Older Canadians, especially the Baby Boom generation, have a huge blind spot when it comes to any discussion about healthcare … because they believe what they were told as children about Canada’s healthcare system being the “envy of the world” and other such comforting notions. (It’s not just Canada, as British belief in the quality of their National Health Service is very much at odds with the evidence.) This rose-coloured nostalgic faith makes it very difficult to address some of the very real problems that beset Canada’s hospitals and doctors. The media are understandably reluctant to publish anything that goes against this, as Peter Menzies explains:
Grok image from The Rewrite
About the same time as William Watson’s outstanding book Globalization and the Meaning of Canadian Life was being published in the late 1990s, the newspaper I worked for was sending a journalist to Europe to research a series of articles on how health care systems work in some of those countries.
I mention Bill’s book, which was runner-up for a public policy Donner Prize, because it exquisitely details many of the things Canadians believe about themselves that simply aren’t true. Which was the same reason why the Calgary Herald sent its health reporter (yes, there used to be such a thing), Robert Walker, to Europe — to expose its readers to the fact that there are more than two health care systems: our “defining” one and America’s, both of which are extremes. To the best of my knowledge, that remains the only time a Canadian news organization has taken on that task.
In every country examined in Walker’s reports, as is the case with almost every country in the world, public and private health care and insurance systems maintained a peaceful coexistence and the public’s needs were being met. Almost 30 years later, that remains the case. Also almost 30 years later, neither Bill’s book nor the Herald‘s reporting has had the slightest impact on the prevailing media narrative in Canada. It remains determined to perpetuate the fear that any move to increase the role of private health providers or even allow doctors to work in both systems (as was proposed this week by Alberta Premier Danielle Smith) is the first step on the slippery slope to “American-style” health care. This line has been successfully used for decades — often hyperbolically and occasionally hysterically — by public monopoly advocates for Canada’s increasingly expensive and difficult to access systems. We have known for 40 years that once Baby Boomers like your faithful servant turned bald and grey that the system would be unsustainable. But that single, terrifying “American-style” slur has halted reform at every turn.
The Tyee responded with a “Danielle Smith’s secret plan to Destroy Public Health Care” column while the Globe and Mail‘s Gary Mason, a Boomer, challenged my thesis here by suggesting it was time for open minds because “the reality is, the health care system in Canada is a mess”.
It is. And at least some of the blame — a lot, in my view — belongs at the door of Canadian news organizations that for decades have failed to fully inform readers by making them aware that there are a great many alternatives to just “ours” and “US-style”.
I was reminded of this in a recent Postmedia story concerning the perils of private health care provision. Referencing a study on MRIs, the story, right on cue, quotes the part of a study that states “It’s a quiet but rapid march toward U.S.-style health care”.
One would not want to suggest that those clinging to that parochial view should be denied a platform. But at the same time, readers have every right to demand that journalists push back and ask advocates for state monopolies simple questions such as “Why do you say that? Could it not be the first step towards UK-, German-, Dutch-, French-, Portugese- or Swedish-style health care?” and open the debate.
