摘要：The Canadian health care insurance system is in crisis. The two main dimensions of this crisis are rising costs associated with current and projected utilization patterns, and the increasingly apparent inability of the existing health care system to effectively deal with the principal health needs of the population. In some senses the crisis in health care is not new. It was partly the inability of the market-based health care system to satisfy health care needs that led to the establishment of our present tax financed and state-administered health care insurance system.
