Building on Values: The Future of Health Care in Canada
Bibliographic record
Abstract
Royal Commission into Canada’s Medicare system as there had been widespread concern about the direction health care in Canada was taking. This article examines the reasons for the Royal Commission, its findings, and their relevance to the Australian heath care system. Commercialisation of Health Care Most Western countries, with the exception of the USA, have a system of general health care insurance covering all citizens, usually funded through taxes. The philosophy behind general health care insurance systems is that health care is a Samaritan service offered by the community to citizens in need regardless of their status or circumstances. It is a common good based on shared community values. Economists and politicians across the globe have embraced and promoted competitive marketplace and global solutions to the world’s health care problems. Investors in the business community have been enthusiastic about the opportunities for growth and the profit that can be taken from the public purse. In Canada, this has resulted in the decline of many large public institutions in the last 20 years. (Buske 1997)
Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.
How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.002 | 0.003 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.006 | 0.005 |
| Scholarly communication | 0.007 | 0.003 |
| Open science | 0.001 | 0.005 |
| Research integrity | 0.003 | 0.004 |
| Insufficient payload (model declined to judge) | 0.039 | 0.002 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".