Health care managers across industrialized nations have embraced innovations such as modernized information systems, improved integration of services, and better design of financial incentives. However, debate about “big picture” policy remains highly polarized. That observation is underscored in the United States by political responses and legal challenges to the 2010 Patient Protection and Affordable Care Act (ACA). Meanwhile, north of the border, there is renewed controversy regarding the public financing of Canada's provincial single-payer health plans.
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