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Rethinking universal healthcare in Canada through a global health ethics lens

Nature Health volume 1, pages 171–173 (2026)Cite this article

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Canada’s universal healthcare is at a crossroads, requiring ethical reform to realign domestic equity with global leadership.

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References

  1. Martin, D. et al. Lancet 391, 1718–1735 (2018).

    Article  PubMed  PubMed Central  Google Scholar 

  2. Lavergne, M. R. et al. Healthc. Manage. Forum 36, 272–279 (2023).

    Article  PubMed  PubMed Central  Google Scholar 

  3. Allin, S., Marchildon, G. & Peckham, A. International health care system profiles. The Commonwealth Fund https://www.commonwealthfund.org/international-health-policy-center/countries/canada (5 June 2020).

  4. World Bank Group. Out-of-pocket expenditure (% of current health expenditure) - Canada, OECD members. World Bank https://data.worldbank.org/indicator/SH.XPD.OOPC.CH.ZS?locations=CA-OE (accessed 4 April 2025).

  5. Rebić, N. et al. CMAJ 196, E1331–E1340 (2024).

    Article  PubMed  PubMed Central  Google Scholar 

  6. Statistics Canada. One in four Canadians aged 12 and older avoided oral health care services because of cost. Statistics Canada https://www.statcan.gc.ca/o1/en/plus/7613-one-four-canadians-aged-12-and-older-avoided-oral-health-care-services-because-cost (10 January 2025).

  7. Registered Nurses’ Association of Ontario. Resolution 6: Reject Medical Tourism to Safeguard Medicine (Registered Nurses’ Association of Ontario, 2013).

  8. Turner, L. Can. Fam. Physician 53, 1639–1641 (2007). 1646–1648.

    PubMed  PubMed Central  Google Scholar 

  9. Government of Canada. 2024 Annual Report to Parliament on Immigration (Immigration, Refugees and Citizenship Canada, 2024).

  10. Moir, M. & Barua, B. Despite high spending, Canada’s health-care system is failing badly. Fraser Institute https://www.fraserinstitute.org/commentary/despite-high-spending-canadas-health-care-system-failing-badly (23 November 2022).

  11. McNaughton, C. D. et al. J. Am. Coll. Emerg. Physicians Open 5, e13299 (2024).

    Article  PubMed  PubMed Central  Google Scholar 

  12. OECD. Waiting Times for Health Services: Next in Line (OECD Publishing, 2020).

Download references

Acknowledgements

The views expressed in this paper are solely those of the authors and do not necessarily represent the views, decisions or policies of their institutions.

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Authors and Affiliations

  1. Research Division, Insights for Better Health, Saskatchewan Health Authority, Saskatoon, Saskatchewan, Canada

    Daniel A. Adeyinka

  2. Research Division, Insights for Better Health, Saskatchewan Health Authority, Swift Current, Saskatchewan, Canada

    Brandace Winquist

  3. Department of Community Health and Epidemiology, University of Saskatchewan, Saskatoon, Saskatchewan, Canada

    Brandace Winquist

Authors
  1. Daniel A. Adeyinka
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  2. Brandace Winquist
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Correspondence to Daniel A. Adeyinka.

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The authors declare no competing interests.

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Adeyinka, D.A., Winquist, B. Rethinking universal healthcare in Canada through a global health ethics lens. Nat. Health 1, 171–173 (2026). https://doi.org/10.1038/s44360-025-00013-w

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