While Canadians are proud of their healthcare system, the reality is that it is fragmented and disorganized. Instead of a pan-Canadian system, it is a "system of systems" - thirteen provincial and territorial systems and a federal system. As a result, Canadian healthcare has not only become one of the costliest in the world, but is falling well behind many developed countries in terms of quality. Canadians increasingly realize that their healthcare system is no longer fiscally sustainable, yet change remains elusive. The standard claim is that Canada's multijurisdictional approach makes...

Canada's fragmented healthcare system is one of the most expensive among the OECD countries, yet the quality of its performance is mediocre at best. Canada lacks a system-wide healthcare strategy that brings together many individual federal, provincial, and territorial strategies into a comprehensive and coherent whole. Managing a Canadian Healthcare Strategy is a collection of ten policy research essays by leading Canadian and international scholars who address three important questions. First, if Canada had a unifying strategy, how would the country measure its success and monitor its...