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         Canadian Socialized Medicine:     more detail
  1. Supply and migration of Canadian physicians, 1970-1995: why we should learn to love an immigrant doctor.: An article from: Canadian Journal of Regional Science by Hugh Grant, Ronald Oertel, 1997-03-22
  2. French health-care reform: 30,000 uninsured: France's experience offers a caution to Canadians seeking similar health-care reform.(WORLD): An article from: Catholic New Times by Tom Sandborn, 2006-05-21
  3. Senate Committee study on Canada's health care system.: An article from: Canadian Parliamentary Review by Jeffrey J. MacLeod, Howard Chodos, 2003-03-22
  4. Pay attention to values.(Canadian health care system)(Editorial): An article from: Catholic New Times
  5. Caring for profit: how corporations are taking over Canada's health care system.: An article from: Labour/Le Travail
  6. Etude du systeme de sante canadien par le Comite senatorial.: An article from: Revue parlementaire canadienne by Jeffrey J. MacLeod, Howard Chodos, 2003-03-22

41. Re: Canadian System (06/07/00)
To Subject Re canadian System. From Julia Winter . Hmmmm, well, we might presumethat state controlled socialized medicine is the best way to allocate
http://www.pcc.com/lists/pedtalk.archive/0006/00040.html
To: Subject: Re: Canadian System From: Date: Tue, 06 Jun 2000 23:57:17 -0700 References: Reply-To: http://www.pcc.com/lists/ " To unsubscribe: mail with "unsubscribe" in the body of the message.

42. Re: `Socialized Medicine'
of socialized medicine is the fact that the government pays for a wide range ofservices according to fee schedules negotiated with the providers (canadian
http://csf.colorado.edu/forums/itcp/1999/msg00088.html
Date Thread
Re: `Socialized medicine'
by Bob Wolfe
10 November 1999 16:50 UTC
http://info.wlu.ca/~wwwsbe/faculty/rwigle/index.shtml Robert Wolfe School of Policy Studies, Queen's University, Kingston, Canada K7L 3N6 wolfer@policy.queensu.ca http://policy.queensu.ca/~wolfer/ phone: (613) 545-3427 or 533-6689 fax: (613) 533-2135 Date Thread Home

43. `Socialized Medicine'
of socialized medicine is the fact that the government pays for a wide range ofservices according to fee schedules negotiated with the providers (canadian
http://csf.colorado.edu/forums/itcp/1999/msg00087.html
Date Thread
`Socialized medicine'
by Randy Wigle
04 November 1999 18:50 UTC
There has been a lot of discussion here about how liberalizing trade in services would threaten socialized medicine in Canada. I really don't understand this. To me, the key feature of socialized medicine is the fact that the government pays for a wide range of services according to fee schedules negotiated with the providers (Canadian Medical Association for example). I would have thought that trade liberalization in services would have helped, not hindered the government's ability to pay for these services. I also wouldn't have foreseen a trade challenge to what amounts to non-discriminatory 'price controls' in medical services... Can someone spell the argument out, please. Randy Wigle On sabbatical at: Economics Department MacKinnon Building 7th Floor University of Guelph Guelph, Ontario N1G 2W1 Phone (519) 824-4120 X8945 (sporadic, no voice mail) FAX (home) (519) 571-0605 http://info.wlu.ca/~wwwsbe/faculty/rwigle/index.shtml

44. Essays And More Essays On Canadian Studies - 043-025
Papers On canadian Studies Page 26 of 29. The Need For socialized medicine In TheUnited States send me this essay Long before President Bill Clinton ever
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Page 26 of 31 The History of Lacrosse: From the Native American Stickball Game to the Game We Know Today
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A 9 page overview of the game Lacrosse. Traces the game from its origin among the Native Americans to the present day. Details the spiritual meaning of the game to Native Americans as well as its history among the non-Natives in their relations with Natives. Outlines the evolution in gear, rules, and playing fields. Bibliography lists 10 sources.
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The Hotel Business in Canada
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This 5 page paper focuses on employees in Canada's hotels. Union and non-union laborers are compared and issues such as wages , job security and scheduling are discussed. Bibliography lists 5 sources. Filename: SA014Ho.wps

45. Kelley Ross For State Assembly, 1994 Pages
NO to socialized medicine! In November Californians are being asked to votefor a canadian style, singlepayer, socialized medicine system.
http://www.friesian.com/ross/ca40/1994.htm
The results of November 8, 1994, for the 40th Assembly District:
Barbara Friedman (Democrat) 40,546 57.9% Noel Degaetano (Republican) 25,452 36.3% Kelley Ross (Libertarian) 4,201 5.8% Return to Table of Contents
NO on Proposition 186!
NO to Socialized Medicine!
In November Californians are being asked to vote for a Canadian style, "single-payer," socialized medicine system. Under this system every doctor, nurse, and medical technician in the State will become an employee of State government, and medical services will supposedly become "free" and guaranteed for everyone in California. The unrepentant leftists who have proposed this scheme, people who are ashamed and resentful of actually being called socialists, argue that these kinds of public takeovers of medicine work fine in Canada and everywhere else that they have been tried. That is a lie. Socialism, wherever it has been tried, results in a restriction of services and a decline in the quality of services. Canadians routinely must wait even months for routine medical tests and even for surgery. Canadians

46. Failure Defined As Success In Socialized Medicine
Failure Defined As Success in socialized medicine. incentive scheme operating in asocialized system soon The eternally patient or comatose canadian taxpayer is
http://www.ilanamercer.com/Failure.htm
Failure Defined As Success in Socialized Medicine
Only weeks back, health care experts celebrated the imminent infusion into the Canada Health and Social Transfer system of some $21.2-billion dollars. There was a sense of being back on track. The experts, for the most, claimed a renewed pledge had been made to the health care Leviathan, although they gingerly proffered that more of a change in delivery of services was required. This has been forgotten. Defection of specialists continues unabated, waiting times for life saving treatment grow, and much of the diagnostic equipment is obsolete. Make no mistake; I am not here accusing the Feds of good will. But even they, however, are powerless to give the nation what it demands, because no amount of money will do, not ever. A socialized system by nature midwives the dilapidation we are witnessing. Show me a company in the private sector (which is not the recipient of government handouts) that is shielded from bankruptcy. An audit doubtless would reveal that Medicare is insolvent, yet the fact that the taxpayer is forced to bankroll it indefinitely with tax dollars, immunizes the system against fiscal accountability. Medicare, it can be said, is a perfect system of unaccountability. Compounding this, prices of services are pegged at zero. This drives consumers to use the service voraciously, with the result that endemic shortages are built into the system. And why are the experts in a tizzy attempting arbitrarily to figure out where the latest cash is needed most? They can't seem to decide whether it should go to technology, staff, or maybe towards new databases to keep tabs on Canadians. In a free market, the institute of private property ensures that we have prices. Prices are like a compass: pegged to supply and demand they ensure the correct allocation of resources. Conversely, in a nationalized system there are no prices because there is no private property. Absent such knowledge, misallocation of capital is inevitable. The attitude, however, seems to be that of "let the people use derrière doctors (proctologists)" if misallocation causes shortages of surgeons.

47. Cloning Canadian Health Care, By Robert W. Lee
by the Health Insurance Association of America estimated that a canadianstyle health Oncecited as the showcase of socialized medicine, the British system is
http://reformed-theology.org/jbs/html/cloning_canadian_health_care.htm
John.Birch.org Cloning Canadian Health Care by Robert W. Lee
On June 4th, the General Accounting Office released a draft report about Canada's 20-year-old system of nationalized health care, concluding that our own federal government could extend health care to every American (an estimated 31 million of us are said to be presently uninsured), and actually save money, by cloning major elements of the Canadian plan. Meanwhile, news reports from Canada continue to document the deteriorating status of our northern neighbor's health regimen. On June 13th, for instance, the Washington Times revealed that increasing numbers of Canadian doctors are on the verge of moving to the United States because, according to British Columbia Medical Association Director D. Norm Finlayson, "an awful lot" of them are "totally frustrated" by red tape, waits for hospital beds, and paltry government-regulated pay increases. Dr. Finlayson contends that his country's national health system is in danger of collapse.
System in Jeopardy
On June 24th, the Reuters News Agency quoted Canadian Nurses Association President Alice Baumgart as claiming that "Canada's health care system ... is in real jeopardy." For years, she asserted, emergency rooms have been so overcrowded that patients frequently line the corridors awaiting treatment.

48. Boston Review
9 Woolhandler and Himmelstein, socialized medicine is Good Business. . 10GAO, canadian Health Insurance Lessons for the United States, p. 63.
http://bostonreview.mit.edu/BR20.4/Clyne_fn.html
David Himmelstein, Steffie Woolhandler, and the Writing Committee of the Working Group on Program Design, "A National Health Program for the United States: A Physician's Proposal," New England Journal of Medicine 320 (January 1989):102-108. See also K. Grumbach, T. Bodenheimer, D. Himmelstein, and S. Woolhandler, "Liberal Benefits, Conservative Spending: The Physicians for a National Health Program Proposal," Journal of the American Medical Association 265 (May 1991): 2549-54. U. S. General Accounting Office, Canadian Health Insurance: Lessons for the United States , (Washington: GAO, June 1991), p.7. S. Woolhandler, D. Himmelstein, J. Lewontin, "Administrative Costs in U.S. Hospitals," New England Journal Medicine 329 (August 1993):400-03. V.R. Fuchs, T.S. Hahn, "How Does Canada Do It? A Comparison of Expenditures for Physicians' Services in the United States and Canada," New England Journal of Medicine Congressional Budget Office, American Health Security Act of 1993: H.R. 1200 (Washington, D.C.: CBO, December 16, 1993). S. Woolhandler and D. Himmelstein, "Socialized Medicine is Good Business,"

49. The Harvard University BBS Website: April Bulletin
plaid flannel), a tendency to brag about the benefits of socialized medicine, fixationon the sport of hockey and on the fortunes of the canadian baseball teams
http://www.hms.harvard.edu/dms/bbs/bulletin/april/sciencewrit.html
What makes a Canadian a Canadian, eh?
New BBS Curriculum Announced
Ask the Students

Science Writing

Feature Story
...
BBS Bulletin Staff

What makes a Canadian a Canadian?
To most Americans, this is a question of such subtle distinctions as to seem almost not worth pondering. But to Sheldon Rowan, a fourth year BBS student in David Fisher's lab, it's a question of identity. "You have no idea how irritating it is to be mistaken for an American all the time. And the number of people who think that Canada is part of the US is terrifying," he says.
So Rowan set out to answer the question of what determines Canadian identity. First, by examining several pedigrees, he came to the conclusion that Canadianism is a heritable trait. "I identified ten families where the grandparents were Canadian, but their offspring had emigrated to the US. In the grandchildren, I found that even though the F2 were American citizens and had often never been to Canada, they still exhibited strong characteristics of Canadianism."
To help him score these Canadian traits, Rowan set up a grading system of 1 to 10 in five categories: preference for flannel garments (with the strongest phenotype being for plaid flannel), a tendency to brag about the benefits of socialized medicine, fixation on the sport of hockey and on the fortunes of the Canadian baseball teams, and pronunciation of the "O" vowel as "Oouh." The segregation of these traits was complex, but seemed to indicate that the Canadian phenotype was a dominant one.

50. Alice In Universal Health-Care Land: Myths And Facts
It has no more in common with socialized medicine than does the best and brightestfrom going into medicine. are so similar for US and canadian physicians that
http://www.amsa.org/hp/myths.cfm
THE NEW PHYSICIAN Search AMSA: AMSA Home Become a Member Site Index Contact Us
Apr 4, 2003
Site Directory
About AMSA
Medical Education

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Resources

MYTH: It would cost too much money.
FACT:
A single-payer universal system would cost no more than we're already spending on health care, according to studies by the Congressional Budget Office, the General Accounting Office (GAO), the Lewin Group, and the Boston University School of Public Health. The GAO estimates if the United States changed to a universal single-payer system, it would save in the short run: $34 billion in insurance overhead and $33 billion in hospital and physician administrative costs. This savings would come from providing timely care to those who would otherwise delay care, thereby becoming sicker and more expensive to treat.
The cost of serving the newly insured would be about $18 billion. The cost of providing additional services to the currently insured-due to elimination of co-pays and deductibles-would be about $46 billion. MYTH: It is socialized medicine.

51. Hillary's Dream Will Be Your Nightmare, A Canadian Warns By
The reality is that socialized medicine is an abysmal failure Under the canadian system,anyone who wants to escape this disaster of Titanic proportions has no
http://www.bigjweb.com/michnews/20030129390102943marsden.asp

52. Grant Schuyler's Essay "Should We Have Socialized Or Capitalist Medicine?"
1. So, could this be an indicator that the canadian socialized medicine scheme of health care might be better than the American capitalist one?
http://home.ca.inter.net/~grantsky/medicine.html
Drama,
Poems,
Essays
SHOULD WE HAVE SOCIALIZED OR CAPITALIST MEDICINE?
The American Capitalist Health Care System
The United States has a fairly capitalist health care system. While through federal programs like Medicare and Medicaid, the government pays a portion of the health care bills of elderly and impoverished people, and this adds up to tens of billions of dollars per year, most Americans deal with doctors and hospitals on their own, paying them out of their own pocket or through voluntary private medical insurance. Health care costs in the United States have greatly increased in recent years. Therefore a number of measures have been taken, including the gathering together of doctors and other health care providers and hospitals in HMOs, Health Maintenance Organizations.
The Canadian "Socialized" Health Care System
In Canada, on the other hand, as in most of the most advanced countries, there is a single-payer health care scheme run by an agreement between the federal and provincial governments. Doctors, hospitals and other health care providers submit their bills to the local provincial government's health department. Health care providers are seldom if ever allowed to bill the public directly for health services. Now like most people in North America I believe in capitalism; that is, in the private (or corporate) ownership of most property. And I believe that capitalism so-called private or free enterprise should be running most businesses and services.

53. Socialized Medicine Commentary, Opinion, And Book Reviews
parable about the history of socialized medicine in America and decided that practicingmedicine for patients Country United States The canadian singlepayer
http://enterpriseeconomy.com/resources/bycategory/commentary/T8.1/
resources directory : Commentary, Opinion, and Book Reviews : Socialized Medicine Socialized Medicine Commentary, Opinion, and Book Reviews
  • Global
  • United States
  • Southwestern and Western US
  • Canada ...
  • Western Europe
    Global
    Canadians and Brits wait and wait for health care
    Source: Cascade Policy Institute
    Author: Kurt T. Weber
    State: OR, Country: United States
    "Oregonians will vote this fall on a ballot initiative that advocates a virtual government take over of all health care in the state. A look at Canada's government-run health care system offers insight into the side-effects of such an idea." (8/22/02)
    The doctor is out
    Source: USTL
    Author: Paul Jacob Country: United States
    "Health care is now more or less socialized all over the globe. Doctors are not really free to conduct their business as they see fit. And from France to Croatia, they're rattling their chains." (3/3/03)
    Borderline issues Source: PRI Author: K. Lloyd Billingsley Country: United States
    "It is the only place where you can look north from Canada into the United States. And here, at one of the most crossed borders in the world, some realities become clear, such as the nature of the traffic headed southward. While American politicians make a great show of bus tours to Canada, Canadians board buses headed south, in search of medical care." (10/16/02)
    Click here for more categories for Global United States
    The right prescription for Medicare reform Source: National Center for Policy Analysis Author: Pete du Pont Country: United States
    "In an election-year rush to satisfy impatient voters, politicians of both parties are endorsing ill-considered schemes to add a prescription drug benefit to Medicare. Fortunately, with Election Day fast approaching, Congress will not be able to actually enact any of their proposals. While the problems with the program are bad, most of the proposed solutions are worse." (10/10/02)
  • 54. Essay Papers - Canadian Studies - 043-015
    Papers On canadian Studies Page 16 of 18. The Need For socialized medicine In TheUnited States send me this essay Long before President Bill Clinton ever
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    Page 16 of 18 [Previous] [Next] The Need For Socialized Medicine In The United States send me this essay Long before President Bill Clinton ever appointed Hillary Clinton to head up his Health Care Reform effort, much discussion and debate had already occurred about the issue of adopting so-called socialized medicine or government-controlled health care. In this 6 page research paper, the writer presents arguments in favor of socialized medicine detailing all of the health care and economic problems that it would solve. The relevant case of Canada (her strengths and weaknesses) is used heavily to support points made. Bibliography lists 5 sources. Filename: Socmedi.wps

    55. Examples Of An Essay And More Essays On Canadian Studies - 043-030
    Papers On canadian Studies Page 31 of 35. The Need For socialized medicine In TheUnited States send me this essay Long before President Bill Clinton ever
    http://www.essayboy.com/categories/043-030.html
    There are HUNDREDS of essays in this category!
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    Page 31 of 37 The History of Lacrosse: From the Native American Stickball Game to the Game We Know Today
    send me this essay

    A 9 page overview of the game Lacrosse. Traces the game from its origin among the Native Americans to the present day. Details the spiritual meaning of the game to Native Americans as well as its history among the non-Natives in their relations with Natives. Outlines the evolution in gear, rules, and playing fields. Bibliography lists 10 sources.
    Filename: PPlacros.wps
    The Hotel Business in Canada
    send me this essay

    This 5 page paper focuses on employees in Canada's hotels. Union and non-union laborers are compared and issues such as wages , job security and scheduling are discussed. Bibliography lists 5 sources.
    Filename: SA014Ho.wps The Importance of Satellites to Canada send me this essay A 10 page overview of the importance of satellite connection to the widely scattered and often remote communities of Canada. Includes information about educational and business applications including teleconferencing, distance learning, and other opportunities which this technology has made available. Identifies Canada as one of the most progressive nations in satellite technology. Bibliography lists 7 sources.

    56. Book Reports And Research Papers On Canadian Studies - 043-007
    call to address the general sense of inequality in the canadian Legislature. The NeedFor socialized medicine In The United States send me this report Long
    http://www.bookreportdatabase.com/categories/043-007.html
    Book reports, term papers, essays !...Help is here !!!
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    Page 8 of 10 [Previous] [Next] The Brain Drain in Canada
    send me this report

    This 6 page paper considers the brain drain which occurs between Canada and the United States. This is not a new phenomenon, but has been occurring for decades. This paper looks back to the 1930's and demonstrates that the causes of migration then are the same as the push and pull factors on the labour market in the current day. The bibliography cites 5 sources.
    Filename: TEcanbdr.wps
    The Canadian Charter of Rights and Freedoms
    send me this report

    This 7 page paper provides an overview of the document and argues that the charter is too lenient and obstructs justice. Canadian crime is looked at as well. Bibliography lists 6 sources.
    Filename: SA28Can.wps

    57. DUCK - Doctors For Universal Coverage And Kindness
    Reprinted with permission. Recently, canadian Prime Minister Jean Chrétienchanged his mind about his country's system of socialized medicine.
    http://www.aapsonline.org/brochures/block.htm
    1601 N. Tucson Blvd. Suite 9
    Tucson, AZ 85716-3450
    Phone: (800) 635-1196
    Hotline: (800) 419-4777
    Association of American Physicians and Surgeons, Inc.
    A Voice for Private Physicians Since 1943
    Omnia pro aegroto
    SOCIALIZED MEDICINE IS THE PROBLEM
    by Walter Block Part-time Vancouver resident Walter Block (wblock@loyno.edu) is Harold E. Wirth Eminent Scholar Chair Professor of Economics in the College of Business Administration at Loyola University, New Orleans. First published in Ideas on Liberty, December 2001, by the Foundation for Economic Education, 30 South Broadway, Irvington-on-Hudson, NY 10533. Reprinted with permission. Recently, Canadian Prime Minister Jean Chrétien changed his mind about his country's system of socialized medicine. After long and hard opposition, he now favors a two-tier health system, including user fees and private provision. This makes it all the more important to take another look, not just at the surface of state-run medical care, but at its basic principles. Ever since Vancouver Canuck hockey player Daniel Sedin jumped the health-care queue with his herniated and ruptured lower back disc, there has been an outbreak of wailing and gnashing of teeth on the part of defenders of socialized medicine. Nor was this the only such high-profile case. About a year ago Grizzlies basketball center Bryant "Big Country" Reeves hurt his ankle and was similarly catapulted to the head of the medical waiting list. But beyond such headline-grabbing cases there are numerous other privileged characters: politicians and bureaucrats and their families and friends with political pull and doctors, nurses, other health-care professionals, and those who can rely on them for favors. This is called "professional courtesy."

    58. Infinities Transcript: Uwe Reinhardt
    operated insurance such as Medicare, Medicaid, or the canadian system bottom lineis that Americans are completely confused about the term socialized medicine.
    http://www.omnimag.com/archives/chats/in101997.html
    Prime Time Replay:
    Economist Uwe Reinhardt
    on the economics of healthcare
    MsgId: *infinities
    Date: Sun Oct 19 21:50:48 EDT 1997
    From: At:
    One of the most challenging and controversial issues facing the United States is health care. How can we provide adequate health care for all citizens? How can we pay for it? Tonite, we are honored to have with us Uwe Reinhardt, James Madison Professor of Political Economy at Princeton University's Woodrow Wilson School of Public and International Affairs. Professor Reinhardt is one of the country's leading experts on the economics of health care. This evening we will try to better understand the complex, sometimes confounding, business of taking care of America. Professor Reinhardt, good evening and welcome. MsgId: *infinities
    Date: Sun Oct 19 21:53:31 EDT 1997
    From: At:
    Ready when you are. :) MsgId: *infinities
    Date: Sun Oct 19 21:56:57 EDT 1997
    From: At:
    The headline on the front page of today's New York Times says, "Analysts expect health premiiums to rise sharply." After several years of controlling health-care costs, insurance rates are set to go up again from 5 to 30 percent. Is this just corporate greed, or are insurance companies starting to feel the pinch again? MsgId: *infinities Date: Sun Oct 19 21:59:57 EDT 1997 From: At: It's not really so much corporate greed as the HMOs are feeling the pinch of rising medical costs and in the NY Times it says the reasons are new technology and the aging of the population. But those are bogus issues surely the aging of the population is a short issue that will not affect long term health care for long. The real issue is that the HMOs have so broadened their networks of doctors and hospitals that they have lost some market power over these providers. Therefore, the provider can raise their fees without fear of punishment.

    59. Getting Sick In Vancouver
    Basic control of the philosophy of socialized medicine resides with the Federal Government Thedown side of the canadian medical system is that you can often be
    http://www.vancouver.hm/sick.html
    The Blue Navigation Bar makes returning here easier when you link off-site. To remove it, click here Click the banner above to return to Start Page. Getting Sick or Injured in Canada: Unlike the United States, Canada has a socialized medical system - sort of. Unfortunately, many visitors assume that if they become sick or injured in Canada, all their needs will be taken care of for free. This is not the case. (By the way, thanks to Jim Guthrie for correcting some of my information, hopefully everything here is as accurate as possible.) If you do have to go to Hospital, however, they will not demand a credit card before treating you has has been the case on occasion below the border. You can be reasonably re-assured that should end up unconscious in an emergency ward, you will be treated without a credit check being done first. The only exceptions are private clinics, usually offering specialized services such as MRI's to individuals who are willing to pay extra for faster service. The medical system here is much cheaper than that in the United States, and its very unlikely you would face financial ruin if you ended up in hospital here without insurance. Even a moderate medical insurance policy in the U.S. would more than cover a hospital stay here, assuming it was valid outside of the country. Most hospitals in Vancouver have emergency rooms, but some don't and some only operate certain hours. The new "Liberal" Government, the name of which is a bit of a misnomer (I guess you can tell, I don't like them much), is in the process of gutting the health system in this Province and many Hospitals have had services severely cut back as of late. You can also go to any walk-in Clinic. These are quite reasonable and a visit with a doctor will not likely cost you much more than $100.

    60. Home Practice Kids Useful New Business World
    (1) Secondclass medicine. The proposed one payer system is similarto the canadian-style socialized medicine. It will not work in
    http://www.johnyam.com/bus00023.html
    Home Practice Kids Useful ... Index The Business of Healthcare
    Single-Payer Health Care System
    By John I. Yam, M.D., F.A.A.P., F.A.A.F.P Published in the King County Medical Society Bulletin Vol 79 No.8 July, 2000 Also published in the Journal of the Washington Academy of Family Physicians Vol XXVI No.3 Summer 2000 Background In recent years there has been increasing discontent with the health care industry, both by physicians and the public, due to the many measures taken by insurers to curb spiraling health care costs. Numerous measures proposed by the government have failed to improve the system. Today more than half-a-million Washingtonians are without health insurance. The time appears ripe for some drastic measures to reform the existing system. Health Care 2000 Initiative (Initiative 725)* The Single Payer Action Network will attempt to put on the Washington State Ballot in November this year an initiative to create the Washington State Health Care Trust Fund to finance the health care of all Washington residents.
    • It will be supported by public funding through payroll taxes collected by the Department of Revenue of the State. All employers and employees will be forced to participate.

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