加拿大采用普遍保险及集中管理开支的办法,成功地控制了卫生经费,使其在国民收入中保持稳定的比例,消除了非补偿性医疗、灾难性疾病的个人负担及不参加保险等问题。加拿大施行普遍税收的筹款制度。各级管理费用均很低。收支预算、收费标准、付款等问题需经省级部门批准及议定。对医生开帐单也有限制,然而又不伤害医生行医的自主权。加拿大的公众协商过程,易于将人们的各种不满和矛盾集中起来加以疏导。 By adopting the methods of universal insurance and centralized management expenditure, Canada has successfully controlled health expenditures so that it maintains a stable proportion of national income, eliminating problems such as non-compensatory medical care, personal burden of catastrophic diseases, and non-participation in insurance. Canada implements a universal tax collection system. Management fees at all levels are very low. Issues such as budgets, fees, and payments must be approved and agreed by the provincial authorities. There is also a limit to billing doctors, but it does not infringe the autonomy of doctors to practice medicine. The process of public consultation in Canada is easy to concentrate on dissatisfaction and conflicts among people.