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That is the fault of the United States health insurance industry blocking attempts at universal single-payer healthcare and turning Medicare into a privatization scam. Blaming the AMA for that is completely misguided.


We have single player in Canada and it's even worse. I have to book one appt to get referred for a blood test, another to take the blood, and then another appt to get the results!

There's even a big sign at the doctors office that says "only one health issue per appointment". Why? So they can scam the system for more cash.


> We have single player in Canada and it's even worse.

Do you have any experience with the US medical system? I lived in Alberta for 7 years and in Quebec for 3 (important to note because it is hard to take you seriously since you did not even mention that healthcare is provincially administered in Canada).

> I have to book one appt to get referred for a blood test, another to take the blood, and then another appt to get the results!

Here is an alternative explanation to "doctors are incompetent scammers": you need a referral for a specialist so that specialists are not overwhelmed with requests from hypochondriacs who read something on the Internet. Once the test results come back the doctor wants to see you to explain the results and recommend further treatment. That saves everyone time and money and is the opposite of "scam[ming] the system for more cash."

The "one health issue per appointment" is not a government policy, it is a policy that some physicians have so that they can see more patients each day.


It was a standard STD test at the beginning of a new relationship and the results were negative so it was clearly a scam. This was in Ontario.


> the results were negative so it was clearly a scam

Great use of logic.

I still do not understand why you are blaming the general practitioner clinic for referring you to a specialist. If you want same-day STD testing there are a lot of private test centers in Canada. For example, top Google search result: https://www.stdcheck.com/canada/


It's obviously a scam to call me in and bill the government $50-100 to read me my negative result in person. I don't understand how you can defend this practice.


Is there an option to get results online?

That's been available here/US and it has come in handy.


A single payer system significantly throttles what physicians can charge. They are paid per visit, so you do get this kind of behavior.

If you look at the average earnings, Canadian physicians make ~320K gross salary [1], but they need to pay expenses out of that (reception staff, office, etc.). They do well, but they are not in strata of hedge fund managers.

We should probably just pay them a flat rate, but on the balance the Canadian system is much more cost effective than the US free market system.

[1] http://globalnews.ca/news/2898641/how-much-is-your-doctor-ma...


Why would insurance companies want to pay for more visits than medically required?


Insurance companies trying to avoid paying doctors is exactly the problem - today, in order to get reimbursed to even break even doctors in the US are forced into overcharging:

https://www.youtube.com/user/davidbelk46/videos


So because doctors feel that they are not compensated fairly that justifies them using the legal system to stand between patients and lifesaving medications of their own financial benefit?

I guess doctors don't believe in the free market.


Replace "doctors" with "US health insurance companies" and you have a true statement.




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