Better Now

Longlisted for British Columbia's National Award for Canadian Non-Fiction 2018Dr. Danielle Martin sees the challenges in our health care system every day. As a family doctor and a hospital vice president, she observes how those deficiencies adversely affect patients. And as a health policy expert, she knows how to close those gaps. A passionate believer in the value of fairness that underpins the Canadian health care system, Dr. Martin is on a mission to improve medicare. In Better Now, she shows how bold fixes are both achievable and affordable. Her patients' stories and her own family's experiences illustrate the evidence she presents about what works best to improve health care for all. Better Now outlines "Six Big Ideas" to bolster Canada's health care system. Each one is centred on a typical Canadian patient, making it clear how close to home these issues strike. · Ensure every Canadian has regular access to a family doctor or other primary care provider· Bring prescription drugs under medicare· Reduce unnecessary tests and interventions· Reorganize health care delivery to reduce wait times and improve quality· Implement a basic income guarantee to alleviate poverty, which is a major threat to health· Scale up successful local innovations to a national levelPassionate, accessible, and authoritative, Dr. Martin is a fervent supporter of the best of medicare and a persuasive critic of what needs fixing.

نقد و بررسی

May 22, 2017
Martin, a doctor who teaches family medicine and health care policy at the University of Toronto, thinks big in this smart and highly readable prescription for a better Canadian health care system. Stretching from health care policy to broader social policy, these are her six ideas: focus on effective relationship-based care; include prescription medication as part of standard health coverage; reduce unnecessary exams and interventions; reorganize health care to do more with less; implement a basic income guarantee; and advance regional and provincial successes to be pan-Canadian. Readers need not fear a tough, dry read of jargon and policy; Martin is a good writer who discusses the six ideas in interesting and careful detail. The first chapter includes a fascinating account of her experience explaining the Canadian system to a U.S. Senate subcommittee on health care in 2014 at the invitation of Sen. Bernie Sanders. She writes stirring narratives about her own patients (protecting their privacy with aliases) and her firsthand observations of the health care system. This is a recommended read for health care providers and the public in Canada and beyond.

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