Abstract
Inferences drawn from comparative analyses of health care in the United States and Canada have been repetitively debated in the Journal. 1 2 3 Enthusiasts of the Canadian system aver that curtailing administrative paperwork and truncating physician "profiteering" limit costs while maintaining high-quality care. Critics, by contrast, protest a "big brotherish" infringement of physicians' freedom to practice outside a rigid governmental structure. In addition, critics have underscored delays and unavailable treatment imputed to an increasingly out-of-date hospital structure.

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