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One of Canada's preeminent social thinkers, John Ralston Saul, begins the book with a harsh reminder that public policy can be successful only when driven by the humanistic principles which fueled its formulation. Once saving money becomes a goal in itself, rather than "something we do on the side," public policy has little chance of survival. In subsequent chapters introducing the five key areas, Dr. Richard Cruess (McGill) and Dr. Sylvia Cruess (McGill) write on the physician's role in society; the Honourable Bob Rae tackles the political challenges of health care in the consumer era; Professor Raisa Deber (Toronto) looks at the rightful place of economics in health policy; Sister Nuala Kenny (Dalhousie) examines the ethical dilemmas we face; and Professor Bernard Dickens (Toronto) describes how current health care issues are perceived by the law. Other contributors represent a "who's who" of Canada's most highly recognized academics, professionals, and policy-makers. Also writing on clinical practice are Pat Kelly (PISCES), Dr. Terrence Montague (Merck Frosst), and Dr. Hugh Scully (Cardiac Care Network). The Honourable Monique Bégin, Mark Wainberg (International AIDS Society), and Rev. Lois Wilson (Senator, Canadian Parliament) write on politics. Nathalie St. Pierre (Fédération Nationale des Associations des Consommateurs du Québec), Devidas Menon (Institute of Pharmaco-Economics), and Dr. John Wade (Former Deputy Minister of Health, Manitoba) discuss economics. Tim Caufield (Alberta), Maurice McGregor (McGill), and Lesley Degner (St. Boniface Research Centre) consider ethical issues. Marcia Rioux (Roeher Institute), Jamie Cameron (York), and Henry Dinsdale (Royal College of Physicians and Surgeons) deal with the law. Do We Care? is a must-read for anyone involved in decision-making about the future of Canadian health care -- and for all of us who are affected by these decisions. Do We Care? is the result of a conference entitled "Directions for Canadian Health Care: A Framework for Sound Decisions" which was held in Toronto in October of 1998.

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Health care costs in the United States are much higher than in other countries. These cost differences can be explained in part by a lack of competition in the United States. Some markets, such as pharmaceuticals and medical equipment, have elements of monopoly. Other markets, such as health insurance, have elements of monopsony. Many other markets may be subject to collusion on prices, such as generic drugs, or wages, such as the nurse labor market. Lawful monopoly and monopsony are beyond the reach of antitrust laws, but collusion is not. When appropriate, vigorous antitrust enforcement challenging anticompetitive conduct can aid in reducing health care costs. This book addresses monopoly, monopsony, cartels of sellers and buyers, horizontal and vertical merger policy, and antitrust enforcement through private suits as well as the efforts of the antitrust Agencies. The authors demonstrate how enforcing antitrust laws can ultimately promote competition and reduce health care costs.

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614.003 <44> --- 368.42.003 <44> --- Medical economics --- Health Policy --- National Health Policy --- Health Policies --- Health Policies, National --- Health Policy, National --- National Health Policies --- Policies, Health --- Policies, National Health --- Policy, Health --- Policy, National Health --- Policy Making --- Healthcare Policy --- Healthcare Policies --- Policy, Healthcare --- Health Care Economics and Organizations. --- Health Care Policies --- Care Policies, Health --- Health Care Policy --- Policies, Health Care --- Policies, Healthcare --- Policy, Health Care --- Medical economics - France --- Health Care Economics and Organizations --- Health --- economics.

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