Can any healthcare bankers with experience in dealing with Canadian Healthcare system shed some light on why the system is inefficient and why it takes so long to see a specialist?

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Is there data supporting the assumption that it’s inefficient? Not trying to be argumentative, but genuinely have wondered this for a while given it’s such a common talking point. Like, are wait times really the best measure of efficiency?

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Yeah but I’m still not convinced wait times are the best measure of efficiency. You need to look at quality of outcomes. Is a patient more likely to die from a given condition in Canada than in another country? Maybe wait times can be seen as evidence that they system effectively allocates resources based on acuteness of patients’ conditions vs treating everything like an emergency. What about the rate of bankruptcies caused by medical bills? Is that a problem in Canada? Are people with chronic mental illnesses more likely to be homeless than they are in the US? Look I don’t know what the right answers are here, but it’s never a bad idea to challenge your own assumptions.

And let’s not pretend that insurance companies in the US don’t require multiple levels of approval, too.

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I’m curious to hear what you learn as you dig deeper into the opportunity. Keep us posted!

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Anecdotally it should take a long time because the government runs the healthcare system... So you probably have a scarcity of physicians because there isn’t potential to make huge sums of money like we have in the US (low supply). And since all are covered you have higher demand. The gov prob also requires any procedure to be approved by several levels (primary care then a specialist, etc) in order to keep their costs low, unless it is a true emergency situation.

There are several data points that show how long it takes to see a specialist and/or get a surgery scheduled in developed countries. Canada is rated one of the worst. Up to 12+weeks to schedule an appointment and sometimes 6+ months for a surgery. Even when some cases are urgent. I agree about getting approval from several levels but that doesn’t answer the latency

Definitely has pluses and minuses. I’m on the buy side now and looking at an opportunity in Canada. Tough to find what the inefficiencies are and potential down side. Canada also has a private paying population and providers that solely provide services to private payors

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