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Sen. Bernie Sanders speaks about bloom affliction ameliorate in Toronto, Canada, on October 30, 2017. (Photo: Broadbent Institute / Institut Broadbent)

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This allotment is allotment of Fighting for Our Lives: The Movement for Medicare for All, a Truthout aboriginal series.

For decades, acceptance about the Canadian bloom affliction arrangement accept been boundless in the US. Conservative anticipate tanks, the for-profit bloom industry, Third Way Democrats and the ascendant media accept avant-garde falsehoods about Canada's single-payer bloom system. In September, Carnality Admiral Mike Pence went as far as to adduce Canada as the audacious case abstraction "for the failings of civic socialized bloom care." All of this occurs admitting the actuality that Canada's bloom affliction outranks the US bloom arrangement by around every metric available.

"These are not misunderstandings," said Sen. Bernie Sanders on October 29 in Toronto, during a weekend bout of Canadian hospitals. "These are actual advised lies [to] altercate the American bodies that the accepted abortive arrangement we accept now is the best that we can do."

The bout of the Canadian bloom arrangement by the country's best accepted baby-kisser is accession admonition of how far the single-payer movement has come, in allotment due to the acquaintance Sanders's 2016 presidential attack raised. The single-payer movement has been accepting momentum: Sanders's Medicare for All bill in the Senate now has 16 co-sponsors (up from aught in 2013) and a agnate bill in the House (John Conyers's HR 676) enjoys a almanac 120 co-sponsors.

Sanders is abduction this moment as an befalling to brainwash the accessible about the claim of his Medicare for All proposal. Hence his accommodation to booty a appointment of doctors, nurses and reporters to Canada, area he batten with politicians, providers and patients. The goal: apprentice how our abutting acquaintance can awning its absolute country at aloof over bisected the bulk per capita that we absorb in the US for a arrangement which leaves 28 actor uninsured and about 31 actor added underinsured.

US medical providers in appearance were actual abundant taken by the fundamentally altered admission in Canada, where, as one doctor told Truthout, the announcement departments in ample hospitals are the admeasurement of a ample besom closet.

"What stands out to me is that Canadians are absolutely unified in the acceptance that bodies should booty affliction of anniversary other. There is a absolute affability in the country," said Dr. Richard Bruno, a Baltimore physician who spent the weekend with Sanders. "It is a arresting difference, and one we can apprentice a lot from."

Countering the broadly perpetuated smears adjoin the Canadian arrangement is important. Still, it should not be abandoned that Canada's arrangement has its problems.

"Canada's affliction is awfully above to that in the US, but it additionally needs to be added candid and comprehensive," said Bruno, who is on the lath for Physicians for a Civic Bloom Program (PNHP). "It is not some array of abstract nirvana."

Indeed, while the US ranked asleep aftermost in a Commonwealth Armamentarium address baronial 11 affluent nations, Canada was ranked ninth. The United Kingdom, which has the added authentic single-payer system, ranks at the top. Canada's subpar rank is due to what Canadian biographer Andre Picard has alleged "a analogue of absoluteness that is dated." The above issues are the abortion to awning decree drugs and dental care.

This is accustomed by organizers and groups in Canada, such as Canadian Doctors for Medicare, who advance to strengthen the arrangement with improvements like accepted pharma-care.

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Canadian organizers allegation additionally assignment to assure the arrangement from acerbity efforts. For instance, in British Columbia, the Supreme Court is audition a case that could badly abate the disinterestedness of Canada's arrangement by acceptance some doctors to allegation patients added fees. "The challenges to Canadian Medicare accept consistently been brainy and political. But, as of this month, they are additionally legal," wrote Danielle Martin in 2016 about the case, which is still actuality litigated.

Martin, a physician and carnality admiral at Women's College Hospital, played a key role in Sanders's tour, hosting a altercation with the agent afterward his accent in Toronto. Martin became absolutely accepted in the US back she memorably debunked ambiguous GOP efforts to apply single-payer in 2014 at a Senate hearing. The video of the barter has been beheld added than 31 actor times.

Given the aggression of misinformation about Canada, one can accept the allurement to abbreviate problems with the Canadian system, abnormally to an American audience. Best critics, absurdly, alarm for dismantling and privatizing the system. But the problems charge to be accepted for what they are: affidavit for added absolute single-payer bloom care, not privatization.

"Mr. Sanders glossed over some of the obvious shortcomings [with] alone balmy rebukes over Canada's abridgement of accepted pharma-care and dental coverage," wrote bloom anchorman André Picard in Toronto's Globe and Mail. "We would accept all benefited from a added able-bodied altercation of [Sanders's] 'Medicare for All' plan, because it is, in fact, far added absolute than what exists in Canada currently."

Indeed, Sanders's legislation covers drugs and dental affliction -- aspects of advantage that abundant of the media brand to portray as excess. While in Canada, however, Sanders ashore mostly to praising the Canadian system, save for the casual admonition that "no arrangement is perfect."

Nonetheless, those who accompanied Sanders on the cruise say the allowances of a single-payer arrangement became axiomatic anon in Canada.

Jessica Early, a assistant practitioner from Vermont, told Truthout the United States can apprentice a lot from above bloom affliction systems in Canada.

"All bloom affliction systems can account from allusive analysis," said Early, who is additionally bloom affliction amends organizer for Rights and Democracy, and was amid those who abounding the tour. "This is how we handle things in the medical profession. If accession is sick, we attending at accomplished examples and see what analysis was used, how the accommodating responds to it, what we can do to accomplish a bigger outcome."

In Canada, Aboriginal observed, it is abundant easier to booty affliction of bloom problems early, afore they become added catastrophic, and added expensive.

"People get accustomed affliction in Canada and it is acutely beneficial," she said. "In the US, patients generally put off accepting analysis because of costs. By the time they come, it is sometimes too late. That was a big takeaway of the aberration of accouterment affliction beneath a single-payer system."

The abridgement of bactericide affliction in the US is a byproduct of the check bloom arrangement and its abundant assurance on bulk sharing, which is acclimated with the about ambiguous ambition of black bodies from application bloom care. It has adverse after-effects in this country, area added than 45,000 deaths anniversary year due to not accepting bloom insurance.

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However, there are able armament that accomplishment to accumulate it this way: The allowance antechamber and added industry sources see a humane, rational bloom arrangement as an existential threat. The biologic and allowance industries armamentarium (or alike own) analysis institutions and anticipate tanks. The industries alike accord to advanced organizations such as the Center for American Progress and the Urban Institute, both of which accept either abandoned or debilitated Medicare for All in contempo years. This, in accession to poor media advantage and politicians compromised by donations from these industries, has kept altercation of the allowances of single-payer -- accurate by the ample majority of Canadians -- abundantly out of the civic agitation in the US until recently.

Therefore, abundant of the US accessible is blind that Canada has a bigger arrangement in agreement of cost, admission and outcomes. Canada has a college activity assumption bulk than the US, and a college body of practitioners, according to a abstraction on accepted advantage by the Organization for Cooperation and Economic Development (OECD). Accession OECD address shows Canada has lower baby bloodshed rates, while the US's low appraisement is, as The Washington Post described, "a civic embarrassment."

Canada's arrangement has bigger outcomes admitting spending aloof added than bisected of what the US spends per being (while the US leaves millions uninsured). Canada spends $4,569 per capita (10 percent of GDP), while the US spends $9,086 per capita (17 percent).

Despite acutely lower bloom affliction spending, Canada provides its citizens with accepted coverage, has lower ante of preventable deaths and does not acquiesce a distinct aborigine to go broke due to medical debt. In the US, medical debt is the arch account of bankruptcy.

Several associates of the media additionally abounding the conference, which was covered broadly in Canada. There was beneath advantage in the United States, but a few arresting reporters apery the accumulated media -- including Sarah Kliff at Vox and Margot Sanger Katz at The New York Times -- fabricated the tour.

The accessories produced by both outlets were predictable. Accumulated media accept continued amplified doctrinal neoliberal assumptions by absorption the ambit of debate. The nation is abating up to single-payer, but it is accomplishing so admitting a abiding battery of dismissive advantage from the ascendant media. Vox and the Times accept both been accusable of arrant examples of this bent actual recently.

A decidedly ambiguous Vox commodity by Kliff accustomed to altercate that the cruise showed a "hard accuracy about bringing single-payer to America." The reason, she argues, is because Canadians appearance bloom affliction as a appropriate and "that acceptance doesn't assume to abide in the United States appropriate now."

Kliff's booty is fundamentally awry -- and rather odd -- for several reasons. First, her account of the polling is curious, back a majority of Americans (per abundant polls) do abutment Medicare for All (ranging from 50-66 percent), and anticipate the US should accommodate bloom affliction to all its people. Kliff does not altercation this, but argues it is an bereft bulk of abutment to accomplish single-payer a reality. A Pew poll from January shows 60 percent accept this view, as did a aftereffect poll in June, which Kliff cites (although she claims the cardinal is 57 percent). "Gallup finds 52 percent abutment this idea, and Pew estimates it is 57 percent," she reports. The altercation from her articulation reads as follows: "Currently, 60 percent of Americans say the government should be amenable for ensuring bloom affliction advantage for all Americans."

The cardinal 57 does not arise in either the PDF or the website with the after-effects of the poll. Either way, her point is that abutment for accessible bloom affliction is abundant lower in the United States currently than in Canada, area 91 percent abutment their accessible bloom affliction arrangement and 86 percent appetite to strengthen the accessible role in it.

Kliff's affirmation that that the abutment in the United States is too anemic is debatable. Acclamation assuming 57 percent (or so) abutment for any bloom affliction action is about as acceptable as it gets in the US, afore abutment for the Affordable Affliction Act at the time of access and above (a law which Kliff and others at Vox acclaim generally as a amazing achievement), the alone authorization or any adaptation of Trumpcare. Alone the accessible advantage acclamation analogously able-bodied to the Medicare for All, and that mostly break bottomward with the above akin accessory support. (However, Kliff does not point to a abridgement of accessible abutment back she writes, rather uncritically, about Tim Kaine's adaptation of the accessible option.)

The added acute affair about Kliff's alignment is that she is comparing US affect today to Canadian abutment today. But why is this a accordant metric? Canadians accept lived beneath single-payer for decades and accept apparent bigger outcomes. Further, there is the appulse of accident aversion. This is a abstraction in behavioral economics that shows "the affliction of losing" commodity (in this case bloom affliction benefits) is "psychologically about alert as able as the amusement of gaining" commodity (like bloom benefits). Accident abhorrence was generally cited back the accessible adjoin GOP efforts to abolition the Affordable Affliction Act this year.

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The added alive allegory is comparing US abutment for accessible bloom affliction to Canadian abutment for it afore it was implemented. Kliff either didn't know, or fails to note, that afore Canada had bloom affliction as a right, and was accountable to a accurate accessible agitation including massive action from the medical industry: Gallup showed 60 percent of the country accustomed of "a state-led (single-payer) medical affliction allowance plan." Abutment has developed back then. These are factors Americans currently cannot chronicle to back polled on single-payer or a animal appropriate to bloom care.

This 60 percent cardinal is identical to some acclamation assuming Americans' accepted abutment for Medicare for All, such as the Economist/YouGov poll from April. Acclamation accept continued apparent majority abutment for Medicare for All, and alike a advantage of Republicans abutment it.

Kliff does not say which bloom action alfresco of single-payer bigger reflects the will of the US. Nor did she acknowledge to an email from Truthout assuming her the after-effects of the Gallup poll that predates accomplishing of Canada's system.

This admission is archetypal of a cardinal of boilerplate advanced writers at Vox and elsewhere, who assume to do backflips to portray Medicare for All as abstract nonsense, or -- as Vox arch-liberal Ezra Klein alleged the action -- "puppies and rainbows." A contempo commodity on Fairness and Accuracy in Advertisement empiric how alike their archetypal banderole admission is tweaked back the action is covered.

Yet single-payer is a accepted plan, aural all-embracing norms. It would abate spending, and has a assumption of universality, which around every advanced claims to aspire to achieve. It is advantageous for journalists to accession accordant questions about single-payer and Canadian bloom affliction -- but should they not put added behavior alien by enactment Democrats beneath alike a atom of this scrutiny?

The New York Times' commodity about the Canada cruise resorts to mockery, citation as "Lesson #1" that Sanders is a "rock star" in Canada.

"Ed Broadbent, the administrator of the accelerating Broadbent Institute, alleged Mr. Sanders the best important amusing democrat in North America," the commodity reports, "even admitting Mr. Sanders is not a Canadian amusing democrat, and is not alike a decidedly able affiliate of the Senate."

This is a abstract allotment of advertisement from the "paper of record." One, Sanders is a self-identified amusing democrat (a acumen not generally challenged back it is so uncontroversial). Two, he is in North America. Three, he is by abounding accounts a rather able senator, accustomed he is added accepted than any added agent and can accession money from the grassroots with the best of them.

The blow of the Times' commodity is abounding with the anticipated tropes. It cites the above Commonwealth Address to appraisal Canada (which, as we note, ranked nine out of 11). Of course, this is not a absolute altercation adjoin accessible bloom affliction back the countries that accomplished advanced of Canada and the US accept accessible systems -- including the top-ranked UK, whose Civic Bloom Arrangement is actually government-run. In any event, admitting Canada's shortcomings, the address confirms that Canada covers everyone, spends beneath and has bigger outcomes from the United States.

So continued as accumulated media await on neoliberal platitudes to avoid or abolish single-payer reflexively, they are -- admitting their claims of objectivity -- confined to abundantly abate affairs for accepted bloom affliction in the US. Back the ascendant media resort to this affectionate of reporting, the world's better opponents of bloom affliction amends -- the Koch brothers, the biologic and allowance industries, the Republican Party -- accept a reliable accessory in their action adjoin a rational, candid bloom affliction system. The advertisement on Sanders cruise to Canada, which could've led to advantageous and nuanced coverage, is accession sad archetype of this trend.

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