Hello everyone.
One of my ongoing projects is the documentation of the disparities between the public funding of Allopathic medicine,often termed conventional medicine, and Naturopathic Medicine. I have already documented the disparity in terms of educational funding in my earlier blogpost. This one will focus on funding for care.
Healthcare in Canada is an immensely expensive enterprise, reaching approximately $7064 per person, 265.5 Billion, or 11.5% of GDP in 2019, according to the Canadian Institute for Health Information. In this we can see approximately 15 billion in spending on drugs prescribed by Allopathic Doctors (a number which will likely increase considerably in the future if Pharmacare is actually implemented), we see approximately 28.2 billion in direct payments to Medical Doctors. We also see, in 2018 dollars an expenditure of approximately 60.9 billion on hospital based care, which is often exclusively allopathic in nature, even when carried out by other professions, such as nurses and respiratory therapists.
I have chosen these numbers due to their existing before the era of Covid-19, and its distortions of the economy and healthcare spending, and have accepted them as approximately equal, despite existing in different years (2018 vs 2019). I have declined to include spending on things such as public health and long term care, despite these aspects of healthcare being entirely dominated by allopathic professionals as well.
In total, from the above we see spending of approximately 104.1 billion per year, on allopathic care both in and out patient, and prescriptions.
Naturopathic medicine, in contrast, receives almost no public funding in any province. The sole exception is British Columbia, where a very small amount of public funding exists, which totaled 235 000 in 2012, or approximately 262 000 dollars in inflation adjusted dollars.
In this calculation we can see Naturopathic medicine receiving 0.00025% of the funding of allopathic care, in terms of medical funding for distinct services. Occasional sporadic funding has occurred but as examples like this show, it is often at very small levels, and subjected to intense cultural bias from the media and from some allopathic physicians, who raised considerable objections to Naturopathic Doctors serving in larger publicly funded roles in areas underserved by allopaths.
This is in no way inevitable, but is a deliberate result of policy choice that starve Naturopathic medicine of educational funding, of funding for direct care, and funding for research, which I will cover for a future blog post. All justifications for the current state of funding based on research need to account for the fact of an incredible public subsidy for allopathic research, so that they are able to determine the effectiveness and safety of treatments, one which has not been forthcoming for other segments of medicine.
Other public healthcare systems directly integrate different healthcare worldviews into public health, most notable, the Chinese with Traditional Chinese Medicine, Mongolian and Tibetan medicine included, and the Indian public health system, which includes, Ayruveda, Yoga, Unani, Siddha, Naturopathy and Homeopathy, the famous AYUSH professions. There is no reason, other than cultural standards of allopathic supremacy, that Canada cannot also do the same.
Image Source:https://www.bcauditor.com/online/pubs/775/778