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Originally Posted by jmking
I've read somewhere that one of the difference in the Canadian healthcare system compared to the UK's is Canadian doctors-nurses etc. are not employees of the government but work in the private sector where as the British doctors-nurses etc. are all employed by the government. Is this true?
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In Britain, the government owns a network of hospitals, where all staff are paid a salary, including doctors and specialists. Doctors may opt out, and establish private clinics and hospitals, which account for about 8% of all health care in the country, and citizens may buy private insurance to cover themselves in the private sector. 92% of health care is provided in the NHS vacilities.
In Canada, hospitals may or may not be associated with governmental entities, but in any case, the billing from doctors and hospitals is on a fee-for-service basis. Providers send the bill to the appropriate provincial medical plan for reimbursement. Doctors and clinics are free to charge higher fees for streamlined service, for which the patient is responsible for fees above that approved for government payment. These can be covered privately or through supplemental insurance. In other words, just like in the USA, the more you are willing to pay, the better your medical care. Most US insurance companies will not pay the entire bill at the Mayo Clinic, for example, or for a house call if your doctor is willing to make one.
The difference, I would suppose, is that in Britain a doctor will walk slowly from one patient to another, and maybe stop for coffee, but also sit down and discuss more thoroughly the medical condition of the patient, because his paycheck will still be the same. In Canada, he will try to get to the next patient quickly, because in income depends on the number patients he processes.