Comment by joenot443
16 days ago
Bit for bit, internet access is cheaper in America than it is in Canada or Australia.
Canadians like myself have ~40% of our provincial taxes spent on healthcare, so in my case about ~8% of my gross income. Somewhere in the tune of $20k/yr. While I was living in Seattle and filing American, quite a bit less of my gross income went to healthcare. Just food for thought.
But that is not because it's less efficient. With the Canadian system being socialzed and 20k$ being just 8% of your income it is to be expected that you would pay moch more than the median person into the system.
"I make $250k CAD a year, my experiences must be representative of, and relevant to, the masses," is a wild thought to have.
Well, maybe I spoke too soon, because my private American healthcare turns out to also be about 8% of my gross income (of $60k)(before copays and my deductible)(and also it's crap). Twinsies!
But yes I agree that it would be awful to have my health needs taken care of and a mere ~160k USD left to spend on everything else.
Oh I certainly don’t think it’s representative to that of the masses, I was sharing an anecdote.
I think either way both of us are in really good shape. In my experience the quality of American care is better in nearly every regard (having experienced both pretty intimately), but the simplicity and the peace of mind of the Canadian system has its benefits too. In either case you end up paying.
> But yes I agree that it would be awful to have my health needs taken care of and a mere ~160k USD left to spend on everything else.
I’m confused - do you actually think it’s awful?
I think the main issue that the NHS model of 10+ years ago worked when fully funded. The Canadian model is a mix match of US healthcare and Medicare. Some drugs aren’t covered, some procedures take forever, and you don’t get guaranteed doctor. Many European healthcare system have solved the issues we have, but Canada has refused to adopt any sensible system.
You're being disingenuous. You clearly meant your anecdote to be representative, at least for "Canadians like [yourself]". But I suspect that it was meant to be a broader statement, and you're only backtracking now because the ridiculousness of that notion is apparent.
>I think either way both of us are in really good shape.
I'm lying in bed with non-specific upper abdominal discomfort that I'm hoping isn't related to digestive issues (pancreatic) that I've had for years, but which I can't get treated for because my insurance-related circumstances have made it very difficult to get consistent access to, and then to be taken seriously by, relevant specialists. These issues have combined with chronic injuries that were poorly managed in their acute phase and poor access to quality nutrition to make it difficult for me to exercise consistently. Contrarily and consequently, I'm quite out-of-shape.
The best and most consistent care I've ever gotten was while I was on Medicaid (which was still yet hampered by the professional stigma against accepting Medicaid and treating Medicid patients well).
>In my experience the quality of American care is better in nearly every regard (having experienced both pretty intimately
You experienced the quality of care available to rich people. That quality of care is not widely available, not for lack of institutional capacity, but primarily due to lack of profit.
>I’m confused
I really don't think you are.
> Canadians like myself have ~40% of our provincial taxes spent on healthcare
Worth noting that taxes in the US are a lot lower than they should be because a large portion of government expenses are financed with debt. Canada owns over 400B in US debt, so that's Canada "subsidizing" US taxes.
Also, yes, that's how healthcare works: when you're young and less sick, you tend to pay more than you get out of it, and then it reverses as you get older.
Canada has a huge debt problem at the provincial and federal level. The provincial level even covers for the cities spending problems.
What do you mean "quite a bit less of my gross income went to healthcare"? Are you factoring in the insurance premiums paid by your employer? For many people that is both an invisible and significant health care cost.
there is a big chunk of people who wouldn't afford healthcare in the USA but still have access to in Canada. I don't mind paying more taxes if this means everyone has healthcare access.
That’s pretty comparable actually. The most recent quote I received for private healthcare in the US was just under $2,000 per month ($24,000 per year).
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