10/05/2011

Exploring Social Insurance: Can a Dose of Europe Cure Canadian Health Care Finance? (School of Policy Studies) Review

Exploring Social Insurance: Can a Dose of Europe Cure Canadian Health Care Finance (School of Policy Studies)
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I picked up this book as an after thought because right of the bat it seems dense and wordy (which it is). I was thinking I'd skim through the chapters to catch the gist of what was written - however I was pleasantly surprised at the quality of writing (this book has been well edited). This is a great collection of individual work created by various academics/contributors. The basic premise of the book is an investigation into the question of : "Can social insurance be made a part of the Canadian health care financing framework ? ".
The book has arguments for and against this question. Reading well researched and clearly expressed opinions from both sides of the debate was a refreshing change from the usual text of this nature which only talks about one point of view (the authors) ! The book does not give a definite answer , rather I felt it was allowing the reader to create his own opinion (at least I was inspired look at other debates in the US and UK systems).
Great book and highly recommended.

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Sustainability, quality, and accessibility are vital questions in health care. All Canadian governments, concerned about the growing share of the public budget absorbed by health care, are questioning the sustainability of the present system. How can we maintain and improve access to health care services of appropriate quality while ensuring sustainability? If there is one consolation to Canadian governments as they wrestle with the future of Medicare, it is that sustainability concerns are not unique to Canada but affect all countries, regardless of the level of private financing in a system. Some countries, however - particularly social insurance countries in Northern Europe such as Germany and France - manage to achieve universal access without wrestling with waiting lists, while providing a wide range of services. This book examines whether the grail of sustainability, quality, and accessibility could be better achieved through a marriage of the traditional Canadian model with elements of a European system.

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