Starfield is comparing the health system characteristics, cost of care, and the degree of disparities in health and health services of Canada and United States. There are some similarities within both countries’ health system such as in U.S. 2.4 physicians per 1,000 population and in Canada 2.2 physicians per 1,000. However, there is fifty percent differences of specialist in United States compared to ten percent of specialist in Canada. With that being said, in my opinion, United States should have a better rating in overall health care ratio, but Canada seems still be listed above. On the other side, specialist doctors in the United States may see the individuals who have specific and serious health problem which may lead to a higher price per visit compared to a general monthly check-ups. Back in 1947 in Canada, publicity administrated hospital insurance was introduced and later fallowed in 1950s and 1960s increased public coverage of ambulatory services for residents. Which later by 1972 the advantage of such coverage was accepted to lead the passage of the Canada Health Act, which made universal coverage available to all citizens across the country. This act (CHA) supported features that strongly supported primary care and “necessary care” be provided to public without a charge to patients. Those are the biggest differences comparing to United States health care, …show more content…
Starfield suggested some ways to improve United States’ health care at lower cost: “government attempts to distribute resources, such as personnel and facilities, equitably; universal financial coverage either through a single payer or regulated by government; and low or no cost sharing for primary care services” (p.1034). Some of the important aspects that make the primary care successful is: personal-focused system rather than disease-focused, care over time; easy access to facilitate first-contact use of services; and coordination of care when people seek care elsewhere. One of the last comparisons made by Starfield was that Canadians with chronic illness spend less out of pocket for drugs, use fewer drugs, and are less likely to see many specialists and report less conflicting advices compared to United States counterparts. Based on these findings, I would like to notice that American culture is also known to be medicated with every single illness. For example, a lot of depression has been treated by medicine instead of providing healthier way of treating illness. Younger children who are dealing with obesity are quickly proscribed medicine to lose weight or something that would kill the appetite instead of looking for emotional support and a simple increase of exercise