{"id":263611,"date":"2014-05-01T23:00:00","date_gmt":"2014-05-02T03:00:00","guid":{"rendered":"https:\/\/policyoptions.irpp.org\/issues\/a-crossborder-exchange-on-health-care\/"},"modified":"2025-10-07T20:53:01","modified_gmt":"2025-10-08T00:53:01","slug":"a-crossborder-exchange-on-health-care","status":"publish","type":"issues","link":"https:\/\/policyoptions.irpp.org\/fr\/2014\/05\/a-crossborder-exchange-on-health-care\/","title":{"rendered":"A cross-border exchange on health care"},"content":{"rendered":"<p><strong>Sen. Richard Burr (R-N.C.): Why are doctors exiting the public system in Canada?<\/strong><\/p>\n<p><strong>Danielle Martin<\/strong>: If I didn&#8217;t express myself in a way to make myself understood, I apologize. There are no doctors exiting the public system in Canada, and in fact we see a net influx of physicians from the United States into the Canadian system over the last number of years.<\/p>\n<p>What I did say was that the solution to the wait time challenge that we have in Canada\u00a0\u2014 we do have a difficult time with waits for elective medical procedures \u2014 does not lie in moving away from our single-payer system toward a multipayer system. And that&#8217;s borne out by the experience of Australia. So Australia used to have a single-tier system and did in the 1990s move toward a multiple-payer system where private insurance was permitted. And a very well-known study by Duckett, et al. tracked what took place in terms of wait times in Australia as the multipayer system was put in place.<\/p>\n<p>And what they found was in those areas of Australia where private insurance was being taken up and utilized, waits in the public system became longer.<\/p>\n<p><strong>Burr: What do you say to an elected official who goes to Florida and not the Canadian system to have a heart valve replacement?<\/strong><\/p>\n<p><strong>Martin<\/strong>: It&#8217;s actually interesting, because in fact the people who are the pioneers of that particular surgery, which Premier [Danny] Williams had, and have the best health outcomes in the world for that surgery, are in Toronto, at the Peter Munk Cardiac Center, just down the street from where I work.<\/p>\n<p>So what I say is that sometimes people have a perception, and I believe that actually this is fuelled in part by media discourse, that going to where you pay more for something, that that necessarily makes it better, but it&#8217;s not actually borne out by the evidence on outcomes from that cardiac surgery or any other.<\/p>\n<p><strong>Burr: On average, how many Canadian patients on a waiting list die each year? Do you know?<\/strong><\/p>\n<p><strong>Martin<\/strong>: I don&#8217;t, sir, but I know that there are 45,000 in America who die waiting because they don&#8217;t have insurance at all.<\/p>\n<p><span class=\"image-caption\">Photo: Shutterstock<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Sen. Richard Burr (R-N.C.): Why are doctors exiting the public system in Canada? Danielle Martin: If I didn&#8217;t express myself in a way to make myself understood, I apologize. There are no doctors exiting the public system in Canada, and in fact we see a net influx of physicians from the United States into the [&hellip;]<\/p>\n","protected":false},"featured_media":250115,"template":"","meta":{"_acf_changed":false,"content-type":"","ep_exclude_from_search":false,"apple_news_api_created_at":"2025-10-08T00:53:03Z","apple_news_api_id":"ecefa4ca-efb4-4b59-8d25-591e805802b1","apple_news_api_modified_at":"2025-10-08T00:53:03Z","apple_news_api_revision":"AAAAAAAAAAD\/\/\/\/\/\/\/\/\/\/w==","apple_news_api_share_url":"https:\/\/apple.news\/A7O-kyu-0S1mNJVkegFgCsQ","apple_news_cover_media_provider":"image","apple_news_coverimage":0,"apple_news_coverimage_caption":"","apple_news_cover_video_id":0,"apple_news_cover_video_url":"","apple_news_cover_embedwebvideo_url":"","apple_news_is_hidden":"","apple_news_is_paid":"","apple_news_is_preview":"","apple_news_is_sponsored":"","apple_news_maturity_rating":"","apple_news_metadata":"\"\"","apple_news_pullquote":"","apple_news_pullquote_position":"","apple_news_slug":"","apple_news_sections":[],"apple_news_suppress_video_url":false,"apple_news_use_image_component":false},"categories":[9377],"tags":[],"article-status":[],"irpp-category":[4286],"section":[],"irpp-tag":[],"class_list":["post-263611","issues","type-issues","status-publish","has-post-thumbnail","hentry","category-sante","irpp-category-sante"],"acf":[],"apple_news_notices":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.8 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>A cross-border exchange on health care<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/policyoptions.irpp.org\/fr\/2014\/05\/a-crossborder-exchange-on-health-care\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"A cross-border exchange on health care\" \/>\n<meta property=\"og:description\" content=\"Sen. Richard Burr (R-N.C.): Why are doctors exiting the public system in Canada? Danielle Martin: If I didn&#8217;t express myself in a way to make myself understood, I apologize. 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Richard Burr (R-N.C.): Why are doctors exiting the public system in Canada? Danielle Martin: If I didn&#8217;t express myself in a way to make myself understood, I apologize. 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