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A record number of Ontario being shipped to the United States through their routine health care the government must be available at home. A special report shows thousands Metroland people are financing their Own South of the border medical treatment, a personal high cost. The numbers have increased over the past 10 years. Government approval for funding outside the country health care to 450 percent. Ontario If you need a passport to health?
TROY, Mich. – At first view, looks more like a hotel than a hospital.
Carpeting, a line of frozen drink in the hallways. Guests in the lounge chairs waiting ears close to a drink station Starbucks coffee.
In all private rooms, medical equipment is carefully hidden behind cabinets that look as if they jumped on the pages of an Ikea catalog.
Out bowls of candy colors to the nurses smile and office staff are friendly.
Smooth jazz is piped through the lobby, where the letters drawn on the wall recalls: "The future belongs to those who believe in the beauty of dreams. "
It Unasource – a private center for outpatient surgery in Troy, Michigan, is only 40 kilometers from the border with Canada, but a world away with any surgery center north of the 49th parallel.
"There is a calming effect when you walk into Unasource," said Michael Kuhn, of Windsor, who made the journey from Michigan in 2007 to repair a torn tendon in the shoulder. "This is absolutely a facility impeccable. "
Kuhn is one of many Canadian patients found its way to the U.S. health care – a group that is rapidly growing industry energy that has emerged in the last decade helping thousands of Canadians get help across the border.
As how to go, it's hard to say. OHIP pays for 12 000 cases to treat, diagnose or tested in American hospitals and clinics this year last. But it is that patients who qualified for the Ontario Health Insurance Plan pre-approval for a ticket Medical south.
"For each one, there are probably 10 who say," I can not wait ', "said Rick Baker, for a suitable alternative doctors a brokerage firm based in British Columbia, a type of business that has emerged to fill the void as wait times to put pressure additional patients.
For a price that we negotiated in advance with U.S. hospitals, brokers can get surgery or diagnostic fast and, say, cheaper than you might think.
For about $ 22,000, the cost of a midsize car, you can skip the lines in his Ontario and knee replacement in Michigan and Colorado, with the brokerage firm based in Windsor-medical health professionals internationally. Time the call to your office to a specialist appointment to the operating table can be as little as two weeks, said President of the company, Kelly Meloche.
For about $ 700, a runner can go to a clinic Private diagnostic MRI in Michigan tonight – and many do not take into back.
"The world is changing, and he said" The free system that we were all so happy to have, so it was perfect. But, unfortunately, is no larger, and increasingly, as occurring within the family, discovered that, "said Tracy Bevington, CEO EcuMedical, another brokerage based in Windsor care. "As we discovered, they are looking for options, and here we offer these options. "
Although Ontario has taken steps to reduce wait times, the system is low pressure and the generation of patient distress.
Need an MRI? The wait is 109 days, according to provincial figures waiting time. From Nov.1, nearly 140,000 people were on waiting lists for MRI and CT alone.
Schools are more like Unasource than willing to accommodate Canadians seeking emergency care.
The modern, high technology equipment and luxury extras that can no wonder the United States requiring patients. In Ontario, who focus on the fastest of care, the extras are an added convenience.
Ridge Medical Center Sky in Colorado, "which were actually designed with a new philosophy of mind that really the spirit of a healthy environment," said spokeswoman Linda Watson.
Hospital Denver area has recently begun to be reserved for Canadian orthopedic surgery patients.
All rooms at Sky Ridge is private, some with panoramic views of the mountains. All rooms are equipped with TV on demand, allowing patients to take in the latest film or learn more about the disease and its treatment.
There is no food in the room with the filet mignon and create your own tortillas, prepared by chefs.
On the crest of Sky, the waiting time for the appointment of experts and replacement surgery joint is measured in days. In Ontario, where more than 8,500 people waiting for knee replacement surgery, 90 percent of patients will be operated within the provincial target of 182 days.
However, the wait begins only after the surgery is scheduled, a process that can add months to the schedule that patients Wade through the references and quotes from experts.
The wait can be distressing, and many people are turning to the south of despair, said Janet Walker, a nurse before Christ, which investigates the impact of waiting time patients.
"In Canada, we are told that, yes, no waiting, but only for elective surgery," he said. "It therefore we imagine it is not important and is not painful, and it is simply not the case. "
Intermediaries, facilitators, or as they call themselves, act as a sort of concierge care. Using their own network of private hospitals and specialists, agents help customers quickly get the diagnosis, treatment and surgery.
Will also help you book flights, hotel arrangements for longer stays, leading customers across the border – even help find someone to care for animals. Of course, everything has a price.
But often it is a Canadian prices are more than willing to pay if it is forgiven life and improve their quality of life said health care provider International Meloche.
"One of the myths is the way it is so incredibly expensive," he said. " The truth is that the consultation will cost a few hundred dollars. "
If you go through a broker, that is.
Many agents can offer their customers a discount rate, and negotiate prices with hospitals and specialists in advance. Most are paid by the hospital surgery or treatment takes place.
"We have a coronary bypass, the usual and customary charge is somewhere between $ 80,000 and $ 120,000. We sent a man (the U.S.) recently – which paid $ 16 000, "said Baker, the timely medical alternatives.
"We have negotiated discounts … We sent a man from Vancouver by a procedure called angioplasty, where they put a stent in the artery bite. First called the Mayo Clinic and they wanted $ 90,000. Paid 15 for five years. He did it in two days. "
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Also reduce costs, officials announce the attention quick and easy. Windsor EcuMedical collect customers from the airport, hotel rooms, the ferry across the border in a company truck, and take them directly to the appointment of specialists to the hospital for surgery or a cancer center for chemotherapy.
From $ 10 000, EcuMedical can arrange for clients to get a new knee, often within two weeks. This represents about 25 percent less you would if it was the price directly with the hospital, said Bevington, the Director General.
While some doctors agents acting as advocates for patients in the Canadian system, like other international health professionals and to deal exclusively with the U.S. EcuMedical Bevington said that most clients pay out of pocket because they do not have time wait for OHIP approval.
For many customers, it is a choice between expensive holidays and quality of life. The latter usually wins, he said.
"Baby boomers today is like my mom and dad want to be active -. They do not want to walk with a cane or walker looking for my father and grandfather. They want to go out on the golf course. They want to go for a walk. They want to go swimming. So you say, "No, I'm not going to wait two years to get my knee, I want to be on the golf course in the spring. "
But for many there is still a stigma decision to withdraw from the queue and take their medical needs in the United States.
Others point out that the system U.S. to host the poor and uninsured.
According to U.S. Census Bureau, 46.3 million uninsured Americans in 2008.
Canadians entering this market might be preventing the access of Americans who need treatment, said Natalie Mehra, director of the Coalition Ontario's health – a public health problem of interest group care.
"At the end of the day, Canadians traveling to the south – if the government is purchasing services in bulk at the offices of U.S. or pay on your own – it is very likely to jump the queue in the United States, because there are many Americans who do not have the same access to health care do, "he said." If it is unethical, how sad is that people are forced into this position. "
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Many Canadians have traveled to the south, said they were surprised by the level of care received in the U.S. Some describe the doctors who took an hour to explain the diagnosis, or others who came to his home on Sunday morning to address pressing issues. Others say they were surprised by the facilities and surprisingly attentive impeccable staff.
Walker, the research nurse on the impact of wait times, said that although that some patients struggled with initial discomfort potentially be seen as a bridge to the tail, no one regretted the decision.
"Every person, every person without exception, said: "I am so glad I was I went. My treatment was fabulous. I care received was far better than the planets and care in Canada, "he said.
Brokers say that the medical industry travel is growing, although the exact amount is difficult to say.
If the number of brokerage firms that launched and became successful companies in the last decade is a measure, the demand is there, and not decreasing.
"When we started the company, which began in the Windsor-Essex "Bevington said, adding that he was advised not to disclose the number of customers who participated." It's Canada Now – all regions … Let's say it – they used to (plan) of an analysis of a week outside of my house, and now we have a large desk with a very great. Often ".
Since his company opened in 2003, Baker timely medical alternatives, "said helped nearly 2,000 customers. Some sent to clinics and hospitals in the United States, others were referred to private clinics and medical diagnostic in Canada.
Meloche, the International Health Professionals, said he sees about 300 clients a year and that number is growing.
"Everything is going up," he said. "Now, I also receive referrals from doctors themselves. This is a trend in reality, when you have a Canadian office doctors calling and saying, "We heard about you. What we know about you, because we have it done. We do not. "
Meloche said doctors find particularly by customers who return to their physicians in Ontario after surgery.
Most Doctors call the frustration Meloche said – they have a patient who needs attention more quickly than our system can offer.
"(The people) Few blame their doctor, "said. "They say, 'You know what, I'm not going to, and the doctor said now that they are doing their best for me. "
Brokers say that doctors are in a difficult situation, but the situation for the average Canadian is going to get worse, given many do not have family doctors – the first link in the chain of specialists and diagnostic references.
Last year, Ontario Medical Association estimates that nearly 850,000 people were left without a family doctor. Nationally, data from Statistics Canada, that year estimated that 4.1 million Canadians without family doctor.
Shortage of doctors is only half the problem, Many experts say.
The first baby boomers turn 65 in 2011. In less than 50 years, one quarter of Canadians will be aged, compared to 13 percent now.
Health services are about to become a priority for a group that can afford to pay attention and demand a better life, officials say.
It is a crisis of supply and demand can reach more people looking for solutions outside the system, said Bevington.
"The need in the next five years for health care will increase dramatically in this" I blocked the medical situation, and the ability to service that will worsen, "he said.
"We went to the imperfect storm, and this is real. "
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