Impending Brain Drain
Amidst my general happiness for our American friends in joining the rest of the western world in providing access to health insurance for all of it’s citizens, there are a few aspects of this story concerning Canada that I want to take a look at. Yesterday I heard from a few people that while they too were happy for the American people, they didn’t really care as it would have no effect on them. There’s a few reasons why this is not true, but what immediately jumps out to my mind is the twofold effects of ‘brain drain’.
First, new provisions in the law will allow over 30 million people to gain access to health insurance/care for the first time. Hospitals are going to be adding doctors and nurses to their staffs, and Canada is, and will continue to be a fertile recruiting ground to fill those spots.
Compounding this is the new ability for those who are self-employed to purchase insurance on ‘exchanges’, which will effectively give individuals the same purchasing power as large groups. This will finally make purchasing health insurance for oneself a tenable position. There are many folks who in the past have been turned off from emigrating to the States based solely on the fact that buying healthcare insurance on the individual market was next to impossible. That is no longer the case, meaning that there is that much more intellectual/entrepreneurial talent flowing south.
This country already has a doctor shortage as it is and we should be aware that they will be sought out even more so now by US hospitals. This fact highlights that we need to continue in our efforts to train more physicians as well as increase our acceptance of foreign trained care providers. US health care reform also holds the possibility to have some positive effects on Canada, and I will look at those in post to follow shortly.
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