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*Paxil is a registered trademark of GSK.
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FIXING HEALTH CARE: THE CANADIAN MODEL
There are as many cost-cutting schemes as there are experts. One that has been widely discussed is the Canadian plan, which provides health care at 40 percent less cost than that in the United States. That's a 1,000 dollars difference per person per year - a potential savings of 240 billion dollars a year. Half of the savings could come from the elimination of the huge U.S. apparatus for billing and paying claims.
Here's how the Canadian plan works. Each province designs and administers a health plan, setting its own budget. Aided by a central-government grant based on the number of patients, each province pays doctors, hospitals, and other providers without spending more than the agreed-on budget. Taxes pay for the system.
Each citizen carries a plastic health card, which he or she presents when visiting the doctor or going to the hospital. There are no claim forms to fill out - the doctor sends a single form once a month, eliminating the huge administrative costs that plague the United States. The system also virtually has eliminated the insurance companies.
Dr. Nancy Dickey, a trustee of the American Medical Association (AMA), is wary of the Canadian plan. "When you set a budget for health care and the need for services outstrips the budget, you let your patients wait," she says. "We at the AMA don't think people want to queue up."
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GENERAL HEALTH
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