yes, i know old debate is old; but the House GOP is trying to bump it back to life. To remove my liability from shit-storm let me say
keep this to the particular topic at hand
How many Canadians use the US health care system?
Study from peer-reviewed journal Health Affairs on the topic:
http://content.healthaffairs.org/content/21/3/19.full
Results:
1) First, they surveyed United States border facilities in Michigan, New York, and Washington. It makes sense that Canadians crossing the border for care would favor sites close by, right? It turns out that about 80% of such facilities saw fewer than one Canadian per month. About 40% saw none in the prior year. And when looking at the reasons for visits, more than 80% were emergencies or urgent visits (eg tourists who had to go to the ER). Only about 19% of those already few visits were for elective purposes.
2) Next, they surveyed “America’s Best Hospitals”, because if Canadians were going to travel for care, they would be more likely to go to the most well-known and highest quality facilities, right? Only one of the surveyed hospitals saw more than 60 Canadians in one year. And, again, that included both emergencies and elective care.
3) Finally, they examined data from the 18,000 Canadians who participated in the National Population Health Survey. In the previous year, only 90 of those 18,000 Canadians had received care in the United States; only 20 of them had done so electively.
Conclusions:
- some people with means might come to the United States for care; If I needed a heart/lung transplant, there’s no place I’d rather be.
- But for the vast, vast majority of people, that’s not happening
- You shouldn’t use the anecdote to describe things at a population level.
