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Breaking Bad in Canada

On costs, it's super simple too. In countries who have a single payer system, the government is a monopsony or (near) single buyer with huge market power to bring down price of drugs and treatment. This is primarily why the US health care industry is so deathly afraid of a single payer system and demonized it. The final AHA, to appease the industry, had provisions specifically stating the government would not attempt to push down prices.

Insurance companies and union groups in the US are nowhere near as powerful because of their relative size and can't dictate price. At an individual consumer level there is also no competition because for those with work provided cover, the cost is hidden as an income deduction. Whereas those without cover get hosed with chargemaster prices and as an individual have no ability to contest high prices anyhow.

Yep, this is currently a big issue with the Trans Pacfic Partnership trade agreement between the US and NZ (among others).

In NZ, there is a government subsidised drug buying agency called Pharmac. It standardises what treatment is used for each disease and as such, buys drugs in bulk at a discount.

The US pharmaceutical industry really wants to get rid of this, so they can shaft NZ like everywhere else, but it would be political suicide to get rid of it.

Interesting. When free trade agreements are usually about removing corporate interests at an international level like stagnant subsidies and industry handouts, it's sad to see the opposite occurring.

In relation to the TPP, on the anti-piracy side here in Australia you had the conservative Liberal party currently in power attempt to move us towards a three strikes policy, although that seems off the table for now.

Being a type I diabetic and a two time cancer survivour, it's saved my life.

However, we have a national program that helps keep wait times low, regulates drug purchases, and moderates which provinces/territories get funding from the feds, that is going to expire thanks to our PM.

This means there'll be no federal quality control, and drug purchasing will get downloaded onto the provinces. Some can handle it, most can not.

We have an election in the fall, we'll see if Harper wins. I sure as hell hope he doesn't.

A single-payer system is called a monopsony. It can be as bad as a monopoly.

I do not owe anyone 200+ grand for being able to breath and have a heart beat, My opinion is that I don't give two shits what you call it or anyone else. IT IS WORKIN FOR ME ! and it can work for you !

It always seemed to me that, if 'life, liberty, and the pursuit of happiness' are 'guarantees' in America, health care should be free, otherwise only those with money get the former, while those without money may lose all 3 because of their uncared for health issues. That never seemed to be the intent of our system to me, and also does not seem moral or humane, and certainly isn't 'Christian'. It's not even financially sound, it's cheaper by far to take care of everyone properly rather than the system we have now under the ACA, which is better than before ACA.

There's quite a wait time for elective surgery in America too, I can't fathom why that's an issue for some people about single payer systems...if you count the time it takes to get pre-authorization from your insurance company, Canada is probably faster than America even on elective surgeries, and certainly far cheaper.

I can't speak to Canada's system, but I can weigh in on Medicare quality of care. My Grandmother, the woman who raised me, was diagnosed with lung cancer in her early 70's. Since I was helping to take care of her at the time, I got to see what I have to look forward to in my later life.

Consistently we had to wait for treatments to be approved and she was often delayed for patients that were not on Medicare. Additionally, every single therapy or quality of life aid was scrutinized beyond belief.

As an example, the doctor gave her a prescription for an oxygen tank and delivery system after they removed part of her lung that was not responding to chemo. Medicare refused to cover it without an 'oxygen saturation level test'. This 'test' was horrible. She had to try to breathe without the machine for multiple minutes, struggling and gasping for air. It was fucking brutal to watch, but the people that Medicare sent to verify didn't give a shit. They basically told me that if her saturation wasn't low enough after 15 minutes, she couldn't be covered for the machine. I couldn't take it, so I told them to fuck off out of her house and paid out of my own pocket for the rental.

These are just some examples, there were others before she died that made it quite clear that Medicare is not quality care. It's basically the bare minimum they have to give you to keep you alive. So this video comparing Canada's care to Medicare doesn't reassure me in the slightest and it's almost certainly an unfair comparison to their system. I can tell you I am dreading making the swap to Medicare in 20-25 years, let alone being forced into something similar sooner. As far as ACA, I don't really care. It's probably good for people who don't have good jobs or who are unemployed, but I will be more than happy to hang onto my extremely good insurance provided through my employment.

Not covering one of the fundamentally most important healthcare need is kind of stupid. Teeth health is linked with heart health, among numerous other thing. Not sure why we would then cover one (heart) if the teeth make the heart happy.

That is utterly terrifying.

I don't owe $200k either, because I chose to buy insurance. You seem to believe that you have a right to breath and a heart beat, and you would be correct. However, you are incorrect in believing that you have the right to force someone to take care of you, to enslave them to provide you with medical care. If you are such a nice person, why don't you appeal to someone's sympathy to take care of you?

Have you even considered why medical care is expensive? Why are there so many barriers to competition that keep prices high?
https://www.youtube.com/watch?v=FHXzAU8_0fg