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Standards of Evaluation
Health Care Delivery: Canada vs. The United States
In the United States, many people complain about health care, and they say they wish health care was more like what is offered in Canada (Blendon, et al., 2004). Of course, nowhere is perfect. Canadians often complain about their health care, too, for different reasons. In order to understand the complaints and the good reviews about health care in both countries, it is important to consider access, cost, quality, and continuity. That way, it is easier to be objective about the value offered by both health care systems individually, as well as how they stack up against one another.
Where access is concerned, both Canadians and Americans can get health care. Each country has emergency rooms, and anyone can go there, regardless of how much money they have. They will not be turned away. In Canada, though, access to other types of health care can take longer. For example, there are often very long waiting lists for procedures that are not immediately necessary (Szick, et al., 1999). If a Canadian wishes to have an elective procedure, or even something that will help with quality of life but that is not required...
In America, access is more immediate, on one condition: the person must have good insurance that will cover the procedure, or must be able to pay out-of-pocket. If he or she cannot do that, there will be no procedure. Even procedures that are medically necessary are not always performed if there is no insurance to cover the procedure, or if there is another procedure that is cheaper (Blendon, et al., 2004).
Health care in Canada is privately funded, where health care in the United States is funded to some degree by the government (Medicare, Medicaid), and also by insurance companies that cover people who can afford to pay the premiums (Blendon, et al., 2004). People with little money get poor care, while people in Canada basically get the same care regardless of whether they have money. Essentially, Canadian health care is "free," in the sense that all citizens have coverage and will be treated. Of course, American health care is not free in any way, with the exception of the people who qualify for complete Medicaid coverage for indigent families. They will get health care for which they do not have to pay,…
References
Blendon RJ, Schoen C, DesRoches CM, Osborn R, Zapert K, & Raleigh E (2004). Confronting competing demands to improve quality: a five-country hospital survey. Health affairs (Project Hope) 23(3): 119 -- 35.
Kaul P, Armstrong PW, & Chang WC, et al. (2004). Long-term mortality of patients with acute myocardial infarction in the United States and Canada: comparison of patients enrolled in Global Utilization of Streptokinase and t-PA for Occluded Coronary Arteries (GUSTO)-I. Circulation 110(13): 1754 -- 60.
Szick S, Angus DE, Nichol G, Harrison MB, Page J, & Moher D. (1999). Health Care Delivery in Canada and the United States: Are There Relevant Differences in Health Care Outcomes? Toronto: Institute for Clinical Evaluative Sciences.
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