this post was submitted on 18 Sep 2023
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In my experience the wait times issue has been similar between Canada and the US to see specialists, though admittedly I haven't had to schedule a major surgery in either place. I will admit that there's some really nice facilities in the US and stuff too (and some REALLY not so nice facilities... Canadian facilities were consistently good across the board in my experience), but it's hard to really appreciate them in my experience because it's really shitty to be worrying about the cost of treatment / dealing with insurance and it also sucks to think about how weirdly exclusive it can be and how many people cannot afford it here. Frankly the insurance and cost issues are huge in my opinion and it makes it kind of weird to talk about because it means almost everybody has different experiences with the US health care system, especially when many Americans think it's fine that they spend a fortune on insurance because they've never really known anything different.
I agree. I think both system have significant flaws, and that is coming from someone for whom the US healthcare system benefits the most (great health insurance, mid-30s, healthy, well-off, very capable of navigating complicated paperwork, and access to some of the best hospitals). I can't imagine being a lower income, lower educated, aging person with chronic health problems, in a rural flyover state with limited community hospitals. Night and day difference.
On the other hand, some 20% of the total population of Nova Scotia is currently active on the waiting list to get a PCP. You don't like your PCP? Too bad. You want to get a second opinion? Too bad. Your PCP retires/moves/closes their practice? Too bad. They have tried to plug the gap with allowing pharmacists to prescribe certain meds, and expanding PA/NPs. This is probably better than the alternative of no doctors, but its probably a net negative on the system as a whole compared to properly staffing with physicians.
Overall, it seems like chronic underfunding, and underpay for doctors has led to situation in Nova Scotia in which preventative care, or really, care for anything non-life threatening, has deteriorated quite meaningfully.