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by sanj 2357 days ago
This is flatly incorrect.

The Canadian healthcare system doesn’t even have the concept of “pre-existing condition”. That term is deeply flawed and was constructed by the healthcare insurance system in the USA.

The term used in Canada is “medical history”.

I’m at an age where I’m watching my friends in Canada deal with family suffering from long term illnesses and ultimately, death.

They all deal with anguish, grief, heartbreak, and in some cases depression.

But none of them are dealing with medical bills.

3 comments

> The Canadian healthcare system doesn’t even have the concept of “pre-existing condition”. That term is deeply flawed and was constructed by the healthcare insurance system in the USA.

Neither does the US since the passage of ACA in 2010:

https://www.healthcare.gov/coverage/pre-existing-conditions/

Having a heartbeat is a "pre-existing condition". It's vexing how often Americans will discuss treatments + checkups as though there's some chance that they _won't_ see their health degrade as they age.
Perhaps my error was in saying that the specific conditions that the OP listed would result in financial ruin.

My experience is anecdotal from close relatives in Alberta having severe diseases early in life. Their drugs and "required care" was expensive and not entirely covered by their private insurance. Their private insurance had caps (annual and/or lifetime), and after, their medical history made it difficult or impossible to get private insurance with adequate coverage.

The bills were significant, but maybe each province has programs to cover the difference for those that cannot afford the bills?

In general in Canada, any care you receive at a hospital or doctor's office is free to you. However, drugs you purchase at your local pharmacy are at your own expense. The provinces all have plans to cover drugs in certain situations (for children, for the elderly, for diabetics, etc.) but they do not provide complete coverage. Employers typically offer prescription drug insurance to employees.

Some people with chronic conditions that fall through the various provincial drug plans are spending fair chunks of money on prescription drugs that may be necessary for them to have a good life.

Thanks for explaining this more eloquently than I was able to. I did a poor job of highlighting that I was mostly referring to to these out-patient drugs.

For example there is a drug you can take before chemo that reduces the side effects, it costs a lot, wasn't covered by the province and isn't free with private insurance. It can make a terrible experience a little more tolerable.

In Quebec at least everything is free before 18, after 65, and for those whose financial situation is dire, including vision, drugs etc...