Healthcare (3) User fees again

I have been asked why I describe user fees as a “dangerous distraction” so here goes.  There are many reasons but let me focus on the 2 big ones. First, they would have a negative impact on the quality of care and therefore the quality of Canadians’ health.  While it is probably true that smallish … Continue reading


The debate on user fees heats up here and here.  What seems increasingly evident is that the iconic place of Canada’s healthcare system makes policy discourse awfully hard.  Those who see it as a matter of identity, at the heart of the Canadian self-definition not only protect it from attack but sometimes quite possibly from … Continue reading