Canada's Health Care System Faces Its Problems

Abstract

Canada's provincial health insurance plans have demonstrated an impressive capacity to operate successfully despite a basic policy conflict that says health care funding must be public and universal, physicians must retain their professional autonomy, consumers must have free choice of doctors and first-dollar coverage, and provincial governments must control their budgets. But now provinces are finding it increasingly difficult to maintain this equation, because a variety of factors are perturbing its balance. In the face of a large budget deficit, the national government continues to reduce its financial commitment to the plans, patients and practitioners are demanding better access to . . .

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