It’s Not Only in China That Ideology Trumped Health-Care Common Sense

Commentary, COVID-19, Healthcare, Brian Giesbrecht

When COVID-19 first appeared in Wuhan, the Chinese Communist Party (CCP) strategists seized upon a radical plan to prevent the spread of the virus. Instead of adopting a pandemic plan to protect the oldest and weakest, while keeping daily life functioning as normally as possible, the CCP  did the opposite and initiated a radical lockdown. Businesses were closed, workers sent home, and infected people sent to quarantine camps. Normal life came to an end because of COVID Zero—a plan unknown to both science and common sense.

But the virus didn’t disappear and, almost three years later, a billion-plus Chinese people are just now beginning to emerge from this preposterous experiment, after the CCP recently lifted its most stringent controls. The virus is now expected to pass through the Chinese population, but the CCP was so ideologically committed to this failed lockdown policy that they won’t know how to deal with the reality of the millions of illnesses and deaths that will inevitably occur when that happens. Clearly, ideology has trumped common sense.

As I waited in a hospital ER for interminable hours with a family member, it occurred to me that we Canadians have done something similar: We have allowed our ideological commitment to the idea that our medical system must be 100 percent publicly funded, to override our common sense. Yes, we have good doctors, nurses, and health-care personnel. Yes, once we finally access treatment, the medical standards are adequate. But let’s face it—our system is a mess and standards of care are greatly diminished as we wait hours, days, and even years for treatment.

In that emergency room, for example, some people waited 9 1/2 hours to be seen. Many had no family doctor and were forced to choose between a long wait at a walk-in clinic during office hours or a long wait in an ER after hours. (I talked to one person who was number 1,400 on the waiting list for a family doctor). Masks were mandatory, but a crowded group of coughing and sneezing people becomes a scene out of Dante’s inferno, making mask-wearing a joke. An immigrant couple with young children were likely confused—thinking they had come to Canada for a better life and  winding up in a health system inferior to the one they had left behind.

Older folks were no doubt frustrated that the health-care system they had supported with decades of taxes could not provide them with the timely care they needed. Thousands of Canadians live in agony for years because they can’t get the hip or knee replacements and other treatments they need. Even those needing heart and cancer treatment must wait. Some die waiting. Meanwhile, Canadian hospital capacity that was so overwhelmed by last year’s COVID patients is now similarly overwhelmed by this year’s influenza cases.

Our system is failing and things are only going to get worse with our aging population and deteriorating economy. New plans, additional bureaucrats, dumps of money, and other “fixes” just rearrange those proverbial Titanic deckchairs. Canadians pay more per capita for the public health services we receive through our tax dollars than almost every other country. And yet, we wait.

The quickest and most obvious fix would be to meld private clinics/private delivery with public financing.

Successful medical systems in every other Western democracy use a combination of public and private financing and, as a consequence, do not have the waiting problems that are unique to Canada. European nations and Australia  successfully blend private insurers into their publicly funded system to create top-ranked health-care systems. Yes, those who pay get extra services but the private care frees up space for those who rely exclusively on public services. If done intelligently, everyone benefits.

So why is Canada virtually the only democracy on earth that allows almost no private money to coexist with public funding?

The answer is a blind commitment to a failed ideology. Just as Communist China insisted on maintaining a Zero COVID policy that clearly wasn’t working, Canada insists that all health services be “free,” that there be no “two tiered” system, and that a system created in the time of Tommy Douglas never be changed. A few brave pioneers (like Dr. Brian Day in British Columbia) are trying to change this myopic mindset, but with very limited success. It would be political suicide for politicians to mention such changes. So, Canadians will continue to wait. And wait.

Like China’s COVID policy, it is a triumph of ideology over common sense.

 

Brian Giesbrecht is a retired judge and a senior fellow with the Frontier Centre for Public Policy