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Most likely. Canada also has a habit of under-spending on healthcare in general. The system is also hypersensitive to political whims and can end up getting neg

Most likely. Canada also has a habit of under-spending on healthcare in general. The system is also hypersensitive to political whims and can end up getting neglected as a result. This is because the provinces have direct control over every aspect of the healthcare system, and set the budget for them directly. Unlike other nations like Germany and Estonia, Canada's healthcare system is fully dependent on the provincial government to exist and be funded. If I'm not mistaken, in the two countries I mentioned, clinics can get private funding while providing universal access in most cases, which means they have a larger buffer between the political whims of the state, and their ability to provide service. If the state under-provides, the clinics can seek investors to cover the new costs, all the while maintaining universal coverage. That's not something Canadians can do. Talk of any private involvement, or restructuring in general, in Canada's healthcare system is often very politically charged and not particularly honest, so change is not happening any time soon. I suspect the issue here is that the hospitals know that having HEPA filters would be a good idea, but political will isn't there to give them what they need. Canadian politics on both sides lately has been more about the appearance of progress through large gestures, rather than careful consideration of long term solutions. It's very unfortunate.

jleyank 5y ago
Have you lived any length of time in Canada? If so, where? While I have been fortunate enough to not have needed to go to hospital, my dental office reopened after the initial lockdown last year with a HEPA filter, doorway screen and other paraphernalia which made each workarea look like a clean room. And they shifted from water to air-driven cleaning and dressed like sci-fi actors. I would imagine the hospitals were similar due to the stress put upon them. Anecdotally, my wife had a breathing test in hospital a few days ago and they checked vaccination status and accepted the mask she walked in with. Given that the federal government is responsible for funding much/most of the provincial health care system, they have some input into how things operate. Most provinces have a good handle on covid unless their government went too deep into the "covid is over" bit (Alberta, Saskatchewan). The covid response here was delayed due to the need to secure vaccines from others, but the end result has been quite good. I have lived all over N America, and the freedom/flexibility of the Canadian health system has been better than anywhere except St. Louis, MO when I was there - and that required full-time employment.
- trutannus 5y ago
  > Have you lived any length of time in Canada? Yes, I am a Canadian. I lived there for 25 years. I have Canadian citizenship. Most of my family still lives there. I also ended up stuck in Ontario for most of COVID. I have family in Ontario, in Quebec, and elsewhere in the country. I don't think Ontario had a very good handle on COVID. It's also no secret that Canada is suffering a major staffing, and funding shortage in the healthcare sector right now. While most of your reply is about dentists (I'll get to that later), I see you're comparing Canada's healthcare system to the USA. I'm not. Compared to other systems in NA, yes, it's much better since it's free and somewhat fair. But that's the problem. Canadians should be looking to other developed nations with public healthcare. Not to the United States which operates on a completely different paradigm. My comment that you're replying to is entirely contrasting Canadian healthcare with EU systems, not Americans. > dental office reopened The majority of dentists are private entities, and are not subject to the same funding rules as hospitals. They're not licensed through the same entities, funded, or managed in the same way at all. Likely why they were able to adapt so quickly. See: https://www.cda-adc.ca/stateoforalhealth/servicescanada/ https://www.cda-adc.ca/stateoforalhealth/servicescanada/ > [..] they checked vaccination status and accepted the mask she walked in with. I'm not really sure what you're getting at here, this does not really relate to funding, or anything I'm talking about really. This is more about safety policy, not funding, which is what I'm trying to discuss. Don't get me wrong, I've had some good experiences with the system as well, but that does not mean it shouldn't significantly improved.
  - jleyank 5y ago
    The masks might have been after seeing a different comment, sorry. The problem with improving the system is that 1/3 of the country seems to want the US system in healthcare and probably (lots?) of other things. So it goes. Re: Ontario, I was looking at Ottawa specifically, the province generally and while it's "blessed" with a Conservative premier he's taken more medical advice (or indulged his populist leanings) more than other such premiers. Canadians, for the most part, are willing to play along which also helps.
    - 5y ago

jleyank 5y ago

Have you lived any length of time in Canada? If so, where? While I have been fortunate enough to not have needed to go to hospital, my dental office reopened after the initial lockdown last year with a HEPA filter, doorway screen and other paraphernalia which made each workarea look like a clean room. And they shifted from water to air-driven cleaning and dressed like sci-fi actors. I would imagine the hospitals were similar due to the stress put upon them. Anecdotally, my wife had a breathing test in hospital a few days ago and they checked vaccination status and accepted the mask she walked in with. Given that the federal government is responsible for funding much/most of the provincial health care system, they have some input into how things operate. Most provinces have a good handle on covid unless their government went too deep into the "covid is over" bit (Alberta, Saskatchewan). The covid response here was delayed due to the need to secure vaccines from others, but the end result has been quite good. I have lived all over N America, and the freedom/flexibility of the Canadian health system has been better than anywhere except St. Louis, MO when I was there - and that required full-time employment.

trutannus 5y ago
> Have you lived any length of time in Canada? Yes, I am a Canadian. I lived there for 25 years. I have Canadian citizenship. Most of my family still lives there. I also ended up stuck in Ontario for most of COVID. I have family in Ontario, in Quebec, and elsewhere in the country. I don't think Ontario had a very good handle on COVID. It's also no secret that Canada is suffering a major staffing, and funding shortage in the healthcare sector right now. While most of your reply is about dentists (I'll get to that later), I see you're comparing Canada's healthcare system to the USA. I'm not. Compared to other systems in NA, yes, it's much better since it's free and somewhat fair. But that's the problem. Canadians should be looking to other developed nations with public healthcare. Not to the United States which operates on a completely different paradigm. My comment that you're replying to is entirely contrasting Canadian healthcare with EU systems, not Americans. > dental office reopened The majority of dentists are private entities, and are not subject to the same funding rules as hospitals. They're not licensed through the same entities, funded, or managed in the same way at all. Likely why they were able to adapt so quickly. See: https://www.cda-adc.ca/stateoforalhealth/servicescanada/ https://www.cda-adc.ca/stateoforalhealth/servicescanada/ > [..] they checked vaccination status and accepted the mask she walked in with. I'm not really sure what you're getting at here, this does not really relate to funding, or anything I'm talking about really. This is more about safety policy, not funding, which is what I'm trying to discuss. Don't get me wrong, I've had some good experiences with the system as well, but that does not mean it shouldn't significantly improved.
- jleyank 5y ago
  The masks might have been after seeing a different comment, sorry. The problem with improving the system is that 1/3 of the country seems to want the US system in healthcare and probably (lots?) of other things. So it goes. Re: Ontario, I was looking at Ottawa specifically, the province generally and while it's "blessed" with a Conservative premier he's taken more medical advice (or indulged his populist leanings) more than other such premiers. Canadians, for the most part, are willing to play along which also helps.
  - 5y ago