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The politics of reform: public health insurance in Canada.

Authors
Type
Published Article
Journal
International journal of health services : planning, administration, evaluation
Publication Date
Volume
23
Issue
2
Pages
219–238
Identifiers
PMID: 8500943
Source
Medline
License
Unknown

Abstract

The centerpiece of Canadian health policy is a system of public health insurance covering the cost of hospital and medical services for all Canadians. The author analyzes the historical development of this policy and critically assesses its structure and dynamics. He argues that health insurance was won by Canadian workers through protracted industrial and political struggle. At the same time, health insurance was accommodated to the existing structure of power and privilege within the health care delivery system, which precluded a significant shift in the distribution of health care consumption and perpetuated the "irrationality" of a system that treats health as a problem located in the sphere of personal consumption.

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