I've pointed out here on Plastic Surgery 101 that despite the dysfunction of the American health care system, the alternatives in other western nations have their own problems. In 2007 I posed the question "So You Think You Want Universal Health care?" and featured Dr. Val's review of "Sicko" which glowingly featured other countries' systems.

It was particularly interesting to me to see the "religious conversion" of one Claude Castonguay on this topic. Who is Claude Castonguay? He's the father of Canada's socialized medicine program. After four decades, he finally admitting that the system he laid out for Canada is failing to meet both the medical needs of beneficiaries as well as the budget needs of the individual Canadian provinces. Castonguay now advocates contracting out services to the private sector and American-style co-pays for patients who want to see physicians.

For an interesting overview on this, read the Investor's Business Daily editorial page article "Canadian Health Care We So Envy Lies In Ruins, Its Architect Admits". The Canadian author, David Gratzer, has written extensively on Canada's uneasy relationship with their countries health program.


Rob

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Michael Moore was on MSNBC's Hardball with Chris Mathews Monday and was his usual obnoxious (I ironically mean that in a good way with Mr. Moore) self, promoting his documentary, "Sicko" and the idea that Socialized medical care is a panacea.


At least he had the honesty to admit that a number of Americans will receive "worse" care (at least in terms of convenient access) then they currently enjoy. The philosophical arguments about healthcare and how much it's a right versus a commodity is an important one to have, and, "Sicko" has galvanized the debate. A perfect storm exists for progress on this issue in that big business, labor unions, and the zeitgeist of the country all support a universal system in the abstract sense. The devil's in the details and $$$$ involved.

While federal systems enjoy popular support in other countries, it's not all milk & honey. It's ironic that as many as 15-20% of citizens are estimated to seek care outside the government run systems in western Europe that are lionized by activists. The system Moore champions (like only Canada, Cuba, & North Korea's - an unlikely triad) would not tolerate any private sector competition for care delivery or services as it would undercut the federal system and prove more popular with many patients with financial wherewithal. Write this down, THIS WILL NEVER BE ACCEPTED IN THE UNITED STATES, so I don't think that system is worth discussing in depth.

There's a real alternate take on the Canadian system celebrated by Mr. Moore in "Sicko" by the underground film hit "Dead Meat" which features Canadians frustrations with the reality of long waits for imaging studies, orthopedic surgery, cancer treatments, and even cardiac surgery. It's ironic in Canada that you can actually buy health insurance for your pet, but not yourself or child.

Anecdotes are a poor way to determine public policy, but it goes to show that you just don't get something for nothing.

Click on the screen below to watch "Dead Meat"

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