Interesting to see a looming fight over a clinics attempt to charge for “necessary” medical treatments in Quebec: Charging for health care in Quebec.

I’ve thought about two-tiered systems before and while I don’t object to a tiered system in principle, assuming no one lost any existing coverage, I don’t think it would work in practice. I can’t see how you could stop all the good talent from going to the more expensive clinics. Maybe you force all tiers to use the same pay scale, but then the more expensive tiers could afford more staff and equipment?

That doesn’t sound great either. I guess the biggest reason I’m not opposed to tiers here is because we effectively already have one: rich people go to the US if they need something done quick. If we could find a way to keep them here it may not be a bad thing.