The author, an American, examines British Columbia's health care system as
it struggles to retain equity and access as two of its implacable tenets. S
ome sources argue that realities fall far short of the abstract ideals. Cer
tainly implementation and funding problems are growing as B.C.'s policy mak
ers struggle with large-scale economic pressures and management priorities.
Despite the system's shortcomings, however, U.S. readers would be wise to c
onsider the philosophical and rhetorical impact of these normative concepts
. Their presence and power encapsulates the breadth of the contrast between
the Canadian and American systems.