<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1870-3550</journal-id>
<journal-title><![CDATA[Norteamérica]]></journal-title>
<abbrev-journal-title><![CDATA[Norteamérica]]></abbrev-journal-title>
<issn>1870-3550</issn>
<publisher>
<publisher-name><![CDATA[Universidad Nacional Autónoma de México, Centro de Investigaciones sobre América del Norte]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1870-35502016000200193</article-id>
<article-id pub-id-type="doi">10.20999/nam.2016.b008</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[An Assessment of Canada&#8217;s Healthcare System Weighing Achievements and Challenges]]></article-title>
<article-title xml:lang="es"><![CDATA[Una valoración del sistema de salud de Canadá. Evaluación de logros y retos]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Valle]]></surname>
<given-names><![CDATA[Valeria Marina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Nacional Autónoma de México  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2016</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2016</year>
</pub-date>
<volume>11</volume>
<numero>2</numero>
<fpage>193</fpage>
<lpage>218</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S1870-35502016000200193&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S1870-35502016000200193&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S1870-35502016000200193&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract: Canada&#8217;s healthcare system has gained great support in the country, but at the same time has sparked a big debate over its main challenges and sustainability. This article weighs both positive and negative aspects of the healthcare system, known as Medicare. It has three sections: the first presents a theoretical framework based on the political economy of healthcare, and a historical context, where the origins of Medicare are addressed. The second part assesses Medicare&#8217;s main achievements, and the third analyzes the system&#8217;s main challenges.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen: El sistema de salud de Canadá ha ganado gran apoyo en el país, pero al mismo tiempo ha desatado un gran debate respecto a sus principales retos y sustentabilidad. Este artículo pondera tanto los aspectos positivos como los negativos del sistema de salud conocido como Medicare. Consta de tres secciones: la primera presenta un marco teórico basado en la economía política del sistema de salud y un contexto histórico en el que se presentan los orígenes de Medicare; la segunda parte evalúa sus principales logros, y la tercera analiza los principales retos que enfrenta el sistema. Para terminar se presentan conclusiones y perspectivas.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Canadian healthcare system]]></kwd>
<kwd lng="en"><![CDATA[Medicare]]></kwd>
<kwd lng="es"><![CDATA[Sistema de salud de Canadá]]></kwd>
<kwd lng="es"><![CDATA[Medicare]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Achievements and Challenges of Medicare in Canada: Are We There Yet? Are We on Course?]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Birch]]></surname>
<given-names><![CDATA[Stephen]]></given-names>
</name>
<name>
<surname><![CDATA[Gafni]]></surname>
<given-names><![CDATA[Amiran]]></given-names>
</name>
</person-group>
<source><![CDATA[International Journal of Health Services]]></source>
<year>2005</year>
<volume>35</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>443-63</page-range></nlm-citation>
</ref>
<ref id="B2">
<nlm-citation citation-type="">
<collab>British Columbia Ministry of Health</collab>
<source><![CDATA[MSP Premiums]]></source>
<year>2014</year>
</nlm-citation>
</ref>
<ref id="B3">
<nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Bryant]]></surname>
<given-names><![CDATA[Toba]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Politics, Public Policy, and Population Health]]></article-title>
<person-group person-group-type="editor">
<name>
<surname><![CDATA[Raphael]]></surname>
<given-names><![CDATA[D.]]></given-names>
</name>
<name>
<surname><![CDATA[Bryant]]></surname>
<given-names><![CDATA[T.]]></given-names>
</name>
<name>
<surname><![CDATA[Rioux]]></surname>
<given-names><![CDATA[M. H.]]></given-names>
</name>
</person-group>
<source><![CDATA[Staying Alive: Critical Perspectives on Health, Illness and Health Care]]></source>
<year>2006</year>
<page-range>193-216</page-range><publisher-loc><![CDATA[Toronto ]]></publisher-loc>
<publisher-name><![CDATA[Canadian Scholars Press]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B4">
<nlm-citation citation-type="">
<collab>CFHI (Canadian Foundation for Healthcare Improvement)</collab>
<source><![CDATA[Myth: Medicare Covers all Necessary Health Services]]></source>
<year>2011</year>
</nlm-citation>
</ref>
<ref id="B5">
<nlm-citation citation-type="">
<collab>CIHI (Canadian Institute for Health Information)</collab>
<source><![CDATA[National Health Expenditure Trends 1975 to 2015]]></source>
<year>2015</year>
<page-range>7</page-range></nlm-citation>
</ref>
<ref id="B6">
<nlm-citation citation-type="">
<collab>CIHI (Canadian Institute for Health Information)</collab>
<source><![CDATA[Exploring the 70/30 Split: How Canada&#8217;s Health Care System Is Financed]]></source>
<year>2005</year>
<publisher-loc><![CDATA[Ottawa ]]></publisher-loc>
</nlm-citation>
</ref>
<ref id="B7">
<nlm-citation citation-type="">
<collab>Canadian Museum of History</collab>
<source><![CDATA[Making Medicare: The History of Health Care in Canada 1914-2007]]></source>
<year>2014</year>
</nlm-citation>
</ref>
<ref id="B8">
<nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Carroll]]></surname>
<given-names><![CDATA[Aaron E.]]></given-names>
</name>
</person-group>
<source><![CDATA[5 Myths about Canadian Health Care. The Truth May Surprise You about International Health Care]]></source>
<year>2012</year>
<publisher-name><![CDATA[AARP]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B9">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Canadian Patients Wait Longest to See Family Doctors. Access to After-Hours Care, Emergency Department Waits Vary between Provinces, Raise Questions]]></article-title>
<collab>CBC News</collab>
<source><![CDATA[CBC News]]></source>
<year>2014</year>
</nlm-citation>
</ref>
<ref id="B10">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Waiting for Access]]></article-title>
<collab>CBC News</collab>
<source><![CDATA[CBC News]]></source>
<year>2006</year>
</nlm-citation>
</ref>
<ref id="B11">
<nlm-citation citation-type="">
<article-title xml:lang=""><![CDATA[Canada]]></article-title>
<collab>CIA (Central Intelligence Agency)</collab>
<source><![CDATA[The World Factbook]]></source>
<year>2016</year>
</nlm-citation>
</ref>
<ref id="B12">
<nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Coburn]]></surname>
<given-names><![CDATA[David]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Health and Health Care: A Political Economy Perspective]]></article-title>
<person-group person-group-type="editor">
<name>
<surname><![CDATA[Raphael]]></surname>
<given-names><![CDATA[D.]]></given-names>
</name>
<name>
<surname><![CDATA[Bryant]]></surname>
<given-names><![CDATA[T.]]></given-names>
</name>
<name>
<surname><![CDATA[Rioux]]></surname>
<given-names><![CDATA[M. H.]]></given-names>
</name>
</person-group>
<source><![CDATA[Staying Alive: Critical Perspectives on Health, Illness and Health Care]]></source>
<year>2006</year>
<page-range>59-84</page-range><publisher-loc><![CDATA[Toronto ]]></publisher-loc>
<publisher-name><![CDATA[Canadian Scholars Press]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B13">
<nlm-citation citation-type="book">
<article-title xml:lang=""><![CDATA[Some Public Policy Implications of an Aging Population]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Echenberg]]></surname>
<given-names><![CDATA[Havi]]></given-names>
</name>
<name>
<surname><![CDATA[Gauthier]]></surname>
<given-names><![CDATA[James]]></given-names>
</name>
<name>
<surname><![CDATA[Léonard]]></surname>
<given-names><![CDATA[Andre]]></given-names>
</name>
</person-group>
<source><![CDATA[Current and Emerging Issues]]></source>
<year>2011</year>
<publisher-name><![CDATA[Parliament of Canada, Library of Parliament]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B14">
<nlm-citation citation-type="">
<collab>Government of Canada</collab>
<source><![CDATA[Canada&#8217;s Universal Healthcare System]]></source>
<year>2016</year>
</nlm-citation>
</ref>
<ref id="B15">
<nlm-citation citation-type="">
<collab>Government of Canada</collab>
<source><![CDATA[Canadian Health Care Policy]]></source>
<year>2014</year>
</nlm-citation>
</ref>
<ref id="B16">
<nlm-citation citation-type="">
<collab>Government of Canada</collab>
<source><![CDATA[Health Care System]]></source>
<year>2014</year>
</nlm-citation>
</ref>
<ref id="B17">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Health Technology Assessment in Canada: Diversity and Evolution]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Hailey]]></surname>
<given-names><![CDATA[David M.]]></given-names>
</name>
</person-group>
<source><![CDATA[Medical Journal of Australia]]></source>
<year>2007</year>
<volume>187</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>286-8</page-range></nlm-citation>
</ref>
<ref id="B18">
<nlm-citation citation-type="">
<collab>Health Canada</collab>
<source><![CDATA[Canada&#8217;s health care system]]></source>
<year>2016</year>
</nlm-citation>
</ref>
<ref id="B19">
<nlm-citation citation-type="">
<collab>Health Canada</collab>
<source><![CDATA[Health Canada, a Partner in Health for all Canadians]]></source>
<year>2014</year>
</nlm-citation>
</ref>
<ref id="B20">
<nlm-citation citation-type="">
<collab>Health Canada</collab>
<source><![CDATA[Canada Health Act-Frequently Asked Questions]]></source>
<year>2011</year>
</nlm-citation>
</ref>
<ref id="B21">
<nlm-citation citation-type="">
<collab>Health Canada</collab>
<source><![CDATA[Canada&#8217;s Health Care System. Additional (Supplementary) Services]]></source>
<year>2011</year>
</nlm-citation>
</ref>
<ref id="B22">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Canada&#8217;s Private Clinics Surge as Public System Falters]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Krauss]]></surname>
<given-names><![CDATA[Clifford]]></given-names>
</name>
</person-group>
<source><![CDATA[The New York Times]]></source>
<year>2006</year>
</nlm-citation>
</ref>
<ref id="B23">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Access to Care, Health Status, and Health Disparities in the United States and Canada: Results of a Cross-National Based Survey]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Lasser]]></surname>
<given-names><![CDATA[Karen E.]]></given-names>
</name>
<name>
<surname><![CDATA[Himmelstein]]></surname>
<given-names><![CDATA[David U.]]></given-names>
</name>
<name>
<surname><![CDATA[Woolhandler]]></surname>
<given-names><![CDATA[Steffie]]></given-names>
</name>
</person-group>
<source><![CDATA[American Journal of Public Health]]></source>
<year>2006</year>
<volume>96</volume>
<numero>7</numero>
<issue>7</issue>
<page-range>1300-7</page-range></nlm-citation>
</ref>
<ref id="B24">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Canada Heath System Review]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Marchildon]]></surname>
<given-names><![CDATA[Gregory]]></given-names>
</name>
</person-group>
<source><![CDATA[Health Systems in Transition]]></source>
<year>2013</year>
<volume>15</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>1-179</page-range></nlm-citation>
</ref>
<ref id="B25">
<nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Mason]]></surname>
<given-names><![CDATA[Andrew]]></given-names>
</name>
</person-group>
<source><![CDATA[Tommy Douglas. A Brief History of Medicare]]></source>
<year>2008</year>
<publisher-name><![CDATA[Saskatchewan, New Democrats]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B26">
<nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Mosco]]></surname>
<given-names><![CDATA[Vincent]]></given-names>
</name>
</person-group>
<source><![CDATA[The Political Economy of Communication]]></source>
<year>2009</year>
<edition>2</edition>
<publisher-loc><![CDATA[London ]]></publisher-loc>
<publisher-name><![CDATA[Sage]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B27">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Canada&#8217;s New Government Announces Patient Wait Times Guarantees with All the Provinces and Territories]]></article-title>
<source><![CDATA[Nation Talk]]></source>
<year>2007</year>
<publisher-loc><![CDATA[Ottawa ]]></publisher-loc>
</nlm-citation>
</ref>
<ref id="B28">
<nlm-citation citation-type="">
<collab>ObamaCare Facts</collab>
<source><![CDATA[ObamaCare Pre-existing Conditions]]></source>
<year>2016</year>
</nlm-citation>
</ref>
<ref id="B29">
<nlm-citation citation-type="book">
<collab>OECD (Organisation for Economic Co-operation and Development)</collab>
<source><![CDATA[Health Status]]></source>
<year>2016</year>
<publisher-name><![CDATA[Health Expenditure and Financing]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B30">
<nlm-citation citation-type="">
<collab>Ontario Ministry of Health and Long Term Care</collab>
<source><![CDATA[Ontario Wait Times]]></source>
<year>2016</year>
</nlm-citation>
</ref>
<ref id="B31">
<nlm-citation citation-type="">
<collab>Ontario Ministry of Health and Long Term Care</collab>
<source><![CDATA[Surgery and Diagnostic Imaging Results. Hip Replacement Surgery]]></source>
<year>2016</year>
</nlm-citation>
</ref>
<ref id="B32">
<nlm-citation citation-type="">
<collab>Ontario Ministry of Health and Long Term Care</collab>
<source><![CDATA[Studying, Working or Travelling to Another Province or Territory Within Canada]]></source>
<year>2016</year>
</nlm-citation>
</ref>
<ref id="B33">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Canadá]]></article-title>
<collab>OPS (Organización Panamericana de la Salud)</collab>
<source><![CDATA[Salud en las Américas]]></source>
<year>2012</year>
</nlm-citation>
</ref>
<ref id="B34">
<nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Robinson]]></surname>
<given-names><![CDATA[Sara]]></given-names>
</name>
</person-group>
<source><![CDATA[10 Myths about Canadian Health Care, Busted]]></source>
<year>2008</year>
<publisher-name><![CDATA[Physicians for a National Health Program (PNHP)]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B35">
<nlm-citation citation-type="">
<collab>Saskatchewan New Democrats</collab>
<source><![CDATA[Tommy DOUGLAS. A Brief History of Medicare]]></source>
<year>2008</year>
</nlm-citation>
</ref>
<ref id="B36">
<nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Scarth]]></surname>
<given-names><![CDATA[T.]]></given-names>
</name>
</person-group>
<source><![CDATA[Hell and High Water: An Assessment of Paul Martin&#8217;s Record and Implications for the Future]]></source>
<year>2004</year>
<publisher-loc><![CDATA[Ottawa ]]></publisher-loc>
<publisher-name><![CDATA[Canadian Centre for Policy Alternatives]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B37">
<nlm-citation citation-type="">
<collab>Statistics Canada</collab>
<source><![CDATA[Access to a Regular Medical Doctor, 2014]]></source>
<year>2015</year>
</nlm-citation>
</ref>
<ref id="B38">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[The Sustainability of Canada&#8217;s Healthcare System: A Framework for Advancing the Debate]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Stuart]]></surname>
<given-names><![CDATA[Neil]]></given-names>
</name>
<name>
<surname><![CDATA[Adams]]></surname>
<given-names><![CDATA[Jill]]></given-names>
</name>
</person-group>
<source><![CDATA[Healthcare Quarterly]]></source>
<year>2007</year>
<volume>10</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>96-103</page-range></nlm-citation>
</ref>
<ref id="B39">
<nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Wictorowicz]]></surname>
<given-names><![CDATA[Mary E.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Health Care Systems in Evolution]]></article-title>
<person-group person-group-type="editor">
<name>
<surname><![CDATA[Raphael]]></surname>
<given-names><![CDATA[D.]]></given-names>
</name>
<name>
<surname><![CDATA[Bryant]]></surname>
<given-names><![CDATA[T.]]></given-names>
</name>
<name>
<surname><![CDATA[Rioux]]></surname>
<given-names><![CDATA[M. H.]]></given-names>
</name>
</person-group>
<source><![CDATA[Staying Alive: Critical Perspectives on Health, Illness and Health Care]]></source>
<year>2006</year>
<page-range>241-62</page-range><publisher-loc><![CDATA[Toronto ]]></publisher-loc>
<publisher-name><![CDATA[Canadian Scholars Press]]></publisher-name>
</nlm-citation>
</ref>
</ref-list>
</back>
</article>
