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.