Better Now: Six Big Ideas to Improve Health Care for All Canadians

From respected doctor and passionate Medicare advocate Danielle Martin, an important check-up on our health-care system--and what urgently needs fixing.

Dr. Danielle Martin sees the cracks and challenges in our health-care system every day. In the style of Atul Gawande, she uses real patient stories to illustrate what works in our health-care system and what doesn't. Most importantly, she proposes six big ideas to make healthcare achievable and affordable: 1) a national drug program; 2) change the way we deliver care; 3) reduce unnecessary tests; 4) strengthen primary care; 5) create a guaranteed income program; and 6) scale up successful innovation.

One of the most urgent reforms she advocates for is a national pharmacare program, instead of the piecemeal provincial pattern of buying drugs. Canada could save billions if drugs were bought in bulk by a single body, which in turn could fund a national prescription program. Patients also need a regular GP instead of overusing hospital Emergency Clinics. Hospitals need to take into account a patient's overall medical history, at every stage from admission to discharge. And since poverty is the greatest predictor of ill health, Dr. Martin argues that a guaranteed income could prevent and alleviate many health problems, reducing pressure on the system and our wallets.

Passionate, accessible, and authoritative, Dr. Martin is a fervent supporter of the best of Medicare and a persuasive critic of what needs fixing.