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Argues that the Canadian medical profession has failed to provide adequate support for public medical care in relation to the Supreme Court decision of June 9, 2005. Comment on the support of the provision for single-tier health care; Areas in the Canadian health care system that need reform; Factors which contribute to the poor performance of organized medicine in the country.

Looks at the status of the health care system in Canada. Allegation that the country's health care system as of 2004 is unsustainable; Identify the areas of the country's health care system that are performing excellent; Suggestion on how to tackle the problems or flaws of the country's health care system.

Offers observations on studies of Canadian clinical practice guidelines (CPGs). Reference to an article by Graham et al in this issue; Use of the Appraisal Instrument for Clinical Guidelines to assess CPGs; Suggestion that all CPGs should be judged more on the basis of the quality of their recommendations than on the explicit processes of their creation; Conclusion that there should be one nationally-produced and federally-funded guideline for each area.