Controlling health expenditures-The Canadian reality

American interest in the Canadian health care system appears to be on the rise, as evidenced in a three-part article by Iglehart (1-3) in The New England Journal of Medicine. Such interest has been intermittent in the past, depending in part on the position of national health insurance on the U.S. political agenda. In the early 1970s, the most recent period [as of 1989] during which national health insurance seemed imminent, Americans paid …