“…Some have argued that Canadian medicare 1 suffers a relative inertia in the face of broader social trends, making it difficult to change or build on. 2 Since medicare was established, Canadians have experienced increased migration and cultural diversity, 3 the transformation of family structures and gender roles, 4 globalization, substantial changes to the economy 5 and, in recent years, the growing threats of climate change. Each of these factors should have prompted program adjustments and shifts in policy.…”