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With all the current emphasis on providing basic if not socialized medicine and medical care to the residents of the United States it is always interesting to look at the basic social mores of other groups that have adopted this way of life – this means of providing medical care.

The line in the former Soviet Union was that “They pretend to pay us and we pretend to work.” During Stalinist times of the Soviet Union the one ( if not only ) safe means of providing criticism of current economic or social conditions or of providing a comment on the current situation that the citizens were living with and through was through humour – the telling of a joke . It was considered safe tradition. Nothing new here. The basis of most fairy tales are based in political or situational humor – to make light of something very serious and dark. The tale of “Humpty Dumpty . sat on a wall, Humpty had a great fall”- was a description of the Royalty at the time – “Off with your head could be the edict in a flash”. “Ring around the Rosie … A pocket full of poesy – Hush they all fall down” relates tales of the “Black Plague” which caused untold numbers of death and disease in the dark ages.

In the same way Canadians with their health care systems , find that their only recourse to poor service levels with corresponding staggering growth of bureaucracies and their infrastructures and systems find that their only recourse seems to be the telling of jokes and humor related to the current state of the Canadian
“Health Care System” and Systems.

Medical economist M. Labovitch pointedly notes that the butt of the anger is safely directed at doctors rather than taking a risk to the health care of the teller of the tale and their families.

Bureaucrats it seems , while putting in their full days , compiling reports and printing graphs and charts on the high end colour laser printer , have little sense of humour and the telling of jokes:

Five Canadian Surgeons are discussing who makes the best patients to operate on.

The first, an Ontario surgeon says, ‘I like to see accountants on my operating table, because when you open them up, everything inside is numbered.’

The second, a Quebec surgeon responds, ‘Yeah, but you should try electricians! Everything inside them is colour coded.’

The third a B.C. surgeon says, ‘No, I really think librarians are the best; everything inside them is in alphabetical order.’

The fourth, an Alberta surgeon chimes in: ‘You know, I like construction workers…those guys always understand when you have a few parts left over.

But the fifth, a Newfoundland surgeon shut them all up when he observed: ‘You’re all wrong. Politicians are the easiest to operate on. There’s no guts, no heart, no balls, no brains and no spine, and the head and the ass are interchangeable.

At least Canadians currently have the escape valve of private medical care in the US afforded to them at present , at least for the time being.

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Medical tourism has been seen by many as a blessing.  Que lines can be substantially shortened.  What may not be available in your home country may well be available to you elsewhere.  In Canada for example it may be a multi-year wait for hip or knee replacement surgery or therapy.  It is not only a question of convenience.  The poor patient may be incapacitated .  What kind of a life can they lead – almost being handicapped.   In addition they may live in great pain which for the most part will make them dysfunctional if not almost always in a “bad” mood.  Small reason why.

If they have the funds available one can well say – “What is money for”.  To have funds yet be in pain , not being able to lead your life as you want it is not a bargain in the mix.   Often it is not only a question of the money at all.  Its the quality of life afforded.  Quality of life is everything.

One may wonder the mentality of allowing such ques to take place.  In a socialist mindset the worst thing that can possibly occur is “Que jumping”.  The origin behind this way of thinking and value statement / judgment is that under socialism services and goods available are seen in the “pie”  concept.  There is only one “pie’  of services.  If one person takes a piece of pie there is less left for everyone else.  If you take a piece of the pie by jumping ahead of the Que then you are reducing the amount of goods/services / pie for me and everyone else.  Thus que jumping when it comes to medical services is downright evil and immoral.

The fallacy in this logic is that in progressive societies those that are most productive expand the pie or pies.

Their inputs , factories so to speak , produce additional pies.  It can be said that in the socialist paradise – the former Soviet Union – everyone had a job , but not everyone could afford to eat.   Even in the socialist paradise of the Soviet Union there were privileged classes – the “party members’  who certainly had great powers to jump the Que lines in a much greater fashion and manner than was and would be allowed in any of the industrialized “capitalistic” economy societies.

People will jump ahead in Que lines.  It is human nature.  On top of that medical tourism can offload some of the demands on a given health care system or systems freeing up the load.  On the other side though it is often the most affluent and powerful members of society who push for changes , upgrades in standards and service levels.  If they are taken out of the mix beneficial improvement in the medical systems and levels of services may not be afforded.