Canada's iconic Medicare system is a shining example of a public institution conflicted by its admirable principles-on of which is equity-and its failure to deliver. Unfortunately, the prospect of reform is less than feasible because of the political storm that invariably accompanies such discussions.
Despite promising to deliver healthcare to all, medicare is delivering increasingly tardy, low-quality, uncoordinated and unaffordable services. The whole situation is exacerbated by the fact that medicare costs are rising. The scenario suggests a failing healthcare system, and calls for change.