US and Canadian health insurance

College
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Law
Pages 5 (1255 words)
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Health insurance in the United States is failing patients and physicians alike.Competitive strategies have also failed their most ostensible goal-cost control.In contrast,Canada offers a model of a national health insurance plan that provides universal and comprehensive coverage,succeeds at restraining health care inflation

Introduction

Health insurance in the United States is failing patients and physicians alike.Competitive strategies have also failed their most ostensible goal--cost control.In contrast,Canada offers a model of a national health insurance plan that provides universal and comprehensive coverage,succeeds at restraining health care inflationIn this country 37 million uninsured face economic barriers to care, and the health of many suffers as a result. The "corporatization" of medical care threatens professional values with an unprecedented administrative and commercial intrusion into the daily practice of medicine.The big difference here in the US is that there are multiple insurance companies. In Canada you really only have one (one for each province) those offering extended insurance for things like private hospital rooms, vision, dental, etc.The next big difference is managed care. In regards to optometry, you can think of this as the insurance companies that only provide for well vision care contacts and glasses. If there is a medical eye problem (i.e. a disease) they do not pay for the necessary care (generally), and those things should be billed to the major medical. They also pay much discounted fee's compared to medical, Medicare (gov't insurance for seniors) and private pay patients.Optometrists in the US also tend to directly bill the insurance companies, OD's in Canada tend to only bill their respective provincial insurance plans, veteran's affairs, or Indian affairs, while patient's not covered by the above are billed directly by paying cash ...
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