Specific Research Institute of sally pipes offers her thoughts on healthcare reform. You are from canada you mentioned that a number of times. Being a canadian native you seen it firsthand. I grew up under it the government fully took over the canadian Healthcare System in 1984. No private coverages allow for anything considered medically necessary. Most things are medically necessary in in healthcare. A couple things that arent cosmetic surgery i want to make myself look younger and better lasix surgery for your eyes, all procedures where the prices come down not gone up because the government is involved. In canada the government took it over and worked at the Fraser Institute where we started a project in 88 it first came out in 93 called waiting your turn a guide to hospital waiting list. In 1993 the first year the average wait time from seeing primary care doctor to getting treatment by specialist in 1993 that weight was 9. 3 weeks. Last year the average wait time increased to 20. 9 weeks. Over five months. 608,000 canadians crossed the border every year and pay outofpocket for getting mris, pet scans, orthopedic surgeries, hip replacements. Valve replacements, things like that because they feel that their health is too important to have to wait so long. Canadians have an escape valve. If we in the government say where are we going to go . So doctors luck doctor tom price and others will have to be proficient all short so you need to get the best medicine for the American People demand, america is a very wealthy country and my mom used to say, i hope youre not becoming one of those impatient americans which i am now but canadians and brits when the doctor says, im sorry ms. abut you daca be able to get an appointment with to get a colonoscopy for eight months to a year even though you think of the problem canadians are very abfind that will be nice. Some aba lot of people are so polite and they dont know anything different because most people going up have grown up under single pay. It started slowly and finally was all in a 1984. There are a number of proposals out there but when were talking and thus far we talk primarily about the sanders and trifold proposals. Is that what they have in canada . Thats what they have in canada. There is no private coverage for anything considered medically necessary which of the majority of things. You can get private insurance for like if youre canadian and he wanted come to the sa or freight if you get sick the canadian government what they pay would not cover any of the cost here. People get private coverage for traveling private coverage for having a private room in the hospital because thats not part of the system, and ambulance going to the hospital, things like that. Bernie sanders plan is even more comprehensive than the canadian plan. Over five weeks wait from seeing primary care doctor to treatment by specialist. The average wait in canada for neurosurgery is 33 weeks. We have for every 1 million people, 16 mri machines versus 44 in the u. S. More interestingly, 24 in lithuania. Its ridiculous. But brian wants to add free eye care free dental care, free drugs, free longterm care. When charles playhouse at marquita says 30 to 40 trillion over 10 years for bernies plan and he agreed that would be the price until he didnt change his mind that he did on it. He told Nora Odonnell and cbs evening news friday i dont know how much my plans are going to cost. He knows its going to be very expensive and as we just saw today the increase in the federal deficit under bernies plan would go up 20 trillion over 10 years at the hyatt. If you add more things, canada tried to bring in free drugs several years ago under a liberal Prime Minister and he found out it was so expensive they just couldnt afford to do it. Bernie wants to make our system even more comprehensive. And no referrals to a specialist you have to have gatekeepers because the demand for healthcare will far out exceed the supply of healthcare that can be given and thats why even the 30 to 42 trillion increase of federal spending over 10 years is on the low side. Probably the two most problemabthere are other countries that have it but in canada and the United Kingdom still have outofpocket expense. And outofpocket responsibility. As well as denmark, norway, finland, there are still outofpocket expenses you have responsibility for. Exactly. Canada is one of three countries in the world that has a true single Healthcare System. The other two are cuba and health career. Think about what healthcare you get in those countries. The United Kingdom has what we call universal coverage system. The nhs started in 1971 and it covers about 90 of brits. They allow private coverage to run parallel in about 10 ab this is becoming more popular because just in december there were over 4 million brits on a waiting list to get treatment and the Cancer Treatment is not supposed to be delayed from getting treatment more than 62 days. They havent met in the uk that standard for over five years. More important, under the World Health Organization study brits are the bottom of the wrong in most industrialized countries and all forms of cancer survival rates five years, that tells you something about Life Expectancy with cancer under a government basically a government controlled system. You mentioned just a few minutes ago and obviously its a big concern. How much is this going to cost . Ive seen figures 32 trillion . Over 10 years . Trillion. Trillion not million or billion. Charles playhouse said that would even include if they had reduced administrative costs and reduced drug costs. But that would be the increase in federal spending over 10 years. If you what would be the total cost absanders has said there have to be a new four percent income tax on anyone earning over 29,000 a year. Thats very little income in this country and would hit a lot of people. Thered be a new 7. 5 percent payroll tax. Elizabeth warren said the payroll taxes not paid by middleclass people. Remember her plan would increase taxes on anyone in the middle class but she doesnt realize that you will that pay the employer tax of the employees and they are for the most part middleclass. Then there would be a new tax on the wealthy there would be new taxes on large financial institutions. If you doubled all Corporate Income tax in this country and all the personal income tax it wouldnt be enough to cover this plan. Taxes would have to go up even further and it wont be free because you can be facing all these taxes and its not free because when you are in pain and cant work with the cost to having your care rationed and not being able to get access to timely care. Cilic hi, my name is and. Welcome to the 13th annual savannah book festival. The festival is presented by georgia power, bob, david and nancy, and we are especially grateful for jack and mary romano those who are our sponsors for this beautiful venue. We would also like to welcome our individual donors today. It is through your support that