The best intentions, the most diligent effort, the greatest minds cannot and will not be able to overcome the problem at the heart of the decline of Canadian medical care. The problem with this approach to reform of the health care system is that it overlooks an important complication: It won’t work. We need a comprehensive national strategy, a major resetting of priorities, a reallocation of funds, better management. In newspaper commentaries, political debates, royal commission reports, and at hospital association meetings, the common themes of reform are restated over and over again. The salvage operation has taken a predictable course. In the words of the British Columbia Royal Commission on Health Care and Costs, “It is a great system, but it needs to change.” The medicare debate, instead, is building around the salvage operation-how to fix the system and halt its decline, how to control and manage the delivery of health care services to a population that now regards free, socialized medical care as a national birthright. There seems little disagreement on this point, mainly because the evidence is everywhere. Born 30 years ago in Saskatchewan, medicare’s massive bureaucratic and political structure will fall apart unless action is taken. This article is from his November 23, 1991, column.Ĭanada’s health care system is lumbering toward disintegration. Corcoran writes the Report on Business column for The Globe and Mail, Toronto, Canada.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |