Abstract
To the Editor: In his recent series on the Canadian health care system (issues of July 17, Sept. 18, and Dec. 18, 1986),1 John Igle-hart calls attention to Canada's apparent success in reconciling two seemingly incompatible goals of health care policy — controlling escalation of medical costs and ensuring universal insurance protection and access to care.Although Canada's national health insurance system may indeed provide universal access to care, Iglehart exaggerates its success in containing health care costs. As do other observers of the Canadian experience,2 Iglehart mistakenly argues that health spending there has risen far less rapidly than in . . .

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