(See Canadians on the Canadian System here.)
So what do the English think of the National Health Service? Just from the past three days, here are a couple of stories from the British press.
Like the Canadians, they're fleeing the country looking for medical care - for routine procedures.
Record numbers of Britons are travelling abroad for medical treatment
to escape the NHS - with 70,000 patients expected to fly out this year.
And by the end of the decade 200,000 "health tourists" will fly
as far as Malaysa and South Africa for major surgery to avoid long
waiting lists and the rising threat of superbugs, according to a new
report.
The first survey of Britons opting for treatment overseas shows that
fears of hospital infections and frustration of often waiting months
for operations are fuelling the increasing trend.
Patients needing major heart surgery, hip operations and
cataracts are using the internet to book operations to be carried out
thousands of miles away.
They're not exactly fans of Michael Moore's rosy portrayal of the NHS in his movie "Sicko":
Moore
painted a rose-tinted vision of spotless wards, impeccable treatment, happy
patients who laugh away any suggestion of waiting in casualty, and a
glamorous young GP who combines his devotion to his patients with a salary
of £100,000, a house worth £1m and two cars. All this, and for free.
...
While there are good doctors and nurses and treatments in the NHS, there is so
much that is inadequate or bad that it is dishonest to represent it as the
envy of the world and a perfect blueprint for national healthcare. It isn’t.
GPs’ salaries – used by Moore as evidence that a state-run system does not
necessarily mean low wages – is highly controversial; their huge pay rise
has coincided with a loss of home visits, a serious problem in getting GP
appointments and continuing very low pay for nurses and cleaners.
At least 20 NHS trusts have even worse problems with the hospital-acquired
infection clostridium difficile, not least the trust in Kent where 90 people
died of C diff in a scandal reported recently.
Many hospitals are in crisis. Money shortages, bad management, excesses of
bureaucrats and deadly Whitehall micromanagement mean they have to skimp on
what matters most.
Overfilling the beds is dangerous to patients, in hygiene and in recovery
times, but it goes on widely. Millions are wasted on expensive agency nurses
because NHS nurses are abandoning the profession in droves. Only days ago,
the 2007 nurse of the year publicly resigned in despair at the health
service. There is a dangerous shortage of midwives since so many have left,
and giving birth on the NHS can be a shocking experience.
And British dentistry under the NHS? Even the left-wing Guardian can't defend it.