Most people are probably unaware that Canada's Single Payer
system did not originate in Ottawa but in one province and
was eventually picked up by the National Government.
John Nickols explains.The initial progress came at the provincial
level, led by the Co-operative Commonwealth
Federation's Tommy Douglas when he served from
1941 to 1960 premier of Saskatchewan. The
universal, publicly-funded "single-payer"
health care system that Douglas and his
socialist allies developed in Saskatchewan
proved to be so successful and so popular
that it was eventually adopted by other
provinces and, ultimately, by Canada's
federal government.
For his efforts, Douglas would be hailed
in a national survey as "The Greatest Canadian"
of all time. But Douglas' regional initiative
also offers a lesson for Americans.
Those of us who know that the only real cure
for what ails the U.S. health care system is
a universal public plan that provides health
care for all Americans while controlling costs
recognize the frustrating reality that there
are many economic and political barriers to
the federal action that would create a
single-payer system. This makes clearing the
way experimentation at the state level all
the more important.
And this is probably the most practical way it will
come about. The good news is that a amendment
to the House Bill has been added allowing for this.
By a 25-19 vote, the House Committee on Education
and Labor on Friday approved an amendment to the
House's health-care reform bill allowing states to
create single-payer health care systems if they
so choose.
"There are many models of health care reform from
which to choose around the world - the vast majority
of which perform far better than ours. The one that
has been the most tested here and abroad is
single-payer," explained Congressman Dennis Kucinich,
the Ohio Democrat who proposed the amendment.
"Under a single-payer system everyone in the U.S.
would get a card that would allow access to any
doctor at virtually any hospital. Doctors and
hospitals would continue to be privately run,
but the insurance payments would be in the public
hands. By getting rid of the for-profit insurance
companies, we can save $400 billion per year and
provide coverage for all medically necessary
services for everyone in the U.S."
Votes for the amendment came from progressive
Democrats who favor single-payer -- such as
Congressional Progressive Caucus co-chairs
Lynn Woolsey, of California, and Raul Grijalva,
of Arizona -- as well as conservative Republicans
who have no taste for single-payer but want states
to be able to set their own agendas.
I know the sentiment is for us to just bite the bullet and get
Single Payer enacted on the Federal Level but I personally
do not see that as happening. But I do see the a few States
doing it since action of that type is more easily done on a
State Level. When It proves to be more viable, then you
will see it on a national level.
C