title: Lessons from Canada's health program.
abstract: The Canadian health program is described and analyzed. Positive features include financing through progressive taxation; complete coverage of physician and hospital services; complete absence of deductibles, copayments, and extra charges by physicians and hospitals; lower administrative costs because private insurance companies are excluded from the program; and avoidance of the straitjacket of a single federal program by decentralization to the provinces. Negative features include ever-rising costs due to the almost complete dominance of fee-for-service payment to physicians; failure to monitor the quality of care; and neglect of serious support for preventive services and improved living standards--the two most important determinants of health status. Recommendations are made for a U.S. national health program that would incorporate the positive features of the Canadian program and avoid its deficiencies.
authors.forename: M
authors.initials: M
authors.lastname: Terris
mesh_terms: D002170:Canada; D005069:Evaluation Studies as Topic; D007348:Insurance, Health / Q000458:organization & administration*; D009313:National Health Programs / Q000191:economics*; D011787:Quality of Health Care; D014481:United States