Posts Tagged ‘Canada’

Rx: assisted suicide for sick, elderly poor?

January 27, 2023

What used to be called “mercy killing” has become acceptable.  Some U.S. states allow physicians to prescribe life-ending drugs under certain circumstances.  Some nations allow physicians to administer these drugs.

Overall I think this is a good thing, but recently stories have been coming out of Canada that indicate that its MAiD (medical aid in dying) program is used as a substitute for providing welfare assistance for the poverty-stricken elderly poor.  There are only a handful of these cases on record, and the facts aren’t clearcut, but they are important as possible precedents.

Most of the world’s rich countries have a big problem of paying for medical care for their increasing elderly populations.  It is easy to imagine assisted suicide programs as solutions to that problem.

Canada’s MAiD program is one of the world’s most extensive such programs.  In 2021, it was used by 10,058 Canadians – about 3 percent of Canada’s recorded deaths that year.

When it started in 2016, the MAiD program required that applicants’ deaths be “reasonably foreseeable.”  Now it is available to anyone who has a “serious and incurable illness, disease or disability” that is irreversible with “enduring and intolerable” suffering.  Next year Canada is expected to allow MAiD for mental health reasons.  It is considering allowing euthanasia for “mature” minors – children under 18 who meet the same requirements as adults.

The safeguards are that applications have to be approved by two physicians, the process takes 90 days and, in theory, applications are not to be approved if they are for reasons of inadequate financial and social support.

But Conor Gallagher and Alexander Raikin, in articles linked below, give examples of how lack of financial and social support tipped the balance for people who were able to cope with their medical problems.

For example, a man in Medicine Hat named Les Landry had his disability benefits cut off when he reached age 65 and started receiving an old age pension, for some obscure reason.  The latter isn’t enough to cover his needs, so he is going to apply for MAiD.  “I really don’t want to die,” he said.  “I just can’t afford to live.”

He has medical problems that qualify him for MAiD.  But that’s not the reason he’s using it.

Canada offers a suicide hot line, where counselors try to offer hope to people who are thinking of committing suicide.  It also offers a hot line for people who are seeking medical assistance in dying.

One man was hospitalized because he had suicidal tendencies.  When in the hospital, he was euthanized under the MAiD program.

(more…)

What I think about the Canadian trucker protests

February 17, 2022

Prime Minister Justin Trudeau’s emergency order is a radical violation of the principle of the rule of law.

He ordered Canadian banks and financial institutions to stop serving any participant or supporter of the Canadian trucker protests.

That means they’ll freeze their checking accounts, cancel their credit cards, cut off their insurance and refuse to issue them loans.

Of course the Canadian government was fully justified in making arrests of persons who unlawfully occupied their capital or blocked international bridge crossings.

But this doesn’t justify extreme actions against persons who haven’t been charged with any crime or, in many cases, have not violated any laws now on the books.

The Canadian trucker protest is an example of the uneven enforcement of laws against protesters.

Here in the USA, some kinds of protests are treated very harshly and others very leniently.  Sometimes it will protesters will be treated brutally by local authorities and coddled by federal authorities; sometimes it is just the reverse.

In Ottawa, it seems as if the truckers are being treated leniently by the local police, in contrast to the draconian policy of the national government.

I don’t think there will be a civil war in the USA, much less Canada, but if there is, it will have been possible because elements of the police and military support different sides.

I somewhat disagree with the truckers on the merits of their complaints.

The truckers initially protested requirements that they show proof of vaccination upon leaving Canada and and that they be subject to a two-week quarantine if they try to return unvaccinated.

Trying to prevent the spread of a deadly contagious disease is not tyranny.  The Canadian government has the right and duty to stop the spread of the virus

But vaccine passports, in my opinion, are not the best way to do this, because a vaccinated person can still be infectious and an unvaccinated person can be free from the disease.

It would be better to ask the truckers to show recent covid virus tests.  Or take their temperatures when they approach the border and, if they run a fever, ask them to take a virus test.

Where people stand on the truckers largely reflects where they stand on larger conflicts.

Team Red is largely pro-trucker and Team Blue is largely anti-trucker.  Rural people and people who work with their hands seem pre-disposed to be pro-trucker.  Urban people and college-educated professionals seem predisposed to be anti-trucker.

I’m not sure the protesters are representative of Canadian working people, or even of truckers as a whole.  But I see no particular reason to think the truckers are particularly racist.

LINKS

Banks are moving to freeze accounts linked to convoy protests | Here’s what you need to know by John Paul Tasker for CBC News.

Trudeau’s Money Heist: Emergencies Act Allows Seizure of Bank Accounts, Securities, Crypto of Those Suspected of “Links” to Convoy Members Without Court Order by Yves Smith for Naked Capitalism.

Squad member Ilhan Omar defends Ottawa cafe owner who donated to Canadian Freedom Convoy truckers by Ronny Reyes and James Gordon for The Daily Mail (London)

Why the Left Doesn’t Copy the Truck Protests by Ian Welsh.

What About the Canadian Truckers? by Rod Dreher for The American Conservative.

Thoughts on the Canadian Trucker “Freedom Convoys” by Lambert Strether for Naked Capitalism.

Reality Honks Back by N.S. Lyons for The Upheaval.

Why can’t US Americans be like Canadians?

September 14, 2021

The bond of unity of most nations is the idea that they are one family, a family of common lineage usually speaking a common language and adhering to a common religion. Sometimes this is cemented by having a hereditary monarch as a symbolic national father or mother.

We US Americans lack a common lineage.  We consist of all kinds of people—descendants of the original white Anglo-Saxon Protestants, African slaves, native American peoples and Spanish-speakers acquired by conquest, plus immigrants from literally every continent in the world.

So maybe we need an American creed, or an American myth, to bind us together.

But wait a minute!  Canada, our good (and often better) neighbor does all right, without any obvious sense of Canadian exceptionalism.  How do they do it?

A Canadian friend of mine summed up her idea of her nation this way:

Canadians suffer from boredom and blandness.  Even the most conservative politician in Canada believes in universal health care run by the government.

There were some differences here concerning the role of the private sector in healthcare, but in general those differences were worked out years ago.  Canadians put up with high taxes.  Doctors are basically civil servants.

What myth warms our hearts?  Fairness and multiculturalism? 

Refugees and immigrants in Canada are enjoyed.  Their story adds a little spice to the Canadian meat and potatoes.  They are not pushed to become CANADIANS.  What would that even be?  It would be very unusual in Toronto to walk down the street for one block and not hear 3 or 4 languages spoken.

One very common problem is people in their 40s who have parents who came to Canada 30 years ago and never learned English.  I know a lot of people in that situation, who feel an obligation to be their parents’ interpreters at a moment’s notice (even though they have demanding careers and young children to raise).

There are no illusions that Canada is the leader of the Free World, no sense that we are shining beacons on a hill, no sense that we set the world’s agenda.  We try to do our fair share of the world’s peacekeeping. 

This makes Canadians a bit like children. We put the government in charge and then complain mightily about everything they do.

What made the USA and Canada different?

The USA had to fight for its independence.  Canada never had to.  The leaders of the USA in 1776 were mostly descendants of the original British settlers, but they had to figure out a rationale for independence not based on lineage. 

The rationale was that we US Americans stood for the right to life, liberty and the pursuit of happiness.

(more…)

What if North America was French?

August 3, 2020

If the outcome of certain European wars had been different, the dominant culture of North America would be French and not English.

After reading David Hackett Fischer’s Champlain’s Dream, I think this would have been a good thing.

The settlers of New Spain enslaved Indians.  The settlers of New England drove them out.  But settlers of New France intermarried with the Indians and lives with them in peace.

This was the dream of a remarkable individual, Samuel de Champlain.  Between his first voyage to the New World in 1603 and his death in 1635, his example and his laws established a pattern for a multi-cultural society.

His career would make a good TV mini-series, because it consisted of a series of crises, which in dramatic terms would be cliff-rangers—everything seemingly lost, but with the slim possibility of one last effort putting everything right.

Champlain was a soldier, sailor, navigator, explorer, map-maker, writer, administrator and diplomat, who was able to negotiate successfully in the councils of Algonquin and Huron warriors and the court of King Louis XIII Cardinal Richelieu.

He made mistakes in judgment, like everyone else.  The worst one was underestimating the severity of the Canadian winter.  He sometimes lost his temper.

But Fischer was unable to find a single incident in which he knowingly told a lie or broke a promise.  His observations of the lands he explored and his accounts of his own actions were not only truthful, but accurate.

When other French commanders made contact with Indian nations, they usually began a show of force and a demonstration of their superior firepower.

Champlain would walk into Indian settlements unarmed, either alone or with a single companion.

No fool he, sometimes on making first contact Champlain would sometimes have troops with firearms hiding in the underbrush in case things went wrong.  But he went out of his way to appear un-threatening.

He won the trust of the Indians by spending a lot of time with them and taking the trouble to understand them.  He sincerely liked them.  He didn’t have to fake friendship.

Champlain’s humanistic Catholicism was appealing to the Indians—I think partly because the Christian idea of forgiveness freed them of the duty of carrying on blood feuds without end.

Many Indian nations welcomed European settlers because they saw them as possible allies in their wars with other Indians.  Champlain avoided that trap.  He positioned himself as mediator.

But he did help the Algonquins and Hurons in their wars with the aggressive Iroquois to the South.

Champlain and allies vs. Mohawks

Champlain led a mixed French and Indian invasion of Mohawk territory in 1609.  They fought a battle on the shore of Lake Champlain, which he named/

The Mohawks wore wooden armor and fought shoulder-to-shoulder, as in an ancient Greek phalanx.  They probably would have won except for the French use of firearms, called arquebuses.

He led another expedition, against the Onondaga, in 1615, and fought a battle near today’s Syracuse.  The Onondaga took refuge in a wooden fort, which Champlain attempted to overcome by building a European-style siege engine—a portable wooden structure taller than the walls of the fort.

I never thought Indians wore armor or built forts.  I suppose a lot of what I think of as Indian warfare is an adaptation to the superior firepower of the English, French and Spanish.

After that, Champlain and the Indian nations of New France were able to negotiate a temporary peace with the Iroquois.  Fischer noted that this was partly because the Iroquois were preoccupied with fighting the Susquehannocks to their south.

(more…)

Is Canada a nation?

August 3, 2017

In this post, I consider two authors who argue that Canada is not a nation.

Click to enlage. Source: Cyrus Dahmubed

Joel Garreau, a reporter for the Washington Post, wrote back in 1981 that the USA and Canada were not actually nations, only a collection of regional cultures.

He claimed that their territories were actually divided among The Nine Nations of North America (shown in the left map above), of which only Quebec was wholly contained within the jurisdiction of Canada and Dixie within the United States.

His conclusions were based on travels and interviews in the late 1970s, and he concluded that there really were six Canadian nations, all but one of which had a metropolis in the United States.  They were:

  • New England (Boston), the U.S. New England states and the Canadian maritime provinces.
  • Quebec (Montreal), the actual province of Quebec.
  • The Foundry (Detroit), the industrial region north and south of the Great Lakes and including the U.S. Middle Atlantic States.
  • The Breadbasket (Kansas City), the agricultural U.S. Great Plains and the Canadian prairie provinces.
  • The Empty Quarter (Denver), the thinly populated, mineral-rich Rocky Mountain states and provinces and the Canadian north.
  • Ecotopia (San Francisco), the Pacific-facing region from San Francisco to Juneau, Alaska.

Americans and Canadians within these areas, Garreau argued, had more in common with each other, economically and culturally, than they did with U.S. and Canadian citizens in other regions.

Colin Woodard made the same argument 30 years later in American Nations: a History of the Eleven Regional Cultures of North America, except that, unlike Garreau, he defined all of his “nations” except the Far West based on their cultural inheritance rather than economics and geography.

He divided Canada into six “nations”, at least four of which overlap with the United States.   They are:

  • First Nation, the newly autonomous American Indian nations in the Canadian North.
  • New France, the heirs of the original French settlers.
  • Yankeedom, roughly corresponding on the Canadian side to Garreau’s New England.
  • Midlands, which I will discuss below.
  • The Far West, roughly corresponding to Garreau’s Empty Quarter
  • The Left Coast, roughly corresponding to Garreau’s Ecotopia.

Woodard, who lives in Maine, described the sense of unity between New England and the Canadian Maritime provinces.  The Canadian Maritimes were settled from New England, he wrote, and Yankees and Maritimers were reluctant to fight each other during the Revolutionary War and the War of 1812.

The provinces of Upper Canada (now Ontario) and New Brunswick were created after the Revolutionary War to provide a refuge for defeated Loyalists after the American Revolution.   Most of those Loyalists, according to Woodard, were pro-British fighters, neutral merchants and farmers and Quaker pacifists from the New York City and Philadelphia regions.

Some of them were loyal to the British crown.   Others were attracted by the offer of free land in Ontario—a forerunner of the U.S. Homestead Act.

British, Scots and Irish settlers came in larger numbers to the Maritimes and Ontario, but, according to Woodard, the settlers from the U.S. Midlands came first and it was they who set the tone for the culture.   That is why his hypothetical Midlands region has such a strange, looping shape.

(more…)

The passing scene: Links & comments 10/24/2015

October 24, 2015

Anxious Hours in Pivotland: Where’s My Sailthrough? by Peter Lee for China Matters.

Neither South Korea nor Australia support the U.S.-Japanese opposition to Chinese efforts to claim islands in the South China Sea.  The Chinese Navy meanwhile made a point about freedom of the seas by sailing through Alaska’s Aleutian Islands.

Trey Gowdy Just Elected Hillary Clinton President by Matt Taibbi for Rolling Stone.

Or at least greatly strengthened her bid for the Democratic nomination.  The Benghazi hearings made Republicans look like fools and showed Clinton as someone who is a match for them.

Are Canadian progressives showing Americans the way? by Miles Corak for Economics for public policy (via Economist’s View)

America’s Civilian Killings Are No Accident by Peter Van Buren for We Meant Well.

The bombing of the hospital in Kunduz, Afghanistan, had many precedents.

What Is life? by Matthew Francis for Mosaic.  (via Barry Ritholtz)

If humans encountered extraterrestrial life, would we know it when we saw it?

(more…)

An example of a positive campaign ad

August 28, 2015

Canada’s Texas elects a leftist government

May 6, 2015

Alberta is to Canada as Texas is to the United States.

alberta_oil_sands_mapIt is the heart of Canada’s oil industry and the site of the tar sands industry which hopes to pump corrosive bitumen through the Keystone XL pipeline.  And it is the stronghold of the Conservative Party, Canada’s counterpart to Republicans here in the USA.

But yesterday Alberta’s voters gave a plurality of their votes and a majority in the provincial legislature to Canada’s leftist New Democratic Party.  The results are roughly equivalent to Bernie Sanders being elected governor of Texas and the Tea Party being swept out of office.

Not that the New Democrats are going to shut down the tar sands industry or anything like that.  Its platform is:

  • an increase in the corporate tax rate from 10 percent to 12 percent
  • a $15 an hour minimum wage;
  • a review of the royalties that petro-carbon producers pay (which have plummeted in recent years);
  • a ban on corporate donations for elections;
  • a phase out of coal power

Canada’s politics are more changeable than U.S. politics, and Canadians have a wider choice of political parties, so it’s hard for me as an outsider to gauge the significance of this.  That said, it seems to me that this could be the beginning of the end of Canada’s pendulum swing to the right.

I’d be particularly interested in comments from Canadians on this.

(more…)

The death throes of Alberta tar sands?

March 3, 2015

Alberta tar sands.  Source: The Economist

Alberta tar sands. Source: The Economist

Click to enlarge.

Click to enlarge.

The dangerous and destructive Alberta tar sands project may be in jeopardy economically because of falling oil prices, the Washington Spectator reported.

An end to the project would be good news, but the desperate struggles of the dying industry to survive by any means necessary could cause even more damage before it disappears.

Tar from tar sands is extracted by a process as environmentally destructive as strip mining and hydrofracking combined.  Tar Sands Solutions says an area of northern Alberta the size of Florida is being devastated.  Scientists say that the tar sands project in and of itself could have a measurable effect on global warming.

Click to enlarge.

Click to enlarge.

Extraction products a product called bitumen, a corrosive slurry that must be brought to a refinery to be converted into a useful product.  This creates a high risk of pipe breaks or leaks from tanker train accidents along the way.

As oil prices fall, the higher the volume of bitumen that must be shipped from northern Alberta to generate enough revenue to keep the project going.  Mark Dowie, writing in the Washington Spectator, says this creates an opportunity to block the project.

It is not necessary, he wrote, to stop all tar sands pipelines—the two planned for Canada’s west coast, the one planned for Canada’s east coast or the Keystone XL pipeline through the United States to the Texas Gulf Coast.  Blocking two or three would be enough to make the project economically unfeasible.

This makes sense.  But tar sands in its death throes could be even more destructive than it is now, as the owners try to ship their product by tank cars or by any other means necessary.

Click to enlarge.

Click to enlarge.

President Obama vetoed a bill requiring him to approve the Keystone XL pipeline on his own.  But he still could approve it on his own authority.  Canada could ask a NAFTA tribunal to order the United States to pay penalties if he doesn’t.  Or it could wait for until a new President is elected in 2016.

I used to look upon Canada as not just a good neighbor to the United States, but as a good example.  That’s no longer true under Prime Minister Stephen Harper.

(more…)

Veterans Day and the Great War

November 11, 2014

Veterans Day, which is called Remembrance Day in Canada and other Commonwealth nations, was originally called Armistice Day.  It honored the Allied troops who died in what then was called the Great War or the World War on the anniversary of the official end of hostilities during the 11th hour of the 11th day of the 11th month of 1918.

The following is from the Notes to Ponder web log.

When the first war called, Charlie Perkins and 4 close friends left the serenity of Fraser Valley farmland. Charlie, a flight instructor with the Royal Flying Corps was the only survivor.

Charlie's TreeOn his return in 1919, he honored fallen comrades by planting ivy at the base of a massive Douglas Fir, a tree close to the swimming hole they frequented – a simple act of remembrance.

The following year fire ravaged the 210 foot behemoth Fir – the Perkins family managed to save some of the tree.

Ivy unscathed and flourishing, Charlie’s tree rested quietly until 1960 heralded the Trans-Canada Highway.

Horrified the tree he tended for 40 years was about to fall beneath asphalt, Perkins appeared before highways Minister Phil Gaglardi.

Perkins efforts go down in Canadian history as the only time a major highway was diverted to protect a tree.

Traveling east on Highway 1 between 176 & 200th St. – the Trans-Canada takes a noticeable bend at Charlie’s memorial.

via Charlie’s Tree | notestoponder.

Most historians now think that the First World War was a terrible mistake, in which all combatant nations were losers to greater or lesser degrees, and from which all nations that had a choice would have done better to stay out.

The First World War was supposed to be the war that ended war.  It was supposed to be the war that made the world safe for democracy.  But it gave rise to Bolshevism, fascism and an economic crisis that led to the Great Depression, and set the stage for the even more bloody Second World War.  It was one of history’s greatest tragedies.

Yet the patriotism and sacrifice of the troops who fought is worthy of honor.  They did not send themselves.  They were serving their countries and their fellow citizens as best they knew.

I think most wars are tragic mistakes and many of them are crimes.  Yet if my own country, the USA, did not have citizens who were willing to fight for it at different periods of history, the United States would not be an independent nation, it would have been broken up in order to preserve slavery, the Axis powers would have dominated the world and (maybe) the Soviets would have done so, too.

Germany’s Chancellor Otto von Bismarck said there was one criterion for deciding whether a war was just.  Could the leader who decided to fight the war tell the wife, mother or sister of the soldier who was killed what the soldier’s death accomplished?

I think the best way to honor the troops is to refrain from using their patriotism and sense of duty in a cause that isn’t worthy of it.  And to not abandon them when war is over.

Tommy Douglas on the definition of fascism

October 25, 2014

TommyDouglas.fascism1_n

Via Notes to Ponder.

Tommy Douglas, as virtually all Canadians know, was the father of Medicare in Canada, which was first introduced in Saskatchewan and then rolled out into Canada as a whole.   Canadian Medicare inspired U.S. Medicare, but it covers almost all Canadians while the U.S. plan only covers the 65 and older population.

Douglas was a champion of civil liberties.  As a member of Parliament, he had the courage in 1970 to refuse to support the War Measures Act, which, in response to terrorist activity in Quebec, expanded police and military powers and curtailed civil liberties throughout Canada.

In 2004, Douglas was voted the greatest Canadian in a nationally televised CBC contest.

Simon & Finn on environmental restoration

March 25, 2014

sf-oilsands1small

Whether it is hydraulic fracturing for natural gas, surface mining for coal or processing tar sands for oil bitumen, it is never going to be possible to put the petals back on the flower (figuratively speaking).

http://www.huffingtonpost.com/steven-cohen/the-political-power-of-en_b_859287.html?view=print&comm_ref=false

http://www.dailykos.com/story/2014/03/20/1286250/-Guess-who-s-the-major-stakeholder-in-Canada-s-oil-sands-Of-course-it-s-the-nbsp-Kochs

Click on simonandfinn for more cartoons.

Winds of change in Quebec

September 26, 2012

The Parti Quebecois has come to power in Quebec, after months of protests against the incumbent Liberal government involving hundreds of thousands of people, led by students but not limited to them.  The new government has agreed to cancel university tuition increases, the original cause of the protests.

The new government also announced an indefinite moratorium not only on hydraulic fracturing for natural gas, but on exploration for shale gas as such.

It goes to show what a determined and well-led mass protest movement can accomplish.

Click on Quebec’s Not-So-Quiet Revolution for cartoonist Ted Rall’s graphic report on the Quebec protests.

Click on ‘A beautiful day’ for environmentalists for background on the shale gas issue from the Montreal Gazette.

Quebec’s not-so-quiet revolution

September 19, 2012

Double click to enlarge.

The cartoonist Ted Rall, working as the equivalent of a photojournalist, recently went to Montreal to observe the protest movement there.

I had been vaguely aware of an ongoing student protest there, but, until I read Rall’s report, I hadn’t been aware that the protests drew hundreds of thousands of people, including students, the unemployed, blue-collar workers, advocates of Quebec independence, anti-capitalist radicals and others discontented with the system.

It began with college students protesting increases in tuition rates.  The Quebec government responded with a law that outlawed large protests.  The students did not back down, and their movement grew larger and more militant.

The Classé Quebec protest movement is harder-edged than the Occupy Wall Street movement, Rall reports.   Instead of consensus, they decide by majority vote.  Instead of acting spontaneously, they plan strategy, sometimes years ahead.  Instead of a do-your-own-thing ethos, they have a hierarchical structure and follow leaders.  Instead of nonviolent resistance, they actively confront police, and sometimes intimidate police into backing down.

I’m not sure what to make of the Quebec protest movement, and don’t know where it will lead, but I do see that it is important.

Click on Quebec’s Not-so-Quiet Revolution for Ted Rall’s full 10-page report on Cartoon Movement.

(more…)

The Canadian roots of Labor Day

September 3, 2012

This is from the History Channel.

Who are richer than us Americans? Quite a few

July 21, 2012

Click to enlarge.

I find the information in this chart, which I came across on Angry Bear, to be highly interesting, but I’m at a loss to know how to interpret it.   I can’t figure out what common factor, if any, distinguishes the countries at the top of the chart from the countries at the bottom of the chart.

Maybe there is no common factor.  Maybe we Americans have a low median net worth because so many of us are in debt, and maybe the Swedes and Danes have a low median net worth because they can rely on their extensive welfare state for security in sickness or old age and don’t need to save as much.  Somebody in a comment thread said Australians have a high average net worth because their housing bubble hasn’t collapsed yet.  But how did Italians come to have such a high average net worth?

I would like to know what other people think about this.

Click on U.S. Trails at Least 15 OECD Countries in Median Wealth for the post I read on Angry Bear.

Click on Hardheaded Socialism Makes Canada Richer Than U.S. for opinion by Stephen Marche on Bloomberg Business News.

 

All these commentaries are responses to an article which appeared earlier this month in the Toronto Globe and Mail, but I haven’t been able to link to the original article.

 

[7/23/12]  Click on Canadians are richer than they think for the article in the Toronto Globe and Mail which apparently sparked interest in international wealth comparisons. (more…)

Chart of Canadian health care migrants

January 14, 2011

Economist Aaron Carroll made this chart to summarize an article in the peer-reviewed journal Health Affairs.

This study examined Canadians crossing the border for care in a number of ways:

1) First, they surveyed United States border facilities in Michigan, New York, and Washington.  It makes sense that Canadians crossing the border for care would favor sites close by, right?  It turns out that about 80% of such facilities saw fewer than one Canadian per month.  About 40% saw none in the prior year.  And when looking at the reasons for visits, more than 80% were emergencies or urgent visits (i.e. tourists who had to go to the ER).  Only about 19% of those already few visits were for elective purposes.

2) Next, they surveyed “America’s Best Hospitals”, because if Canadians were going to travel for care, they would be more likely to go to the most well-known and highest quality facilities, right?  Only one of the surveyed hospitals saw more than 60 Canadians in one year.  And, again, that included both emergencies and elective care.

3) Finally, they examined data from the 18,000 Canadians who participated in the National Population Health Survey.  In the previous year, only 90 of those 18,000 Canadians had received care in the United States; only 20 of them had done so electively.

Carroll noted that this study does not necessarily prove that the Canadian health care system is flawless or that the United States system is completely bad.  What it does prove is that there is no truth to the widespread belief that Canadians flock to the United States for medical care because of long wait times in their own country.

Look, I’m not denying that some people with means might come to the United States for care.  If I needed a heart/lung transplant, there’s no place I’d rather be.  But for the vast, vast majority of people, that’s not happening.  You shouldn’t use the anecdote to describe things at a population level.  This study showed you three different methodologies, all with solid rationales behind them, all showing that this meme is mostly apocryphal.

Via The Incidental Economist.

Click on Phantoms in the Snow for the Health Affairs study.

This chart was named Chart of the Year for 2010 by Andrew Sullivan on The Daily Dish web log.