Introduction to the Issue
By 2056 it is expected one in four Canadians will be 65 years or older, compared to 13 per cent currently. This will put a huge strain on the country’s health care system (Macleans, 2008 p.2). The future of Canada’s health care system is at great risk due to its aging population. This is triggering a shortage of physicians, particularly anesthesiologists, in some provinces of Canada (Canadian Medicine Journal, 2007). Anesthesiologists are specialist physicians who provide critical care to patients in a number of health programs: operative anesthesia for patients in all surgical subspecialties, acute pain management, procedural anesthesia, obstetrical care, and high-risk medical management, chronic pain
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In Ontario, on average patients wait for 158 to a high of 311 days for surgeries (Health Council of Canada, 2007). To further exacerbate the situation, since 2001 the wait-times for surgery has increased by approximately 50%. Furthermore, on average cancer patients who are suffering with chronic pain wait one to two years for an appointment to see an anesthesiologist for specialized pain treatments (BCAA, 2006). Explain the connection between wait times for surgery and the shortage of anesthesiologists more clearly. The government is not taking enough action to eliminate the issue of long wait times for surgeries; the Supreme Court of Canada says: “access to a waiting list is not access to health care” (CBC, 2006).
Waste of Taxpayers’ Dollars
Since many Canadians do not have access to anesthesiologists which causes waste of hundreds of millions of taxpayer dollars. Approximately five million Canadians do not have access health care professionals, or they often face long waits to see specialists (Ouellet, Doig, & Fritz et al., Health Care Transformation in Canada, 2010). Unavailability of anesthesiologists and resources is costing Canadian's money without delivering care. Dartmouth Atlas Project (2010) reported that in the last five years alone, the difficulty of recruitment and retention of anesthesiologists has reduced productivity by 5.3% costing taxpayers over $100 million annually. Each year, BC taxpayers
The comparison between health care in the United States and health care in Canada has been a continuing debate. America does not have a universal health coverage plan for it's population, while Canadians are privileged to have universal health coverage. Normally a patient will pay twice as much for health coverage in the United States compared to treatment in Canada. This puts the US in first position of having the most expensive health care system on earth. (http://www.yesmagazine.org/issues/health-care-for-all/has-canada-got-the-cure) Most of the population in the United States have no health coverage at all. Compared to Canada, the wait time for elective procedures in the United States is somewhat longer. Many Americans feel the
When asked to describe what makes Canada unique compared to other countries, many outsiders might yell out “Hockey!” “Cold Weather!” or “Free Health Care!.” Health care is definitely one of Canada’s most noticeable trademarks when compared to the United States, but the reality is that our health care services are not what they are made out to be. Canadians tend to take pride in the fact that they have a Government funded health care system, but the system is failing at a rapid pace. One can gage the quality of health care in our country while at the emergency ward in any hospital, where most Canadians realize its downsides. The Government spends most of its budget towards health care but Canadians are not feeling an improvement. Waiting
Canada’s healthcare cost constitutes a large share of GDP. Although this may be a good thing as it reflects on a country’s increased wealth and ability to pay for valued care, however in the case of Canada, there is a strongly held belief that the growth rate in Canada is not sustainable nor is it necessarily improving our outcomes.
One of the most talked about subjects regarding health care in Canada is the time it takes to be seen by a physician. For acute illnesses, an
The implications and effects on patients waiting long hours to be seen in the ED are immense. In a recent study done over five years in Ontario hospitals showed the risk of adverse events and even deaths increased with the length of stay in the ED (Science Daily, 2011). When EDs become overcrowded the quality of care changes and declines; which is extremely dangerous. Authors of the study calculated that if ED length of stay was cut by only an hour that 150 fewer Ontarians would die each year (Science Daily, 2011). Wait times can also negatively affect patients financially, untreated medical conditions can lead to reduced productivity and inability to work leading to increased financial strains (Fraser Institute, 2014). As well as delayed access to care can result in more complex interventions needed. Therefore an initiative is needed to provide patients with timely, efficient care when accessing
Under Canada’s healthcare system, citizens are provided with primary care and medical treatments, as well as easy access to hospitals, clinics, and any other additional medical services. Regardless of annual income, this system allows all Canadian citizens access to medical services without immediate pay. Canada is fortunate to have a free healthcare plan since this necessity comes at a substantial expense for people living in the United States of America. For instance, the Commonwealth Fund's Health Insurance Survey mentions that “80 million people, around 43% of America's working-age adults, did not go to the doctor or access other medical services because of the cost” (Luhby). Evidently, Canada’s healthcare system is notorious in supporting the demands of the population, and creating a healthy and happy society at a manageable cost.
The waiting time for medical services is long in both countries. The waiting time is mostly determined by the number of medical doctors and facilities available in relation to the population. According to the report done by the American Medical Student Association (2011), it was discovered that the doctor-to-patient ratio in the U.S. is more than in Canada. As a result, the survey discovered that about 42% of patients in Canada had to wait for about two hours compared to the U.S. whereby 29% had to wait for two hours. Also, 43% of Canadians compared to 10% of Americans are forced to wait for about four weeks to see a specialist. In addition, the same study discovered that 37% of Canadians compared to 34% of Americans found it difficult to access medical services during weekends and holidays. As a result, 47% of Canadians compared to 50% of Americans felt that it would have been possible for them to be treated on a regular basis than on an emergency basis if medical personnel were available (American Medical Student Association, 2011).
The purpose of this paper is to address the issue of the physician shortage in Unite State of America. This is more exactly delineate as a gap between the population’s demand for primary care services and the capacity of primary care, as currently delivered, respond to the demand. According to Nile (2015), physician is person trained and licensed to practice medicine or an individual with a Doctor degree in medicine. Physicians play a central role in health care delivery. Although now, physicians are sharing patient care responsibility with a team of Physician assistant (PA) and Nurse Practitioner (NP), especially with the Patient Protection and Affordable Care Act implementations. The PA and NP are alternative to medical doctor or physician
Regardless of the many factors influencing the supply of physicians such as movement away from managed care, increase in the number of female physicians, lifestyle preferences, population growth, and increase in average lifespan, there still continues to be a physician shortage here in the United States. In order to fill these available positions in doctors’ offices, hospitals, and clinics due to the physician shortage, we are using IMGs, or international medical graduates.
Accessibility and quality are being threatened due to cutbacks coupled with a lack of funding. There is a consensus now between medical professionals, the public, and the government that the health care system is deteriorating. It is failing to provide the quality of care promised in the CHA and prided by so many Canadians.
Canada’s health care system “can be described as a publicly-funded, privately-provided, universal, comprehensive, affordable, single-payer, provincially administered national health care system” (Bernard, 1992, p.103). Health care in Canada is provincial responsibility, with the Canada Health act being a federal legislation (Bernard, 1992, p. 102). Federal budget cuts, has caused various problems within Medicare such as increased waiting times and lack of new technology. Another problem with Medicare is that The Canada Heath Act does not cover expenditures for prescriptions drugs. All these issue has caused individuals to suggest making Medicare privatized. Although, Canada’s health care system consists of shortcomings, our universal
On the contrary, the people of the United States do not come across the problem of long waiting lists. The average American cancer patient waits no more than ten days for radiation therapy while Canadians typically wait four times that long.5 An MRI scan in the United States can be had after an average wait of four days and in Canada one hundred and fifty.6 Health care promptness keeps declining in Canada, not only because of government cuts, but also because many health care professionals move south, where they can work in the most technologically advanced hospitals on the planet making higher wages.
In this paper, the USA healthcare system is being compared to the Canadian healthcare system. The U.S. health system has been described as the most competitive, heterogeneous, and inefficient, fragmented, and advanced system of care in the
Pear, Robert. US Moves to Cut Back Regulations on Hospitals, October 2011. Retrieved from http://www.nytimes.com/2011/10/19/health/policy/19health.html?_r=0
The number of physicians in the country has been decreasing at such a great rate that the government and other stakeholders in the health care sector are trying to camouflage this by increasing the number of foreign doctors practicing in the country. The American Medical Association has been trying to promote these re-entry programs designed for physicians since the year 2009 to help curb this problem. There are many people who can see what the problem is, but it is not possible for them to do much about it. Physicians also see this problem, and they are well aware of why the shortage is arising, but they are also unable to do much to prevent the issue. There are many problems that lead to the shortage of physicians, and unless something is done, it will continue escalating ADDIN EN.CITE Lynch19721573(Lynch, 1972)1573157317Lynch, MichaelThe Physician "Shortage": The Economists' MirrorAnnals of the American Academy of Political and Social ScienceAnnals of the American Academy of Political and Social Science82-88399ArticleType: research-article / Issue Title: The Nation's Health: Some Issues / Full publication date: Jan., 1972 / Copyright © 1972 American Academy of Political and Social Science1972Sage Publications, Inc. in association with the American Academy of Political and Social Science00027162http://www.jstor.org/stable/1040122( HYPERLINK l "_ENREF_6" o "Lynch, 1972 #1573" Lynch, 1972).