The Private Health Care Option in Canada

Kim Murphy wrote a great article about the movement in British Columbia in Canada to private health care called In Canada, a move toward a private healthcare option.  The 1984 Canada Health Act established the national insurance system called Medicare in Canada.  It made most private health insurance illegal.  But, in 2005 the Supreme Court of Canada ruled the laws in Quebec that outlawed private insurance were in violation of the Quebec Charter of Human Rights and Freedoms.  In Quebec, it was a violation of human rights to force people to wait on wait lists until they died, but it was OK to die while waiting in the rest of Canada.

British Columbians are a bit more independent-minded than are many other Canadians.  As a result, a network of illegal private clinics and surgical centers has developed there to take people off the very long waiting lists for health care not considered essential in Canada.  This means health care which is not immediately life-threatening or screaming painful.  For anyone not fitting this legitimate need for healthcare, Brian Day, head of a private surgical center in Vancouver, says "What we have in Canada is access to a government, state-mandated wait list.  You cannot force a citizen in a free and democratic society to simply wait for healthcare, and outlaw their ability to extricate themselves from a wait list."

Other Canadians say "Yes, you can."  Allowing doctors and other health care workers to provide health care in private facilities only means that the wait lists will become longer, since those doctors and health care workers will not be available.  Ahh.... the logic!  Health care workers and doctors must be slaves and kept at the oars at all times.  Slavery returns to the Western Hemisphere and Canada sets the lead in this effort.

An Arizona businessman, Melvin J. Howard, has filed a $160 million lawsuit under the North American Free Trade Agreement demanding that U.S. health care companies have the freedom to operate in Canada!  He has a consortium that wants to build the largest private health center in Canada in Vancouver.  They would provide orthopedics, plastic surgery, general surgery, and other services.

British Columbia has a $360 million shortfall in its $15.7 billion health care budget for the fiscal year ending in March.  The present waiting lists will get longer as a result.  The Vancouver Island Health Authority will reduce non-emergency MRIs by 20%.  These non-emergency MRIs are already being scheduled for March.  Vancouver Coastal Health, serving 0.25 of the province's population, will eliminate 450 elective surgeries, or 30% of those scheduled during the 4 weeks of the 2010 Winter Olympics.  If you have to cut back, you might as well let the doctors go to the Olympics, while many patients continue flopping about in front of Olympic visitors in pain below the screaming threshold required to be considered an emergency case.  In the fast-growing eastern suburbs of Vancouver, the Fraser Health Authority will close its budget gap by holding the number of MRIs to last year's number, reducing expenditures by $550,000 on services for seniors, reducing elective surgeries by 14%, and other cost reductions.

This crumbling government health care system does not want a private competitor, so it is going to court to try to put the private health care companies out of business.  Dr. Robert Woollard, has applied to be a part of this lawsuit against the private companies.  He says the public system is responsive and provides quality care to those who truly need it.  He says, "Just six or eight weeks ago, I had a patient come in who needed urgent attention to her knee.  She was in severe pain.  She was seen by a [reviewing] team within a week, and she was slated for surgery that will probably happen in the next two to three months."  Apparently this is considered great service by some!!!!

Meanwhile, Christina Woodkey of Calgary has had a problem of pain in her hip.  She was put on a wait list for a year and saw the doctor in January, who told her she had a narrowing of the spine that caused the pain.  She was put given an appointment to see a back specialist on 30 September.  Given that appointment, she asked when she might actually have surgery.  She was told it would be about one and a half years after seeing the doctor.  Despite having no insurance, it being outlawed, she went to Montana and had the $50,000 surgery done in two days.  She is very happy that the pain is now almost entirely gone, though paying for the surgery will take her some time.

So, 4 - 5 months is great for essential surgery and about 3.75 years is acceptable for non-essential surgery in Canada.  This non-essential surgery is not breast enlargement surgery, but surgery for real pain elimination.  ObamaCare's desire is to replicate this Canadian system here in the Home of the Brave, the Land of the Free.  Hogwash.  We must disobey the laws that set up any such tyranny over our right to our own bodies and fundamentally to our own lives.  We must make Gandhi and his Indian followers look like pikers as we are all marched off to jails until they overflow and then we are put into concentration camps.  This usurper must not be allowed to trample our most fundamental right to life and our beloved Constitution.

The Right to Life and Slavery

Most Americans believe that as human beings one has the inalienable right to life, liberty, and the pursuit of happiness. Today, I want to revisit a single aspect of our individual right to life, liberty, and the pursuit of happiness.

There are many ways to look at one's life, liberty, and pursuit of happiness. There are other ways to look at it which are also right than the viewpoint I am going to take today. But, fundamentally our life consists of all the hours we have lived and our plans for the use of our future hours. Let us oversimplify this further to consider each hour that we have just lived and each hour that we are about to live and make decisions on what we are going to do with it. If an individual had no control over how he just used his last hour, then it is unlikely that that hour added much to his life, it surely did not add to his sense of living in liberty, and he is unlikely to have been very successful in the pursuit of his happiness. Similarly, looking forward to the next hour of our life, we have a decision or several decisions on how to use it. If we can chose to spend all of that hour doing things that we believe will enhance our life, then we are already assured that our life will be better, we will feel free, and we will be pursuing our individual happiness in those ways which uniquely define that happiness to us as an individual, living creature.

So, what shall I choose to do in the next hour? Well, it is Sunday, so I could go home and work on building a new retaining wall for the garden. Let us suppose I do that. I get some fresh air, I get a wee bit of exercise, and I get a nice garden retaining wall. Oh, and my home value goes up a bit and my property taxes go up with it. Of course, I also paid sales taxes already on the wall blocks waiting to be used and on the gasoline used to go buy them. OK, so I guess I will do something else. I could watch TV and listen to the news. How exciting to find out about the latest effects of flooding in Iowa and the new declaration of a federal emergency area to cover the troubles there. And, I learn about how Obama is sure that there is no need to allow the drilling of oil in federal lands, which just happen to cover most of many of our western states. Or, I could hear McCain proclaim that he thinks the north slope in Alaska is pristine and we should leave it that way. I could hear many schemes to make the American medical system like that in Canada, the UK, France, or even Cuba. Yes, even Cuba, but I will not talk about that one, since only the truly insane want Cuba's medical system. So, if I watch TV news, I am frustrated, but, hey, I made the choice, right? But, I did still pay taxes to purchase the TV and I have a room for it in my house on which I must pay property taxes. Still, both choices to work on the garden or to watch TV are relatively lightly taxed and both are relatively free of government expropriating some of my time during that hour or in subsequent hours because I made one of those choices.

Let us suppose that being a small business owner, I decide to go to my laboratory and work on analyzing a carbon coating said to have been applied to a cubic zirconia gemstone to make it look more diamond-like. The income of an hour of work on that project will have federal income taxes, social security taxes, Medicare taxes, Workman's compensation insurance, and Maryland and Federal unemployment taxes withheld from it. I have no determinative choice in how that money is used and I oppose most of the ways in which it is used. Some of the ways it is used are just wasteful and evil for depriving me of the better things I could do with it, but many of them are for the actual doing of further evil deeds. Because I am a business owner, I have further bookkeeping to perform for replacing any supplies I may use in the laboratory analysis I chose to do in this hour. If I take some part of the money I made and invest it in buying additional laboratory equipment, then I get to pay property taxes on that equipment and do the bookkeeping to keep track of its depreciation over the years. Now, I happen to enjoy finding out such things as the nature of new coating technologies and I have specifically in the area of coatings on gemstones discovered some false claims in advertising. I also like working to be able to add to my laboratory's analysis capabilities by buying new equipment. This is fun, but is there any valid reason why when I make this choice to do productive work, I am taxed many more minutes of the hour with tax payments and with the mandated, unpaid contribution of future time than I would be if I worked on the garden retaining wall or I watched TV?

I think it is fair to say that this is clearly wrong. This is clearly a violation of my right to life, liberty, and the pursuit of happiness. I do not have the liberty to choose to spend the next hour of my life on anything without government taking a part of that hour away from me. This is especially true if I try to do productive work which requires an income to enable me to carry out that work. It costs a lot of money to keep a laboratory working. Most of the income the laboratory makes goes into paying the bills to keep it going. A small part, highly dependent upon the fluctuations in the laboratory income, goes to me in the form of a salary or into buying equipment which enables the laboratory to make more money in the future or at least to keep it up-to-date enough to continue making as much money as it does now. But, each new piece of equipment brings more taxes and more bookkeeping. I may love doing the scientific investigating that I do into the properties of materials and in evaluating the success or failure of various manufacturing processes, but I am forced by governments to pay a heavy price in precious minutes out of every hour that I choose to put into such work. Why? Why do I have less right to an hour of my life put into laboratory material analysis than I do if I put it into building a garden retaining wall or into watching TV?

What gives those who vote for these government policies that discriminate against what I like to do the right to make such forceful demands upon the minutes of each hour of my life? Is it not the case that each such minute they take is one in which they hold me as their slave? For years I have been asking this question. No one ever gives me an answer. Those elitists who believe they know how a man should live his life and that they are the ones to force him to do so according to their values never answer my question. Why should they? They have the power. The force and as-needed violent power of government is in their hands. I am deprived of many minutes of every hour I choose to work by applying my time, my investment of untold thousands of hours in all the technical and scientific knowledge I have acquired, and my investment in the laboratory I have struggled to build and I do not even get an answer as to why.

It is especially wry that many of these socialist elitists controlling governments claim to be egalitarians. This is a fraud. We all have the same number of hours of life in a week, yet they take many more hours in the form of taxes and mandated requirements for our work from some of us than from others. This taking is the taking of the hours of lives. They seek equality of income and property, but the most precious thing that any of us have is the hours of our lives. That, these socialists tax with extreme inequality.

Walter E. Williams wrote a column called "Are Americans Truly Against Slavery" in which he identified excessive taxes as slavery. As I have noted in the past, Williams is very good at getting to the heart of the matter and he does so with an obvious passion. I wrote a comment in reply to this column also at this same website. A number of the other comments are also quite good.

The Right to Offer Employment Without Enslavement

As an adult with full possession of his senses, I have the right to choose to devote hours of my life to productive work. No one has the right to deny me that choice or to prevent me from doing productive work. Others have this same right. Furthermore, we have the right to work with one another to carry out tasks which we have agreed to perform together. No one has the right to deny us this cooperation. For them to do so is a significant violation of each of our individual rights to life, liberty, and the pursuit of our happiness.

Now suppose that of the several people working cooperatively to accomplish the tasks they have chosen to work on have come to terms in this cooperation which take into account that one or more have invested many more previous hours of work and provided capital in order to make it possible for others of the group of cooperating individuals to have the job that they have chosen to take. Commonly the individual or group of individuals who invested prior hours of work and capital to make other jobs possible are the owners of a business. One would think that their efforts to create other jobs which did not require years of work with low income so that every possible penny could be re-invested in the business and who mortgaged their home and used a substantial part of their prior life savings to start a business and guide it through the first 5 to 10 years when most businesses fail, would be considered something of a good guy.

But no. Such a person is regarded with great suspicion by government. Governments at all levels are inclined to believe that this employer must be watched with an eagle eye and closely regulated. Regulation means that he will commonly be told that he must do this and he must do that or the full force of government wielded violence will fall upon his head. So, he must keep books which may require the investment of many, many more hours each year than the needs of his business actually require. He must collect payroll taxes from his employees and keep records on them and submit forms on the process to the governments. Each quarter of the year he may be required to submit state unemployment insurance fund payments with filled out forms to the state government, even in those quarters where virtually every worker has exceeded the $8500 limit on which the tax is collected. The time to fill out the form may be 30 or 40 minutes and the payment may be less than $10. The state government is not bothered by this in the least. After all, they did not have to pay the employer for his time. Indeed, the employer is never regarded as an actual individual having a finite number of hours in his life. This employer apparently has no right to believe that he has a right to these hours of his life at all. The state, local, and federal governments are all very sure that they can require an employer to turn over many tens of hours of his life every year to them.

Slavery has always been present throughout all of recorded history. Slavery is not just the case of putting chains on a man and then telling him that he must do this and that or you will whip him. In fact, the slave will do better work if the chains are not present. The slave master may find it more effective to tell the slave to do this and that and keep me happy or I will kill your wife and children. Or, in the modern age, he (or a large gang of slave masters) may instead say, you have invested years in earning a house and saving money or in building a business. How wonderful, because this means that we can force you to do our bidding with the threat that we will take your house away from you, we will take your savings, or we will take the capital of your business away. This has great advantages, because this gang of slave masters now does not have to look so brutal as they would standing there with the blood of your wife or children dripping from their hands. Now they have merely to take money and property, which is so much cleaner. But does not taking this money and property mean that they are taking the hours of the employers life used to make the money and acquire the property? Is this not a clear violation of his right to life and certainly of his right to pursue his happiness? Is this slightly higher level of abstraction really too much for most Americans and others to comprehend? Apparently it is. Or do they understand, but they really do not believe that a man has the right to life and the pursuit of happiness?

Once upon a time, Americans thought that the individual right to life, liberty, and the pursuit of happiness was something every man had a right to fight for whenever anyone used force to deprive him of these rights. Americans fought King George III and the English Parliament in the name of this right, but apparently any American today who is an employer is especially deprived of these individual rights. Yes, everyone is substantially deprived of them and everyone is substantially enslaved by requirements imposed with the threat of force upon many of the hours of his life. But, no one is so heavily enslaved as the damned employers.

So, what is the most recent imposition upon my time? The 2007 Survey of Business Owners and Self-Employed Persons, which Title 13, United States Code, requires businesses and other organizations that receive this questionnaire to answer the questions and return the report to the U. S. Census Bureau. The form requires information on the business and on the four principal owners of the business.

So what information is so critical that the government feels justified in taking 30 minutes of my time? Is the business owned by another company, employee owned, is it a cooperative, owned by an estate or trust, an American Indian tribal entity, a non-profit, publically held, did any individual own 10% or more of it, is it jointly owned by a husband and wife, did two or more members of the same family own the majority of the business, how many owners are there, and give the % ownership by the top four owners.

Owner: How was ownership acquired? When was ownership acquired? What functions does owner perform? How many hours does owner work a week? [60 or more is regarded as an adequate upper limit! Government workers have no idea.] Was business the primary source of income? Prior to this business, was owner ever self-employed? [Yes, I cut lawns as a kid.] What was the highest education level? Is owner male or female? What age is owner? Was owner born in US? Is Owner Hispanic, if so what type? Is owner White, Black, American Indian, Asian Indian, Chinese, Filipino, Japanese, Korean, Vietnamese, other Asian, Native Hawaiian, Guamanian or Chamorro, Samoan, other Pacific Islander, or some other race? [Other, human.] Is he a veteran? Is he a disabled veteran?

Business: What year was the business established? What sources of capital were used to start the business? [No government grants, loans, or insured loans, that's for sure. I did not meet the racial and gender requirements.] What was the total amount of capital used to start the business? Did business operate from home? Operate as a franchise? Did franchiser own more than 50%? What sources were used to finance expansion and capital equipment in 2007? How much of sales was from export in 2007? Did business establish operations outside US in 2007? Did business outsource functions outside US? What languages was business conducted in? What types of workers were used? What benefits were supplied? Do you have a website? Have e-commerce sales? Make on-line purchases? What are business hours? Is business currently operating?

Congress does not even read the bills they pass. What are the chances that they will study this data to learn anything about business from it? Actually, the fixation on such issues as the race of the owners suggests that they have no interest in understanding business. They simply want to have justifications for continuing to discriminate against those businesses owned by white males. They also want information on the extent of outsourcing overseas so they can monkey with businesses on that prime issue for demagogues, read most politicians.

I really am tired of being a slave to governments. Is there something wrong with me because I feel that way? Don't be shy you lovers of government expansion. Justify my slavery. Tell me why I should embrace it as a rational man. Ease my pain by giving me understanding. If you cannot do so, then share my pain enough that you will start taking action to reduce my enslavement. Don't continue being a slave master yourself. Surely you do not believe in slavery? Surely you find yourself appalled at what you have wrought? Free the slaves!