Canada's romance with market medicine: for-profit health care has failed in the U.S. So now its sponsors hope to export it north.

CANADA, OF ALL PLACES, IS HAVING A HIGHLY charged national debate about whether to adopt the U.S. model of commercialized health care as part of its national health-insurance system. Health policy makers in Canada, particularly at the provincial level where most practical decisions are made, are being told a monstrous myth.

Consultants and business people, often with little professional health training or experience but with ample conflicts of financial interest, are extolling the advantages of marketplace medicine and the benefits that an American-style entrepreneurial approach ...

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