There is no need for medicare to cover the cost of all medical services for all the population all the time. There is still a need for patients to be responsible for some direct costs.
This book shows that the problems of our multi-tiered medicare system could be solved or improved by a single-tier system which starts everyone at the same level. Some patients will need additional help. However, in any one year most Canadians will not have any serious illness, and in any one year some will have serious illness. Financial help will be needed for most of those serious illness, as well as the timely availability of appropriate medical services.
Factors described include the wants, needs, rights and responsibilities of patients, doctors and the paying agencies. Misconceptions about the health care business are mentioned, to add to understanding the system as it is and as it should be.
A crucial point is the need to relieve anxiety that people have about the possibility of bankruptcy from medical costs. They need the peace of mind that can come from knowing that the safety net is in place.