Universal coverage…with a little help from the U.S.

  • by: |
  • 12/15/2010
When our media here talks about every citizen in Canada having health coverage, they usually leave out the part about the government dictating the quality of that coverage.
 
Suffering headaches, vomiting and imbalance, Suresh Kapur was diagnosed with bleeding on the brain when he showed up at a Toronto-area hospital, then given an “urgent” follow-up appointment with a neurosurgeon — three days later.

The retired professional engineer decided to seek out a second opinion in Buffalo, N.Y., that same day, only to have doctors there rush him into the OR, believing “there were absolutely no grounds” for waiting longer. Now the patient has won a year-long battle to get Ontario’s medicare system to cover his U.S. costs, reviving questions about Canada’s stretched brain surgery resources and reliance on the United States to fill the gaps.

Here’s the kicker:

Mr. Kapur’s surgery in the U.S. was not approved in advance by the Ontario health-insurance program — known as OHIP — and it refused to pay his bills, saying it was not convinced his condition was an emergency. The province’s Health Services Appeal and Review Board ruled in his favour this month, however, ordering OHIP to pay for the operation.

Mr. Kapur, 70, said he believes his life was saved by the fact he has medical connections in the family — including a son-in-law who is a doctor in Buffalo — and worries about others in the same situation.

“The system is in serious trouble,” he said. “I was recently back in Buffalo and all the doctors who had seen me, all talked about this case and they all said, ‘How can this happen?’ ”

Mr. Kapur was suffering terrible headaches and was diagnosed with bleeding on the brain, but the bureaucrats still weren’t convinced it was an emergency.
 
But hey, all Canadians have health coverage! That’s the narrative advanced by the true believers in our media who desperately want the United States to adopt a single-payer model and stories like this one won’t change their minds.

Read the entire article here.


CMPI

Center for Medicine in the Public Interest is a nonprofit, non-partisan organization promoting innovative solutions that advance medical progress, reduce health disparities, extend life and make health care more affordable, preventive and patient-centered. CMPI also provides the public, policymakers and the media a reliable source of independent scientific analysis on issues ranging from personalized medicine, food and drug safety, health care reform and comparative effectiveness.

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