that for profit healthcare professionals care more then single payer ones. It's that customer satisfaction is VERY important in a for profit hospital. it is TOTALLY irrelevant in a single payer hospital. Because the latter have ZERO competition.
And the above are just stories from ONE person over a five year span. I guarantee you there are hundreds of thousands more from Canadians.
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