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| Book Review | The American Historical Review, 109.1 | The History Cooperative
109.1  
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February, 2004
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Book Review

Canada and the United States



David Gagan and Rosemary R. Gagan. For Patients of Moderate Means: A Social History of the Voluntary Public General Hospital in Canada, 1890–1950. (McGill-Queen's Associate Medical Services [Hannah Institute] Studies in the History of Medicine, Health, and Society, number 13.) Montreal and Kingston: McGill-Queen's University Press. 2002. Pp. xi, 268. $49.95.

This book introduces the reader to some of the major themes in Canadian hospital history. David Gagan and Rosemary R. Gagan build on the previous work of David Gagan in A Necessity Among Us: The Owen Sound General and Marine Hospital (1990), which remains one of the better individual hospital histories available. Together the Gagans are able to broaden the perspective of the earlier work, and the themes that emerge here will be familiar to historians of American medicine. What makes their study different, however, is the knowledge that health care in Canada took a different turn. The passage of the federal Hospital Insurance and Diagnostic Services Act in 1957 was the Canadian solution to the problems in hospital care detailed in this book. . . .

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