Pros: Generally well-written, with a logical and fluid layout. It is probably about 50 pages too long, which results in many thoughts being revisited, including whole paragraphs almost verbatem. Use of multiple, global comparisons to Canada's healthcare system is well done and is definitely the strength of this review. To Mr. Simpson;s credit, the solutions laid out are many and varied, even if his leanings are evident and color much of his emphasis. Cons (I don't think Mr. Simpson would like me capitalizing that term): While the author does lay-out most of the issues besetting Canada's healthcare system, he emphasizes the solutions/ comparisons he finds most to his liking; for example, he dismisses studies that evidence private-pay healthcare as more efficient than public-pay, yet emphasizes the studies that evidence private-delivery is more effecient and acknowledges that it also makes more efficient public-delivery (its amusing that his economics training allows him to see the 2nd point as valid, but misses the first). On many occassions, Mr. Simpson attempts to suggest that income inequities cause much of the overuse of healthcare and if Canada could only redistribute income more generously than it could solve much of the problems plaguing it. Firstly, your econ professors would be appaled and secondly, my god that's simplistic thinking :) Oddly, for an author that painstakingly attepts to be non-political/ non-idealogocial, he takes gratuitous swipes at both the Conservatives in Canada (Mulroney was too smart a politican to let his disbelief in Medicare stop him from supporting it...this was the same PM that stood up to the country on Free Trade, but he caved on Medicare...amusing) and the Rebublicans in the US....no ideology here, what proper book on Canada's healthcare system wouldn't take several shots at a US political party :P. His choice of paper's to write for (G&M) and prior to that political parties to work for (NDP/ Broadbent) unfortunately take something from this book (rather it adds something to it, just not good) All-in-all, good read, as long as you can avoid Mr. Simpson's ideological leanings which manifest into a failure to ofer a complete picture of Canada's healthcare from a comparative standpoint.