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Building a Health Care System for the 21st Century

This research paper will present literature in review on critically assessing the main arguments of the heated debate on the publicly versus privately financed health care system in Canada. Indeed a lot of contention has been raised in the last few years over the subject of so called "two-tier" healthcare. Although, universal healthcare is very cherished in Canada, there is a growing sentiment that introducing a private system will alleviate the burden on the public system. An important part of this essay will assess the central arguments epitomized by the protagonists of the two-tiers system, specifically in the "Framework for Reform, Report of the Premier's Advisory Council on Health, 2002" A particular focus will be assessing the rationale of the pro-public funding because it is consonant with the core of the main central arguments. The current discourse on a possible introduction of a two-tiers health care system represents one of the most dangerous social projects since it would substantially erode the very fabric of the Canadian society, Canadian identity and the Canadian traditional values. One of the central argument of the protagonists of the two-tiers system is based on assumption that the system is no longer financ


One of the main points of view is based on the assumption that universally accessible, publicly funded Health Care that offers quality services to all has been engrained into the national identity of this country for the past four and a half decades. 8 On the other hand suggestions were brought forward that there should be penalties for people who do not look after their own health and personal well being. Medicare becomes an evocation of the soul of the country. But good health care does have a price. 7 Furthermore, the shortages of trained staff in all aspects of the health system will strain existing resources and make it difficult to deliver the services people want and expect. Alberta's approach outlined in the "A Framework for Reform, Report of the Premier's Advisory Council on Health, 2002", can be noted that one of the critical elements in its comprehensive move towards two-tiers system is to link health care premiums to actions to stay healthy, providing tax credits or other tax incentives, or using medical savings accounts or some other form of co-payment to give people more control over their own health care spending. 3To understand Canada's Health Care Costs better, the Provincial and Territorial Ministers of Health summarised three categories of the main factors that are expected to contribute to increasing health care costs. And thirdly the impact of system change and reform , counting structural changes, changes in how services are delivered, the scope of services provided, roles of providers, information systems, research and continuous improvements in the quality of health services. Therefore people wait an average of two to six months, and for some people, the wait is much longer. 13 Some of the criticism related to the obsolete and non-flexible constitution of the Canadian health system is associated with the following shortcomings of its mandate as well as operations. 10 The number of people waiting for open-heart surgery went down by 2. Even better, the Canadian system has worked, and compared to most other systems worked relatively well, while the American alternative has not.

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Approximate Word count = 3106
Approximate Pages = 12 (250 words per page double spaced)

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