Medicare, Canada's universally accessible and publicly funded health care system, is one of the social institutions of which we are most proud. Many experts argue that it is one of the best health care systems in the world. Recently, however, shrinking financial resources and increasing health care demands have brought calls for reform. This program examines how Canadian health care became overbuilt and follows up with a look at such successful alternatives as cost-effective community-based primary health care clinics, where prevention is stressed. In addition, the pros and cons of user fees are discussed.