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To: JayPC who wrote (3668)	11/29/2001 6:18:34 PM
From: GraceZ	Read Replies (2) \| Respond to of 24758

I'm going to save your post and show it to the next American who tells me that Canada has a better health insurance system then we do. Here all you have to do is walk into a hospital complaining of chest pains and you'll be in the cath lab before you can escape, they'll have stents in you in 24 hours and if that doesn't work a quad bypass by the end of the week. On second thought, what does it take to immigrate to Canada? The above is no joke, I've had several friends who went in complaining of indigestion and tiredness and came out with a bypass.

To: JayPC who wrote (3668)	11/30/2001 11:44:01 AM
From: Keith Monahan	Read Replies (3) \| Respond to of 24758

Use of cardiac procedures and outcomes in elderly patients with myocardial infarction in the United States and Canada. Tu JV et al. N Engl J Med, 336(21):1500-5 1997 May 22. The results of this study, conducted on approximately 234,000 elderly U.S. and Canadian individuals who had a new myocardial infarction in 1991, show that the rate of invasive revascularization procedures is almost 8-fold higher in Americans versus Canadian patients, with 11.7% and 10.6% of American patients undergoing angioplasty and bypass surgery, respectively, compared to 1.5% and 1.4% of Canadians. Although 30-days mortality rates were slightly lower in American versus Canadian patients (21.4% vs. 22.3%), 1-year death rates were practically equivalent in the two populations (34.3% vs. 34.4%), indicating that a significantly higher rate of utilization of invasive cardiac procedures and health care resources in the U.S. does not translate in improved long-term outcome in elderly individuals with acute myocardial infarction.