Scott:
===========
The argument made in the various letters from the Health Ministers of
Canada
worrying that a two-tier system would cause problems because the
clinics
would "cherry pick" the easy cases while leaving the hard, expensive
cases
to the state is idiocy.
============

Idiocy to you, but true. If one believes in a universal program of any
sort (I know you may not), then that program needs to be protected
against exactly that: cherry picking.

Here in BC we have a "universal" auto insurance plan: if you want to
drive, you MUST have insurance. Allow me to paint with a broad brush to
make my point -- there are minor and trivial exceptions to what I'm
about to say. And the insurance you buy MUST be provided by a
Provincial Crown Coporation. You may not buy your BASIC coverage from
anyone else. Why? Because, if the corporation is to gain the benefits
that come from having this monopoly and is to be able to provide the
blanket, global coverage the corporation was set up to provide, then it
cannot afford to have private insurers cherry-pick the low-risk
clients, leaving the crown corp to pick up the difficult, expensive
clients. [BTW, the premiums compare quite favorably to other
jurisdictions across Canada that use the private model]

Further, an anecdotal example of cherry-picking (that really ****es me
off): in the elementary school my daughters attended, there were two
sisters, one of whom was severely handicapped. The parents,
dissatisfied with the education their daughters were getting at this
school, took the daughter who was not handicapped, and sent her to a
very expensive private school. By doing so, they further diminished the
academic calibre of the school by taking a very bright girl out, and
leaving a handicapped one. This sort of cherry-picking diminishes our
ability to provide quality to everyone.

I understand that you may not ascribe to that philosophy, but I do. If
one ascribes to that philosophy, then cherry-picking can not be
permitted.

frtzw906