QuikClot said:
Periodically people pop in with anecdotal evidence of people waiting a long time or denied care in Canada or some other universal-care nations (which includes virtually every wealthy nation in the world). Studies have repeatly debunked these criticisms, but the facts have no effect on the ideologues (which is also, coincidently, why they can continue to defend the blundering idiot directing our monsterous war machine 😀 ). The simple, irrefutable comparison is between outcomes; Canadians live longer, lose fewer days to sickness and injury, have lower infant mortality, etc.
Since we do, in a sense, cover everyone, there ought to be no barrier to society-wide comparisons. And we lose, every time.
While the outcomes measures might support the Canadian system, I would argue there are FAR too many possible confounders to draw accurate comparisons. As for the so-called studies that "prove" the efficacy of the Canadian system, none have supported the idea for a nation the size of the U.S. Nor would the rural U.S. population accept the lack of access to emergency care that plagues most of Canada (on a geographic basis). It is simply a different culture. Since you are an EMS guy, here is some interesting reading for you:
http://www.winnipeg.ca/fps/pdfs/emergency_response_risk_analysis.pdf. I quote from page 126,
"Canadas medical system has been described as under siege in popular media
reports. Recent changes to the healthcare system have cut the capacities of many of the
nations hospitals, including those in Winnipeg. It is not uncommon for 15 of 20
emergency department (ED) beds to be occupied with patients waiting for space to
become available elsewhere in a hospital. As a result, patients often stack up in the
ED, spilling out into the hallways. This has given rise to the use of the term hallway
medicine to describe Winnipegs EDs. When ambulances arrive there is just no place
to put [the patients], according to one charge nurse. Paramedics have documented waits
as long as an hour and a half while transferring patient care.
A recent tragedy highlighted this (and other) problem(s). A man who was
transported to the hospital by a police officer died while awaiting treatment in a
Winnipeg ED. The officer had transported the patient because no ambulance was
available. The ED was dealing with a rapid influx of patients, including victims of a
serious automobile crash, and bed availability in the ED was very limited.
Drop time accounts for nearly half of the time needed to complete EMS calls in
Winnipeg, as shown in Figure 21.
Winnipeg has, on several previous occasions, attempted to institute a hospital
bypass system, whereby hospitals could reroute ambulances to other facilities when
they are operating beyond their capacity. These attempts have been unsuccessful.
Problems ranged from inefficient communication of hospital status to the havoc created
when no hospital was available to receive patients. Recent problems with a hospital
bypass system in Toronto were widely reported in the media as the cause of at least one
death."