Abstract

Canadian healthcare faces a myriad of challenges. Debates focused on reform often occur within the “public vs. private” paradigm, despite a body of evidence that has largely resolved the issue. Thus, the debate is not one of evidence; it is political. Piercing this debate can occur through a return to values, operationalizing them via design and adopting an assets-based approach. Challenges to reform cannot be ignored, including recognizing material realities. No matter what form changes to the healthcare system take, considerable social and political capital will be required for reform.