Part 1- overview the canadian healthcare system and the health status in canada. Mechanistic-individualistic clinical approach is dominant paradigm in medicine treatment focuses on surgical or chemical interventions. Reductionist approach blames illnesses on individuals, behaviors and consumption patterns. Both of these approaches obscure the social nature of disease i. e. that disease is embedded in social, economic, political and cultural contexts. Attempts to reform and transform medicine must be tied to wider strategies of change in the social structure. Medicare originated in the failure of the market to ensure that people received necessary medical care and hospital services. Original cost-sharing agreement between the federal and provincial governments discouraged experimentation with non-medical and non-hospital forms of treatment and it discouraged provincial governments with improving efficiency in delivery of services. @klll2l2kl zl2 zl z encouraged provincial governments to make reforms at the provincial level through regionalization.