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Compares the health care system between Canada and the United States. Evidence on comparative system performance; Association between income distribution and health status on health care allocated by Canadians; Differences between Canadian and American systems in the access to care and outcomes for people with lower incomes.

Investigates how a universally insured health care system delivers care that are related to health status. Characteristics of residents in Winnipeg, Canada, by relative affluence of neighborhood; Differences in age and sex-standardized death rates across the population; Hospital use by relative affluence of neighborhood, using Winnipeg's type of hospitalization.

Presents information on the development of a population health information system (POPULIS) in regions of Manitoba, to help the United States public understand that more health care is not necessarily better and help planners identify the levers for combing the concerns of population health and cost containment. Steps for developing a population-based system to compare health status, various critical risk indicators and hospital use.

The article examines whether a small proportion of the elderly is responsible for a large share of health care expenditures in the U.S. and in Canada by studying data on a representative cohort group in Manitoba over a 16-year period starting in 1970. The data indicate that the average older person's risk of using hospital and nursing home services is notably higher than reported, but 50 percent of the elderly make relatively minimal demands on the health care system.