Care and Consequences

The Impact of Health Care Reform

Edited by Diana L. Gustafson

Over the past decade health care in Canada has shifted from a cure-care model to a business model. Disguised behind talk of community, care closer to home, consumer choice, patient rights, cost-containment and improved efficiencies, the business model has ushered in “bottom line” financial management which has brought us steadily deteriorating health care services. Framed within a clear analysis of this new health care model, the articles in this collection illustrate how diverse groups in various social and institutional contexts are navigating through a changing health care system-a system upon which women in particular rely for their wellbeing as caregivers and care recipients; a system that operates more and more on the logic of scientific management.

”This book is an excellent tonic for those who feel seduced by the language of health care ‘reform’ and forced to choose between the alternatives” -Pat Armstrong