1. Socialized Medicine in Canada: A Personal Perspective Barbara Schneiderman

2. Population Comparisons Source: https://www.cia.gov/library/publications/the-world-factbook/ 33.4 million 307.2 million

3. Canada’s Socialized Medicine Timeline 1947 Saskatchewan initiates universal public hospital insurance plan 1958 5 more provinces follow with federal cost sharing 1972 All provinces have independent plans 1984 Canada Health Act adopted 2005 Supreme Court of Canada rules wait times excessive, legalizes private supplementary insurance. Birth of 2-tiered system Source: http://www.hc-sc.gc.ca/hcs-sss/pubs/system-regime/2005-hcs-sss/time-chron_e.html

4. How Canadian social systems are funded Taxable Income ($) Quebec Tax Rate (%) Federal Tax Rate (%) Combined Tax Rate (%) 0-9,6000.00 9,601-12,1810.0012.53 12,182-29,29016.0012.5328.53 29,291-37,17820.0012.5332.53 37,179-58,59520.0018.3738.37 58,597-74,35724.0018.3742.37 74,358-120,88724.0021.7145.71 >120,88724.0024.2248.22 Source: Berish, Howard, FCA. “2007 Year End Tax Planning.” SNG Collins Barrow, 2007. Sales Taxes GST: 5% PST: 7.5%

5. Where your taxes go… 2. Intelligence Repot. Parade Magazine. March 16, 2008. www.Parade.com/intel1. http://money.cnn.com/news/storysupplement/economy/bailouttracker/

6. Where your salary goes… Gross Income Social Security Medical Federal Income Tax State Income Tax (CO) NET INCOME Gross Income Quebec Pension Plan Quebec Parental Insurance Plan Employment Insurance Commission Federal Income Tax Provincial Income Tax (QC) NET INCOME Canada (50K) $50,000 (2,119) (242) (584) (5,127) (6,205) $35,724 USA (50K) $50,000 (3,100) (725) (5,206) (1,780) $39,189

7. Where your salary goes… Gross Income Social Security Medical Federal Income Tax State Income Tax (CO) NET INCOME Gross Income Quebec Pension Plan Quebec Parental Insurance Plan Employment Insurance Commission Federal Income Tax Provincial Income Tax (QC) NET INCOME Canada (100K) $100,000 (2,119) (300) (584) (15,028) (17,019) $64,951 USA (100K) $100,000 (6,200 (1,450) (17,194) (4,098) $71,058

8. Government Health Care Spending as a Percentage of GDP Country200220252050 Australia6.4%11.5%21.1 Austria5.48.313.0 Canada6.79.513.5 Germany8.614.725.6 Japan6.711.718.2 Norway8.013.925.0 Spain5.510.521.4 Sweden7.910.212.9 United Kingdom6.410.016.0 United States6.613.832.7 Source: “Projecting the Past into the Future.” National Center for Policy Analysis. December 2005.

9. Choosing no treatment due to cost Source: 2004 Commonwealth Fund International Health Policy Survey Canada United States Canada

10. Benchmark Wait Times in Canada Source: “Waiting for Access” CBC News. November 29, 2006, http://www.cbc.ca/news/background/healthcare/waiting.html ProcedureWait Time Benchmark Notes Radiation therapy (cancer) Within 4 weeks Patient ready to treat Hip fractureWithin 48 hours Hip/Knee replacements Within 26 weeks Cataract surgeryWithin 16 weeksHigh risk patients Breast cancer screenings Once every 2 yearsWomen ages 50-69 Cervical cancer screenings Once every 3 years Women ages 18-69, after 2 normal tests Cardiac bypassWithin 2-26 weeks Depending on severity

11. Personal Stories

12. Auntie G 73 year old single female, kidney tumor

13. Mother 54 year old female, lymphoma

14. Uncle I. 79 year old male, gastroenterologist, lung cancer

15. Brother 49 year old male, stem cell transplant, non-Hodgkin's lymphoma

16. Giving birth in Canada Timeframes and Caps

17. Two cases of heart valve replacement 78 & 83 year old females

18. Premier Robert Bourassa Melanoma treatment National Cancer Institute, Bethesda, Maryland

19. George Zeliotis Supreme Court of Canada: Wait times violate Quebec’s charter of rights & freedoms

20. Conclusions You Decide!!