By David Gratzer

Donner Prize-winning writer Dr. David Gratzer (Code Blue) edits and introduces this choice of twelve essays on future health care reform in Canada, advocating an open-minded method of such strategies as privatization, two-tier overall healthiness care, and consumer charges. Gratzer has assembled a stellar record of authors who invite Canadians to query their self assurance in government-managed public health. Contributors comprise Order of Canada member and college of Toronto professor Michael Bliss, who argues that our present difficulties are the results of more and more competitive executive measures to manage sufferers and health-care services. Globe and Mail columnist Margaret Wente bargains vignettes that deal with the daily difficulties of future health care: queue leaping, over the top waits, supplier burnout, getting older apparatus, and the politicization of future health management. And, Vancouver-based wellbeing and fitness analyst Cynthia Ramsey locations Canada’s wellbeing and fitness care method in a global context. Her findings are unsettling.

Other participants comprise McGill economist and National Post contributor William Watson, former Quebec scientific organization president Dr. Edwin Coffey, former Ontario clinical organization president Dr. William Orovan, and concrete Futures Institute government Director David Baxter.

All Canadians taken with the kingdom of overall healthiness care in Canada should still learn this informative and clever assortment.

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The whole place is in desperate need of a decent coat of paint. "Everyone in this field burns out sooner or later, and they burn out multiple times before they quit," Dr. Zeit says. " ON THE FRONT LINES 49 Over the past couple of years, I've written many columns in the Globe and Mail about Canada's deteriorating health care system. Nothing has struck me more forcefully than the toll it's taking on its professionals — the nurses, doctors, and hospital administrators who are trying to keep it stuck together with chewing gum and bailing wire.

If the state monopoly had worked, if governments had been able to deliver on the 1964 promise of universal access to health care "without hindrance of any kind," the Canada Health Act system might have been seen by the rest of the world as a distinctively Canadian contribution to health care. The world might have copied Canada. Even the Americans might have copied Canada. The trouble was (as most students of monopolistic behaviour, planned or command economies, or elementary market economics could have forecast) that the Canadian system did not work very well.

And who can blame him? If Dr. B were removing cataracts, the government would regulate his every move. He'd be on quota. The government would tell him how many, at what price, and when demand exceeds supply... too bad. In the private sector there's no imbalance between supply and demand. The waiting time for laser surgery is two weeks and the price has been driven way down by competition,, But if you're going blind from cataracts, the waiting time for surgery is up to a year and a half. There are exceptions, of course.

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