Care Spending in Canada, 19601997," Table
see "National Service Framework for Coronary
C.2.4, Canadian Institute for Health Information,
Heart Disease," UK Department of Health,
1999. The proportion of private medical spend-
London, 2000.
ing in Canada is currently 30 percent. See Cynthia
28. Anderson et al., "It's the Prices, Stupid."
Ramsay, "Beyond the Public-Private Debate: An
Examination of Quality, Access and Cost in the
29. Tom Arnold, "Canada's Medical System Lacks
Health-Care Systems of Eight Countries,"
Many Bells and Whistles," National Post, November
Marigold Foundation, July 2001.
17, 2001.
40. "Health: Private Health Insurance," Year Book
30. Canadian Association of Radiologists. Report-
Australia 2003, Australian Bureau of Statistics,
ed in Tom Arnold, "X-ray Labs Dangerously
January 24, 2003. Table 9.29.
Outdated," National Post, Oct. 12, 2000.
41. Daniel Riordan, "Health Insurance Faces a
31. Marko Simunovic et al., "A Snapshot of
Bitter Pill," New Zealand Herald, January 24, 2002.
Waiting Times for Cancer Surgery Provided by
Surgeons Affiliated with Regional Cancer Centres
42. "NHS Patients Opt for Private Surgery," BBC
in Ontario," Canadian Medical Association Journal
News, January 15, 2002. The survey was conduct-
165, no. 4, (August 21, 2001): 42125.
ed by Medix UK, an Internet service for doctors.
32. This may be partially due to the fact that the
43. Anthony Browne, "Scandal of NHS Beds
NHS spends much less on cancer treatment--
Auction," Observer, January 6, 2002.
$1.35 per capita compared to $24.35 per capita in
44. Tom Arnold, "Canada's Medical System Lacks
the United States. Nick Bosanquet, "A Successful
Many Bells and Whistles," National Post,
NHS: From Aspiration to Delivery," Adam Smith
November 17, 2001.
Institute, 1999, p. 10.
45. Cardwell, "Quebec Cancer Patients to Head
33. Karol Sikora, "Cancer Survival in Britain," British
South"; Walker, "Alberta Centre May Soon Fly Its
Medical Journal, August 21, 1999, pp. 46162.
CA Patients South"; and Haley et al., "Guarding
34. Medical Manpower and Workload in Clinical
the Border."
Oncology in the UK (London: Royal College of
46. Steven J. Katz et al., "Phantoms in the Snow:
Radiologists, 1991).
Canadians' Use of Health Care Services in the
35. Review of the Pattern of Cancer Services in England
United States," Health Affairs 21, no. 3 (May/June
and Wales (London: Association of Cancer
2002): 1931. Also see Victor Dirnfeld, "The
Physicians, 1994).
Benefits of Privatization," Canadian Medical
Association Journal 155, no. 4, (August 15, 1996):
36. Richard Sainsbury, et al., "Influence of
40710.
Clinician Workload and Patterns of Treatment on
Survival from Breast Cancer," Lancet 345, no.
47. "How Not To Judge Our Health Care System,"
6850, 1995, pp. 126570.
National Center for Policy Analysis, Brief Analysis
No. 141, November 15, 1994.
37. Marcia Angell et al., Physicians' Working Group
on Single-Payer National Health Insurance, "Proposal
48. National Projections Program, Population
for Health Care Reform," Presentation to the
Division, U.S. Census Bureau, January 13, 2000. By
Congressional Black Caucus and the Congressional
contrast, the 1998 figures for men in other coun-
Progressive Caucus, May 1, 2001.
tries are 74.8 for Britain, 75.2 for New Zealand, 76.1
for Canada, and 76.9 for Sweden. For more infor-
38. Out of a population of 53 million, 6.7 million are
mation, see OECD Health Data 2001.
covered by private health insurance. See Oliver Wright,
"Private Health Cover Slumps as Cost Spirals," Times,
49. "Kids Count: 2001 Data Book Online," Annie
September 17, 2003. Also see Caroline Richmond,
E. Casey Foundation, May 17, 2002, www.aecf.
"NHS Waiting Lists Have Been a Boon for Private
org; "Health, United States, 2000," National
Medicine in the UK," Canadian Medical Association
Center for Health Statistics, 2000; and OECD
Journal 154, no. 3 (February 1, 1996): 37881; and
Health Data 2002.
Timothy Besley, John Hall, and Ian Preston, "The
50. The overall infant mortality rate has been
Demand for Private Health Insurance: Do Waiting
falling in recent years. For example, according to
Lists Matter?" Journal of Public Economics 72, no. 2 (May
OECD health data from 1998, the United States
1, 1999): 15581.
infant mortality rate fell to 7.2 per 1,000 births
39. "The Evolution of Public and Private Health
from 9.2 eight years earlier. The rate for the
22