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A growing number of Canadians pay out of pocket for MRIs, hip replacements, even family doctor visits. How a two-tiered system crept into Canada.

A growing number of Canadians pay out of pocket for MRIs, hip replacements, even family doctor visits. How a two-tiered system crept into Canada.

Because of a series of decades-old government decisions, Quebec has quietly developed a parallel, privately paid health care sector that defies the conventional wisdom about Canada’s embrace of universal medicine

Canada's Supreme Court struck down a Quebec law that had bannedprivate health insurance and private payment for services coveredunder Canada's socialized health care program. U.S. statesconsidering a Canada-like system should take note. Personal freedomis the key value in health care policy.

The problems of America's health care system can best be addressedthrough market-based solutions. The evidence indicates that undernational health insurance, the promise of coverage becomes healthrationing, access to universal coverage means delays in access tocare, official fairness yields to favoritism by officials, freedomof choice becomes coerced conformity, and democratic deliberationis replaced by bureaucratic decision-making.