Canada has an outdated expectation that a single, high-quality public health system can be funded out of the general tax revenues.
The first step to fixing a problem is to correctly identify it. While much has been written about fixing Canadian health care, the national conversation should move beyond operational and system tweaks and instead examine the very heart of our social contract – i.e., the outdated expectation that a single high-quality public-health system can be funded out of general tax revenues.
Much research has been done on the idea of “expectations formation,” especially in the field of behavioural economics. Over decades, Canadians have formed an expectation that a public payer – specifically, the provincial and federal governments, using general tax revenues – should fund our health care ...
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