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Chronic Condition: Why Canada's Health-Care System Needs to be Dragged into the 21st Century

por Jeffrey Simpson

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Medicare is the third rail of Canadian politics. Touch it and you die. Every politician knows this truism, which is why no one wants to debate it. Privately, many of them understand that the health-care system, which costs about $200 billion a year in public and private money, cannot continue as it is--increasingly ill-adapted to an aging popula­tion with public costs growing faster than government revenues. In Chronic Condition, Jeffrey Simpson explores the options we have to grapple with this growing problem, including cuts in non-health-care spending, tax increases, various types of privatization, and finding savings within health care itself. His research takes him to emergency rooms and private clinics across Canada as he listens to health professionals, researchers, and administrators outline the challenges they face. Simpson examines the tenets of the medicare system that Canadians cling to so passionately. Combining impressive research, political acumen, and a sense of civic urgency, Chronic Condition breaks the silence about the huge changes and real choices that Canadians face. It is a catalyst for a much-needed public debate about an essential Canadian service.… (más)
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Jeffrey Simpson spent time with doctors, including in hospitals, and did a lot of background research to produce this examination of Canada's heatlh care sysstem. Like all of Mr. Simpson's books that I've read, I found it well written, engaging and thought-provoking.

Mr. Simpson looks at Canadians' views (practical and emotional) about the health care system, at cost drivers in the system, successes and failures, international comparisons and brings to light aspects of the debate over the future of health care that I hadn't yet linked together.

Unlike most books on public policy, Mr. Simpson's recommendatons for improvement are not the weakest part of the book. He doesn't claim there is one right way forward, but the ideas he advances make sense.

Most importantly, he has opened the door to a reasoned debate on health care -- although I'm not sure Canadians, including our political leaders, will walk through it. Health Care is the Canadian version of the U.S. right to bear arms: it is our Constitutional right, our identity. U.S. gun control and Canadian health care reform will probably proceed at the same pace. ( )
  LynnB | Oct 22, 2012 |
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Medicare is the third rail of Canadian politics. Touch it and you die. Every politician knows this truism, which is why no one wants to debate it. Privately, many of them understand that the health-care system, which costs about $200 billion a year in public and private money, cannot continue as it is--increasingly ill-adapted to an aging popula­tion with public costs growing faster than government revenues. In Chronic Condition, Jeffrey Simpson explores the options we have to grapple with this growing problem, including cuts in non-health-care spending, tax increases, various types of privatization, and finding savings within health care itself. His research takes him to emergency rooms and private clinics across Canada as he listens to health professionals, researchers, and administrators outline the challenges they face. Simpson examines the tenets of the medicare system that Canadians cling to so passionately. Combining impressive research, political acumen, and a sense of civic urgency, Chronic Condition breaks the silence about the huge changes and real choices that Canadians face. It is a catalyst for a much-needed public debate about an essential Canadian service.

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