First of all, we don’t euthanize our infirm or elderly. Most Canadians would cringe at the thought. Yes, Canadians do have universal access to necessary health care, but this benefit has never led to a push for euthanasia, as the two issues are different concepts.

My wife, who works as a broadcast producer, shared a humorous anecdote with me a few days ago. Her managing editor, just returned from a family vacation in Virginia. He said that the locals really wanted to talk with him as soon as they heard that he was a Canadian broadcast executive. And the topic on everyone’s mind was – you guessed it – health care. Sadly, a lot of the folks he conversed with were sorely off the mark or, worse yet, perhaps purposely misinformed about the reality of the Canadian health care experience. The fabricated gem about euthanasia is just one example he shared.

It sure does sound plausible, though. Think about it. Canadian taxpayers’ dollars directly and indirectly fund a mammoth and complex system of family practitioners, specialists, surgeons, nurses, clinics, hospitals, lab work, assisted care and convalescent care facilities. It would reason then (given some well-timed propaganda) that the administrators of this mammoth system would authorize cutting the lifeline, quite literally, of those whose care costs the most, have no hope of getting better and have no likelihood of contributing to the very system that pays for their expensive care. Sounds believable, but it is not reality.

Many well-publicized court cases underscore Canada’s aversion to any form of assisted suicide or euthanasia. In 1993, a farmer from Saskatchewan named Robert Latimer, carried-out a mercy killing on his twelve-year-old daughter. She suffered from severe cerebral palsy, could not walk, talk or feed herself and was in chronic, excruciating pain. A year later, Latimer was convicted of second-degree murder and sentenced to ten years in prison with no chance of parole. Further cases have upheld the court’s objection to those who have aided in others’ suicide or active cessation of life. In other words, Jack Kevorkian could not have gotten away with it in Canada either.

The ‘Canadian Health Care Plan’
So, how does it work? Canada’s health system is not a federally-administered public health insurance plan. Instead, what we do have is a fabric of individual provincial plans that mirror a set of national ‘medicare’ principles. That’s quite different from what is being floated by Washington.

Here’s how it works in a nutshell. Your average Canadian pays income tax to both the federal and provincial governments, with the federal side taking the lion’s share. The federal government doles out a portion of total revenue from personal and corporate income taxes, along with other sources of income to fund ‘transfer payments’ back to the ten provinces and three territories. These transfer payments are earmarked specifically for health care. Each province or territory is individually responsible to administer and deliver health care services. Some provinces, such as Ontario, levy an additional health care fee on workers’ paychecks to shore-up gaps between available funds and the reality of costs.

There are differences in the precise ways in which each province or territory administers its own health care system. However, the federal government has an overall responsibility to set principles and priorities through legislation that each province or territory must mirror. As such, Canadians living in British Columbia on the west coast, Newfoundland and Labrador on the east coast or anywhere in-between, take advantage of similar coverage and services.
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