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What about wait times in the U.S.?

by: Alec

Fri Jul 03, 2009 at 22:14:11 PM CDT


The TwoPutter did a nice post Here about how Laura Brod outright lies about Canadian wait times in order to scare people away from demanding good health care at a reasonable cost. Commenter EricF brought up a good question. We know that, despite Larua Brod's lie, Canadian wait times are reasonable. What about U.S. wait times? We know that, according to both the World Health Organization and the National Center for Health Statistics, our health care delivery is almost the worst in the modern world, and it costs two or three times as much, but at least we don't have to wait, right?

Read on to see the facts:

Alec :: What about wait times in the U.S.?
According to the very non-partisan Business Week:

--Wait time to see a dermatologist to examine that suspicious (cancerous?) mole: 38 days, but 78 days if you live in Boston

--Time to see an orthopedic surgeon for that painful, inflamed knee: 43 days in Los Angeles, 17 days in general

--26% of adults, 1 out of 4, went to an emergency room just because the wait times in the U.S. are unmanageable.

--Only 47% of U.S. patients could get same or even next day appointments. In all fairness that percentage is better than Canada's but worse then every single other country in the survey!

--We were 2nd out of 6 nations on getting a hip replacement or other specialists quickly, but Germany was 1st and they have universal single payer. This proves that a single payer nation can be more efficient than us. We can do things as well as Germany, can't we?

--We led the other 6 nations by a huge margin in one category. 51% of Americans never visited a doctor. received any medical care, or got any prescriptions for a whole year because of cost.

--According to the reputable New England Journal of Medicine we wait 2 weeks for a knee consultation and the Canadians wait 4 weeks, but the satisfaction conclusion after the final surgery is key:


Conclusions Waiting times for initial orthopedic consultation and for knee-replacement surgery were longer in Ontario than in the United States, but overall satisfaction with surgery was similar."

How about all those Canadians flocking across the border to avoid wait times? Well, they did a study of hospitals in Michigan, New York, and Washington that bordered major Canadian provinces. You can read about it in this primer

During this period, these
hospitalizations represented only 0.23% of all the hospitalizations that occurred in the
three provinces bordering these states.

Two last items. It is hard to get an extensive handle on U.S. wait times because of the disjointed market there is no reporting. I have cited reputable, rigorous studies that were done with incredible thoroughness. In Canada wait times are all collected and made public.

And finally, our wait times for specialists might be low, but that only applies to the insured. For millions upon millions of Americans wait times for a hip replacement, for example are infinite.

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That helps a lot. Clearly we're not doing better than Canada, and the Canadians get those results for half the cost while covering everybody. Since the waits for those without insurance or means to pay are indefinite, our average wait times are presumably much higher.

My take is a large majority of Americans recognize serious change is needed. Many still harbor enough distrust of the government, nurtured by conservative propaganda and incompetence, to assume the government can only make things worse. At this point, we're not trying to convince the public of the need for reform, but that the private sector is the problem instead of the solution.

I'm not concerned about Franken supporting the public option since he always said during the campaign that the only reason for opposing single-payer was conservatives had so destroyed the public's trust in the government, something short of that would have to be proven first. However, I'm concerned Klobuchar won't say straight out that she's for the public option. I'm wondering if after getting to DC, she drank the "liberalism loses elections" kool-aid.  



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