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    Canadian versus USA health care

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    Why does the Canadian government control the amount of health care technologies available in thier country to their citizens such as: MRIs and Coronary Artery Bypass Graft (CABG) Surgeries, and what effects does this polich have on their citizens health, health care, and health care costs?

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    The Canadian healthcare system is funded primarily by tax dollars. The federal government
    makes cash transfers to the provinces, but the provinces may levy their own taxes to help
    defray the costs. Alberta and British Columbia require a health insurance premium, and other
    provinces have instituted employer payroll taxes
    Healthcare providers are predominantly private, but are funded by public monies via
    provincial budgets. Hospital systems are largely private non-profit organizations with their
    own governance structures (usually supervised by a community board or trustees) that receive an annual global operating budget from the provinces .
    Physicians are mostly in private practice and remunerated on a fee-for-service basis (with an
    imposed cap to prevent excessive utilization and costs) by the provincial health plan However, physicians that choose to opt out of the system cannot procure any public
    monies, and are forbidden from billing above negotiated "Schedule of Benefits" pricing
    which the "opted in" physicians are subject to. In other words, private physicians cannot bill
    above the fee schedules for medicare physicians. Therefore, opting out is risky for physicians
    and uptake is low.
    Like other nations experiencing limitless demand, an ageing population and the costly
    advance of medical technology, Canada has faced pressure to control health expenditure. It
    has done so through explicit rationing.
    Set up in 1989, the Canadian Co-ordinating Office for Health Technology Assessment is the
    Canadian predecessor to our NICE, charged with exactly the same brief and, it seems,
    carrying out its function in the same way. For example, in the case of new cancer treatment,
    the latest pharmaceuticals (such as visudyne for macular degeneration), and high-tech
    diagnostic tests, Canadian governments simply reduce their expenses by limiting the service.
    Such a method ...

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