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By: Lindsey Dyer

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health care recruiters - Video

Fountain West Health Care Center
Melanie is at Fountain West and Heritage Court touring this family owned care facility.

By: DSMLiving

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Fountain West Health Care Center - Video

How do Canadian primary care physicians rate the health care system?
How Do Canadian primary care physicians rate the health system? Survey results from the 2012 Commonwealth Fund International Health Policy Survey of Primary Care Doctors. Bulletin 7 in the Health Council of Canada #39;s Canadian Health Care Matters compares the experiences of primary care physicians across Canada and internationally in the areas of access to care, coordination of care, use of information technology, and practice improvement and incentives.

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How do Canadian primary care physicians rate the health care system? - Video

Has the day come when access to basic health care is worse in Canada than in a refugee camp? It has, thanks to cuts to the Interim Federal Health Program. Refugee claimants from 27 designated countries of origin, announced on Dec. 15, will now be denied almost all health care services.

We never thought we would see this day. As health-care professionals experienced in working overseas with Mdecins Sans Frontires/Doctors Without Borders (MSF), we have seen the stark realities of refugee camps. We have struggled to provide basic medical care when water is scarce and living conditions crowded. Infectious diseases like measles run rampant because it is hard to get adequate supplies, maintain vaccines at the right temperature, and keep our staff safe. Two of our colleagues were kidnapped from Dadaab camp in Kenya, more than 14 months ago. Their whereabouts are still unknown.

We do this work, with its inherent risks and difficulties, because we think refugee health is important. We have gone from volunteering overseas with MSF to volunteering at home in Toronto clinics that offer free health care to refugees, because cuts to the Interim Federal Health Program have left many people with no other access to care.

We are astounded and horrified that here in Canada, refugees are now being denied access to basic health care. It is a terrible irony that while Canadians donate millions of dollars to care for refugees abroad, refugee claimants in Canada are now being refused such basic services as childhood vaccinations, prenatal care, and treatment of chronic illnesses.

This is a humanitarian issue, right here at home.

Cheap and easy to implement, basic health care can greatly reduce human suffering. Chronic illnesses like diabetes, heart disease and mental health issues can be stabilized with regular checkups and adequate medication. Patients retain their dignity and remain productive.

Without treatment, these diseases progress and patients end up in emergency departments in diabetic comas or half-paralyzed by strokes. The Interim Federal Health Program provides no coverage for these life-threatening emergencies. Seriously ill patients cannot ethically be denied care, so treatment costs are absorbed by hospitals and provincial budgets. Not only are patients at risk of irreversible harm and greater suffering, it is much more expensive to provide care at this point.

Health care is a human right. The Universal Declaration of Human Rights, to which Canada is a signatory, states: Everyone has the right to a standard of living adequate for . . . health and well-being, including . . . medical care and necessary social services.

We refuse to triage patients based on their immigration status. People should be treated based on their medical needs, not their ability to pay, nor their country of origin. Yet we are now being asked to do just that: ascertain patients immigration status, ask them where they are from, and then provide or withhold care accordingly.

Here in Canada the universality of health coverage is a crucial principle. Refugee claimants should be treated with the same fairness, according to medical need. As health-care professionals, our ethics demand this equality. We will not alter our standards of care depending on where people come from. We refuse to participate in arbitrating who deserves care, and who does not.

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Refugees in Canada have poorer access to health care than in refugee camps

Comparing the Divide: Income dictates access to health care in the capital cities of Russia and the United States, where lawmakers debate policy mere miles from some of the countrys most underserved communities. Russias Gini coefficient, at 0.420, is actually better than that of Washington, D.C. at 0.435.

MOSCOW Pensioner Galina Nikolaeva, 65, cries with affection when she recalls how she was looked after when she suffered a seizure on New Years Eve.

If I hadnt made it to this hospital, I wouldnt be alive anymore. Im sure of this. I believe the Lord sent me here, says Nikolaeva, whose 8000-ruble ($264) monthly pension does not allow her to afford even low-budget state care.

Nikolaeva was admitted to Saint Alexei, a respected Moscow hospital financed by the state and the Russian Orthodox Church that provides free medical care. She doesnt think she would have survived her latest run of bad health without what she calls the dedication and love of the medical staff.

This isnt empty praise, Nikolaeva says. I am just saying what it is like. And I am in a position to judge Ive been in and out of hospitals for the last 25 years.

Russia's Constitution guarantees free health care for everyone, but many Russians say the reality is not so egalitarian. They say that health care is divided into two camps: those who can afford private clinics or paid state treatment; and those who must queue for crowded and second-rate care if they cannot draw together the necessary funds.

Since the Soviet collapse, years of unbridled western-style capitalism driven by high oil prices have transformed Russia, still the worlds largest energy exporter, but many believe it has mostly enriched the wealthiest slice of society while the majority remains little better off. Though in Soviet times personal wealth was kept well out of sight, Russia today is rife with ostentatious displays of personal riches.

The disparity in health care access reflects what analysts call a widening gulf between the rich and the poor in a country with a minimum wage of $170 a month but which has almost a hundred dollar billionaires. Those billionaires own 30 percent of all the country's personal assets, according to the Credit Suisse Global Wealth Report.

A volunteer dries Galina Nikolaeva's hair at Saint Alexei Hospital in Moscow. (Yuri Kozyrev/GlobalPost)

Russias Gini coefficient the standard measure of income inequality ranks Russia as more equal than the United States and the four other BRICS countries. But Russia performs well on this ranking in part because the government handed citizens their apartments in a mass privatization effort after the Soviet Unions collapse.

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Health care disparity reveals Russia's income inequality crisis