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3dGameMan
06-09-2005, 07:18 AM
Canadian Supreme Court ruling could change health care: ~source (http://www.ctv.ca/servlet/ArticleNews/story/CTVNews/1118315110253_28/?hub=TopStories)

http://www.ctv.ca/archives/CTVNews/img2/20050609/160_cp_SCOC_judges_050609.jpg

CTV.ca News Staff

The Supreme Court of Canada is set to issue a ruling this morning that could have significant implications for the country's medicare system.

A Quebec doctor and a patient are fighting for the right to pay privately for surgery, arguing that their rights are violated by long waiting lists under the current medicare system.

They want the court to overturn portions of the Quebec Health Insurance Act and Quebec Hospital Insurance Act that prohibit payments for medically necessary services. Other provinces have similar laws.

George Zeliotis spent more than a year in pain, waiting for a hip replacement in 1997. He finally got a new hip but says he should have had the right to pay earlier for the surgery himself, even though it's illegal to pay for health services covered by medicare.

He brought his fight to the Supreme Court along with Dr. Jacques Chaoulli, a Quebec physician who says he's fed up with the current system.

They argue that spending months waiting for surgery amounts to a violation of their constitutional rights to life, liberty and security of the person.

They say that patients should have a right to pay for services from private doctors and that doing so would pose no threat to the public health-care system.

Dr. Chaoulli and Zeliotis lost their legal battle in the lower courts in Quebec.

The Quebec Superior Court ruled that the provincial law's intention was to prevent discrimination based on ability to pay and that the collective rights to a universal, publicly funded system are more important than individual rights.

The Quebec Court of Appeal agreed and dismissed Chaoulli and Zeliotis' challenge...

CyberGuy
06-09-2005, 07:39 AM
I'm not sure this would have a sweeping impact on the Canadian healthcare system as a whole. The Province of Quebec seem to be treated very differently than the rest of the country in most things.

I agree that if a person is willing and able to pay for better health care, the system in place should not hinder it. Is this descrimination? I don't think so because those who can afford better health care should be entitled to it. Those who can't are still not left to fend for themselves - they still have the standard subsidized health care system to protect them. They should not expect the same consideration as the paying customers though.

Colin
06-12-2005, 06:09 AM
Pretty much everybody agrees that the Canadian system is broken. Long waiting times, overworked staff, etc.

There are only three countries in the world with a government monopoly on health care: Canada, Cuba, and North Korea.

And the reality is, Canada has a flexible monopoly:

o Our politicians purchase extra health care, and jump straight to the front of the line, including travelling to the U.S. if they need to.

o The idea of equal status for all, regardless of income, doesn't exist even now: you can still purchase extra health care for things like semiprivate or private rooms, home nursing, etc.

o Private clinics are located all over the place right now. (Although, in Ontario, the Premier plans to buy them all and return them to government control.)

Some examples of private clinics:

o Ottawa Valley MRI (http://www.ottawavalleymri.com/About_Us/company.php) which is set up in Quebec to provide MRI services to residents of Ottawa, Ontario for a fee in a couple of days as opposed to the months that the official system takes.

o Shouldice Hernia Centre (http://www.shouldice.com/) specializes in repairing hernias, and takes out of province patients on a fee basis.

The system we have now doesn't work.

Running a parallel private system will reduce waiting times by shortening the lines.

Those concerned about all the good doctors going to private practice need not worry. They could still be required to practice at a public facility for a few days a week.