Canada as a nation and its constituent provinces have travelled a difficult path over the better part of the last decade to achieve balanced budgets. It is critical for Canada and the provinces to take the next step on the continuing path towards fiscal responsibility. That next step is the introduction of constitutionally entrenched laws enforcing tax and expenditure limitations (TELs).

In June 2000, Saskatchewan conducted a major review of its health care system and issued its report in April 2001. The provincial government also invited comments from the public and health care providers; more than 100 individuals and organizations appeared before the Standing Committee on Health. This study looks at some of the reasons why the government's reforms will not succeed in permanently solving the province's problems of waiting lists, a lack of medical technology, a shortage of providers, and other issues.