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Single payer isn't just "more government," it's also "more open market competition" at least in my limited experience as an American in Canada (been here almost
by sequoia 6y ago
Single payer isn't just "more government," it's also "more open market competition" at least in my limited experience as an American in Canada (been here almost three years).
Single payer means everyone has a health card entitling them to spend tax money on their own healthcare how they want (within certain parameters, of course). This means health insurance companies don't get to act as cartels, limiting (patient) access to care, and, crucially, limiting provider access to patients & patient dollars. If I want to see a doctor in Toronto, I don't go to the doctor "in my network", probably at a big practice that has some convoluted agreement (or not!) with my particular insurance provider. If I want to see a doctor in Toronto, I can basically go to any available doctor who is taking new patients.
Imagine literally everyone has a health-care budget to spend, regardless of how rich poor they are. Can you imagine the type of competition & innovation this creates for those health-care dollars? Pharmacists remember my name & ask whether the meds worked as expected, doctors will visit me at my house (this has been cut back by the latest provincial government), I can check wait times at drop-in clinics online & book an appointment, see a doctor same day, even within a couple hours. Try that in the USA without going to the ER, and even then I'd be surprised if you see a doc in less than a few hours.
I was amazed to see the competition and market innovation in healthcare in Canada when I arrived here. You might be amazed as well.