Author Affiliations: Department of Psychiatry and Biobehavioral Sciences, and LABiomed, Harbor-UCLA Medical Center, Torrance, California (Dr Sessions); Departments of Health Policy Management and Evaluation and Medicine, University of Toronto, Department of Medicine, Mount Sinai Hospital, and University Health Network, Toronto, Ontario, Canada (Dr Detsky).
Enactment of health care reform1 sets the United States on a course for nearly universal health insurance coverage. While a remarkable and historically significant accomplishment, the legislation came within a hair's breadth of failure. Even its passage places the country in a position similar to that achieved by Canada almost a half century ago. This article describes the principal reason for this time lag and comments on its implications.
Sessions SY, Detsky AS. Washington, Ottawa, and Health Care ReformA Tale of 2 Capitals. JAMA. 2010;303(20):2078–2079. doi:10.1001/jama.2010.654