Summary Of Managing Care The Canadian Way By Pat Armstrong

Pat Armstrong’s thesis in Managing Care the Canadian Way, is that expanding Canada’s public health care system the way that Canada has been doing so for the last 30 years, rather than privatizing it the way the United States’ health care system runs, is the best way to improve it. Armstrong argues that Canadian health care as a non-profit system is superior to the largely profited and privately administrated services in the United States. Canada has begun to bring American style health care into the system and Armstrong believes that this will have a negative impact on the Canadian health system in cost, accessibility and quality of health care. The strategies used in Canadian Medicare to manage costs are much more effective than managed care in the United States. Canada’s period of rapidly increasing cost ended with Medicare, whereas costs are not being controlled in managed care. Per capita spending has gone down in Canada, and in the United states has increased rapidly. The strategy of lowering costs in Canada is a fixed payment to the provider, no matter how many services are supplied. This strategy is called capitation or rostering. On the other hand,
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In Canada, Medicare allows people to sign up with the provincial government by a lone, administratively effective entry point in each region. This system recognizes the jeopardy of “skimming” and has had the idea to create legal restrictions to health care providers to avoid the rejection of patients. On the other hand, in the United States, large profitable corporations that become very successful with their range of services, reduce the competition. This results in people having less of a choice when it comes to their own healthcare. Canadian health care for the last 30 years has provided widely assessable health care to the people, and bringing in American managed care will only reduce accessibility to the