We would wager citizens of every country think health care could be improved. However, we would also bet a plane ticket to someone's favourite summer getaway that Canadians will find countries with universal health care, such as Australia, Japan, or favourite tourist destinations in Europe, have far better health care than we do. That's because their citizens and their governments have no hang-ups about the three boogeymen of upfront fees, "private" insurance, and private delivery. They are also nations with progressive, sensible health care practices that could help improve Canada's health care system.
In Switzerland, the way the health care system is organized has evolved in the opposite direction of Canada's, where the trend has rather been toward ever more centralized regulation and public financing. When all is said and done, the Swiss experience shows once again that the private sector can contribute constructively and efficiently to the provision of services within a public health care system without threatening the goals of fair and universal access to care.