Chapter 2: health care and health reforms trends and issues. Other main dimension of perpetual crisis is whether medicare has the capacity to satisfy existing and emerging health care need of canadian: epidemiological shift taking place (aging of population, changing lifestyles, and climate) Also lack of transparency and accountability of health care policy makers, system managers, and service providers. Key features: establishment of health regions, patient registration with physicians, a capitation mode of payment, financial incentives for physicians to adopt preventative approaches - this proposed legislation was not enacted. In 1962, saskatchewan government introduced the country"s first publicly financed and administered medical insurance system: first step occurred in 1948 with the introduction of hospital construction grants. Regionalization is intended to accomplish several health policy objectives including cost control, increased responsiveness to health care needs, improved health outcomes, flexibility in care delivery, etc. A new approach to health care reform and renewal.