My tag line for how nationalized health care in the U.S. would turn out is “proctoscopes issued to postal workers.” Here is a Canadian doctor’s take on what has happened up north:
I was once a believer in socialized medicine. I donâ€™t want to overstate my case: growing up in Canada, I didnâ€™t spend much time contemplating the nuances of health economics. I wanted to get into medical schoolâ€”my mind brimmed with statistics on MCAT scores and admissions rates, not health spending. But as a Canadian, I had soaked up three things from my environment: a love of ice hockey; an ability to convert Celsius into Fahrenheit in my head; and the belief that government-run health care was truly compassionate. What I knew about American health care was unappealing: high expenses and lots of uninsured people. When HillaryCare shook Washington, I remember thinking that the Clintonistas were right.
My health-care prejudices crumbled not in the classroom but on the way to one. On a subzero Winnipeg morning in 1997, I cut across the hospital emergency room to shave a few minutes off my frigid commute. Swinging open the door, I stepped into a nightmare: the ER overflowed with elderly people on stretchers, waiting for admission. Some, it turned out, had waited five days. The air stank with sweat and urine. Right then, I began to reconsider everything that I thought I knew about Canadian health care. I soon discovered that the problems went well beyond overcrowded ERs. Patients had to wait for practically any diagnostic test or procedure, such as the man with persistent pain from a hernia operation whom we referred to a pain clinicâ€”with a three-year wait list; or the woman needing a sleep study to diagnose what seemed like sleep apnea, who faced a two-year delay; or the woman with breast cancer who needed to wait four months for radiation therapy, when the standard of care was four weeks.
The prescription for more effective health care is to back the government out and away from it. As odd as it might sound to fair-minded individuals who are aghast by the idea that a person should go without needed medical care, the truth is that markets are better at allocating resources than governments. That idea almost always falls on deaf ears, but this doctor’s experience might help make the deaf hear again.