Sorry it took me so long to reply, it's been a busy week at school.
There are numerous medical therapies/technologies/services available in the U.S. that are not available in Canada at any price. (I wouldn't even be able to say "price" were it not for the Supreme Court decision last year that declared laws preventing Canadians from purchasing health care privately were a violation of their rights under the Charter of Rights and Freedoms.)
Of course putting healthcare on the free market drives innovation. But not necessarily for the benefit of the public at large who use those services. It turns medicine into a mere business, which means treatments that are not profitable don't get persued, an excellent example of this are orphan diseases. We all know you can make a lot more money by treating a disease than by curing it. The faster a drug gets out on the market, the more money a pharmaceutical comapny makes; tests for drug safety are frequently insufficient, and sometimes even falsified. Is that progress?
It's a faulty premise to believe there is a "par" for healthcare. Health care quality exists on a continuum. In the U.S., motivated people with lots of money can get $2000 worth of preventative screening tests and intensive health counselling at places like Kronos Institute every year, and prompt access to cutting edge therapy, including radical stuff like proton radiotherapy (not done anywhere else in the world). Poor people in the U.S. covered by Medicaid will get care that is very different. Government healthcare in Canada is somewhere in between. In socialized healthcare, it's politically convenient to create the impression that there is par and sub-par medicine, acceptable and unaccepable waiting times, current and not-current technology, so that a level of service that is essentially arbitrary can be justified. But it is still arbitrary. Same healthcare for all requires compromises the same way that "same housing for all" would.
Using the term "par" was just a figure of speech. I meant par as a general state of quality service and affordability in healthcare, what that means could be considered subjected I suppose. I totally agree with what you say about healthcare existing in a continuum, it was simply semantics. My use of par I do not consider to be highly politicalized, but only influenced because I share a hort. research methods class with turfgrass majors [glasses]
Motivated, rich people in the U.S spending $2000 on preventitive screening tests and intensive health counselling are not what the majority of the people in North America are, not to speak of the world on a whole. Are we talking about quality health care for all, or simply extended the best to those most financially well-off?
Poor people in the U.S. covered by Medicaid will get care that is very different.
As in none. Often this care is non-existant. Many have to choose between putting food on the table and visiting a doctor. In my mind, the U.S. system offers the elite benefits that nowhere near outweigh the way millions are essentially denied access to basic health care services. Maybe that's enough to be considered "sub-par". The Canadian system may be far from perfect, but it doesn't discriminate based on the thickness of a patient's wallet.
But to believe that it's the best that there is, or that medical progress would continue at the rate it is without freer medical economies elsewhere propelling it, is not correct.
"Freer" only in the most basic sense of capitalism, not at all for the common person. The "free market" ones are the most expensive to obtain healthcare in, and it's still not free from government constraints, and it's governed by economic constraints. And how many people actually get to use any of these progressive technologies? 1/5 of people in a private system, probably less? And if it doesn't make the companies money, forget it, even if it saves lives, it wouldn't be worth it to release it - back to the drawing board for the R+D department. Knowing things like this makes me believe the healthcare system is something much too important to be entrusted to the free market.
By the way, mitkat, one of the reasons you personally may have never heard anyone in Canada complain about government healthcare in general (as opposed to specifics, like how much money is spent where) is because government healthcare is now part of Canadian culture. It's politically incorrect to question it, some would even say un-Canadian. You may recall that the winner of CBC's recent "Greatest Canadian" poll was Tommy Douglas (the founder of Medicare). I was floored.
If healthcare has become such a part of the Canadian identity, and indeed something that the vast majority of Canadians are proud of, is there not a solid reason why this is such an item in our cultural identity? If there was as much discontent with the Canadian system as you suggest there is, you would expect to see more individuals willing to speak out against it. The fact that so many Canadians felt strongly enought to vote for Tommy Douglas as the "Greatest Canadian" is a testament to the public healthcare system. The founder of socialized healthcare in Canada was voted the greatest Canadian, by Canadians.