Real Clear Politics: USA vs. Canada vs Britain Health Care Statistics
Posted by iusbvision on August 14, 2009
By Deroy Murdock
Imagine that your two best friends are British and Canadian tobacco addicts. The Brit battles lung cancer. The Canadian endures emphysema and wheezes as he walks around with clanging oxygen canisters. You probably would not think: “Maybe I should pick up smoking.”
The fact that America is even considering government medicine is equally wacky. The state guides health care for our two closest allies: Great Britain and Canada. Like us, these are prosperous, industrial, Anglophone democracies. Nevertheless, compared to America, they suffer higher death rates for diseases, their patients experience severe pain, and they ration medical services.
Look what you’re missing in the U.K.:
* Breast cancer kills 25 percent of its American victims. In Great Britain, the Vatican of single-payer medicine, breast cancer extinguishes 46 percent of its targets.
* Prostate cancer is fatal to 19 percent of its American patients. The National Center for Policy Analysis reports that it kills 57 percent of Britons it strikes.
* Organization for Economic Cooperation and Development data show that the U.K.’s 2005 heart-attack fatality rate was 19.5 percent higher than America’s. This may correspond to angioplasties, which were only 21.3 percent as common there as here.
* The U.K.’s National Institute of Health and Clinical Excellence (NICE) just announced plans to cut its 60,000 annual steroid injections for severe back-pain sufferers to just 3,000. This should save the government 33 million pounds (about $55 million). “The consequences of the NICE decision will be devastating for thousands of patients,” Dr. Jonathan Richardson of Bradford Hospitals Trust told London’s Daily Telegraph. “It will mean more people on opiates, which are addictive, and kill 2,000 a year. It will mean more people having spinal surgery, which is incredibly risky, and has a 50 per cent failure rate.”
* “Seriously ill patients are being kept in ambulances outside hospitals for hours so NHS trusts do not miss Government targets,” Daniel Martin wrote last year in London’s Daily Mail. “Thousands of people a year are having to wait outside accident and emergency departments because trusts will not let them in until they can treat them within four hours, in line with a Labour [party] pledge. The hold-ups mean ambulances are not available to answer fresh 911 calls. Doctors warned last night that the practice of ‘patient-stacking’ was putting patients’ health at risk.”
Things don’t look much better up north, under Canadian socialized medicine.
* Canada has one-third fewer doctors per capita than the OECD average. “The doctor shortage is a direct result of government rationing, since provinces intervened to restrict class sizes in major Canadian medical schools in the 1990s,” Dr. David Gratzer, a Canadian physician and Manhattan Institute scholar, told the U.S. House Ways & Means Committee on June 24. Some towns address the doctor dearth with lotteries in which citizens compete for rare medical appointments.
* “In 2008, the average Canadian waited 17.3 weeks from the time his general practitioner referred him to a specialist until he actually received treatment,” Pacific Research Institute president Sally Pipes, a Canadian native, wrote in the July 2 Investor’s Business Daily. “That’s 86 percent longer than the wait in 1993, when the [Fraser] Institute first started quantifying the problem.”
* Such sloth includes a median 9.7-week wait for an MRI exam, 31.7 weeks to see a neurosurgeon, and 36.7 weeks – nearly nine months – to visit an orthopedic surgeon.
* Thus, Canadian supreme court justice Marie Deschamps wrote in her 2005 majority opinion in Chaoulli v. Quebec, “This case shows that delays in the public health care system are widespread, and that, in some cases, patients die as a result of waiting lists for public health care.”
Obamacare proponents might argue that their health reforms are neither British nor Canadian, but just modest adjustments to America’s system. This is false. The public option – for which Democrats lust – would fuel an elephantine $1.5 trillion overhaul of this life-and-death industry. Having Uncle Sam in the room while negotiating drug prices and hospital reimbursement rates will be like sitting beside Warren Buffett at an art auction. Guess who goes home with the goodies?
A public option is just the opening bid for eventual nationalization of American medicine. As House Banking Committee chairman Barney Frank (D., Mass.) told SinglepayerAction.Org on July 27: “The best way we’re going to get single payer, the only way, is to have a public option to demonstrate its strength and its power.”
Barack Obama seconds that emotion.
“I don’t think we’re going to be able to eliminate employer coverage immediately,” Obama told a March 24, 2007 Service Employees International Union health-care forum. “There’s going to be potentially some transition process. I can envision [single payer] a decade out or 15 years out or 20 years out.” As he told the AFL-CIO in 2003: “I happen to be a proponent of single-payer, universal health-care coverage. . . . That’s what I’d like to see.”
And why a public option just for medicine? Wouldn’t government clothing stores be best suited to furnish the garments Americans need to survive each winter? And why not a public option for restaurants? Shouldn’t Americans have universal access to fine dining?
All kidding aside, government medicine has proved an excruciating disaster in the U.K. and Canada. Our allies’ experiences with this dreadful idea should horrify rather than inspire everyday Americans, not to mention seemingly blind Democratic politicians.
Deroy Murdock is a columnist with the Scripps Howard News Service and a media fellow with the Hoover Institution on War, Revolution and Peace at Stanford University.
colette said
Where did you get these phoney statistics? You site no reputable nonpartisan source for them. Instead you use ad hoc comments by dubious sources like Dr. David Gratzer, a conservative physician who is a senior fellow at the Manhattan Institute, a right wing think tank, who has been a commentator on such “fair and balanced” media outlets as Fox News.
Anyone who wants to see how the U.S. ranks against Britain and other European countries, vis a vis the health of our people, check out the World Health Organization statistics which are based on reputable studies.
Guess what? We’re NOT ranked as healthy as Britain and elsewhere, by many measures.
[The WHO figures into the ranking weather or not the country in question has socialized health care. It also figures into the mortality rates people who die from crime and more importantly WAR.
When you look at the breakdown the United States according to YOUR source is number 1 in patient responsiveness. http://www.photius.com/rankings/world_health_systems.html
The WHO ranks the United States overall as 37 because we don't have socialized health care so that doesn't meet socialists standard of "fairness".
As far as Fox News, Fox has the closest to 50/50 in leftist vs conservative talking heads and when it comes to politics is the closest to 50/50 positive/negative stories about political candidates in both parties. This is according to the Pew Research Center and others whose studies have shown that Fox is indeed the most fair and balanced. Fox just does not denigrate the conservative point of view as the others do, which is why Fox beats them all in ratings COMBINED.
By the way, the Manhattan institute is credible. You cant just impune the messenger and call that refutation, you have to make a real argument with facts I can check for my self to verify. By the way, most of those statistics come from the British and Canadian governments themselves.
Hate is not real refutation, facts I can verify are. - Editor]
Ken said
You have got to be kidding Fox is the most fair and balanced.
I is right wing talk radio on TV.
CNN is to only true non-partisian cable network. Major networks just report the new. Two weeks ago there were 60 guests against health care reform and on 6 for it. How is that fair and balanced. Fox is a joke.
[All of your hate aside, the studies proven this beyond doubt. ALL of the other networks demonize and marginalize the right, the traditional, and the libertarian, Fox is the only network that treats them fair, so to someone as propagandized as you I can see how you would think that Fox is "right wing".
Please remember that Hillary Clinton's communications Director Howard Wolfson has stated on multiple occasions that Fox News was the only network that treated Hillary fairly. LINK - http://www.nytimes.com/2008/05/02/business/media/02fox-1.html?_r=1
Here is just one study I was referring to. This one is from the Pew Research Center.
http://www.journalism.org/node/13436#fn1
- Editor]
iusbvision said
I have seen in message boards some arguments in reference to this piece that need addressed.
“You spend twice as much on health care as Canada/England”
There are four reasons for this.
1. Our system has a primary focus on saving lives and improving their quality, whereas some other systems focus is on saving money and preserving the “system”.
2. Americans are wealthier and we just have more money to spend on it. It is important not to underestimate this reason. As always the more money you have the more you spend.
3. We have lots of injured military veterans who need care, more than most other countries.
4. The United States has an aging baby boom problem that is worse than most other countries, so it is understandable that the expense of end of life care is higher for us.
Another argument I have seen is the following :”The WHO report you linked shows that the avg health of the avg American is less than that of some other countries.” This is true but it has nothing to do with health care and has everything to do with a declining culture that eats too much McDonalds and smokes too much.
Fat Bastard said
Canda is ranked 30th for health care and he US is ranked 37th.
Here are the real facts on breast cancer. http://ije.oxfordjournals.org/cgi/content/abstract/dyp193v1
[Hey there Ace, read comment number one, this has already been debunked. By the way, it is spelled Canada. - Editor]
Argus said
Hey Mr. Murdock, I hope I can leave my two cents without being called names like “dummy” by you.
I would like to clarify regarding the body of your text: “The state guides health care for our two closest allies: Great Britain and Canada.”
This is not entirely true. In Britain the state guides Health Care, but not in Canada. In Canada each province handles health care individually. The provinces determine how much money to allocate towards health care. The actual policy decisions rest mostly with two bodies: Hospitals and District Health Authorities. So while your citation of a legal case involving Quebec could be a valid criticism of Quebec’s health care, it may not be valid for other provinces.
Now this is where it becomes surprising. Canadian hospitals are actually privately run (not privately owned,) They have their own board of directors, and their own CEOs. Therefore, unlike in the UK where a physician is a government employee (publically owned, publically run by the NHS), in Canada a physician is a private employee. Canadian health clinics are often (usually, even) entirely private (owned and operated), but the money comes from a government source.
The main “nationwide” law is the Canada Health Act, which mandates a single-payer system.
I have a question for you: If the U.S. system is superior to the British and Canadian systems, it begs the question, why does Canada have a higher life expectancy and lower infant mortality rate? Is the public health system in the U.S. (public health referring to the discipline, not “public healthcare”) the real problem? These two criteria are often used as gold standards for comparing systems (as a way to provide less biased results), although this is contentious, and combines public health issues with clinical health issues.
I’m curious to see what your feelings are on the French Healthcare system. France is currently rated as the having the best healthcare system by the OECD.
Finally, what do you think about economist Paul Krugman’s assertion that
I hope that you don’t think that anything in this letter is “hate”, I do disagree with the opinion you’ve presented, but I still find what you say interesting. I’d like to hear more about your views.
[I only refer to someone as a dummy if the argument they present was so silly, or already well addressed if they had just bothered to actually read before they post. The man below earned his title :-)
As far as Canada, they are improving their system with private incentives and such more and more since the Canadian Supreme Court made that decision on the government monopoly in health care. But still the government statistics and the stats from the Frasier Institute do not paint a very pretty picture. With that said , things are getting better in Canada as governments grip on the system is loosened over time.
The British NHS is a disaster and even most British admit that freely. Ironically it is the British NHS that the far left in the USA would like to emulate. As far as France, remember a few years back how tens of thousands of elderly died because of a heatwave and they did not have the medical facilities to deal with the problem? If that is how someone defines the best than I will pass and gladly take ours.
As far as mortality rates, I addressed those arguments in the comments above, but in short they include drug gangs shooting each other and people we lose fighting in wars, read above for more details.
As far as "hate" know it when I see it and your post was fine. It is 2 am and I am wiped out. Thanks for stopping by. - Editor]