Post
by Ontario CPAP » Sat Dec 21, 2013 9:53 pm
Canadian here.
Our system has its advantages, in particular catastrophic care won't cost you your life savings, or much at all. My brother-in-law's wife had very premature twins (born at 25 weeks.) After a 250 km emergency air ambulance transfer to an available facility in Kingston, the twins spent the first three months of their lives under 24-hour, level 4 neonatal intensive care and another four months in a level 3 facility closer to home. My father-in-law estimated by their first birthday they had received $750,000 to $1 million in care. The province paid for everything except parking for visitors. The twins are six years old now and doing fine. Not bad considering they each weighed 2 lbs at birth. As an aside, both my kids were by C-section (at term) with my wife staying in the hospital for 5 days afterwards. Didn't cost me a cent out-of-pocket. Except for parking.
Our system has its disadvantages, in particular less critical care, which puts you on a wait list. My wife hurt her knees in a half-marathon. She was on a three-month waiting list for an MRI, and even then the MRI was scheduled at 3 am (seriously.) During that period she had a difficult time walking.
As for my OSA, I've posted elsewhere about my experience. I've been through two sleep studies, a six-week APAP trial, heart tests, and two visits to my GP -- and the province paid everything. After my titration study I picked up a CPAP + mask for $1700. The province paid $780. The rest was covered by my Company's insurance. I haven't spent a cent out of pocket, and I'm having a good night sleep for the first time in decades.
But it is not true that we enjoy "free" healthcare. It costs the government a fortune. I'm paying for it through my taxes. The Ontario government spent $48 billion on healthcare last year for a province of 13 million people (Ontario, if it were a US state, would be the fifth largest; smaller than Florida but larger than Illinois.) Scaled up to the population of the US, that's over $1.2 trillion per year. Very expensive.
At the risk of throwing gasoline on the fire, as a Canadian who is familiar with our system, I find the US healthcare system bewilderingly complex. I honestly believe US care is better than Canadian *if* you can find yourself top-drawer coverage. That's a big if. I also believe (without fully understanding how the US system works) that ACA / "Obamacare" is going to make things more difficult for a lot of people before they get better.