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The research, published in the Archives of Internal Medicine, found that heart bypass surgery, a common procedure, costs an average of $10,373 in Canada, compared with $20,673 in the United States. (For purposes of comparison, all figures are in U.S. dollars.)In private hospitals, open heart surgery costs Rs. 1.5 lakh to Rs. 2.25 lakh; for children, open heart surgery costs Rs. 1.25 lakh to Rs.The Answer: The short answer is yes, the Ontario Health Insurance Plan does cover the cost of all aortic valve replacement surgery – something that is true across Canada.
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U.S. surgery costs found to be double those in Canada – The Globe and Mail
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Low treatment costs attract foreign heart patients to India (Sep 29 is World Heart Day)
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- Summary of article content: Articles about Cost of heart surgery in Canada vs. in the USA – Canada Insurance Plan The research, published in the Archives of Internal Medicine, found that heart bypass surgery, a common procedure, costs an average of $10,373 … …
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Cost of heart surgery in Canada vs. in the USA – Canada Insurance Plan
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- Summary of article content: Articles about Cost of heart surgery in Canada vs. in the USA – Canada Insurance Plan The research, published in the Archives of Internal Medicine, found that heart bypass surgery, a common procedure, costs an average of $10,373 … …
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- Most searched keywords: Whether you are looking for • Heart bypass costs select countries 2019 | Statista The cost of such a procedure varies significantly globally. As of 2019, the U.S. had the highest costs of any country for a heart bypass. A heart bypass is a surgical procedure where an artery or vein that feeds blood to the heart is redirected around an internal blockage in the vein or artery.
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how much does open heart surgery cost in canada
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- Summary of article content: Articles about how much does open heart surgery cost in canada Unadjusted mean in-hospital cost in the United States ($20 672 ± $241) was approximately 2-fold the mean cost in Canada ($10 373 ± $123). Median treatment costs … …
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U.S. surgery costs found to be double those in Canada
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One of the first studies to directly compare the costs of surgery in Canada and the United States has found Canada’s single-payer system is far more cost efficient, but it still has a lot of room for improvement.
The research, published in the Archives of Internal Medicine, found that heart bypass surgery, a common procedure, costs an average of $10,373 in Canada, compared with $20,673 in the United States. (For purposes of comparison, all figures are in U.S. dollars.)
And those are just hospital costs. The U.S. Medicare program reimburses an average of about $25,000 for bypass surgery, and many patients with private insurance pay more. Under Canada’s medicare system, patients do not pay directly for medically necessary procedures, such as bypass surgery, which uses blood vessels to reroute blood flow around arterial blockages to improve the supply of blood and oxygen to the heart.
“The conventional wisdom is that health care is much more expensive in the U.S. and the conventional wisdom is right,” said Dr. Mark Eisenberg, head of cardiovascular epidemiology at Jewish General Hospital in Montreal.
Despite the significantly higher costs in the United States (they are essentially double those in Canada), the rate of complications and death after bypass surgery was similar in both countries.
“All this extra technology, all this extra spending, does not lead to improved survival,” Dr. Eisenberg said.
Americans spent $5,635 per capita on health care in 2003, compared with the $3,003 spent by Canadians. Put another way, health spending accounts for almost 15 per cent of gross domestic product in the U.S. and just under 10 per cent in Canada.
The large difference is usually attributed to high administrative costs in the United States and the penchant for overtreatment in the profit-driven U.S. system.
But the new study by Dr. Eisenberg and a Canadian-U.S. research team shows that, when it comes to heart bypass surgery, the reasons are more complex. The research shows that administrative and overhead costs in the United States are higher, but so are labour costs and the price of virtually every product and service, from basic pain-reliever pills on up.
“It’s striking how much more everything costs: Gauze pads cost twice as much; stents cost twice as much,” Dr. Eisenberg said.
In fact, the new research provides some striking cost comparisons. For example:
In the United States, it costs $1.56 to deliver an acetylsalicylic acid (ASA) pill to a bypass patient, while it only costs 97 cents in Canada.
A simple lab test to determine blood gas costs $21.61 in the United States, compared with $7.22 in Canada.
Catheterization (slipping a thin plastic tube into an artery or vein to determine the health of blood vessels ) costs $511.70 in the U.S. and $306.86 in Canada.
An hour of operating room time costs $397.05 in a U.S. hospital, compared with $313.76 in Canada.
One day in a surgical bed costs $561.53 in the United States and $360.10 in Canada.
The only area where the Canadian system proved slightly more expensive was an intensive-care bed, which cost $1,123.95 daily in Canada, compared with $1,121.81 in the United States.
The research also showed Canadian patients remain in hospital longer after surgery, an extra day on average, which adds substantially to the cost of bypass surgery.
“In Canada, there is no impetus to discharge patients. There is still room for improvement,” Dr. Eisenberg said.
About 500,000 bypass operations are performed annually in the United States, compared with about 25,000 in Canada.
The study looked only at the cost of surgery, not appropriateness of treatment.
The study examined the treatment costs of more than 12,000 bypass-surgery patients at nine hospitals in Canada and in the United States. All the hospitals used identical accounting software, allowing direct cost comparisons.
About 74,600 Canadians died of heart disease in 2002, according to Statistics Canada.
Low treatment costs attract foreign heart patients to India (Sep 29 is World Heart Day)
Low treatment costs and high levels of expertise have made India a leading destination for heart treatment for people from West Asian and African countries, doctors said.
According to doctors, the rates of heart treatment are 1/10th to 1/15th times lower as compared to the United States and Britain.
“India has now become a hub for heart treatment in Southeast Asia and people have been flying in from foreign countries and undergoing treatment for various cardiovascular diseases here,” Subhash Chandra, associate director (Interventional Cardiology), Fortis Escorts Heart Institute, told IANS.
People visiting India for treatment are not only from neighbouring countries like Pakistan, Afghanistan, Bangladesh and Nepal but also from far off countries like Nigeria, Kenya, Uganda, Kazakhstan, Iran, Iraq, Yemen and Oman.
Subhash Chandra said close to 500 patients had undergone treatment in Delhi alone in the last one year.
“Compared to global standards, the rates for any kind of cardiovascular surgery are very minuscule in our country,” said Anil Bansal, chief cardiologist at Columbia Asia Hospital.
Coronary angiography (a test that uses dye and special X-rays to show the insides of coronary arteries, the tube that carries blood to heart) costs around Rs.10,000 to Rs. 15,000 in India and around 500 dollars (Rs. 32,000) in the US.
“I underwent an implant here in just Rs.7 lakhs, while I was quoted Rs. 30 lakhs for this in Europe,” said Bardhan Sarkar from Bangladesh, who was treated by Bansal.
The most popular treatments availed of by people who come to India are angioplasty, where the blockage in the coronary artery is opened and a thin coil, called a stent, is implanted; open heart surgery where the heart holes are closed and narrow valves opened; and the installation of artificial pacemakers for slower heart rates.
Low treatment costs are definitely one of the major factors attracting people to India, but the expertise and trust in the quality of treatment is another reason for the growth of foreign patients.
“All the latest high quality treatment is available in our country and with high expertise we have been able to establish trust among foreign patients,” said Chandan Kedawat, senior consultant cardiovascular disease at Pushpawati Singhania Research Institute (PSRI).Similarly, even for treatment of congenital heart disease (diseases affecting infants and children and present since birth) several hospitals are attracting a lot of patients from abroad.
“Treatment of heart disease in children costs 10 to 15 times less here than that in any European country,” said Shreesha Maiya, pediatric interventional cardiologist at Bangalore’s Narayana Hrudayalaya.
In private hospitals, open heart surgery costs Rs.1.5 lakh to Rs.2.25 lakh; for children, open heart surgery costs Rs.1.25 lakh to Rs.2 lakh; valve surgeries cost between Rs.2.5 lakh and Rs.2.75 lakh.
The treatment is even cheaper in government hospitals, with the difference being usually between Rs.75,000 and Rs. 1 lakh.
Which heart valve operations are covered in Canada?
The Personal Health Navigator is available to all Canadian patients. Questions about your doctor, hospital or how to navigate the health care system can be sent to [email protected]
The Question: Does OHIP cover all of the costs associated with valve replacement surgery?
The Answer: The short answer is yes, the Ontario Health Insurance Plan does cover the cost of all aortic valve replacement surgery – something that is true across Canada. The operation is typically done on those with narrowed or leaking aortic valves, due to a congenital condition or a disease acquired in later life. The valves can be mechanical or bio-prosthetic and made of porcine, equine or bovine material.
“The mechanical valves require lifelong anticoagulation [treatment with so-called blood thinners] while bio prosthetic valves typically don’t. On the other hand bioprosthetic valves typically wear out in the 10 to 20 year range, requiring a repeat surgical procedure,” said Dr. Sam Radhakrishnan, director of Sunnybrook’s catheterization laboratory.
There’s a newer type of minimally invasive valve replacement available, called transcatheter aortic valve implantation [TAVI], now being funded by the Ontario government. It is offered to patients who are ineligible for open-heart surgery because their risk of death or developing severe disability post surgery is deemed too high.
Patients eligible for TAVI suffer from severe aortic stenosis, an increasingly prevalent disease among the elderly. With the onset of significant symptoms, particularly progressive shortness of breath, severe uncorrected aortic stenosis carries with it a death rate of up to 50 per cent over the next two years. The average age for the TAVI procedure at Sunnybrook has been 83.
In addition to Sunnybrook, five other hospitals in Ontario – University Health Network, Hamilton Health Sciences Centre, St. Michael’s Health Sciences Centre, the University of Ottawa Heart Institute and London Health Sciences Centre – are being funded to perform the minimally invasive operation on a pilot basis over the next three years, according to Ontario health ministry spokesman David Jensen.
To cover the cost of the new operation, Ontario is providing an additional $15,000 per case, bringing the total reimbursement for the TAVI procedure to $35,000 – the same amount funded by the British Columbia Ministry of Health, said Mr. Jensen.
The procedure involves inserting a replacement valve made of porcine or bovine tissue mounted on a metal frame, into the diseased aortic valve. The procedure is done with fluoroscopic (X-ray) guidance and often can be accomplished through an incision in the groin that is less than half an inch.
According to results of the Placement of Aortic Transcatheter Valves trial [PARTNERS], in patients who were not candidates for conventional open-heart surgery, TAVI provided a survival benefit over medical therapies. “In this trial, for patients who were deemed inoperable, performing TAVI led to a substantial reduction in the one year rate of dying or being rehospitalized for heart failure. Indeed, for just about every three patients treated with TAVI compared to medical therapies alone, one life was saved or repeat hospitalization prevented.” In patients who were deemed high risk for a conventional operation (but operable) those who underwent TAVI had virtually the same survival rates at one year as compared to patients who had open-heart surgical repair. However, in this trial the stroke rate was higher for the TAVI patients at 30 days and again at one year compared to those that underwent open-heart surgery.
“There’s no doubt the recovery with TAVI is a lot faster,” said Dr. Radhakrishnan, noting that patients spend seven to eight days in hospital compared to almost two weeks for open-valve replacement in these higher risk patients.
Lisa Priest is Sunnybrook’s Manager of Community Engagement & Patient Navigation. Her blog Personal Health Navigator provides advice and answers questions from patients and their families, relying heavily on medical and health experts. Her blog is reprinted on healthydebate.ca with the kind permission of Sunnybrook Health Sciences Centre. Send questions to [email protected].
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