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re: Canada’s ‘Free’ Healthcare

Posted on 9/3/25 at 3:08 pm to
Posted by Bigdawgb
Member since Oct 2023
4153 posts
Posted on 9/3/25 at 3:08 pm to
quote:

Hate to tell you, but we are single payer. CMS sets the standard for care and commercial carriers follow their guidelines. For non-traumatic joint injuries, approval for an MRI requires 2 week Ibuprofen and 4 weeks PT. A lower extremity non contrast MRI bills around $2,000. If you pay direct cash, it's a little over $300. However, many of the hospital groups are no longer letting you pay cash if they know you carry commercial insurance.


Not sure why we're in a medical topic and a guy with MD in their name gets 11 downvotes & zero replies. You're exactly right.

Pre-authorization requirements get more strict & more ridiculous each year. CMS sets the standard & commercial reacts just like you said. As an admin for a physician group we base a large portion of our financial strategy on the anticipated CMS reimbursement rates. And it gets harder every year to run a profitable private practice.
Posted by NoEmpathy
Member since Feb 2023
121 posts
Posted on 9/3/25 at 6:41 pm to
quote:

Now I ask you, if you walk into a hospital in the US, tell them you have got a bum knee, have nothing but medicare and see if you get that knee fixed in a week.


Interesting you mention that. FIL needed a new knee. Broke as shite only has Medicare. It was scheduled and completed 12 days later. You don’t know what the frick you are talking about but carry on dipshit.
Posted by Rebel
Graceland
Member since Jan 2005
143774 posts
Posted on 9/3/25 at 6:59 pm to
quote:

Did not know this. fricking Syrupeans...


Canadians with any means come to the US for medical care. That should tell you everything.
Posted by dafif
Member since Jan 2019
8415 posts
Posted on 9/3/25 at 7:18 pm to
quote:

Thats a "twisted" answer. He can go to a private doctor,


Years ago I went up for a golf trip to Mont Tre Blanc and got paired up with a doctor. While we were playing I asked how he was able to be out during the week.

He told me that his office was shut down for the entire summer by the government as he is paid by the government. He is limited in the amount of work he can do and the amount of patients he can see.
Posted by TigerFanatic99
South Bend, Indiana
Member since Jan 2007
35904 posts
Posted on 9/3/25 at 7:31 pm to
Honestly we pay out the arse here and while it's not that bad, it's not a whole lot better. I've been waiting 4 months for a consultation with an ENT about a complete blockage of my upper sinus pathways that's left me with migraines every day since March.

I'm sure I'll meet with him (tomorrow, actually) and they'll schedule me for a procedure somwtime after the new year.
This post was edited on 9/3/25 at 7:34 pm
Posted by PsychTiger
Member since Jul 2004
109191 posts
Posted on 9/3/25 at 7:46 pm to
quote:

So he has to limp around for two years

The system is incentivized to hope that you die before receiving care.


He has options. He could chose assisted suicide, which likely has a shorter waitlist.
Posted by Reagan80
Earth
Member since Feb 2023
2330 posts
Posted on 9/3/25 at 7:47 pm to
Probably can get in right away for a euthanasia appointment.
Posted by LSUSUPERSTAR
TX
Member since Jan 2005
16998 posts
Posted on 9/3/25 at 7:56 pm to
quote:

I've been waiting 4 months for a consultation with an ENT about a complete blockage of my upper sinus pathways that's left me with migraines every day since March.


Where are you located? I'm in DFW, got in with an ENT within a week to get an opinion on nasal surgery. Scheduled and did the surgery two weeks later.
Posted by TigerFanatic99
South Bend, Indiana
Member since Jan 2007
35904 posts
Posted on 9/3/25 at 8:04 pm to
quote:

Where are you located? I'm in DFW, got in with an ENT within a week to get an opinion on nasal surgery. Scheduled and did the surgery two weeks later.


South Bend.
Posted by LSUSUPERSTAR
TX
Member since Jan 2005
16998 posts
Posted on 9/3/25 at 8:09 pm to
Sorry man. Hopefully you can get in quick because breathing issues are no fun.
Posted by Tarps99
Lafourche Parish
Member since Apr 2017
12646 posts
Posted on 9/3/25 at 8:20 pm to
quote:

A lower extremity non contrast MRI bills around $2,000. If you pay direct cash, it's a little over $300. However, many of the hospital groups are no longer letting you pay cash if they know you carry commercial insurance.


This is the scam and run around with private insurance and government paid insurance.


Bill 2,000 knowing that the end result will be less than 300 dollars of income through the hassle of insurance unless the person hasn’t met their deductible in which you can bill the 2,000.
Posted by A10Rebel
Colorado
Member since Nov 2018
971 posts
Posted on 9/3/25 at 10:12 pm to
I'm surprised they didn't tell him to just kill himself...

According to the Associated Press, hospitals are raising the possibility of assisted suicide with patients who hadn't asked about it. These conversations are not motivated by quality of life but health care costs.


The A.P. notes that Belgium and the Australian state of Victoria, which allow physician-assisted suicide, tell medical professionals not to bring up euthanasia so that it's not seen as medical advice. In other words, make sure it's the patient's idea.

This is not the case in Canada, where health care workers are trained to inform patients that they can choose euthanasia if they have a qualifying condition. This has led to some patients, particularly those with disabilities but not necessarily fatal illnesses, having some unpleasant conversations. One provided a recording to the Associated Press:

Roger Foley, who has a degenerative brain disorder and is hospitalized in London, Ontario, was so alarmed by staffers mentioning euthanasia that he began secretly recording some of their conversations.

In one recording obtained by the AP, the hospital's director of ethics told Foley that for him to remain in the hospital, it would cost "north of $1,500 a day." Foley replied that mentioning fees felt like coercion and asked what plan there was for his long-term care.

"Roger, this is not my show," the ethicist responded. "My piece of this was to talk to you, (to see) if you had an interest in assisted dying."

Foley said he had never previously mentioned euthanasia. The hospital says there is no prohibition on staff raising the issue.

That Canada's health care system is primarily publicly funded and also has very long wait times for certain types of medical care has naturally raised questions about whether health officials are looking out for patients or what's best for the service providers and government.


LINK
Posted by Auburn1968
NYC
Member since Mar 2019
26460 posts
Posted on 9/3/25 at 10:16 pm to
quote:

Where are you located? I'm in DFW, got in with an ENT within a week to get an opinion on nasal surgery. Scheduled and did the surgery two weeks later.


Some years ago, I went through that in NYC. Got an office visit immediately and a shot of steroids. A few days later a Cat Scan, to see if massive nasal polyps connected to that passage to the brain. Then shortly after, surgery to remover the polyps.

Wasn't fun, but it was fast and efficient.
Posted by DocYatesVA
Yukon, OK
Member since Oct 2022
347 posts
Posted on 9/4/25 at 5:57 am to
"If you had an emergency you would get the same treatment you would there that you get in the US. He is talking about an elective procedure."

A test to determine severity of an injury and access the need for surgical intervention is NOT considered an elective procedure....haha
Posted by mit_webot
Member since Aug 2024
51 posts
Posted on 9/4/25 at 1:32 pm to
Wouldn't the logic dictate that the insurance company has financial incentive to keep you alive and paying? Dead don't pay in perpetuity.
Posted by Auburn1968
NYC
Member since Mar 2019
26460 posts
Posted on 9/4/25 at 2:01 pm to
quote:

It's not just a lack of equipment either; it is a lack of doctors and nurses. I can remember many doctors retiring early and not enough new doctors were coming out of school because it wasn't worth the effort of having to deal with the government to get paid. Endless paperwork. Much more lucrative to become a lawyer.


My first GF in NYC was Canadian. She had the Canadian health card and at that time when the system was new and fully staffed and equipped, it was great. Of course, it deteriorated from there.

MRI's as an example. The US has 37.98 MRI's per million people. Canada has 10.35 per million. They make up for the difference with rationing and long waiting periods.



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