Do you remember all of the breathless claims of Republicans and Tea Partiers talking about their “Canadian friend” that hates the Canadian healthcare system and came to the US for a really important surgery? Yeah, as you may have guessed, it is probably bogus. Last week, I heard a radio interview with the author of a blog post about anecdotal stories of Canadians seeking care in the US. Go read it. Here’s a taste:
1) First, they surveyed United States border facilities in Michigan, New York, and Washington. It makes sense that Canadians crossing the border for care would favor sites close by, right? It turns out that about 80% of such facilities saw fewer than one Canadian per month. About 40% saw none in the prior year. And when looking at the reasons for visits, more than 80% were emergencies or urgent visits (ie tourists who had to go to the ER). Only about 19% of those already few visits were for elective purposes.
2) Next, they surveyed “America’s Best Hospitals”, because if Canadians were going to travel for care, they would be more likely to go to the most well-known and highest quality facilities, right? Only one of the surveyed hospitals saw more than 60 Canadians in one year. And, again, that included both emergencies and elective care.
3) Finally, they examined data from the 18,000 Canadians who participated in the National Population Health Survey. In the previous year, only 90 of those 18,000 Canadians had received care in the United States; only 20 of them had done so electively.
20 out of a survey of 18,000 went to the US specifically for surgery, the rest slipped on ice or choked on a pork-chop while vacationing in the US. Granted, your mileage may vary, as the studies use scientific methods. Many Republicans are impervious to this sort of logic.