{"id":1665,"date":"2009-07-31T14:14:21","date_gmt":"2009-07-31T19:14:21","guid":{"rendered":"http:\/\/thesocietypages.org\/thickculture\/?p=1665"},"modified":"2009-08-05T01:54:51","modified_gmt":"2009-08-05T06:54:51","slug":"jack-layton-on-canadian-health-care-notes-on-healthcare-as-infrastructure","status":"publish","type":"post","link":"https:\/\/thesocietypages.org\/thickculture\/2009\/07\/31\/jack-layton-on-canadian-health-care-notes-on-healthcare-as-infrastructure\/","title":{"rendered":"Jack Layton on Canadian Health Care & Notes on Healthcare as Infrastructure"},"content":{"rendered":"
\n
\n
\"Jack<\/dt>\n
Jack Layton, Leader of the New Democratic Party of Canada<\/dd>\n

\n<\/span><\/span><\/div>\n<\/dl>\n<\/div>\n

Notes from north of 49\u00baN<\/em><\/p>\n

Update 4 August:: Video on Jack Layton from MSNBC-<\/span>below<\/span><\/a><\/strong>.<\/span><\/em><\/p>\n

Jack Layton is the leader of the New Democratic Party of Canada whose riding is the next one over from me, Toronto-Danforth<\/a><\/strong>. \u00a0Over on the Huffington Post<\/a><\/strong>, Jack did a post on the realities of the Canadian health care system.<\/p>\n

I have a lot of strong views on health care in the US based on my work in non-profit health and my research on the biotech industry. \u00a0It’s worth mentioning that today’s US health care system began as employer perquisites {benefits}, back when health care and pharmaceuticals were cheap. \u00a0The private insurance model starts to break down when costs escalate resulting in employers and employees getting squeezed and uninsured rates rising. \u00a0Some say a perfect storm of events<\/a><\/strong> {recession, rising costs, uninsured rate of 19%, and Obama} is leading to a tipping point in health care. \u00a0It should be noted that the US will not adopt a health care system like Canada’s, where the government {provinces} provide health care, but rather a system where the government finances health care delivered by private enterprise.<\/p>\n

On the The Huffington Post<\/a><\/strong>, Jack makes some compelling points, whether you agree with his politics or not::<\/p>\n

“Costs are under control in Canada. We spend similar amounts on public care – around 7% of GDP. For that price, Canada covers everyone, the U.S. just one third of the population. In case you’re worried Canada wastes money on bureaucracy, know that just 2.4% of our total costs go to administration compared to 7% of what your government spends. In end, Canadian care costs $2,500 less per capita – and covers everyone.”<\/p><\/blockquote>\n

He points out that the system isn’t perfect::<\/p>\n

“Our system does have flaws. We need better prescription drug coverage, better remote access to care and better practices in hospitals and clinics. No honest advocate for our health care system would dismiss these things. But Canadian health care works — and works well.”<\/p>\n

Does all this mean that the United States should adopt Canada’s health care system?…No. America can no more adopt our health care system than we can swap hockey for baseball as our national pastime. A good health care system reflects a country’s values, and each country’s values are different…But a system with 47 million uninsured, coverage denied due to pre-existing conditions and people thrown off plans when they become ill? That doesn’t reflect American values.”<\/p>\n<\/blockquote>\n

Unfortunately, there are other competing values in play in the US, making healthcare a contentious issue. \u00a0It’s not a simple matter of costs and taxes, but one that also affects innovation and entrepreneurship. \u00a0Biotechnology is predicated upon using the human genome to better match diseases, patients, and therapies. \u00a0“Pre-existing conditions” and genetic skeletons in one’s closet can thwart innovation in biotech because it adds additional business risk. \u00a0If insurance refuses to pay, where are the revenues?<\/p>\n

One question on my mind and one I pose to my students, is healthcare a public infrastructure or should it be treated strictly as a business? \u00a0The Canadian model is one where the state is the financier and provider, where the provinces oversee a large, integrated health infrastructure. \u00a0As stated above, a new US healthcare model is unlikely to be this comprehensive, instead focusing in financing. \u00a0The current US model uses market mechanisms heavily, where healthcare delivery, insurance, and pharmaceuticals all having a dog in the healthcare reform fight. \u00a0Altering the landscape through healthcare reform will alter business models and likely create windfall gains and losses. \u00a0On the other hand, we have that perfect storm of recession, rising costs, uninsured rate of 19%, and Obama. \u00a0Another\u00a0implication of the current model, where healthcare is an employment benefit, is that it limits new business creation, i.e.<\/em>, creates “entrepreneurship lock.” \u00a0A recent working paper <\/a><\/strong>supports this reasoning::<\/p>\n

“Overall we find some evidence that the U.S. emphasis on employer-provided health insurance may be limiting entrepreneurship.\u00a0 The clearest evidence comes from the regression discontinuity results which create the most comparability in experimental and controls groups.\u00a0 The finding of ‘entrepreneurship lock’ is important as it suggests that the bundling of health insurance and employment may create an inefficient allocation of which or when workers start businesses.”<\/p><\/blockquote>\n

Healthcare can also has an affect on the arts in the US in same fashion, necessitating that creatives take on dayjobs with health benefits. \u00a0One artist once told me that money {or lower costs} means the freedom to create. \u00a0The current system does precious little to create incentives for cash-strapped entrepreneurs and creatives to innovate and create. \u00a0Does this matter? \u00a0I think it does in terms of sustainable economic growth and treating healthcare as a publicly financed infrastructure, i.e.<\/em>, a social good, paid with {gasp} taxpayer dollars makes more sense than the current system, but the devil’s in the details and good implementation is critical in order for a new system to be successful. \u00a0That said, these challenges shouldn’t be reasons not to do it.
\n<\/a>Video::<\/strong> Jack Layton on MSNBC’s The Ed Show, NDP Blog via Twitter<\/a><\/p>\n

Link<\/a><\/strong><\/p>\n

\"YouTube<\/a><\/span><\/span><\/strong><\/p>\n

\n

Visit msnbc.com for Breaking News<\/a>, World News<\/a>, and News about the Economy<\/a><\/p>\n<\/div>\n

Twitterversion:: <\/strong>Jack Layton of #NDP clarifies healthcare in #Canada. Should healthcare be infrastructure? Implications for innovation & entrepreneurship. #ThickCulture @Prof_K<\/p>\n

Song:: \u00a0Planet Health – Chairlift<\/a> {Brooklyn, NY of iPod Nano fame<\/a><\/strong>}<\/p>\n

<\/object><\/p>\n
\n
\"\"<\/a><\/div>\n
<\/form>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

Jack Layton, Leader of the New Democratic Party of Canada Notes from north of 49\u00baN Update 4 August:: Video on Jack Layton from MSNBC-below. Jack Layton is the leader of the New Democratic Party of Canada whose riding is the next one over from me, Toronto-Danforth. \u00a0Over on the Huffington Post, Jack did a post […]<\/p>\n","protected":false},"author":160,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[356,1736,1139,1359,1737,1388,1526,194,1735],"class_list":["post-1665","post","type-post","status-publish","format-standard","hentry","category-uncategorized","tag-canada","tag-chairlift","tag-healthcare","tag-huffington-post","tag-jack-layton","tag-ndp","tag-notes-from-north-of-49n","tag-obama","tag-planet-health"],"jetpack_featured_media_url":"","_links":{"self":[{"href":"https:\/\/thesocietypages.org\/thickculture\/wp-json\/wp\/v2\/posts\/1665","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/thesocietypages.org\/thickculture\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/thesocietypages.org\/thickculture\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/thesocietypages.org\/thickculture\/wp-json\/wp\/v2\/users\/160"}],"replies":[{"embeddable":true,"href":"https:\/\/thesocietypages.org\/thickculture\/wp-json\/wp\/v2\/comments?post=1665"}],"version-history":[{"count":19,"href":"https:\/\/thesocietypages.org\/thickculture\/wp-json\/wp\/v2\/posts\/1665\/revisions"}],"predecessor-version":[{"id":1668,"href":"https:\/\/thesocietypages.org\/thickculture\/wp-json\/wp\/v2\/posts\/1665\/revisions\/1668"}],"wp:attachment":[{"href":"https:\/\/thesocietypages.org\/thickculture\/wp-json\/wp\/v2\/media?parent=1665"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/thesocietypages.org\/thickculture\/wp-json\/wp\/v2\/categories?post=1665"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/thesocietypages.org\/thickculture\/wp-json\/wp\/v2\/tags?post=1665"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}