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Robert Frankford, MD
Scarborough, Ontario

JAMA. 1991;266(15):2078.

	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.

— Bronow et al¹ justify their complex proposal for health care reform on the basis of their perception of the Canadian system. Their views of the Canadian situation, particularly in relation to the largest province, Ontario, are selective and have been overtaken by changes in the past year.

It is no longer the case that relations between the Ontario Medical Association (OMA) and the government are at an all-time low. In September a majority, left-of-center New Democratic government was elected. In May 1991, an agreement was finalized establishing payment mechanisms, a joint committee to manage the health care system, and sole bargaining rights to the OMA.

Bronow et al acknowledge that the Ontario system is already cheaper, more comprehensive, less bureaucratic, and has lower administrative costs than that in the United States. These strengths exist despite some past intrinsic weaknesses, which include a lack of rational . . . [Full Text PDF of this Article]

Footnotes
Edited by Drummond Rennie, MD, Deputy Editor (West), and Bruce B. Dan, MD, Senior Editor.

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