In the States, you can have any tests done you want because doctors make money off of each test that they perform. They have an incentive to provide an excellent standard of care, since we are free to choose what doctor to spend our hard-earned money on.
You are free to choose your family doctor here in Canada as well. Which ever doctor you choose will get paid by the government. I'm not sure how specialists work. I never asked for alternatives to the one I was referred to. It's rare that I need to see one. I know that you can choose your psychiatrist and which ever one you choose to see will get paid for each patient. The good doctors will get more patients and will get paid more.
That includes keep wait times to a minimum and being open as often as possible. People consider these factors when shopping around for a doctor here. The fact that Canada is sending patients here speaks volumes about the quality of their system compared to ours
It definitely would be nice to be able to see my doctor any day of the week. However, I don't work 7 days a week and I wouldn't expect my doctor to as well. When he is on vacation I see a substitute doctor instead when I go to his office. I guess they could have the sub work the days my regular doctor is off. Generally at where I work, we would get paid more for working on a weekend than on a week day. The salary situation may be similar for doctors. My doctor only works a half day on Saturday and is in 4 of the weekdays. Opening extra hours and on week days may drive up the cost for family doctors. Generally, what I see my family doctor for can wait another day if it happens to be his day off. If it were something serious, I would have gone to emergency at the hospital instead.
I've only ever switched family doctors once and that is on the recommendation of my wife when we met. I do like my current doctor a bit more than my former one, but I don't think I would have a problem going back to my old one if I had to.
The situations where patients were sent to the US were to do certain procedures where facilities were not available in Canada. I cannot recall the exact procedure as it was 20 years ago when I heard it on the news. For whatever reason, the procedure cannot be performed in any facility in that patient's area and he was flown to a facility in the US, all paid for.
There is a definite cultural difference between how health care is run in Canada and the US. I had to see a doctor in the US one time and it felt weird having to pay for it.
There are private clinics in Canada where you have to pay for a doctor to see you. I personally never use them because I have already paid for the public health care through taxes. Paying extra to see a doctor isn't something that I am willing to do. The video did show a nurse telling the person where he can go to get his test done. It seemed like he could have done that.
We do have our issues with our health care system. I'm sure every country has their own issues. It appears in the US, it is an issue that is being brought to the fore front. We just had a federal election this week. I haven't followed the campaign too closely as I have already made up my mind even before the election was called. Health care did not appear to be a major issue in this election, although it was brought up. The global recession and our ability to withstand it fairly well is a bigger issue this time around.
This appears to be a major issue in the US at this time. I just think that this particular video is definitely does not give a fair depiction of the Canadian health care system. At least, my personal experience is no where near the extreme that the video shows.