Last week, while my oral surgeon was doing unthinkable things to my mouth, he mentioned that he was having a MRI the next day for a neck problem. Knowing that he was an ‘insider’ to the profession I asked him how long he had been on a waiting list. “Oh, just a couple of days”, he said. I was about to launch into a tirade about those of us on the outside having to wait when he mentioned that his wait for the Moncton machine (shortest waiting list) was four months, but as he could afford it he opted to go to the private clinic in Halifax. Cost $375 I believe.
I had a similar experience when my son needed a MRI. Four to six month wait so I called Quebec and the wait was less than a week and cost was either $375 or $575 depending on the nature of the diagnosis we required. When I called our Doc in St. John to tell him we were going to Quebec, he got us in to St. John Regional for a MRI in 6 days.
Most of us who work for others have some sort of health plan. Private health plans do not cover the cost of going to a private clinic so if we avail ourselves of this service we have to reach deep into our own purse. However, much to my surprise, some of the Federal employees (at least in Halifax) can go to the private MRI clinic and it is paid for my their health plan. It is worth noting that their health coverage is paid for by us - the tax payers of Canada. We are providing a better plan of cost recovery to our employees than we can obtain ourselves. This seems unjust.
I am (probably) one of the few who has no fundamental objection to private facilities stepping in and filling a void in the public system. However, if we are going to keep saying we have an ‘open to all’ system then those private systems somehow have to be brought into the ‘fold’ of a public health care system.
25 Feb 2004 at 09:38 am | #
Just to give you some non-Maritime context, we had a family member here have a diabetic matter noticed last Wednesday. At 1 pm he was in a public clinic run by doctors, that afternoon he had X-rays and blood test at clinics out of the hospital but paid for publicly, at 6 pm and 9 pm the doctor calling from the next town Napanee called with up dates. By Thursday afternoon, an MRI at a hosptial was provided and again calls from the doctor’s office. More blood tests at the emergency on Saturday - and being told to go home don’t bother waiting, that they would call. Monday morning after upteen tests and specialists all clear and confirmation Tuesday that a bit of a pneumonia might have been had.
The cost savings allowing this fullsome and rapid response by many health professionals could have been due to the setting up of clinics and the moving of services out of the hospital to privately run but entirely publicly funded operations. The people themselves actually moved the paperwork from facility to facility. No one, however, asked anyone to put their hand in their pocket. When politicians make nonsensical health decisions like propping up 1950s hospitals in villages kilometres from each other, maybe you will have to pay at the other end for that. When money is spent for corporate welfare, it isn’t available for health so maybe you have to pay out of pocket indirectly for that as well. Has anyone done the math whether you really have to?