
Please, please, please let me pay money so that I can see a Doctor quicker. Why cannot I not do this? I have many socialistic tendancies and really believe that “we are all in this together” but I also believe that our health care system is broken and something’s gotta give. We do not have socialized medicare in this country, we have socialized EMERGENCY medicare. If you are in crisis, you will get top notch, quick, absolutely free health care. There is not doubt in my mind that that occurs and is absolutely necessary for any medical system. But outside of that, we are living in a two tiered world.
When was the last time you got free glasses? Who paid for your trip to the dentist? Got a cast for free? Even our presciptions are not free, heavily subsidised, but far from free. Why is it okay for me to pay for these things but not other services? Why should I have better oral health, or eyes, or splints because I can pay for them and someone else can’t? The next step, in this two-tiered system that appears to be the point of no return, is to pay for regular family care and for specialits. We cant’ pay for these so we all get in line if we need them, only exception is if you fall into that emergency category we discussed earlier.
Here is my question, and its a simple one … why not? As I can tell, here are the arguments against furthering our two tiered medical system:
1) Private Clinics will take away all the good Doctors: The belief here is that talent will follow the money; if you can pay you can get better service. This is the crux of the whole debate and what people really mean when two-tiered is mentioned. The fear that the tiers will be tiers of quality.
Although some people follow the money, I think we’ve proven this wrong with our legal system. We currently have two tiered legal services in this country. Everyone has a right to counsel, under the constitution, but some of us have to pay and some of us don’t. Having been exposed to our Legal Aid system, I can tell you that these are some of the best defence lawyers in the country. They know their jobs inside and out; they know what to do for their client; and I WISH I could access one of them if Iever needed one. These people could be in private practice, but chose not to because they want to serve those that need it the most.
I don’t see why that wouldn’t be the case in a two tiered medical system as well? Look at Doctors without Borders — selfless individuals, loads of talent. If we can make the public side attractive enough we can have a health bifurcated system.
2) Health care will turn too much into a business: Have you been to your family doctor lately? Have you ever gotten in on time? No? Its because they try to jam as many patients as they can into one day so they are alwasy overbooked. Why do they do this? To get money. Can you contact your doctor for some advice? No? Why? Because they don’t do work outside of billable appointments. So, if I want to ask my doctor a quick question, I need to book an appointment a week from now, take 1h30 off of work because I don’t know when he will see me to ask him the 5 minute question. In the Facebook age when communication is instantaneous, I shouldn’t have to get out my horse and buggy to see my doctor.
In all honesty, I don’t blame them. If I only got paid for doing one thing (appointments), why would I spend any other time doing anything but that? If you ask me, it pretty much is a business already. Here is the crappy part; even though it is a business we don’t get good customer service that comes with a business model — and since everyone is like that, you can’t even take your business elsewhere.
3) It will drain medical staff away from public clinics: You ever stand in the line at the grocery store? Ever been in a long line? Yes, because you’ve been to Superstore on a Saturday. You know that feeling you get when your 10th in line and all of a sudden another till opens up? Even if you don’t get in that line its awesome becuase some people ahead of you go into that line and yours is shorter. Now imagine, they charged people to go into that other line. You know what, even if I didn’t pay, my line is now STILL SHORTER. Good times for all.
I don’t know what the answers are but I do know that when debate is stiffled and we aren’t even allowed to try new things because of fear we get stuck. Let’s have the debate, lets talk about how to do it right. When something is broke, you either fix it, or it gets broken even more.
I’m up for fixing it.

