WEDNESDAY. JULY 18. 1963
Canadian Medical Plan Compared Kennedy ProposalWith Senate-Tabled
states. It also gives an indi
vidual the opportunity to keep
his own private policies. In
Edilor't note: Th Sal
katchewan doctor's itrik
and the Senata voting to
'table President Kennedy's
medical care bill have lo
Icused attention on govern
jment atlempti to help pay
(Private medical bills. But
(although their basic objec
tive is similar, the Cana
dian and Kennedy plans
idiffer greatly in their scope
'and approach, as outlined in
'the iollowing dispatch.
increased business. Here is ,
the way this provision camej
use the 1959 college of phy
sicians scale and reimburse
doctors at 85 per cent of these
rates for the plan's first year
of operation (July 1. 1962 to
June 30, 1963). The rales
themselves are not set for be
yond June, 1963. The Sas
katchewan doctors are upset
about this provision, saying
there is nothing in the act to
prevent the government from
lowering payments below 85
and through a surcharge on
es. These taxes would go up in I ample, a worker making $5.-
element as it pertained to doc- ! a" scs "e " :
, infill wuuiu yj
tors. Doctors may continue ! ,)eaUn benf.fHs outlined in the
private practice. Those who ; program. This could be paid
do not sign up for the medi-! to slates which set up their
care plan can bill their pa-: own medicare plans or to a
tienls and the patients in turn ! private firm which is insuring
can claim compensation from i an individual. The idea is to
the government, for the statu-1 encourage persons and states
torv amount only. to supplement the basic plan
per cent.
American-Doctors' charges
are not involved.
Financing
Canadian-Each single adult
must pay an annual premium
of $12 and each family, re
gardless of size, must pay $24.
Added money will come
through a Ha per cent in
crease in the retail sales tax
personal income tax, amount
ing to about 1 per cent of an
i individual's taxable income,
; and a 1 per cent boost in the
provincial corporate income
itax. On such a basis, a family
earning $2,500 annually
would contribute about $39 a
year.
American-Paid for by in
i crease in Social Security tax
Iwo steps for employers, em
ployees and the self-employed.
The taxable base would riM
from the first $4,800 earned
to $5,200 on Jan. 1, 1963. in
addition to an increase from
3:18 per cent to 3'' per cent
already scheduled to go into
effect next year. The t a x
would be raised one-fourth of
one per cent in 1964. For ex-
200 a year or more would
have his Social Security taxes
increased by $27.50 in 1964
over amounts now scheduled.
Of this, $17.68 would be ear
marked for health benefits.
Options
Canadian Originally the
plan was pre-paid and compul
sory. But recently the govern
ment deleted the compulsory
about.
The Saskatchewan College
of Physicians and Surgeons
suggests rates which general
practitioners may charge.
Traditionally, doctors have
billed their patients on the
basis of 85 per cent of these
suggested charses. The gov
ernment, therefore, decided to
American - The bill encour- with additional coverage suuu
taka
ages
.-i,tirnv,li,,,, nf nrivalp as those which WOUla
u r a n c e companies and care of doctors' fees.
MEDFORD MAIL TRIBUNE, MEDFORD. OREGON
I By NORMAN RUNNION j
Washington - Ml - Medi-!
care these days is an explo
sive word, whether it's pro
nounced in Canada or the
United Slates.
1 In Saskatchewan, the prov
ince's government supported
medical care plan has trig
gered a doctors' strike.
1 In the U.S. Senate, Presi
dent Kennedy's medical care
proposal was tabled Tuesday.
It undoubtedly will be a po
litical issue in next fall's con
gressional elections,
i Between the two plans, the
nickname "medicare'1 is the
one basic similarity. There
are these two vast differences: ,
The Saskatchewan plan:
provides for payment of doc
tors' bills, and the Kennedy
bill does not; the Canadian
plan covers all residents ofj
the province, from cradle to
grave, while the Kennedy bill i
applies only to those Ameri-1
cans over 65. !
Hospital care - the basic j
objective of the Kennedy pro-1
posal - is not a part of the i
Saskatchewan plan because!
all Canadian provinces al
ready sponsor a hospitaliza
tion program. !
Here is a comparison of the i
two plans:
Coverage
Canada - Everyone, from
child to parent to grandpar
ent, who has been a resident
of Saskatchewan for three
months prior to July 1, or will
have had three months resi
dence by Dec. 31 of this year.
American - All persons now
85 or who reach 65 by 1957,
whether or not they have paid
into Social Security; after
that, the plan would cover
only those over 65 who are
in Ihe Social Security system.
Benefits
Canadian - Medical and
surgical services and new
born care; specialist services
where the patient has been re
ferred to a specialist by
another physician; anesthesia;
X-ray, laboratory and other
diagnostic services; preven
tive medical services; some
physiotherapy; dental services
where provided by a dentist
in conjunction with facial
surgery.
American - Payment for
90 days of hospitalization a,
year, provided the patient .
pays at least $20, and up to a i
maximum of the first $90, of
his hospitalization costs; pay
ment of up to 180 days of
skilled nursing home care a
year; 240 days of home health !
service visits by nurses; out- j
patient diagnostic s-irvices of.
the kind customarily furnish- j
ed by or through a hospital to
its outpatients, provided the
patient pays the first $20 of
each diagnostic study; certain
drugs. X-rays and the like if
part of normal hospital care.
Doctors
Canadian - Payment of 85
per cent of their 1959 rates.
The govern ment reasoned I
that the 15 per cent differ
ence would be made up by
Hanford Defeat
Said Serious Blow
Washington-IUPII-Bonneville
Power Administrator Charles
F. Luce called Tuesday's de
feat of a plan for non-federal
power production at the Han
ford. Wash., atomic plant a
serious blow to plans for
using waste sleam.
"Basically, the same inter
ests which opposed federal
development of the project in
lats year's vote opposed non
federal deevlopment today,"
Luce said.
"A decision will have to be
made by the Senate leader
ship whether to offer the
same amendment in the Sen
ate in the hope, that if passed,
it ran be held in conference."
The Washington Public
Power Supply System had
proposed that it finance, con
struct and operate the gen
erating facilities which would
be powered by waste steam
from Hanford's new Pluto
nium reactor.
Alcoholism Control
Should Start in Home
Buffalo. N Y. HTli - One
out of every 15 teen-agers
may easily become an alco
holic under prevailing condi
tions of the average home,
cautions Dr. Marvin A Block.
Control of alcoholism be
gins in the home. Block re.
ported in the Journal of the
American Medical association.
He said education of chiidrcn
should be supported by good
example. ' Kiddy cocktails" -soft
drinks served to chiidrcn
In cocktail glasses - were cited
as a potential source of
(roubie.
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