Review: Better Now: Six Big Ideas to Improve Health Care for All Canadians by Danielle Martin. Penguin Random House Canada

This is an intelligent, knowledgeable, and impassioned plea for the improvement of health care. It primarily addresses the Canadian health care system known as medicare, but the ideas are thought provoking to anyone who cares about patient care.


The author speaks of a Triple Aim (term coined by Dr. Don Berwick): (1) improve health of the population (2) improve patient experience of care and (3) lower–or hold–the per capita cost of care so the system is sustainable.

Dr. Martin goes on to offer what she calls Six Big Ideas to achieve these goals. She illustrates each idea with examples from actual patient stories.


This is an important statement on health care that, while focused on Canada, has much food for thought for the health system of any country. I am a mental health care provider in the United States. To date, I am not an advocate of the single payer system, but I value these well-expressed ideas.


My thanks to author, publisher and NetGalley for providing an advance copy of this book.


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