In November 2002 the most comprehensive review of health care ever produced in Canada was published. The Romanow report, “Building on Values: The Future of Health Care in Canada,” (1) took advice from Canadian and international experts while engaging in a conversation with citizens across the country. The report concluded that our medicare system is efficient, effective and accessible. No evidence could be found to justify introducing for-profit, private two-tier health care or user fees into the system. Needed improvements required innovation in and an expansion of the public system. And yet the war of what works and what is fair versus that which is driven by profits and self-interest continues.
This paper is another weapon in defence of a health care system that is not a luxury, but a necessity.