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The report is published by the Health Council of Canada acting within its sole authority and not under the control or supervision of Health Canada. [...] The views expressed herein represent the views of the authors and do not necessarily represent the views of Health Canada or any provincial or territorial government. [...] ABOUT THE HEALTH COUNCIL OF CANADA The Health Council of Canada was created as a result of the 2003 First Ministers' Accord on Health Care Renewal to report publicly on the progress of health care renewal in Canada, particularly in areas outlined in the 2003 Accord and the 2004 10-Year Plan to Strengthen Health Care. [...] Funded by Health Canada, the Health Council operates as an independent non-profit agency, with members of the corporation being the ministers of health of the participating jurisdictions. [...] Julia Abelson is an Associate Professor in the Department of Clinical Epidemiology and Biostatistics, Associate Member of the Department of Political Science and a member of the Centre for Health Economics and Policy Analysis at McMaster University.
While Canadians are proud of their healthcare system, the reality is that it is fragmented and disorganized. Instead of a pan-Canadian system, it is a "system of systems" - thirteen provincial and territorial systems and a federal system. As a result, Canadian healthcare has not only become one of the costliest in the world, but is falling well behind many developed countries in terms of quality. Canadians increasingly realize that their healthcare system is no longer fiscally sustainable, yet change remains elusive. The standard claim is that Canada's multijurisdictional approach makes system-wide reform nearly impossible. Toward a Healthcare Strategy for Canadians disputes this reasoning, ...