Sunday, October 28, 2012

US & CANADA: HEALTHCARE DISSIMILARITIES

Barack just needs to look to his neighbours to understand health policies

In the year 2007, 70% of healthcare spending in Canada was through public sources (which, though, has decreased from 74.5% in 1990), while in the US, the same was 45% (the lowest among all OECD countries). Unbelievably, this happens despite the fact that the Canadian government spends a lesser amount (16.7% of its revenue) on its citizens’ health than the US government (which spent 18.5% of its revenues last year). Surprisingly, in spite of such gigantic healthcare spending in the US, a whopping 40% of the US citizens lack adequate accessibility to the country’s healthcare system (24% of the US population remained under-insured, according to the Consumer Reports Study, 2007), while with relatively lower investments, only 5% of Canadians are outside the system.

It is also astounding to observe that simply having more doctors, physicians and nurses doesn’t ensure a high quality of health service. Canada has fewer physicians per capita than in most other OECD countries (In 2007, it had just 2.2 practicing physicians per 1,000 people, lesser than the 2.8 physicians per 1,000 population in the US). Canada has 9 nurses per 1,000 people, while the US has 10.6 nurses per 1,000. Canada also ranks as worse as the US in the number of acute care beds per 1000 people (2.7). Look at where that has brought Canada. Canadians have an average life expectancy of 80.4 years according to the Canadian Institute of Health Information (US: 77.8). Infant mortality rate also has come down drastically to 5 deaths per 1,000 live births (US: 6.9). Adult smokers consuming tobacco products has gone down from 34% in 1980 to 18% in 2007 through an effective public awareness campaign, advertising ban and taxation moves. In Canada, 15% of its population is obese, far below the US, which has 34.3% of its population afflicted by obesity (OECD health data). Experts comment that patented drug prices are 35% to 45% lower in Canada than in the US. Some US citizens now even purchase prescription drugs from Canada (many using online transactions) than from their home country – this cross-border purchasing has been estimated at $1 billion.


Source : IIPM Editorial, 2012.

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