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Health Care in Crisis: The Drive for Health Reform in Canada and the United States

Health Care in Crisis: The Drive for Health Reform in Canada and the United States

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Published by The Wilson Center
In the past two decades, the health care systems in Canada and the United States have been scrutinized as either the cure for all ills or the specter of what not to do in health care reform. Today, significant majorities of Canadians and Americans are demanding reform—universal coverage in the United States and privatization in Canada—but disagree on what it should ultimately be. Authors Antonia Maioni of McGill University’s Institute for Health and Social Policy and Theodore Marmor of the Yale University School of Management are leading international health policy experts. Together they provide a comparative perspective on the medical care systems in both countries and outline the disputes over reform.
Marmor points out that while in the 1970s the United States and Canada each spent about 7 percent of GDP on medical care, today the United States spends almost 50 percent more than Canada, and patients pay the highest out-of-pocket charges in the world. According to Maioni, the principal challenges to Canada’s much-vaunted universal health care system, which is in theory available to all on an equal basis but, in practice, up to 5 million Canadians go without consistent care because of the shortage of primary care doctors.
In the past two decades, the health care systems in Canada and the United States have been scrutinized as either the cure for all ills or the specter of what not to do in health care reform. Today, significant majorities of Canadians and Americans are demanding reform—universal coverage in the United States and privatization in Canada—but disagree on what it should ultimately be. Authors Antonia Maioni of McGill University’s Institute for Health and Social Policy and Theodore Marmor of the Yale University School of Management are leading international health policy experts. Together they provide a comparative perspective on the medical care systems in both countries and outline the disputes over reform.
Marmor points out that while in the 1970s the United States and Canada each spent about 7 percent of GDP on medical care, today the United States spends almost 50 percent more than Canada, and patients pay the highest out-of-pocket charges in the world. According to Maioni, the principal challenges to Canada’s much-vaunted universal health care system, which is in theory available to all on an equal basis but, in practice, up to 5 million Canadians go without consistent care because of the shortage of primary care doctors.

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Published by: The Wilson Center on Sep 18, 2012
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3
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6
veieo}em kl k} }k}ae }de c}jbpdeve b uvgelo{ c} }de }kje, Klmeem! }dk ele b }vbufae”b eejklga{ obl}klubu klic}kbl! c objpaet clm vcgjel}em bvgclkxc}kbl b ocve! clm ulmev*kluvcloe clm acon b obyevcge bv jcl{ jkaakbl”wc b wkmepvecm}dc} Vepufakocl clm Mejbovc}! akfevca clm oblevyc}kye! objpe}em byev wdkod bvj b lc}kblca deca}d kluvcloe }b bev kl vepble, ]de veguac}kbl }dc} ejevgem! dbweyev! wevefuvecuovc}kocaa{ mkpevem! mkoblleo}em vbj }de jchbv pufako pvbgvcj lcloklg ocve clmoeaefvc}em wk}d ykkbl b eyel}uca uooe }dc} lb vecblcfae clca{} dbuam dcye cooep}em,Pvbekblca _}clmcvm Veykew Bvgclkxc}kbl $P_VB+! bv kl}cloe”e}cfakdem f{ }deemevca gbyevljel} }b jblk}bv sucak}{ b ocve”weve veaegc}em kl 3;76 }b c mkevel} e} b cgeloke! mbjklc}em f{ pd{kokcl clm mkoblleo}em kl pvco}koe vbj }de pc{jel} {}ejb Jemkocve! Jemkockm! bv pvkyc}e deca}d kluvcloe pacl, Jemkocve clm Jemkockm! bloeepcvc}e bvgclkxc}kblcaa{! weve }eodlkocaa{ hbklem kl cl cgelo{ nlbwl c }de Deca}d OcveIklcloklg Cmjklk}vc}kbl $DOIC+, ]dk lew bvgclkxc}kbl $lbw }de Oel}ev bv Jemkoca_evykoe+ ckaem }b ulk{ Jemkocve clm Jemkockm cmjklk}vc}kbl! juod ae dcye cl kjpco}bl deca}d pacllklg, Kl caa }dee oce! }de pbak}koca }vuggae weve kl}ele! mbjklc}em f{gvbup wk}d lclokca clm pvbekblca kl}eve} kl }de pbakoke! clm vepbv}em kl }de }vcmepve clm pvbekblca jemkoca hbuvlca, Fu} }de{ caa eaa dbv} b }de lc}kblca c}}el}kbl }dc}mefc}e byev ulkyevca deca}d kluvcloe cawc{ pvbjp},Caa }dvbugd }de 3;70! objjel}c}bv objpacklem cfbu} }de uleyel mk}vkfu}kbl b ocve clm }de dkgd vc}e b klic}kbl kl jemkokle! fu} ew ulmcjel}ca odclge weve jcme,
 
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Da}d Ov k Ovkk
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Kl }de 3;40 }de pko}uve wc mkevel}! pbak}kocaa{! eoblbjkocaa{! clm kl}eaaeo}ucaa{, Iewpvbjklel} guve pvbjb}em gbyevljel}*lcloem ulkyevca deca}d kluvcloe! ek}dev bv }de lc}kbl bv bv c pcv}kouacv }c}e, ]de meok} b }de Vecgcl clm Fud {ecv obl}kluem }bmbjklc}e pbak}koca mkobuve! clm vebvjev }uvlem v} }b fuvecuovc}ko vecakgljel} c cjecl }b vc}kblcakxe jemkoca ocve pvbykkbl clm }del }b lcloklg }dvbugd uod pbakoke cmkcglb}ko*veac}em gvbup pc{jel} }b dbpk}ca $MVG+, Wdel }dbe }vc}egke ckaem! jcl{vebvjev abbnem }b objpe}k}kbl clm pvkyc}kxc}kbl c }dekv pclcoec! cppecaklg fb}d }b }dekmebabg{ b jcvne} objpe}k}kbl clm }b }de gvke ocuem f{ }de pevk}el} veac}kye klic}kblkl }de ob} b deca}d ocve,]de ecvakev c}}el}kbl }b lc}kblca deca}d kluvcloe gcye wc{ }b c wkme ycvke}{ b b}dev klk}kc}kye, C} }de }c}e aeyea! }deve weve ecvle} fu} uluooeua ebv} }b etpclm kluvcloeobyevcge, C} }de fukle aeyea! }deve weve lb}ewbv}d{ c}}ejp} }b fvbcmel }de fele} klejpab{jel}*veac}em deca}d kluvcloe, Clm }deve weve kllbyc}kye etpevkjel} kl lcloklgeoblm bpklkbl! weaale pvbgvcj! pve*pckm gvbup pvco}koe pacl! clm etevoke cokak}ke c}}de wbvnpacoe, Jemkocve clm Jemkockm }vkem c ycvke}{ b pc{jel} vebvj! kloaumklg }demkcglbk*veac}em gvbup je}dbm b pc{klg dbpk}ca clm objpaet bvjuac }b cmhu} pd{k*okcl ee }b }clmcvm b veac}kye ycaue,Dbweyev! }de ulmcjel}ca vebvj b }de vuae b }de Cjevkocl jemkoca gcje wc b }de pbak}koca cgelmc! clm }de jchbv odclge }dc} weve c}}ejp}em weve fckocaa{ pvkyc}eklk}kc}kye, C}}vco}em f{ }de gbam jkle b ulm ibwklg }dvbugd c {}ej b ve}vbpeo}kye!ob}*fcem vekjfuvejel}! }de ocp}ckl b Cjevkocl ocpk}cakj ocje }b ee bppbv}ulk}{wdeve }de pbak}kokcl dcm bulm ocue bv objpackl}, Kl }de dbpk}ca wbvam! jcaa odckl b bv*pvb} dbpk}ca”}de Dujclc clm Dbpk}ca Obvpbvc}kbl b Cjevkoc! bv etcjpae” gvew kl}b acvge objpclke, ‑Deca}d jckl}elcloe bvgclkxc}kbl‚ $DJB+”c Vepufakocl*fconem ycvkcl} b }de pve*pckm gvbup pvco}koe jbmea b Cjevkocl akfevca }dc} klovecklga{vebvgclkxem }de meakyev{ clm lcloklg b ocve bv Cjevkocl”weve bbl mbjklc}em f{bv*pvb} vj clm etpclmem vcpkma{, Klmu}vkca gkcl} akne Fct}ev*]vcyelba clm CjevkoclDbpk}ca _uppa{ }bbn }dekv oblyel}kblca mvecj b objpe}k}kye gvbw}d clm et}elmem }dej}b yev}koca clm dbvkxbl}ca kl}egvc}kbl,
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C gau} b pd{kokcl }cv}em }b obje kl}b pvco}koe!wecnelklg }de }vcmk}kblca jcvne} pbwev b mbo}bv }b me}evjkle }dekv }evj b wbvn,Caa }dee odclge kl }de }vuo}uve b Cjevkocl jemkokle }bbn pacoe wk}dkl }de obl}et}b klovecklga{ cl}k*veguac}bv{ clm cl}k*Wcdklg}bl vde}bvko, Mejbovc} clm Vepufakoclcakne dcm feel kliueloem f{ c gelevc}kbl b cocmejko pbako{ clca{}! jb}a{ eoblbjk}!wdb vkmkouaem }de ob}akle clm ocp}uvem sucak}{ b }de meokkbl }cnel f{ uppbema{klmepelmel} veguac}bv{ cgeloke kl Wcdklg}bl, ]de Okyka Cevblcu}ko Fbcvm clm }de ckv*akle klmu}v{ ocje }b vepveel} }de mk}bv}kbl aknea{ }b dcppel wdel gbyevljel} vegu*ac}e klmu}v{, Wk}d }kje! }de oblyel}kbl b meovkfklg cl{ e} b veac}em co}kyk}ke wk}deoblbjko kglkocloe c cl ‑klmu}v{‚ mej{}dbabgkxem jemkokle c weaa, _b! eyel febve}de Vecgcl cmjklk}vc}kbl ocje kl}b boe! }de }kje wc vkpe bv oeaefvc}klg ‑objpe}k*}kbl‚ kl jemkokle! ge}}klg gbyevljel} b }de klmu}v{‛ fcon! clm ae}}klg }de ved ckv 
]de Ulk}em _}c}ek lbw }de bla{jchbv klmu}vkcalc}kbl wk}dbu} culkyevca bv lecv*ulkyevca deca}docve pvbgvcj,

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