Here is my previous review of the Canadian system. Below, I will include additional information on healthcare in Canada based on the book by William Roth.
- Government-funded insurance covers the majority of Canadians.
- Private insurance was recently made legal in Canada, but private insurance is still held by a very small proportion of the population.
- Physicians work on a fee-for-service basis.
- Providers bill the province electronically.
- 60% of Canadian physicians practice in the primary care setting compared to 30% in the U.S.
- Medical school costs about half of what it does in the U.S.
- Premiums and tax revenues for medical care are collected by provinces.
- The cost of each procedure is negotiated between the provincial government the local medical association.
- Procedures deemed “not necessary” are not covered by government insurance.
- Is in the process of creating EHR for all citizens using a standardized format.
- Physicians can check medication histories and order medications online.
- A Chronic Disease Management Infostructure (CDMI) is being created to predict trends and allocate resources more efficiently.
Source: Roth, WF (2010) Comprehensive Healthcare for the U.S.: An Idealized Model. Productivity Press, 174 pages.