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Canada outranks U.S. in healthcare report card

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Canada outranks U.S. in healthcare report card

Canada outperforms the United States in health outcomes but is well behind global leaders like Japan in overall health of its population, a Canadian report released on Monday showed.

The annual report card by the Conference Board of Canada ranked Canada 10th out of 16 developed countries, with a “B” grade. The United States was the worst performer, placing 16th and earning a “D” grade.

“Canada has been at the center of much of the debate on U.S. health care reform. Since Canada ranks ahead of the United States on all but one indicator of health status … it is clear that we are getting better results,” Gabriela Prada, director of health policy at the Conference Board, said in a statement.

“But when we look beyond the narrow Canada-U.S. comparison to the rest of the world, Canadians rank in the middle of the pack in terms of their health status,” Prada said.

Most of the data on which the report card was based is from 2006, the group said.

President Barack Obama has pledged to reform the country’s healthcare system, which is expensive and leaves millions of Americans without coverage. Canada, with its single-payer government-run system, is often held out as an example to be praised or derided by U.S. critics.

The Conference Board, which has been issuing the report card since 1996, ranked the 16 countries according to 11 criteria, including life expectancy, mortality due to cancer, circulatory diseases, respiratory diseases, metal disorders, as well as infant mortality and self-reported health status.

Japan was once again the top-ranking country. Switzerland, Italy, and Norway also earned “A” grades.

“B” grades were given to Sweden, France, Finland, Germany, Australia and Canada, while Netherlands, Austria and Ireland earned a “C” grade, the report showed.

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Democrats optimistic on healthcare bill prospect

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Democrats optimistic on healthcare bill prospect

House Speaker Nancy Pelosi said on Tuesday she was sure Democrats in the U.S. House of Representatives and Senate would produce a final healthcare reform plan that would hold insurers accountable and make medical coverage affordable.

She did not promise the legislation would include the government-run insurance plan favored by the House but rejected by the Senate. Democratic lawmakers are now trying to reconcile competing versions of healthcare reform into a bill that can be passed by the full Congress.

Pelosi told reporters measures passed by the House and Senate to revamp the $2.5 trillion U.S. healthcare system would be unified within weeks into a historic bill for President Barack Obama to sign.

“There’s much we have in common in both our bills and we will reconcile this legislation,” Pelosi said.

“We want our final product … to ensure affordability for the middle class, accountability for the insurance companies as it provides accessibility by lowering cost for every stage.”

The House bill which passed in early November would set up a government-run insurance program, but the Senate bill which passed on December 24 would not.

Pelosi, who has backed off demands for the so-called public option in the final bill, said, “We will have what we need to hold the insurance companies accountable.”

“I contend that whatever we have coming out of this bill will hold them accountable and they’ll be crying out for a public option one of these days,” Pelosi said.

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Health reform moves to close U.S. Medicare drug gap

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Health reform moves to close U.S. Medicare drug gap

Democratic leaders moved on Friday to build support among the elderly for a massive overhaul of the U.S. healthcare system, saying the measure would immediately start closing a gap in Medicare prescription drug coverage.

The coverage gap, the so-called doughnut hole, occurs after a certain amount of money is spent. This year that level is $2,700 of which $896 is out of pocket expenses by the beneficiary. Coverage begins again once drug costs reach $6,154.

Speaker Nancy Pelosi said the healthcare reform bill being considered by the House of Representatives would reduce the that doughnut hole and lower the cost of medicine for as many as 4 million elderly next year.

“As of January 1, 2010, our legislation will give a 50 percent discount for brand-name drugs to recipients in the doughnut hole, and it will reduce the size of the doughnut hole by $500,” Pelosi said.

An earlier version of the bill would have started closing the doughnut hole beginning in January 2011.

House Democratic leaders are working to merge three healthcare reform bills approved by committees into a single bill that can pass the House and give President Barack Obama a major victory on a top domestic priority.

The emerging bill would also gradually eliminate the gap in prescription drug coverage in 10 years. The earlier version of the bill would have eliminated the gap in 15 years.

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