Take the example of Canada. The fact is that Canada has for 50 years been operating a single party payer system, which attempts to provide a version of basic benefits for all. Over those years, continuing efforts, continuing changes, continually increased financial commitments have been made. And yet, Canada today is being forced to face reforms which will either reduce the basic benefits or back away from universal coverage because the cost is unbearable. Basic health-care benefits and services for all is a worthy ideal, but like most other ideals, implementation is a struggle.