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by the Frasier Institute (a private, Canadian research group)
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I won't comment about the lack of impartiality or the political orientation of this institute. I have all the good reasons to take with a lot of suspicion any "studies" they make. So keep in mind that they never publish outside of a political context.
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and why not privatize, at least in part, to draw back and keep the MDs?
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I don't know for the canada itself, but I can talk for the Quebec however. 1) despite some adjustments we have to do, the people want to keep public and free our health care system. It's democracy. And people here consider our health care system as one of our biggest social richest. Wich it is. Do we have to make profound adjustments? Yes we do. Everybody here, including the politicians, know that. One of this adjustment, according to certain people including me, could be to open some private clinics for people who have money and who want to be treated faster...so it would low the pressure on the public system itself...meaning everybody could be treated faster. It's the more far some of us are ready to go. People are not foolish, and overall, they know what a private health care system means (before the sixties here). As said, yes we have a lot of things to improve, without being enough stupid to put down a such social and medical achievment.
2) yes some physicians go to practice outside the quebec or canada. But from what I know about the quebec ones, they come back home within a couple of years, so the government don't really fears about that. And quebecer physicians practicing in the US, quickly admit that the situation is not better in the US, probably worse regarding a lot of things.
Hey dude, open you eyes. In the US, we will have to treat a 90yo rich men who wants to live more years to play golf, meanwhile a child with a cardiac malformation won't be treated and will probably die because his parents are poor and have not paid their insurances.
Regarding the admission in schools of medicine, yes, the system sucks. And I admit it is largely elitist, overall in quebec.
And we could talk about France, where the system is mixt. Have you ever talked with patients from france? I do almost every day. Once again, I can tell you I am very lucky to be from quebec and to have a such health care system.