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The marriage of geriatrics and social insurance is thriving in Canada and is stymied in the United States. All of the difficulties cited and recited for an American program of medical and social care, including prevention and long-term community as well as nursing-home service, are being solved in the three Canadian provinces investigated by Robert L. Kane, a physician, and Rosalie A. Kane, a social work specialist, in A Will and a Way: What the United States Can Learn From Canada About Caring for the Elderly. There is plenty to be learned conceptually and operationally about utilization, service coordination, case management, quality, client satisfaction, and the spirit of the provincial programs. In short, the book deals with documented experience of regular programs, not temporary demonstrations.
Everyone who grapples with the issues—from professionals and business people to patients and families— will profit from this perceptive, readable, and judicious book. The Kanes
Schechter M. A Will and a Way: What the United States Can Learn From Canada About Caring for the Elderly. JAMA. 1986;256(10):1365-1366. doi:10.1001/jama.1986.03380100139041