Jeffrey Simpson

Medicare is the third rail of Canadian politics. Touch it and you die. Every politician knows this truism, which is why no one wants to debate it. Privately, many of them understand that the health care system, which costs about $200 billion a year in public and private money, cannot continue as it is—increasingly ill-adapted to an aging population with public costs growing faster than government revenues.

In Chronic Condition, Jeffrey Simpson meets health care head on and explores the only four options we have to end this growing crisis: cuts in spending, tax increases, privatization, and reaping savings through increased efficiency. He examines the tenets of the Medicare system that Canadians cling to so passionately. Here, he finds that many other countries have more extensive public health systems, and Canadian health care produces only average value for money.

In fact, our rigid system for some health care needs and a costly system for other needs—drugs, dentistry, and home care—is really the worst of both worlds. Chronic Condition breaks the silence about the huge changes and real choices that Canadians face.

Here’s a clear, believable book for Canadians concerned about our situation — and it offers a solution.

It’s a brilliant mix. To "Canada’s best mind on the environment," Mark Jaccard, who won the 2006 Donner Prize for an academic book in this area, you add Nic Rivers, a researcher who works with him at Simon Fraser University. Then you add Jeffrey Simpson, the highly respected Globe and Mail columnist, to punch the message home in a clear, hard-hitting way. The result is a unique book.

Most other books on energy and climate change are: (a) terrifying or (b) academic or (c) quirky, advocating a single, neat solution like solar or wind power.

This book is different. It starts with an alarming description of the climate threat to our country. Then it shifts to an alarming description of how Canadians have been betrayed by their politicians ("We’re working on it!"), their industrialists ("Things aren’t that bad, really, and voluntary guidelines will be good enough."), and even their environmentalists ("Energy efficiency can be profitable, and people can change their lifestyles!") All of this, of course, reinforces the myths that forceful policies are not needed.

Hot Air then lays out in convincing and easily understandable terms the few simple policies that Canada must adopt right away in order to significantly reduce greenhouse gas emissions over the next few decades. It even shows how these policies can be designed to have minimal negative effects.

With evidence from other countries that are successfully addressing climate change, Hot Air shows why these are the only policies that will work — and why this is a matter of life and death for all of us.