New book addresses the complexities within the reform process for healthcare in Canada

Lazar-Paradigm-Freeze-coverParadigm Freeze: Why it is So Hard to Reform Health-Care Policy in Canada

Edited by Harvey Lazar, Pierre-Gerlier Forest, John N. Lavis and John Church


This book addresses the complexities within the reform process for healthcare in Canada. It relies on experts to answer these complex yet fundamental questions: 1) Why has healthcare reform proved a stumbling block for provincial governments across Canada? 2) What efforts have been made to improve a struggling system, and how have they succeeded or failed?

Lazar, his co-editors and contributors examined and compared several healthcare-related policies including regionalization, needs-based funding, alternative payment plans, privatization, waiting lists and prescription drug coverage.

Paradigm Freeze is based on thirty case studies completed in Alberta, Saskatchewan, Ontario, Quebec, and Newfoundland and Labrador, which took into consideration healthcare reform in Canada since the early 1990s. They account for the generally limited extent of reform that has occurred, and identify the factors associated with the relatively few cases of large-scale reform.

Order your copy from McGill-Queen’s University Press

The Canadian Foundation for Healthcare Improvement provided funding for the final analysis and publication of this book. The views expressed in the book are those of the authors and do not necessarily represent the views of CFHI.