Canadian Medicare needs choice

BMJ 2002; 324 doi: https://doi.org/10.1136/bmj.324.7332.299 (Published 02 February 2002) Cite this as: BMJ 2002;324:299
  1. Keith Meloff, consultant neurologist (kmeloff@rogers.com)
  1. University Health Network, Western Site, 36 Burton Road, Toronto, Ontario, Canada M5P 1V2

    EDITOR—Lewis et al accurately describe the intent of Medicare in Canada, but this does not represent the reality of day to day practice.1 Nor do they discuss the economic reality. In practice, the system is not portable. For example, Quebec does not pay physicians in Ontario their proper fees, and, as a result, many patients from Quebec have to pay the doctors they visit in Ontario with cash and then …

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