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The Book Forum
December 28, 1964

Royal Commission on Health Services, 1964. Vol I

JAMA. 1964;190(13):1138. doi:10.1001/jama.1964.03070260050026

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A major document in the social and political history of Canada, this report is the first public statement of a commission appointed three years ago to inquire into existing facilities and future needs for health services, and to recommend appropriate measures to ensure the best possible health care for all Canadians.

The inquiry has been thorough, including public hearings in 14 cities, and the preparation of 26 special studies. The evidence is carefully marshalled and lucidly presented, and each of the 200 specific recommendations is supported with recent data.

The Commissioners recommend that Canada adopt "a comprehensive, universal Health Services Programme, based upon the freedom of choice, and upon free and self-governing professions and institutions, and financed through prepayment arrangements." They discern an "enormous gap between our scientific knowledge and skills on the one hand and our organizational and financial arrangements to apply them to the needs of men, on

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