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Going Dutch Not the Answer for Canada

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Submitted By hbarness
Words 1105
Pages 5
Hunter Barnes-Sinclair
October 7th, 2014-10-06
HS 4044a
Kathleen Gamble

Going Dutch May Not Be The Answer

In society, it is a common practice to discuss which healthcare systems are most effective. Likewise, people often wonder how less-effective systems can reform to be similar to those that are successful and thriving, such as the privatized system in the Netherlands. Many articles, pieces of literature, and discussion with peers indicate that the system in the Netherlands is overall one of the highest quality systems that exists to date. What some critics fail to consider when evaluating the greatness of one system is how each healthcare system may thrive or fail depending on the context of its operation. Moreover, one must consider barriers within populations when assessing how effective a healthcare structure is if implemented within a new geography. Therefore, although there is much to desire about the healthcare system in the Netherlands, the idea that other nations, such as Canada, should strive to have similar implementation is not realistic due to population and geographical barriers.

This paper will evaluate how the Canadian healthcare system, although universal, may not necessarily be effective in the treatment and care of patients, and how the Canadian system would fair by adopting similar strategies to the Netherlands. To begin, Canadians have repeatedly found dissatisfaction in the wait times for care and the shortage of medical professionals that exist within the system (Deber, Gamble, Mah, 2010). Therefore, in order to improve upon what is being criticized, a reform must include solutions to reduce wait times and increase the number of professionals that are available for the treatment of patients. Many health policy makers would look to the polished and effective Netherlands to evaluate the existing wait times. Given the smaller population in the Netherlands, totalling 16.8 million (World Bank, 2013), one may hypothesize that the smaller population would lead to shorter waiting times. This is proved null by the fact that 30% of those awaiting an appointment with a specialist can expect a timeline equal to or longer than four whole weeks (Daley and Gubb). In addition, “it was found that a third of emergency GP calls went unanswered within 30 seconds” (Daley and Gubb). This information indicates that it is fairly difficult to reach a health professional when a patient is in need, thus reducing the accountability of the system in the Netherlands. Moreover, the answer to reducing wait times and increasing the number of available systems is not one that can be found by looking to the Netherlands.

Due to the fact that healthcare is provided on the basis of tax dollars collected by the government, residents of the country have no autonomy in terms of how they choose to spend money for health insurance. Moreover, Canadians have become accustomed to the system and are passive subjects in the process of receiving the coverage associated with provincial healthcare taxations, such as OHIP. In contrast, healthcare in the Netherlands is completely privatized and residents have a great amount of autonomy in choosing which insurance they choose to invest in and which supplementary insurance they wish to purchase (Daley and Gubb). Moreover, it is known that policy implantation is often not successful when implanted too fast (McDonald, 1996). Therefore, if Canada were increase the autonomy of consumers by allowing personal selection of insurance and complementary benefits, the sudden change to policy may result in great failure. Although the privatized healthcare system in the Netherlands and the associated autonomy of consumers is regarded as highly effective, Canada may not benefit from such reform if suddenly implemented.

In the Netherlands, certain healthcare services are included within the most basic packages of health insurance. For example, among the basic inclusions of health insurance are dental services and rehabilitation services (Daley and Gubb). This is in contrast to the Canadian healthcare system, where dental services and rehabilitation services are not among the most basic care coverage. OHIP does not cover dental services or rehabilitation services in Ontario, thus reducing the affordability of care to many residents who do not have supplementary insurance available to them (ex. through employment). Moreover, if dental services and rehabilitation services were to be included in basic healthcare insurance packages in Canada, there would be an increased demand on dental professionals and rehabilitation specialists in the country. As stated before, patients in Canada are already unsatisfied with the availability of healthcare professionals within the field, and an increased demand on these professionals will lead to an even great unavailability of these experts. Once again, although the healthcare system is satisfactory for the Dutch, implementation into the Canadian context provides many barriers and issues that need to be addressed.

Despite many critics’ and researchers’ positive reviews of the Dutch healthcare system, application of the same healthcare principles to a less effective system, like Canada’s, is not a solution to the downfalls it possesses. Although healthcare systems may be effective in their native context, a reform to the same type of system in a different context may fail due to the different inequities that are found between populations. Long wait times and inaccessibility of healthcare professionals in Canada are not easily managed and solved by adopting the Dutch system’s characteristics. In addition, autonomy also comes with a sense of responsibility. Dutch residents are responsible for their own choices in receiving healthcare from specific health insurers. Due to the fact that Canadian residents lack autonomy in the current healthcare system, residents may face challenges if provided with more autonomy and responsibility in choosing their health insurance. Finally, although health professionals and specialists may be available to assist Dutch residents who are insured for services such as dentistry and rehabilitation, an increased demand on those professionals in the Canadian system may lead to increased dissatisfaction of residents who already find shortcomings in the current availability. Despite the great satisfaction Dutch inhabitants have with their own healthcare system, policy-makers and other researchers must consider why the system thrives within one context, and why it may fail in another context.

References
Daley, C., & Gubb, J. (2011). Healthcare Systems: The Netherlands. Civitas, 1-11. Retrieved January 1, 2014, from owl.uwo.ca

Deber, R. (2010). Canada: Variations on a common theme. Italian Journal of Public Health,7(4), 224-231. Retrieved October 7, 2014, from https://owl.uwo.ca/access/content/group/aa100ae1-9886-46d3-825b-3674234679e9/WeekTwo/DeberCanadaVariationsonCommonTheme.pdf

McDonald, M. (n.d.). Strategic Marketing Planning; theory, practice and research agendas. Journal of Marketing Management, 12. Retrieved from http://www.market2win.com/blog/wp-content/uploads/2012/09/Implementation-issues-and-examples.pdf

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