Even though its most virulent critics raise the spectre of \u201cCanadian-style\u201d\u009d health care, \u201cObamacare\u201d\u009d does little to change the enduring differences between the two health care system. What, exactly, does \u201cObamacare\u201d\u009d look like compared to Canada?…<\/p>\n
Not cost containment<\/b>: The sharpest critics of Obamacare argue it does little to address the fundamental challenge of cost control. The new law includes a review of Medicare reimbursement and the expansion of Accountable Care Organizations to reward cost-effective care. But it doesn\u2019t grapple in a systematic fashion with the overall inefficiencies in health care delivery and financing, the administrative burden of multiple payers, providers and plans, and the cost pressures of defensive medicine. Governments in Canada know that health care is a searing financial responsibility, but they have at their disposal cost containment measures \u201d\u201c monopoly fee negotiations with providers, global budgets for hospitals \u201d\u201c that remain unfathomable in the American context.<\/p>\n