前总理Mulroney凑巧也谈这个问题:
http://www.ottawacitizen.com/news/Mulroney+urges+adult+debate+medicare/3702003/story.html
http://www2.canada.com/nanaimodaily....html?id=f92e11f5-c340-46a0-9002-dc24fbd45945
Mulroney urges debate
Mark Kennedy, Postmedia News
Published: Thursday, October 21, 2010
Former prime minister Brian Mulroney says Canadians need to have an "adult discussion" about whether medicare is financially sustainable, and he is proposing a task force of medical and financial experts to launch the national debate.
Mulroney, who led a Conservative government from 1984 to 1993, says Canada needs to strike a "better balance" between the "intrinsic value" of universal medicare and the capacity of Canadians to fund the system through their taxes.
His proposal for an independent review of the system comes as the Harper government and the provinces struggle with how to pay for rising health-care costs and with a 10-year federal-provincial funding formula set to expire in 2014.
Mulroney's remarks were made in a Montreal speech earlier this week to the Canadian Council of Chief Executives. Much of his address focused on the need to improve economic productivity, but Mulroney also waded into issues ranging from immigration to aboriginal affairs. It was on health care that Mulroney's comments represent the most dramatic call for change yet suggested by a current or former prime minister.
He told the business leaders their support for government initiatives on free trade, tax reform and deficit reduction was "indispensable to the discipline required from government."
"And we will need similar examples of courage and conviction to bolster our fiscal foundation against future pressures from an aging population and from increasing health costs impacted by the same demographic trend," said Mulroney. "You, as business leaders, have a responsibility to help stimulate a rational discussion on how Canada can best meet these challenges. It seems to me that, on health care for instance, we need to strike a better balance between the intrinsic value of universal coverage for basic medical service and the readiness, indeed the capacity, of Canadians to pay the necessary taxes to support the system."
"A serious, adult discussion is called for, and I believe a blue-ribbon panel of medical and financial experts could provide a sensible framework for the debate and for the decisions needed. Not surprisingly, the fundamental assumptions on which Justice Emmett Hall based his recommendations for medicare almost 50 years ago have changed and we need to adapt accordingly."
Hall led a federal royal commission in the early 1960s that led to the birth of medicare.
Eight years ago, two other major reviews probed medicare and offered differing solutions. Former Saskatchewan premier Roy Romanow led a royal commission that said medicare could be sustained with a wide range of reforms