Advocates of single-payer health care, a government-run alternative to private health insurance, had their voices heard in Congress on Wednesday, but Republicans are railing against the idea.
Minnesota’s John Kline, the ranking Republican on the House Education and Labor Committee’s subcommittee on health, employment, labor and pensions, said that Canadians are crossing the border to access health care in the United States. “Well, when they come south for health care, medical care, they stop at the Mall of America and we’re glad to have them there as well,” he said.
But, are Canadians flocking to Minnesota — or the United States — for health care? The only quantitative study on the issue was conducted in the late-1990s by the journal Health Affairs.
Several sources of evidence from Canada reinforce the notion that Canadians seeking care in the United States were relatively rare during the study period. Only 90 of 18,000 respondents to the 1996 Canadian National Population Health Survey indicated that they had received health care in the United States during the previous twelve months, and only twenty indicated that they had gone to the United States expressly for the purpose of getting that care.
Kline’s witness was Dr. David Gratzer, a senior fellow at the conservative think tank, the Manhattan Institute. The institute has received funding from health insurance giant Cigna and several members of the health care industry make up the institute’s board of trustees.
Though the Mall of America doesn’t publish raw numbers (PDF), Canadians are one of the top foreign visitors annually.













17 Comments »
Comment posted June 11, 2009 @ 1:31 pm
More misinformation from right wingers. Yet another corporate funded think tank not biting the hand that feeds them, but getting to have the authority of expert testimony in front of congress. How can this Gratzer live with himself?
Comment posted June 11, 2009 @ 1:42 pm
A friend colleague of mine from Thunder Bay laughed when I read him Kline’s statement.
Kline should spend more time at the Mall of America. Perhaps he should open a kiosk there and sell trinkets to Canadian tourists.
Comment posted June 11, 2009 @ 3:16 pm
Perhaps Rep. Kline would like to comment on the number of Americans seeking medical care in Mexico (around 950,000, by some counts) or other countries because it’s less expensive?
Comment posted June 11, 2009 @ 3:21 pm
How about the Canadians who buy health insurance before coming here because of their fear of getting sick or injured while they’re here? How many decline to cross the border because of these potential problems? If I gave numbers they would be guesses, but I’d be as accurate as Glazer from the Manhattan Institute. I bet I could have as much credibility if I stuck “institute” after my name.
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Comment posted June 11, 2009 @ 5:25 pm
Call his office and ask him where he is getting his information –
Also ask them why their boss is so opposed to his constituents getting what he takes for granted.
it’s actually kind of fun.
Comment posted June 11, 2009 @ 8:00 pm
Here’s a great companion piece to this video where Rep, Dennis Kucinich asks Dr. Gratzer some follow-up questions.
http://www.youtube.com/watch?v=DII7v8yeRjs
Enjoy.
Comment posted June 12, 2009 @ 12:02 am
Dennis called Gratzer out on his misinformation and lies:
Rep. Dennis Kucinich (D-Ohio), the left-wing former presidential candidate, described by the chairman as “among the most fierce and articulate advocates of single-payer.”
Kucinich was definitely fierce, if not entirely articulate, as he directed his rage at the bespectacled scholar.
“Do you know what . . . the median wait time is across Canada for elective surgery?” Kucinich demanded.
“Why don’t you inform us, sir?” Gratzer replied.
Kucinich gave an answer but, before Gratzer could argue with him, went on. He then quizzed the witness about “how many medical bankruptcies there are in Canada.”
“Depends on how you define med –” Kucinich cut him off. “None or very few. How many insured Americans go without needed care?”
The witness paused before looking up. “Oh, am I allowed to answer?”
“If you have an answer,” Kucinich said. “But if you don’t, I’ll answer. What’s your answer?”
“Go for it, sir,” Gratzer offered.
“What’s your answer?” Kucinich demanded.
“Why don’t you answer your question, sir,” Gratzer demurred.
“What’s your answer?” Kucinich repeated.
“My answer –” Kucinich cut him off. Gratzer leaned back, tossed his pen on the table and looked to the chairman for help. Andrews offered none.
“How many uninsured Americans go without needed care due to the high costs of health care?” the congressman asked again.
Gratzer stared at Kucinich. “The witness isn’t responding,” the congressman announced.
“The witness is delighted to speak . . . but you keep cutting me off, sir,” Gratzer pointed out.
Kucinich continued to hector (”You didn’t give an answer. . . . Can you provide us with an answer? . . . Do you have an answer? . . . He has no answer”) and the witness tried to push back (”I’m not going to be led down a garden path. . . . I dislike your comments, sir”). Finally, Kucinich demanded that Gratzer explain why 60 percent of American doctors want a single-payer system.
“Are you going to let him answer this one?” the chairman inquired.
“He can answer it, if he can answer it,” Kucinich replied.
Comment posted June 12, 2009 @ 6:38 am
This article is way off the mark, check out the truth on http://www.AmericanParchment.com. I know people who come to the United States for our health care system. They know that if they are here and get hurt they won’t have to pay, like illegal immigrants but while they are here they pay for their medical needs. The poor system in Canada can be summed up in one fact. In a city of 3 million people Montreal has only 2 MRIs. Why is that when each of our hospitals have at least 2. You are put on a waiting list there. You are not given the care needed if you are too old. And in England you do not get cancer medicine for certain cancers after the age of 65. Don’t believe me, read the articles from both Canadian and UK newspapers on this site.
Comment posted June 12, 2009 @ 10:26 am
To the corporate stooge, FastFacts:
America is sick of your “don’t get sick” healthcare. How can you even compare American healthcare to Canadian or English medicine when we can’t even get our infant mortality rate above that of Cuba, a nation which has been the target of a medical embargo for over fifty years? Japan, which pays only about one-third of what we do on healthcare per capita, has double the daily smoking rates and gets double the number of MRIs we do in America.
According to the Bureau of Labor Statistics, we’ve had 2500% growth in the number of health care administrators since 1970, people who provide no actual care, but who drive up the cost of medicine, deny sick patients, and tell doctors how to do their job in a cheap and irresponsible manner. Healthcare costs went from 9% of GDP in 1980 to 16% today, but most health quality measures have dropped. We’ve received less than nothing for our money.
For the record, more Americans are going to each of Mexico, Thailand, or India for procedures than Canadians are coming here. Of the few Canadians coming here, some work, study, or live here and others are sent directly here by the Canadian health system with money provided in order to diminish the patient backlog. They’re not paying out-of-pocket like we are forced to. If we had trained a huge number of doctors and nurses instead of administrators, neither Canada nor America would be having shortages of medical professionals.
Comment posted June 12, 2009 @ 10:35 am
My niece is an American living in Canada. She loves the Canadian health system. My daughter in law is an American living in Canada. She loves the Canadian health system. My daughter is an American living in England, she loves the UK health system. Prior to moving to England, she lived in Sweden and……………well I won’t be redundant. I spent 20 years traveling in Europe on business, including 5 years meeting with private businesses that provided medical devices. I spoke to hundreds of people about their health system, and I don’t ever recall hearing anyone say they wanted the American system or they came to the U.S. for healthcare. If these countries systems were so bad, there would be extensive debate in their Parliaments, and that just isn’t happening. I hope Americans stop being gullible and cowardly and look at facts this time.
Comment posted June 12, 2009 @ 1:35 pm
As to FastFacts contention tahqt Montreal has only two MRIs, I would counter with the question, how many MRIs does one city need? I would say more than two for a city the size of Montreal, but far less than what we are seeing in the US. I have woirked with healthcare systems for the past 17 years. One of the controls put on the healthcare in most parts of the country is the requirement that a healthcare provider prove that there is a medical need for a new facility, like adding beds to a hospital, or an expensive piece of equipment. The idea is to try to control costs by not allowing each hopspital to try to build to supply the entire market, and then bill back the expansion costs to patients. Whether one believes that approach has worked or not, it has been applied more rigrorously in Canada, as it is in some states as compared to Minnesota. So if there are only two MRIs in Montreal, it is because some committee has decided that wo is enough to service the number of MRIs medically necessary for the people there. That, in turn, is because of the level of control allowed over the clinical care system in Canada (or more likely by the provicial government, just as states regulate this function currently in the US). In other words, we already have that sort of control in effect by law in the US, and the control is over clinical care, not over financing and payers (made up of insurers, self insured companies, Medicare and Medicaid). And with what we have now we pay more than Canadians per person, and they get better outcomes. That is the real bottom line. We pay more, they get more. Again, we pay more per preson, they get better medical care outcomes. It’s that simple. And if that isn’t the proof their system works better, then what is?
Comment posted June 12, 2009 @ 8:22 pm
Flame baiter anti-singlepay right wing scum should be going it alone. No freeways to get to
hospital (commie government paid for them), no heli fly in when cut up by boat prop at the lake,
just row down the river with your good arm ya wimp. No county trauma center when the kid falls
out of a tree or is ground to sausage in the farm accident, fly your own doc and operating room
out of the cities at your own expense. And get to Iraq and fight your own dang war you nancy-boys.
Comment posted July 9, 2009 @ 11:52 pm
Walk into a Emergency room or doctors office and say… Chest pain -Heart or acid reflux ? Rectal Bleeding-colon cancer or piles ? Headache-brain cancer or headache ?
In the US the choice is obvious -Heart attack,colon cancer and hematoma call the specialists send your bill and pay your malpractice premium….Is that medicine ?
Comment posted July 27, 2009 @ 9:41 am
When i meet Canadians, they express preference for their system, have no desire to spend what the US does to get what the US does in health care.
These poor fools north of the border believe public involvement in important institutions like heath care and banking is a good thing.
And THEIR BANKS DIDN”T COLLAPSE! And their population enjoys health outcomes more impressive than those of the US.
Imagine that
Comment posted July 27, 2009 @ 10:03 am
and if a visiting medical patient is stopping at Mall of America to shop, perhaps those patients are relatively well, and not representative of the range of health care clients that show up at medical facilities, whether in the US or Canada.
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