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January 2, 2018

Canada as Single-Payer Exemplar for Universal Health Care in the United States: A Borderline Option

Author Affiliations
  • 1Department of Medicine, Dalla Lana School of Public Health, and Institute for Health Policy, Management, and Evaluation, University of Toronto, Toronto, Ontario, Canada
JAMA. 2018;319(1):17-18. doi:10.1001/jama.2017.19668

The late great Uwe Reinhardt still called himself a Canadian decades after moving to the United States, but steadfastly rejected the idea that Canada’s health care system was suitable for transplantation to the United States,1 even as he celebrated its comparative strengths and championed its principles of universality, cost containment, and equitable access to care.2 Reinhardt instead recommended European models and highly regulated multipayer arrangements as an alternative means to those worthy ends.1