Is the Canadian health care system becoming a victim of its own success? It has done what it set out to do – provide universal access to all medically necessary health services without financial barriers to patients – but expanding technology, an aging population, and escalating costs strain its ability to continue. It is time to explore ways to reorient and restructure the health care system and the services it provides. At the Fourth Canadian Conference on Health Economics, contributors of international reputation addressed these concerns. Their papers, collected in this volume, consider a wide range of fundamental issues related to health care policies and structures. They discuss new developments in health care delivery, assess implications of such new policies as home care and health promotion, and propose concrete alternatives for restructuring the present system to sustain universal medicine.

A growing reliance on market disciplines and incentives characterised health care reform strategies in many countries in the 1990s, yet the country which relies most heavily on private health care - the U.S.A. - is the most expensive in the world and still fails to deliver affordable health care to millions of its citizens. This apparent paradox is the starting point for Markets and Health Care: A Comparative Analysis.

Sweeping changes are being proposed as Canadians examine our health care system. But what are the legal implications of health care reform? In this timely collection, lawyers and legal scholars discuss a variety of topics in health care reform, including regulation of private care, interpretation of the Canada Health Act, and the constitutional implications of proposed reforms. Barbara von Tigerstrom is currently studying at the University of Cambridge in England. Timothy Caulfield lives in Edmonton, where he teaches at the University of Alberta.

Burdened with perennially rising costs and responsible for providing health insurance to more than one sixth of all Americans, Medicare in its original form is fiscally and demographically unsustainable. In light of dramatic reforms under the Affordable Care Act (ACA), this book provides a comprehensive overview of the current state of Medicare. Eleanor D. Kinney explains how the ACA addresses systemic problems of cost and volume inflation, quality assurance, and fraud. Recognizing the potential for more radical change in the future, Kinney also explores the potential of Medicare to become a single-payer system. Comparisons are made with national health systems in Canada and the United Kingdom, from which the United States can draw valuable lessons. An approachable yet comprehensive account of Medicare and the ACA, this book will be invaluable for health care professionals and informed citizens.

This book tells the story of how the Health Services Restructuring Commission developed a vision of an effective health services system for the twenty-first century and attempted to fill a policy and leadership void. (Midwest).

This book begins with the international context for health care reform and then moves from coast to coast, setting out what is known about the reforms in health care privatization that are underway and about their impact on women.

Health and Canadian Society provides a comprehensive overview of the relationship between health, health care, and Canadian society. It is a wide-ranging volume that moves from personal and micro concerns to a more macro and institutional focus. It includes chapters of a descriptive nature and others with a more explanatory intent. They have been selected from the major journals or have been expressly written for this book. Ninety-five percent of the contributions are new to this edition. The chapters and the studies reported on are methodologically diverse, ranging from ethnographic studies to statistical analyses of data from large national surveys. Though the chapters are written by anthropologists, economists, historians, political scientists, and physicians, as well as sociologists, they all have a sociological "turn." Recognized as the standard textbook on the sociology of health in Canada, Health and Canadian Society is an essential reference for sociologists, health care providers, health administrators, and policy planners.

The contributors include prominent specialists in medical, military, and labour history, who provide valuable examinations of such issues as the ideological origins of the welfare state, the experience of the Canadian Army Medical Corps during the First World War, and the development of neuropsychology during the Second World War. Several essays are particularly relevant to contemporary concerns. A history of sexually transmitted diseases (STDs) in Canada, extended to include present-day research, reveals underlying flaws in the approach to STDs taken by Canadian governments and the medical establishment. The comparative development of health insurance in Canada and the United States is discussed in another essay. Other authors provide a historical and critical review of a key assumption of Canadian Medicare: that universal first-dollar coverage will enhance equity in the use of health services and in health status. In addition to David Naylor, who writes the Introduction, the contributors are Robin F. Badgley, Jay Cassel, Terry Copp, Raisa B. Deber, Colin D. Howell, Stephen J. Kunitz, Desmond Morton, Eugene Vayda, Samuel Wolfe, and Judith Young.

The ethical theories employed in health care today assume, in the main, a modern Western philosophical framework. Yet the diversity of cultural and religious assumptions regarding human nature, health and illness, life and death, and the status of the individual suggest that a cross-cultural study of health care ethics is needed. A Cross-Cultural Dialogue on Health Care Ethics provides this study. It shows that ethical questions can be resolved by examining the ethical principles present in each culture, critically assessing each value, and identifying common values found within all traditions, It encourages the development of global awareness and sensitivity to and respect for the diversity of peoples and their values and will advance understanding as well as help to foster a greater balance and a fuller truth in consideration of the human condition and what makes for health and wholeness.

Health care reforms around the world—from Europe and North America to Africa, Latin America and Asia—seem to all be market-oriented reforms driven by international business interests and right wing political parties. There seems to be a sudden and broad concern with the efficiency of medical care, with the assertion that democratically or professionally run systems are inherently inefficient. Far less concern is evident for the more traditional values held regarding medical care, effectiveness (or quality) and equity. The fact is that we have little good cross-national research that systematically addresses the reform issue. This book addresses that problem, and attempts to look at health care reforms in a number of countries, representing as wide a spectrum as possible, and using a common conceptual framework that allows for comparable information to be gathered and presented on each, despite differing levels of socio-economic development. The authors agreed on a set of models that were thought to provide reasonable guidance in answering the questions of the source of pressures for reform, the alternative modes of organization that have been found in the world in recent years, and the direction of change among those alternatives.