I got a new pair of glasses couple of days ago. They’re high index transitions (ie, becomes dark when I’m outside) lens on sort of rectangular thick-ish dark matte blue titanium frames. I’ll try to get a picture up soon. Anyway, first thing I was asked when I walked into the optometry was whether I was covered under insurance or not. Upon providing the said insurance, I overheard them talking to each other.
“Check this guy’s insurance, it covers everything!”
“Wow, even this! That’s not usually covered”
“I don’t think I’ve ever seen a plan this generous…”
Apparently, Altera has very, very nice vision policy. When it came the time to pick the type of lens, they were pushing all sorts of add-ons. High index, transitions, several different types of coatings, when them offering ever increasing series of services until the final bill (most of which was paid by the insurance policy) came to little over $700. As I was picking the glasses up, I mentioned how I was surprised by the amount. The receptionist there said “Well, we could’ve done things to make them more manageable, but with your plan being so good, why not take advantage of it?”
About a week ago, I called a local dentist to schedule a checkup. After getting my name and phone number, the third question was whether I had a dental plan.
“Do you currently have a dental plan?”
“Yes, I have one at Delta Dental”
“Have you used the benefits this year?”
“No, I’ve just recently started working here.”
“Oh, good! We’ll get you scheduled for the full service then, we’ll get your teeth checked from top to bottom and get the X-Ray taken and everything”
As one of the privileged, the service I’m receiving in US is much better than those in Canada. But I can’t help but feel that I’m getting the top tier, deluxe versions of treatment, while others are at various different tiers depending on how good the insurance policy is and whether they have the money to pay for it or not. Going to an emergency room in Canada is an excruiciating experience - you walk in and sit in the waiting room for 2 hours until a nurse comes by with a form for you to fill out. After you had in the form, you wait another couple of hours until a doctor may grace you with their presence. When I had to visit an emergency room in US (back in summer during the solar car race), as I walked in, the nurse there already had all my information, a nurse practitioner checked my vitals in 5 minutes, and I saw a doctor another 5 minutes after that. As opposed to sitting in a waiting room with 20 other people, there was just one other person waiting in a completely empty emergency room. I haven’t quite made up my mind about which of the two emergency rooms seem more dysfunctional.
Having experienced both socialistic and capitalistic systems, I’m still ambivalent about where the line should be drawn. I can clear see that the both systems are broken, but their broken parts and working parts seems to be so closely intertwined together that it’s almost impossible to mix the two.
By focusing on preventative care, health system can cheaply prevent people from becoming sick (and spending a lot of money) and that seems like the most natural way to improve the health system… But the Canadian system seems to be stretched to the point where there are no resources to be spent in preventative care and the US system seems like they haven’t yet fully figured out how to provide preventative care while staying profitable and out of lawsuits…