Cato Institute
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12. Nadeem Esmail and Michael Walker, "Waiting
3. "UK to Strike New Deal with Private Health
Your Turn: Hospital Waiting Lists in Canada,
Sector," Reuters Health, December 4, 2001.
13th edition," Fraser Institute, Critical Issues
4. Organization for Economic Cooperation and
Bulletin, October 2003.
Development, OECD Health Data 2000 (Paris:
13. "New View of Waiting Lists," New Zealand
OECD, 2000).
Herald, November 11, 2004.
5. For a discussion of managed competition in
14. See Hoel and Saether, "Private Health Care as
Germany, see Stefan Greg, Kieke Okma, and Franz
a Supplement to a Public Health System with
Hessel, "Managed Competition in Health Care in
Waiting Time for Treatment," Frisch Center for
the Netherlands and Germany--Theoretical
Economic Research, Oslo, Norway, 2000.
Foundation, Empirical Findings and Policy
Conclusion," Lehrstuhl für Allgemeine Betriebs-
15. Esmail and Walker, "Waiting Your Turn."
wirtschaftslehre und Gesundheitsmanagement der
Ernst-Moritz-Arndt-Universität Greifswald, Dis-
16. "Purchasing for Your Health 1996/97," New
kussionspapier, April/May 2001.
Zealand Ministry of Health, March 1998.
6. Kieke Okma, "Health Care, Health Policies and
17. Matthew Young and Eamonn Butler, "The
Health Care Reforms in the Netherlands," School
Million-Year Wait," Adam Smith Institute, 2002.
of Public Policy Studies, Queen's University,
Kingston, Ontario, March 2000.
18. Anthony Browne, "Cash-Strapped NHS
Hospitals Chase Private Patient `Bonanza',"
7.  Johan Hjertqvist, "Swedish Health-Care
(London) Observer, December 16, 2001.
Reform: from Public Monopolies to Market
Services," Montreal Economic Institute, 2001,
19. Richard F. Davies, "Waiting Lists for Health
http://www.iedm.org/library/Hjertqvist_en.html.
Care: A Necessary Evil?" Canadian Medical
Association Journal 160, no. 10 (May 18, 1999):
8. Victor Dirnfeld, "The Benefits of Privatization,"
1469­70.
Canadian Medical Association Journal 155, no. 4
(August 15, 1996): 407­10. For instance, many
20. Gerard F. Anderson and Peter S. Hussey,
Canadian provinces now send breast cancer and
"Comparing Health System Performance in
prostate cancer patients to the United States for
OECD Countries," Health Affairs, May/June 2001.
radiation therapy. For a discussion of Canadian
cancer patients being sent to the U.S. for radiation
21. According to a survey, Canadian family physi-
treatment, see Mark Cardwell, "Quebec Cancer
cians see an average of 124 patients per week. See
Patients to Head South," Medical Post 35, no. 22
Pat Rich, "Seventy Percent of Country's FP
(June 8, 1999); Robert Walker, "Alberta Centre May
Practices Closed to New Patients: Survey,"
Soon Fly Its CA Patients South," Medical Post 35,
Canadian Medical Association Journal 65, no. 11
no. 34 (October 12, 1999); Lynn Haley et al.,
(November 27, 2001).
"Guarding the Border," Medical Post 36, no. 01
(January 4, 2000); and Doug Brunk, "Canada
22. Karen Donelan et al., "The Cost of Health
Sends Overflow of CA Patients Down South,"
System Change: Public Discontent in Five
Family Practice News, May 1, 2000.
Nations," Health Affairs, May/June 1999.
9. Task Force Report, An Agenda for Solving America's
23. Gerard F. Anderson, Uwe E. Reinhart, Peter S.
Health Care Crisis, NCPA Policy Report no. 151,
Hussey, and Varduhi Petrosyan, "It's the Prices,
National Center for Policy Analysis, May 1990; and
Stupid: Why the United States Is So Different
John Goodman and Gerald Musgrave, Patient Power
from Other Countries," Health Affairs 22, no. 3
(Washington: Cato Institute, 1992): 477.
(May/June 2003): Exhibit 5.
10. In one case, a public hospital sold MRI scans
24. "Health and Medical Information," Medicine
after hours for use by veterinarians on pets. This
Net.com.
proved to be controversial, however, and a public
outcry forced the program's cancellation. See
25. John C. Goodman, National Health Care in
Thomas Walkom, "No Pets Ahead of People.
Great Britain: Lessons for the U.S.A. (Dallas: Fisher
Health Ministry Says Leadership Candidate Eves
Institute, 1980): 96­104.
Was Mistaken about MRI Availability," Toronto
Star, January 11, 2002.
26. Anderson, Reinhardt, Hussey, and Petrosyan,
"It's the Prices, Stupid," pp. 89­105.
11. UK Department of Health, "Waiting List
Figures, November 2001," Statistical press release,
27. For a framework of NHS coronary care goals,
January 11, 2002.
21