What is right about the Canadian health care system?

被引:19
作者
Evans, R
Roos, NP
机构
[1] Univ Manitoba, Fac Med, Dept Community Hlth Sci, Manitoba Ctr Hlth Policy & Evaluat, Winnipeg, MB R3E 0W3, Canada
[2] Univ British Columbia, Vancouver, BC V5Z 1M9, Canada
关键词
D O I
10.1111/1468-0009.00141
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Canadians tend to dwell on problems in their health care system, looking to the United States for magical fixes. Evidence on comparative system performance, which rarely surfaces in public debate, indicates that Canadians are healthier, not only because the social environment is more benign, but also because health care is allocated by need rather than ability to pay. Expenditures art: much lower, bur Canadians receive equivalent care because their system is more efficient. Although Canadian "waiting lists" are highly publicized, the United States avoids the issue by excluding those who cannot pay. Why, then, do American notions keep pushing north! All expenditures are someone's income. There is a great deal of money to be made by wrecking Canadian Medicare.
引用
收藏
页码:393 / +
页数:8
相关论文
共 28 条
[21]   Variation in health and health care use by socioeconomic status in Winnipeg, Canada: Does the system work well? Yes and no [J].
Roos, NP ;
Mustard, CA .
MILBANK QUARTERLY, 1997, 75 (01) :89-&
[22]  
TU JV, 1997, NEW ENGL J MED, V336, P1501
[23]   A detailed comparison of physician services for the elderly in the United States and Canada [J].
Welch, WP ;
Verrilli, D ;
Katz, SJ ;
Latimer, E .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1996, 275 (18) :1410-1416
[24]  
WELCH WP, 1993, HLTH CARE FINANCING, V143, P41
[25]  
Wilkins R, 1989, Health Rep, V1, P137
[26]  
WOLFSON MC, 1998, MONTHLY LABOR RE APR
[27]   Costs of care and administration at for-profit and other hospitals in the United States [J].
Woolhandler, S ;
Himmelstein, DU .
NEW ENGLAND JOURNAL OF MEDICINE, 1997, 336 (11) :769-774
[28]   THE DETERIORATING ADMINISTRATIVE EFFICIENCY OF THE UNITED-STATES HEALTH-CARE SYSTEM [J].
WOOLHANDLER, S ;
HIMMELSTEIN, DU .
NEW ENGLAND JOURNAL OF MEDICINE, 1991, 324 (18) :1253-1258