如果加拿大的医疗保健不是免费的，而且质量较低，那么它究竟在哪里更好呢？

Vince Jacobs
First, where do you get the idea that Canadian healthcare is of lower quality than American healthcare, Fox???? Yeah, probably, as only a Fox / MAGA viewer would say something as ignorant as that. Just try being poor in the US versus poor in Canada. Trump has just this week taken away medicaid from the most vulnerable people - guess you voted for that, right? america is the only country in the developed world where life expectancy is falling! Great heah?
Is Canadian healthcare free? No. We pay for it out of taxation, the same way Americans pay for their military. Our taxes save lives, your taxes kill people.
 
首先，你从哪里得出加拿大医疗比美国低质量的结论，Fox？？对吧，只有像Fox/MAGA的观众才会说出这种无知的话。试着比较一下在美国贫穷和在加拿大贫穷的感受。特朗普这周刚刚剥夺了最脆弱群体的医疗补助——你是不是投票支持他的？美国是唯一一个在发达国家中预期寿命在下降的国家！太棒了，是吧？
加拿大的医疗是免费的么？不是的。我们通过税收来支付，就像美国人支付军事开支一样。我们的税收救人命，你们的税收害人命。
 
Kathy Lascar
Health care isn’t free but is is cheaper because it is payed through our taxes and spread out over the whole population. Health care is not of lower quality, the outcomes are often superior to American outcomes. You should never think that because health care in the US is more expensive that it must be better. In the US health care is big business out to make money for its share holders.. Insurance companies do not want to insure people with medical conditions, people in dangerous jobs or the elderly. They want young healthy people only. When a young healthy person develops a serious illness the insurance company or course has to pay the bill but will do everything in their power to cancel that insurance as soon as the opportunity arises. Hospitals are built and run to make profits. Canadian health care offers more preventative care than American insurance plans. There are waiting periods for surgeries like knee replacement, hip replacement and cataract surgeries. There are some Americans that like to say people die waiting for surgery in Canada. That may have some partial truth. Generally the people who need knee replacements, hip replacements or cataract surgery are older people with other medical issues. These people may die waiting for a knee replacement but it is not their bad knee that they died from.
 
医疗不是免费的，但它更便宜，因为它是通过我们的税收支付的，而且费用分摊到全体人口上。医疗质量并不低，结果往往优于美国。你不应该认为，因为美国的医疗更贵，它就一定更好。在美国，医疗是一个巨大的商业领域，目的是为股东赚取利润。保险公司不想为有医疗条件的人、从事危险工作的人员或老年人提供保险。他们只想要健康的年轻人。当一个年轻健康的人患上严重疾病时，保险公司当然需要支付账单，但他们会竭尽全力在有机会时取消这个保险。医院的建设和运营是为了盈利。加拿大的医疗保健提供了比美国保险计划更多的预防性护理。像膝关节置换、髋关节置换和白内障手术这样的手术会有等待期。一些美国人喜欢说加拿大的人因等待手术而死亡。也许这有部分事实。通常需要膝关节置换、髋关节置换或白内障手术的人是年纪较大的且有其他健康问题的人。这些人可能因为等待膝关节置换而去世，但不是因为他们的膝盖出了问题。
 
Rathkeale
There is NO free healthcare systems anywhere. All Canadians pay toward the cost through taxes instead of at time of service.
Canadian healthcare is of high quality. Patients and medical staff come from all over the world to be treated and to learn and contribute in Canada.
All Canadians benefit. We are healthier, live longer, and not one person has gone bankrupt as a result of medical costs.
Canadian citizens, those with Permanent Residency, and refugees are covered. Medical care is never connected to employment.
Healthy Canadians work more and pay more taxes.
I think you have been lied to.
 
任何地方都没有免费的医疗系统。所有加拿大人通过税收为医疗费用出资，而不是在服务时支付。
加拿大的医疗质量很高。患者和医务人员来自世界各地，在加拿大接受治疗、学习并做出贡献。
所有加拿大人都受益。我们更健康，寿命更长，而且没有一个人因为医疗费用而破产。
加拿大公民、永久居民和难民都能享受医疗保障。医疗与就业没有关联。
健康的加拿大人工作更多，缴纳更多税收。
我觉得你被谎言蒙蔽了。
 
Rick Swartz
Neither statement is accurate.
First, no healthcare system is “free.” There’s no such thing. Anywhere. What you’re actually talking about is universal healthcare, which is usually pre-paid (usually through taxes, depending on the country).
 
这两个说法都不准确。
首先，没有任何医疗系统是“免费的”。没有这种东西。任何地方都没有。你实际上在说的是全民医疗保健，这通常是预付的（通常通过税收支付，具体取决于国家）。
 
Canadian healthcare costs less than American healthcare because their system isn’t dominated by a largely unregulated private insurance industry that takes 10s of billions for itself that does not go to healthcare.
And Canadian healthcare is a higher quality than American, which is indicated by their medical data like lifetime expectancies. In fact compared to all nations in the developed world, US medical outcomes rank the lowest. That is because every single developed nation on earth has universal healthcare, with the sole exception of the US.
 
加拿大的医疗比美国便宜，因为他们的系统没有被一个大规模不受监管的私人保险行业主导，而该行业将数十亿资金占为己有，这些资金并未用于医疗保健。
而且加拿大的医疗质量比美国更高，这可以通过他们的医疗数据，比如预期寿命，来证明。事实上，与所有发达国家相比，美国的医疗结果排名最低。这是因为地球上每个发达国家都有全民医疗保健，唯一的例外是美国。
 
So it’s not just Canada. Every developed nation with universal healthcare—which again is all of them except the US—have less expensive healthcare systems than the US and also produces better general medical results than the American system does.
You are caught in a little bubble of lies and misinformation. Time to wake up?
 
所以，不仅仅是加拿大。所有拥有全民医疗保健的发达国家——也就是除了美国以外的所有国家——其医疗系统都比美国便宜，并且提供比美国系统更好的整体医疗结果。
你被一团谎言和误信息困住了。是时候清醒过来了。
 
Ken Irwin
About five weeks ago, I noticed a strange lump on my throat. After about a month, I noticed it wasn’t going away, so I went to see my doctor. He was quite concerned and ordered bloodwork and an ultrasound. I got the results about a day after the tests: NOT cancer, just a cyst. My doctor has reached out to a surgeon to have it removed, and I expect to hear from the surgeon’s office sometime in the coming week to set up a consult for surgery. None of this has cost me a dime, and it’s all been a pretty speedy process so far.
 
大约五周前，我注意到喉咙上有个奇怪的肿块。一个月后，我发现它没有消失，所以我去看了我的医生。他非常担心，并安排了血液检查和超声波检查。我大约在做完检查后的一天收到了结果：不是癌症，只是一个囊肿。我的医生已经联系了一位外科医生进行切除手术，我预计会在下周收到外科医生办公室的通知，安排咨询手术的事宜。到目前为止，这一切都没有花费我一分钱，而且进展非常迅速。
 
Sounds pretty good to me…
Small upxe, MAY 31 2025: I have an appointment with a surgeon on July 09 to see about, well, surgery. And again, this won’t cost me anything ($50 if I were to cancel the appointment last minute), but other than that possibility, zilch, zero, nada. There’s even free parking in front of his office.
 
听起来很不错，对吧？
小更新，2025年5月31日：我已经在7月9日预约了外科医生，商量手术事宜。再次强调，这不会花费我任何费用（如果我临时取消预约，只需支付50美元），除此之外，完全没有其他费用。甚至他的诊所前有免费的停车位。
 
Robert Crone
Know how many people go bankrupt in Canada every year from my medical bills? Zero. US? Over 600,000.
Canadians live longer.
Infant mortality is lower in Canada.
Fewer women die in childbirth in Canada.
Abortion is an issue between a woman and her doctor. Not some bible banger governor of some hillbilly state!
Stop acting as if your country is the be all and end all. Wake up and see how badly you are getting screwed!
 
知道每年有多少人在加拿大因医疗账单破产吗？零。美国呢？超过60万人。
加拿大人活得更长。
加拿大的婴儿死亡率较低。
加拿大的产妇死亡率较低。
堕胎是女人和她的医生之间的问题，而不是某个偏远州的圣经狂热者州长的问题！
别再表现得好像你们的国家是唯一的答案了。醒醒吧，看看你们是如何被坑的！
 
Joan Vredik Broadley
Canadian healthcare is not free. We pay for it with our taxes; that way everyone is covered whether they could afford it or not. And we don’t have lower quality; some of the world’s cutting edge research in serious diseases and conditions are done in Canada. Many American doctors have actually moved to Canada to work. When the government funds everything, there are no “special interests” to hamper treatment, diagnosis, or pharmaceuticals.
 
加拿大的医疗并非免费。我们通过税收为其提供资金，这样每个人都能得到保障，不管他们是否能负担得起。而且我们的医疗质量并不低，很多世界领先的重大疾病和病症研究都在加拿大进行。许多美国医生实际上都搬到了加拿大工作。当政府为所有医疗费用提供资金时，就没有“特殊利益”会妨碍治疗、诊断或药品的提供。
 
Lastsaaskpirate
Considering that we live longer than Yanks, more of our kids live to grow up than Yanks and more of our mothers survive childbirth than Yanks, as a start I’d say that overall we do much better than Americans who pay more for less healthcare.
 
考虑到我们比美国人活得更长，更多的孩子能活到成年，更多的母亲能在分娩时存活，我想说，我们整体做得比那些为更差的医疗支付更多费用的美国人要好得多。
 
Scott
When I get sick in Canada a doctor tells me what my treatment is when I get sick in the U.S. an accountant tells me what my treatment is.
 
在加拿大生病时，医生告诉我应该怎样治疗；在美国，财务会计告诉我应该怎样治疗。
 
Angela Birch
It isn’t free and Canadians know how it is funded but the quality is superior as demonstrated by better maternal infant survival rates and longer life expectancy. IT i also way way way less expensive and for a better quality product.
 
这并不是免费的，加拿大人知道它是如何资助的，但质量却更高，证明了更好的产妇和婴儿存活率以及更长的寿命。同时，它也比美国便宜得多，而且质量更好。
 
World Orphan
Because it is not lower quality. You obviously benefit from the broken US system whose only goal is to make the insurance companies better.
A country that doesnt protect its most vulnerable, and doesnt provide affordable care for everyone, is a failed country. No matter how many billionaires it has.
 
因为它并不低质量。你显然从破碎的美国系统中受益，而美国系统的唯一目标就是让保险公司更好。
一个不保护最脆弱群体、不为每个人提供负担得起的医疗的国家，就是一个失败的国家。不管它有多少亿万富翁。
 
Jeff Lee
What do you mean “isn't free?” Of course it is. You may have to pay for dental and some prescxtions but that is true for any country with universal Healthcare.
It is better because it saves the average person about $2500 to $3500 per year, and the increase in taxes for the same income is probably less than $1,000. Why is it better? Well, there are no bankruptcies for the inability to cover a $100,000 surgery, people are healthier because they are diagnosed sooner and treated sooner for the 25 chronic diseases that kill 70% mainly bec!use Americans cannot afford treatment (even if they are insured). So, there is the quality of life and longer life. Also, lower infant mortality because women do not avoid prenatal care. Also, even insured Americans are more likely to die awaiting surgery because of three weeks to see a specialist and three weeks to see the referred surgeon, and two to three weeks to schedule surgery, that is nine weeks mimimum assuming you call a specialist first. No one waits more than three to five weeks for heart, kidney, liver, or brain surgery in Canada.
 
你说“不是免费的”是什么意思？当然是免费的。你可能需要支付牙科和一些处方药费用，但这是任何有全民医疗保健的国家都会存在的情况。它更好，因为它每年能为普通人节省约2500到3500美元，而相同收入的税收增加可能不到1000美元。为什么它更好？因为没有因为无法支付10万美元手术费用而破产的人们，人们更健康，因为他们在25种慢性病的早期被诊断和治疗，这些慢性病每年造成70%的死亡，主要是因为美国人无法负担治疗（即使他们有保险）。所以，这是生活质量和寿命的问题。而且，婴儿死亡率更低，因为女性不会避免产前护理。而且，即使是有保险的美国人，也更可能在等待手术时死去，因为看专家需要三周，看被推荐的外科医生需要三周，安排手术又需要两到三周，最少需要九周，假设你首先联系专家。在加拿大，任何人等待心脏、肾脏、肝脏或脑部手术的时间都不会超过三到五周。
 
Mike Webster
Well there is of course a small matter of the fact that it doesn't have “a lower quality”. Indeed Canadians tend to live on average about 5 years longer than Americans and we have a far lower rate of infant mortality. Canadians are also more healthy than Americans in general.
 
当然，实际上有一个小问题，那就是它并没有“更低的质量”。事实上，加拿大人平均比美国人多活5年，且婴儿死亡率要低得多。加拿大人总体健康状况也比美国人好。
 
Fred Zlotnick
Because there are no insurance companies extracting profits from the system, more money is available for actual care. And because here in the US insurance companies have a financial incentive to deny care, many Americans don’t get the care they need until it’s too late. And because the threat of medical bankruptcy hangs over the uninsured and under-insured, people forgo essential care. All these reasons contribute to worse health outcomes for Americans than for Canadians, or citizens of France or the UK or Japan or New Zealand or Spain or… pick any industrialized country other than the US.
 
因为没有保险公司从系统中提取利润，所以更多的钱可以用于实际的护理。而且在美国，保险公司有经济动机拒绝治疗，许多美国人在需要时得不到治疗，直到为时已晚。由于医疗破产的威胁，许多没有保险和保险不足的人会放弃必要的治疗。所有这些原因导致美国人的健康状况比加拿大人、法国人、英国人、日本人、新西兰人或西班牙人等其他工业化国家的公民更差。
 
Vincent Quinn
Canadian healthcare is funded through federal and provincial taxes. So we pay a little more in income and sales tax in exchange for universal coverage for everyone. It’s not free, we pay more for fuel, heating, alcohol, cigarettes, but if you get sick you get to keep your house, car, all your stuff. Somethings still cost out of pocket, drugs, dental, braces, wheelchairs, chiropractors,etc. But most people have employee health plans to help with the extras. We pay per person half of what the same care costs in the US. And we have better life expectancy, lower infant mortality, and better disease outcomes. You do have to wait for some things that aren’t urgent. If you have a true emergency things move just as fast as in the US. As a citizen of the largest economy in the world, how is this not a basic right?
 
加拿大的医疗保健是通过联邦和省级税收资助的。因此，我们在所得税和销售税方面支付略高一些，以换取全民覆盖的医疗服务。这并不是免费的，我们在燃料、取暖、酒精、香烟等方面的花费更高，但如果你生病了，你依然可以保住房子、车子和所有的财产。某些费用仍然需要自付，比如药物、牙科、牙套、轮椅、脊椎按摩等。但大多数人都有员工健康保险来帮助支付这些额外费用。我们每个人为医疗支付的费用是美国的一半，而且我们有更高的预期寿命、更低的婴儿死亡率和更好的疾病治疗效果。如果你需要急诊治疗，速度和美国一样快。作为全球最大经济体的公民，为什么这不是一项基本权利？
 
Carl Jacobson
Probably for the Basic Medical Care and Emergency Room visits, the Canadian Healthcare System is superior to the US Healthcare System - and you know you won’t go broke from wildly overinflated Medical and Insurance Bills and Pharmaceutical Costs.
Where the Canadian Healthcare System gets the majority of it’s criticism, is in the Long Wait Times for serious Surgeries and Appointments with Specialist Doctors.
That may be why many Canadians will also pay for a Private Medical Insurance Policy, which has faster Medical Service - OR they travel to the US for Surgeries.
 
对于基本医疗护理和急诊就诊，加拿大的医疗保健系统优于美国医疗保健系统——而且你知道自己不会因为医疗和保险费用的极高价格而破产。
加拿大医疗保健系统大部分的批评，主要集中在严重手术和看专科医生的长时间等待上。
这可能是为什么许多加拿大人也会支付私人医疗保险，以获得更快的医疗服务，或者他们会去美国做手术。
 
Karl D (aka Gonzo)
It is not free and not better in Canada
The cost is 100% tax-subsidized for the entire population for 70% of all medical products and services
Comprehensive healthcare can be 100% subsidized by tax revenue and 13.95% of earned income for people with high earned income
The high net worth may pay more than 13.95% of what they spend in a year, but people with that many resources in any country can do that if they desire.
 
在加拿大，并不免费，也并不比美国更好。
成本完全由税收资助，覆盖整个大多数人口，70%的所有医疗产品和服务。
综合医疗可以完全由税收收入和高收入者的13.95%的所得税来补贴。
高净值人群可能支付超过13.95%的年支出，但任何国家的高资源人士如果愿意，也可以做到这一点。
 
Danielle
As A Canadian who lived in the USA from 2001 to 2010 I can tell you the quality is just as good. The biggest issue we have is that outside of the major cities, we have a shortage of doctors because doctors seem to prefer to live in the cities. The USA has this same problem. Hence wait times are longer for non-emergency procedures in the smaller communities or the people have to travel to the cities for more prompt treatment.
When this writer lived in California, with HMO level insurance I can tell you with the exception of Kaiser-Permanente, Canadian medical services are better. Not as good as PPO insurance but better than the HMO coverage most Americans have.
The exception was Kaiser-Permanente who is a little bit better than in Canada, at least in the big cities.
 
作为一名加拿大人，我在2001到2010年间住在美国，我可以告诉你，质量是一样好的。我们最大的问题是，在主要城市以外，我们的医生短缺，因为医生似乎更喜欢住在城市里。美国也面临着同样的问题。因此，在较小社区，非紧急手术的等待时间较长，或者人们必须前往城市才能更快地接受治疗。
当我在加利福尼亚州生活时，拥有HMO级别的保险，我可以告诉你，除了Kaiser-Permanente，加拿大的医疗服务更好。虽然不如PPO保险，但比美国大多数人拥有的HMO保险要好。
唯一的例外是凯泽-永久性公司，它在加拿大的服务稍好，至少在大城市里是这样的。
 
J V
Life experience, reading, and networking.May 18
It isn't free but costs half what the US system does. Who says it is low quality your right wing nut job news outlets that makes up its own reality and never uses facts.
In every single ranking I could located and there are many independent studies that have been done Canada always ranks higher quality than the US
So Canada has higher quality care, they have a longer lifespan that is increasing, and their system costs half what the US systems per person.

这不是免费的，但它的费用是美国系统的一半。谁说它质量差？是那些右翼傻乎乎的新闻媒体，他们编造自己不真实的故事，从不使用事实。
在我找到的每一项排名中，且有很多独立研究，表明加拿大的质量总是比美国更高。
所以加拿大拥有更高质量的护理，他们的预期寿命更长，而且他们的系统每人花费是美国系统的一半。
 
So why do you feel the US system is better it is the most expensive system in the world double off every other country. It ranaks last in all developed countries and even some third world countries have better quality.
Life spans are decreasing which means we are ding earlier and earlier most all other countries are living longer and longer.
So the US pays double, is going to die earlier, and has the worst care out of the most developed countries in the world.
So why does your right wing nut job news outlets provide you those facts?

那么，为什么你认为美国的系统更好呢？它是世界上最贵的系统，每个人的花费是其他任何国家的两倍。它在所有发达国家中排名最后，甚至一些第三世界国家的医疗质量都比它好。
寿命在下降，这意味着我们死得越来越早，而几乎所有其他国家的人都活得更久。
所以美国花费了两倍的钱，却会死得更早，且在所有发达国家中医疗质量最差。
那为什么你的右翼傻乎乎的新闻媒体给你这些“事实”呢？
 
Jeanne Masten
Canada has a excellent health care program!! It beats the USA 100%! We are a extreme ignorant nation when it comes to health care!! The American people are fine with pharmaceutical companies lining the pockets of Congress and Senate,, screwing over us citizens every day!!! Money talks and Big Business Walks!!
 
加拿大有一个非常优秀的医疗保健计划！！它比美国好100%！我们是一个极其无知的国家，尤其在医疗保健方面！！美国人民接受制药公司填满国会和参议院的口袋，每天都在坑害我们这些公民！！！金钱说话，大公司走路！
 
Pandu R. Arkeri
The Canadian health care is funded by taxes people pay. When a Canadian citizen or Permanent Resident receive service from doctors and hospitals the charges are billed to the Government.
Your statement about Canadian medical care is of a lower quality is far from the truth. Canada provide one of the best medical care to it’s people.
 
加拿大的医疗保健是通过人们支付的税款来资助的。当加拿大公民或永久居民接受医生和医院的服务时，费用会由政府支付。
你关于加拿大医疗质量较低的说法完全不正确。加拿大为其人民提供的是世界上最好的医疗保健之一。