Gordon M, Berger P B
Medical Services, Baycrest Centre for Geriatric Care, North York, Ont.
CMAJ. 1996 Aug 15;155(4):404-6.
Canada's medicare system has provided Canadians with high-quality health care for almost three decades. Now Canadian health care appears to be at risk of losing the single-payer system, which is the premise on which medicare is built. As medicare comes under increasing financial pressure, many are calling for the introduction of private care as a means of bolstering our health care system and maintaining its quality. Although it appears alluring to some politicians, physicians and commentators, privatization could very well lead to the demise of the principles and practices of the Canadian health care system as we know it, with little clear benefit to the public or physicians.
近三十年来,加拿大的医疗保险制度为加拿大人提供了高质量的医疗保健服务。如今,加拿大的医疗保健似乎面临失去单一支付者体系的风险,而这一体系正是医疗保险建立的前提。随着医疗保险面临越来越大的财政压力,许多人呼吁引入私人医疗服务,以加强我们的医疗保健系统并维持其质量。尽管这对一些政治家、医生和评论家来说颇具吸引力,但私有化很可能导致我们所熟知的加拿大医疗保健系统的原则和做法走向终结,而对公众或医生几乎没有明显益处。