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Dr. Wes: Once Again, the Airlines Have the Answer
I asked how many defibrillators (they) performed a year and asked who paid for them, and she said the government. “But we got authorization to do five more devices next year,” she said.
“Only five?” I asked in disbelief.
“Yep, and we were lucky. Other centers got fewer. They’re expensive, you know. We have to be very careful about who we select to get one of those. It’s not like America - people here are used to waiting.”
I live in Canada, and while I’m not an administrator who deals with budgets, supplies, and government bureaucracy, but I do have a healthy place within the chaos of reality. I feel that as an ICU nurse in one of the biggest and busiest ICUs in Canada, I at least have some perspective.
Americans would love to have you believe that a Canadian ICU is merely a rickety shack with mud floors and a roof made out of twigs. They assume there’s no windows and the beds are made of straw. Our IV poles are made of cut down trees.
Americans would love to have you think that all our ICU patients (and surgical, cardiac, neuro patients etc.) are dying left and right because of our health care system. “Rationing” is the word used in Dr. Wes’s post.
I have said it before, and I’ll said it again. In Canada, if you need surgery or any type of medical device, you get it. PERIOD. It is a decision between the doctor and the patient. The government doesn’t interfere in the decision making process. It has no say.
As for the defibrillators in the discussion, I have seen many patients sent for one. Usually it’s after some type of cardiac event that landed them in the ICU. A cardiology consult ensues and the decision is made to insert one. A date is selected.
Never once have they had to decide if a patient is “worthy.” Never have they had to choose if the patient should take up one of their precious rationed device. Never has the government called to say, “Sorry, we don’t want to pay for that.” **
No! The patient needs it, the patient gets it.
And please, if my comments are wrong in any way, or if my beliefs about the Canadian healthcare system are inaccurate, please feel free to tell me, and I will gladly eat humble pie. I truly don’t consider myself an expert–simply a staunch defender.
However, please be someone who has experience working within the Canadian healthcare system, and NOT someone campaigning against universal healthcare in the US–because I have become well aware that these people will invent random inaccuracies about our system, simply to make us look bad.
And Dr. Wes, I adore you and your blog, and this has nothing to do with you–you are simply relaying a conversation that you had. I’m just trying to debunk a very common belief about our healthcare system.
**Although, I have heard of insurance companies pulling this in the US
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