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Eric L. Book, MD
Sunnyvale (Calif) Medical Clinic

JAMA. 1991;266(11):1510-1511.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.

— As illustrated by Dr Hughes,¹ the different Canadian provinces have attempted to control health care costs by placing various restrictions on that part of the cost equation represented by physicians. However, as long as there is a failure to analyze carefully all of the diverse factors contributing to the process, it is unlikely that any of the solutions will be effective. Unfortunately, the Canadian physicians themselves have contributed to the development of these remedies with self-serving attitudes compounded by poor public relations. The Canadian health care experiment is a noble attempt to provide the highest quality medical care to 100% of the population at a reasonable price. Have they succeeded? Not necessarily. Could they have done better? Definitely!

Canadian government bureaucrats have a vested interest in proving that the system, as it exists, provides outcomes that are at least as good, and possibly better, than . . . [Full Text PDF of this Article]

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