Stevenson H M, Williams A P, Vayda E
York University, Toronto.
Milbank Q. 1988;66(1):65-104.
The Canada Health Act of 1984 served as a lightning rod for profession/government conflict, culminating in a 25-day doctors' strike in Ontario. The act was perceived as threatening medical dominance and professional autonomy in its prohibition of user fees and extra billing. A post-strike survey of 2,397 physicians across the provinces, however, reveals important limits to physicians' ideological support for an unregulated medical market place. Rather, there are divisions within the profession on how to translate commitment to autonomy into appropriate policy objectives and political strategies.
1984年的《加拿大健康法案》成为了行业与政府冲突的导火索，最终导致安大略省爆发了为期25天的医生罢工。该法案在禁止收取用户费用和额外计费方面，被视为对医疗主导地位和职业自主权的威胁。然而，一项针对各省2397名医生的罢工后调查显示，医生们对不受监管的医疗市场在意识形态上的支持存在重要局限。相反，在如何将对自主权的承诺转化为适当的政策目标和政治策略方面，该行业内部存在分歧。
