imbursements. This single-payer feature is one of the most controversial aspects of this sort of proposal for reform of the health-care delivery system, and one which the Clinton administration unfortunately backed away from in its recent attempt to get health-care reform through Congress, but Dr. Hiatt and all other sources consulted (Konner, 1993, p. 235; Bennett and Adams, 1993, passim; de KervasdouT, Kimberly, and Rodwin, 1884, p. 167) agree that it is essential for any successful reform. All the sources cite the Canadian experience, in which it was only when the provincial governments became the sole source of medical funds and salaries that it became possible to create and carry out a rational plan that provided universal medical care and yet kept costs under control, two goals over which there is virtually no disagreement.
At the beginning of each year, the Regional Health Corporation would negotiate co
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