This book investigates the systemic inefficiencies and structural failures within the Canadian health-care system, proposing concrete policy reforms to ensure its long-term viability. Authors Michael Rachlis, a physician and health policy analyst, and Carol Kushner, a health journalist, utilize extensive research and comparative analysis to argue that the system's problems stem from outdated management models rather than a lack of funding. They present a framework for shifting the focus from hospital-centric care to community-based, preventative health strategies.

The text provides a dense, analytical examination of Canadian health policy that remains relevant for understanding the structural challenges inherent in public health administration. Its focus on systemic reform rather than simple funding increases suggests a specialized approach intended for policy makers and informed citizens interested in the mechanics of health-care delivery.