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Having worked in the Canadian single payer system and our own for profit hospitals, I greatly admire and prefer the Canadian. From the point of view as a critical care nurse, I loved being focussed on treatment first. The second the patient hit the triage desk we were about treatment only. The bureaucracy came later.
In the USA nurses and doctors are expected to count each individual gauze, every tube of lotion, and every second spent on billing is time spent away from providing care. In Canada we just do our nursing duties and let stores and accounting count the costs.
Accounting is a place a single payer system saves Canadians a fortune. In the USA we have entire towers filled with bookkeepers and accountants, not to mention the required collections department. Canadian hospitals have accounting departments that take up less room than most nursing units, which leaves the towers available for more patient beds. Fewer accountants means more nurses. People who argue that their system costs more fail to take this efficiency into account.
Obamacare is a small step towards that superior Canadian system, where every citizen is covered through the general revenues of the tax system. In Canada there has not been a medical bankruptcy in the last half century, and no person has been denied treatment because of a pre existing condition.
I never worked in Europe, but nurses and doctors have assured me that this is true in every industrialized democracy but ours. In terms of access to health care we are number thirty seven!
The Canadian system is great for doctors as well, although the younger ones do not realize it because they do not remember how they used to need five clerks for the single one they employ today. They also do not need bill collection agencies and lawyers to track down their patients. Seriously, the Canadian system save so much on bureaucracy that can then be spent on parient care!
I admit this is more about private care, including the Obama version, versus single payer universal coverage, but my point is that I think Obamacare is a very small but significant step towards equality with Canada and the European Union. That's why I will vote for a Democrat who supports single payer before any other candidate in the upcoming primaries.
We deserve to be at least as good as Portugal, don't we?
參考: Twenty nine years of critical care nursing
