1 Factors Which Affect the Demand for, Need for and expenditures on Health Care. 2 The Evolution of Canadian Health Care: How We Got to Where We Are. 3 Where The Health Care Dollars Are Spent. 4 Social Priorities: The Fundamental Choices. 5 The Powers and Functions of the Major Players. 6 Centralization and Decentralization. 7 Other Organizational Options. 8 Planning and Evaluation. 9 Financial Issues and Options. 10 The Control of Costs. 11 Physician Services. 12 The Role of Consumers. 13 Health Professions. 14 Research and Information. 15 The Tools and Process of Setter Spending. 16 A Provincial Program for Better Spending. 17 The Marketing of Change. 18 Controlling Drug Utilization and Public Spending on Drugs. 19 Practitioners and the Policy Process. 20 Sectoral Policies. 21 The Future.