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A Usenet persona calling itself BCITORGB wrote:
Scott allow me to continue your education: http://www.civitas.org.uk The Canadian Health Act of 1984... denies federal support to provinces that allow extra-billing within their insurance schemes and effectively forbids private or opted-out practitioners from billing beyond provincially man-dated fee schedules. The 1984 Act also defines and solidifies the principles of medicare, including: *comprehensiveness (provinces must provide medically necessary hospital and physician services), *universality (100 per cent of provincial residents are entitled to the plan), *accessibility (there should be reasonable access to services, not impeded by user charges or extra billing), *portability (protection for Canadians travelling outside of their home province), and *public administration (provinces must administer and operate health plan on a non-profit basis) (Klatt, 2002)... Healthcare providers are predominantly private [SCOTT, PLEASE NOTE!], but are funded by public monies via provincial budgets. Hospital systems are largely private non-profit organizations with their own governance structures (usually supervised by a community board or trustees)... that receive an annual global operating budget from the provinces... Physicians are mostly in private practice and remunerated on a fee-for-service basis [SCOTT: NOTE] (with an imposed cap to prevent excessive utilization and costs) by the provincial health plan...However, physicians that choose to opt out of the system cannot procure any public monies, and are forbidden from billing above negotiated "Schedule of Benefits" pricing which the "opted in" physicians are subject to. In other words, private physicians cannot bill above the fee schedules for medicare physicians. Therefore, opting out is risky for physicians and uptake is low. Scott, there you have it. Please stop making things up, OK. I've analyzed all this in another post...and debunked your arguments too. -- Regards, Scott Weiser "I love the Internet, I no longer have to depend on friends, family and co-workers, I can annoy people WORLDWIDE!" TM © 2005 Scott Weiser |
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