Abstract
j G"N*e"as A NADA and the United States have much in commoin since they are two highly industrialized countries situated on the same continent, both with federal systems of K :: t t government. Their historical evolution has followed 'i c)C parallel lines and they adhere to the same democratic > eie principles. These various similarities between the two countries make it interesting to analyze how their expenditures in the area of health services have evolved, especially since the sixties. Indeed it is around this time that the organization of health services in the two countries took different forms (1). In this paper, we will identify aspects of the organization of the Canadian health system, and particularly of the Quebec system, which can be linked to a different evolution of health expenditures in the two countries. Secondly, we will analyze the type of cost control measures that were implemented (2). Finally, we will discuss the avenues which could be taken to allow the Quebec health system to continue to pursue its objectives.
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