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January 24th, 2013.docx

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PHIL 2810
Kristin Borgerson

January 24th, 2013 January-24-13 10:13 AM Common concerns: wait times  If we were to allow a parallel private system (let private insurance cover the same stuff), this would be good for everybody because rich people would get this private insurance and go to doctors that deal with them o So they'd pay more to get a service more quickly  With the rich people going to the private system, they would not be taking up space in the public system, meaning wait times would be shorter in the public system for everyone else  Test case in manitoba 1999 o Patients would pay an extra fee if they wish to have a catarac surgery in a private system o However this seemed to actually prolong the wait time patients faced with this two-tiered system o This is an occurrence because we have a limited number of health care workers and this concept just stretches our health care workers thinner and makes the system less efficient Common concerns: costs  Public systems costs 9.8% GDP  Whereas the parallel public/private systems cost 11.1% in France & Germany (10.9%)  Mixed-market-based systems in the USA costs 15.3% GDP From cuts and chemicals to carrots and condoms  Health is a state of complete physical, mental, and social well-being and nor merely the absence of disease and infirmity Determinants of health  Social environments o Security and social relations o Employment status and job security  Physical environments o Clean air, water o Poor working conditions (bad air circulation, ect.)  Psychological environments o Depression or other mental health disorders  Productivity and wealth o Narrower the gap between the rich and the poor in a country, the better the average health o Relationship between social economic status and health status  Health care Basic assumptions of canadian health care delivery  The determinants of illness are primarily biological o If you assume this, when a patient comes in to see a physician they are going to look for a specific germ, virus or cancer cell causing the problem o This can lead to short doctor visits focused on one specific problem  The engineering model of the body o Idea is that the body is like a ma
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