Owing to the wonders of P2P leakage, I, like many of you, saw Michael Moore’s Sicko. Like most popular political documentaries (and recent Moore documentaries in particular), it doesn’t contain a lot of new information for anyone already participating in the reality-based community. In my case (as is the case for almost all Canadians), it was preaching to the converted, but it’s still important to see.
We’re proud of our universal health care system up here, but that’s no reason to get complacent. Canadians who favour an American-style private health care system are in a definite minority, but they have a well-funded and loud propaganda machine. The Fraser Institute, for example, a far-right think tank that favours health care privatization, pulls in $6.9 million in revenue a year. Its board members have included David Asper, whose family owns CanWest, Canada’s largest media corporation, which frequently reports that our health care system is in crisis. Recently, Torontonians have seen billboards and bus ads springing up around the city clamouring for “heath care reform.” While a politician who proposed an outright switch to a for-profit system would be committing political suicide, we are always at risk for a death by a thousand cuts. Sicko is a reminder of why we need to fight tooth and nail, not only to keep what we already have, but to push harder for an even better, even more inclusive system (the French one is looking pretty good).
Right-wing critics will call Sicko biased, but there’s no moral argument that can be made for a for-profit health care system. The portrait Moore paints of the American system is staggeringly dystopic: a woman who watches her toddler die because her insurance company won’t cover treatment in a non-approved hospital, an uninsured man forced to choose which one of his fingers he can have reattached, a disoriented elderly woman who can’t pay her bills who is put in a cab, still wearing her hospital gown and slippers, and dumped in front of a homeless shelter. Up here, we know that the American system is bad, but it’s not until we see these real stories from real people that we can appreciate how truly bad it is.
Americans are currently bound to their employers or insurance companies, at the mercy of what amounts to a lottery: Will I get sick? If I do get sick, will my insurance company pay for it? A long and complicated illness can bankrupt you, whether you have coverage or not. If you’re too sick to work, you lose your coverage. And insurance companies are inherently nasty: You pay them a premium, and they profit when you don’t get your money back. Combine this with a profit motive for health care providers (prolonged treatment rakes in more money than a cure), and you have a giant clusterfuck where the economic incentives conflict with saving people’s lives.
There’s a utilitarian argument for a private system that Moore hints at, and it’s a chilling one: a cowed population is easier to control than a free population. But how do you get the majority of Americans to agree to that arrangement? Moore argues, as others have, that efforts to humanize health care in America have failed largely because of Americans’ fear of socialism. These fears are easy enough to debunk, usually in a few sentences.
Argument 1: It costs too much.
No it doesn’t. America already spends more than countries with universal health care programs. Preventative medicine saves money, for one thing, and how can you prevent illness when you can’t afford the fee for regular check-ups?
Argument 2: But we’ll be drowning in taxes!
We do pay more taxes than Americans. But very few Canadians, if any, end up in debt for the rest of their lives because they couldn’t pay their taxes. Compare to the number of Americans who end up in debt for the rest of their lives because they can’t pay their medical bills. Everyone pays a bit more in taxes so that no one pays a lot more for health care.
Argument 3: With universal health care, you don’t get the freedom to choose your own doctor.
I don’t know why people get so upset about this one. For one thing, it isn’t accurate: My doctor was annoyingly uptight about my lifestyle choices, and inconveniently located, so I got another doctor. This process took under an hour. But even if it were true, isn’t it better to see a doctor you didn’t choose than to not be able to see a doctor at all?
Argument 4: Wait times kill patients!
Wait times vary according to region, but in urban areas, they really aren’t that bad. And it’s still preferable to not being able to see a doctor at all.
Argument 5: But…but…that’s socialism!
Doesn’t it sound better than what you’ve got now?





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