Paper Summary:

The paper discusses how reform of or even an alternative to the Canadian universal health care system is needed because of serious inefficiencies, such as emergency departments and family doctors who work only limited hours. The paper looks at the positive and negative aspects of privatization. The paper concludes that there are alternatives to privatization for enhancing healthcare efficiency. The paper maintains that instead of insisting that privatization is the only viable option, the solution seems to lie in the expansion of public-private partnerships.

Outline:
Introduction
Medicare and American Privatization
Positive Aspects of Privatization
Negative Aspects of Privatization
Conclusions

From the Paper:

"Privatization is regarded by critics as a commercial and destructive takeover of Canada's valued health care system. The US model of care is privatized but has proven to be both very costly and inefficient. There are both positive and negative aspects to privatization, and the central problems appear to be associated with control and motive. On the other hand, as ideal as it may appear, the Canadian universal health care system has been marked for years by problems between the federal government and the ten provinces related to financing and delivery (Editors, 2000). The topic of privatization was chosen because the debate has surfaced again in the past decade. The US model may be inefficient and costly, but medicare is not merely similar but is dividing federal and provincial governments. According to Lewis and Donaldson (2001, p. 926), "a decade of turbulence has transformed Medicare from icon of Canadian values and organizational know-how to an apparent state of crisis"."

Sample of Sources Used:

• Canadian Health Coalition (CHC) (2005). Stop privatization now. Action Alert. Ottawa. Retrieved September 29, 2006. http://www.medicare.ca
• Editors (2000). The Americas: Intensive Care. The Economist, 355 (8164), 34-35.
• Gordon, M., J. Mintz & Chen, D. (1998). Funding Canada's heath care system: A tax-based alternative to privatization. Canadian Medical Association Journal, 159 (5), 493-497.
• Grace, M. (2003). Profit or punishment: Medicare can either crack down on the sick or bring back private enterprise. Citizens Centre Report, 30 (1), 18.
• Hugi, M. (2003). Will B.C. citizens return to medicare after private care? Medical Post, 39 (27), 11.

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