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As many opinion polls over the years have shown, when asked what makes Canada special, the Canadian health care system is often the most cited reason. For over fifty years, Canada has relied on a system of health care that is government run and free to all Canadians. Private, for-profit health care is only allowed in very few circumstances. When it comes to health care, money will not buy better doctors or a better hospital. Everyone uses the same services. Canada’s health care system is generous, effective, and, most believe, equitable. However, the system is not without its critics. The cost to the government is, of course, huge and this cost is funded by the Canadian people in the form of taxes. While few have argued against the health system itself, arguments against the tax rates required to support the system are not uncommon. The main criticism of the system, however, is not its cost, but its exclusivity. In almost all cases, the only health care services available are government services. Why can’t individuals that can afford to pay for health services go to private clinics? If this were allowed, not only would they get faster, more efficient service, but they would remove themselves from the government system. Everybody would benefit from shorter wait times. Canada is one of the few industrialized countries to effectively ban private medical treatment. Most countries in Europe and Asia support mixed systems where individuals can choose between public and private options. Many in Canada are opposed to a mixed system in which more wealthy citizens receive different—and perhaps—better health care. The fear is that once the wealthy leave the public system, they will be even less motivated to pay the taxes required to maintain the public health care system. Moreover, there is a moral issue at stake: Is it right that some people in society receive better health care than others? Those who support a mixed system also say they see a moral issue. In a free country such as Canada, people should have the right to choose where they go for their health care. Compromise solutions have also been suggested. Perhaps private practices could be allowed for screening, but not for treatment. People could have private medical tests, X-rays or ultrasounds, but they would have to get treatment in the public system. The debate will continue for years to come. However, there is little evidence that the health system will change in the near future. Canadians are proud of their health system and change to that system is likely to be slow in coming.
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